This document discusses human resource management practices at Patton-Fuller Community Hospital. It outlines the key functions of human resources including controlling, maintaining, and managing employee resources. It also discusses performance appraisal standards and guidelines for effective reviews. The document analyzes employee files for four individuals, assessing hiring dates, appraisal timeliness, disciplinary actions, and due diligence. It concludes by noting factors that influence human resource management in healthcare like industry changes, workforce demands, and types of patient care provided.
A GraphQL approach to Healthcare Information Exchange with HL7 FHIRSuresh KUMAR Mukhiya
Interoperability is accepted as a fundamental necessity for the successful realization of Healthcare Information Systems. It can be achieved by utilizing consistent standards defining syntactic and semantic meaning of the information being exchanged. HL7 FHIR is one of such open standards for Health Information Exchange (HIE). While HL7 FHIR supports Representational State Transfer (REST) architecture and Service-oriented Architecture (SOA) for seamless information exchange, it inherits the inflexibility and complexity associated with the RESTful approach. GraphQL is a query language developed by Facebook that provides promising techniques to overcome these issues. In this paper, we exploit the use of GraphQL and HL7 FHIR for HIE; present an algorithm to map HL7 FHIR resources to a GraphQL schema, and created a prototype implementation of the approach and compare it with a RESTful approach. Our experimental results indicate that the combination of GraphQL and HL7 FHIR-based web APIs for HIE is performant, cost-effective, scalable and flexible to meet web and mobile clients requirements.
GSS America\'s Workplace Services aim at equipping customer’s business with round-the-clock support, through its Global Operations Command Center (GOCC). Its comprehensive range of workplace services gives customers the ability to reduce their costs and improve their service levels. GSS intends to help global enterprises cut down on their infrastructure maintenance costs and provide access to expert skills.
Business Process Management (BPM) is a management approach to continuously improve processes and achieve organizational objectives through a set of methodologies and technologies. This introduction video to BPM provides definitions, key components, an IT request process example, and methodologies.
Explore more about BPM on http://www.appian.com/
Visit the BPMbasics Learning Center for additional free resources and whitepapers: http://www2.appian.com/bpmbasics
A GraphQL approach to Healthcare Information Exchange with HL7 FHIRSuresh KUMAR Mukhiya
Interoperability is accepted as a fundamental necessity for the successful realization of Healthcare Information Systems. It can be achieved by utilizing consistent standards defining syntactic and semantic meaning of the information being exchanged. HL7 FHIR is one of such open standards for Health Information Exchange (HIE). While HL7 FHIR supports Representational State Transfer (REST) architecture and Service-oriented Architecture (SOA) for seamless information exchange, it inherits the inflexibility and complexity associated with the RESTful approach. GraphQL is a query language developed by Facebook that provides promising techniques to overcome these issues. In this paper, we exploit the use of GraphQL and HL7 FHIR for HIE; present an algorithm to map HL7 FHIR resources to a GraphQL schema, and created a prototype implementation of the approach and compare it with a RESTful approach. Our experimental results indicate that the combination of GraphQL and HL7 FHIR-based web APIs for HIE is performant, cost-effective, scalable and flexible to meet web and mobile clients requirements.
GSS America\'s Workplace Services aim at equipping customer’s business with round-the-clock support, through its Global Operations Command Center (GOCC). Its comprehensive range of workplace services gives customers the ability to reduce their costs and improve their service levels. GSS intends to help global enterprises cut down on their infrastructure maintenance costs and provide access to expert skills.
Business Process Management (BPM) is a management approach to continuously improve processes and achieve organizational objectives through a set of methodologies and technologies. This introduction video to BPM provides definitions, key components, an IT request process example, and methodologies.
Explore more about BPM on http://www.appian.com/
Visit the BPMbasics Learning Center for additional free resources and whitepapers: http://www2.appian.com/bpmbasics
This paper will discuss the most effective and ineffective financial management practices in the healthcare setting. Healthcare is the most difficult industry to prepare financial operating budgets. There are many factors and variables that must be taken into consideration. These factors and variables can change yearly making the preparation of the budget even more difficult.
7 Ways To Overcome Barriers To CommunicationSean McPheat
Communication barriers exist all around us. Misinterpretations abound in our discussions with team members. We delete, distort and generalise information in every conversation.
This paper will discuss the most effective and ineffective financial management practices in the healthcare setting. Healthcare is the most difficult industry to prepare financial operating budgets. There are many factors and variables that must be taken into consideration. These factors and variables can change yearly making the preparation of the budget even more difficult.
7 Ways To Overcome Barriers To CommunicationSean McPheat
Communication barriers exist all around us. Misinterpretations abound in our discussions with team members. We delete, distort and generalise information in every conversation.
IN THE FIELD OF HEALTH CARE EVIDENCE BASED PRACTICE IS MOST IMPORTANT FOR MOST ACCURATE CARE AND TREATMENT.FOR THIS PURPOSE RESEARCH IS COMPULSORY.THIS PRESENTATION TELLS ABOUT THE IMPORTANCE OF RESEARCH,LEADERSHIP AND MANAGEMENT IN NURSING.
Health workforce education and development and Human Resource in the health s...MAK1stABMSC2019
Dr. Elsie Kiguli-Malwadde. Director Health Workforce Education and development. African Center for Global Health and Social Transformation (ACHEST) Hon. Assoc. Prof. Makerere University
Makerere University's 1st African Biomedical Scientists' Conference. 2nd March 2019
Original ArticleThe Establishment of Evidence-BasedPract.docxhoney690131
Original Article
The Establishment of Evidence-Based
Practice Competencies for Practicing
Registered Nurses and Advanced Practice
Nurses in Real-World Clinical Settings:
Proficiencies to Improve Healthcare Quality,
Reliability, Patient Outcomes, and Costs
Bernadette Mazurek Melnyk, RN, PhD, CPNP/PMHNP, FNAP, FAANP, FAAN •
Lynn Gallagher-Ford, RN, PhD, DPFNAP, NE-BC • Lisa English Long, RN, MSN, CNS •
Ellen Fineout-Overholt, RN, PhD, FAAN
Keywords
evidence-based
practice,
competencies,
healthcare quality
ABSTRACT
Background: Although it is widely known that evidence-based practice (EBP) improves healthcare
quality, reliability, and patient outcomes as well as reduces variations in care and costs, it is still
not the standard of care delivered by practicing clinicians across the globe. Adoption of specific
EBP competencies for nurses and advanced practice nurses (APNs) who practice in real-world
healthcare settings can assist institutions in achieving high-value, low-cost evidence-based health
care.
Aim: The aim of this study was to develop a set of clear EBP competencies for both practicing
registered nurses and APNs in clinical settings that can be used by healthcare institutions in their
quest to achieve high performing systems that consistently implement and sustain EBP.
Methods: Seven national EBP leaders developed an initial set of competencies for practicing
registered nurses and APNs through a consensus building process. Next, a Delphi survey was
conducted with 80 EBP mentors across the United States to determine consensus and clarity
around the competencies.
Findings: Two rounds of the Delphi survey resulted in total consensus by the EBP mentors,
resulting in a final set of 13 competencies for practicing registered nurses and 11 additional
competencies for APNs.
Linking Evidence to Action: Incorporation of these competencies into healthcare system ex-
pectations, orientations, job descriptions, performance appraisals, and clinical ladder promotion
processes could drive higher quality, reliability, and consistency of healthcare as well as reduce
costs. Research is now needed to develop valid and reliable tools for assessing these competen-
cies as well as linking them to clinician and patient outcomes.
BACKGROUND
Evidence-based practice (EBP) is a life-long problem-solving
approach to the delivery of health care that integrates the best
evidence from well-designed studies (i.e., external evidence)
and integrates it with a patient’s preferences and values
and a clinician’s expertise, which includes internal evidence
gathered from patient data. When EBP is delivered in a context
of caring and a culture as well as an ecosystem or environment
that supports it, the best clinical decisions are made that
yield positive patient outcomes (see Figure 1; Melnyk &
Fineout-Overholt, 2011).
Research supports that EBP promotes high-value health
care, including enhancing the quality and reliability of health
care, improving health outcomes,.
Original ArticleThe Establishment of Evidence-BasedPract.docxvannagoforth
Original Article
The Establishment of Evidence-Based
Practice Competencies for Practicing
Registered Nurses and Advanced Practice
Nurses in Real-World Clinical Settings:
Proficiencies to Improve Healthcare Quality,
Reliability, Patient Outcomes, and Costs
Bernadette Mazurek Melnyk, RN, PhD, CPNP/PMHNP, FNAP, FAANP, FAAN •
Lynn Gallagher-Ford, RN, PhD, DPFNAP, NE-BC • Lisa English Long, RN, MSN, CNS •
Ellen Fineout-Overholt, RN, PhD, FAAN
Keywords
evidence-based
practice,
competencies,
healthcare quality
ABSTRACT
Background: Although it is widely known that evidence-based practice (EBP) improves healthcare
quality, reliability, and patient outcomes as well as reduces variations in care and costs, it is still
not the standard of care delivered by practicing clinicians across the globe. Adoption of specific
EBP competencies for nurses and advanced practice nurses (APNs) who practice in real-world
healthcare settings can assist institutions in achieving high-value, low-cost evidence-based health
care.
Aim: The aim of this study was to develop a set of clear EBP competencies for both practicing
registered nurses and APNs in clinical settings that can be used by healthcare institutions in their
quest to achieve high performing systems that consistently implement and sustain EBP.
Methods: Seven national EBP leaders developed an initial set of competencies for practicing
registered nurses and APNs through a consensus building process. Next, a Delphi survey was
conducted with 80 EBP mentors across the United States to determine consensus and clarity
around the competencies.
Findings: Two rounds of the Delphi survey resulted in total consensus by the EBP mentors,
resulting in a final set of 13 competencies for practicing registered nurses and 11 additional
competencies for APNs.
Linking Evidence to Action: Incorporation of these competencies into healthcare system ex-
pectations, orientations, job descriptions, performance appraisals, and clinical ladder promotion
processes could drive higher quality, reliability, and consistency of healthcare as well as reduce
costs. Research is now needed to develop valid and reliable tools for assessing these competen-
cies as well as linking them to clinician and patient outcomes.
BACKGROUND
Evidence-based practice (EBP) is a life-long problem-solving
approach to the delivery of health care that integrates the best
evidence from well-designed studies (i.e., external evidence)
and integrates it with a patient’s preferences and values
and a clinician’s expertise, which includes internal evidence
gathered from patient data. When EBP is delivered in a context
of caring and a culture as well as an ecosystem or environment
that supports it, the best clinical decisions are made that
yield positive patient outcomes (see Figure 1; Melnyk &
Fineout-Overholt, 2011).
Research supports that EBP promotes high-value health
care, including enhancing the quality and reliability of health
care, improving health outcomes, ...
Similar to Hcs341 week 5 human resource management power point (20)
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
8. Progressive Discipline -
Due Diligence
- Employee Files should contain:
• Application & Hire Letter
• Training Completion & Certificates
• Legal Documents
• Appraisals, Disciplinary/Corrective Actions
-Consistency throughout
the Organization
- Review of Employee File
Results
9. Employee – B. Bellamy
• Date of Hire– Not on file.
• Timely annual performance appraisals–
05/20/2003, 05/21/2004, and 05/20/2005
• Corrective Action– included in appraisal comments on first appraisal.
Employee failed to obtain a patient’s vital signs as directed every four
hours on January 14, 18, Feb. 3 and 6, 2003.
• Due diligence followed
10. Employee – A. Branham
ate of Hire – 4/03/1995
imely annual performance appraisals
–April, 1996 through April, 2005
irst Conference (4 Jan, 1998)- Too many days missed
econd Conference (20 Feb, 1998)- Loss of patient’s valuables
11. Employee – K. Lovell
ate of Hire – 3/17/1997
imely annual performance appraisals
– 3/20/98 & 3/20/99
egality Issues
– Corrective action included in appraisal comments on first appraisal
– Terminated on date of second appraisal
– No record of corrective action in file
12. Employee – L. McFate
ate of Hire – 9/11/07
imely appraisals – 90 day, 6 mo., annual
irst corrective action- First conference – employee refused to sign
ue diligence followed
13. Human Resource Management Patton-
Fuller Hospital
• Changes in Health Care Industry
• High demand for Health Care
Workers
• People Living Longer
• People Requiring Advanced
Treatment Around the Clock
14. Human Resource Management Patton-
Fuller Hospital
• Hospital Size
• Hospital Geographic
Location
• Funding
• Specific Care Given
16. nderson, P., & Pulich, M. (2001). A positive look at progressive discipline. Health Care
• Manager, 20(1), 1-9.
Apollo Group, (2013). Job Descriptions. Chief Human Resource Officer. Retrieved from
https://ecampus.phoenix.edu/secure/aapd/CIST/VOP/Healthcare/PFCH/jobdescriptions
astiaens, T.H.J., & Stijnen, P.J.J. (2008). Career Development through E-Learning: The
• Importance of a Competence-Based Learning Approach.. Malaysian Journal of Distance
Education, 10(1), 1-19. doi: Education Research Complete
eisecker, A. E. (1990). Patient power in doctor–patient communication: What do we
• know? Health Communication, 2(2), 105–122.
eadrick, D.L. & Gardner, D.G. (1999). Performance Distributions: Measuring Employee
Performance using Total Quality Management Principles. Journal Of Quality
Management, 4(2),225. doi: Business Source Complete
References
17. artley Medical. (n.d). Practice What You Preach! Perform Due Diligence. Retrieved from
http://hartleymedical.com/blog/practice-what-you-preach-perform-due-dil
igence
ombardi, D. M., & Schermerhorn, J. R. (2007). Health care management: Tools and techniques
• for managing in a health care environment. Hoboken, NJ: John Wiley & Sons.
arshall, T. (2013). Patton Fuller. Prezi Inc.. Retrieved from
http://prezi.com/d6afwvggdwkk/patton-fuller/
eferenceforBusiness.com, (2013). Human Resource Management (HRM). Retrieved from
• http://www.referenceforbusiness.com/encyclopedia/Gov-Inc/Human-Resource-Management-HRM.html
nited States Department of Labor (nd). Wage and Hour Division (WHD). Family and Medical
Leave Act. Retrieved from http://www.dol.gov/whd/fmla/
niversity of Phoenix. (2013). Virtual Organizations Portal [Multimedia]. Retrieved from University of
References cont.
Editor's Notes
The Business Dictionary (2013), describes Human Resource Management as “the process of hiring and developing employees so that they become more valuable to the organization”. The Human Resource Department is in charge of conducting job analysis, recruiting, orientation and training of new employees, payroll, benefits and incentives, and performance evaluations. At the Patton-Fuller Community Hospital, the Chief Human Resource Officer is responsible for “providing leadership in developing and executing human resources strategy in support of the overall business plan and strategic direction of the Patton-Fuller Community Hospital, specifically in the areas of succession planning, talent management, change management, organizational and performance management, training and development, and compensation” (Apollo Group, 2013). Picture retrieved from http://veobit.com/products/vbit-hrm/
HR is in control of trying to fulfill the goals and mission statement of Patton-Fuller by finding employees that fit the goals of the hospital. HR comes in and controls what employees are hired, fired, disciplined, rewarded, and so forth. HR then maintains and manages the training and education of employees so that they grow while we grow. We also take pride in caring about what our employees have to say. Employees opinions, suggestions, and feelings must also be tracked and maintained for potential business improvements (Gomez-Mejia, Balkin, & Cardy, 2010). Bastiaens and Stijnen (2008), training is important to employees and the employer furthering education, learning, and training because it builds competence between employees and the employer. Utilizing these functions is just another way HR thrives to make Patton-Fuller the best. Picture retrieved from http://brainware.tripod.com/cbmopensys.html
There are four basic functions of management organizing, promoting, leading, and planning (Lombardi, & Schermerhorn, 2007). Planning is the most important functions above all others because it is needed to efficiently complete the other functions. Planning and proper management of situations go hand in hand (Hardin, 2002). Patton-Fuller is well planned on what we want and expect from employees that allows HR to organize which employees need what assistance to be their best and make Patton-Fuller the best. HR managers are here to promote the growth of the hospital and lead the employees down a path of success together. Managers have specific roles and expectations from lower level employees where the use of the functions listed above can increase communication and relations of employees for a better workplace and better business (Beisecker, 1990). Picture retrieved from Microsoft Clip Art
The standards by which Patton-Fuller goes about performance appraisals for employees is to ensure that the employees are a good fit for the organization. For employees to be a ‘good fit’ they should have personalities that enable them to strive for goals similar to the hospitals. It is important during interviews before hiring an employee to ask questions that allow the hospital to know that the employee is like minded, diverse, and has a good moral standard and code. The performance appraisals consist of audits of employee work and random sit ins with the employee to take notes and observe their work ethic, productivity, and quality. Proper appraisals will help HR to know which employees need corrective action, training, education, or perhaps additional compensation for quality of work being performed. The appraisal where show where the employee is lacking and excelling at. The basis of the information for the appraisal should be from gathered information through out the year from random audits and sit ins with the employee. It is important to focus on making sure that right information is being utilized by the employee, to measure and congratulate on accomplishments as well as day to day work performance, and focus on the ‘nitty gritty’ of what really maters in order to succeed together, employee and employer. “Performance management systems are a cornerstone of human resource (HR) management practices and are the basis for developing a systems approach to organization management” (Deadrick & Gardner, 1999, 2). Photo retrieved from depositphotos.com
The Marshall (2013) website indicates that a possible barrier to performance appraisals could be as simple as the management not liking a staff member (Marshall, 2013). This type of barrier is introduced when management looks at the achievements of certain employees, or even overlooks the employee’s shortcomings because they have favorites while the other staff member’s efforts remain overlooked (Marshall, 2013). Another barrier that management as well as staff members may encounter is lack of communication (Marshall, 2013). The lack of communication happens when a manager fails to provide the employee who is being appraised feedback on regular basis to ensure the employee can improve their on the job skills. The Marshall (2013) website indicates that a manager should not only provide excellent feedback on the annual appraisal but also throughout the year (Marshall, 2013). The website also stated that if a manager fails to pinpoint an employee’s faults and negative behavior there will be a lack of detail in the performance appraisal and will become a barrier in adequately creating a performance appraisal (Marshall, 2013). Picture retrieved from http://thumbs.dreamstime.com/z/overcome-barriers-6606876.jpg
According to the Marshall, (2013), website indicates that the guidelines for effective performance appraisals are that the appraisal includes performance standards, a job description, the different types of training that are offered and the ones employees have already completed, and above all, the document functions as a platform for excellent communication within the organization (Marshall, 2013).The communication can be verbal or written, as long as feedback is given (Marshall, 2013). The importance of the job description is that all the requirements for the position are listed in the description like, job title, required duties, organizational goals, minimum qualifications, pay range, and educational requirements (Marshall, 2013). When managers are trained on how to provide constructive feedback to employees they learn how to pinpoint the staff member’s strengths and weaknesses, and that is why it is important for supervisors and managers to receive adequate training to conduct successful performance appraisals (Marshall, 2013). Performance standards are perfect for a guide on making sure employee can execute their jobs. According to the Marshall, (2013), website indicates that performance standards are used to see if employees are exceeding or meeting expectations and identify staff members who are not (Marshall, 2013).
An employee file should contain all employment information pertaining to the individual. Primary examples are; employee application, hire or offer letter, any training documentation, required legal documents, appraisals, wage compensation changes, and documentation of disciplinary or corrective action. Consistency of counseling employees on policies and procedures throughout the organization is an important aspect of human resource management and supports training, safety, and legal compliance. Our human resources team randomly selected 4 employees to review their employee files for legal compliance with due diligence procedures. The following four slides reveal our results. Picture retrieved from http://smallbusiness.chron.com/importance-discipline-organization-16651.html
In the University of Phoenix simulation for the Patton-Fuller Community Hospital, (2013), during B. Bellamy employment period he or she received corrective conferences one and on the form indicated that action needed to be taken because the employee failed to obtain a patient’s vital signs as directed every four hours. Also according to the sole corrective conference form, “When ask about the omission, you stated you just did not have time to perform that task. Your patient load was the same as the other CNAs with the same acuity. You did not ask for help nor did you report that you had not taken the vitals. This is unacceptable behavior and puts the patient at risk” (University of Phoenix, 2013). This employee received no verbal warning because of the seriousness of his actions and was called in for the conference. During the staff members meeting with Eleanore Thacker, the Director of Medical/Surgical, “It is expected that you will follow all directions given to you in a timely manner, if for some reason you cannot fulfill your duties, you will notify the Charge Nurse immediately. Failure to abide by these expectations will result in further corrective action up to and including termination” (University of Phoenix, 2013). While employed with the Patton-Fuller Community Hospital, B. Bellamy received three annual appraisals from 05/20/2003- 05/20/2005 and on each form the employee showcased that the overall evaluation average score for each evaluation period increased. These findings indicates that due diligence was followed in the corrective action file of Bennie Bellamy.
The second employee ’ s file, A. Branham, had all of the required documentation. There was the application, the hire memorandum, annual performance appraisals, and two corrective action forms. The annual performance appraisals were mostly all acceptable ratings except for the April, 1998 appraisal. Prior to this evaluation, there were two incidents that required corrective action forms. One, was on 4 January, 1998 where A. Branham was written up for missing too many days (15 days) within 8.5 months. This many days missed goes against the organization’s policy. A. Branham was referred to Human Resources to see if she qualified for the Family and Medical Leave Act (FMLA). According to the Human Resource Department, she did not. According to the United States Department of Labor (nd), the FMLA allows employees to take “unpaid, job-protected leave for specified family and medical reasons with continuation of group health insurance coverage under the same terms and conditions as if the employee had not taken leave”. The Human Resources Department did not believe that A. Branham was eligible for FMLA under the entitlement of “a serious health condition that makes the employee unable to perform the essential functions of his or her job” (United States Department of Labor, nd) because they have not received any medical documentation from her physician. To date, there has not been any documentation turned in. The second corrective action form was on 20 February, 1998, because of lost valuables of a patient. A. Branham was written up because she had collected a patient’s valuables and supposedly placed them into the vault. A couple of days later, when the patient was being discharged, A. Branham was instructed to go get the patient’s valuables from the vault. It was at this time, A. Branham noticed that there was no valuables in the vault nor were they ever logged in. The dispatcher, however, did remember A. Branham carrying a package down to the vault so she was given the benefit of the doubt. A. Branham was advised to follow policy and utilize the log book in the future.
The third employee ’ s file, K. Lovell, contained the required documents for hire and appraisals. Date of hire for K. Lovell was 3/17/1997. Timely performance appraisals were given; however, corrective action comments for violations against policies and procedures were included with the annual appraisals instead of at the time of occurrence on a separate corrective action form during the review period. The first annual employee evaluation given 3/20/98, shows the rating performance was slightly below acceptable, with two requirements for continued training in courses for proper documentation procedures and medication administration, and a request for participation in a nursing committee. There is no supporting documents for completion of required training or follow-up by manager nor any notation of participation in the committee. The second annual appraisal given on 3/20/1999, contains unacceptable performance rating and disciplinary comments on 7 out of the 11 job specific essential functions. The employee file does not contain any documentation or supportive evidence of counseling for poor performance issues; progressive discipline and due diligence was not followed for this employee and legal issues could be applied for lack of progressive discipline measures. Photo retrieved from Microsoft Clip Art
The fourth and final employee file reviewed is that of L. McFate. All required documents are present in the employee file. L McFate has received timely employee appraisals at the 90 day, 6 month, and an annual review thus far. This employee has received an acceptable rating on each review, and one corrective action report. Employee refused to sign and provided an explanation, and our human resource department is still investigating into this matter. As far as the employee file is concerned, due diligence has been followed. Anderson, P., and Pulich, M. (2001) advise, “ Organizations that establish and adhere to high, but attainable, standards of behavior and performance can expect to experience increased productivity and a higher quality of health care service. ” This is evident with employee appraisals and corrective action counseling in our organization when progressive discipline and due diligence is followed. Photo retrieved from Microsoft Clip Art
Health care field is the fastest growing job and will only continue to grow. More nurses, doctors, therapists, and pharmacist will be needed to meet the high demand. According to (Bureau of Labor 2011) “The healthcare industry includes establishments ranging from small-town private practices of physicians who employ only one medical assistant to busy inner-city hospitals that provide thousands of diverse jobs.” As Patton Fuller hospital grows and receives more and more patients HR will have to insure that enough health care employees get hired. HR will need to insure that every department of the hospital is fully staffed and the staff is well trained. Photo retrieved from dir.coolclips.com
Since hospitals offer a variety of services human resource must insure that proper training is given to all employees. The best way to meet the high demand and the growing need for health care, HR needs to have training to stay up-to-date with all the changes in the health care industry. How to response to the changes in health care depends on how much funding, where the hospital is located, size, and what the hospital specializes in. Once funding is available HR must form a training program to help the employees get the best knowledge they can in treating the patients. According to (Bureau of Labor 2011) “Some hospitals have cross-training programs that train their workers—through formal college programs, continuing education, or in-house training—to perform functions outside their specialties.” . If Patton Fuller gets to big or busy it might be a good idea to offer out-patient services, or in home follow-up visits. By adding out-patient services or in home follow-ups it can the hospital can accommodate more patients and HR can train the current staff or hire new employees who are educated or trained in out patient/ home follow-up visits. With health care job in the rise, human resource may want to offer incentives to get people go into the health field or have current health care employees continue their education to keep up with the changes and high demand. Photo retrieved from Microsoft Clip Art
The Human Resource Department at Patton-Fuller Community Hospital supports the organization through the development, planning, implementation, and managing of recruiting and training of their employees. The Human Resource Department’s goal is to “maximize the productivity of the organization by optimizing the effectiveness of its employees while simultaneously improving the work life of employees and treating employees as valuable resources” (ReferenceforBusiness.com, 2013). The Human Resource Department utilizes the strategic goals that the hospital has set established to gain the best possible advantage in recruiting and maintaining quality employees. The Human Resource Department is responsible for the performance appraisals of employees as well as other processes and tools in order to remain competitive with the right personnel. The Human Resource Department identifies barriers and guidelines to provide effective performance appraisals that are fair and quantifiable. The main purpose of the Human Resource Department at Patton-Fuller Community Hospital is to ensure that the patients receive the best and most quality health care can be provided to the patients. The Human Resource Department assists with that through the training and management of all personnel functions. The Human Resource Department is necessary to an organization because it provides support in the way of personnel management which gives managers the opportunity to focus on the big issues that come with running and managing a hospital. Picture retrieved from http://www.referenceforbusiness.com/encyclopedia/Gov-Inc/Human-Resource-Management-HRM.html