Health Management Health Care Framework

Question: Discuss about the Report for Health Management for Health Care Framework. Answer: Introduction: An efficient governance arrangement identifies the inter-dependencies that exist between the financial, clinical and corporate governance across the service. Addition to this the governance assimilate them together to generate high quality, reliable and safe healthcare. According to Cowan (2013), Clinical governance is the a system through which the professionals of the health care system are responsible for delivering quality, safety and patient centered service to the community. As stated by Trong Tuan (2014), the contemporary model of the health care provision, several times is subjected to fragmentation and inadequate rationality. This appears to be one of the main reasons which are limiting the effectiveness of the various interventions and the quality of the outcomes related to the health care sector. Therefore, the accountability of the health care professionals is essential in upholding the clinical governance. This report will highlight the concepts of the clinical governanc e and its management issues. The dependence of the health service on the clinical governance framework will also be highlighted. In addition to this the report will also present a critical reflection on health care practice as a health care practitioner and will highlighting the strength and weakness of the clinical governance framework (Andreassen et al., 2015). Concepts of clinical governance, management, and clinical governance: Clinical governance is defined as a systematic approach that is designed to maintain and improve the quality of the patient centered care within a specific health care system. In terms of the health care professionals clinical governance means specification of the clinical standards that are delivered by them and the measures demonstrated by them. The main components of the clinical governance are risk management and information management (Trong Tuan, 2014). In the health care system Risk management is a potentially important component which is implemented in order to prevent, alleviate the financial loss and promote patient safety. According to Arnold Boggs (2015), Risk management in this sector is significantly needed since it can bridge the difference between life and death which makes the stakes considerably higher. Risk management in the health care system can be implemented by recognizing various factors and activities which can produce ill effects to the patients. In regards to the medical practitioners, if they are aware of the risk factors that are associated with the medical interventions, better vigilance during the patients assessment and treatment would be proper (Abimbola et al., 2014). In order to persist in the professional development it is critical for the medical practitioners to update their knowledge and skills in terms of the new and innovative intervention. At this point evidence based study becomes an important guide in the practice of risk management. As discussed by Arnold Boggs (2015), promotion of clinical governance takes place when the leaders of the health care sector provide the opportunity to the clinicians, nurses and other medical professionals to upgrade their skills. One more tool which is used by the health professionals is clinical auditing. By the use of clinical auditing the health professionals they can measure the quality of patient care provided by them. The measure is possible by comparing ones clinical practice with the national standard (Atrash Carpentier, 2012). Information management in terms of the health care system involves collection, management and utilization of the patient information within the clinic settings. Such a component helps in the determination of a systems effectiveness in identifying health issues, defining priorities, recognizing certain new and innovative solutions and assigning resources in order to improve the outcome. According to Black (2013), one of the essential attribute in clinical governance is openness. This attribute can only be maintained when every single information related to the clinical treatment is communicated with the patient and his family. Implementation of the advanced health research works can develop clinical governance in the health sector in a proper way (Bowling, 2014). Contemporary health service delivery: The framework of the health care system should be constructed in such way that the location of the health care service should be patient centric. The patient care involves a team of health care leaders and care givers. As stated by Da Costa et al. (2013), the leaders should be responsible for the management of the health performances. As discussed by Enthoven (2014), the contemporary health care can be categorized by involvement of two initiatives. Firstly, translational medicine which contributes to the health care quality by inculcating and promoting the rapid growth of the basic medical research results into the clinical practice. Secondly, Community health involves the improvement of the public health by emphasizing the environmental interventions and contextual causes. If these two advances combine together, then a potent future can be assured where the community will reflect a location for the best technologically advanced care practices. Thus, the challenges of such a contemporary health care demand for understanding and utilization of the resources provided by the patients and give the patients the information technologies which can support the patients as partners (Ellis Johnson, 2013). According to Heyrani et al., (2012), the clinical governance framework gives opportunities for the clinical practitioners to employ in the organizational planning of effective and safe health care services. According to Hooshmand et al. (2014), the management should focus on teamwork attributes. This will effectively augment the health service deliverance. Certain countries have adopted four-level model in order to provide patient-centered health care system and alter the dynamic of health care system. According to Idowu et al. (2013), the four-level model involves individual patients, the team of professionals such as the clinicians, nurses, and pharmacists, the modern resources and the political and economic environment of the health care system. The patient requirement has become a defining factor in this type of systems. The first level starts with changing the perspective of the clinical practitioners and patients in such a system are considered as partners in the process of care. The second level includes the summative effort of the team of health care practitioners and it is relied on the effective planning strategy of the whole team. The third level deals with the health care organization which can bring about significant change in the organization through the implementation proper human resource practices and operating systems. In term of the government the can promote transparency through designing of certain standard for the safety of the customer and quality of care. Reflection: As a health care professional one such experience that was gathered as a person during the clinical practices which can be discussed through a personal reflection. During the clinical practices one such incident was encountered with a patient who was suffering from sickle cell anaemia. According to Liaw et al. (2014), Sickle cell anaemia is a genetic disorder that occurs due to the distorted shape of the RBC. As such the RBC cannot bind to the oxygen molecule. In cases of this type the patients require folic acid medication and blood transfusion in regular basis. The patient was only 15 years old boy. His weakness and regular blood transfusion hampered the quality of life in the boy. As concerned with the parents of the boy, the approach of treatment involved bone marrow transplantation (Kavaler Alexander, 2012). The whole team of clinical practitioners was ready for the surgery but there occurred a complication suddenly in the middle of the operation. The patient lost around 1500 ml of blood. Later it was realized that when the instruction given to the nurse to use the central venous catheter which marrow transplantation, the nurse due to incompetency in the use of the tool she could not set up the tool properly. It was not in the knowledge that the nurse was not aware of the use of the tool neither she had communicated with the superior professionals. This caused major complication in the operation therefore the surgery was delayed. After this event it was realized that the health care system involves a team of medical workers who are assigned for providing patient care. Thus, it is very important to have good interpersonal relationship among the members and also effective communication should be developed that is essential for providing care to the patient through a holistic approach. It c ould realize the weakness of the clinical governance after this incidence (Masters, 2015). Recognition of the strength and weakness: In order to provide quality care and safety it is essential for the health care organization and its leaders to understand their duties and responsibilities well. As stated by Ravaghi et al. (2013), the strength of the clinical governance depends in promoting an atmosphere and culture with modification in certain rules and regulation of the organization for betterment of the patient. But in this case the main complication developed due to the lack of coordination between the medical practitioners. As stated by James (2013), the regulation of the provider organization and private payer may aid in managing the financial and political environment of the health care system. According to Reeves et al. (2013), the second most important strength of clinical governance is proper communication and coordination between health care team. If the medical staff understands the role of each other the provision of medical care can be easier and more effective. In this case the lack of communication among the members created the problem. Thus, the challenges and issues of such a current health care insist for understanding and utilization of the resources which are received from the patients through proper communication and give the patients the information technologies which can support the patients as partners. Moreover, with the advancement in the field of science and technology, the medical sector has also brought advancements and innovations in its system. In order to provide the patients with best care the physicians need to exhibit their sophisticated performances. The main attribute of the clinical governance scaffold are undertaking the medical responsibilities suitably, identification of high quality care and endorsement of a steady improvement of the complete health care system. This may include the learning skills related to the knowledge about the recent medical development, learning about careful handling of new clinical equipments. If the instruction was provided initially by me then such a complication would not have arrived. After all this health service, delivery will enhance the quality of the health care system. It is very necessary to manage all the sectors of the healthcare to provide the health service delivery (Pirie et al., 2016). In order to deliver proper health service efficient communication should be maintained and should be informed among the various existing levels. The higher authorities should be supportive in nature and problems should be resolved through problem solving techniques during the season of crisis (Cowan, 2013). As discussed by System et al. (2005), the main weakness of the clinical governance is the obstacles that it experiences in the transformation for developing effective management and delivering efficient care and safety. As a health care professional it can be felt that the main challenges encountered by the clinical governance is the development of the managerial and organizational system. Addition to this most of the health care organizations cannot manage the elevation of the cost and the quality crisis. This kind of challenge faced by health care leaders highlights the need to change the health care system and invest in information technology, system engineering tool and providing integrated patient-centered care. Thus, it can be said that realization of appropriate clinical government framework in the organization is the technique to enhance accountability of patient care. (Spitzer Silverman Allen, 2015). Conclusion: Thus from the report on clinical governance and reflection on personal practice, it can be concluded that health care system faces several challenges in the delivery of care. The report summarized different component of clinical governance that transform healthcare organization. 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