Case 6-1 Question Answers
1. I disagree with Chief Scott’s reluctance to place emphasis on the “number of passengers per day.” This data point is necessary to track revenue and adequately accommodate the rider population.
2. There is one overlapping effectiveness measures that should be tracked for the trains and buses: number of passengers per day. There are three overlapping efficiency measures for the trains and buses as well: cost per passenger, percent of maintained time cleanliness standards and number of employees per work shift. Lastly, effectiveness measures for the central barns should include complaints per month and number of passengers stranded due to vehicle failure. The number of out of service calls received and mean
…show more content…
Unit heads can also receive personal feedback and complaints from the client base.
5. There are many specific decisions that Chief Scott can make once the necessary data is collected for review. Specifically, tracking the number of employees per work shift more closely, for example, will help Scott make decisions regarding schedule/staffing needs. Another decision Scott can make based on the measures is to begin administering customer feedback surveys. These can me a good method to measure effectiveness and efficiency. Additionally, upper management’s supervision regarding equipment maintenance and repairs is important as poor maintenance was a major highlighted problem. It is clear that Scott aims to increase customer satisfaction. Based on his teams past performance, Scott can make important decisions in terms of which staff should stay and which should be laid off.
Case 5-2, Health Clinic Performance Question Answers
1. The Middletown free clinic has recently experienced accelerated financial hardship. Winter weather conditions have caused an increase in influenza virus outbreaks. The newly appointed head of clinic would like to implement preventive measures to better prepare the Middletown street community for future brutal winter conditions. The head of clinic would like to concentrate the clinic’s efforts on influenza prevention year round. I have identified critical measures that should
Throughout the history, influenza viruses have caused several pandemics or global epidemics, killing many people. For example, the influenza strike in 1918 to 1919 infected an estimated 500 million people worldwide, which is one-third of the planet’s population at the time and killed an estimated 20 million to 50 million people. More than 25 percentage of the U.S. population were affected, and caused 675,000 deaths in U.S during the pandemic.(History, 2015). There were no effective treatments for this type of influenza and no available vaccines can prevent its spread during the period. (History, 2015) U.S government required general population to wear masks and other protective equipments in public areas, and many public places also closed due to the influenza strike. Health care providers tried everything they knew to save people, but none shows any evidence of effects. (National Center for Biotechnology Information [NCBI], 2015). Scientists found out that the influenza virus had invaded their lungs and caused pneumonia, which made so many people died from the pandemic (History,2015). Another influenza strike happened
This case is talking about an executive retreat. It was introduced by John Matthews who was a executive had been selected to attend the two-and-a-half-week retreat. The retreat was more like a competition about academic and athletic. The team members should not only get know each other and cooperate with teammates but also need to compete with others. The whole participants were broken into five groups and their aim was to win the competition. There are several sessions about academic and athletic that the participants should complete. After the introduction part the case showed the experience of John. Before the group meeting John was wondering and worried about this retreat. When he was taking the first group meeting, he tried to learn
Environmental and Global Health EEEeeCommunity Health Nursing EE Community Health Nursing Environmental and Global Health-‐HAT Task #3 Lynn Senfelds Western Governor’s University Environmental and Global Health Task A-‐1 The Communicable Disease Outbreak of Avian Influenza 2
Health care governments have endorsed an assortment of vaccination policies and mediations to safeguard against the known dangers of influenza communication, with longer patient stays, absenteeism, intermissions in health care, and death. Studies assessing the consequence of health care workers vaccination found that health care workers influenza vaccination was linked with a decrease in patient death (Murana, 2014). Assessing the results of health care worker influenza vaccination on patient results anticipated that if all health care workers were vaccinated, patient influenza infections could be stopped.
You have been the CEO of Middlefield Hospital for 2 1/2 years and finally resolved the workforce challenges that plagued the hospital when you first arrived. In a recent meeting, the chief financial officer (CFO) indicated that the financial performance of the hospital has been deteriorating over the last 6 months. The hospital is not meeting its budget and he is concerned about the future. The new facility across town has continued to cut into Middlefield's market share by admitting more patients. The number of admissions to Middlefield Hospital is declining each month, and
This paper will discuss the communicable disease influenza. It will discuss the causes, symptoms, and treatments, as well as the demographics of interest. It will also discuss the determinants of health and how these factors contribute to the development of influenza. Included in this paper will be information on host, agent, and environmental factors. Lastly it will explain the role of the community health nurse in caring for those affected with influenza and the role they play in education and prevention.
For the past ten years, we at Virginia Mason Medical Center have been implementing mandatory influenza vaccination. This is due to the flu vaccination being able to reduce flu illnesses and prevent flu-related hospitalizations. According to the Center for Control and Disease (CDC, 2014) during 2012-2013, an estimated 45% of the U.S population got vaccinated, helping to prevent an estimated 6.6 million flu-related illness, with 3.2 million flu-related medical visits, almost 80,000 hospitalizations and roughly $87 billion dollars in total economic burden. Influenza is extremely contagious and each year on an average 5%-20% of the U.S population get the flu with tens of thousands die from a flu-related illness. Therefore, many health cares setting along with Virginia Mason Medical Center is mandating all their healthcare workers to get the influenza vaccination. Consequently, making annual influenza vaccination requirement for healthcare workers a continuing and debatable health topic. The potential of getting the vaccination have great benefits to healthcare professionals, their patients, and their families by
Immunization rates still remain low and hospitals that have voluntary programs in place, are not seeing the results they would if mandatory vaccine programs were put in to place. A mandatory influenza vaccine policy is the best solution to this issue and long overdue. Health care-associated influenza occurrences are becoming more common as it contributes to patient mortality and morbidity (The American Academy of Pediatrics, 2010). Thus, proving even further the need to prevent and control influenza by putting the health and safety of our patients first.
The influenza vaccination in not only beneficial to recipients but also those that come in contact with the individuals exposed to or at risk for contracting influenza. Health care workers are at a constant risk of exposure to various diseases and illness including influenza. An emergency such as a vaccination shortage for influenza will not only affect at risk individuals but spread rapidly to all those exposed without knowledge or a-symptomatic at time of encounter. Health care workers will be exposed in physician offices, hospitals, emergency care or urgent care centers with heightened possibility of spreading the illness (CDC, 2015). Health care workers are not limited to the obvious: physicians or nurses but also, therapists, EMS,
The discovery of unethical billing alongside unethical accounting practices provoked a chain reaction towards a hospital accountant by the name of Rehberg. An accountant trying to serve justice was entangled in a web of lies. Rehberg vs. Paulk is a very interesting Supreme Court case. Rehberg vs. Paulk embodied much of the injustice that is not presented to the public when sworn officials break the very laws that are supposed to be protected. The Rehberg vs. Paulk case provides controversy among different jurisdictions within the judicial system and gives examples of the different elements of crime within the case.
To opt out from the position if they can’t handle responsibility or the customer feedback
Influenza, an innocent little virus that annually comes and goes, has always been a part of people’s lives. Knowing this, one would not believe that it has caused not one, not two, but three pandemics and is on its way to causing a fourth! The Spanish flu of 1918, the Asian flu of 1957, and the Hong Kong
There are more than 11,000 employees employed at the Navy Federal Credit Union. There are 250 branches around the world. A good majority of the employees work in a traditional working environment. A survey on the Navy Federal Credit Union was conducted and showed that 94 percent of the employees think that they have a great boss. Within that category 74 percent of the employees said “managers often or almost always act with integrity and care, are competent in their positions and provide clear directions and vision for the organization. Another 15 percent say their managers sometimes display these characteristics” (http://reviews.greatplacetowork.com/navy-federal-credit-union). Overall the employees feel that their jobs are secure, the
Influenza, as stated above, is a preventable spreadable infection. The goal of this education session was to expand the knowledge of long-term residents on vaccination against influenza. In a preliminary meeting, it was found that over 15 residents had refused this years’ influenza vaccination. The objectives of the teaching plan included: identifying signs and symptoms of influenza, discuss both positive and negative feels during the vaccine, identify exclusion criteria to receiving the vaccine, and demonstrate arm exercises to prevent soreness after vaccination (“Government”, 2014).
Background & Audience Relevance: Influenza is an infection that can affect anyone around the world. Am quite sure almost everyone, if not all of us, have been infected with influenza at some point in our lives.