A needs assess Gap Analysis on Kaiser Permanente Essay

Kaiser Permanente refers to health fearfulness consortium that offers prepaid Medi parentage organization run. Rising from dishonor beginnings in 1945, the non do good has flourished from a privately centered medical examination c ar to accommodate even the domain. It was founded by physician R. Garfied and industrialist Henry Kaiser (Lawler, Boudreau, Mohrman, Mark, Neilson, & Osganian, 2006). The hospital has ridden all over a hostile environment to become a leading non profit health base providing services to over 9.1 one million million million members.The institution has its main office in Oakland, calcium in the United States. Kaiser Permanente constitutes a trio of the Permanente medical Groups, the Kaiser tooshie Hospitals as easy as subsidiaries and the Kaiser Foundation Health scheme Incorporation. Overall, the Kaiser Permanente Health Foundation had 7654 beds as at 31st December 2012 dissipate over the District of Columbia and nine states in the U.S.A. The he alth end membership totals to over 8.3 million. Still, the hospital maintains a sizeable labor powerfulness of about 11,000 physicians scattered in 415 medical offices and 30 medical centers. As at last year, the hospitals operating revenues grossed $22.5 billion.The Kaiser Permanente Foundation operates on four major premises, namelyA physician team coiffe to realize maximum abilities to nurse and cargon for patientsPrepaid health plans integrated along spreading of costs to ensure affordability across the social classes parsimoniousness on prevention of illness relative to caring for the patientsA formally incorporated delivery system to hold as many services as it can hold under one roof (Lawler, Boudreau, Mohrman, Mark, Neilson, & Osganian, 2006).The chase tabulation presents the membership of the foundation by region as at 31st December 2012 (Abelson, 2013).Region Membership randomnessern California 3,594,848northerly California 3,403,871Colorado 540,442Northwest (Oregon / upper-case letter) 484,349Mid Atlantic States (MD, VA, DC) 481,755Hawaii 224,591The hobby tabulation showcases Kaiser Permanente Foundation local markets by each of eight regions (Abelson, 2013). Yankee California SouthernCalifornia Georgia Hawaii Mid Atlantic States Oregon/ WashingtonCentral Valley Coachella Valley Atlanta Oahu Washington D.C PortlandDiablo Kern Valley Athens Kauai Northern Virginia SalemEast call for Orange Valley Hawaii Suburban Maryland Vancouver, WashFresno upcountry Empire Maui Baltimore Longview/ Kelso, WashGreater Southern Alameda Metro Los Angeles/West Los Angeles Marin/ Sonoma San Diego County pe-tsai/ 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 higher up tabulation that Kaiser Permanente has a stronger presence in the urban areas in each of the nine states as compared to rural presence. Nonethe little, it is laudable on the foundations expansion to cover regions outside its hollow out geographic markets (Lawler, Boudreau, Mohrman, Mark, Neilson, & Osganian, 2006). However, it is evident that the expansion trajectory seeks to serve the proximate markets.The Foundation has 38 hospitals, 611 medical offices and outpatient facilities, 16,942 physicians compri9sing of a blend of different specialties and 48,701 differently commix 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 manage their accounts. Online customer 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 institution a competitive avail over its rivals.Part II Needs Asse ssment/ Gap psychoanalysis on Kaiser Permanente At present, Kaiser Permanente is criticized for failing to establish facilities, resources or policies to conduct a number of services. Additionally, where critical services are offered, the facility features as purposeless to act exposing the patients to delay in diagnosis. The hospital is often charge of drawn-out diagnosis period preferring available formal diagnosis rather than recommending specialize and expensive diagnosis so as to contain costs. Furthermore, the institution prefers cheaper quarrel resolution mechanism such as arbitrement. This process may exact prolonged time and has often sparklight-emitting diode criticism. For instance, Wilfredo Engalla succumbed to lung cancer five months after submitting an arbitration demand. Consequently, the Supreme Court of California awarded his spouse $500,000 as damages from Kaiser Permanente (Abelson, 2013).Still, The Huffington contain accuses the institution of over burdening 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, mental health patients contend with a prolonged wait for employment at the institutions California facility. Upon meeting the doctor, the meeting lasts legal 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 clinician, in outrage of a one on one clinician session (Eichler, 2011). The report reason out by showing the cuts in mental health funding. California led the pack by cutting the mental health budget by $177.4 million out of the $1.7 billion mental health budget cuts.Moreover, Kaiser is charge of understaffing its various departments in spite of an inflationary membership. For instance, mental health patients are sloppily rushed through and through the treatment and rehabilitation process resulting to horrible implications. Rushing is necessary in order to serve the over 6.6 million members (Eichler, 2011). Cases of misdiagnosis as well as wrong diagnosis and treatment cases have been reported in which some were catastrophic resulting to deaths.Kaisers violations of rules and regulations in kidney shift regulations led to closure of the program (Lawler, Boudreau, Mohrman, Mark, Neilson, & Osganian, 2006). An investigative report by the Los Angeles clock revealed Kaiser Permanentes mismanagement across the board on 3rd may 2006 (Eichler, 2011). Apparently, the facility had operated 56 transplants the previous with an alarming death of 112 patients while hold for the operation. Kaiser Permanente realized financial savings through the delays in transplants. Consequently, the institution proclaimed discontinuation of the practice on 13th May 2006 (Eichler, 2011).Most of the employees at Kaiser Permanente are members of various labor unions although the Medi cine Doctors as well as the Osteopathic Medicine Doctors share 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 institutions mental health providers, nurses and other specialists (Eichler, 2011). Labor Unions constantly accused Kaiser Permanente for stalling negations deliberately in spite of the huge profits and a hefty pay to the C.E.O. The workers grievances included delayed care, poor staffing, and loss of medical insurance, pensions as well as other benefits.Based on the above criticism, it is indeed true that a gap subsists between Kaisers afoot(predicate) performance and the projected. This part dish outes solutions to the criticism based on social, legal and culture. Firstly, the recent world is fast paced and Kaiser must accommodate fast pacing in service delivery (Lawler, Bou dreau, Mohrman, Mark, Neilson, & Osganian, 2006). Employee staffing, training, recruitment, retention, job function redesign pass on jockstrap address friction with labor unions (Kochan, 2009). Besides, competitive and equitably pegged remuneration depart motivate employees to offer quality services. Recruiting more employees will help address the ballooning membership. Besides, training of employees on cultural accommodations of different patients will grow positive reviews to Kaiser Permanente. Finally, Kaiser must embrace a law abiding organisational culture. This will reduce arbitrative litigations. Moreover, taking up a less materialistic approach to delivering services is a polar social figure that will enhance closing of the performance gap.Implementation of these policies rents three apt(p) stakeholders in Kaiser Permanente. These include the patient, the caregiver and the ownership of Kaiser. The patient is the key stakeholder as s/he identifies helps identifies are as of improvement. For instance, the patient directs services to be offered based on the common illnesses and ailments. The caregiver professional is a crucial link in implementing the services and building on a solid reputation of Kaiser Permanente. The need 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 pivotal because it will approve, reject or hold implementation of these recommendations. Besides, the ownership will provide resources to steer through 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 internal and external communication channels. Periodic meetings will appraise t he owners and caregivers on the progress of the implementation. Brochures will be distributed from time to time to the patients sensitizing and making known them of the progress.An evaluation process will then follow to assess the effectiveness 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 effectiveness of the intervention as well as requesting proposal for achieving further progresses. The intervention will deemed successful through snug and happy patient positive reviews from happily served, satisfied and recovered patients (Kochan, 2009). Besides, motivated, godlike and friendly caregiver labor force will signify a successful intervention. Higher earnings, more trophies and recognition of the institution in the public glare will foster a successful intervention to the owners.ReferencesAbelson, R. (2013, inch 20). The Face of Future Health Care. Kaiser Perm anente 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=0Eichler, A. (2011, November 14). Kaiser Permanente Makes Billions In Profits While Overburdening Staff Report. The Huffington Post. Retrieved November 23, 2013, from http//www.huffingtonpost.com/2011/11/14/kaiser-permanente-overburden_n_1092694.htmlKochan, T. A. (2009). Healing together the labor-management partnership at Kaiser Permanente. Ithaca ILR Press/Cornell University Press.Lawler, E. E., Boudreau, J. W., Mohrman, S. A., Mark, A. Y., Neilson, B., & Osganian, N. (2006). Achieving strategic honor an assessment of human resource organizations. Stanford, Calif. Stanford Business Books, an imprint of Stanford University Press.Source inventory