Riverview Regional Medical Center Case Summary

As the Chief Executive Officer (CEO) of Middlefield Hospital, I am providing a detailed report of my strategies and recommendations to increase the financial performance and meet budgetary forecasts of our healthcare organization. These recommendations are for increasing our market share and make us a more competitive healthcare system.

RRMC is facing multiple key issues that can prove dangerous to any health care institute. Of these issues, the most critical ones will be mentioned here in to focus the

The real problem as pertains to the reimbursement of managed care organizations is that these managed care has had an effect on slowing the rates of growth concerning the costs of hospitals and specialist physicians. For both the hospitals and practitioners, the sources of revenue have been shifted with over 20 percent of the charges being paid from the pocket, others coming from third parties who demand for complex accounting of the charges, lack a pre-authorization process and they can review in a retrospective manner and deny the reimbursement (Furrow et al., 2013). The

More and more integrated hospitals and other providers are becoming prevalent in our community; two large systems in the Dallas Fort Worth area are Texas Health Resources and the Baylor Scott White systems. What exactly are these integrated hospital systems? An integrated healthcare system is one that through official agreements or ownership sets up a horizontal and vertical line of healthcare facilities and services to better deliver seamless healthcare to patients. An example to use is Texas Health Resources since its found in most corners of the Metroplex. With any large corporation and system comes confusion and other problems: such as regulatory obstacles, the complexity of operations, and unclear financial ownerships. Integrated healthcare systems appear at face value to be the solution to curbing the

Ms. Houlihan remains stable. She has been sent to the emergency room continues to remain impulsive and requires 24-hour supervision and redirection. She has had a cardiac workup and also has been seen by a new medical provider. She continues to eat high sodium foods along with drinking soda when she leaves the Riverbend facility. She visits her son almost every weekend and they do not monitor her diet. She is not able to independently monitor her diet and is very impulsive. They will be meeting with her son to discuss compliance when she is on home visits.

Imagine a time in the history of our nation where the hospitals within were the envy of the world. In the 1960’s the medical facilities in the United States employed more people than the auto industry that served a population where one out of eight would be admitted annually (Stevens, 1996). These marvelous facilities contained air condition, artificial lighting, electric beds, carpeted private rooms, sterile supply services, advanced laboratories, and pneumatic tube systems. The infrastructure was great and it supported a population where more than 70 percent had hospital insurance (Stevens, 1996). In addition to, medical insurance was gaining popularity and major medical insurance companies started to grow.

Background In 2012, the Center for Medicare and Medicaid Services (CMS) began to change the way hospitals were reimbursed for their services. This change would base reimbursement on the delivery of higher quality services. This new type of payment program meant hospitals would be rewarded for positive outcomes and be penalized for poor outcomes.

Ashley King’s field placement is at Silver Cross Hospital within the Inpatient Behavioral Health/Chemical Dependency Program.

The claimant was admitted to Vanderbilt University Medical Center from 3/3/2017 to 3/9/2017. She presented for tracheal resection (t-tube) on 3/3/2017 and tolerated the surgery well with no complications. Post-operatively, she was transferred to the Surgical Intensive Care Unit for airway monitoring given her new T-tube. On the day of discharge, she was given thorough teaching on caring for her T-tube at home and what to do in the event of an emergency. She was prescribed Augmentin for 7 days, ciprodex drops, saline drops, peridex, zofran, and

Northwest Medical Center follows Health Insurance Portability and Accountability Act(HIPAA) Privacy rule and a federal privacy law which provides all the guidelines for protecting the privacy of individual health information. It is mandatory for all the staff of the company to follow these protocols and enforce the use of best practices which will be provided to them as a training to keep them updated. We make sure that we provide the staff with regular training to keep them updated with the latest security measures. It is very important to refresh the staff with the guidelines because over the time they get to be very lenient in following the protocol which will result in the violation of the policy. Few of the top violations are that,

Clearly, specialty hospitals have very limited incentives and interest in treating these patients who cannot afford their services. Moreover, as specialty hospitals selectively serve patients with low risk profiles and leave complicated risky cases for community hospitals, community hospitals’ revenues from these specialties and general profitability dramatically decreased. Evidently, this unfair competition left community hospitals unable to provide free services for the uninsured or underinsured patients (Spatz et al., 2012).

Many important factors go into play when running a healthcare organization. I plan to discuss some of the key components that have influenced the development of this health care facility. The clinic mission statement will be stated and addressed to clear up any confusion. I plan to identify the three performance measures I would use to measure the clinic’s effectiveness and provide the rationale for each performance measure. I will also explain ways in which I will approach the decisions on expansions. I will also describe the role the primary clinic has played in the healthcare systems in our

The purpose of this memo is to present the partnership analysis. Based on this analysis, I conclude the client needs a partner. MCMPC don’t have enough resources, competencies, and capabilities. They do not do well on their own competing with IMG. They also need more patients and, a potential partnership can help address these issues.

One of the major strategic issues, in this case, is the total lack of corporate communication. Viewing internal and external communication as connected functions shifts the focus of corporate communication to answering questions about how an organization can communicate consistently with its many audiences in a way that represents a coherent sense of self pg. 235. During the acquisition period, Sister Mary Theresa had failed to communicate her objectives both internally and externally as she failed to inform the Mt. Mercy board members of her tentative offer. Thus, Auston Transcript article about the acceptance of the verbal offer to MEDICO for the purchase of Abbott Hospital surprised several board members. Immediately following the article,

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).