As HIM Manager, that has been assigned to lead a task force team. As the leader of this team, I need Planning, Organizing, Leadership, and Controlling.

Question :

As HIM Manager, that has been assigned to lead a task force team. As the leader of this team, I need Planning, Organizing, Leadership, and Controlling. My hospital is deficient in the Prenatal area (breastfeeding) and requires me to present Strategies for the management process i.e. Planning, Organizing, Leadership, and Control.

Please help me to reach and provide recommendations for each part of these buildings of the process.

Planning – What is your plan of attack to improve deficient area; must be explained?

Organizing -What is the organization or setup of the team; discussed with team size, type of team, and responsibilities of each member?

Leadership – motivational tactics used by you (the task force team leader/manager). What are the leadership traits and leader’s role on your team?

Control – what quality standards are created?  How will they be measured to ensure quality over time? What control measures such as TQM (total quality management) or Six Sigma etc. must be used?

A screenshot of my deficient hospital is provided – Exclusive Breast Milk Feeding

The Measure or Measure Set was not Compared to other Joint Commission eported. Accredited Organizations 2. The Measure Set does not have an Nationwide Statewide overall result. Measure Explanation Hospital Top 10% Average Top 10% Average 3. The number of patients is not enough Results Scored Rate: Scored Rate: or comparison purposes. at Least: at Least: The measure meets the Privacy Disclosure Threshold rule. Cesarean Birth This measure reports the number of 5. first-time moms with a full-term, The organization scored above 90% but + was below most other organizations. single baby in a head-down position 16% 25% 20% 28% who delivered the baby by cesarean 6. The Measure results are not statistically section. valid. The Measure results are based on a Elective Delivery This measure reports the overall sample of patients. number of mothers who had elective 8. The number of months with Measure vaginal deliveries or elective data is below the reporting requirement. cesarean sections at equal to and 9. The measure results are temporarily greater than 37 weeks gestation to suppressed pending resubmission of less than 39 weeks gestation. An 0% 2% 0% 1% updated data. elective delivery is the delivery of a 0% of 21 eligible 10. Test Measure: a measure being newborn(s) when the mother was not Patients evaluated for reliability of the in active labor or presented with individual data elements or awaiting spontaneous ruptured membranes National Quality Forum Endorsement. prior to medical induction and/or 11. There were no eligible patients that met cesarean section. the denominator criteria. Exclusive Breast Milk Feeding This measure reports the overall number of newborns who are exclusively breast milk fed during the newborns entire hospitalization. For further information Exclusive breast milk feeding is when 71% 50% 60% 38% 24% of and explanation of the a newborn receives only breast milk 109 eligible Patients Quality Report contents, and no other liquids or solids except for drops or syrups consisting of refer to the "Quality vitamins, minerals, or medicines. Report User Guide." Unexpected Complications in The moderate rate equals the + Term Newborns per 1000 number of patients with moderate livebirths – Moderate Rate complications. 212% 1780% 418% 1990% 3278% of 188 eligible Patients Unexpected Complications in This measure looks at the number of Term Newborns per 1000 full-term single babies with a normal livebirths – Overall Rate birth weight and with no preexisting conditions, these are babies that are 1508% 3084% 1612% 3157% 8196% of expected to do well and routinely go 488 eligible Patients home with the mother.