Project: Corporate Social Responsibility (CSR) Addendum P-Matics App for Patient's Easy Accessibility to Health Records and History
P-Matics is an app that combines Patient care and clinical informatics into one platform. There is currently no App in the market that provides easy access to patients. Some clinics, like Cleveland Clinic, have implemented some Apps for patients. However, this app is not adequate to provide all the data information to the patient. There are different factors as to why an app like P-Mastics has was not available universally. One aspect is government regulation and the patient's health security (Obayomi, 2019). Government regulation is mostly due to HIPAA regulations and compliance. There are so many products that have become available on an app platform. The patient's information is protected under the law. P-Matics would be a model product that would help the patient's accessibility to information (Obayomi, 2019).
Case Study of Proxy Model, Epic MyChart App: Apps like P-Matic are currently not in the market. Surprisingly, a Cleveland Clinic has implemented a similar app as P-Matics by partnering with Apple. Cleveland Clinic announced that its patients can now access their health data on their iPhone3 with the health records feature. That, together with the Cleveland clinic version of the Epic My chart app, offers patients more comprehensive mobile access to their health data and a way to manage appointments, message their physicians, and more, officials said. Health companies like Cleveland Clinic are exploring something similar to the P-Matics App (Milliard, 2018). MyChart app is available on the Apple iOs app and also on the Android App. However, the bureaucracy involved would impede the efficiencies of such applications. The Cleveland Clinic version would only provide access to Cleveland clinic information. Unfortunately, it would not access other patient records from other health facilities (Milliard, 2018).
Stakeholders: Epic is a software company headquartered in Wisconsin that is focused on health databases. Epic develops software for clinics and hospitals. Cleveland clinic partnered with Epic to create an app that focuses on its patients. Cleveland Clinic Partnered with Epic and EHR company system (MarketWatch, 2014). Just Like Cleveland Clinic, P-Matics will also partner with Epic to develop a good software platform that will be used in the United States. Epic EHR serves more than 170 million patients per year. However, MyChart is specific to Cleveland Clinic patients and health practitioners (Market Watch, 2020). Based on federal law, there are HIPAA rules and regulations as well. HIPAA is the Health Insurance Portability and Accountability Act of 1996. This is a United States legislation that provides data privacy and security provisions for safeguarding medical information (HIPPA). Law is essential to defining the level of competitors in a market. It will avoid who can provide cover by requiring evidence of the licensing and capital standards' suitability. P-matics would need to partner with Congress to make sure that the app is within compliance with HIPAA. The app stakeholders will be Epic, Apple and Android, Health professionals, Health facilities, Congress, and all patients. In terms of entry into the market, MyChart and Cleveland Clinic partnered with Apple Health Kit to enter the market.
BACKGROUND INFORMATION: COMPANY DESCRIPTION
The app's name is P-Matics, which is a combination of patients and Informatics. P-Matics will be a private entity focused solely on the App platform for all health institutions and patients. Growth will be based on expanding the use of various individuals and health facilities. P-Matics will be domicile in Phoenix, Arizona (Obayomi, 2019). Currently, the app is still fictitious and not in the market. We are testing the app through clinics under health organizations like Banner Health, Dignity Health, and Honor health. We are also trying the platform by working closely with an insurance organization located in Nebraska, Lincoln Financial Group. The project is focused on using mobile applications to provide accessible information to patients (Obayomi, 2019).
The app is focused on using a development lifecycle. A life cycle is a phase that the app would have to go through to become available to the patients. P-matics will be available as an app on any digital platform. We also plan to have the app in a wearable form. Wearable apps will be like Apple watch or fit-bit type products. This will make patients have access to their medical data easily. Having wearables creates a sense of ownership with patients who see a need for easy accessibility and a sense of ownership. There is a modern diagnostic wearable that is commonly used in sports. P-matics will tap into the pool of sports athletes to promote the brand. Michael Jordan is famously known for the Jordan brand snickers. Many consumers associate themselves with Michael Jordan when they wear Jordan shoes (Obayomi, 2019).
BACKGROUND INFORMATION: TARGET STAKEHOLDERS
First and foremost, the App P-matics is a universal App, and for all patients. It is a necessity for health care, and it will be in high demand. Cleveland Clinic currently uses my Chart for patient's data. Many hospitals are concerned with patients' security, so they do not implement a similar platform. Furthermore, the paper further discussed theoretical and managerial implications (Boonstra, 2017). According to the article "Validation of a smartphone app to map social networks of proximity," college students are more responsive to applications. More college students are likely to use the app for personal use. This makes it easy to integrate the apps into mobile phones and significant wearables as well. P-matics will also be made into its wearable where anyone can easily access their health information. Most college students are likely to use the app for work-out and weight reasons. These populations fall under the health of patients' demographics. Most college students are concerned about physical features and health. The emergence of Apple watches faded away products like the fit bit. The goal of P-matics is to compete with wearables like Fitbit and Apple watches and leverage their platforms for use (Obayomi, 2019).
Business ethics is a form of applied ethics or professional ethics that examines ethical principles and moral or ethical problems in a business environment. It applies to all aspects of business conduct and is relevant to individuals and the entire organization's behavior. P-Matics is an app that combines Patient care and clinical informatics into one platform. There is currently no App in the market that provides easy access to patients (Obayomi 2019). Some clinics, like Cleveland Clinic, have implemented some Apps for patients. However, this app is not adequate to provide all the data information to the patient. There are different factors as to why an app like P-Matics has not been made available universally. One aspect is government regulation and the patient's health security (Obayomi, 2019). This is mostly due to HIPAA regulations and compliance. There are so many products that have become available on an app platform. The patient's information is still protected under the law. P-Matics would be a model product that would help the patient's accessibility to information (Obayomi, 2019).
TRENDS: BUSINESS ENVIRONMENT
Case Study of Proxy Model, Epic MyChart App: Apps like P-Matic are currently not in the market. Surprisingly, a Cleveland Clinic has implemented a similar app as P-Matics by partnering with Apple. Cleveland Clinic announced that its patients can now access their health data on their iPhone3 with the health records feature. That, together with the Cleveland clinic version of the Epic My chart app, offers patients more comprehensive mobile access to their health data and a way to manage appointments, message their physicians, and more, officials said. Health companies like Cleveland Clinic are exploring something like the P-Matics App (Milliard, 2018). MyChart app is available on the Apple iOs app and also on the Android App. However, the bureaucracy involved would impede the efficiencies of such applications (Obayomi, 2019). The Cleveland Clinic version would only provide access to Cleveland clinic information. Unfortunately, it would not access other patient records from other health facilities (Milliard, 2018). P-matics is to offer the same product but universally.
The app's name is P-Matics, which is a combination of patients and Informatics. P-Matics will be a private entity focused solely on the App platform for all health institutions and patients. We are testing the app through clinics under health organizations like Banner Health, Dignity Health, and Honor health. We are also trying the platform by working closely with an insurance organization located in Nebraska, Lincoln Financial Group. The project is focused on using mobile applications to provide accessible information to patients (Obayomi, 2019). P-Matics would have to take extreme measures to solidify its security. At the beginning phase, only P-Matics would only have a privacy and cyber-security department that would have an over-sight on patient's information privacy.
Intrapreneurs would be considered similarly to project managers within a functional matrix company but with more autonomy. Intrapreneurs utilizes the same tools and techniques for innovation as entrepreneurs and project managers (Obayomi, 2019). Like project managers, Entrepreneurs initiate, plan, execute, monitor and control, and close a project to produce a new product. The App P-Matics, a derivative of patient data and informatics, would help patients get all data integrated into one app system. P-Matics Intrapreneur would have to pass thru HIPAA regulation before the app can be implemented. The rules set by HIPAA limits the ability of such applications like P-Matics. To provide an app platform like P-Matics, it would require verification of secured data sharing on the application. In the era of hackers, especially from foreign countries, data privacy legislation has become stricter in the United States. This would be a limitation from competitors who are innovating similar applications (Obayomi, 2019). P-Matics intrapreneur would also have to evaluate the security aspect of the global app platform. There would have to be a fraud and cyber-security team that would have to focus on patient security. The Cyber-security would also work closely with the FBI and CIA when there is a bridge in security.
To be successful as an entrepreneur, it is imperative to think and act as scientists, politicians, and Olympians (BAILEY, 2018). As a scientist, the entrepreneur would have to create a hypothesis and then design the experiments to test the hypothesis (BAILEY, 2018). Scientists are very skilled in breaking complex problems into constituent parts and evaluating each piece. Entrepreneurs are expected to be relentlessly curious about the product that they are innovating (Obayomi, 2019). As a politician, Entrepreneurs are expected to build coalitions and gather support around teams, ideas, and innovations (BAILEY, 2018). As a politician, entrepreneurs would have to persuade others on the merit of their cause. The entrepreneur would have to learn to build momentum behind their ideas. Thirdly as an Olympian, Entrepreneurs would have to be resilient and tenacious ((BAILEY, 2018). Entrepreneurs train hard and are experts in their domain. Entrepreneurs would have to learn to accept accountability and pursue the best (BAILEY, 2018).
What makes intrapreneurs different from entrepreneurs is the autonomy and management support recognized as conducive to intrapreneurial behavior, which is a pre-requisite to succeed as an intrapreneur (Smith, 2016). Health care must become adaptable to the accessibility of technology. An entrepreneur for P-matics would have to maximize the autonomy to develop a model for P-Matics. Patients do not have to wait longer to receive their information. Organizations that adapt to time are the best in serving consumers. Health organizations that maximize the use of technology through apps would be ahead of other health organizations that have been slow to adapt (Obayomi, 2019).
Entrepreneurs would help analyze a company's range of services based on domestic services, special services, and international services (Kadlubek, 2016). These services are influenced by political factors, economic factors, social factors, and technological; factors ((Kadlubek, 2016). P-Matics entrepreneurs would also have to evaluate the security aspect of the global app platform. There would have to be a fraud and cyber-security team that would have to focus on patient security. The Cyber-security would also work closely with the FBI and CIA in a situation that there is a bridge in security (Obayomi, 2019)
The present and future of medical products and services are suitable. They are expected to touch new heights as new and established companies march ahead to create products and services for the next generation (Kauffman, 2015). Several companies' surveys reveal that several customers are ready to abort traditional care for better and more convenient alternatives. It also shows that customers prefer to choose retail options or at-home options compared to medical conditions (Kauffman, 2015). They rely much on self-diagnosing methodology as compared to visiting the doctor's clinic or hospitals. Kauffman, V. & Tsouderos, T. (February 2015), believed "Within a decade, the health business will look and feel much more like other consumer-oriented, technology-enabled industries (Obayomi, 2019). It will have its own Amazon-style, iconic brands-companies that give consumers an easy way to access information, doctors, and treatments; provide them with a variety of services and products at a variety of prices, and centralize their care through user-friendly interfaces."
The app is focused on using a development lifecycle. A life cycle is a phase that the app would have to go through to become available to the patients. P-matics will be available as an app on any digital platform. We also plan to have the app in a wearable form. Wearable apps will be like Apple watch or fit-bit type products. This will make patients have access to their medical data easily. Having wearables creates a sense of ownership with patients who see a need for easy accessibility and a sense of ownership. There is a modern diagnostic wearable that is commonly used in sports. P-matics will tap into the pool of sports athletes to promote the brand. Michael Jordan is famously known for the Jordan brand snickers. Many consumers associate themselves with Michael Jordan when they wear Jordan shoes (Obayomi, 2019).
First and foremost, the App P-matics is a universal App, and for all patients. It is a necessity for health care, and it will be in high demand. Cleveland Clinic currently uses my Chart for patient's data. Many hospitals are concerned with patients' security, so they do not implement a similar platform. Furthermore, the paper further discussed theoretical and managerial implications (Boonstra, 2017). According to the article "Validation of a smartphone app to map social networks of proximity," college students are more responsive to applications. More college students are likely to use an app for personal use.
Regarding regulations, P-Matics can model after the initiation of the Integrity office for Cleveland Clinic (Sinko, 2018). Cleveland Clinic's executives and their auditing department leveraged the work of the offices of Internal Audit and Corporate Compliance by putting them under one umbrella and calling it the Integrity office (Sinko, 2018). The Integrity Office will present information on the U.S. Federal Sentencing Guidelines, formal guidance issued by the office of the Inspector General at the U.S. Department of Health and Human Services (DHHS) (Sinko, 2018). The Integrity office serves to ensure that the company's financial recording meets compliance with the federal requirement. This has made Cleveland Clinic meet all the needs throughout its establishment. According to Sinko; Most organizations separate the departments and leadership (Sinko, 2018). This is one of the reasons why there are lapses in oversights in corporate auditing.
It is easy to integrate the apps into mobile phones and significant wearables as well. P-matics will also be made into its wearable where anyone can easily access their health information. Most college students are likely to use the app for work-out and weight reasons. These populations fall under the health of patients' demographics. Most college students are concerned about physical features and health. The emergence of Apple watches faded away products like the fit bit. The goal of P-matics is to compete with wearables like Fitbit and Apple watches and leverage their platforms for use (Obayomi, 2019). As P-matics evolve, it is imperative also to align the regulatory successes of that of Cleveland Clinic. Over twelve years ago, Cleveland Clinic's senior management and the audit committee decided to leverage the work of Internal Audit and Corporate Compliance offices by putting them under one umbrella and calling it the Integrity office (Sinko, 2018). To be consistent with the U.S. Federal Sentencing guidelines, formal guidance issued by the Office of the Inspector general at the U.S> Department of Health and Human Services (DHHS), and requirements imposed in numerous corporate integrity agreements, corporate compliance must maintain an independent reporting structure to the governing body of the organization (Sinko, 2018). Due to the complexity of an academic medical center's various operations, Cleveland Clinic's internal audit staff consists of professionals with different backgrounds in finance, billing, doing nursing, medical research, IT, and forensics (Sinko, 2018).
The critical aspect of maintaining sustainability will be through risk assessment (Sinko, 2018). For example, Cleveland Clinic is a complex, $8 billion academic medical centers, with multistate regional hospitals and international operations (Sinko, 2018). It has an enterprise risk management (ERM) process focused on monitoring the significant risks to the organization and what it is being done to mitigate those risks (Sinko, 2018). Three lines of defense will provide sustainability. The Three Lines of Defense model of internal controls put corporate compliance in the second line of defense and internal audit in the third line of defense (Sinko, 2018). The primary concern of putting corporate compliance and internal audit under everyday independent leadership is that internal audit cannot independently audit the compliance function activities (Sinko, 2018). Business ethics is a form of applied ethics or professional ethics that examines ethical principles and moral or ethical problems in a business environment. It applies to all aspects of business conduct and is relevant to individuals and the entire organization's behavior. P-Matics is an app that combines Patient care and clinical informatics into one platform. There is currently no App in the market that provides easy access to patients (Obayomi 2019). Some clinics, like Cleveland Clinic, have implemented some Apps for patients. However, this app is not adequate to provide all the data information to the patient. There are different factors as to why an app like P-Matics has not been made available universally. One aspect is government regulation and the patient's health security (Obayomi, 2019). This is mostly due to HIPAA regulations and compliance. There are so many products that have become available on an app platform. The patient's information is still protected under the law. P-Matics would be a model product that would help the patient's accessibility to information (Obayomi, 2019). People exceptionally talented in the Responsibility theme take ownership of what they say they will do. They are committed to stable values such as honesty and loyalty (Gallup, 2020).
As an executive team, it imperative to impact all employees at every level and not only on the executive team. According to Weiss, Individualists are driven by natural reason, personal survival, and preservation. The self is the source and justification of all actions and decisions. Individualists believe that "If I don't take care of my own needs, I will never be able to address the concerns of others." The moral authority of individualists is their reasoning process, based on self-interest. Apps like Epic
DECISION MAKING: DECISIONS
Based on the potential business ethics and regulatory issues identified within the scope of the intrapreneurial or entrepreneurial idea, there are significant decisions that must be made. These decisions and processes do impact business sustainability and elements of the corporate culture. This culture includes corporate citizenship, philanthropy, community involvement, the environment, and casual support. It is essential to know how stakeholder groups will be affected by the decisions and processes. Corporate Social Responsibility is recognized as a concept that offers ways of thinking and behaving that will deliver multilayered benefits that include government developmental programs, transnational corporations (TNCs) profile and profits, enhancing the capacity of small business within supply chains and transforming lives through community engagement and local content programs (Vertigan et al. 2017). Corporate Social Responsibility (CSR) encompasses vital elements that include decision making, Culture, Stakeholders, community, and the Global Environment. P-Matics is an app that combines Patient care and clinical informatics into one platform. P-Matics would be a model product that would help the patient's accessibility to information (Obayomi, 2019). One platform used as a case study is the Epic MyChart App that is already available and its collaboration with Cleveland Clinic. This is the application that is also used by the Cleveland Clinic.
In 2014, Cleveland Clinic made all its information available on the patient's electronic health record, Epic MyChart patient Web portal (Cleveland Clinic Boosts PHR. 2013). Cleveland Clinic patients can access their portal after their after-visit summary, medication and allergy lists, immunizations, diagnostic images, and preventive care information (Cleveland Clinic Boosts PHR. 2013). Over the years, Cleveland Clinic has expanded its platform to include clinical documents to become available online, spanning surgery notes, etc. due to strong leadership (Cleveland Clinic Boosts PHR. 2013). Cleveland's clinic's outstanding leadership has also led them to spearhead the first local drug development to treat COVID-19. The partnership between Epic MyChart and Cleveland Clinics exudes strong leadership and culture. In 2014, Experian integrated its identity-proofing and risk-based authentication platform, Precise ID for healthcare portals, with Epic's Mychart patient portal to enable healthcare providers to quickly and securely authenticate, validate, and risk-assess patient identities before accessing medical information online (Identity tools integrated into portal, 2014). Before accessing medical information online, patients and authorized users can be authenticated via a combination of real-time questions that only they are likely to know. Besides, the Precise ID platform offers a flexible framework that can be incorporated into existing identity-proofing and authentication processes, allowing connectivity with various EHR and patient management systems (Identity tools integrated into portal, 2014). Cleveland Clinic has provided an outstanding culture and leadership that P-Matics can model after. Cleveland Clinic has a motto of "Patient First," which is reflected in its direction and corporate culture (O'CONNELL, M. 2015). Cleveland Clinic's corporate culture developed a leadership model focused on creating a serving leader's mindset, Sustaining change, and transformational opportunity (O'CONNELL, M. 2015). Under the new leadership model, Cleveland Clinic highlighted five integral focal outsets of their culture. These focal points are;
I. Run to great purpose- envisioning and pursuing a great goal so convincing that everyone is motivated to achieve it
II. Upend the pyramid- exercising your power to empower those who follow you to unleash the energy, excitement, and talents
III. Raise the bar- holding high expectations for yourself and others
IV. Blaze the trail- providing ongoing teaching on the things you expect from those who follow your lead
V. Build on strengths- exercising good stewardship of strengths and qualities of those you lead
Cleveland Clinic has branded itself as a Clinic that follows its motto of "Patient first" in its corporate culture (O'CONNELL, M. 2015). Cleveland Clinic also processes decisions through a servant leader's mindset. The servant leader's perspective focuses on removing the barriers helping others succeed, seeing greatness in people, and empowering others to follow (O'CONNELL, M. 2015). This mindset uses the necessary processes, tools, and techniques to enable collaboration, innovation, and continuous improvement to build trust and partnership (O'CONNELL, M. 2015). This has led Cleveland clinic to have productive enterprise outcomes. According to Cleveland's Clinic vision statement, it states that "a serving leader fully engages in caregiver's minds, addressing knowledge and intelligence; communicates compassion, respect, and dignity; and takes a hands-on approach to service so that the best possible Cleveland Clinic experience can be delivered to (O'CONNELL, M. 2015). This has led to Cleveland Clinic successfully implementing the EHR system through MyEpic Chart. Another aspect is the sustaining change. Cleveland Clinic sustains desired growth by creating a community of practice where those caregiver leaders who completed the serving leadership experience come together periodically to share the best practices, learn from one another, encourage critical thinking, serve as consultants to one another, and share resources and opportunities for further learning (O'CONNELL, M. 2015). This is a significant aspect of Cleveland's culture that could also be implemented in P-matics. Another dimension to Cleveland's Clinic is its ability to provide a transformational opportunity. Transformational leadership is built on doing more with less, drawing on the very best from everyone on the team, and emerging as a high-quality, safe, cost-effective healthcare organization with an outstanding patient experience (O'CONNELL, M. 2015). The Cleveland Clinic's leadership experience has created a transformative opportunity to make a difference, achieve more significant outcomes, and provide care for patients (O'CONNELL, M. 2015). This transformational opportunity by Cleveland Clinic benefits everyone- leaders, caregivers, the enterprise, and ultimately, the patient (O'CONNELL, M. 2015).
DECISION MAKING: STAKEHOLDERS
Cleveland Clinic has a significant focus on ensuring that its corporate culture includes all stakeholders, including every Cleveland clinic corporate leader, caregivers, the enterprise, and, most significantly, the patient (O'CONNELL, M. 2015). We must keep in mind that the major stakeholders in a health care system are patients, physicians, employers, insurance companies, pharmaceutical firms, and the government (O'CONNELL, M. 2015). Insurance companies are known to sell health coverage plans to patients directly and indirectly through an employer or governmental intermediaries (Rodriguez-Osorio CA, 2011). Insurance Industries are critical stakeholders in any healthcare. The insurance company could easily breach the ethical lines of health due to its model built around profit (Rodriguez-Osorio CA, 2011). If Insurance companies are not kept in check, they have developed loopholes in providing healthcare to mostly health individuals and isolate patients that would be considered at-risk patients. There is also another stakeholder, which is the Pharmaceutical Companies. Pharmaceutical companies have a significant impact on the affordability of drugs. If a company culture is not putting patients first, it might lead to undue burdens on patients to buy expensive medications due to rising prices.
Recent research provided that since the late 1980s, pharmaceutical firms send attractive young representatives with ho formal training to market their drugs by establishing a social relationship with the physician and offering incentives to offer their drugs (Rodriguez-Osorio CA, 2011). Recently, the CEO of a major pharmaceutical company in Arizona was sent to prison for manipulating health care practices to market the company's prescriptions. And most times, the doctors were over-prescribing medications to patients (Rodriguez-Osorio CA, 2011). The other stakeholder is Physicians. Physicians work closely with Cleveland Clinic to provide a patient-first experience. No many physicians working in various healthcare have been trained to put patients first. Most of the time, physicians are prepared to put profit first. This is common among resident physicians who are treating patients while burdened with the rising student loan. Physicians have a responsibility to patients independent of insurance companies (Rodriguez-Osorio CA, 2011). It is imperative to have a corporate culture that makes physicians independent of Pharmaceutical companies and insurance to provide adequate care to the patient. Another key stakeholder is the patients. The patients would probably be the most critical stakeholders. Patients are responsible for their health care and determining the cost they would like. Unfortunately, health care costs can easily malign low-income at-risk populations. At-risk populations include obese people, the elderly, and those who want in neighborhoods with toxic waste.
Contrary to popular opinion, the most expensive treatments are not necessarily the best, not always cost-effective (Rodriguez-Osorio CA, 2011). The last but not the least stakeholder is the government. The government's role is to provide the necessary regulation to ensure that the patients' rights are not infringed upon. The current conversation in Congress is regarding affordable health care. Health care has been considered a human right, but there is no consensus on the extent to which patients should have this right. Many young people are generally disenfranchised with proper health care because they are not covered under any insurance and left to bear the weight all by themselves. Cleveland Clinic has worked closely with insurance companies to provide affordable and first-class treatment to all its patients (Rodriguez-Osorio CA, 2011). P-Matics Intrapreneur would have to pass thru HIPAA regulation before the app can be implemented. The rules set by HIPAA limits the ability of such applications like P-Matics. The scope of Cleveland Clinics operation has described its stakeholders as the entire healthcare provider industry, trade associations, federal and state agencies, regional and national philanthropic foundations, media outlets, community groups, citizens, etc. (O'CONNELL, M. 2015). Cleveland Clinic, however, has prioritized the stakeholders in this order; patients, caregivers, communities, and national sustainability leaders (O'CONNELL, M. 2015).
Cleveland's primary objective is to serve communities by providing high-quality healthcare and wellness services, medical research, and education (O'CONNELL, M. 2015). The app is focused on using a development lifecycle. A 2014 report shows the following areas that impact the community care group:
I. Patients are most interested in patient safety and quality care indicators.
II. Caregivers are most interested in caregiver demographics and caregiver stories.
III. Local community stakeholder groups are most interested in our contributions and impacts on our local communities.
IV. Local community stakeholder groups are most interested in our gifts and effects on our local communities.
V. National environmental groups are most interested in our environmental performance and commitment to reporting Cleveland Clinic's progress transparently.
Cleveland Clinics engages through caregiver feedback. This is mostly done through various channels, including surveys, weekly polls, and team huddles (O'CONNELL, M. 2015). The actions and improvements are made based on the feedback. One engagement is called Engagement with Dr. Cosgrove. Dr. Toby Cogrove is the CEO and president of Cleveland Clinic. The clinic provides a quarterly connection addresses where he reviews clinical staff, operations, education, and research teams to highlight the most significant successes and opportunities in the healthcare system (O'CONNELL, M. 2015). There are also MyTwoCents. This online forum provides feedback and makes suggestions for improvements (O'CONNELL, M. 2015). Since 2010, my two cents has generated 6000 ideas with over 800 caregivers ideas implemented (O'CONNELL, M. 2015). These submissions have also realized Cleveland clinic $2.5 million in savings, with projected future additional savings of nearly $3.5 million. There are other parameters in place like the engagement coaches, leadership rounding, and Press Ganey Caregiver Surveys (O'CONNELL, M. 2015).
Cleveland Clinic also has events to celebrate caregivers like; recipient highlight, Eco caregivers, and providing Employee Resource Groups (O'CONNELL, M. 2015). Cleveland Clinic's goal is to provide compassionate, high-quality healthcare services, medical research, and education (O'CONNELL, M. 2015). Cleveland Clinic's goal is to serve and support efforts to improve the health of their communities. This is a template that P-matics also plans to implement for future successes. Cleveland Clinic is a nonprofit, multispecialty academic medical center with a proud history of serving the needs of the residents of its communities through engaging in a broad range of medical research, education and training programs, and supporting community health initiatives (O'CONNELL, M. 2015). The significant impact is that Cleveland Clinic is the largest employer in Northeast Ohio and the second-largest employer in the state (O'CONNELL, M. 2015). Cleveland Clinic also has initiatives towards encouraging healthy and vibrant communities across Ohio. The clinic has also taken leadership on environmental issues like energy conservation, waste reduction, healthy buildings, climate resilience, innovative leadership, water stewardship, and environmental performance. Cleveland Clinic has made transparency its focal point. Cleveland Clinic discloses detailed information about physicians and their affiliations on the websites (O'CONNELL, M. 2015). They share information about the environmental, social, and economic impacts with stakeholders. They believe in operating transparently by creating the best value for patients, caregivers, and communities (O'CONNELL, M. 2015).
IMPACT: GLOBAL ENVIRONMENT
First and foremost, the App P-matics is a universal App, and for all patients. It is a necessity for health care, and it will be in high demand. Cleveland Clinic currently uses my Chart for patient's data. Cleveland Clinic has become a key player in the global environment. Cleveland Clinic became a signatory of the UN Global Compact and wrote the first communication on the progress in year 20120 (O'CONNELL, M. 2015). Cleveland Clinic has been consistent in including its benchmark, management strategies, and intentions in the extension of Cleveland Clinic culture (O'CONNELL, M. 2015). The report aims to reflect and reinforce the commitment to ethical and transparent organizational behavior (O'CONNELL, M. 2015). Cleveland has been fully engaged in the United Nations Compact by presenting principles focused on human rights, environmental responsibility, and corporate integrity (O'CONNELL, M. 2015). The Cleveland Clinic is involved in the Global Reporting Initiative (GRI) by being the second U.S healthcare provider to adopt an international gold-standard reporting process.
Cleveland has provided a template of a gold-standard corporate responsibility that P-matics can adopt. As an executive team, it imperative to impact all stakeholders at every level. According to Weiss, Individualists are driven by natural reason, personal survival, and preservation. The self is the source and justification of all actions and decisions. Individualists believe that "If I don't take care of my own needs, I will never be able to address the concerns of others." The moral authority of individualists is their reasoning process, based on self-interest—apps like Epic.
One aspect of community engagement by Cleveland Clinic is the Go Baby project. The Go Baby project is related to technology, engineering, and design (TED) education. The goal is to provide effective learning, rehabilitative technology, and outdoor learning to disenfranchised communities (Kelly, 2018). The Go Baby project is a collaboration between Cleveland Clinic and Cleveland State University (Kelly, 2018). The CSU faculty and community partners utilize low-cost technologies to minimize the barriers that once limited children's participation. The area of focus includes the following:
a. Promotes independence and access for young children with mobility and sensory impairments in the community
b. It provides a play/leisure experience while facilitating fun, fulfillment, and friendship for children of all ability levels.
c. Exposes children of all ability levels to new, engaging, and enriching activities in the community
d. It offers movement and sensory experiences while encouraging children to think and socialize with friends (Kelly, 2018).
The service-learning provides a practical context through which students can apply their understandings of what they have learned in a classroom setting (Kelly, 2018). The efforts outcomes focus on comprehensive cultural awareness and civic engagement efforts in which businesses have the best desired potential outcome. Cleveland Clinic's corporate culture developed a leadership model focused on creating a serving leader's mindset, Sustaining change, and transformational opportunity (O'CONNELL, M. 2015). Under the new leadership model, Cleveland Clinic highlighted five integral focal outsets of their culture. These focal points are;
VI. Run to great purpose- envisioning and pursuing a great goal so convincing that everyone is motivated to achieve it
VII. Upend the pyramid- exercising your power to empower those who follow you to unleash the energy, excitement, and talents
VIII. Raise the bar- holding high expectations for yourself and others
IX. Blaze the trail- providing ongoing teaching on the things you expect from those who follow your lead
X. Build on strengths- exercising good stewardship of strengths and qualities of those you lead
Cleveland Clinic sustains desired change by creating a community of practice where those caregiver leaders who completed the serving leadership experience come together periodically to share the best practices, learn from one another, encourage critical thinking, serve as consultants to one another, and share resources and opportunities for further learning (O'CONNELL, M. 2015). The caregivers give back to the patient care community by providing adequate mentoring to a new provider (Kelly, 2018). The Cleveland community impacts not just the city but also the health practitioners by providing sufficient support when needed (Kelly, 2018). This is a significant aspect of Cleveland's culture that could also be implemented in P-matics. Another dimension to Cleveland's Clinic is its ability to provide a transformational opportunity. Transformational leadership is built on doing more with less, drawing on the very best from everyone on the team, and emerging as a high-quality, safe, cost-effective healthcare organization with an outstanding patient experience (O'CONNELL, M. 2015). The Cleveland Clinic's leadership experience has created a transformative opportunity to make a difference, achieve more significant outcomes, and provide care for patients (O'CONNELL, M. 2015). This transformational opportunity by Cleveland Clinic benefits everyone- leaders, caregivers, the enterprise, and ultimately, the patient (O'CONNELL, M. 2015).
Cleveland Clinic has branded itself as a Clinic that follows its motto of "Patient first" in its corporate culture (O'CONNELL, M. 2015). Cleveland Clinic also processes decisions through a servant leader's mindset. The servant leader's perspective focuses on removing the barriers helping others succeed, seeing greatness in people, and empowering others to follow (O'CONNELL, M. 2015). This mindset uses the necessary processes, tools, and techniques to enable collaboration, innovation, and continuous improvement to build trust and partnership (O'CONNELL, M. 2015). This has led Cleveland clinic to have productive enterprise outcomes. According to Cleveland's Clinic vision statement, it states that "a serving leader fully engages in caregiver's minds, addressing knowledge and intelligence; communicates compassion, respect, and dignity; and takes a hands-on approach to service so that the best possible Cleveland Clinic experience can be delivered to (O'CONNELL, M. 2015). This has led to Cleveland Clinic successfully implementing the EHR system through MyEpic Chart. Another aspect is the sustaining change.
Cleveland Clinics engages through caregiver feedback. This is mostly done through various channels, including surveys, weekly polls, and team huddles (O'CONNELL, M. 2015). The actions and improvements are made based on the feedback. One engagement is called Engagement with Dr. Cosgrove. Dr. Toby Cogrove is the CEO and president of Cleveland Clinic. The clinic provides a quarterly connection addresses where he reviews clinical staff, operations, education, and research teams to highlight the most significant successes and opportunities in the healthcare system (O'CONNELL, M. 2015). There are also MyTwoCents. This online forum provides feedback and makes suggestions for improvements (O'CONNELL, M. 2015). Since 2010, my two cents has generated 6000 ideas with over 800 caregivers ideas implemented (O'CONNELL, M. 2015). These submissions have also realized Cleveland clinic $2.5 million in savings, with projected future additional savings of nearly $3.5 million. There are other parameters in place like the engagement coaches, leadership rounding, and Press Ganey Caregiver Surveys (O'CONNELL, M. 2015).
Cleveland Clinic has a significant focus on ensuring that its corporate culture includes all stakeholders, including every Cleveland clinic corporate leader, caregivers, the enterprise, and, most significantly, the patient (O'CONNELL, M. 2015). We must keep in mind that the major stakeholders in a health care system are patients, physicians, employers, insurance companies, pharmaceutical firms, and the government (O'CONNELL, M. 2015). Insurance companies are known to sell health coverage plans to patients directly and indirectly through an employer or governmental intermediaries (Rodriguez-Osorio CA, 2011). Insurance Industries are critical stakeholders in any healthcare. The insurance company could easily breach the ethical lines of health due to its model built around profit (Rodriguez-Osorio CA, 2011). If Insurance companies are not kept in check, they have developed loopholes in providing healthcare to mostly health individuals and isolate patients that would be considered at-risk patients. There is also another stakeholder, which is the Pharmaceutical Companies. Pharmaceutical companies have a significant impact on the affordability of drugs. If a company culture is not putting patients first, it might lead to undue burdens on patients to buy expensive medications due to rising prices.
Cleveland's primary objective is to serve communities by providing high-quality healthcare and wellness services, medical research, and education (O'CONNELL, M. 2015). The app is focused on using a development lifecycle. A 2014 report shows the following areas that impact the community care group:
VI. Patients are most interested in patient safety and quality care indicators.
VII. Caregivers are most interested in caregiver demographics and caregiver stories.
VIII. Local community stakeholder groups are most interested in our contributions and impacts on our local communities.
IX. Local community stakeholder groups are most interested in our gifts and effects on our local communities.
X. National environmental groups are most interested in our environmental performance and commitment to reporting Cleveland Clinic's progress transparently.
P-Matics plan to model after Cleveland Clinic in creating events to celebrate caregivers. That includes recipient highlight, Eco caregivers, and providing Employee Resource Groups. P-matics goal, just like Cleveland clinic, will be to provide compassionate, high-quality healthcare services, medical research, and education. The purpose of P-Matic will be to serve and support efforts to improve the health of their communities. Cleveland Clinic is a nonprofit, multispecialty academic medical center with a proud history of serving the needs of the residents of its communities through engaging in a broad range of medical research, education and training programs, and supporting community health initiatives (O'CONNELL, M. 2015). P-Matic will be established as a nonprofit organization but focused on application and wearables for the patient. Community initiatives will encourage healthy and vibrant communities across the United States. P-Matics will be a Macrocosm of what Cleveland Clinic and Epic MyChart have created. The Go Baby project will provide a connection between P-matics and the community. It will provide opportunities for leaders in P-matics to contribute to a sustainable change beyond health care. This would give more excellent retention of leaders and also a patient's confidence in P-Matic.
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