Case Study: Southeast Community Hospital

The Institute of Medicine’s (IOM) six aims of quality provide an advantageous framework to progress the quality of care in the U.S.A. health care system. IOM developed six aims for improving to provide safe, effective, patient-centered, timely, efficient, and equitable patient care (Institute of Medicine, 2001). Organizations need to strategically plan to evolve in meeting IOM’s six aims and to remain a financially sound entity. Strategic planning involves defining the future and stipulating the measurement of achievement (Sare & Ogilvie, 2010). The purpose of this paper is to start the initial steps for creating a strategic plan in a healthcare organization, through describing and evaluating an unmet need, considering the mission, vision, and values, providing the background context, vision, strategic goal, and consider the broader issues.

Peter’s resume is under two pages, which is appropriate for the amount of work experience he has had. He is concise and avoids writing long paragraphs in his resume.

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:

Strategic Planning is an essential first step in the development of a result-base accountability system,” (Schilder, 2013, p. 1). In strategic planning an organization must know their goals, missions, and how to reach them. Health care facilities are in huge demand for the elderly and for people who lives in low-income communities. A person who receives good quality health care services can prevent the spread of contagious diseases. This paper will describe the need of the community, population it is serving, and a brief description of the facility.

The ever-changing environment in healthcare requires strategic planning teams to address a handful of specific critical issues that will lead to success in the long term. In an industry as diverse and large as health care, Scripps Mercy will face many challenges but will need to avoid the temptation during the environmental assessment phase of its strategic plan. Zuckerman (2012) states, "Failure to produce a limited number of issues to address in subsequent planning activities almost always dooms the strategic planning process" (p. 43), too often healthcare is riddled with issues; an effective environmental assessment will condense these concerns in a solid and clear way. All the new upcoming changes in healthcare reform and technology will have Scripps Mercy face many challenges in information management, their demographic served, and staff recruitment and development.

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 case that I found is about a California medical center who has gone to court because of violating a patient`s privacy by releasing her medical information without her consent. Now they are fighting battle in court whether or not if the hospital officials have the right to share patient`s medical record unknown to the patient`s. But according to the Shasta Regional Medical Center, they said that the patient`s has waived her rights by giving her health information to a news agency, but the patient`s lawyers argue that they stay do not have the right to share the patient`s records (Patient Privacy, HIPAA Violation Case Argued in Calif., 2014). The patient`s was diagnosed with a form of malnutrition, and her medical records were sent to hundreds of hospital staff members.

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

On 02/012016, at approximately 1833hrs, Officer Estimond unit 3610 was dispatched to a reported subject urinating inside of the train located on the southbound platform at Doraville station.. Once Estimond made contact with Mullins, he realized that Mullins was staggering and unable to stand alone. Officer Estimond also smelled the scent of alcohol coming from Mullins breath. Mullins was arrested for Drunkennes and transfered to Doraville city jail. Doraville refused to intake Mullins because of his drunkenness. officer Estimond returned with Mullins back to Doraville Station and called for an Ambulance to respond. Dekalb EMS #54 arrived, treated Mullins on scene and decided to transfer Mullins foR further evaluation to Northside hospital.

According to Harrison (2016), “an integrated physician model is the result of a series of partnerships between hospitals and physicians developed over time.” The plan behind this model is to enhance joint efforts with medical specialists and associations. There are four strategies that need to be implemented for successful integration: “1) understand the forces affecting physicians; design strategic offerings to meet the needs of local physicians, 2) understand the hospital or health system’s specific capabilities and infrastructure in the context of the communities served, 3) ground physician-integration efforts on a well-defined strategic financial plan with sufficient resources and performance targets, and 4) ensure strong physician participation, leadership and governance.” (Cullen, S. J., Lambert III, M. J., & Pizzo, J. J. (2012)

Arrowhead Regional Medical Center (ARMC) is a 456-bed teaching hospital located in Colton California. Out of the 456 beds, 90 beds are behavioral health and 366 are inpatient hospital beds. ARMC is a comprehensive inpatient and outpatient health care facility providing multitude of care including: primary care, specialty care, trauma care and houses the only burn center for four counties. Moreover, ARMC has 9 residency programs which are accredited by ACGME and AOA, both are known entities in graduate medical education. Furthermore, Arrowhead Regional Medical Center’s Ambulatory department operates over 40 specialty clinics and 4 family health clinics. Three of the family health clinics are off site located in Fontana, Rialto and San Bernardino. ARMC covers about 98% of Medi-Cal patients through the coverage plan of IEHP and Molina.

Alan Kendricks was recently promoted to medical director for Cardiology Associates at Southern Pennsylvania, University Hospital (SPUH). His first six months was a crash course in the roles of the different departments in the hospital. While balancing patients, and the duties of his new role, Alan has observed problems, and areas of improvements that he hopes to start implementing with change. Him and other senior executives and clinical leaders, know that cardiology is seen as the “pillar of prosperity” and they are exploring strategic potential. (Groysberg, Kaftan, & McCalla, 2007) However, he has run into the resistance of tenured staff and physicians not wanting to change procedures. Alan is attempting to figure out the best way to

Currently, the College of Osteopathic Medicine department at Nova Southeastern University offers multiple clinical services that are open to the public. Here patients have the opportunity to establish care and get treated by doctors. These clinics also help students to learn and experience firsthand what it takes to become a doctor. The students are able to work alongside the doctors, and have one on one encounters with the patients. The main clinics are located at the Sanford L. Ziff center; the clinics currently available are Internal Medicine, Geriatrics, Family Medicine, Optometry, and Dental. From Monday to Friday the clinics operate from 8AM to 5:30PM, except for Family Medicine which on Tuesdays and Thursdays provide a night clinic service, from 5pm to 7pm and a weekend clinic on Saturdays from 8am to 12pm. Nova Southeastern University relies heavily on its faculty and staff help manage and operate these clinics. There are over 350 employees currently working in this department. Employees here learn to provide excellent customer service, to learn how to deal and verify health insurances, to help and keep up to date with accounts receivables and accounts payable. It is presumably

Strategies will be formulated and progress will be evaluated with adjustments as necessary. The strategic plan for the organization will be developed by the Chief Executive Officer and Board of Directors with input from all stakeholders including patients, volunteers, physicians, employees, and community members. The strategic plan is based on the issues that are considered to be most critical in support of cost effective, high-quality care and services. Many of the strategic imperatives are important related to building trust through external agencies that rate the quality of care provided. High ratings are critical for the organization to maintain trust and support in the community served.

Columbus Regional Health (n.d.) serves 10 counties in Southeast Indiana. The demographics include a predominantly Caucasian population of approximately 300,000 people (Economic Opportunities through Education by 2015, n.d.). In southeastern Indiana, about 140,000 individuals have employment, and 15% of them, who are over the age of 24, have a bachelor’s degree (Economic Opportunities through Education by 2015, n.d.). Approximately 30% of the high-school students drop out in this mainly rural area with a flat population growth (Economic Opportunities through Education by 2015, n.d.).