Midwestern Health Case Study

Since the establishment of Intermountain Health Care, they have grown to become an internationally recognized system of 22 hospitals, a medical group with more than 185 physician clinics, and an affiliated health insurance company. They have been recognized for their achievements and innovations in the development of systems and management, in order to produce effectiveness and efficiency within the processes of healthcare through high quality services and minimisation of costs. Intermountain Health Care’s performance has proved to be advancing exponentially as of the mid 90s, due to clinical-improvement projects routinely showing significant cost savings.

Central Wisconsin Center (CWC) is an organization established in 1953 by the State of Wisconsin to provide residential and short-term treatment to people with intellectual disabilities. It is one of the three facilities used by the Wisconsin Department of Health Services to take care of disabled people in the state. The organization was recognized by the state’s legislature in 1953 and then opened to the public in 1959. Today CWC have over eight hundred employees with a yearly budget over fifty million dollars and occupied 100-acre campus located at 317 Knutson Drive, Madison, Wisconsin.

Following an organization announcement in 2015, the healthcare system was divided into four divisions headed by a leadership team of 5 that oversee all the divisions. The second division consists of the 3 regional hospitals associated with the New York Presbyterian system. Often hospitals associated with a healthcare system are hospitals waiting on approval from the city and HCOs involved. The 3rd division consists of NY-Presbyterian physician services. Lastly, the fourth division consists of all the health services that make up the health care system’s community and population health. These services include ambulatory care network sites and healthcare initiatives. As a Highly Reliable Organization, New York Presbyterian keeps track of multiple trends to shift and shape it’s organization for today’s always changing and complex healthcare industry. Through the tracking of consumer healthcare decisions, New York-Presbyterian uses this data to adjust its practices and policies to help patients make the best medical decisions and provide the highest quality of care. Positioned in one of the biggest metropolitan areas in the world, New York-Presbyterian keeps track of it’s competition by monitoring the consolidations of healthcare organizations within their market share. Through this monetization, the healthcare system prioritize its marketing strategy that allows them to sell the unique

Founded in 1946, Seattle’s Group Health Cooperative was created by doctors and community members who believed that there needed to be a health care program that was affordable, member centered, and held principles of social justice. This cooperative was one that had been successful for many years, but just recently was acquired by the not for profit Kaiser Permanente health-care company on February 1, 2017 for 1.8 billion dollars. Although Group Health is a cooperative and Kaiser Permanente is a nonprofit healthcare company, they have similar views on how they run their companies because both have missions to put their members and employees first. This is something that the articles stressed because this merge is going to affect thousands of members and employees. I plan on focusing on the process Kaiser Permanente had when wanting to take over Group Health Cooperative, the pros and cons of the final decision to merge the two healthcare programs, and ultimately how Group Health’s marketing and management strategies will be implemented in the merge. (12)

On February 3, 2010 The Federal Trade Commission issued a complaint accusing Roaring Fork Valley Physicians IPA of threatening not to deal with various payors unless they agreed to demands for higher insurance pay rates on individual fee-for-service contracts. While Physicians have the right to reject proposed reimbursement rates from the payor, the manner in which these contracts were negotiated caught the attention of the FTC. Roaring Fork Valley Physicians is a Colorado corporation with a principal place of business at 1906 Blake Avenue, Glenwood Springs, Colorado 81623.

Mountain States Healthcare (MSH) is a regional system of hospitals located in several large metropolitan areas of Colorado, Idaho, Utah, and Wyoming. MHS started as a single hospital in Salt Lake City, Utah, and, due to the business acumen and experience of its officers and Board of Directors, was quite successful and profitable ( MG371, Article). During the years MHS started to collect different hospitals and clinics that were not profiting and turning them around by treating them as their own entities but applying their successful management strategies. As the MHS grew they created the Utah Health Group and then the MSH.

1994 1994 1994 1995–1996 July 1997 Fall 1998 February 1999 Event Health Systems Corporation and Midwest Health Plan merged to become Midwestern Health System (Midwestern) Midwestern established three divisions – Delivery Services, Professional Services, and Health Plan Midwestern established the Midwestern Medical Group (MMG), with 20 primary care clinics MMG expanded by acquiring 30 additional primary care clinics Patrick, the original MMG president, was promoted to System vice president of Clinical Services, and Erickson was appointed the new MMG president MMG decided to hire an ophthalmologist to expand clinic services; Midwestern protested decision; MMG ordered to cancel hiring negotiations Johanson, Midwestern CEO, announced a new organizational structure, moving from three divisions to two, the Hospitals & Clinics division and the Health Plan division; the new divisions were charged to select and organize around market business segments (MBSs), focusing on specific customer groups to be determined by the divisions MMG decided to hire a spine surgeon; Midwestern hospital protested decision; MMG ordered to cancel hiring negotiations Hospital & Clinics division selected six market business segments – three metropolitan hospitals, regional hospitals, MMG, and home care Johanson commissioned a benchmarking study to compare MMG with benchmark medical groups; MMG compared favorably to benchmark group performance standards MMG decided to hire a general surgeon; Midwestern

Beaumont Health System is well known throughout the state of Michigan for it 's exceptional patient care and cutting edge treatment methods in a multitude of areas in healthcare. The health system boasts three large general hospitals located in Troy, Royal Oak, and Gross Pointe, as well as a children 's hospital and hundreds of specialty medical clinics across the region. Beaumont Health System in Royal Oak Hospital is currently ranked #1 in the State of Michigan and Metro Detroit by U.S. News & World Report 's 'Best Hospitals ', with it 's Troy location ranking #3. (U.S. News & World Report, 7/24/2014) 1

“Bioterrorism remains a major threat for the United States despite more than $65 billion spent on protecting the country from myriad dangers, the Bipartisan WMD Terrorism Research Center said in its latest report Wednesday. The center's Bio-Response Report Card evaluated U.S. preparedness for countering threats from bioterrorism and found the country remains vulnerable to multiple threats and "largely unprepared for a large-scale bioterrorist attack."”(UPI.com, 2011). There have been over a dozen leading U.S. bio-defense experts that have taken part in figuring out where we are exactly as a county and what the effects of a terroristic attack

WestCare Illinois’ Impact Program is a not- for-profit organization that provides an integrated substance use and mental health disorder treatment program in order to serve 145 men in the Cook County Department of Corrections (CCDOC) on a daily basis (WestCare Illinois Programs, n.d.). The Impact Program integrates cognitive behavioral therapy (CBT), trauma intervention, case management, and reentry services (WestCare Illinois Programs, n.d.). WestCare is on three decks within CCDOC and serves around 44 clients on each deck. The clients are court mandated to the Impact program because of a drug involved criminal charged (WestCare Illinois Programs, n.d.). During intake, 32% of the clients’ reported that their primary substance of misuse

Founded in 1986, Columbus Regional Health has provided medical services to Columbus, Georgia. It is our mission at Columbus Regional Health is to provide our patients with quality health care. Positive attitude, commitment, enthusiasm, innovation, and teamwork are the core values that Columbus Regional Health board of directors, physicians, and volunteers share.

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 (Economic Opportunities through Education by 2015, n.d.). Of those individuals, 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.). CRH’s MH unit provides psychiatric services to adults 18 years and older. Most patients have either psychosis or thoughts of hurting themselves or others.

The fundamental ideas behind making such a radical change from a single entity practice to a multiple entity practice is simple. Market forces are driving health care prices drastically down and profit from treatments and services alone are no longer adequate for survival. In addition, insurance companies are beginning to dictate where their customers receive health care and also the price a provider is paid for services rendered. Most insurance providers are beginning to look for health care organizations strategically positioned to offer medical services at reasonable prices, diversified medical services under one roof, and demonstrate strong alignments with leading medical centers in the area. As a result, HeartCare Midwest must undergo a facelift to survive changes in the health care industry.

Wisconsin service area. MHS’s physician clinic office visit captures 87 percent of the market in

Welcome to Des Moines, Washington where you’ll find a mayor who says he cares about his constituent’s well-being and yet has deep ties to Alaska Airlines. A City Council Member who owns a very large construction company and said that if he was elected he would use his construction knowledge to restoring and updating Des Moines (wasn’t that nice of him). A member of the Des Moines Citizens Advisory Committee who is leasing a large crunch of Marina property for the city for a measly three hundred dollars a month. A City Manager whose frequent raises are more than some people’s paychecks, and a citizen group entitled Quiet Skies Puget Sound (QSPS)’s whose efforts to save the children on playgrounds and families in supermarket parking lots from