As the chief operating officer of a hospital, I would utilize the professional autonomy perspective as the paradigm for designing the structure of my new center. Professional autonomy refers to the right and privilege that a government offers to specific professionals and licensed caregivers within their profession, while making sure to offer services not subject to any form of supervision. Autonomy serves as the foundation of any profession (Carvalho & Santiago, 2016) . For professional autonomy, therefore, it is considered as a legally defined and socially granted freedom that makes it possible to make professional decisions without relying on scientific evaluations from outside sources not related to the occupation (Enthoven, 2014) . In this vein, autonomy can assist the ambulatory care center in realizing overall control while remaining entirely autonomous.
Following the professional autonomy perspective is attributed to certain benefits. Firstly, the ambulatory care would have the ability of making fast and rapid decisions in the manner it deems fit. This issue is vital since ambulatory care needs fast decisions, while professional autonomy would be essential in facilitating quick decision-making (Carvalho & Santiago, 2016) . Secondly, the perspective would offer the ambulatory care the capacity of going past internal hindrances to make facilitate in offering maximum care. By contrast, the professional autonomy also leads to certain drawbacks. Firstly, certain instances might emerge whereby professionals might fail to follow their training and education when offering care, an issue that would result to detrimental repercussions (Enthoven, 2014) . Secondly, due to insufficient or lack of supervision, the ambulatory care might fail to deliver the quality of care expected from the center.
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In support of the professional autonomy perspective, for instance, the major reason for supporting it is that it allows individuals to gain total control of their profession. Nonetheless, it is crucial to note that whereas professional autonomy prevails, the perspective requires healthcare professionals to follow legal requirements to avoid stepping out of their jurisdiction. Additionally, even while the activities remain autonomous, the perspective requires ensuring that professionals do not engage in illegal activities while offering ambulatory care. When followed appropriately, professional autonomy would make it possible to deliver quality ambulatory care to patients in need of emergency services.
For the healthcare organization’s new ambulatory care initiative, three major law components would have significant effect. Firstly, the quality improvement organizations (QIOs) would make sure that the healthcare organization improves the efficiency and quality of care. QIOs assess data and records of patients to identify the areas that need improving. This approach would influence the individuals operating in the ambulatory care center since it would require them to review patient care while making improvements when required. After entering the healthcare environment, the workers just have training, but not experience (Brooks, 2016) . In this case, QIOs would assist in reviewing and assessing outcomes and data to make sure that ambulatory care staff understands best practices and reduces incidences of errors.
Secondly, patient safety initiatives would contribute toward improving patient care in the ambulatory care center while minimizing safety issues. Patient safety initiatives require care organizations to prioritize safety initiatives and emerging issues. With patient safety initiatives, therefore, it would be possible to offer high quality care to patients. Lastly, the readmissions reduction program would affect the ambulatory care initiative since it requires that healthcare institutions treat their patients and ensure to send them to their homes only when they are healthy. Readmissions usually take place when healthcare complications require that patients go back to hospital for additional treatment. For the readmissions reduction program, it aims at encouraging healthcare institutions to ensure that they manage the care that they offer to their in a manner that minimizes or eradicates readmissions to hospitals (Brooks, 2016) . In this perspective, therefore, the three law components would play a critical role in terms of making sure that the new ambulatory care initiative operates in an efficient manner.
References
Brooks, A. (2016). 6 federal healthcare laws & regulations shaking up the industry. Retrieved from https://www.rasmussen.edu/degrees/health-sciences/blog/federal-healthcare-laws/
Carvalho, T., & Santiago, R. (2016). Professionalism, managerialism and reform in higher education and the health services: the European welfare state and the rise of the knowledge society. Berlin: Springer.
Enthoven, A. C. (2014). Theory and practice of managed competition in health care finance. Amsterdam: Elsevier Science.
