Medical staff
Legal definition
The framework here is that the medical staff component is a component of individuals who are assigned by the hospital board (Wood, 2017). According to U.S. bylaws, the medical staff is also governed by the hospital set laws and that licensing of the medical staff component should be characterized by administration with an overall licensed medical staff and the aiding staff members.
The medical staff has a physician role and the aiding staff, and there must be an administrative authority that regulates administration in relevance to state laws and the laws of the hospital thereof.
The medical staff must include a nurse or the nurses who are assigned by the hospital administration thereof.
Governance code
The regulations used for medical staff administration are open to requests by the staff that is operating in the medical department in the given hospital.
In the case of reimbursement in the medical department, there exist some stipulations. In addressing payment inconsistencies, for example, there exist the following stipulations:
If there exists an over reimbursement in the case for a client, the court rules that the staff will then compensate the plaintiff for the amount charged in the excess. These are some of the issues that exist in differentiating the role of medical staff and that of whole hospital administration.
Board of trustees role
These are the management in finance and the management staff included in a hospital. The board of trustees has assigned their property in utilization by the hospital and all other related staff present in the given hospital (Griffin, 2011).
For the benefit of the patients, who exist in third party position, the management and the medical staff have come together to provide the services by the hospital. The board of trustees manages the assets, which are hospital resources for the investors in the hospital. The financiers are either one proprietor or a company.
Administration component
This component of the staff members is responsible for the managing of daily activities in a hospital (Pozgar, 2020). They are also involved in the management of finances in a hospital. They stipulate the budget, implement this given budget, control, and therefore offer insight on oversight activities in the hospital budget. The hospital administration is also responsible for the communication of company activities and therefore communicates back to management in the case of either additional benefits or additional concerns by the hospital staff(Goeschel, 2010).
The specific responsibilities of the hospital administrators would, therefore, be coordinating relationships amongst the board of trustees and the medical staff here. Also, running the activities of a hospital which would be the coordination, oversight, and arranging in the whole hospital. The administration component is also responsible for abiding as per the jurisdiction rules that exist in the land for the hospital. Also, it develops the code of performance with the handling of patients, which include maintaining quality, corporate social responsibility, and handling departments.
Relations issues
Meeting accreditation standards shared hospital role
The attainment of accreditation for a hospital is often characterized by the combined effort of the medical staff, the administrative department, and the board of trustees section. The trustees are engaged in the lucrativeness of the hospital ventures, and the medical staff is involved in the provision of quality services and in the attainment of the higher standards required in order to meet the market standards for necessity in the accreditation for a hospital. The administrative department is involved in ensuring the hospital is up to standard in the daily view.
These roles are shared, and neglect of pertinent issues by each department would lead to failure of accreditation of the whole hospital. This was the case in Australian hospitals where the nurses failed to uphold quality, and the hospital administration failed to meet set standards for health and safeness for staff and patients (Duckett, 1983). The medical staff, hospital administration, and the board of trustees need to maintain standards in order to get the accreditation. Accreditation will further the hospital’s progress.
Communication guidelines
Hospital policies dictate that there be sufficient communication (Millar, 2015). The sufficient communication details are the transmission of messages from the board of trustees to the hospital administration, which is then passed to the medical staff. Sufficient communication also is in passing the messages back to the hospital administration from the medical staff, which is then passed to the board of trustees. The communication guidelines exist in a stipulation in company policy, and the guidelines need to be adhered to effectively. The issue arising here is that there is not a breakdown of these guidelines.
The conducts that are existent in the medical staff should be well clarified to avoid overlaps in day to day running of the hospital. Otherwise, the hospital will be filled with constant disagreements. There should be clear stipulations of the regulations to avoid conflict in the hospital business. The nurses and doctors should report back to the administration in a good manner, and also the report formats should be followed by management when reporting to the board of trustees, Barnsteiner, Madigan, and Spray, 2001.
Payment issue
There exists the issue of balancing the emerging issues in payment (Mullarkey, 2011). For example, in the case where a patient overpays a resident medical staff and is seeking compensation for the overpayment. In this case, the hospital administration comes in to mediate on behalf of the client. The medical practitioner in the case is obliged to produce all the records that were utilized when they are beckoned on. The issue that has remained existence in this area is the cooperation with the medical staff, and proper procedures need to be put into place in order to achieve this successful mediation, (Ebadifard Azar, 2015).
Public opinion on the value of hospital care quality reports
Hospital ratings
There exist many criteria for the establishment of reports to valuing hospitals. Some of these are:
Number of deaths and medical complications
The higher the rates of deaths in a hospital, the more the hospital is deemed as inadequate in treating arising medical problems (Martin, 2013). The number of untreatable complications in a hospital if high enough to indicate a gap in the hospital.
Performance rate
If the quality of services in treating a certain issue is fast, then the hospital is deemed as comparatively more efficient than the others.
Number of available physicians
Physicians are the mandatory medical staff in a given hospital (Soroka, 2013). If the number of physicians in a given hospital who are available full time is very low, then the hospital is deemed as inefficient in the provision of services.
Multicorporate systems
If a hospital is diverse in installing a system for governing the hospital in all its branches where same care treatment can be expressed in all these branches, an inadequate manner, then the hospital can be referred to as successful.
Public opinion
The public will be moved by the adequate expression of these qualities in a hospital to seek services from a hospital that has shown these qualities. If a hospital is inadequate in meeting these standards, the public opinion will be repulsive towards the hospitals.
The public opinions involved in this regard include:
Formality involved
The formality involved in a hospital presentation will either deter prospective clients or attract them. A hospital should reduce formality in their reports as the evidence of much formality will deter prospective clients as hospital needs are needs that recur in everyday life (Kelley, 2013). The public opinion in this is that of deterrence towards much formality. The hospital marketing team should be involved in the writing of reports to the public on the quality assurance existent in a given hospital. Introducing color branding and other marketing styles will aid in the transmission of readable and thus effective advertisement in reporting to the public, prospective clients.
Non-profit hospitals
Public opinion towards the non-profit type hospitals is that of high regard. The non-profit hospitals in their reporting attract more clients in their hospitals and thus will create more demand for the hospital’s specific services. Hospitals in this regard should include more reporting of their free services such as diabetes in their screening in order to attract more clients, in their reporting statements. In the inclusion of non-profit services in the hospital’s yearly reports, the inclusion of the high standard distinct services of the given hospital could be an effective marketing strategy. If, for example, hospitals have portended to offer diabetes screening services in their reporting, the clients from the public who may be interested will come across the distinct services of the hospitals will find the distinct services and thus partake of the hospital’s specific services.
Inclusion of quality measures
The public requires assurance that the services offered in a given hospital are in line with the standards of hospital standards in the medical market and that they are also in line with the abstract opinions that exist in public about the standards they think should be met in a given hospital (Blendon, 2011) (Mediating Effect of Public opinion on Public Policy) (Robb, 2010) (Utz). The abstract opinions of the public that the public thinks the hospital should have included, the tidiness in a hospital, the nature of the caregiving skills that the medical staff in a hospital possess, the public image that the hospital possesses in regard to the corporate social responsibility the hospital possesses and the diversity distribution in the given hospital. The hospital requirement opinions as per the present regulations for any hospital should be included in the reports that the company offers, and also, the hospital should adequately possess such requirements in the services it provides.
Consortium services
The hospital should also prove to possess consortium services. The consortium services are the services that are offered in conjunction with other healthcare giving services. The services offered in consortium with other healthcare giving services include outpatient services in critical illnesses and high intensive illness care services tha need to be outsourced or offered in conjunction with other healthcare givers. Other consortium services would include sanitary and relevant service providers that can be offered in conjunction with the other healthcare givers. The public is often accustomed to acquiring services from renowned hospitals and may have been used to these hospitals for a long time for them to relieve themselves from reaching these services almost immediately. The hospital is showing that it is in conjunction with other hospitals in the provision of these services will attract public opinion. The public opinion favoring this conjunction will be evidenced if a hospital has shown effective collaboration with the hospitals that this particular public has been used to. The public opinion is that of familiarity to those institutions that they are used to. The marketing team in involvement in writing the company should include in the consortium theory inclusion, the major institutions that are accessed by the larger public.
Patient perspective on private medical practice
Private practice has emerged in almost all sectors in the medical field. Doctors and other medical staff, in these times, are indulging in their own regulated practice to generate their own individual income in the activities thereof and also to grow their own professional stature in the medical field. They are able to do this private practice in conjunction with the role in the employment they have been provided within either one hospital or in many hospitals at the same time. There exist advantages and disadvantages to the private practice sector. The advantages are felt by the private practitioners themselves and the clients that they acquire thereof, and the disadvantages also.
Advantages
Diversification of services
Through private practice, the medical field is being transformed into that of a competitive one. Before, the medical field characterized by institution business was regarded with the only provider of services with the supply-demand market exhibiting only service relation. With the introduction of private practice, competition has emerged in great effect. The introduction has led to medical practitioners delving with their own interests of income generation, increase in their professional ladders, while also providing medical services. The result has been these practitioners increasing their private practice activities majorly in source for their income. The resulting effect has also been that the quality of services provided have also increased as the medical practitioners are battling for clients. This is a benefit for the clients as they are able to access better quality services due to this phenomenon.
Better management of hospitals
The movement of the hospital activities to the competitive private practice has fueled for the improvement of quality services that would have otherwise have been unseen in the institutional practice that had existed. The individual practitioners benefit from the income generated. Thus, they will conduct themselves in a manner that will attract more customers into the business. The evidence in this exists as the extra services the private practitioners offer and the maintenance of hospitals in a tidy and thus an attractive customer manner to the potential customers. This is a benefit to both the potential customers and the private practitioners that are practicing. The practitioners also benefit from the benefit of conducting their private individual rewarding businesses.
Consortium services
The private practice is often associated with linkage services where the private practitioners often recommend services they can offer themselves or can operate in institutions or recommend to other practitioners who can offer the required services to the patients who require these services. Consortium services help in filling the gap that is existent when a patient requires service and the service can be offered in the vicinity where the case has been diagnosed but could be recommended for treatment in a far hospital but then finds treatment in the hospital in which the consortium services can then be provided. Consortium services either treat or complement the medical services required. The complimentary services are often found through consultation with medical practitioners.
Better flexibility
The medical practitioners are often not confined to set physical spaces but can operate across many physical places. The medical practitioners are often specialized in their services, and the services they offer are usually individualized in the staff members. The medical practitioners here are individuals who deal only with specialized services. Their office requirements are usually small in nature, and they can move about to different locations as per the clients they obtain as they deal in their services. This makes private practice more flexible than the services that would be offered by institutions. The institutions have thus adapted by increasing their flexibility to the workers that can work as private practitioners, to be part-time workers.
Disadvantages
Income flexibility
The income generated has a small contractual span in that it exists mostly on a day to day basis. The plan, therefore, that should exist for the private practitioners is that of tight scheduling so that they can achieve income generation in the most effective and efficient way. The efficiency method should be that of journalizing and planning for clients in these modern times. The modern framework that exists in modern times is that of managing through transport and the related issues of scheduling and also tabulating in the modern methods, which are inclusive of the internet forum.
Hospital resources
In achieving private practice, private practitioners can utilize the resources of the hospital to achieve their private goals. The resources that the private practitioners can utilize in a hospital include the hospital beds, working with the medical staff present in a hospital, the pharmacy department resources, and all related resources in achieving their private goals. The hospital resources can either be let or used in the stipulation of the company toward the achievement of private practice according to specified resources that can be let. In some cases, the resources could be used by private practitioners for free.
Balancing management and patient care
There exists a pertinent issue to balancing management and provision of care. Once the patients are admitted, they may find it hard to get adequate attention at some times as the private practitioner is mostly the one that manages the company. Balancing of these facets could be achieved by hiring more medical staff into the private practice (Millar, 2015). Also, hiring a management team on behalf of the practitioner could be a solution.
Lack of career focus
Private practitioners are also the ones that are involved in the management. This makes it hard for practitioners than to focus on their medical careers. The focus in medical career is in furtherance of studies and also analysis in their career path. The solution that exists for this case is hiring an assistant or hiring more medical staff. Also, acting in consortium with other medical practitioners in the same field is a solution to this issue.