Health Care Assignment Paper on Montefiore Health System Improvement

Montefiore Health System Improvement

The Montefiore Health System is an organization consisting of eleven hospitals. The hospitals provide primary and specialty care in a network of over 180 locations. These locations include Children’s Hospital, Montefiore Hospital, Nyack Hospital, White Plains Hospital and St. Luke’s Cornwall Hospital.

Status of the Patients at Montefiore

According to the Joint Commission on Accreditation of Healthcare Organizations (2016), the report highlights that there are several issues with the patient welfare concerning how they are handled at the different hospitals belonging to the organization. The report indicated that there were issues with the accuracy of the identification of the patients (Baillie & Maxwell, 2017). It is dangerous for such a scenario if there was a wrong identification of patients or illegal release of information; it might be detrimental to the patient and the organization.

The report further indicates that there is no security to medication in the hospital. There are existing standard procedures which indicate the guidelines for use in the healthcare. Any mishandling of medicine might also be catastrophic, not just to individuals, but also to the hospital at large. The Montefiore Health System has tried to ensure that there is sufficient safety of the drugs and medication. However, there are still aspects that need improvements like the need for a strong security procedure to protect unwanted access to drugs and medication. Also, there are still risks and vulnerabilities associated with care infections.

There is consistent communication in the system. However, it is up to the organization to ensure that the communication among the caregivers is efficient enough to guarantee that no information can go unnoticed. There is sufficient harm that the patients might have reported that is as a result of the clinical alarm systems. It must be directly associated with the patients who have problems with their ear systems and other patients who are not suffering from any ear-related issue.

Additionally, the report indicated that there are occurrences whereby there were risks associated with the patient population. These vulnerabilities could emanate from airborne diseases and ailments. Appropriate measures to ensure the safety of the patients against other patients who might pose a health risk because of overcrowding in the facility were absent. According to Joshi, Ransom, Nash, & Ransom (2014), a universal protocol is necessary for information transmission from one party to another either horizontally or vertically and in this case, from the report, it was absent.

Goals for Recommendation and Improvements

The current situation in Montefiore Health System necessitates the need for recommendations and improvements to establish mechanisms for solutions. Where the patients did not have an appropriate identification given by the healthcare organization, the use of Two Patient Identifiers helps to solve the situation. The identification is made in two-tier, which authenticates the patient without the loss of information or risk of impersonation in the healthcare (Bisognano & Kenney, 2012). Similarly, on the safety of using medications, it is recommended that the reconciliation of medical information is mandatory. There has been growing and increasing use of technology in healthcare systems. The inconsistency of the medical records is always associated with the use of other means of storage of information. The use of technology in the healthcare systems solves the issues related to information accuracy and medication safety.

Consequently, with the use of technology that integrates an evidence based practise with clinical expertise, patient preferences and values and best research evidence, the hospital management will alleviate issues including unreconciled medical records and patient-caregiver communication.

The quality of the healthcare provider is very critical for the patients. In cases where there is risk associated with care infections or patient harm, there is the need for protection and quality improvement of delivery. The hospital management should also meet the demands of hygiene guidelines to ensure that there is adequate hygiene in the healthcare. Water is very critical to any single healthcare system. It has to be used appropriately for the cleanliness of patients and caregivers. Additionally, in regards to improvement of the quality care, the Montefiore Health System can come up with an implementation plan and Fall Reduction Program that would reduce the occurrence of harm from falls.

The healthcare system, through the use of associated technology and innovative ways, can improve communication among the caregiver. Simple mistakes and issues in healthcare system were caused by poor communication within the organization. Poor communication could range from patients to caregivers, among the caregivers or between the caregivers and other health providers (Joint Commission on Accreditation of Healthcare Organizations, 2011). There is a need for the management of these organizations to encourage communication and help the patients communicate through evidence-based practice. Also, the management should encourage dialogue among the caregivers to ensure efficient flow of information. It will improve the safety because it reduces the possible occurrence of mistakes.

Therefore, service quality improvement, efficient communication and integration of technology into clinical processes with the use of evidence-based practise will definitely improve the performance of Montefiore Hospital System.

Timelines for the improvements in the healthcare system


Bisognano, M. A., & Kenney, C. (2012). Pursuing the triple aim: Seven innovators show the way to better care, better health, and lower costs. San Francisco: Jossey-Bass.

In Baillie, L., & In Maxwell, E. (2017). Improving healthcare: A handbook for practitioners. New York, NY: Routledge.

Joshi, M., Ransom, E. R., Nash, D. B., & In Ransom, S. B. (2014). The healthcare quality book: Vision, strategy, and tools.

Joint Commission on Accreditation of Healthcare Organizations. (2016). Comprehensive accreditation manual: CAMH for hospitals: the official handbook. Oakbrook Terrace, Ill: Joint Commission Accreditation.