Teaching Competence and Clinical Learning

Question: Discuss aboutc clinical learning and teaching competence? Answer: From the view point of the case study of Middleboro Community Hospital and considering the actions were taken by the organization has resulted in some positive impact. The statistical data from the pilot study shows that a problem is growing regarding psychotic patients as they have to wait for a long time in the emergency department. The volume-based care thus shows no significant health outcome. The ranked officials of the management prefer changing the approach of physicians towards the patient and work on the cost reducing aspects. The management reviews the progress and updates corporate plans in a frequent interval. The administration has reduced the number of board and extends the term of appointment. The main motto of the management behind this transition is to lower the cost of medication and provide a high quality of service. The organization focuses on to reduce the inpatient capacity and concern about hiring serious physician recruitment. The management considers using mo dern technology for medical care. The main issue regarding the volume based service is to maintain the financial balance, fault in long-range planning and decline in staff productivity. The organization has developed a telecommunication service at a very low price which added an extra advantage. Improvements in communication service help to maintain better communication with the patient and between the medical staffs. To consider the value-based health care the organization planned to prepare a financial information system which keeps the record of finance and patient care. The organization affiliates with a national chain to purchase medical supplies which reduce the cost by eight percent. For the patient, the value-based care provides a safe and effective care with the promising outcome at a reasonable price. Hiring qualified physicians, who can encourage the patient to take better decision for their health, improve the quality of value based service. However, it is important to m onitor the everyday progress of the patient which can improve long-term value. The medical staffs need to become more realistic toward the value-based view of the organization. The organization needs to provide some off-campus service. The organization has planned to hire a consulting firm to get confirm on the thought of single occupancy impatient rooms. It is believed by the senior authorities of the organization that if management implements a plan for five to seven year period on single-occupancy inpatient rooms, then it can give the organization an added advantage over others. Because this strategy may results in not increase the expenses of the organization. And the management needs not to do significant changes in the staff status. It is reported that the impatient hospital admission is dropping and the average time of patients stay is also stable. This data suggests that single occupancy room can be configured by converting some of the larger rooms of the hospital. The management can consider the double occupancy room which is in maternity service and the medical, surgical rooms. The organization is building a critical access hospital for the rural program. Furthermore, the officials recommend developing an off-campus service to operate additional medical practices and to unite with other medical service provider.