Problems facing the Bronx clinic Essay Example

Problems facing the Bronx clinic Essay Example Problems facing the Bronx clinic Paper Problems facing the Bronx clinic Paper There are various problems facing the clinic that ranges from the institution itself in terms of the policies and the management as well as the workers. Others are the patients who place the clinic at a confused state. Further more the government and other clinic stakeholders (Richard Perez F1). The patients are ignorant of the clinic policies especially the Medicaid care. Some of them do not understand the Medicaid system like Ms. Shuler who is experiencing great problems in health care more so in enrollment of the Medicaid. Other do not even bother to sign in for the Medicaid like Ms. Watson. Some patients never goes back for appointment. In addition to all these, they even sell their drugs Some of t5he patients are very ignorant such that they wait until they are seriously sick to go the clinics (Richard Perez F1). Again, the institution as well as the The whole of New York pays the workers low salaries thus are inclined to seek for jobs in health care institutions. As a matter of fact, New York is raked as the lowest state that pays doctors good salaries for treating patients on Medicaid. There is the embezzlement of funds thus making the running of institution challenging to meeting its cost. Some of the programs implemented by the clinic cost too much of the taxpayers money and further, they are victims of fraud and abuse thus wasting a lot of money. The management of the clinic is corrupt as well as its workers as seen in the fired worker who was demanding $75from a HIV patient. Enrollment on Medicaid is rather tedious and cumbersome to the poor patients who may be having little no no education to fill in the six paged document and further to pay four cosequtive stubs and other conditions. These are just but a few of the problems the clinic faces (Richard Perez F1). 2 The stake holders of the clinic The Bronx clinic has got several number of stakeholders. Some of them are the patients, doctors, the government, clinic workers and the insurance companies among many others (Richard Perez F1). The patients include;Crystal T. Schuler who was a single pregnant mother who who went for months without care, Ronald Shinnery the asthmatic with breathing difficulties, Ms Johnson who had been insured for two months without her knowledge (Richard Perez F1). The doctors as part of the stakeholders included Dr. Tomasz Howard who examined the fifth grade girl who was suffering from chronic problem,Anita Wilenkin,is the Morris Heghts chief operating officer, Susan Bilinghurst who is the clinic physician assistant., the clinics H.I.V programs administrator is called Ralph Belloise. The government is also a stakeholder in the clinic with Dennis P. Whalen being the executive deputy commissioner of the health state department and the deputy state commissioner of health is Kathryn Kuhmerker..Hugo Garcia is an employee of the clinic while at the same time,Mr. Garcia is a co-worker (Richard Perez F1). 3 Relationship in ideas between clinical performance and quality management and leadership. Performance of an institution whether private or public go hand in hand with proper quality management as well as good leadership. The same case applies to the clinical performance. For the clinic to perform at its best, there is the need to come up with better management strategies in addition to conducting   good leadership skills to enhance transparency. In assessing the Bronx clinic,the institution has hardly performed to the expectation of the society and even to its own expectation. Many of the patients hardly receive proper care at the right time. A good example is the fifth grader girl who was treated for her irregular heart beats after one and half years (Richard Perez F1). The clinic is performing below the expectation due to its poor policies. Some of the systems like Medicaid which is cumbersome to enroll especially by poor and uneducated patients. Further more they are expensive to both the taxpayer and the institution and are subjected to fraud. The leadership both within the clinic and the state also contributes significantly to the under achievement of the clinic. Due to lack of proper managerial skills in the clinic, they workers like doctors decline working in the institution. When Dr. Ortiz left the clinic, for another job almost the whole institution came to a stand still. The institution rather than calling its patients it writes letters which is a process that takes a lot of time. The workers of the clinic are corrupt and this is portrayed by the worker who was asking for money from a H.I.V patient. The state is failing the clinic when it is reluctant to update and consequently inform the insurance officials on time. It contribute to poor performance by the clinic when it fails to pay the doctors good salaries (Richard Perez F1).