Decision-Making Case Study Essay Example for Free

Decision-Making Case Study EssayThe live grave state of the economy has had a signifi give the axet impact on wellness misgiving crossways The United States. Massive budget cuts, reduced operate, and limited access to care significantly have alter Medicaid patients. Hennepin County Clinic (HCC), a facility that provides health care to Medicaid patients, is dealing with an additional 15% budget cut that lead force management to hold in finalitys about which services must be changed or eliminated while belt up meeting the basic needs of the clients. Stemming from consumers increased demands for enhanced quality of care and greater accountability from health care agreements, leaders must engage in decision-making that incorporates usher from well-conducted enquiry whenever possible. The Informed Decisions tool cabinet (IDT), a cover of evidence-based decision-making, involves six flavours in the decision-making process (Rundall, et. al, 2007). fleck every feel is co nsequential, tempo 2, the process of gathering evidenced-based authors of information, is the most important tool in decision-making. The IDT plays an important voice in change magnitude organizational accountability, facilitating experience transfer within a facility, and contributing to a questioning organization.Step cardinalThe first step in the IDT is formulating a question or questions behind the decision. This is done in such(prenominal) a way that will increase the likelihood of uncovering customful question studies. As a carriage, one must discover what information is needed to make the best decision. When investigating the needs of Medicaid clients and decision making which clinical services to change or eliminate, it is vital to research information regarding the various services employ by these patients. The passenger car must ask several questions. Do individuals enrolled in Medicaid have queer health needs that differ from the wallopingr population? Wha t are the services most utilized within HCC at any given time? In what ways will service cuts and elimination of resources affect the clients? What services can be outsourced to some other facilities that accept Medicaid? Can the current physician staff be reduced, and the use of nurse practitioners and physicians assistants be implemented?Step TwoAfter the questions are formulated, step two involves identifying credible sources of information to service these questions. In an age of abundant technological resources, a large percentage of sources may be found on research-based websites, bibliographic databases, online academic and peer-reviewed journals, books or other publications, and regimen reports, to name a few (The Center for Health Research, 2011). It may also be helpful for the manager to locate internal information available within the clinic that will tailor to the unique needs of HCC. While the IDT mainly focuses on evidenced-based sources of information, the manager may also utilize supportive colloquial knowledge from and opinions of colleagues, employees, patients, and other health care professionals (Rundall, et. al, 2007).Steps Three, Four, and FiveSteps three through five take the poised research and evaluate its accuracy, applicability, and actionability. First, step three emphasizes the accuracy of the research presented. The manager must question if the research is of high-quality, originates from a credible source, presents complete and balanced viewpoints, and comprises reliable and valid measurements (The Center for Health Research, 2011). Step quadruplet highlights the applicability of the research. The manager must ask if the research is relevant to his or her question at pass off and whether or not it applies specifically to HCC. Step five focuses on the actionability of the research. The manager needs to know how the research is going to be implemented and who exactly is going to do it. Step five also pertains to the implicati ons and immensity of the research studied (The Center for Health Research, 2011).Step SixFinally, step six allows the manager to musical note at his or her organizations needs and values to determine if the research fits the context of its unique situation. The manager must question if the collected research is adequate to make a useful decision and if there is a single best option, multiplepractical options, or even inadequate evidence to make a decision (The Center for Health Research, 2011).Most Valuable ToolAlthough every step in the IDT has much significance and step one builds the foundation on which to define the problem at hand, the tool that would be the most valuable is step two, identifying credible evidenced-based sources of information. Health care workers who provide care based on knowledge from evidenced-based studies deliver significantly better care and produce better outcomes (Melynk Fineout-Overholt, 2005). Because of this, the process of identifying these stud ies is vital to the survival of an organization. The knowledge discovered during research can be a valuable source of strength to the organization by combining it with the unique employee and patient opinions and preferences.This process of searching for information can also contribute to organizational growth through the sharpening of knowledge and skills of decision makers. With regard to HCC, step two is very valuable in deciding which clinical services need to be eliminated primarily because berth appropriate research studies is the foundation of finding the solution to the question. Through the selection of evidenced-based articles, the manager can contrast and contrast how other organizations dealt with budget cuts and the solutions they implemented.AccountabilityUtilizing the IDT greatly affects organizational accountability. Hospital organizations and clinics have to function concord to the strict rules and regulations of such agencies as JCAHO and CMS, and at the same ti me, respond to the ever increasing needs demands of consumers for better quality of care (Rundall, et. al, 2007). These added pressures force management to make comprehensive, precise, and influential decisions that they cannot formulate with personal knowledge and catch alone. Because of this, management needs to apply the best evidence available in making these consequential decisions. acquaintance TransferKnowledge transfer aims to deliver research-based information and guarantee its availability for future members within an organization (Pentland Forsyth, 2011). Within health care facilities, it is important for newfoundresearch evidence to be transferred into clinical set and policy development. Management and decision makers must communicate clearly to the health care team and make them aware of decisions that are made and how the decisions will affect them. Team members are encouraged to share their disposition with others to expedite knowledge transfer within the facilit y. Knowledge transfer facilitates shared intelligence, improved employee performance, higher levels of debut within the organization, and economic growth (Rundall, et. al, 2007).Questioning OrganizationThe IDT affects an organization in a number of domineering ways. Most important, it allows the decision-maker and the health care team to reflect on what was learned, what questions still need to be asked, and what should be done differently next time, which is critical to innovation (Buchen Rowley, 2000). Building a questioning culture within an organization inspires team members to search for answers within evidenced-based research studies and improving the lines of communication among members as well.ConclusionThe IDT is an majestic set of tools that assists management and decision-makers in utilizing evidenced-based research in confronting and responding to pressing questions that significantly affect an organization. The IDT plays an important role in increasing organizationa l accountability, facilitating knowledge transfer, and contributing to a questioning organization. In the case of HCC, the manager utilized the IDT by formulating questions to determine which clinical services to change or eliminate based on the various health care needs of Medicaid clients. The manager identified various credible sources of information to answer these questions, which has been determined the most valuable tool within the IDT. The research evidence was examined to determine its accuracy, applicability, and actionability. Finally, the manager assessed to come upon if the collected research was both adequate and met the specific needs of HCC, which is what the IDT was designed to do.ReferencesBuchen, I, Rowley, L. (2000). The questioning culture unvarying stateof the art. Performance Improvement, (39)5, 26-30.Melynk, B., Fineout-Overholt, E. (2005). Evidence based practice in nursing and healthcare. Philadelphia, PA Lippincott Williams Wilkins.Pentland, D., Fors yth, K. (2011). Key characteristics of knowledge transfer and exchange in healthcare integrative literature review. Journal of Advanced Nursing, 67(7), 1408-25. Rundall, T., Martelli, P., Arroyo, L., McCurdy, R., Neuwirth, E., et al. (2007). The informed tool chest Tools for knowledge transfer and performance improvement. Journal of Healthcare Management, 25(5), 325-341.The Center for Health Research. (2011). The informed decisions toolbox. Retrieved from http//www.toolbox.berkeley.edu/overview.