HighlyReliable Organization Matrix
HighlyReliable Organization Matrix
|
Criteria for Performance Excellence |
Inpatient |
Skilled Nursing |
Ambulatory Care |
Public Hospitals |
Profit/Not for Profit |
|
Business/organizational performance results |
The institution sets clear policies that evaluate and reward good performance from employees. |
For licensed nurses, the institution performs constant performance appraisals. |
The institution also performs performance appraisal for its employees. |
Such hospitals perform career development discussions at a regular period. |
The institution regularly conducts performance evaluation. |
|
Leadership |
The organization sets specific and measurable goals (“Gamble, 2013”). |
The institution has evidence-based leadership and management evaluation techniques. |
The organization has clearly-set policies that guide how the ambulatory staff attend to patients outside hospital. |
Due to the high number of staff and patients, the hospitals have very strict measures of controlling the attendance to patients. |
The organization has a built-in culture of exceptional leadership principles and ways of measuring the effectiveness and efficiency. |
|
Strategic Planning |
Ensure zero errors that could cause patient harm |
Achieve the lowest patient injuries that are thwartable |
Integrate standardized measures that ensure high efficiency and effectiveness. |
Establish clear policies that guide the attendance of patients. |
Ensure minimal mistakes while attending to patients. |
|
Customer market focus |
The institution has the general public as its market. |
The general public is its prospective market. |
The institution targets areas that experience accidents. |
Government hospitals focusses on helping people with low finances. |
The hospitals target both poor and rich people. |
|
Management, analysis, and knowledge management |
The institution sets comprehensive management tools for sustainability. |
The hospital integrates standard nursing principles of operation together with evaluation criteria. |
Such an institution employs effective and efficient knowledge management systems for high efficiency. |
The public hospitals have techniques for carrying out aggressive analysis for the benefit of the patients. |
The institutions have clear and established tools for integrating management policies. |
|
Human resource focus |
The doctors’ ratio to that of patients is very low. |
The skilled licensed nurses’ ratio to that of patients is relatively low. |
The available ambulatory staff are enough to cater for any emergency outside the hospital. |
The ration of the total stuff to that of patients is almost equal. |
Generally, every patient gets enough attention from the available doctors and nurses. |
|
Process management |
The hospital spells out clear rules for managing performance of the whole institution. |
The institution plans and monitors the well-being of its business process. |
The progress of the overall performance of the business is under control. |
The government spells out clear guidelines that define the direction of each business process. |
The institution performs a constant check-up on the performance of its business processes. |
Executivesummary
Fora high-reliability organization, regular performance appraisals areparamount in the quest to achieve efficiency. The firm should firstestablish clearly-stated rules that guide the company`s processes.Every employee should abide by these guidelines that seek to achieveorganizational success. Consequently, the organization should haveways of evaluating every employee`s efforts for matters quality. Themanagement should be able to reward good and excellent performancewhile encouraging poor performers to improve. Such an institutionshould also have measurable goals that are unique. The company shouldbreak the goals into short and achievable sections for easiermanagement and follow-up. The company`s management should carry outconstant checks and evaluations to ensure that the company takes therequisite path towards achieving its goals. Proper, efficient andeffective goals and objectives define the direction that anorganization takes. The objectives should, in turn, result in reducedor zero errors. A zero-error scenario is the dream of every highdependency organization, a condition achieved only through theintegration of the appropriate vision and mission. The institutionshould establish clear rules that define the direction the companywants to take in the quest to attain maximum results. The achievementof maximum corporate benefits also heavily depends on aninstitution`s selection of the right and appropriate market. A highdependency organization should, therefore, seek to evaluate andassess the firm`s most profitable section in the market for optimalbenefits to the business. The institution`s human resources shouldmatch the number of patients that come for medication at any givenmoment. Thus, the staffing ratio to that of patients should be assmall as possible. Two nurses should attend to one bed while thenumber of doctors should as well be high. Ultimately, theinstitution should be able to evaluate its overall performance forefficiency. The organization should maximize its ability to controlthe wellbeing of all of its processes.
References
Gamble,M. (2013). 5 Traits of High Reliability Organizations: How toHardwire Each in Your Organization. Becker’s Hospital Review.Retrieved Monday, January 9, 2017, fromhttp://www.beckershospitalreview.com/hospital-management-administration/5-traits-of-high-reliability-organizations-how-to-hardwire-each-in-your-organization.html.
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