A Simulation Based On A Health Care Organization

The finance department has reported that Elijah Health Center is facing a potential working capital shortfall which means the hospital may not have enough cash to sustain itself. The reasons for this shortfall is due to huge discounts given to managed care companies, higher wages given to contract nurses, low Medicare reimbursement levels, growth in current liabilities, and unused equipment. I will provide the best strategy in order to sustain the cash flow problem that Elijah Heart Center is facing. My strategy will consist of three phases. These phases include: capital shortage, funding options for equipment acquisition and funding options for

The Elijah Heart Center (EHC) has started seeing and realizing that the financial burdens that are starting to increase cost of staffing, the decreasing amount of reimbursements, the gathering of loans for expansion, and the costs of continuation of upgrading equipment is starting to seriously show strains and obstacles. From my analyzations EHC has to start projecting developments of series of options to create reductions in costs and to improve a stable amount of income. These decisions can be highly influential and by addressing these problems can secure long term goals and short term goals that can be reached to make EHC a more profitable organization.

The simulation in question deals with the Elijah Heart Center in New York State. The simulation covers three very distinction aspects of healthcare financial decisions that an administrator may have to make. First, a capital shortage and cost cutting techniques are delved into. What techniques can be employed that will provide adequate

Cardiac diseases alone have been estimated, direct and indirect costs, for the overall American population are “approximately $165.4 billion for 2009” (CDC, 2013). A survey found that heart disease accounted for 4.2 million of the hospitalizations in 2006. In 62% of these cases were short stay hospitalizations and occurred amount peoples ages 65 and older. These hospitalization rates also vary by gender, racial, and ethnic groups.

The Elijah Heart Center is facing the financial distress common in specialized health care organizations. This is the combination of the need for improved technology, a reduced income, and the demand for expansion. Without the needed technology and expansion, there is little that the hospital can do to improve the income. The financial situation requires a combination of strategies to reduce costs and to make the wisest choices regarding acquiring needed technologies and expansion.

As many of us know today Baby Boomers and some of Generation X’s are coming to the age of retirement. Many of them have learned that just finding a place for them to retire or a great nursing home difficult. Many times, we find out too late that the place we chose is not the place we would like to be. All too often the people don't care how they treat people or their belongings because the people or item don't belong to them. We may want to stay in a place that we built and know better, or where we raised our love ones. To many times we have to fight our loved ones to go somewhere like nursing homes, but this way everyone wins.

I have been brought in as a financial advisor to assist Mr. Gilbert Sanchez, CEO at Elijah Heart Hospital (EHC) to find some cost efficient ways to continue to provide quality care but at the same time reduce costs for the organization. EHC is a hospital that specializes in Cardiac surgeries and procedures. They would like to expand and have a promising growth in patients as well as revenue, but with the decrease in reimbursements from their primary sources of revenue, new strategies to save money are a much needed organization-wide goal.

The x-ray department of the County Hospital has various departments, which include: ultrasound, computed tomography, interventional radiology, nuclear medicine, and magnetic resonance imaging. The five groups have partially their own processes

The presented article from the New England Journal of Medicine discusses the relationship between the changes in healthcare regulation and the ways in which these changes serve to diminish concerns from the general public. The nature of the global health law system was then discussed and it was identified that in place of a treaty monitoring body are several “soft” and “hard” law instruments that the World Health Organization (WHO) utilizes to establish the “legal norms” that serve to establish the best practices in healthcare throughout the world (Gostin & Sridhar, 2014). Healthcare regulation at the international level is carried out via a combination of laws which are established at the national level and are then enforced by various governing health services in different countries. These legal norms are comprised of a combination of these soft and hard legal

The finest healthcare organizations cooperate a combination of technology and training to accomplish their healthcare guidelines and policies with procedures. Technology solutions turn into serious enablers to smooth this method. This approach can aid in offering a structured outline for informing, approving, and collaborating to the establishment, as well as, safeguarding that older guidelines are accurately filed and not scattered in a manner that can result in a patient not receiving proper care within a proper timeframe.

The simulation states, “Many hospitals in the United States are financially vulnerable because of the reduction in Medicaid cuts, funding cuts, and cuts in Medicare payments” (University of Phoenix, 2009). This simulation paper will show what some hospitals have to do to keep costs down. In addition, it will analyze financial indicators for decision making. This simulation will also show the financial accounting from a Cardiac Care Hospital’s Perspective. It will show how to bridge a working capital shortage, evaluate funding options for acquiring medical equipment, and evaluate funding options for capital expansion.

How has advancing technology impacted students’ critical thinking and clinical reasoning abilities? In order to find an answer or at least some background knowledge to help answer this question, I reviewed two journal articles. Montenery (2013) aimed to determine how millennial nursing students perceived the effects of technology on attention, knowledge, critical thinking, and overall satisfaction. Vyas (2011) discusses providing more hands on clinical practice through the use of human patient simulation. Though some believe technology is producing a decline in critical thinking and analysis, technology can positively impact critical thinking abilities because students positively rate virtual learning and simulation experiences, prefer computerized testing, and are exposed to complex patient cases through simulation that require clinical judgment.

The Ontario Ministry of Labor uses the Employment Standards Act, 2000, to enforce an employees right to fairness in the workplace, but is not holding up its end for student internships. This act defines an employee as “a person who receives training from a person who is an employer”, and also “an individual receiving training from a person who is an employer is an employee”. In this legal definition, interns are employees and are required by law to be compensated by monetary rewards. Companies do not seem to agree with this because the Ontario law also states that it does not apply to “an individual who performs work under a program approved by a college of applied arts and technology or a university.” But in June 2011, The Ontario Ministry of Labor released a guideline on unpaid internships. The guideline states ” an intern is an employee and must be paid at least minimum wage”. The Ontario NDP policy on internships will help hold employers accountable to this law by protecting students in the Protecting Interns and

In short, when clinical simulation is to be carried out, the following steps can help in evaluation.

Dr. David Torchiana (Cardiac Surgeon) and Dr. Richard Bohmer (Quality Improvement Administrator) want to improve the process in the hospital by