The department of regulatory agency has the power to suspend or revoke a

The department of regulatory agency has the power to

This preview shows page 3 - 6 out of 13 pages.

background check for the initial licensure. The department of regulatory agency has the power to suspend or revoke a nursing license for any misdemeanor or felony. Reimbursement for healthcare facilities obtained from payment from CMS based on quality and safe care to patients. The incidence of hospital-acquired injuries or illness reduces the amount of reimbursement healthcare agencies receive. Health Consumer Assessment of Providers and Systems (HCAHPS) is a nationwide standardized public survey to assess the patient's perspective of the agencies care. CMS also reimburse payment based on the patient's experience revealed through HCAHPS. Patient and Family Centered Care Tool (PFCC) Please see separate document for completed PFCC Tool. Setting Description
Image of page 3
ORGANIZATIONAL LEADERSHIP AND INTERPROFESSIONAL 4 Littleton Adventist Hospital is a community hospital serving the Littleton community since 1989. Littleton, Colorado is approximately ten miles south of Denver and has a population of 44,396. The population consists of Caucasians 84.2%, Hispanics 12.09%, Asian 1.88% and African Americans 1.13%. The median age is 42 with a median income of $62,683 ("Littleton’s community profile," 2018). The Littleton Adventist Hospital is licensed for 220 beds with an average daily census of 140 and is a trauma II facility. Strengths and Weaknesses of the Organization Domain Strength Weakness Leadership/Operations Leadership rounds frequently on patients and families Available by email and phone 24/7 with the Administrator on call Board of directives comprised of many community members No patient or family on hospital- based leadership meetings Mission, Vision, Values Patient Bill of Rights clearly stated on website Mission statement does not discuss collaboration with patient and families Advisors Patient and families attend the Patient and Family Centered Collaboration meeting – advisory meeting Patients attend the patient experience and service excellent team – hospital committee No patient or family members on the quality improvement rounding Quality Improvement Patient and families are invited to participate in daily rounds with physician, nurse, case management, physical therapy and social worker Patient and families do not sit on a QI team Patient and families do not sit on safety,
Image of page 4
ORGANIZATIONAL LEADERSHIP AND INTERPROFESSIONAL 5 Patients are rounded on daily by nurse leadership and frequently by hospital administrative personnel quality or risk meetings Personnel Patient and family collaboration not stated on job descriptions. Collaboration clearly stated in annual performance appraisals Monthly quality and HCAHPS review for staff and physicians Patient and families do not take part in the interview process No patient or family welcoming of new staff Environment & Design Twenty-four hour visiting hours Interdisciplinary rounds completed daily Patient and family attend the Patient and Family Centered Collaboration meeting to assist with clinical implementation Information/Education Patient portal introduced on every admission, From the patient portal, patients can become instant message physicians with questions
Image of page 5
Image of page 6

You've reached the end of your free preview.

Want to read all 13 pages?

  • Spring '18
  • Nursing, Family Quality Improvement Committee

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

Stuck? We have tutors online 24/7 who can help you get unstuck.
A+ icon
Ask Expert Tutors You can ask You can ask You can ask (will expire )
Answers in as fast as 15 minutes