Healthcare leadership is often tasked with some of the most difficult challenges when it comes to leading. As a leader in D’Wellington Healthcare Group (DWHCG),
which is a health plan, you are asked to assess and develop a strategic
SWOT analysis that will help lead the organization into a company that
will be able to compete on a national basis in the next 3-5 years.
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For this assignment, you will focus on an in-depth path of leadership,
operations management, and the impact of fraud and abuse in healthcare;
then create an executive summary.
NOTE – APA formatting and proper grammar, punctuation, and form are required. APA help is available from this link – APA.
- Explain what particular type of leadership style is needed to begin
a robust leadership that contributes to growing the healthcare
organization.- Describe what leadership is.
- Discuss some leadership styles used in healthcare.
- Compare and contrast leadership styles in healthcare.
- Design and create the role of your Operations Manager, so that person can be empowered to be more effective in that role.
- Decisions support systems.
- Communication availability and use.
- Technology availability and use.
- Put a system in place to limit the likelihood of being able to commit fraud.
- Focus on efficiency using decision support system resources.
- Describe technology software that could add value to an anti-fraud system.
- Explain the compliance and regulatory rulings regarding healthcare fraud.
Expert Solution Preview
Introduction:
In order to lead D’Wellington Healthcare Group (DWHCG) towards national competitiveness in the next 3-5 years, it is important to assess and develop a strategic SWOT analysis. This will require a particular type of leadership style, an effective operations manager, and a system to limit the likelihood of fraud. This answer will address each question separately.
Answer 1:
a) The leadership style needed to begin a robust leadership that contributes to growing the healthcare organization is transformational leadership. This style focuses on inspiring and motivating employees, fostering innovation, and creating a positive work culture. It involves setting a clear vision, empowering employees, and promoting collaboration and employee development.
b) Leadership is the ability to influence and guide individuals or groups towards achieving common goals. It involves setting a direction, inspiring others, and making decisions that positively impact the organization and its stakeholders.
c) In healthcare, there are several leadership styles used, such as democratic leadership, autocratic leadership, and servant leadership. Democratic leadership involves involving employees in decision-making and promoting open communication. Autocratic leadership entails making decisions without much input from employees. Servant leadership focuses on serving others and prioritizing their needs.
d) When comparing and contrasting leadership styles in healthcare, it is important to consider their strengths and weaknesses. Democratic leadership can foster collaboration and creativity but may result in slower decision-making. Autocratic leadership can lead to quick decision-making but may not promote employee engagement. Servant leadership can create a positive work environment but may require more time and effort for implementation.
Answer 2:
a) The role of the Operations Manager in DWHCG should be designed and created to enable effectiveness. This can be achieved by providing the manager with decision support systems (DSS) that assist in analyzing data and making informed decisions.
b) Communication availability and use are essential for the Operations Manager to be effective. This can be achieved by ensuring open lines of communication, promoting regular team meetings, and utilizing technology tools for effective communication (e.g., email, video conferencing).
c) Technology availability and use are crucial for the Operations Manager to enhance efficiency. Providing the manager with access to relevant technology tools and systems (e.g., electronic health records, project management software) can streamline operations and improve productivity.
Answer 3:
a) To limit the likelihood of committing fraud, a focus on efficiency using decision support system resources is important. Decision support systems can help identify patterns and anomalies in data, enabling proactive fraud detection and prevention.
b) Technology software that could add value to an anti-fraud system includes fraud analytics tools, data mining software, and predictive modeling software. These technologies can help identify potential fraudulent activities and enhance the effectiveness of anti-fraud measures.
c) Compliance and regulatory rulings regarding healthcare fraud are essential to ensure ethical and legal practices. These rulings may include guidelines for billing procedures, documentation requirements, and reporting obligations. It is crucial for healthcare organizations to stay updated with the latest compliance regulations and implement robust compliance programs to prevent and address healthcare fraud.
Overall, by adopting a transformational leadership style, providing effective decision support systems and communication technology for the Operations Manager, and implementing a system to limit fraud, D’Wellington Healthcare Group can enhance its competitiveness in the national healthcare market.
