The paper dares to discuss the relationship between the performance and service delivery within a non-profit hospital and its mission statements. The hospital under study, in this case, is located in Texas State and has a mission statement that is inclined to the Community Health Needs Assessment (CHNA) policy used by the state in the control of the non-profit hospitals offering care to the local communities in Texas (Macedo, Pinho & Silva, 2016). This policy is in the Patient Protection and Affordable Act of 2010. It seeks to develop a provision for the non-profit hospitals in the US (Lalleman et al., 2016). The strategic plan used by the hospital here deals with the transformation in the policies every three years to help meet the requirements of the local community regarding affordable health care.
Other agencies that the hospital bases its operations to help keep in line with its mission include the Internal Revenue Service (IRS). This body has the responsibility of regulating and enforcing the priority of needs based on the affordable health Act. The hospital undertakes to prioritize the health needs of the community in line with these provisions (Johnson, 2015). The healthcare facility also carries out inventories that are aimed at the realization of the best practices in the system in one way or the other. The development of implementation strategies that would be in the addressing of the community health needs is also in conjunction with the stakeholders in the public health domain (Brunson et al., 2017). Other experts, leaders, medical team, representatives from low income, and minority groups in the community are also involved in the planning of the operations within the hospital to make the service delivery to the patient a reasonable and affordable affair.
The hospital undertakes to assess the health needs of the community based on the CHNA principles. The assessment is on three core functions of the hospital. These are the implementation, development, and the evaluation of the practical policies and programs used in the improvement of the health of the communities served by the hospital (Ho, Brunson, White & Wun, 2015). The processes in the hospital that are geared toward meeting its mission to the city include the aspects of gathering and analyzing the qualitative and quantitative data through the use of data helpful in the identification of the health issues in the local community. The practice would also involve the utilization of the large determinant in the social setting of the healthcare delivery system in the hospital.
The social determinants controlled by the hospital include the behavior, environment, cultural, and the socioeconomics that affect the health perspectives in the community. The program also aims at the identification of the availability of the resources and the gaps within the source acquisition of these resources (Giancotti & Mauro, 2015). The health disparities in the community are also a common phenomenon to be checked by the health personnel in the hospital. The staff has the responsibility to mobilize and engage the local community in the sharing and organizing the relevant information needed to offer the required health needs to the locals (Capps, Carlton & David, 2017). With the corresponding data in place, the hospital then develops an action plan that would be in addressing the health priorities in the community. The implementation of the programs then follows this process and then providing the opportunities used in the finding of the continual feedback from the members of the community.
The model used by the non-profit hospital must always be different from that practiced by the public hospitals. The hospital must then concentrate on the diagnosis, care, and the treatment of the patients as opposed to the public hospitals that focus on the health promotion and the defensive mechanisms to the public. This medical paradigm brings on board the emphasis on the medical care (Friedman et al., 2015). As much as the public healthcare stresses on the medical care, there is the need for the hospital to confirm on the more significant social determinants of health that would include cultural, environmental, behavioral, and socioeconomic factors meant to keep affordable health benefits to the community. Clinical measures such as the affordable access to healthcare and quality health care contribute to the overall health as compared to other clinical factors.
The hospital banks its hopes of affordable healthcare provision by involving the community in the planning and implementation process. This gesture is because of the realization and recognition of the city as a single unit that would be in building the resources and the strengths used in the facilitation of the collaborative partnerships (Fragkiadakis et al., 2016). Such partnerships would be significant in the emphasizing of the locally relevant problems and the ecological perspectives in the promotion of the aspects of power-sharing in the medical sector between the public and the private sectors. The involvement of the community would also be significant in the improving of the reliability and validity through the participation of the population in the process of increasing trust in the community based on the ownership and the development of the systems used in the community health improvement strategies (Carlos, Paula & Dibb, 2014). The system would help in the development of the methods in the community through the interactive and cyclical process of disseminating knowledge and results and thus enhancing the sustainability of the entire process. The use of the framework provided by the public sector helps in the determination of the broader social determinants of health in the community.
Brunson, A., Ho, G., White, R., & Wun, T. (2016). Inferior vena cava filters in patients with cancer and venous thromboembolism (VTE): patterns of use and outcomes. Thrombosis research, 140, S132-S141.
Capps, C., Carlton, D. W., & David, G. (2017). Antitrust Treatment of Nonprofits: Should Hospitals Receive Special Care? (No. w23131). National Bureau of Economic Research.
Carlos Pinho, J., Paula Rodrigues, A., & Dibb, S. (2014). The role of corporate culture, market orientation and organizational commitment in organizational performance: the case of non-profit organizations. Journal of Management Development, 33(4), 374-398.
Fragkiadakis, G., Doumpos, M., Zopounidis, C., & Germain, C. (2016). Operational and economic efficiency analysis of public hospitals in Greece. Annals of Operations Research, 247(2), 787-806.
Friedman, B. W., West, J., Vinson, D. R., Minen, M. T., Restivo, A., & Gallagher, E. J. (2015). Current management of migraine in US emergency departments: An analysis of the National Hospital Ambulatory Medical Care Survey. Cephalalgia, 35(4), 301-309.
Giancotti, M., & Mauro, M. (2015). Scale Efficiency of Public Hospital: A Content Analysis of 20 Years of Research. World Review of Business Research, 5(2), 24-38.
Ho, G., Brunson, A., White, R., & Wun, T. (2015). Vena cava filter use in cancer patients with acute venous thromboembolism in California. Thrombosis research, 135(5), 809-815.
Johnson, E. K. (2015). State reporting requirements and non-profit hospital community benefit spending (Doctoral dissertation, University of Colorado at Denver, Anschutz Medical Campus. Health Sciences Library).
Lalleman, P. C. B., Smid, G. A. C., Lagerwey, M. D., Shortridge-Baggett, L. M., & Schuurmans, M. J. (2016). Curbing the urge to care: A Bourdieusian analysis of the effect of the caring disposition on nurse middle managers' clinical leadership in patient safety practices. International journal of nursing studies, 63, 179-188.
Macedo, I. M., Pinho, J. C., & Silva, A. M. (2016). Revisiting the link between mission statements and organizational performance in the non-profit sector: The mediating effect of organizational commitment. European Management Journal, 34(1), 36-46.
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