Legacy Health Systems’ organizational leadership chart is as follows. At the top is the president and CEO. Below her are seven senior vice presidents, consisting of a chief development officer, chief operating officer, chief integration officer, chief information and administrative officer, chief financial officer, chief medical officer, and chief human resources officer. Just below the senior vice presidents are the seven hospital and clinic vice presidents. Furthermore, below the hospitals and clinics’ presidents are seven vice presidents of chief nursing officers. Below the vice president and chief nursing officer are nine clinical vice presidents, and lastly, there are 18 system vice presidents (Legacy Health, n.d.). A3. Primary Needs of Organization’s Population
CONSULTATIVE CHANGE RECOMMENDATIONS 4 The birthing center is located in a high-income neighborhood in NW Portland with upscale restaurants and shopping. This neighborhood in Portland has a population of 21,700 and is considered to be one of the best places to live in Oregon, with lower violent and property crimes than the national average. The demographic breakdown for the neighborhood is 82.82% white, 6.11% Asian, 2.6% black, and 5.25% mixed race. Many young professionals live here and they tend to subscribe to liberal values. The public school in the area is also highly rated (Niche, n.d.). Due to location, the clientele that this unit caters to is mostly in their mid-twenties to early forties, upwardly mobile, well-educated, and very involved in their medical care and decision making. Most clients have taken birthing classes, read the latest literature, and come to the hospital with well-constructed birth plans that explain their wants, needs, and desires for their hospital stay. The expectation for their birth experience is that they will not be separated from their newborn infant, and have chosen this unit because all newborn care and screenings are done in the patient’s room at the bedside with parents present at all times. This hospital is locally recommended, and this facility’s HCAHPS scores meet or exceed national standards in almost all areas. A score of 78% was noted in the HCAHPS category listed as, “Patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest).” The Oregon average for this category is 75%, and the national average for this category is 73% (Center for Medicare and Medicaid Services, n.d.-b). One specific health risk associated with having your birth experience at a suburban hospital such as this, is the possibility of delayed treatment of an infant born needing a higher level of care. Also, if a mother presents to this birthing center in preterm labor, she would need to be transferred to the nearest high-risk facility to deliver her preterm infant, which poses the risk of delivery en route due to advanced labor or traffic delays. Transferring patients from one
CONSULTATIVE CHANGE RECOMMENDATIONS 5 hospital to another can be a great financial burden on the patient and affect hospital revenue due to the fact that some insurance companies will not cover maternal transport.
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- Fall '18
- Nursing, epidural, Legacy Health Systems