7069SOH Health Care Assignment Sample 2023

Introduction and Context

Overview of the health system

In the illustration of the demographics and data of the healthcare system from the perspective of the UK, it has been found that the approach and deception need to be straightforward in terms of the execution and planning of the intricate and complex portfolio of resources in the health care surrounding. From the viewpoint of the United Kingdom, resource planning in the NHS hospitals was a huge responsibility of the management professionals. Moreover, the NHS hospitals in the United Kingdom consisted of more than 1.3 million staff and around 70% of the recurrent cost was generally provided by the NHS authority and more than 4 billion euro are utilised for the expenditure for speeding up the training processes of the potential staff annually (Hick et al. 2020). According to the UK healthcare system the country wants to provide healthcare facilities to all the 58 million permanent residents of the county. Here the coverage will be free during need and the cost is fulfilled by the taxation. Around 18% people in the UK provide tax for the healthcare system and it  is 4.5% average income of the citizens. According to the report of the Commonwealth Fund ranking developed-country healthcare systems, Uk was ranked the best healthcare system in the world in overall performance as it provides quality service as well as care process.

In comparison with other countries around the world it has been estimated that the market size of the US is going to reach 2.1 billion by 2025, indicating the inability of record keeping and management by these traditional technologies. The increased ageing population is another concern of the proper management and allocation of human and non-human resources. It has been estimated that the population of patients over 60 year’s age is going to increase from 12% to (Marć et al. 2019). The health care system’s goal is to provide adequate services and facilities to the health care workers so that they can serve better with the enhancement of safety provided to the patient. The system goal also includes improving and increasing the health service capacity with advanced infrastructure. With this respect, the health system is lacking its performance and failing to stand with the demand. According to many types of research, there is an undersupply of hospital beds and equipment along with an adequate number of physicians and nurses in the health care organizations due to the lack of proper management and planning of resources. Today’s health care system mainly focuses on the collection of workers who can perform their tasks individually, limiting system-wide planning. It has increased the treatment time, related service cost and organizational cost (Boselie, Van Harten & Veld, 2021). It is important to keep a balance between physical resources and human resources in order to successfully provide effective services to the patients. Thus, the health care service quality needs to be enhanced in terms of socio-cultural quality and technical quality provision of services.

Assessment of the Current Approaches

The healthcare sector in the UK includes resources of financial, workforce, estates and facility, technology as well as procurement. The team for resources includes a small group of senior staff from NHS Improvement and also they have responsibility for collating important qualitative as well as quantitative evidence for the reporces. The government of the UK and the policies are the key financial resources for the UK healthcare system. The calibration process and internal quality assurance includes moderation at both regional  as well as national level and the other resources are generated through the support of the healthcare sector from the developed countries.

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On the other hand, the existing health care funding model is dependent on the out-of-the-pocket model in which the patient and the patient parties have to pay out-of-pocket for getting medical services . This model is used by different rural regions of the U.S, India, China, South America and Africa (Koch, Pedraza & Schmid, 2017). As this model provides many financial resources in the health care systems the organization can invest the profit rate in technological advancement. According to the researchers, these technologies are not very effective in the 21st century as the Institute of Medicine has reported that medical errors in the health care system had led to 98000 deaths and 1 million inpatient injuries per year. With the implementation of these facilities, only 66% of the errors have been detected and improved while it has decreased the employee engagement and monitoring process of the medical services that are leading to negligence towards the patients and their safety (Soboleva et al. 2020).

Whereas the UK healthcare system follows The Bismarck Model and Beveridge Model which is also identified as the  “Social Health Insurance Model”. It is considered a limited health care system, where the citizens pay a fee to a fund that in turn pays health care activities. This is also provided by Government body-owned institutions in the UK, the State-owned institutions as well as private institutions of the county. In the Brismark model, the funding providers are private whereas in the Beveridge Model the funding provider is government. In this health care system funding model, the governments of different countries are the single-payer of the medical services. In this model, the citizen gets an insurance program and it does not claim profit (Moses & Sharma, 2020). The effectiveness of The utilization of the UK healthcare sector includes its affordability for the citizens and much simpler navigation attribute and provides inclusion and equality in terms of healthcare service provision.

Critical evaluation

It can be ignored that the potential health care sector in the UK is consistently adopting newly developed tools and technologies in order to enhance organizational efficiency. The main strength of the out-of-pocket model is its organization-oriented profit rate and accessibility to the fastest delivery of healthcare care services. However, this model is ineffective in terms of equality and inclusive behaviour of the health care system. Through this model, wealthy people access health services while the needy ones cannot. With the implementation of tools the health care system has decreased the medical errors but has not covered the issues of lack of equipment, beds, human resources and errors in the allocation of funding. In addition to that, the collection of independent human resources rather than system-wide management and regulation has decreased efficiency by increasing the time and cost in healthcare organizations. Moreover, the planning of the healthcare system equipment and funding has a positive impact on employee engagement with the prioritization of patient safety and services. Good management and support can promote inclusion and equality in health care services. It has been observed that there are increased cases of the scarcity of beds, equipment, medication errors, shortage of physicians through limited planning and management.

The Bismarck Model is effective for providing occupational coverage and on the other hand the The employee eligibility is effectively applicable. From the perspective of Finance the social security contribution is higher in this model. The involvement of social partners in the public sectors and private sectors helps in gathering funding.  In the end it helped to develop the Healthcare structure in the UK. This Bismarck Model helps in separation of finance as well as provision. From the negative aspect it can be said that this model requires high administration costs. The strong regulatory control is also needed for this model where the community rating requirements may result in increasing premiums of younger workers. Though for a developed country like the UK investing in the health care sector is not difficult.

Strengths Weaknesses
● The existing health care setting in the UK is trying to provide skilled employees for better treatment.

● Maintenance of professional and ethical conduct.

● Errors in medical records in the technology-oriented provision of services to the patients.

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● Faster delivery of health services.

● Inaccessibility of the health services in the rural and urban areas.

● Lack of health care staff and other resources in many organizations.

● Higher cost and treatment time and lack of affordability of the health care services.

● Lack of accountability of the health workers.

● Lack of promotion of inclusive and equal health services to the patients (Gross et al. 2019).

 

Recommendation for improvement

SMART objectives

  • To enhance patient safety and quality services in the healthcare system in the UK within 2 years.
  • To reduce the medical treatment cost through the provision of medical insurances to the patients for promoting equality and inclusion in the UK(Sensmeier et al. 2019).
  • To maintain adequate numbers of staff and tools in the organizational setting for better performance and productivity within the proposed period.

Strategic priorities

The following recommendations are going to provide better fund management and allocation of resources along with the better management of Human resource management. With these recommended approaches, the health care setting will be improvised with the provision of high-quality services and care facilities to the patients. The implementation of the advanced tools and funding models for allocation of the resources and planning will make the resources accessible for the people from different areas (Pak et al. 2019). It will increase the availability of adequate staff that is going to enhance patient safety and security. Moreover, it is going to decrease the time and cost of the treatment process.

Options

Recommended fund allocation model: The funding model of the healthcare system that is recommended in the UK healthcare sector  includes the perspectives of the David guest model.

The David guest model in human resource management involves customer complaints, conflict and absence of the staff in the organization (Oueida et al. 2018).  Moreover, there is a lack of supply of resources according to the demand and the costly medical services. The strengths and weaknesses of the existing areas of resource planning and management are constructed in the following table.  However, system security is another issue that has been identified by different researchers. The information about the patients and hospital settings are at risk with improper utilization of these technological tools (Opatha, 2020). Another concern that is associated with these tools is their inability to keep the reliability and confidentiality of the patient data. On the other hand, the existing human resource management system follows the David Guest Model that encourages the involvement of the service staff as it is effective for cooperation, motivation and organizational citizenship.

Option for Human resource and material management tool: An ERP tool implementation can be considered in the healthcare setting for better human resource management. It will regulate and manage the talent, Payroll, and benefits. Labour and time management with the supply of adequate human resources according to the requirements. Moreover, it will increase patient safety and confidentiality along with faster delivery of health care services. Thus, with alignment with the objectives of the health care system improvisation, this system is going to increase the efficiency of the health care services with better fund management and human resource allocation.

Financial and non-financial benefits

With the implementation of the ERP tool, the health care staff will easily access the medical records and will enhance the medical services through telehealth facilities. The implementation of ERP tools in the healthcare system will accurately monitor the cost and expenses that will increase the better funding and allocation of resources in the healthcare organizations (Fiaz, Ikram & Ilyas, 2018). It will effectively allocate the funding resources that will be generated from the National Health Insurance Plan among the medical staff, back-office employees, non-clinical staff, operational expenditure and equipment installation in the required time for maintaining proper accountability. Through the implementation of ERP tools, the industry compliance will be simplified with the proactive response to the legal and regulatory requirements. Additionally, this tool is going to increase the privacy of the patient records as it has been reported that around 32 million records of patients have been breached in 2019. This tool only allows the authorized access of the patient data with its functional facilities. ERP tool facilitates the organizational performance, budget, requisition, monitoring of the available human resources in order to maintain a smooth flow of service planning and management in the health care setting (AboAbdo, Aldhoiena & Al-Amrib, 2019). Moreover, with the integration of ERP software, every human resource of the healthcare setting will be connected to the potential system which is going to enhance the collaboration and cooperation among the health care staff as a part of better human resource management. Moreover, it will enhance the service by electronic storage of health information. Moreover, the implementation of ERP tools will make better decisions as the software is able to calculate the operational efficiency of the health care setting with strategic monitoring of patient visitation, budgeting and human resource planning and management.

Recurrent and Concurrent Cost

The average cost of implementation of ERP tools in the UK healthcare system will be €7235 according to the report of 2020. However, for the larger healthcare sector, the cost will vary from €90,000 or €450,010 to € 3 million. However, the one-time investment in the ERP system implementation and training processes will decrease the labour cost and day-to-day operational cost of the hospital setting. Thus, the investment will bring profitability for the long run and futuristic purposes (Heavin, 2017). Also, it will decrease the Out-of-pocket expenditure of the patients that is further going to enhance the affordability with the promotion of equality and inclusion in society.

Risk Management strategy in the UK healthcare sector

Risk factors Treatment options Contingency plan
Financial risk

(high)

● Government should provide financial support for the implementation of the ERP system.

● Bank loans can be extracted for the one-time investment.

● Organizational capital can be utilised

The extraction of the funding is going to increase the profitability of the organization for returning back the extracted money.
Security risk

(moderate)

● Cyber security application needs to be built along with the tool for preventing data breaching and hacking. Implementation of Cyber security tools available in the market can mitigate the issue of hacking.
Usability risk

(Moderate)

● Training programs are necessary

● Leaders and management teams will take part in the navigation and learning process of the staff (Taghipour, Shabrang, Habibi & Shamami, 2020).

The training will make the staff understand the Cluny interface and the utilization of the system.
Interoperability risk (Low) ● The other implanted software needs to be checked by IT professionals for evaluating the compatibility ● The compatibility checking will reduce the interoperability of ERP systems with the existing systems of the healthcare setting (Sum et al. 2018).
Policy risk

(Moderate)

● Regular review

● Evaluation of the compliance with the policies and laws associated with IT software installation and management.

● It will enhance compliance with the imposed laws and policies by different governments for mitigating the policy risk.

 

Conclusion

With the above evaluation, it can be said that the improper allocation of research and lack of identification of proper tools for the management of resources is increasing the health care cost through disposable equipment, medical errors and mitigating steps and improper drugs and bed management for the patients. There are varieties of resources and the allocation is mandatory in any health care system for enhancing the service quality. It is important to keep a balance between the physical resources and human resources in order to successfully provide effective services to the patients. Staff management is crucial for considering the ethical values in order to understand the importance of the provision of appropriate services and it involves physicians and nurses and non-clinical staff. Thus the degree of professionalism and essence of empathy with appropriate allocation of resources is necessary for Human resource management in the health care setting (Guest, 2017). In addition to that, it is also very crucial to utilise the funding with proper budgeting and allocation of money for the sake of service provision to the patients. With the evaluation of the existing resource planning and management system, it has been identified that the healthcare sectors mainly utilize the out-of-pocket model and Bismarck Model and Beveridge Model. The main strength of the out-of-pocket model is its organization-oriented profit rate and accessibility to the fastest delivery of healthcare care services. However, these models are ineffective in terms of equality and inclusive behaviour of the UK health care system. Through these models, wealthy people access health services while the needy ones can not.  out-of-pocket model for fund allocation and the Bismarck Model and Beveridge Model  for human resource management. ERP tool facilitates the organizational performance, budget, requisition, monitoring of the available human resources in order to maintain a smooth flow of service planning and management in the health care setting. Moreover, with the integration of ERP software, every human resource of the healthcare setting will be connected to the potential system which is going to enhance the collaboration and cooperation among the health care staff as a part of better human resource management. The one-time investment in the ERP system implementation and training processes will decrease the labour cost and day-to-day operational cost of the hospital setting. Thus, the investment will bring profitability for the long run and futuristic purposes. The effectiveness of The utilization of the National Health insurance model includes its affordability for the citizens and much simpler navigation attribute and provides inclusion and equality in terms of healthcare service provision. However, the limitation of the national insurance model is its slow processing of treatment that can be mitigated by the utilization of ERP tools and proper budget allocation in real-time. Moreover, the risk management framework will mitigate the issues associated with the ERP system.

 

Reference List

AboAbdo, S., Aldhoiena, A., & Al-Amrib, H. (2019). Implementing Enterprise Resource Planning ERP system in a large construction company in KSA. Procedia Computer Science, 164, 463-470. Retrieved from: https://www.sciencedirect.com/science/article/pii/S1877050919322549

Boselie, P., Van Harten, J., & Veld, M. (2021). A human resource management review on public management and public administration research: Stop right there… before we go any further…. Public Management Review, 23(4), 483-500. Retrieved from: https://www.tandfonline.com/doi/abs/10.1080/14719037.2019.1695880

Fiaz, M., Ikram, A., & Ilyas, A. (2018). Enterprise Resource Planning Systems: Digitization of Healthcare Service Quality. Administrative Sciences, 8(3), 38. Retrieved from: https://www.mdpi.com/320480

Gross, B., Rusin, L., Kiesewetter, J., Zottmann, J. M., Fischer, M. R., Prückner, S., & Zech, A. (2019). Crew resource management training in healthcare: a systematic review of intervention design, training conditions and evaluation. BMJ open, 9(2), e025247. Retrieved from: https://bmjopen.bmj.com/content/9/2/e025247.abstract

Guest, D. E. (2017). Human resource management and employee well‐being: Towards a new analytic framework. Human resource management journal, 27(1), 22-38. Retrieved from: https://onlinelibrary.wiley.com/doi/abs/10.1111/1748-8583.12139

Heavin, C. (2017). Health information systems–opportunities and challenges in a global health ecosystem. Journal of the Midwest Association for Information Systems| Vol, 2017(2), 1. Retrieved from: https://core.ac.uk/download/pdf/301372743.pdf

Hick, J. L., Hanfling, D., Wynia, M. K., & Pavia, A. T. (2020). Duty to plan: health care, crisis standards of care, and novel coronavirus SARS-CoV-2. Nam Perspectives. Retrieved from: https://www.kaleidahealth.org/coronavirus/support/literature/Duty-to-Plan-2020.pdf

Koch, K. J., Pedraza, C. C., & Schmid, A. (2017). Out-of-pocket expenditure and financial protection in the Chilean health care system—a systematic review. Health Policy, 121(5), 481-494. Retrieved from: https://www.sciencedirect.com/science/article/pii/S0168851017300568

Marć, M., Bartosiewicz, A., Burzyńska, J., Chmiel, Z., & Januszewicz, P. (2019). A nursing shortage–a prospect of global and local policies. International nursing review, 66(1), 9-16. Retrieved from: https://onlinelibrary.wiley.com/doi/abs/10.1111/inr.12473

Moses, A., & Sharma, A. (2020). What drives human resource acquisition and retention in social enterprises? An empirical investigation in the healthcare industry in an emerging market. Journal of Business Research, 107, 76-88. Retrieved from: https://www.sciencedirect.com/science/article/pii/S0148296319304424

Opatha, H. H. D. N. P. (2020). The Coronavirus and The Employees: A Study from the Point of Human Resource Management. Sri Lankan Journal of Human Resource Management, 10(1), 37-49. Retrieved from: https://pdfs.semanticscholar.org/e6ee/27c0e4b67aac0d6e3da3db11cda07d3a17cc.pdf

Oueida, S., Kotb, Y., Aloqaily, M., Jararweh, Y., & Baker, T. (2018). An edge computing based smart healthcare framework for resource management. Sensors, 18(12), 4307. Retrieved from: https://www.mdpi.com/377066

Pak, K., Kooij, D. T., De Lange, A. H., & Van Veldhoven, M. J. (2019). Human Resource Management and the ability, motivation and opportunity to continue working: A review of quantitative studies. Human Resource Management Review, 29(3), 336-352. Retrieved from: https://www.sciencedirect.com/science/article/pii/S1053482218304194

Sensmeier, J., Androwich, I., Baernholdt, M., Carroll, W., Fields, W., Fong, V., … & Rajwany, N. (2019). The value of nursing care through use of a unique nurse identifier. Online Journal of Nursing Informatics (OJNI), 23(2). Retrived from: https://www.researchgate.net/profile/Whende-Carroll/publication/338051383_Demonstrating_the_Value_of_Nursing_Care_Through_Use_of_a_Unique_Nurse_Identifier/links/5dfbc07f4585159aa48a2b89/Demonstrating-the-Value-of-Nursing-Care-Through-Use-of-a-Unique-Nurse-Identifier.pdf

Soboleva, Y. P., Matveev, V. V., Filonova, E. S., Simonov, S. V., & Efimenko, I. S. (2020). Human Resource Management in the Healthcare System: the Issue of the Implementation of Adaptation Procedure. International Journal of Pharmaceutical Research, 12(S1), 1033. Retrieved from: http://www.fa.ru/fil/orel/science/nir/Documents/81_%D0%A1%D1%82%D0%B0%D1%82%D1%8C%D1%8F%20%D0%A1%D0%BA%D0%BE%D0%BF%D1%83%D1%81.pdf

Sum, G., Hone, T., Atun, R., Millett, C., Suhrcke, M., Mahal, A., … & Lee, J. T. (2018). Multimorbidity and out-of-pocket expenditure on medicines: a systematic review. BMJ global health, 3(1), e000505. Retrieved from: https://gh.bmj.com/content/3/1/e000505?cpetoc=&utm_source=trendmd&utm_medium=cpc&utm_campaign=bmjgh&utm_content=consumer&utm_term=0-A

Taghipour, M., Shabrang, M., Habibi, M. H., & Shamami, N. (2020). Assessment and Analysis of Risk Associated with the Implementation of Enterprise Resource Planning (ERP) Project Using FMEA Technique (Including Case-Study). Management, 3(1), 29-46. Retrived from: https://www.researchgate.net/profile/Mohammad-Taghipour-7/publication/341151811_Assessment_and_Analysis_of_Risk_Associated_with_the_Implementation_of_Enterprise_Resource_Planning_ERP_Project_Using_FMEA_Technique/links/5eb13daf45851592d6b980ec/Assessment-and-Analysis-of-Risk-Associated-with-the-Implementation-of-Enterprise-Resource-Planning-ERP-Project-Using-FMEA-Technique.pdf

 

 

 

 

 

 

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