Bloomington Nursing Home
The provision of medical services should correspond to a changing paradigm of health care, be socially available, cost-effective and guarantee high-quality medical aid for all ranks of population. Today, older people comprise a steadily growing segment of population. The given fact stipulates a set of new requirements for services and therapeutic procedures performed in nursing homes. The increasing complexity of health care delivery, a great variety of chronic and incurable diseases, high rates of comorbid disorders, inappropriate payments for healthcare services, absence of appropriate health insurance, and shortage of all ranks of medical professionals aggravate performance of healthcare facilities. Implementing research practices of a SWOT analysis, healthcare organizations can successfully solve existing problems and benefit from opportunities.
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Background of the Imaginary Facility
Irrespective of their type and location, all medical facilities and organizations should provide their patients with high quality, scientifically grounded, and available services. A foundation of a medical facility should correspond to requirements of demographic, economic, social, and healthcare nature. Taking into consideration the growing rates of the elderly registered over the last decades, demand for nursing homes is an objectively predicted phenomenon.
A healthcare facility under scrutiny is a pro-profit nursing home. This suppositional nursing home is a long-term health care facility that ministers to those elderly patients who cannot be cared at home and provides medical assistance to “individuals on a 24/7 basis, having nursing services available and on-call doctors, in case of situations when skilled nurses require the services of a doctor” (Horowitz, 2010, p. 51). This nursing home is created to address healthcare and social needs of the elderly (people over the age of 65) and their family members in Bloomington. This healthcare facility is founded to help the elderly maintain their health and independence (Bradshaw & Merriman, 2007).
This imaginary care facility is located somewhere in Bloomington, Minnesota. In order to improve functional dependence and ease the clinical complexity of nursing home patients’ health problems, skilled and experienced professionals perform a wide range of healthcare services to senile persons living in Bloomington, as well as to other residents of Minnesota. Although ageing is a natural physiological process, it is frequently accompanied by occurrence and aggravation of different illnesses and disorders. The requirements of nursing home residents for health care and specific assistance predetermine the scope of medical services provided in this healthcare facility. Those include various diagnostic procedures, laboratory tests, neurological and mental examination, physical therapy, pharmacy services, podiatry services, dental services, and vaccinations. In order to correspond to financial opportunities and incomes of patients, resident-oriented medical services are delivered in a cost-effective manner.
The complete evaluation of an organization should consider its mission, vision, and the effectiveness of the performance.
The vision of this nursing home is to be a superior long-term healthcare facility in Minnesota.
The mission of this suppositional nursing home is to maintain, improve, and strengthen health of its residents and increase their life expectancy. The excellent provision of health care, new methods of examining, monitoring, and treatment of residents, innovative equipment, and reliable medical technologies promote the attainment of objectives.
However, in order to increase revenue, the stability and expediency of services should be thoroughly examined and evaluated by implementing techniques of a SWOT analysis. Today, a SWOT analysis has become an integral constituent of research reports, assessment of competitors, business development, and an obligatory preliminary stage of strategic planning. A comprehensive SWOT analysis provides organizations with data necessary to reach strategic targets and perform problem-solving activities. Results of a SWOT analysis allow senior managers and administrators of healthcare facilities to identify whether their organization possesses internal strengths and resources to realize available opportunities and resist to possible threats, and what internal weaknesses and external threats must be neutralized. “In fact, one of the great advantages of SWOT analysis as a strategic management tool is its easy applicability to every aspect of a business. It may also be used as a building block of strategies. Moreover, SWOT is flexible in terms of the level of detail and depth of analysis that it requires” (Mayer & Vambery, 2008)
The SWOT analysis of Bloomington nursing home should involve a thorough examination and study of the facility’s financial reports, accurate statistical data, pertinent governmental regulations, interviews with residents and their family members, interviews with personnel, periodicals and reviews of the strongest competitors. The pursued SWOT analysis of this nursing home assumes that the performance of the nursing home is characterized by some internal strengths and weaknesses, and faces external threats and opportunities.
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An internal audit is conducted to assess the nursing home’s resources, management, business performance, and competitiveness. The strengths of the medical facility are assessed against the major competitors of this healthcare facility. In accordance with findings of the SWOT analysis, the nursing home in Bloomington possesses the following strengths:
- The nursing home residents are provided with a wide range of cost-effective, evidence-based, and appropriate healthcare services. The multiprofessional team of well-trained healthcare providers performs a great number of diagnostic procedures and therapeutic interventions.
- The organization provides its new personnel with a well-developed system of training. All healthcare professionals involved in the medical aid delivery are trained to care for the elderly so that their skills and knowledge can correspond to evolving requirements for medical and nursing knowledge.
- The provision of care and completion of needs specific to residents are facilitated and simplified by renovations and state-of-the-art equipment.
- The healthcare facility has acquired a good reputation amongst its residents, their family members, and Bloomington social agencies by providing their clients with high quality healthcare services.
However, the following internal weaknesses complicate the performance of Bloomington nursing home:
- The nursing home’s strong dependence on funding and financial support of the Board of Directors decelerates its development.
- The healthcare facility is experiencing a lack of specifically trained health care providers of several specialties.
- Specific working conditions cause emotional exhaustion and fatigue in medical professionals. Furthermore, dissatisfaction with their job is observed in health care providers (Castle & Engberg, 2006; Choi et al., 2012)
- Medical services provided by the nursing home are insufficiently promoted on television, in periodicals, and on the Internet.
The SWOT analysis of Bloomington nursing home has identified the opportunities and threats the healthcare facility is facing. Its opportunities include the following factors:
- The medical personnel of the nursing home are able to deliver a wider range of supportive services and medical aid at lower costs than the major competitors of this healthcare facility; thus, their services would be in greater demand.
- A series of cost containment steps can decrease costs of services, attract new clients, and increase the competitiveness of the organization.
- The promotion and advertising of the nursing home in social media can increase demand for services and the number of its residents; consequently, the facility can operate more profitably.
The rigorous SWOT analysis of Bloomington nursing home has estimated the potential threats to the profitability of the healthcare facility. Those include the following aspects:
- A decrease in income and unstable financial conditions can negatively influence the demand for the nursing home services.
- Fluctuations in tax pressure can induce an increase in costs of services.
- Insufficient job satisfaction of health care providers can induce the growing rates of turnover of experienced and qualified professionals.
- The absence of appropriate health insurance in the elderly can decrease the profitability of the healthcare facility.
- The termination of financial support provided by the Board of Directors of the nursing home can cause a sharp decline in business.
The SWOT analysis of the nursing home allows its stake- and shareholders to evaluate the current economic profitability of the organization (its strengths and weaknesses) and identify potential opportunities and threats it is facing. Therefore, the SWOT analysis is an obligatory phase of the strategic planning.
CEO’s Role in the Organization
All therapeutic procedures and services performed in the nursing home are comprehensively designed, thoroughly documented, and financially grounded. All employees are completely aware of their duties and responsibilities; the personnel accurately and confidently perform their functions. The medical services are delivered by “using guidelines, pathways, protocols, checklists, and related tools” (Tollen & Crosson, 2010, p. 47). Staffing in Bloomington nursing home involves the following medical professionals and service providers:
- Administrator (Chief Executive Officer);
- Admissions director;
- Director of nurses;
- Medical director (attending or employed on a full-time basis);
- Program/staff developer;
- Pharmacy consultant;
- Charge nurse;
- Registered nurses (RNs);
- Certified nurse’s assistants (nurse’s aides);
- Family counselor;
- Social services designee.
The position of a Chief Executive Officer (CEO) of this nursing home includes the following responsibilities:
- To make up the policy of Bloomington nursing home;
- To supervise the personnel of the nursing home;
- To develop and coordinate the consistent implementation of activities to improve residents’ health conditions and enhance their well-being;
- To assess the stability and expedience of services provided by the staff;
- To provide the delivery of services in compliance with official regulations and the nursing home’s mission and vision.
In addition to these responsibilities, typical for nursing home administrators, the Chief Executive Officer (CEO) should develop communication strategies in order to increase the profitability of the facility. Administrative, managerial, and financial aspects should be regularly examined and assessed. One of the main goals of the CEO’s activities is to coordinate and evaluate human resources, their qualification, and labor potential in accordance with established policies and the nursing home’s vision and mission. Also, the CEO of Bloomington nursing home should design policies effective to cut costs and increase revenues. The CEO reports on financial, managerial and HR-related issues and fiscal matters to shareholders and the Board of Directors monthly. Findings of the SWOT analysis are reported and used to design proposals, as well.
Knowledge Needed for This Role
The Chief Executive Officer (CEO) may face a lot of challenges due to insufficient knowledge and skills. In order to efficiently perform the role of the CEO in Bloomington nursing home, a person should evaluate his/her strengths and weaknesses impartially, identify strategic goals, and outline a roadmap. Self-evaluation or self-assessment is an obligatory phase of the career planning process conducted to specify personal strengths, such as professional achievements, skills, experience, and areas of expertise, as well as existing weaknesses. Weaknesses may include a lack of pertinent knowledge, training or educational requirements a person needs for a position of the Chief Executive Officer (CEO) of a nursing home.
The CEO of the nursing home should support employees in achieving professional growth, promote renovations and applications of the state-of-the-art equipment, cooperate with research institutions and clinical settings, and initiate implementation of educational programs for nursing home residents, their family members, and medical professionals. The Chief Executive Officer (CEO) of Bloomington nursing home should be aware of problems specific to residents, their family members, physicians, and nursing staff. The CEO should possess leadership skills and be able to promote the economic efficiency of the health care facility, organizational culture, and economic agility and involve the nursing home personnel in diverse activities, creating a highly motivating job environment. Leadership skills and such activities as innovative approaches, experimentation, risks, rewards, and a steady movement towards a specific vision and a set of goals are inextricably linked. The CEO should be able to motivate and empower the nursing home health care providers. “Employee empowerment means giving employees responsibility and authority to make decisions regarding all aspects of customer service” (Noe et al., 2011, p. 36).
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In addition, the CEO should be able to develop a successful hiring plan in order to employ professionals particularly valuable in providing their services. According to Noe et al. (2011), a successful hiring plan should be comprised of the following constituents: the identification of required positions, specification of employees, definition of job requirements, measurement of employees’ potential, revision and planning strategies to meet the needs for sustainable development, connection of successful planning with other HR practices, and feedback provision to employees.
All services in this nursing home should be performed in compliance with care standards designed by the US Centers for Medicare & Medicaid Services (CMS) and official (state and federal) regulations. Reviews of nursing homes are conducted approximately once a year on average by Federal and State surveyors. Striving to provide their residents with quality services and heath care, Bloomington nursing home operates in conformity with the Advancing Excellence in America’s Nursing Homes Campaign. All services and procedures are performed by specially trained and certified personnel.
In response to the recent economic restructuring of health services, as well as changes in social values and demographic patterns, increasing numbers of older adults will receive care in a LTCF rather than in their own or a family member’s home. In essence, these facilities will serve as both a person’s home and a place where serious health care needs are met (Carusone, Loeb, and Lohfeld, 2006, p. 7).
Following the official regulations, the nursing home personnel enhance cooperation with residents and their family members in health care plans design, organize regular consultations, discuss residents’ preferences for care and therapeutic procedures, evaluate their levels of satisfaction, and, thus, strengthen collaborative relationships with the target audience (Tollen & Crosson, 2010). The Chief Executive Officer (CEO) of Bloomington nursing home should rely on credible theories, frameworks, and models, which act like lenses. An appropriate and effective model of CEO practice in a nursing home should be based on the theories of macroeconomics of supply and demand, transformational leadership theory, situational leadership theory, and role theory, as well. Performing his/her responsibilities, the CEO should take into consideration the conceptual framework for services provided in nursing homes, which is based on the existing regulations and aimed to ensure quality residents’ care, reduce the rates of medical professionals’ turnover, and promote strategic goals attainment.
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The employment of healthcare providers is performed in accordance with standardized regulations. A necessary number of healthcare providers and their specialties can be estimated according to conclusive reports of HR managers of the nursing home. All medical professionals should possess pertaining education and training. Expenses on education and professional training of the nursing home personnel are considered to be long-term and rather perspective investments. However, “despite a company’s best efforts at personnel selection, training, and compensation, some employees will fail to meet performance requirements or will violate company policies. When this happens, organizations need to apply a discipline program that could ultimately lead to the individual`s discharge” (Noe et al., 2011, p. 293). If an employee does not perform responsibilities and duties assigned by his/her labor contract without valid excuse or breaks the rules of the internal labor schedule, he/she can be dismissed. Moreover, unethical behavior, inaccurate performance of procedures, unjustified absence, drug and alcohol consumption, and discipline problems can result to dismissal. Irrespective of his/her position and qualification, an employee can be terminated according to the principles of justice and law.
Operating in today’s complex business environment, healthcare facilities are influenced by numerous factors including economic modifications, technological advances, official regulatory guidelines, and changing demographic indicators. The environment in health care is becoming extremely complicated under global, national, and regional circumstances. Therefore, in order to meet the changing demands of the 21st century, healthcare facilities face the urgent necessity to be able to implement beneficial transformations of their structure, performance, strategies, staffing, and services. Moreover, despite the rise of research on the elderly in general, the most urgent nursing home residents’ needs, health care issues, and their preferences for care appear to be under-researched. Nursing homes can increase their effectiveness and avoid potential threats via utilization of research practices related to a SWOT analysis. Findings of the conducted SWOT analysis and a set of relevant proposals will allow the nursing home stake- and shareholders to benefit from discerned favorable opportunities, eliminate existing weaknesses, and avoid potential threats.