Healthcare Govern/Organization Structure
As Christians, it is not ok to live in luxury while those who are close to us live in misery since God wants us to share what we have with our neighbors (NIV Stewardship Study Bible, 2009). Yes, I have been in need some time back when I could not afford my school fees, but God blessed me, and I am happy.
My thoughts on the quote from the NIV Stewardship Study Bible, 1984, p. 1351 is that all human beings must always have essential needs be satisfied such as food, shelter, and clothing and however much we have them they will be insatiable. Moreover, there are other needs that make us more comfortable but we can still survive without them. For instance, education, electricity, car among others. However, in life there are other things that makes people happy and feel satisfied but does not to make any expense on them such as love, relaxing music, warm breeze among others.
HCOs and Physicians
A service line is categorization of all services and products that are related to a specific division of the organization (Gee, 2004). For instance, in the hospital set up, there is service line for oncology and another one for pediatrics among others. The relationship between health care organizations (HCO) and the organizations has been problematic, but it is changing, thanks to service lines, protocols and evidence-based medicine. The introduction of the service lines strengthened the bond between the physicians falling in the same specialty and be accountable to the governing board. These service lines contracts include risk sharing, employment and arrangement for joint capital that is far beyond the traditional privileges. With the emergence of the service lines for the specialists, they can work in one division together hence strengthening their bonds. Moreover, each service line is accountable to the governing board hence closely work together to strengthen their relationships (White & Griffith, 2010).
The traditional model in the hospitals where there was free-for-service practice and hospital privileges can be described as a sharing of responsibility, a partnership between the institution and the physicians. In this relationship, every partner, that is the physicians, and the institution contribute and expects to gain something from the relationship. The physicians offer their professional services while the institution offer employment and the necessary equipment and medication for treating the patients (White & Griffith, 2010). However, this is changing since the recent models for healthcare financing recommended an integrated set of reforms where there will be change in the way the nation remunerate the healthcare, reward prudent stewardship of resources and high-quality care and encourage healthcare delivery system reorganization.
The changes in the financing model of the healthcare institutions have also affected the relationship between the healthcare organizations and the physicians in many ways. The changes have resulted in conflicts considering the liability and the risks when it is the best interest of the patient from the traditional and the known protocol established. The primary care physicians argue that they no longer need the membership for hospital staff or even the hospital privileges in taking care of the patients. White & Griffith (2010) pointed out that the physicians claim that they feel by taking hospital privileges or the medical staff membership, it will drain their time and make it difficult for them financially. It is prudent that the hospital continue holding on the physicians and snot let them drift off from the health care organizations since they are important pillars in the health care sector.
To retain them, the hospitals management need to negotiate with the physicians through their unions. Moreover, the hospitals may hire a chief medical officer to link the health care organizations and the physicians since he or she will represent the interest of the physicians and the management of the organization at the simultaneously (White & Griffith, 2010).
Gee, E. P. (2004). Service line success: Eight essential rules. Chicago, IL: Health Administration Press.
NIV Stewardship study Bible. (2009). Grand Rapids, Mich: Zondervan.
White, K. R., & Griffith, J. R. (2010). The well-managed healthcare organization. Chicago: Health Administration Press.