Describe a situation that could have benefitted from the application of the processes of a learning organization. What would have been different had these processes been applied?

DQ1 Describe a situation that could have benefitted from the application of the processes of a learning organization. What would have been different had these processes been applied? Explain. How might this application of processes have produced a different outcome? Support your reasoning with current research.

DQ2 The practical use of theories may be overlooked in routine, daily management and operations as a tool for creating sustainable organizations. Is it reasonable to incorporate Diffusion of Innovation Theory into a health care organization in order to enhance daily operations and promote sustainability? Why or why not?

HCA827 Sustainability of Health Care Organizations

Week 2 Discussion

DQ1 Health care leaders need to understand community demographics in order to plan for population health including changing demographics across a continuum. On which aspects of the demographic continuum should healthcare leaders focus? Why is this focus important?

DQ2 Find the U.S. Census Bureau data for the last three surveys for your state. Which changes in demographics (i.e., age, race, income) have exuded the greatest influence on health care services in your state? Why? How might understanding a demographic continuum assist with the planning of future community health services for your state? Why?

HCA827 Sustainability of Health Care Organizations

Week 3 Discussion

DQ1 The Health Insurance Portability and Accountability Act (HIPAA) governs and influences compliance policy at all health care organizations including policy that drives patient data protection workflows. What do you believe is the most significant way that HIPAA influences the use of technology in the patient data communication workflow? Why?

DQ2 Regulatory changes often prompt workflow changes or the addition of bureaucratic levels to manage the implementation of the regulation. How can leaders encourage workflow innovation that creatively mobilizes existing organizational resources to meet the challenges of regulatory guidance? Explain. When is it acceptable to expand an organization to meet new regulatory requirements? Explain.

HCA827 Sustainability of Health Care Organizations

Week 4 Discussion

DQ1 Health care innovation and change, while seemingly slow, often move faster than people in health care organizations are reasonably and pragmatically willing and able to adjust. What are two people-related barriers that health care leaders need to mitigate in order to facilitate innovation and change? How can those barriers best be mitigated? Why?

DQ2 Impending changes in reimbursement structures commonly find health care leaders working to balance the budget of the current month while simultaneously adjusting practice in order to meet upcoming requirements. How can health care leaders most effectively facilitate quick innovative change, while navigating bureaucracy? Support your position.

HCA827 Sustainability of Health Care Organizations

Week 5 Discussion

DQ1 Recessions commonly have a negative effect on the budgets of health care organizations as well as the personal finances of individuals. How has the most recent recession changed health care in your community? Have these changes been entirely negative, or are there positive results as well? Explain. What do you believe are the best strategies for your community to enact to support any positive changes and to offset the negative changes? Why?

DQ2 Economic downturn commonly means less time in the hospital and greater demand for other services. How might health care leaders best create steady revenue streams amidst changing service requirements created by fluctuating economic conditions? Why? Can steady and sustainable revenue ever be fully achieved? Why or why not? To what extent does the notion of universal health care coverage influence the stability and sustainability of revenue streams for health care organizations? Why?

HCA827 Sustainability of Health Care Organizations

Week 6 Discussion

DQ1 Stakeholder feedback comes from a variety of sources in the contemporary, connected world including patient and employee perspectives as well as the views of community and government. As a health care leader, what research-based approach would you take to reduce staff anxiety and improve staff opinions with regard to the use of patient satisfaction questions as a tool for organizational decision making? Why would you take this approach?

DQ2 There is a trend toward including patients on committees and boards of health care organizations as a means of gathering stakeholder feedback and creating a structure of shared governance with stakeholders. Is this a valid means of gathering stakeholder feedback? Why or why not? Should health care organizations continue the trend toward creating shared governance with stakeholders? Why or why not?

HCA827 Sustainability of Health Care Organizations

Week 7 Discussion

DQ1 Quality safe care is the ethically responsible thing to do and, as such, it requires an ethically responsible budget. However, quality safe care typically costs more at the time of service. As a health care leader facing economically driven funding cuts, what strategy might you employ to steer the organization to the creation and maintenance of an ethically responsible budget that assures quality safe care? Why would you choose this strategy?

DQ2 Quality safe care tends to cost more initially, but many believe that it ultimately reduces costs because it allows for more money to be spent on care than on lawsuits, relapses, infections, and other unwanted consequences. To what extent is the delivery of quality safe care a factor of the work environment? Explain. Does ethics education play a role in the creation of a work environment dedicated to quality safe care? Why or why not?

HCA827 Sustainability of Health Care Organizations

Week 8 Discussion

DQ1 A positive culture that includes shared leadership creates buy-in and fuels the sustainability of the organization. In addition, research notes that a satisfied staff leads to better patient outcomes. Is the promotion of a positive culture primarily the role of management in a health care organization? Why or why not? How can members of a health care organization cooperate to ensure an organizational culture that promotes the sustainability of quality safe care? Explain.

DQ2 The courses that comprise the health care emphasis of your doctoral program have addressed areas such as organizational structures, governance, health care regulation, professional development, leadership, community, and sustainability. Take a few moments to reflect back over the key themes of the emphasis courses. Which of these resonates with you most strongly? Why? How will this influence your dissertation research now that your topic is largely solidified?

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