'A needs assess Gap Analysis on Kaiser Permanente Essay\r'

'Kaiser Permanente refers to health trouble consortium that offers prepaid Medi carry off function. climb from humble beginnings in 1945, the non profit has flourished from a in private centered medical care to accommodate point the public. It was founded by physician R. Garfied and industrialist Henry Kaiser (Lawler, Boudreau, Mohrman, Mark, Neilson, & deoxyadenosine monophosphate; Osganian, 2006). The infirmary has ridden oer a hostile environment to beat a leading non profit health fundament providing operate to everyplace 9.1 million members.\r\nThe founding has its headquarter in Oakland, atomic number 20 in the United States. Kaiser Permanente constitutes a trio of the Permanente Medical Groups, the Kaiser pedestal Hospitals as easily as subsidiaries and the Kaiser Foundation wellness Plan Incorporation. Overall, the Kaiser Permanente Health Foundation had 7654 beds as at thirty-first celestial latitude 2012 scattered over the District of Columbia and social club states in the U.S.A. The health plan membership totals to over 8.3 million. Still, the hospital maintains a sizeable labor strong suit of ab come forth 11,000 physicians scattered in 415 medical offices and 30 medical centers. As at last year, the hospital’s operating revenues grossed $22.5 billion.\r\nThe Kaiser Permanente Foundation operates on quartet major premises, namely:\r\nA physician team pr make a motionice to realize maximum abilities to nurse and care for patients\r\nPrepaid health plans structured along diffusion of costs to ensure affordability across the social classes\r\n assiduity on prevention of illness relative to pity for the patients\r\nA lumply structured pitch constitution to hold as many services as it can hold under one jacket crown (Lawler, Boudreau, Mohrman, Mark, Neilson, & angstrom unit; Osganian, 2006).\r\nThe following tabulation presents the membership of the world by region as at 31st December 2012 (Abelson, 2013).\r\nRegion Membersh ip\r\nSouthern calcium 3,594,848\r\n blue calcium 3,403,871\r\ncarbon monoxide gas 540,442\r\nNorthwest (Oregon / drizzleington) 484,349\r\nmid(prenominal) Atlantic States (MD, VA, DC) 481,755\r\n hello 224,591\r\nThe following tabulation showcases Kaiser Permanente Foundation local markets by each of eight regions (Abelson, 2013).\r\nNorthern California Southern\r\nCalifornia Georgia Hawaii Mid Atlantic States Oregon/ Washington\r\n primaeval Valley Coachella Valley Atlanta Oahu Washington D.C Portland\r\nDiablo render Valley Athens Kauai Northern Virginia Salem\r\n eastbound Bay Orange Valley Hawaii suburban Maryland Vancouver, Wash\r\nFresno Inland Empire Maui Baltimore Longview/ Kelso, Wash\r\nGreater Southern Alameda Metro Los Angeles/\r\nWest Los Angeles Marin/ Sonoma San Diego County celery cabbage/ Solano Tri-Central Area Colorado Roseville Denver Sacramento Colorado Springs San Francisco Boulder San Jose Pueblo San Mateo Santa Clara South Sacramento It is evident from the to a higher place tabulation that Kaiser Permanente has a stronger presence in the urban areas in each of the nine states as compared to coarse presence. Nonetheless(prenominal), it is commendable on the knowledgeability’s antiophthalmic factorlification to cover regions outside its core geographic markets (Lawler, Boudreau, Mohrman, Mark, Neilson, & Osganian, 2006). However, it is evident that the expansion trajectory seeks to serve the proximate markets.\r\nThe Foundation has 38 hospitals, 611 medical offices and outpatient facilities, 16,942 physicians compri9sing of a mold of different specialties and 48,701 differently blended mixes of specialist nurses. therefore, the foundation employs a total of 174,259 employees comprising of administrative, technical and clerical care givers and laborers as at 31st December 2013 (Abelson, 2013). The hospital maintains an online presence with a platform in which clients and employers pick off their accounts. Online custo mer account services are offered freely meaning that the foundation does not charge. Member terminations as well as demographic changes are updated immediately. This gives the mental hospital a competitive advantage over its rivals.\r\n pop out II Needs Assessment/ Gap depth psychology on Kaiser Permanente\r\n At present, Kaiser Permanente is criticized for failing to have facilities, resources or policies to conduct a number of services. Additionally, where critical services are offered, the facility features as lazy to act exposing the patients to delay in diagnosis. The hospital is a great deal incriminate of prolonged diagnosis period preferring available formal diagnosis rather than recommending specialized and expensive diagnosis so as to contain costs. Furthermore, the insertion prefers cheaper contravention resolution mechanism such as arbitration. This act upon may take prolonged fourth dimension and has often sparkled criticism. For instance, Wilfredo Engalla succumbed to lung cancer five months after submitting an arbitration demand. Consequently, the independent Court of California awarded his spouse $500,000 as regaining from Kaiser Permanente (Abelson, 2013).\r\nStill, The Huffington Post accuses the institution of overburdening its staff resulting to sloppy work (Lawler, Boudreau, Mohrman, Mark, Neilson, & Osganian, 2006). This occurs even when the company rackets billions of dollars in profits. Sadly, noetic health patients contend with a prolonged anticipate for appointment at the institution’s California facility. Upon meeting the doctor, the meeting lasts briefly, therefore, receiving brief consultations. Finally, the patient ends up in a group therapy set up comprising of 20 members under the astute of a single(a) clinician, in spite of a one on one clinician session (Eichler, 2011). The report concluded by showing the cuts in kind health funding. California led the pack by cutting the rational health budget by $177.4 million out of the $1.7 billion mental health budget cuts.\r\nMoreover, Kaiser is incriminate of understaffing its various de bulgements in spite of an inflationary membership. For instance, mental health patients are sloppily rushed done the treatment and rehabilitation dish out resulting to dire implications. hotfoot is necessary in order to serve the over 6.6 million members (Eichler, 2011). Cases of misdiagnosis as well as impairment diagnosis and treatment cases have been reported in which some were catastrophic resulting to lasts.\r\nKaiser’s violations of rules and regulations in kidney commute regulations led to closure of the program (Lawler, Boudreau, Mohrman, Mark, Neilson, & Osganian, 2006). An inquiring report by the Los Angeles Times revealed Kaiser Permanente’s misdirection across the board on 3rd may 2006 (Eichler, 2011). Apparently, the facility had operated 56 transplants the previous with an alarming death of 112 pati ents while waiting for the operation. Kaiser Permanente realized financial nest egg by the delays in transplants. Consequently, the institution announced discontinuance of the practice on 13th May 2006 (Eichler, 2011).\r\n nearly of the employees at Kaiser Permanente are members of various labor unions although the treat Doctors as well as the Osteopathic Medicine Doctors serving in the for profit profits of the institution (Lawler, Boudreau, Mohrman, Mark, Neilson, & Osganian, 2006). Surprisingly, the California facilities witnessed 4 major strikes between 2011 and 2012. There were over 20,000 participants drawn from the institution’s mental health providers, nurses and other specialists (Eichler, 2011). Labor Unions constantly criminate Kaiser Permanente for stalling negations deliberately in spite of the capacious profits and a hefty pay to the C.E.O. The workers grievances include delayed care, poor staffing, and loss of medical insurance, pensions as well as o ther benefits.\r\nBased on the above criticism, it is indeed true that a suspension subsists between Kaiser’s current performance and the projected. This part addresses solutions to the criticism based on social, legal and culture. Firstly, the advanced world is loyal paced and Kaiser must accommodate fast pacing in service delivery (Lawler, Boudreau, Mohrman, Mark, Neilson, & Osganian, 2006). Employee staffing, training, recruitment, retention, job function redesign ordain divine service address friction with labor unions (Kochan, 2009). Besides, competitive and equitably pegged remuneration lead motivate employees to offer feeling services. Recruiting more employees will help address the aviate membership. Besides, training of employees on cultural accommodations of different patients will enhance positive reviews to Kaiser Permanente. Finally, Kaiser must embrace a law abiding organizational culture. This will shrink arbitrative litigations. Moreover, taking u p a less materialistic approach to delivering services is a authoritative social factor that will enhance closing of the performance gap.\r\nImplementation of these policies involves three pertinent stakeholders in Kaiser Permanente. These include the patient, the primary care provider and the ownership of Kaiser. The patient is the secern stakeholder as s/he identifies helps identifies areas of improvement. For instance, the patient directs services to be offered based on the common illnesses and ailments. The caregiver professional is a authoritative link in implementing the services and building on a square(p) reputation of Kaiser Permanente. The motivation and remuneration of caregivers determine their delivery of medical services to the client. Adequate staffing ensures that clients do not feel rushed, delayed or misdiagnosed (Kochan, 2009). Finally, the ownership of the institution is crucial because it will spearhead implementation of the policies. It is diametric bec ause it will approve, reject or hold implementation of these recommendations. Besides, the ownership will provide resources to steer by the implementation process. Communication will be crucial to achieving the set objectives. Besides, it will fine tune synergy and course of direction. Communication to the stakeholders will involve essential and external communication channels. Periodic meetings will quantify the owners and caregivers on the progress of the implementation. Brochures will be distributed from time to time to the patients sensitizing and informing them of the progress.\r\nAn evaluation process will then follow to assess the potentiality of the intervention. Questionnaires will be administered to each of the three groups of stakeholders. The questionnaires will be structured to assess and evaluate the potentiality of the intervention as well as requesting proposal of marriage for achieving further progresses. The intervention will deemed successful through satisfie d and happy patient positive reviews from happily served, satisfied and recovered patients (Kochan, 2009). Besides, motivated, inspired and friendly caregiver labor force will signify a successful intervention. Higher earnings, more trophies and recognition of the institution in the public glare will parent a successful intervention to the owners.\r\nReferences\r\nAbelson, R. (2013, March 20). The await of Future Health Care. Kaiser Permanente is seen as the future of healthcare. Retrieved November 23, 2013, from http://www.nytimes.com/2013/03/21/business/kaiser-permanente-is-seen-as-face-of-future-health-care.html?_r=0\r\nEichler, A. (2011, November 14). Kaiser Permanente Makes Billions In Profits part Overburdening Staff: Report. The Huffington Post. Retrieved November 23, 2013, from http://www.huffingtonpost.com/2011/11/14/kaiser-permanente-overburden_n_1092694.html\r\nKochan, T. A. (2009). Healing unitedly the labor-management partnership at Kaiser Permanente. Ithaca: ILR Pr ess/Cornell University Press.\r\nLawler, E. E., Boudreau, J. W., Mohrman, S. A., Mark, A. Y., Neilson, B., & Osganian, N. (2006). Achieving strategical excellence: an assessment of human resource organizations. Stanford, Calif.: Stanford profession Books, an imprint of Stanford University Press.\r\nSource document\r\n'