Johns Hopkins's Health System

The mission of UnitedHealthcare Group is to “help people live healthier lives” with access, quality and affordability. They are committed to continual improvement and the delivery of quality care by investing approximately $3 billion in business process improvements, research development, and technology within the past five years. In addition to reinvesting the revenues in innovative technologies, research and other improvements to better serves its consumers, UnitedHealthcare Group is also committed to social responsibility through employee involvement,

Healthcare and healthcare planning are vital in today’s ever-changing world, without education and experience one cannot help patients or make policy changes that benefit all stakeholders. In addition, many people do not understand the ever-changing medical policies and treatment options that are available. Therefore, I am compelled to use my knowledge and education to coordinate healthcare needs of the people in my community. Whether this is managing outpatient care, inpatient care needs or healthcare resources. Therefore, the Marylhurst Healthcare MBA program and all three concentrations will enable me to obtain the skills I need to succeed.

The Mayo Clinics are a not-for-profit hospital and teaching center that is renown throughout the world. They became known as the hospital that treats the diseases no other facility or physician want to treat. They have over thirty eight hundred physicians and scientist as well as over fifty thousand Allied

The fact that there are broad spectrums of services available within the Kaiser Permanente network makes it easier to coordinate patient care. For example the Northern California site has implemented programs that focus on five “imperatives of personal care”, which are: patients have to have a primary care doctor, they need to be able to see that physician, patients that call have a short telephone wait, patients should receive timely appointments and have a great care experience (Commonwealth fund June 2009). Care management definitely plays a crucial role in health care. When the patients needs are met and quality care is received the result is patient satisfaction and potentially cost saving for the organization. Patients not only have to deal with health issues, many experience challenges within their environment and certain limitations depending on socioeconomic status. Therefore , coordination of patient care is key to the success of any health care delivery system.

In 1974, a company called Charter Med Incorporated was founded by a group of physicians and health care professionals who was focused on expanding health care coverage options for consumers. Several years later in 1977, United HealthCare Corporation was created to reorganize the company and it became the parent company of Charter Med Incorporated. Its background traces back to a Doctor named Paul Ellwood, and he was known as the health-policy expert who coined the term “health maintenance organization” in the 1960’s and he helped entrepreneur Richard Burke found the company in 1977. During

In 1997 University of California, San Francisco (UCSF) merged its two public hospitals with Stanford’s two private hospitals. The two separate entities merged together to create a not-for-profit organization titled UCSF Stanford Health Care. The merger between the health systems at UCSF and Stanford seemed like a good idea due to the similar missions, proximity of institutions, increased financial pressure with cutbacks in Medicare reimbursements followed by a dramatic increase in managed care organizations. The first year UCSF Stanford Health Care produced a profit of $22 million, however three years later the health system had lost a total of $176 million (“UCSF-Stanford Merger,” n.d.). The first part of this paper will address reasons

The first characteristic of the US health care system is that there is no central governing agency which allows for little integration and coordination. While the government has a great influence on the health care system, the system is mostly controlled through private hands. The system is financed publically and privately creating a variety of payments and delivery unlike centrally controlled healthcare systems in other developed countries. The US system is more complex and less manageable than centrally controlled health care systems, which makes it more expensive. The second characteristic of the US health care system is that it is technology driven and focuses on acute care. With more usage of high technology,

The Joint Commission on Accreditation of Healthcare Organizations or JCAHO was founded in 1951 as a private nonprofit organization that established guidelines for the running and management of hospitals and health care facilities in the United States. According to its website (n.d.), JCAHO’s primary mission is, “To continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest

Nonprofit hospitals have become a common characteristic of the hospital sector because they can be found across the country because of their presence in almost every corner, they never decline to provide treatment, and offer several community-based health programs. On the contrary, the for-profit health facilities are regarded as the corporate model of health care services as they seek to make profit first. They enjoy huge capital that enables them to develop state-of-the-art facilities and purchase the latest clinical technologies.

Clearly, patient care is also a critical factor in how hospitals in general around the nation are chosen for the top 20, 50, and 100 lists that are generated on a year to year basis and fairly so since it is one of the most important parts of the criterion (Allgeyer, 2011). The national average for customer satisfaction for overall hospitals is 69% and that percentage of voters specifically would recommend their hospitals to their friends and family (Reed & May, 2011). John Hopkins Hospitals just happens to hold an 85% overall positive customer satisfaction, which is well above the national average and pretty much lets you know that a lot of people get a lot out of the hospital and a lot of people think that this hospital is very effective at what they do (Reed & May, 2011). The national average for people not recommending their hospitals to family and friends are at 5%, while

In the Harvard Business School case study of Intermountain Health Care (IHC), we learned about the efforts made by IHC to adopt a new strategy for managing health care delivery that is focused on improving care quality while simultaneously saving money. Beginning in 1986 as a series of experiments tying cost outcomes to traditional clinical trials, IHC’s approach to delivering care became known as “Clinical Integration” which “referred to both an organizational structure and a set of tools” (Bohmer, 2002). The organizational structure required a departure from the traditional administrative management model to one that “involved administrative and medical

The mission of Hawaii Health Systems Corporation is to provide accessible, comprehensive healthcare services that are quality-driven, customer-focused, and cost-effective. The vision of the organization is to be the provider of choice for the communities it serves, the employer of choice for its staff, and the system of choice for its physicians (www.hhsc.org, 2014). The organization works with the physician base along with other service providers to plan and implement business ventures that will enhance the services offered to its patients. Employees and community leaders are included in the decision making processes to ensure adequate representation. Each facility has its own separate mission and vision statement that integrates into the overarching statement of Hawaii Health Systems Corporation.

MedStar Health is a vertically integrated not-for-profit organization that provides the best features of academic medicine and is recognized for their regionally and nationally for excellence in medical care across Maryland and Washington, D.C region. MedStar Health is one of “the largest healthcare providers consisting of 10 hospitals, MedStar Health Research Institute, MedStar medical group, with many other programs and services” (MedStar, 2015). In addition, to providing the largest health care service with over 77,000 associates and affiliated physicians, as well as providing the best

The Jackson Memorial Health System is based in Miami. This not-for-profit, county run organization has multiple sites, the main one being Jackson Memorial Hospital. The hospital has over 1550 licensed beds and is a teaching facility for the medical school at the University of Miami (JHS Miami, 2012). While the JHS has a number of different programs and facilities, it is important from the perspective of central management to understand the position that each has in the marketplace. JHS has a significant market share, as it is the largest hospital in Miami-Dade County. Its size and its mandate to serve the residents of the country regardless of ability to pay ensures a strong customer flow and substantial market share. The hospital's total revenue for the latest fiscal year was $4.8 billion, and on this it lost $34 million, an amount the county covers through a sales tax levy (Becker's, 2012).

Hospitals and health systems in the U.S. are experiencing a remarkable transformation in their business models directed from numerous influences that are projected to ultimately turn the industry around. Pressures include providers troubled with the quantity of services they are responsible for, to providers who concentrate on presenting high-cost services that give emphasis to sustaining healthy populations (Dunn & Becker, 2013).