Abstract
This case study illustrates the crisis faced by the president of Lincoln Hospital, a for-profit hospital that had several hundred beds to fill. A number of issues are occurring at the hospital impacting the ability of the hospital to successfully perform the planned surgeries without incurring significant issues. These issues include high turnover, scheduling issues, service delays, and a divided staff. Worst of all, however, the doctors and nurses are at war. Specifically, Don, the new chief of surgery, is at war with Mary, the veteran OR director. Don and the other surgeons want Mary fired from her job but the president is unwilling to remove Mary from her position. The president is faced with a difficult choice. Therefore, he
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He should have talked with either Mary or Don prior to establishing the contract with Lincoln Hospital’s President. The contracting process should include all parties, which would be inclusive of Mary and Don. This ensures they all have an input into establishing expectations for the process in terms of the desired outcomes, establish ground rules that all parties could abide by, and agree upon the time and resources that would be devoted to completing the goals within the given constraints.
The OD practitioner should not have negotiated a psychological contract with Lincoln’s president. “Regardless of the level of formality, all OD processes require some form of explicit contracting that result in either a verbal or written agreement” (Cummings 79). There was no agreement regarding the time to resolve the issues, or the acceptable solutions versus unacceptable solutions, other than the solution must include ongoing employment for both Mary and Don.
Third-Party Intervention Effectiveness
The third-party intervention was an appropriate intervention in this case. The process of writing things down was helpful as it reduced the friction between the two parties. Also, the questions required specific answers concerning behaviors, not subjective generalizations about personalities. By requiring that Mary and Don explain the responses to the questions orally to the third party, the consultant was able to avoid
1.) What is the marginal cost estimate of the Phase 4 hospital services, assuming that 60 percent of the designated costs are fixed and the remaining costs are variable?
Founded in 1951 and led by Dr. James R. Fairchild, a board-certified internist, Medical Associates is a physician group practice that expanded slowly and added other specialties in 1963. It has continued to expand over the years, and began to provide specialty and sub-specialty medical and surgical care in 1972. Medical Associates has also grown into a large tax paying medical group of forty physicians and two separate location in Middleboro and the eastern edge of Jasper which opened in 1972 and 1985 respectively. The practice was originally a single specialty practice but now has several specialties and sub-specialties in addition to ambulatory surgical services due
Another threat is the current state of rural hospitals nationwide. According to the case study, about 25% of Americans live in rural areas and only about 10% of physicians actually practice in rural areas. There is a 15% gap in the ratio of rural citizens to available practicing physicians. This is a threat to ELH’s need to attract and hire more physicians. In relation to rural hospitals, citizens have longer drive times to their medical facilities. This causes them to delay routine visits which subsequently exacerbates
I invested a significant amount of time to prepare for the Byrnes, Byrnes & Townsend negotiation meeting. I represented Mrs. Townsend, the plaintiff in this case and I chose co-operative strategies and tactics for this negotiation exercise. For me to address the liability and evaluate the case, I had to divide the facts in four categories: weaknesses and strengths of the opponent, weaknesses and strengths of my case. From the class discussions, I learned that the success of the negotiation directly depends on the preparation stage, therefore, I carefully assessed the obtained information, evaluated interests of both parties, set out substantive, intangible, and procedural goals, developed mine and my opponent`s BATNA, set the limits, and implemented negotiation strategy and tactics.
But it seems not a systematized situation. Perhaps several things could be improved. One is that Bob should add an attorney to the board to deal with
The main key issues in case #5 is that the MMG system had not achieved its overall financial performance goals; therefore they experienced a big loss secondly the transition of new leadership became an issue. The difficulties of implementing the MBS business model in the Hospitals and Clinics division also became a very important issue. Having to come up with a strategy to improve the financial side and being able to focus on customers and relationships was not an easy task for them. Hospitals had a different approach of helping customers in
This paper strives to answer questions based on the case study “Emanuel Medical Center: Crisis in the Health Care Industry”. As excerpted directly from the case study, Mr. Robert Moen, Emanuel Medical Center (EMC) president and CEO, was experiencing a number of challenges in 2002. The medical center faced numerous challenges in its external and internal environment. First, EMC garnered an onslaught of negative attention for the “Haley Eckman incident” in which a young man, who happened to be a gang member, died within view of EMC’s Emergency Department (ED) medical personnel rendered no care and watched. The emergency department at EMC was also experiencing greater pressure to deliver services in an increasingly
St. Jude Children’s Research Hospital is the number one worldwide organization for children's cancer and other serious childhood diseases. “St. Jude has helped improve the survival rate of childhood cancer from 20 to 80 percent”(Young). With your help the families of the children with illnesses pay absolutely nothing throughout their time and stay at St. Jude, making their child's condition and health their only and number one priority (About St. Jude’s Research Hospital). The amount of money that is donated to this hospital benefits not only the patients there, but convalescent’s all around the globe. St. Jude Children’s Research Hospital is an organization in which you should donate your money because all of the money goes into paying for the patients’ care and stay, the breakthroughs that they make are shared so doctors everywhere can help more children, and they have improved the survival rate of children’s cancer.
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?
Over 5000 volunteer nurses’ north and south served in military hospitals during the Civil War. Nurses were of all sorts and came from all over. Women wanted to be involved in this national struggle in any way they could. They did not want to stay home and play their traditional domestic roles that social convention and minimal career opportunities had confined the majority of their sex to. Many women thought of nursing as an extension of their home duties, almost like taking care of “their boys.” They recall the Civil War as a time when their work as nurses made a difference. It gave them an opportunity to prove they had the ability and courage to help.
St. Jude Children’s Research Hospital is a non-profit organization that helps battle pediatric cancers. St. Jude Children’s Research Hospital is not your typical children’s hospital. The services and support they provide to their patients is unique as their founder Danny Thomas. I will explore their founder’s history, mission, and how they are able to continue the work today.
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The Riverview Children’s Hospital is eight months behind schedule with the implementation of a new computerized financial system. Management wants the system to be in place by the end-of-year audit [April], which is only six weeks away. However, management estimates that there is only a fifty percent chance that the system will function correctly if its implementation is rushed. While this makes a case for delaying the implementation, it also pushes the schedule into another fiscal year, bringing a large set of expenses over with it. The board wants to avoid this. A decision must be made that weighs the pros and cons of pursuing implementation before the audit versus the delay of the implementation until after the
Shouldice Hospital had an excellent well-developed, focused service delivery system. The business strategy was to not only provide its patients with a quick, quality and low cost surgery but also providing an unforgettable experience and comfortable environment in the facility.