Discussion 7
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Saint Leo University *
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Medicine
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Dec 6, 2023
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What mechanisms of accountability are most effective for nonprofit
HCOs? Explain and elaborate in your response.
Discussion 7
When you are dealing with non-profit health care organizations you are dealing with
unique organizations. They are unique due to their primary role in providing a public courtesy.
This is a public courtesy that the public deems imperative, shedding light on the private sector
and its undeserving nature. Non-profits must be chartered and regulated by the state. They have a
board that is responsible for carrying out the mission and values of their organizations
(Knickman & Kovner 2019). If they do not serve the public, they cannot be a non-profit
organization.
For a non-profit HCO, they must visit and account for many avenues. First, the boards
that are affiliated to these non-profit HCO’s must assure that there are high-quality metrics to
measure the performance of the organization which will allow the board to make informed
evaluations. These metrics can be used in conjunctions with comparative analysis data provided
by certain payers and government regulations, which will demonstrate to the board the relative
payers and government relations. This will demonstrate to the board the relative performance of
the organization with others in the same service area (Knickman & Kovner 2019). They may
decide to develop more metrics that measure the performance of the organization concerning the
values that have been established (Knickman & Kovner 2019). One of the bad things with the
comparative methods of accountability is that it is not flexible when comparing the results in
different communities. The needs of one community may not be the same as the needs in a
different community. So that means the results may be different (Schlesinger & Gray 2020).
The best method of accountability for a non-profit HCO is community engagement. This
creates mechanisms to assess and influence the practices of the community’s charitable HCO
(Rozier 2020). You will find that some of the states have adopted policies that require reporting
from the non-profit organizations. Many times, the reports will not be read. They will just remain
unread on the shelf. Many of the communities might lack the experience to be able to determine
what benefits and what practices a non-profit HCO should engage in to achieve the benefits
(Schlesinger & Gray 2020). The states should provide the community with the resources and
benefits that would be the most advantageous to the community.
References:
Knickman, J.R., & Kovner, A. R. (2019).
Jonas and Kovner’s health care delivery
In the United States
(12
th
ed.). New York, NY: Springer Publishing.
ISBN-13:978-0-8261-7272-3
Rozier M.D (2020) Non-profit hospital community benefit in the U.S.: A scoping review
From 2010 to 2019, 8(72), Doi: https://doi.org/10.3380/fpubh.2020.00072
Schlesinger, M & Gray, B. H ( 2006) How non-profits matter in American medicine and
What to do about it,
Health Affairs,
(25)1, 287-303. Doi:10.1377/hlthaff.25.w287
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