Tawanna CookeStrayer UniversityHAS 300March 8, 2019IntroductionMiddleville Regional Health Care is one of three health facilities serving a group of more than 350,000 individuals. The hospital’s tactical management, and mostly in departments of human resources, information technology, financing, and marketing are critical and are the determinant of the success of the hospital. Performance of strategic units must be evaluated to understand whether stakeholders’ interests have been met. The hospital serves a wide range of stakeholders including doctors, nurses and other hospital administrators in a different department of the hospitals. The office likewise has a data management center, which handles all expert staffing arrangements inside the clinic. The Heath care facility has no complaint with the HITECH Act and is all set to migrate to stage 3 of the meaningful use criteria. The hospital serves a broad population and is known for its excellence in service. Role of the Management BoardThe governing board has brought in exemplary leadership in utilizing their position to bring in strategic initiatives to more significant growth and higher patient care. The primary objective of the hospital is to improve the well-being of the people by providing quality and efficient health services to the people at affordable charges. In the value statement of the hospital, it focuses on being accountable, recognizing the beliefs and values of the patients, care for the environment and giving superior services to all. This means that the hospital provides priority to the wellbeing of its patient and cannot trade it for anything else. The hospital also looks forward to providing quality and specific services to its customers. This key management focus enables the hospital to come up with state-of-the-art management procedures which guides all its operations. This includes the use of technology in both treating the patients, management of information as well as managing all other activities of the organization. The mission and value statements of the hospital are designed so keep in mind the various stakeholders and the commitment of the organization to provide affordable health care. Greater participation in health informatics will enable the hospital to work closer towards community and positive outcomes of the health sector. The hospital’s governing board has decided to bring in fully automation of hospital administration to evaluate all functions transparently. The most critical area of administration which is patient-centric has been implemented using the facilities of an Electronic Medical Record (EMR). This would not only be able to evaluate patient effectiveness but also lead to a reduction in administration costs (Kumar, and Aldrich, 2010). This kind of facility will enable efficient functioning of all parameters, give secure, dependable and constant access to patient wellbeing data where and when it is expected to bolster care, manage all the electronic health information and records, and functions as clinicians’ essential data resource which are very important while treating the patient. It will also help with arranging and conveying proof-based consideration to people and gatherings of patients, support constant quality change, usage survey, hazard administration and performance administration. Also, it will capture data important for repayment.This practice is unique because there is absolutely no human interaction and if at all there is it is minimal. To make it appealing to patients, the strengths of this kind of practice must be taught to all patients so that they understand the uniqueness and advantages of this system. It becomes unappealing when patients are unable to contact any staff for clarifications of any misgivings that they may have.Middlefield Strategies for Dealing with Competition To remain competitive Middleville must ensure that it must increase admissions so that it can become cost-effective. There are very high numbers of personnel involved in operations. This can be reduced if the hospital goes electronic as needed by law and health care reforms (Belletti, 2010). The expenses associated per patient are also high considering the patients’ visits that happen. The hospital has excellent infrastructure to deal with many more patients. The hospital should ensure that it can benefit by using all aspects of the virtual electronic system that will accommodate more patients. This can be done provided per patient cost is reduced, and nurses who form a considerable chunk of operational expenses are trained the use of meaningful use. The hospital should now become the leader in the use of electronic health records and should become a 100% beneficiary of the HITECH meaningful criteria for Medicare and Medicaid. The nursing profession is undoubtedly the critical and crucial link that can be used in making the best impact of EMR. Nurses are vital to significant data collection and presentation. The nurses interact with patients daily and document every detail of their encounter which encompasses the patient’s physical examination, laboratory results and medical procedures not forgetting personal information. Getting to meaningful use for nursing implies guaranteeing there are organized information in electronic documentation that captures not just customarily recorded information components like vital signs and care mediations, but also additionally interactional samples that convey the patient’s experience and results (Aiken et al., 2001). Health care experts utilized therapeutic services data frameworks intended to oversee and share monetary and claims information. Significant utilization, however, has now made it exceptionally sure that medical attendants need to drive clinical productivity by improving correspondence, building proof, and taking out waste in nursing work processes which are a result of wasteful work designs, interferences, blocked off data, and missing supplies and equipment. As said and cited that it was not the innovation that mattered but rather most important was how the information was utilized. The hospital center has made stringent guidelines regarding significant use of nurses.Costs Associated with EMR LayoutsMiddlefield must become HIPAA compliant and needs to install all necessary design for implementing a holistic and very efficient EMR system. Studies conducted across health care facilities show that the state partly funds facilities projects and hence it is best that Middlefield look at the following:Defining its goals and objectives,Establish a reliable and dedicated management team,Have a dedicated professional manager for its entire project, Select professional and competent physicians, who will champion the project,Make a detailed analysis of its workflow,Create a high level of staff flexibility,The organization must also be ready to deal with any challenge that may arise,The following is the analysis that shows the breakdown of implementing an EMR system Middlefield. Software purchase and installation 48,500Cost of buying hardware such as printers and computers $50,000Facility related expenses such as wiring $13,500Project manager salaries for the first nine months $20,000Project team: part of general remuneration represented by evaluated time committed to the task $75,000Cost of training $5,300Total Amount $212,300There are also proposed suggestions made to the human resource department on how to promote the satisfaction of employees and therefore to help the organization to retain its experienced employees who over time have proved resourceful. The process of recruitment and retention of employees has always brought many issues in the health care industry as health care is a very dynamic industry (Kumar, and Aldrich, 2010). Therefore, integrating the management of human resource strategies and the organization’s system will significantly contribute to the success of the organization’s success. The action will also help to cater for the needs of all stakeholders. The process of initiating changes in the management of human resource also must be very clear and straight forward so that not to cause any panic in the organization human resource fraternity. The use of informal meeting in addressing the objectives and the plan of the expected changes will significantly reduce any challenge that may come with the changes such as employees panic and not accepting or owning the difference. The meetings will also provide platforms where employees can be briefed about the change initiatives and their roles in the process. The sessions will also provide feedback from the employees as well as come up with recommendations on the best method of employees training. Through these forms of involving employees in the change, the initiative will help to avoid any resistance.The reinforcements of actual conduct, learning from lessons as of now expended and grasping changes to their entirety and understanding that the reward is all acknowledged as procedures of progress and change management (Jha et al., 2005). Given the organization’s management plan, the initial phase in the critical human resource process is to evaluate the present human resource limits of the organization. The learning, aptitudes, and capacities of the current staff should be distinguished. This should be possible by building up an aptitudes stock for every representative.Involving employees in the change initiative as well as promoting their professional and personal development helps in avoiding speculations, panic and stress in employees which affects their overall productivity in the organization. Those organization which foster group empowerment and essential participative leadership create administration qualities in representatives. ConclusionScience and modernism have changed the way health care operations have evolved. Science has ordered so many multidimensional changes to how health care services have been handled. Information systems and automation of operations have not only made health care services better treated but has also managed the health care administrators think of adopting different ways in which information systems can be suited to various needs. New concepts in health care delivery have taken new strides, and pharmacy agencies through managed benefit organizations and new facilities from different people involved in health care have happened thanks to post-modernization. Science has helped in further research, better medicines ably complemented by strides in technology and ample funding from research agencies to support the cause of health care delivery better. Had it been only technology without science there would not have been the significant impact, but science and modernism have helped in making health care delivery systems better. ReferencesAiken, L. H., Clarke, S. P., Sloane, D. M., Sochalski, J. A., Busse, R., Clarke, H., & Shamian, J. (2001). Nurses’ reports on hospital care in five countries. Health Affairs, 20(3), 43-53. Belletti, D. (2010). Perspectives on electronic medical records adoption: electronic medical records (EMR) in outcomes research. PROM, 29. doi:10.2147/prom. s8896Jha, A. K., Li, Z., Orav, E. J., & Epstein, A. M. (2005). Care in US hospitals—the Hospital Quality Alliance program. New England Journal of Medicine, 353(3), 265-274.Kumar, S., & Aldrich, K. (2010). Overcoming barriers to electronic medical record (EMR) implementation in the US healthcare system: A comparative study. Health informaticsjournal, 16(4), 306-318.