Thursday, December 12, 2019

Organisational Governance Reforms Management †Free Samples

Question: Discuss about the Organisational Governance Reforms. Answer: Introduction The topic discusses the organizational governance and management of performances based on the different types of health and social reforms that are managed within the health and social care organizations in Australia. The health care reforms are managed to determine the ways of creating the most important health policies and check the changes along with Governmental policies that are implemented for creating an impact on the delivery of health care services to people. The laws, rules and regulations that are implemented create financial impact according to the present health condition and age of individuals within a particular community. The health care reforms are used to increase the number of people who are insured and ensure that high quality health care services are delivered to the people suffering from some kinds of diseases or illnesses through reduction of costs of services that have been delivered. The health care reforms can create impact on both the employers and employee s of the organization who need to abide by the rules, regulations and relevant changes, which have been made by implementing the health reforms and policies (Bao et al., 2013). Organisational Governance reforms The health system governance is undertaken for protecting as well as promoting good health of people within the community through setting up of strategic direction, goals and objectives and even changing the policies, laws, rules and regulations for ensuring successful deployment of resources and accomplish the organizational goals and objectives with ease and effectiveness. By enabling proper organizational governance and performancemanagement systems, it could be even easy for implementation of health reforms and even improve the efficiency of setting a strategic vision, manage participation of the health care staffs, ensure transparency, responsiveness, equity along with the values and ethics properly maintained (Bititci et al., 2012). The health reforms are established to deliver high quality, safe and sustainable public health system in Australia and make the health care workers understand the vision of the organization and focus on greater accountability and transparency within the workforce. In Australia, the new health governance reform such as The Health Services Act is a welcome addition that has not only helped in supporting the workforce but also has resulted in improving themanagement of financial aspects along with development of string partnership, furthermore ensuring successful delivery of Information and Communication system and support services too (Collins et al., 2015). The Governance reforms on the other hand have lead to making of certain changes to the way health system is governed. It is essential for ensuring greater accountability and improves the efficiency of decision-making process, furthermore improving the patient care and delivery of services with ease and effectiveness too (Driouchi Bennett, 2012). It also allowed for local participation, empowering the community and even managed involvement in projects related to the implementation of health reforms. Theperformance management approaches were undertaken to check whether the workers of the heal th care organizations in Australia had been working properly or not and then implement a health reform based on which necessary changes could be done (Keehan et al., 2012). Implementation of Governance reforms One of the recent governance reforms related to the health system is the National Health Reform. The NHR agreement was managed during the year 2012 after lots of discussions between the States and Commonwealth. It is a kind of document that sets various goals and objectives for implementing a reform program properly and manage delivery of good quality services to people in Australia. Previously, there were a lot of issues and concerns related to the public health hospitals such as lack of safety and poor quality services delivered, overcrowded emergency departments and long waiting list for management of surgeries as well (Filatotchev Nakajima, 2014). Blames and criticism on the Government of Australia were experienced and had been told about lack of proper funding to meet the growing demands and preferences of the people and poor management. A huge segment of the population started blaming the Australian Government about a single level of management responsible for the health care services and other responsibilities. After much debates and discussions, finally, the National Health Reform was introduced with the involvement of Government of Australia and this further implemented many changes in the health system with exclusion of various recommendations by the Commission too (Keehan et al., 2012). As a manger of a health care organization, it is my responsibility to ensure that all the principles of the National Health Reform are supported to manage proper decision making at all the levels of the health system, manage activity based funding for the health care organizations and ensure successful public performance reporting. The implementation of the reform could allow for local decision making through establishment of Local health networks for management of hospitals and deliverance of good quality services for the people (Keehan et al., 2015). With the implementation of this reform, various policies and procedures will be changed, furthermore allow for managing the budgetary procedures at the hospitals and delivering the required services to the people of Australia. The National Health Reform could also change the responsibilities of the States and make sure that the operational processes, gaining oversight and management of health system are done properly. By implementing t he reform, it would also be easy for managing the activity based funding and develop a national health system to select the most appropriate coding technique, manage proper collections of data and information and even determine the right price that should be set for the health services offered (Liaw et al., 2012). Link between strategic and operational planning As a manager, from my perspective, it is evident that strategic planning is an important aspect to identify the vision, mission, goals and objectives and even make necessary plans to become successful in the future. The strategic planning is experienced at the corporate level and proper rules and regulations are followed to make the operational planning successful at the functional level. The vision of the organization is to deliver good quality care services to the people of Australia through implementation of governance reforms for proper management of changes in policies, procedures and implementing laws, rules and regulations too (McGorry, Bates Birchwood, 2013). As the report focuses on the implementation of health reform, it is the responsibility of the top-level management to manage the strategic planning process and understand the vision, mission, goals and objectives by examining the micro and macro environmental factors. This would help in setting priorities and develop a path to reach towards the ultimate goal with ease. The PEST and SWOT analysis should be done for managing the strategic planning process by identifying the strengths and weaknesses of the organization and its introduced reform and even determine the various factors that could create impact on the operational planning (Mir Pinnington, 2014). As soon as the strategic planning process is completed, the operational planning is done to support it and determine the long as well as short term goals and objectives. The middle level management manages the operational planning process by managing the planning process at various levels of the organization through alignment with the strategic planning, reforms of the health system to achieve the vision. The objectives of implementing the reform must be clearly set, performances should be measured to check whether the organizational staffs are aware of the changes or not and lastly maintain the quality standards (Moynihan, Pandey Wright, 2012). Issues arisen during implementation and adverse effects of reforms The major issues faced during the implementation of the Governance reforms are spending of lots of money, change in new tax and regulatory aspects and even lack of knowledge and skills among the health care staffs. The implementation of new reforms can often be something new for the workers of the health care organization, which they may fail to understand properly and this can lead to further complexities. Due to the new tax and regulatory requirements, the prices of services might change, which could further result in making the people within the community unable to purchase the desired quality services from the health care organizations. One such legislation could be the Affordable Care Act that had forced to implement changes within the industry and put a lot of pressures to the health are professionals as well (Shields et al., 2015). The health care workers faced stress and had been incapable of handling the new reforms and adjust with the working environment consisting of chang es in policies and implementation of new health reforms. The ACA, Australia also imposed penalty on the employers of the organization who had failed to deliver coverage to their employees, though it had been seen that the real coverage that employers provided had been inadequate. This kind of legislation or health reform Act does not have a proper way of obtaining penalty, due to which, it had resulted in other complexities and issues too (Sturmberg et al., 2012). It was also seen that though the National Health reform was implemented and changes in policies were made, still the quality of few services from the health system had not been satisfactory, which made the service users unsatisfied. The health care workers were not properly trained, which made them less skilled and even suffered from lack of knowledge and expertise to handle the services delivered properly (Too Weaver, 2014). Feedbacks obtained leading to advancement in development of health As a manager, it is my responsibility to monitor the performances of the organization and its workers consistently so that the areas of weaknesses can be overcome and the health system can be developed. The various stakeholders involved are customers or service users, suppliers, Government, regulatory bodies, managers, etc. It is important to gain the responses and feedbacks of the service users to check whether they are provided with the right kinds of care services or not and whether they have been satisfied or not (Walls, Berrone Phan, 2012). The suppliers must be communicated with to make an assumption and find out whether they have been paid well for the raw materials and resources provided to manage the production of services. The Government of Australia must support the external stakeholders to ensure that the reforms, policies and legislations are implemented properly to ensure successful functioning of the health care organization with efficiency. The Independent Hospital P ricing Authority or IHPA should also provide their feedbacks and discuss about the efficient prices that should be set for the kinds of services delivered to the service users. Based on this, the health system could be implemented with certain changes for successful achievement of organizational vision. The sparse population in Australia had resulted in lesser quantity of services and higher fixed costs. The agreement of reforms had further helped in allowing the funding activities to be managed properly and ensure that successful corporate governance is maintained to achieve the aim of delivering good quality care services at a reasonable cost for the service users (Wu, Straub Liang, 2015). Conclusion The report focused on the most important aspects of organizational governance and management of performances related to the implementation of National Health Reform in Australias health system. The management of performances is done as well for understanding the weak areas and make necessary changes to improve the quality of health system. The implementation of Governance reform has been done to improve the health system, manage proper collection of data and set right prices for the services offered to the people. The operational planning was based on the strategic planning and it had been effective for achievement of goals and objectives with ease and effectiveness. Few issues related to the implementation of reform are new tax and law rules, difficulties for the workers to adjust with the new reforms, policies, etc. Lastly, the feedbacks of various stakeholders were gathered to implement relevant changes to the governance and ensured that the health reforms had been implemented to improve the process of development of the health system. This would even lead to successful advancement and improvement of the health system in Australia too. References Bao, G., Wang, X., Larsen, G. L., Morgan, D. F. (2013). Beyond new public governance: a value-based global framework for performance management, governance, and leadership. 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