Due to increasing costs and lower patient loads, we may be forced to cut costs, but we aim to do this without sacrificing the quality of care our patients receive.
Another issue is ethics. When protocol and law are diametrically opposed to ethics of an organization of any kind, the organization is threatened. Further problems arise from lack of a cohesive methodology that is honored by all staff members, above and beyond the mission statement. While we appreciate diversity, we must also remember to put the patient's needs first while honoring the law and the mission statement. As of late it is apparent that personal beliefs are perhaps affecting job performance and this will be addressed.
First of all, let us declare that this meeting will be multilateral in terms of personal beliefs in regard to faith. In order for us to be proactive in addressing these issues together, we must be objective and look at facts rather than ideology. In this way we may, together, be able to gain some insights that will assist in making our team stronger in the face of current challenges and continuing changes.
A survey will be distributed wh...
vey will be distributed which will be completed anonymously, asking for your feedback regarding this meeting and the plans to make some necessary changes. Your participation in this survey is important; we will be better able to determine which course to take based upon better communication between us.
In terms of organization, as was stated before, communication is the key to organization. In viewing the current issues that we have internally, better communication needs to be established between departments. In order to accomplish this, equipment will need to be installed that will reduce the possibility of lost papers or documents. We will, of course, have hard copy backups of electronic documents and communications, but updating our communications system will encourage more streamlined interactions.
Since we also have the human factor involved in the communication process with widely diverse opinions and practices, we will implement monthly, moderated meetings for all practitioners for a period of six months in order to encourage a cohesive team. We will also be organizing the same meetings for our management teams; any conflicts will be thoroughly discussed with the goal of resolution. Utilization of a qualified, impartial third party will be performed, if need be. The key is not necessarily agreement but cooperation.
Improved communication will increase efficiency, which will help in cutting costs without affecting our quality of care.
I will site the DNR issue as an example. Every staff member will acquaint themselves with the current DNR guidelines, written by Mark H. Ebell (1994) from American Family Physician. While details of the current laws are not covered, these guidelines give very good general advice on what to consider in DNR cases.