payers, such as Medicare, have come up with newer strategies of reimbursement to reduce costs. While changes to the reimbursement structure may show promise in the future of healthcare funding, this does place added pressure on how providers conduct their clinical duties. Providers find themselves having to deal with administrators on one hand, while on the other hand dealing with the increasing health care requirements of the older and sicker populations. Self-Assessment Tool Please refer to the Appendix: Patient- and Family-Centered Care Organizational Self-Assessment Setting Description The Patient-and Family-Centered Care Organizational Self-Assessment Tool (PFCC) (IHI, 2018) was completed with the following healthcare organization in mind. Part of the Maui regional hospitals managed by the Maui Health Systems, a non-profit LLC wholly owned by Kaiser Foundation Hospitals founded in 2017, Maui Memorial Medical Center (MMMC) is a 214-bed, level 3 trauma community hospital situated in a rural setting on the island of Maui in the state of Hawaii. MMMC employs more than 1500 employees and works with hospital-based physicians and clinicians and community physicians, which includes more than 1000 primary
ORGANIZATIONAL LEADERSHIP 4 and specialty care providers. While the hospital is managed by Kaiser Permanente, the majority of the hospital’s legacy policies and procedures documents still remain in effect. The institution’s mission is to “provide high-quality, patient-centered, affordable care for all residents and visitors on Maui and Lanai, supported by Kaiser Permanente’s industry-leading technology systems, evidence-based medicine, and nationally recognized care quality” (MHS, 2017). In doing so, it intends to “create a culture where everyone can be their best while providing high-quality, patient-centered, affordable care to the people of Maui and Lanai” (MHS, 2017). Strengths and Weaknesses The Patient- and Family-Centered Care Organizational Self-Assessment Tool (PFCC) was used in this exercise. The PFCC enables an organization to contemplate where they stand in comparison to leading edge practices that incorporate within their organization strong patient and family centered care elements. The following table outlines the strengths and weaknesses the author has found in each of the domains of the PFCC tool. Domain Strength Weakness Leadership/ Operations Clear, strong statement on the organization’s commitment to patient care and the health of the community.No clear indication that patient/family member is included in the review and approval of policies and procedures. However, other individuals (“as deemed appropriate”) may be considered in the review and approval process.Mission, Vision, Values Clear statement on the institution’s commitment to providing affordable health care to patients and improving the health of the community.
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- Organizational Leadership