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Managing competing agenda
Management has been a serious issue affecting a large population of American workers. Despite the introduction of Obama care in America, its effectiveness is yet to be realized. This is because of management factors including political and organizational factors. Politics and medical care organization participated and influenced health care in the United States. This paper identifies the implications of the implementation of the proposed expansion Medicaid under the new Affordable Care Act in the United States.
Inefficient healthcare organizations have been affecting the public health and have contributed to unequal distribution of Medicare resources. The instability emanates from the increased healthcare cost even with the introduction of Obama Medicare (McCullough et al., 2013). Poor organizational management also called for a need to have uniform distribution of doctors and hospital beds. The unequal distribution of healthcare resources and inadequate facilities has been a source to poor health care. There have been inefficient policies that contribute to deterioration of services within the healthcare centers. Poor management of health care accounts has resulted to dubious expenditures. In addition, poor management of Medicare has facilitated the adoption of unfair treatment to patients during their hospital stay (McCullough et al., 2013).
Health care is undermined by the poor organization of respective health care providers; both government and non-government. As a result of these shortcomings, the Obama policy requires that Medicare to have several departments and structures in which its effectiveness is enhanced. This ranges from top management to divisions in Medicare provision by different medics. Departments ranging from emergency to intensive care units have cordial relation regarding the way they operate.
Emergency departments are equipped with medics that are employed in the specialization of giving unique medical attention (Duckett & Peetoom, 2013). This is articulated to avoid severe circumstances that are related to delay or normal medical attention. These departments have an interactive nature whereby medics are taken from one department to another to support care provisions. Various departments in medic care have a direct connection with the top managements.
Medicare organizational structure ranges from directors, executives, department administrators, patient care managers and service providers (ott, 2011). Medicare are controlled by the board of directors and aims at controlling and ensuring provision of quality care. Board of director’s decision and authority is lefty under the care of executives. This is to ensure that Medicare is performed efficiently.
Every hospital is entitled to have a chief executive officer who makes sure that there is operational efficiency. However, this group of executives is the central management of the hospital (miller, 2013). Their representation goes further to administrators of various departments in a hospital. These indivi……………………
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