123essaywriting

HCA 5123 Healthcare Policy Analysis And Decision Making

Academic Anxiety?

Get an original paper within hours and nail the task

156 experts online

Free Samples

HCA 5123 Healthcare Policy Analysis And Decision Making

.cms-body-content table{width:100%!important;} #subhidecontent{ position: relative;
overflow-x: auto;
width: 100%;}

HCA 5123 Healthcare Policy Analysis And Decision Making

0 Download6 Pages / 1,346 Words

Course Code: HCA5123
University: University Of The Southwest

MyAssignmentHelp.com is not sponsored or endorsed by this college or university

Country: United States

Questions

Case Study: Australian Surgery Indicator Makes the Front Page.
Case Summary: In a narrative format, discuss the key facts and critical issues presented in the case.
Case Analysis: 
a) Do the conclusions you draw from the case justify the headline? Why?
b) Evaluate the indicators shown in the Table. Remember that these are not the only indicators. Others included the waiting times for elective    surgery by urgency category?
c) What do you estimate is the avoidable rate of canceled surgeries and how would you develop an indicator for that?
d) How would you factor in the biases of both the doctors and NSW Health?   
Executive Decisions: 
e) How might you manage the phenomenon that raising the benchmarks to “aspirational” levels means reporting more failures to the public?
 
f) Investigate the overlapping private and public hospital systems in Australia.  How does that complicate the issues of performance evaluation and improvement?  In New South Wales the Department of Health both regulates the private facilities and manages the public ones.  What are the strengths and weaknesses of such an arrangement ?

Answers
Case Study (key facts and critical issues):
The given case study is on the rate of surgery cancellations in Australia that headlined the front page of Sydney Morning Herald on 28th February, 2011 that stated “Thousands Hit as Hospitals Cancel Surgery”. The report indicated that the number of cancellations for same day surgery was three times higher than the acceptable standards, as a result of which many patients who were expecting to go to the operating room were sent home after they had fasted in preparation of the surgery and their blood samples being sent to the lab. In some cases, the cancellation of surgery was due to the non availability of hospital beds for the patient for post surgical care (Wallace, 2011; McLaughlin et al., 2009).
The health ministry of Australia revised the minimum target for surgery can cancellations from 5% to an ‘aspiring’ goal of 2% or less (Gheysari et al., 2016). However, many hospitals are unable to achieve the new target of 2% or even the old target of 5% in some cases. Statistics from NSW department of health showed that the Key Surgical Performance Indicator (surgery cancellations) at State Level was less than 2% and 0.5% of cancellation was due to patient not showing up. According to the chairperson of Australian Medical Association, the problem was worse than indicated by the figure since the patients who wanted surgery but were not booked for surgery was not recorded in the data, thus suggesting the actual rate of cancellations was higher than indicated by the NSW data (Wallace, 2011; McLaughlin et al., 2009).
Additionally, it was also stated that even though 2% benchmark was rather ambitious considering the current scenario, it was still unacceptable to have cancellation rates that was two or three times higher than the benchmark and the decision to add 400 beds was not sufficient. According to deputy director-general of NSW Health, 40% to 45% of the cancellation was due to patient reasons and some cancellations was also due to the non availability of ICU beds and necessary supplies and equipments. However, most of the hospitals were able to meet the old target of 5% and few did achieve the 2% or less target. Moreover in six out of nine hospitals in NSW, the same day cancellation was about 4% amounting to 9000 cases which was typical of other Australian states, while 91% of the elective surgeries was completed on time (McLaughlin et al., 2009).
Case Analysis:
a. The title of the case “Australian Surgery Indicator Makes the Front Page” is somewhat ambiguous as it does not clarify whether it is a good or a bad news. However, the headline “Thousands Hit as Hospitals Cancel Surgery” shows how patents were affected by the cancellation rates for surgery.
 
b. The table showed that at the state level, the cancellation rates was less than 2% for booked patient cancellations and less than 1% for cancellations due to medical conditions. Also the average waiting times for general preadmission was 2 hours and for multidisciplinary admissions was 4 hours which was higher than the benchmark of 30 minutes to 2 hours. The table also showed that 0.5% of cancellations of surgery was due to patient not showing up (McLaughlin et al., 2009).
 
c. The avoidable cases of canceled surgeries in my opinion was mainly due to unavailability of ICU hospital beds for post surgical care or medical equipments/supplies on the part of the hospital as well as no show on the part of the patient. Indicators such as the number of cancellations due to unavailability of ICU beds or medical equipments/supplies and number of patients who wanted surgeries but never booked can help to get a better picture of the situation.
 
d. Biasness of the doctors as well as NSW health can be identified by the non inclusion of unbooked patient’s surgery cancellation rates as well as surgery cancellations due to the unavailability of ICU beds due to which the data does not depic the exact ground scenario. Moreover, the focus on surgery cancellations due to patient not showing up tends to divert the focus away from the failure of the healthcare organization to the perspective of medical reasons and patient’s fault, both of which are beyond the control of the healthcare organization (McLaughlin et al., 2009).
Executive Decisions:
e. Even though increasing the benchmark for surgical cancellations to 2% or less would result in the increase of reporting of failures to the public, it can be highlighted that the 2% target is an ‘aspirational’ one intended to further stretch the previous and more realistic goal of 5%. It is would also be important to highlight to the public that by setting up the 2% benchmark will help to aspire better standards of care and prevent some of the avoidable cases of cancellations related to the unavailability of ICU beds or medical equipments/supplies for surgery (Kinnear et al., 2017). Additionally, keeping an aspirational benchmark would also put pressure on the healthcare organization to further improve its services which in turn can help to further improve the health and wellbeing of the people and thus would be beneficial to the public (Kyei et al., 2017).
 
f. In Australia, private and public hospitals provides overlapping services due to which patients have the choice of choosing whether they want to be treated in the private or public hospitals (Schadewaldt et al., 2016). The private and public hospitals moreover has overlapping roles in public healthcare that can allow patients to switch between public and private hospital care based on their condition as well as situations (Ward et al., 2015). The private hospitals provide the patients with more choice for care and the waiting times as well as cancellation for surgeries are usually less than public hospitals. However, the quality of care is usually better in public hospitals and costs of care are free as well as being more accessible then private hospitals. As a result the key performance indicators also vary between private and public hospitals thereby complicating the process of performance evaluation and improvement (Meyer, 2015). In NSW, the department of health regulates the private facilities and manages the public ones as a result of which it allows better assessment of the key performance indices across private and public hospitals as well as supports the overlapping services between the two. However, a weakness of such arrangement is that it challenges the process of comparing the performances between private and public hospitals due to their inherently different KPI values (Roehrich et al., 2014).
References:
Gheysari, E., Yousefi, H., Soleymani, H., & Mojdeh, S. (2016). Effect of six sigma program on the number of surgeries cancellation. Iranian journal of nursing and midwifery research, 21(2), 191.
Kinnear, N., Britten?Jones, P., Hennessey, D., Lin, D., Lituri, D., Prasannan, S., & Otto, G. (2017). Impact of an acute surgical unit on patient outcomes in South Australia. ANZ journal of surgery, 87(10), 825-829.
Kyei, M. Y., Mensah, J. E., Bray, L. D., Ashiagbor, F., & Toboh, J. A. A. B. (2017). Day of Surgery Cancellation in Urology at a Public Tertiary Hospital and a Private Specialist Hospital. Open Journal of Urology, 7(01), 22.
McLaughlin, C. P., Craig, D., & McLaughlin, M. J. (2009). Health policy analysis: An interdisciplinary approach. Jones & Bartlett Publishers.
Meyer, S. B. (2015). Investigations of trust in public and private healthcare in Australia: a qualitative study of patients with heart disease. Journal of Sociology, 51(2), 221-235.
Roehrich, J. K., Lewis, M. A., & George, G. (2014). Are public–private partnerships a healthy option? A systematic literature review. Social Science & Medicine, 113, 110-119.
Schadewaldt, V., McInnes, E., Hiller, J. E., & Gardner, A. (2016). Experiences of nurse practitioners and medical practitioners working in collaborative practice models in primary healthcare in Australia–a multiple case study using mixed methods. BMC family practice, 17(1), 99.
Wallace, N. (2011). Thousands hit as hospitals cancel surgery. Retrieved from https://www.smh.com.au/national/nsw/thousands-hit-as-hospitals-cancel-surgery-20110227-1ba0r.html
Ward, P. R., Rokkas, P., Cenko, C., Pulvirenti, M., Dean, N., Carney, S., … & Meyer, S. (2015). A qualitative study of patient (dis) trust in public and private hospitals: the importance of choice and pragmatic acceptance for trust considerations in South Australia. BMC health services research, 15(1), 297.

Free Membership to World’s Largest Sample Bank

To View this & another 50000+ free samples. Please put
your valid email id.

E-mail

Yes, alert me for offers and important updates

Submit 

Download Sample Now

Earn back the money you have spent on the downloaded sample by uploading a unique assignment/study material/research material you have. After we assess the authenticity of the uploaded content, you will get 100% money back in your wallet within 7 days.

UploadUnique Document

DocumentUnder Evaluation

Get Moneyinto Your Wallet

Total 6 pages

PAY 4 USD TO DOWNLOAD

*The content must not be available online or in our existing Database to qualify as
unique.

Cite This Work
To export a reference to this article please select a referencing stye below:

APA
MLA
Harvard
OSCOLA
Vancouver

My Assignment Help. (2021). HCA 5123 Healthcare Policy Analysis And Decision Making. Retrieved from https://myassignmenthelp.com/free-samples/hca5123-healthcare-policy-analysis-and-decision-making/key-facts-and-critical-issues.html.

“HCA 5123 Healthcare Policy Analysis And Decision Making.” My Assignment Help, 2021, https://myassignmenthelp.com/free-samples/hca5123-healthcare-policy-analysis-and-decision-making/key-facts-and-critical-issues.html.

My Assignment Help (2021) HCA 5123 Healthcare Policy Analysis And Decision Making [Online]. Available from: https://myassignmenthelp.com/free-samples/hca5123-healthcare-policy-analysis-and-decision-making/key-facts-and-critical-issues.html[Accessed 18 December 2021].

My Assignment Help. ‘HCA 5123 Healthcare Policy Analysis And Decision Making’ (My Assignment Help, 2021) accessed 18 December 2021.

My Assignment Help. HCA 5123 Healthcare Policy Analysis And Decision Making [Internet]. My Assignment Help. 2021 [cited 18 December 2021]. Available from: https://myassignmenthelp.com/free-samples/hca5123-healthcare-policy-analysis-and-decision-making/key-facts-and-critical-issues.html.

×
.close{position: absolute;right: 5px;z-index: 999;opacity: 1;color: #ff8b00;}

×

Thank you for your interest
The respective sample has been mail to your register email id

×

CONGRATS!
$20 Credited
successfully in your wallet.
* $5 to be used on order value more than $50. Valid for
only 1
month.

Account created successfully!
We have sent login details on your registered email.

User:

Password:

At MyAssignmenthelp.com, we understand that when students get stuck with tough assignments, they look for affordable services. To assist students with complex assignments, we have built a team of skilled cheap essay writers. MyAssignmenthelp.com has become one stop solution for all students who often look for answers related to their search similar to do my essay at the cheap rate or who can write my essay at affordable prices. Students prefer hiring us as we have the best provisions to render services related to do my essay online at a reasonable rate.

Latest Healthcare Samples

div#loaddata .card img {max-width: 100%;
}

5N1794 Safety And Health At Work
Download :
0 | Pages :
13

Course Code: 5N1794
University: University College Cork

MyAssignmentHelp.com is not sponsored or endorsed by this college or university

Country: Ireland

Answer:
Assignment 1
Answer to question 1
I have conducted a survey at my workplace maned Lady’s Hospice and Care Services to observe the working environment. The aim of the survey is to find if it is a safe, healthy, secured and fulfilling place to work. A visual survey was conducted to locate and record the safety signs in the workplace. The objective of the survey is to observe and list different types of signs, location, their prom…
Read
More
Tags:
Australia Maple Ridge Management Introduction to film studies University of New South Wales Masters in Business Administration 

400837 Health And Socio Political Issues In Aged Care
Download :
0 | Pages :
14

Course Code: 400837
University: Western Sydney University

MyAssignmentHelp.com is not sponsored or endorsed by this college or university

Country: Australia

Answers:
Introduction
Palliative care services are designed to improve the life of patient with progressive disease. People receiving palliative care have illness that has no prospect of cure.  As per the World Health Organisation, palliative care is a care given to patient suffering from life threatening illness to improve their quality of life by preventing and providing relief from sufferings by early recognition , assessment and trea…
Read
More
Tags:
Australia Minchinbury Management University of New South Wales 

PUBH6304 Global Health
Download :
0 | Pages :
8

Course Code: PUBH6304
University: The University Of Newcastle

MyAssignmentHelp.com is not sponsored or endorsed by this college or university

Country: Australia

Answers:
Human Immunodeficiency Virus Infection and Acquired Immune Deficiency Syndrome (HIV/AIDS) is the spectrum of medical conditions caused due to human immunodeficiency virus (HIV) following which the patient suffers from a series medical complications due to suppression of the immune system of the body. With the progression of the disease, the patient is likely to suffer from a wide range of infections like tuberculosis and other opportu…
Read
More
Tags:
United States Newark Management University of New York Masters in Business Administration 

CON 321 Health Related Research
Download :
0 | Pages :
3

Course Code: CON321
University: University Of Southern Maine

MyAssignmentHelp.com is not sponsored or endorsed by this college or university

Country: United States

Answer:
Introduction
Leadership in the hospital is the ability to influence the staff toward providing quality health care. Leadership involves influencing human behavior to create a positive working environment (Langlois, 2012). Good leadership enables healthy relationships among staffs in the hospital enhancing quality delivery of health care services. Leadership is responsible to building teams that have trust, respect, support and effecti…
Read
More

BL9412 Public Health
Download :
0 | Pages :
35

Course Code: BL9412
University: University Of The West Of England

MyAssignmentHelp.com is not sponsored or endorsed by this college or university

Country: United Kingdom

Answer:
Introduction
According to the researchers, it can be said that the management of the health care organizations has become a difficult task nowadays and the reason behind this is the occurrence of various issues in this sector (Hall et al., 2014). Therefore, the administrative employees of the organization should incorporate various revolutionized strategies for enriching the worth of care provided by the hospital to its clients and re…
Read
More
Tags:
Australia Ryde Management Information system strategy University of New South Wales (UNSW) Masters in Business Administration 

Next

Need an essay written specifically to meet your requirements?

Choose skilled experts on your subject and get an original paper within your deadline

156 experts online

Your time is important. Let us write you an essay from scratch

Tips and Tricks from our Blog

11174 Introduction To Management

Free Samples 11174 Introduction To Management .cms-body-content table{width:100%!important;} #subhidecontent{ position: relative; overflow-x: auto; width: 100%;} 11174 Introduction

Read More »