I will pay for the following essay Cleveland Clinic. The essay is to be 5 pages with three to five sources, with in-text citations and a reference page.The weaknesses at Cleveland Clinic are all cente

I will pay for the following essay Cleveland Clinic. The essay is to be 5 pages with three to five sources, with in-text citations and a reference page.

The weaknesses at Cleveland Clinic are all centered around communication. I would recommend the Clinic institute a program that can address all three weaknesses by enhancing the communication skills of the staff. Information and education should center on fully informing patients of not only procedures,

but also options and prognosis. This would go hand in hand with addressing the problem of failing to respect patients preferences. Part of this may be due to a lack of sensitivity to the patient's perceptions of treatment. Both these issues are rooted in a failure to communicate fully.

The Clinic also needs to be pro-active in obtaining permission to discuss the patient's medical situation with select family and friends. This will require additional training for the staff to promote a policy of communicating with families. A policy would need to be drawn up that specifies what information is appropriate to share and when it is deemed a positive step.

The "Patients First" policy has been successful on an individual and anecdotal basis. This is reflected in their high score on patient comfort. However, they have not been successful at communication the program to the patients and the families. Cleveland Clinic needs to move the policy beyond patient comfort and involve the patient in the medical decisions and treatment.

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4. The CC included peer evaluation in the annual evaluation of physicians. Do you think peer evaluation should be used with the nursing and other professional staff, what about 360 degree evaluation

Cleveland Clinic can benefit greatly from peer evaluations. This is especially true in the team environment that they work in. Nurses share similar duties and responsibilities within the team, and the other members work closely with the team. Because of this, the nurses have a greater knowledge of performance than most members of supervision or management do.

The idea of a 360 degree evaluation would not be appropriate for Cleveland Clinic. Due to the specialized nature of the specialty clinics and the team approach, input from outside these circles would not be helpful and may be misinformed. Criticism, as well as praise, could be misplaced due to the halo effect or the proximity of other team members affecting the evaluation.

5. In the Ohio market the CC appeared to be vertically and horizontally integrated. Was that part of their success, and was this part of the failure of the