Running head ORGANIZATIONAL PERFORMANCE MANAGEMENT 1 Organizational Performance Management HCS 451 ORGANIZATIONAL PERFORMANCE MANAGEMENT 2 Organizational Performance Management Health care facilities whether large or small in share in the vision of providing quality services to perspective stakeholders Compliance with state federal and local regulating entities improve employee work performance which leads to higher levels of both risk and quality management JCAHO The Joint Commission on Accreditation of Health Organizations accreditation and measures set by CMS the Centers for Medicare and Medicaid are the heart of quality measures within the organizations represented in this report Family Medicine Associates of Millard Home Instead Home Health Care Cardiology Associates and Fair Oaks Health Care are all organizations in compliances with JCAHO and CMS HIPAA the Health Information Portability and Accountability Act regulations also ensure quality services by providing patient privacy and confidentiality in each of these organizations HIPAA 2011 Additional regulating bodies such as state licensure boards and the Food and Drug Administration FDA are also key players in establishing standards of quality and risk management plans for administration boards and the staff related to the health care entities connected with these organizations Administration maintains records verifying that current and perspective health care providers within the organization have all necessary professional licensure certification and continuing education hours to guarantee accreditation and continued quality care Similarities and Differences Among Organizations Similarities and differences occur among the four health care organizations see Appendix A One notable similarity between Family Medicine Associates of Millard Home Instead Home Health Care Cardiology Associates and Fair Oaks Health Care is the staff listed to serve the patients or residents in each organization Physicians registered and licensed practical nurses medical assistants and administrative staff are among the employees listed ORGANIZATIONAL PERFORMANCE MANAGEMENT 3 Federal national and state regulating and licensing agencies are additional similarities noted as well as the need to meet the requirements as established by each organization Differences occur among the types of services provided as well as the types of patients seen at each facility The age sex race religion etc of patients or clients is similar in each setting The type of care extent of the illness or injury ability to pay and the length of care needed are factors that determines the type of health care provider an individual chooses The skilled nursing facility cares for individuals of all ages who need services ranging from IV therapy rehabilitation services and assistance in feeding bathing and dressing the client Fair Oaks Health Care also provides overnight long and short term care for its residents in a group setting with one care giver providing care to multiple residents at one time The home health care agency specializes in treating and caring for their clients in the privacy and comfort of their own home offering one on one attention Many of the services provided by Home Instead are similar to those provided by the skilled nursing but the care giver may only stay for a certain number of hours a day or week and provide limited services according to the individual contract The family practice office offers ambulatory care including but not limited to patient well checks delivering babies and treating general illnesses and injuries The physicians at Family Medicine Associates of Millard often refer their patients to a medical or surgical specialist when the illness or injury is at a level that warrants additional expert care and advice Cardiology Associates provides ambulatory medical care as well but serves patients with specialty needs such as cardiac and vascular issues and offers additional laboratory and testing services that are not available through the family practice office The number and types of regulatory agencies overseeing a particular health care entity is determined the type and level of services provided by that entity and can constitute additional differences among these four ORGANIZATIONAL PERFORMANCE MANAGEMENT 4 organizations Even though these organizations have similarities and differences they share one great purpose to serve and help their patients in time of need Purpose of Performance Management The purpose of performance management is to evaluate the results of risk and quality management efforts as outlined by the Joint Commission and CMS Quality management develops improvement activities which fall into four categories localized improvement efforts organizational learning process reengineering and evidence based medicine and management McLaughlin Kaluzny 2006 p 4 These combined efforts suggest that the organization identifies the problem reviews the problem documents possible solutions to the problem and introduces the method and policies to correct the problem Risk management is aimed at loss prevention caused by gaps in care procedure and policy which if successful has a direct correlation to improving quality measures According to Carroll 2009 an effective risk management plan includes the establishment of policies and procedures aimed at reducing the risk to patients staff employees volunteers board members and all property and to see that the policies and procedures are enforced The Joint Commission and CMS have established standardized methods or universal protocol of evaluating and correcting common problems within an organization The Joint Commission 2011 This process is referred to as performance measurement and indicates the effectiveness of the performance management system within the four organizations including established risk and quality management plans Communication Within the Organizations ORGANIZATIONAL PERFORMANCE MANAGEMENT 5 Communication is an essential factor in achieving high performance standards decreasing risk and providing quality care and service in an organization Communication is also a reason sited in job satisfaction and improved behaviors among staff and leadership Each of the health care organizations Family Medicine Associates of Millard Home Instead Cardiology Associates and Fair Oaks Health Care Facility all have nursing staff that deals directly with an array of doctors who are in charge of