D The board lets the day to day operations be run by the executives The

D the board lets the day to day operations be run by

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executives. The executives are the CEO, CMO, CNO, Vice President of the Avera Medical Group, Vice President of Organizational Excellence, Human Resource Officer, and Vice President of Finance. (About Avera Marshall, 2017)Each other area of the hospital is ran by a nurse leader. These nurse leaders oversee patient care. The nurse leaders are there to ensure that staff is providing the safest and most excellent care that they can give to the patients. The staffs that are direct reports to the nurse leaders are the staff that gives the hands on care to the patients: nurses and patient care aides.A3 Primary Needs of Population
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Essentials of Advanced Nursing Practice Field Experience 4Avera Marshall serves Lyon county, but also the other rural surrounding counties becauseof the access to many specialties. The other main counties are Lincoln, Murray, Redwood, and Yellow Medicine counties. The community is 86.3% White, 2.5% African American, 6.5% Hispanic, 3.3% Asian, and 5.6% Foreign born. (Avera Marshall Regional Medical Center, 2016)The facility has done community needs assessments in the past, which has led the facility to focus on areas like bringing cancer treatment to the rural area. The major health and wellness priorities Avera Marshall has identified in a recent community based needs assessment are mental wellness, elder care and dementia care, and coordinated care. Mental wellness affects the community because mental health issues were in the top 10 reasons for emergency department visits in Lyon County. Elder care and dementia care affect the community because a higher percent of people utilize nursing homes for care versus home and community care options in the identified counties. And when it comes to coordinated care, “growing evidence suggests that to achieve the Triple Aim of improving the experience of care, improving the health of populations,and reducing per-capita costs of health care, health care professionals and workers must function interdependently, supporting and communicating with one another, coordinating services efficiently, and focusing their attention on the whole patient.” (Avera Marshall Regional Medical Center, 2016)By focusing on the areas of mental wellness, elder care and dementia care, and coordinated care, patients are being regularly checked on. Developing and utilizing coordinated care keeps patients with comorbidities out of the emergency room. Patients are also held more accountable for their own health care needs. If patients are not in good health, then there will be
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Essentials of Advanced Nursing Practice Field Experience 5a decrease in people that working. This then can cause a decrease in the productivity to the community. Less productivity will lead to the increase need of public, city and state support financially to meet the needs of the city residents, thus taking away for other needed funding such as public safety and environmental care. The organization may need to hire more staff and expand its services to meet the needs of the community. This will lead to increase the cost to the center and decreased revenue.
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