Demystifying values assessment.

R Raffaele

PubMed · 10161797

Demystifying values assessment.

Abstract

The current climate of networking and restructuring among healthcare providers calls for measurable methods to assess an organization's adherence to its fundamental values. In response to that need, the SSM Health Care System (SSMHCS) prepared a guide to assessing values integration. This innovation tool has proven to be adaptable for many uses: it helps organizations examine the compatibility of potential partners' values, as well as their own progress toward integration of their stated mission, values, and philosophy. The guide outlines 10 key areas that serve to focus and define the values assessment: Vision. Serving the poor. Serving the community. Continuous quality improvement. Employment practices. Role of leaders. Stewardship Advocacy. Wellness. Church. The guide includes a discussion of the significance of each of these key areas: the implications of including each area; and key indicators, or standards statements, for assessment. Users' response to the guide has been overwhelmingly positive. This guide should provide valuable systemwide data and identify areas of strength or needed growth.

Explore related subjects

Community-Institutional Relations Delivery of Health Care, Integrated Guidelines as Topic Health Services Needs and Demand Organizational Innovation Organizational Objectives Outcome Assessment, Health Care Social Responsibility United States Journal Article

Keep this discovery

Explore connections, maps & timelines

BibTeX RIS

R Raffaele. Demystifying values assessment.. https://pubmed.ncbi.nlm.nih.gov/10161797/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2000

Disasters, the media and doctors.

Disasters and mass casualty incidents are traumatic events that are followed by a predictable media response. Managing the media response appropriately can avoid problems in a hospital's security, command, control and communications structures and mitigate the stress of hospital staff attempting to deal with the incident.

Community-Institutional Relations↗

PubMed2000

Home care by outreach nursing for chronic obstructive pulmonary disease.

BACKGROUND: Chronic obstructive pulmonary disease (COPD) is characterised by progressive airflow obstruction, worsening exercise performance and deterioration in health. It is associated with significant morbidity, mortality and costs to health care systems. Care strategies, such as outreach nursing in the community, may reduce this burden. OBJECTIVES: To evaluate the effectiveness of outreach respiratory health care worker programmes for patients with COPD in terms of improving lung function, exercise tolerance and health related quality of life (HRQL) of patient and carer, and reducing mortality and hospital service utilisation. SEARCH STRATEGY: A search was carried out using the Cochrane Airways Group database. Bibliographies of identified RCTs were searched for additional relevant RCTs. Authors of identified RCTS were contacted for other published and unpublished studies. SELECTION CRITERIA: Only randomised control trials of patients with COPD were included. The intervention was an outreach nurse visiting patients in their homes, providing support, education, monitoring patient status and providing liaison with physicians. Interventions that used nurse practitioners who provided therapeutic intervention were also included. Studies in which the therapeutic intervention under test was physical training were not included. DATA COLLECTION AND ANALYSIS: Data extraction and study quality assessment were performed independently by two reviewers. Where further or missing data was required, authors of studies were contacted. MAIN RESULTS: Four studies were found. Three assessed mortality following twelve months of care (n=96, 152 and 301), and one after seven months(n=75). Meta-analysis demonstrated that mortality was not significantly reduced by the intervention, Peto Odds Ratio 0.72; 95 % confidence interval 0.43, 1.21. Post hoc subgroup analysis suggested that mortality was reduced by the outreach nursing programme in patients with less severe disease. Significant improvements in health related quality of life were reported in one study in moderate COPD, but not in a study in patients with severe disease. No changes in lung function or exercise performance were found in the studies where data were available. Hospital admissions were reported in only one study in patients with severe disease and no benefit was observed. REVIEWER'S CONCLUSIONS: Patients with moderate COPD may have mortality and health related quality of life gains from a nursing outreach programme, but there are no data about reductions in hospital utilisation. Patients with severe COPD do not appear to have benefit from such programmes and one large study found no reduction in hospital admissions in such patients.

Community-Institutional Relations↗

PubMed2000

The inclusive workplace: an ecosystems approach to diversity management.

This article's main argument is that organizations need to expand their notion of diversity to include not only the organization itself, but also the larger systems that constitute its environment. The concept of "the inclusive workplace," introduced here, refers to a work organization that is not only accepting and using the diversity of its own work force, but also is active in the community, participates in state and federal programs to include working poor people, and collaborates across cultural and national boundaries with a focus on global mutual interests. Using an ecosystems perspective, the article outlines a value-based model and a practice-based model of the inclusive workplace as they pertain to the different organizational levels, from the micro to the macro. Finally, implications for the social work profession are drawn with specific case examples for each system level.

Community-Institutional Relations↗