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
Organizational Leadership 5 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%.
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