Managing Quality - Cost and Risk in Health Care

Question: Discuss about theManaging Quality, Cost and Risk in Health Care. Answer: Introduction As a leader of concerned community coalition, my interests are to see the hospital intensify its endeavors in preventive medical care, train a itinerant health team to administer diagnostic tests all over the neighborhood, improve as well as expand casualty accommodations, inaugurate a health Centre with day care amenities, replacement of local health district board with members chosen residents of the community, replacement of the organizations director by another who is highly favored by the community, increase of outpatient facilities, creation of a health Centre and a day care facility on the newly acquired site as well as one hundred percent increase in outpatient facilities (Pedersen Kinley 2013). My negotiating partner would like 50 supporters of the concerned community coalition to vacate his office to pave way for any kind of negotiations. He also wants me and my members to tone down our demands especially on our second demands since he considers them arrogant. The other party wants to retain their jobs hence they do not want to be replaced. The party also wants to be left to run the hospital in the best way they see fit for the benefit of the patients (Rossiter 2013). As far as interests are concerned, I would like to ask my partner why he thinks that the measures he has taken for instance the intention of establishing new support services building in the new site they acquired will benefit the local community in the long run (Lyons 2007). To meet my key interests and theirs, I would propose that we as the concerned citizen coalition be permitted to select few representatives who will be coordinating with the hospital management to ensure that the strategies that the hospital management is implementing are primarily aimed at bettering the lives of the local community. I would also propose that the hospital management holds meetings with local residents regularly to ensure that they are aware of the hospitals development plans at all times. I would propose that we leave the directors office as a show of good faith. I would also propose that the director and the local health district board allocate to two or three slots on the board that will be specifically left for the community members who will be chosen by the people (Tieleman Buelens 2012). As far as making a decision among several possible options is concerned, I would use standards like cost, acceptability, and benefit. The option I chose should not be costly to both parties. It should also be accepted by both parties who are the negotiating table. The option that would be suitable is the one that will most beneficial to the local community who will be directly affected (Yeung 2004). As far as this case is concerned, there are several interpersonal challenges that might arise. Poor listening skills may be one of the key challenges that may face the negotiation. Secondly, the parties may also be too assertive. I would separate the people from the problem by not assigning blame, using role reversals, recognizing and legitimizing emotions as well as not reacting to outbursts (Lyons 2007). Batnais essentially the best you can do if the other partner refuses to negotiate with you (Laws 2003). My BATNA is to go to file a lawsuit against the director of the hospital and the local health district board. The minimum I would be willing to accept is first, the allocation of two seats in local health district board, assurance in writing that there will be an improvement and expansion of outpatient facilities as well as the establishment of a health Centre by the hospital management and the local health district board. Failure to that, then I would have no choice but to walk away from the negotiations (Lyons 2007). References Laws, A. (2003).Negotiations. Oxford: Summertown. Lyons, C. (2007).I win, you win: The essential guide to principled negotiation. London: A C Black. Pedersen, M. B., Kinley, D. (2013).Principled Engagement: Negotiating Human Rights in Repressive States. Farnham: Ashgate Publishing Ltd. Rossiter, T. (2013).Effective negotiations in easy steps. Tieleman, K., Buelens, M. (2012).Negotiations. Leuven: LannooCampus. Yeung, K. (2004).Securing compliance: A principled approach. Oxford: Hart Pub.