The number of regulatory requirements placed on

The number of regulatory requirements placed on healthcare facilities changes constantly.
Government agencies and regulating bodies are constantly monitoring the state of healthcare in
the United States and revise and create new regulations in order to keep patient safety at the
forefront of healthcare.
Reimbursement
While private payments and insurance revenue are a big part of reimbursement for any
facility, these two cannot sustain the life of any healthcare facility in today’s economy. To be
able to compete in an ever-evolving milieu, federal reimbursement must be a constant source of
income.
In 2008, CMS transformed their reimbursement model for acute care facilities by tying
payment to patient outcomes. This meant that government funds would no longer pay for
mistakes made during a patient’s hospitalization and the hospital would have to absorb the cost
of care (Sullivan, 2012, p. 2). Payment for performance became the standard at this time.

Organizational Leadership 4
Quality initiatives were then put into place to set a standard for which patient outcomes could be
measured. This helped to adopt the mindset that prevention played the key role in successfully
managing a patient’s care, rather than treatment as the result of poor care.
Patient and Family Centered Care Tool
The PFCC tool is attached to this document.
Setting Description
The healthcare setting that was used for the Patient- and Family-Centered Care
Organizational Self-Assessment Tool is a nonprofit acute care Level III trauma facility located in
the urban area of northwest Arkansas. It is currently a 200-bed facility, but it is due to open
another tower in August 2019, which will add 100 more beds. It is one of 41 hospitals in the
Sisters of Mercy network that spans four states in the Midwest region of the country. This
facility employs greater than 1500 co-workers and is the region’s second largest employer.
The hospital has seven floors which contains a 35-bed emergency department, a newborn
intensive care unit, a dedicated pediatric department, along with many specialty units. It is the
only hospital in northwest Arkansas that has the capability to offer ECMO services to intensive
care patients in need. Mercy NWA is a designated stroke and cardiac center and has a bariatric
center of excellence. This facility is also pioneering the virtual medicine field by being the first
acute care hospital in the United States to provide an in-house virtual medical/surgical nurse to
support bedside staff and improve safety for all patients on higher-ratio units. Mercy NWA
recently earned an “A” on Leapfrog.
The population that Mercy NWA serves is a diverse one. Due to the area being the home
of several home offices for global companies, such as Wal-Mart, J. B. Hunt, and Tyson, there is

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opportunity to attend to many cultures from around the world. According to the County Health
Rankings and Roadmaps (CHRR, 2017) website, the population makeup of Benton county is
diverse and is identified in six different groups, with the white population being the biggest at
74.2%.