Case Study : Columbus Regional Hospital

In mid-April 2000, Sherri Worth was faced with some very unsettling news about Pate Memorial Clinic’s future with a competitor potentially moving into the area. Worth was the assistant administrator at Pate Memorial Hospital (PMH) and was also responsible for the Pate Health Clinic (PHC). A study by the competitor was being done to see whether sufficient demand existed to establish a clinic 5 blocks north of PHC. The two biggest concerns in regards to the new competition were:

The North Texas State Hospital (NTSH) is part of the Department of State Health Services (DSHS) administration. NTSH is a mental healthcare facility that has two campuses: one department is located in Wichita Falls, TX and the other in Vernon, TX. Including both campuses DSHS is the largest mental hospital in the state of Texas, which provides psychiatric services for the mentally ill. NTSH is the only facility in the entire state of Texas that provides forensic psychiatric care. Forensic psychiatric care is a specialized service for prisoners who have mental disorders. NTSH offers a 284-bed maximum security program for adults and a 78-bed adolescent Forensic Program (DSHS Center, 2017). NTSH aims to improve the health, safety, and wellbeing of individuals by providing the right stewardship, reducing health care problems, improving public health awareness, and preventing diseases. In order to improve health and safety, NTSH is accredited by the Joint Commission on Accreditation of Healthcare Organizations. The Joint Commission is an independent, not for profit association that set standards to evaluate

This hospital is operated under the direction of the Texas Department of Mental Health and Mental Retardation. They offer their services to people within a twenty-two county, 14,622 square mile area including Bowie, Dallas, and Kaufman Counties. According to the Chamber of Commerce (2009), their services are offered to children 6 to 12 years of age, adolescence ages 12 to 18 and adults. Programs include acute care, an intensive behavioral program, medical services, forensic care for inmates of state correctional institutions intermediate care, a cottage program for adult life skills and a research center.

This hospital is a 65-bed rural hospital but it is the job of every hospital to give the best patient care possible. With a

Patients would also not have to wait long hours to receive medical attention, which thus can become stressful for patients, especially elderly and children. The RUC will also address community needs for convenient and reliable access to care. In order to meet the need of the community and be able to provide the appropriate level of care, RUC will provide mainly focus on provide procedure but not limited, diagnoses, and treatment for all ages, such as preventative medicine and the overall health and wellness of community members. The facility will be to provide nursing triage, physician assessments, minor procedures, basic lab services, basic diagnostic imaging, vital signs, IV therapy, EKG, and would care, plus many more with proper trained and supporting staff. The RUC will provide the most comprehensive medical care possible in order to optimize the care and well being of each patient. RUC will provide Nurse Triage physician assessment to handled common illness, respiratory illness, bladder infections, allergies, pregnancy testing, skin rashes, sport injuries and eye, ear and sinus infection. RUC will provide general services such as emergency transfer to KEMH, Vital signs, IV therapy

Single patient’s rooms promote privacy, prevent infection and endorse good rest and sleep. Advanced technology expedites test results, and facilitates physicians to see results from physician’s office which in turn help them to make critical decision if needed. The rooms also equipped with entertainment system so that patient could listen to music, education sessions and comedy channels (Eberst, 2008). The Mendocino Coast district hospital, the first healing hospital recommends that to gratify benchmarks of healing hospital each departments in the hospital should employs simple informative tools for patients and visitors that create health awareness and inspire healthy living. For instance testing departments provided with training program to reduce stress surgery division offer guided imagery CD to start healing process before surgery. The hospital took a positive role in improving health of the community ("Mendocino Coast District Hospital," 2009).

Jones Regional Medical Center is a huge academic health center with 900 beds and are known for its research and teaching hospitals. Additionally, the IT staff at Jones supports 300 applications and 12,000 workstations. The center uses Technology Med (TechMed) for their admitting system. The system includes registration, inpatient charge, payment entry, master patient index, admission, hospital billing, and more. The TechMed system has been accessible since 1998; Jones is beginning to plan a replacement of this systems because of the fragility of the software (Wager, 2013).

1. Using the historical data as a guide (Exhibit 6.1), construct a pro forma (forecasted) profit and loss statement for the clinic's average month for all of 2010 assuming the status quo. With no change in volume (utilization), is the clinic projected to make a profit?

Tulsa Memorial Hospital (TMH) is one of the nine acute care hospitals that serves in the general population area. Historically, it has been highly profitable due to its well-appointed facilities, excellent medical staff, good-standing reputation for quality care and its ability to give individual attention for each of its patients. The hospital, in addition to its inpatient services, operates an emergency department and an urgent care center located two miles from the hospital across the street from a major shopping mall.

West Florida Regional Medical Center (WFRMC) located on the north side of Pensacola, Florida competed strongly with sacred heart and Baptist hospitals for patients. WFRMC’s CEO John Kausch was an active member of the Total Quality Council of the Pensacola Area Chamber of Commerce (PATQC) (McLaughlin, C.P., Johnson, J.K., & Sollecito, 2012).. PATQC’s vision was to develop the Pensacola, Florida area into a total quality community by promoting productivity, quality and economic developments in all area organizations both public and private (McLaughlin, et, al., 2012). John

hospital, and one of only two in the state, with facilities in cardiology, oncology, and neurology, specialised in

We are committed to giving our patients the highest level of care regardless of ability to pay.

Well, the sitting on 4 acres the hospital encompasses Ronald Regan UCLA Medical center, Stewart and Lynda Resnick Neuropsychiatric Hospital at UCLA and Mattel Children’s Hospital UCLA. Some key features I found extremely helpful is their organization. Every floor of Ronald Reagan UCLA Medical Center is devoted to a specific specialty and equipped with all of the essential support equipment and supplies. Every floor has its own satellite pharmacy, dialysis storage, respiratory therapy workrooms, and resident doctor sleep rooms. Additionally; each patient room has the ability to convert into an intensive care unit (ICU) to allow for the continuous care of a critically ill patient in one room. This makes caring for patients extremely easy as everything they need is made available to them at the exact moment of a potential emergency. (Ronald Regan UCLA Medical Center, 2013)

* Check for ambiguity in wording the question – can respondents interpret the meaning of words differently?

Background - The Arnold Palmer Hospital is 1 158-bed paediatric hospital located in Orlando, Florida; part of the Arnold Palmer Medical Foundation and rated as one of the nation's Top paediatric hospitals by U.S. News and World Report. It is the only hospital in all of central Florida with an emergency/trauma center dedicated specifically to pediatric patients. It opened in 1989, and in 2006 became a children's hospital focused solely on