Strengths and Weaknesses of the Organization Domain Strength Weakness

Strengths and weaknesses of the organization domain

This preview shows page 5 - 8 out of 13 pages.

Strengths and Weaknesses of the Organization Domain Strength Weakness Leadership/Operations Patient/family inclusion in policy, procedure, program, guideline development. A clear statement to patient family-centered care and partnerships. Mission, Vision, Values Powerful mission, vision and values statements No weaknesses noted Advisors IHC has a family advisory council. Patients/family do not participate in safety rounds, but our hospital does not have advisory committees Quality Improvement This was the lowest scoring area. Patient/families are not involved in facility risk or safety meetings Personnel Low inpatient/family involvement in personal development. Staff and physicians support patient/family care practice Environment & Design Interdisciplinary collaboration is done well with a small community. Patient/family are not generally involved in clinical design except it is a small community, so families related to physicians were involved. Information/Education The web portal provides Patient/family do not serve as
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Organizational Leadership 6 specific resources educators. Diversity & Disparities Education at an age- appropriate literacy level Access to interpreters is limited, but they have very little diversity in the community. Charting and Documentation Full access to medical records online “my health file”. No patient or family charting is allowed. Care Support Patient/Family are involved in all aspects of care. The facility is adequate in care support. No weaknesses noted Care This facility also scores very high in this area of patient care. No weaknesses noted Area of Improvement The weakness in the PFCC assessment identified with the lowest score would be in the domain of Quality Improvement and Advisory. Patient/families are not actively involved in quality, safety or risk meetings. Committees for Safety and quality care do exist in SVH but consist of board member and hospital staff only. SVH does not currently have an Advisory committee even though the larger hospitals in more Urban areas do have advisory committees. The only time a patient or family is involved in a committee would be an ethical review requested by the family for a chart review. Improvement Strategy Allowing patients or families to be part of the committees already in place would allow for input from a different perspective. Improving quality and safety in a hospital setting has two
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Organizational Leadership 7 parts, the patient in whom the problem happened to or the risk they were placed in and the staff involved in causing the problem or the risk. Making it essential to involve staff, management, patients or family and providers in these committees. IHC and SVH have an internal procedure for reporting, recording and tracking safety issues and quality indicators. An example of a possible change would be a hand washing policy the hospital may think they have a great policy and adherence but a patient or family may observe something different or may not see the hand washing due to it taking place outside the room. This perspective would give the administrators
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