Research a health care organization or network that spans several states with in the United States (United Healthcare, Vanguard, Banner Health, etc.). Assess the readiness of the health care organization or network you chose in regard to meeting the health care needs of citizens in the next decade.
Prepare a 1,000-1,250 word paper that presents your assessment and proposes a strategic plan to ensure readiness. Include the following:
1. Describe the health care organization or network.
2. Describe the organization\’s overall readiness based on your findings.
3. Prepare a strategic plan to address issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction.
4. Identify any current or potential issues within the organizational culture and discuss how these issues may affect aspects of the strategic plan.
5. Propose a theory or model that could be used to support implementation of the strategic plan for this organization. Explain why this theory or model is best.
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Expert Answer and Explanation
Health Organization Evaluation
The performance of the health care sector is dependent on multiple factors. These factors can be evaluated to ensure that there are seamless operations and all aspects of care are conducted without discrepancies. The complexity of operations within the healthcare sector increases with an increase in the size and magnitude of the facility (Grube et al., 2018). An organization that spans a wide location or has multiple outlets in different regions might have challenges that should be addressed on time. In this regard, these types of organizations have to demonstrate increase readiness and preparedness when attending to patients of different issues to ensure the proper attainment of organizational goals. Preparedness is an important aspect of any organization and it can be an essential attribute to aid with strategic planning and addressing new events.
The United Health Group
One of the healthcare organizations that span multiple states is the United Health Group. The headquarters of the organization is based in Minnetonka, Minnesota from where the main operations are supervised and executed. The organization has been listed in the Fortune 100 as one of the leading healthcare institutions in the US (Enos, 2020). The organization is focused on improving the overall value of health care consumers through the creation of measures to reduce the cost of healthcare. Similarly, the company is also addressing the need to improving the quality of care provided to the patients by advocating for health and wellness. The advocacy is essential towards the streamlining of healthcare services and ensuring all the health care experiences for the customer are met with high satisfaction.
On average, the United Health Group provides comprehensive services to more than 26.4 million Americans both in healthcare delivery and other medical plans. Besides offering medical services, the United Health Group acts as a medical insurance entity offering affordable pans to the patients. These plans are categorized into different segments including national employers mid-sized employers, public sector employers, individuals, and businesses (Jelalian et al., 2020). These plans are crucial for the patient as they can be used to cushion the burden that would have otherwise been felt from the out-of-pocket payments. Other services offered by the organization are the Medicare and retirement plans offered to the elderly individuals within the community. the program serves approximately 12.5 million senior citizens and other individuals that are eligible for the Medicare and retirement program (Enos, 2020). The other service that the facility provides is the community and state where services are offed contingent to the state in which the facility is located. These programs are directed to the community members who can benefit from the services provided by the organization.
Readiness of the United Health Group
Based on these findings, the United Health Group has been able to implement multiple readiness plans that have proven to be effective (Li et al., 2020). Over the years the United Health Group has put in place measures to ensure that there is convenience for patients when seeking medical care of the financing for acquired medication. The current movement is the shift from treatment and healing to the use of health promotion and prevention which is likely to help reduce cost and improve the quality of life (Grube et al., 2018). In compliance with the new model of care, the United Health Group partnered with the YMCA to create the JOIN for ME movement. the movement seeks to sensitize overweight and obesity among children and advocate for healthy body weight and the need to watch one’s diet (Jelalian et al., 2020). According to the program, the children were taught the best practices to engage in in order to reduce the chances of becoming overweight. Some of the key issues addressed include the reduction of time spent watching TV and engaging in physical activities such as walking and playing outside with other children for muscle activity.
Another preparedness activity that the organization facilitated is the UnitedHealthcare Hearing which helps the patients to have affordable medical care within the plans it provides. The United Health Group doubles as both a health care facility as well as an insurance company to manage and administer patient finances and insurance covers (UnitedHealth Group, 2019). The company came up with a system called My Healthcare Cost Estimator which provides the clients with a number of comparative expenses analyses obtained from different health care providers. The information helps the patient to choose the facility to use based on their finances and quality of care (UnitedHealth Group, 2019).
Strategic Plan for the Organization
The organization is present in more than 50 states and is expected to increase. With the current number of people being served to reach close to 65 million, the company can use segmentation of services to help address the growing network (UnitedHealth Group, 2019). Offering segmented control of the different branches and an overall oversight from the main organization is crucial and would be beneficial to the company.
The vastness of the organization demands a high number of nurse practitioners to help address the high number of patients. In order to meet the demand, the facility can have affiliation with a nursing institution to offer nurse trainees of graduate nurses to join the organization as they train to become employees at the facility (UnitedHealth Group, 2019).
For proper organizational management, the facility is divided into categories that perform individual roles. The segmentation of the departments makes it easy to operate different departments independently and then converge the final outcome for analysis. (Cox & Semanskee, 2016). This method is essential as it helps the company manage the complex structure and wide scale.
To ensure patient satisfaction, the organization can guarantee the availability of resources and personnel. These elements are significant during the provision of care and can help in administering patient-centered care.
The current issue affecting the organization is COVID-19 leading to a sudden influx of patients within the organization (Kuy et al., 2020). While others are in need of medical care, some are in need of financing the care from their insurance plans. The nature of the disease has strained the resources of the facilities and reduced the nurse-patient ratio. However, the proper implementation of the strategic plan would be essential in reducing the impact of the pandemic and increasing the effectiveness of the facility.
Theory or Model for Implementation
The organization can make use of evidence-based care model to implement the strategic plan (King, 2020). The model facilitates an environment conducive to understand the best approach to deal with a contagious disease and devise a mechanism that will best mitigate the impact of the disease both on the patients and on the facility. By understanding the overall preparedness and addressing the strategic plan, the facility is able to address the issues that might occur such as the pandemic.
Preparedness is an important aspect of any organization and it can be an essential attribute to aid with strategic planning and addressing new events. The United Health Group has over the years proved to be dedicated to the delivery of care and the operations of other healthcare issues that are in line with the consumer needs.
Cox, C., & Semanskee, A. (2016). Analysis of UnitedHealth Group’s Premium and Participation in ACA Marketplaces. Henry J. Kaiser Family Foundation.
Enos, G. (2020). Legal setback doesn’t deter patient from parity fighting UnitedHealth Group. Alcoholism & Drug Abuse Weekly, 32(3), 1-7.
Gruber, D., Berman, I., & Wilson, A. B. (2018). Making the US a Telehealth Ready Nation. Telehealth and Medicine Today.
Jelalian, E., Evans, E. W., Rancourt, D., Ranzenhofer, L., Taylor, N., Hart, C., … & Foster, G. D. (2020). JOIN for ME: Testing a Scalable Weight Control Intervention for Adolescents. Childhood Obesity, 16(3), 192-203.
King, J. S. (2020). Covid-19 and the need for health care reform. New England Journal of Medicine.
Kuy, S., Gupta, R., Correa, R., Tsai, R., & Vohra, S. (2020). Best practices for a Covid-19 preparedness plan for health systems. NEJM Catalyst Innovations in Care Delivery, 1(2).
Li, J. P. O., Shantha, J., Wong, T. Y., Wong, E. Y., Mehta, J., Lin, H., … & Ting, D. S. (2020). Preparedness among ophthalmologists: during and beyond the COVID-19 pandemic. Ophthalmology, 127(5), 569-572.
UnitedHealth Group. (2019). Launch of UnitedHealthcare Hearing Offers People Improved Access to Affordable, Quality Hearing Health Care. Retrieved 19 May 2020, from https://www.unitedhealthgroup.com/newsroom/2019/2019-06-27-uhc-hearing-offers-launch.html
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