Module 4 Assignment Diefenderfer T
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Dec 6, 2023
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Assignment 4 Diefenderfer
Hello everyone, my name is Taylor Diefenderfer and I am so glad to meet everyone virtually! I am
currently a Facility Administrator for DaVita Dialysis in Wichita, Kansas. I am responsible for the entire
oversight and day-to-day operations that includes staffing, financials, hiring, employee reviews, patient
care, policy and procedure oversight, etc. I am fulfilled in my wonderful position and can see myself
spending my career with DaVita. I choose this HSO because dialysis is a life-saving treatment for
individuals with End Stage Renal Disease, which is the sickest population of patients that exist as that
have multiple comorbidities. DaVita is a special company with strong core values that each and every
teammate lives in their daily interactions with the patients. Each day we are giving the patients one more
special moment to spend with their families by keeping them alive. DaVita’s mission is to be a
community first, company second. I feel valued in my HSO and the relationship you build with each
patient is fulfilling. This is a healthcare field that is ever changing and will always be a need for it.
Within this HSO, there are several organizational problems I would like to explore.
The first
organizational problem is the current costs which are not sustainable (Himmelfarb et al, 2020). I would
like to explore this further because the current costs for kidney disease treatment are not sustainable for
some people which makes them forego treatment, therefore “resulting in millions of deaths every year”
(Himmelfarb et al, 2020). Health economy also has to be taken into consideration as well as new
government mandates for dialysis.
The second organizational problem is organizational readiness for implementing new
assessments, availability of resources and value fit. (Washington et al, 2018). These innovations will
cover all 7000 dialysis facilities in the USA. Since there is a growing prevalence of kidney diseases in the
US, optimal health care for these patients requires a complex treatment plan. These can be seen as
barriers too.
The third organizational problem is the need for kidney palliative care. Dialysis or transplant may
not be an option or in best interest of certain patients. Palliative care is a conservative treatment for
these patients and “should be offered to all patients who may not benefit meaningfully from dialysis or
whose goals focus on quality over quantity of time” (Schell, et al. 2021). Most Dialysis facilities are not
capable at the current point in time to offer these services to the patients since it is more of an
outpatient type setting. Ethical challenges also play a role and I would be interested in learning more
about this. The American Kidney fund is an association that can help assist with this.
Exploring these organizational problems could contribute to positive social change by promoting
health education to individuals with kidney disease as well as the general population. The knowledge
and awareness of these issues can bring attention to legislature to be able to enhance or create new
laws that will impact these patients and their community for the better. Having the patients and general
population aware of the organizational problems can also help fight the disease and advocate for others
in the community who are unable to do so for themselves, which therefore, creates more awareness in
the community and may create better outcomes for the patients and their families while creating
stronger leadership in the dialysis HSO.
References:
Himmelfarb, J., Vanholder, R., Mehrotra, R. et al. The current and future landscape of dialysis. Nat Rev
Nephrol
16,
573–585 (2020). https://doi.org/10.1038/s41581-020-0315-4
Schell, J. O., Arnold, R. M., & Davidson, S. N. (2021, August 24). Kidney palliative care: Conservative
kidney management. UpToDate. Retrieved November 2, 2021, from
https://www.uptodate.com/contents/kidney-palliative-care-conservative-kidney-
management/print.
The American Kidney Fund (AKF) fights kidney disease on all fronts as the nation's leading kidney
nonprofit.
The American Kidney Fund (AKF) fights kidney disease on all fronts as the nation's
leading kidney nonprofit. - American Kidney Fund (AKF). (n.d.). Retrieved November 2, 2021,
from https://www.kidneyfund.org/.
Washington TR, Hilliard TS, Mingo CA, Hall RK, Smith ML, Lea JI. Organizational Readiness to Implement
the Chronic Disease Self-Management Program in Dialysis Facilities.
Geriatrics (Basel)
.
2018;3(2):31. Published 2018 Jun 14. doi:10.3390/geriatrics3020031
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