Leadership Development
Fall 2012
Abstract
The Unhealthy Hospital case is a very interesting one as it is a hybrid between economical and the social issue of affordable healthcare. Bruce Reid, CEO of Blake Medical undoubting task of trying to balance the hospital budget while not negating the quality of care. This is a very hard task to achieve as seen in recent history locally with Jackson Memorial Hospital who has suffered the same troubles. The results of Jackson have not been that good with massive layoffs and pay cuts for senior doctors. Bruce is trying to save the hospital by cutting the amount of clinics that are operated by the hospital serving the poorer communities. The problem is that he is confronted by two senior
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Lastly to sum it up with the last three theories: Equity, Reinforcement, and Expectancy theory that all share the carrot and stick method of motivation. Reward and punishment motivational practices dominate organizations. According to the Society for Human Resource Management, 84 percent of all companies in the United States offer some type of monetary or nonmonetary reward system, and 69 percent offer incentive pay, such a bonuses, based on an employee’s performance (web, 2012). Having explained some of these theories the answer to why employees are working harder is since the computer program is rewarding the employees who sell more than others and therefore is giving those hours. For the punishment some employees went from 40 hours a week to 12. As for the reason that they are not happy is the employee is under pressure to work harder relying on a third party, the customer to decide whether or not they work.
If you were Lisa Mahoney, what factors would you use to evaluate the success of the six-month trial period? Would you stick with this automated scheduling system? What will you propose to Theresa Daley for the future? If I was Lisa Mahoney, I would consider some aspects of the system. I would like to keep everything except for the actual scheduling of employee hours. I believe that should always be maintained by the manager. It can’t be expected that an employee will always have a high rate of sales all the time. For example my daughter work’s at
The Chesapeake Bay is a 200-mile-long estuary extending from Norfolk, VA to Havre de grace Maryland. On average this bay contains about 68 trillion liters of water. This bay is the largest estuary in North America. It inhabits more than 3,000 species of plants, animals, and fish. “Since the early twentieth century, the Chesapeake Bay has experienced serious environmental degradation. Problems include large reductions in sea grass, reduced amounts of finfish and shellfish (especially oysters and crab), seasonal depletions in dissolved oxygen, and increases in sedimentation.” (Atkins & Anderson, 2003) These changes are brought on by pollution (Eutrophication and Toxic Contamination), development, deforestation, and agriculture. And according
The government of the Massachusetts Bay Colony was simultaneously theocratic, democratic, oligarchic, and authoritarian in different ways. The Puritans founded the Massachusetts Bay Colony in 1628 and wanted a well-established government, but they ended up mixing all of these together. This colony was important because it was one of the first provincial and true governments to be introduced into the colonies. It also provided an example to other colonies to base their governments on.
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
Impact to Healthcare organizations - These increases in cost raise questions of health care expenses at the hospital level. As higher profits are sought, the cost will become unstable for all, thus causing many to postpone going to the doctor. However, there are many complicated problems associated with our healthcare system. We will focus on main issues that can correct many related problems within the current structure. More importantly, we need to find ways to ensure all Americans have access to health care; and we need to hone in on how we can get the best value for the $2 trillion dollars we spend annually on healthcare.
There are several issues that Lawler as the CEO must address in the above case. At first, Lawler is expected to address the issue of Jeremy Spring, a patient who had just been brought to the emergency department. His case is complicated because he is found to be above the federal poverty level, which is mainly used as the basis for granting charity care at sunrise. However, it is also eminent that despite his level, he cannot foot his medical bills and from the medical services that he had received, he could end up in a financial burden. Despite all this, Spring had no home where he could be referred to for medical care despite his health. This became a serious issue that called for Lawler attention as the CEO. The issue of the hospital charity care policy was also another issue that called for Lawler attention.
This paper will focus on how effective Leadership can influence policy and change in the United States healthcare system. The implementation of new policy, program, and institutional change is often meant to improve the quality of the nation's ever-changing healthcare system. Several journal articles and texts have been selected particularly with a focus on leadership strategies to improve the quality of healthcare, and leadership’s ability to influence implemented changes to the system. The question proposed is; does leadership encourage and influence both public and private initiatives that measure health outcomes, and organize systems to improve health services when
In a quaint little village tucked away on a beautiful Caribbean island, lays the seaside town of Runaway bay. A town filled with deep rooted culture on an island filled with welcoming natives. The pleasant vibes of reggae music and Rastafarian culture flow from the hills to the sandy shores. This island rich with tropical fruits and spices is located in the heart of the Greater Antilles. History tells that the enslaved island once known to its natives as “Xaymeca”, has come a long way in becoming the independent nation known today as Jamaica. In the Sea of many islands known as the West Indies, Jamaica stands peaceful, welcoming tourist and expanding rapidly. From an early age my passion for the island and its culture
Apart from the Affordable Care Act, there has been increased government and court involvement in the determination of how healthcare issues are run, like the recent denial of the nonprofit tax exemption status to some hospitals in Chicago (Bergen 2). These hospitals, which include the Northwestern Memorial Hospital and the Prentice Women’s Hospital, are known to provide important healthcare services to patients who cannot afford to pay the expensive costs in private hospitals (Bergen 2). These unfavorable healthcare policies among others are bound to be more frequent and the resultant problems may promote the emergence of other bigger ones unless immediate action is taken.
In the article, The Case of the Unhealthy Hospital, written by Anthony R. Kovner, a through description of a struggling hospital, Blake Memorial Hospital, is given. This paper is a SWOT analysis, and addresses the strengths and weaknesses within the hospital, as well as opportunities and threats outside of the hospital and in the surrounding community.
Nurses demonstrate the core values of professionally caring for others in two different prospects. Huber (2014), notes that “nurses have two basic roles: care providers and care coordinators” (p. 3). Most significantly nurses are valued in the setting of patient care, while the coordinator role revolves around management and organizing care, using thinking skills to coordinate complex activities. Nursing is multifaceted, although direct quality patient care is of significance, a positive leader or manager is also essential to support the recent changes to healthcare requirements. Having the right blend of qualities is vital to becoming a
Additionally, the unwillingness of the business office employees to accept onsite help from the hospital financial analyst team. They appear to be content with the status quo, which has resulted in their current financially precarious situation. They do not have the foundation needed, which should be as described by Weiss, Hassell, and Parks (2013) “…fertile enough to accept the seeds of change and to nurture them to grow” (p. 492).
Under the leadership of Bruce Broussard, President and CEO since 2011, Humana have developed and integrated health model system that has continued to lower the cost of healthcare and enhanced quality along with improving member experience. Broussard’s specializations in his work history clearly steered Humana to inviting him to come aboard. He brought Humana an extensive variety of executive leadership experience such as publicly traded and private companies within an assortment of healthcare sectors, including oncology, pharmaceuticals, assisted living/senior housing, home care, physician practice management, surgical centers, and dental networks. However, in addition to Broussard meeting the corporate objectives, he also has executives who are experts in each of their fields. Each executive officer reports to him and each are incremental in setting strategic plans to carry out Human’s objectives. His ability to navigate and influence people credited his success as a leader at Humana. Also, while at a previous position at U.S.
Motivation in the workplace is one of the major concerns that managers face when trying to encourage their employees to work harder and do what is expected of them on a day-to-day basis. According to Organizational Behavior by John R. Schermerhorn, James G. Hunt and Richard N. Osborn the definition of motivation is "the individual forces that account for the direction, level, and persistence of a person's effort expended at work." They go on to say that "motivation is a key concern in firms across the globe." Through the years there have been several theories as to what motivates employees to do their best at work. In order to better understand these theories we will apply them to a fictitious organization that has the following
The problem at Memorial Hospital is the focus on costs instead of health care. When a health care provider does not take the primary business as the core value of the operation and make strategic and tactical decisions based primary on costs, it decreases the consumers’ (patients) satisfaction in long run. As consumers reduce or stop purchasing goods and services from the hospital, hospital may make more cost oriented decisions and falls into a negative cycle. Eventually the hospital may face the fate of loosing business to competitors and the possibility of closing the door.
The unhealthy hospital case is about a hospital named Blake Memorial that has been in a very bad shape, lacks in providing the best quality of care, is in debt, and financially imbalanced. It is important for a healthcare set up to maintain balance in the financial system so the stakeholders and customers who are the patients their interests are met. If the hospital is lacking in providing the best quality of care for its community and the community is in high needs of the care than the CEO’s of the hospitals need to make a change. The patients (customers) look for getting the best services and better results from a hospital and the stakeholder’s looks for better profitable gain from their business by running the hospitals. In this case