Problem Summary
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
…show more content…
Right now, the hospital has to choose between the risk of a bungled audit (which will require overtime from an exhausted, unmotivated staff, double the audit’s 15,000$ price tag and hurt their financial reputation) or hire Dovetail, who will potentially be able implement the system before the audit deadline, but at a heavy cost. The hospital administration needs to accept the fact that the bulk of the costs associated with bringing this computer system into production are labour costs rather than hardware and software. All the attempts to circumvent these costs have resulted in the need for greater expenditures.
Alternatives Analysis
Given the context in which Riverview finds itself, the following alternatives are viable:
1. Postpone implementation until after the audit
o Train hospital employees on software after audit
o Begin new fiscal year with new system.
2. Implement the system before the audit
o Parallel the systems for four months;
o Get Dovetail to correct purchase orders and train employees on the job before audit;
o Get Pam Smythe to do overtime and enter account payable invoices for the past four months.
Decision Criteria
Each alternative will be assessed against the following decision criteria:
• Time. Time is of great essence in the implementation
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?
The Methodist hospital of Indiana was undergoing organizational and leadership change in 1988. Their longtime head had retired and William J. Loveday became their new CEO. He brought in a whole new management team to help him implement new ideas and create a new culture there. His new CFO was in charge of the IS department and after discovering that the department was in shambles with no real direction, he hired Walter C. Zerrener to become the Chief Information Officer. Zerrener found that the Methodist Hospital had spent about $20 million to install a state-of-the-art proprietary patient management system called TDS in 1970s but had done no upgradation after that . The IS department was solely focused on keeping the TDS
This case analysis of Stanford’s Hospital and Clinics (SHC) electronic medical record (EMR) system implementation will focus on how the healthcare organization focused on resolving a problem to meet regulatory pressures and responded to an opportunity to create operational efficiency, by capitalizing on the use of information technology to help reduce costs. We will discuss the organization’s IT problems, opportunities, and the alternatives available to address each. We will summarize an analysis of potential alternatives including the organization’s EMR system of choice and conclude with a recommendation to the Board on how to rollout the new system.
Pate Memorial Hospital is a 600-bed, independent, not-for-profit, self-supporting hospitals. PHC, an ambulatory health care facility, was opened by PMH. Sherri Worth, a new assistant administrator of Pate Memorial Hospital in charge of the PHC, was told that a firm plan establishes a clinic five blocks north of PHC. It is a big competitor for PHC. On the other hand, financial problems, Short service hours, long waiting time and lacking of gynecological services are all be the problem faced by Worth. Therefore, Sherri was requested to analyze the PHC’s performance and take Medcenter, a possible competitor, into consideration which either did or not opens a clinic in north.
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.
A non-communicable disease (NCD) is defined as a disease which is not infectious. Such diseases may result from genetic or lifestyle factors. Such diseases may result from genetic or lifestyle factors. Current evidence indicates that four types of NCDs (i.e. cardiovascular diseases, cancers, diabetes and chronic respiratory diseases) account for almost two third of all deaths globally, with 80 per cent of these deaths occurring in low-income and middle-income countries. NCDs are a leading threat to health and development. Yet, these diseases are preventable. By eliminating shared risk factors such as tobacco use, unhealthy diet, physical inactivity and the harmful use of alcohol, almost 80 per cent of heart disease, stroke and type 2 diabetes and over a third of all cancers could be prevented. In addition, improved disease management can reduce morbidity, disability and death and contribute to better health outcomes. Overall, proven cost-effective strategies do exist to prevent and control this growing burden.
Assignment: Keeping People Safe Unit 7: Principles of Safe Practice in Health and Social Care A: Examine how duty of care contributes to safe practice in health and social care settings B: Understand how to recognise and respond to concerns about abuse and neglect C: Investigate the influence of health and safety legislation and policies in health and social care settings D: Explore procedures and responsibilities to maintain health and safety and respond to accidents and emergencies in health and social care settings Task 1: Evaluate significance of duty of care, explaining its significance in promoting safe practice, Evaluate significance of complaints procedure in promoting safe practice, and justifies the procedures used when responding
The cost of Medical equipment plays a significant role in the delivery of health care. The clinical engineering at Victoria Hospital is an important branch of the hospital team management that are working to strategies ways to improve quality of service and lower cost repairs of equipments. The team members from Biomedical and maintenance engineering’s roles are to ensure utilization of quality equipments such as endoscope and minimize length of repair time. All these issues are a major influence in the hospital’s project cost. For example, Victory hospital, which is located in Canada, is in the process of evaluating different options to decrease cost of its endoscope repair. This equipment is use in the endoscopy department for
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.
How successful is the Shouldice Hospital? Generate a P&L statement using available information from the case. Treat each of the two operations—hospital and the surgery—separately.
Services are provided by highly qualified, cooperating with each other, mutually respectful and stable staff,
The Johns Hopkins Hospital, located in Baltimore, MD, is one of the greatest institutions in modern medicine. Established in 1889 from the donation of philanthropist Johns Hopkins, the hospital and university serve millions of patients annually for emergency, inpatient, and outpatient visits. Patient care is the focus of Johns Hopkins vision. The hospital uses quality care and innovation to enhance patient care. It is the hospital’s goal to have great precision, safety, comfort, coordination, and improved workflow to achieve an outstanding customer experience. An added feature to the customer experience are the design elements that can be found flowing throughout their newest facilities which helps foster healing and stress free environments. From the dramatic art collections that fill the walls and windows of patients rooms, to its 20-year reign as U.S. News and World Report’s “Best Hospital”, Johns Hopkins has made its mark on society. At some point, however, every great dynasty loses its ranks. Unfortunately, Johns Hopkins is no different. With the creation of a federally-mandated patient satisfaction survey for Medicare and Medicaid reimbursement, the stakes for high ratings is of fiscal importance. In an effort to increase its patient satisfaction ratings, the hospital created performance measurements to highlight strengths and areas of improvement with patient outcomes. The implementation of this new initiative, the Patient Toolbox, considers the fundamental reasons
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.
Traditional hospitals using standard medical treatment and Western-educated personnel tend to treat the patient's physical being while ignoring other equally important aspects of the patient and the caregiver. Fortunately, healing hospitals have transformed the concept of healing through the principle of "Radical Love." Recognizing the equal importance of physical, mental, emotional and spiritual wellbeing for all members of the hospital environment, Radical Love enhances the entire wellbeing of the entire community.
In the present scenario achieving effective and efficient health care services is an acute issue that needs an immediate attention. In developing countries this problem is mostly common as the government alone is not fully capable in undertaking different challenges to meet the heath needs of fast growing populations. There was a need to develop an