Shouldice Case

After having a very successful performance and getting second place on the first Littlefield simulation game we knew what we needed to do to win the second simulation game. We were very eager to outperform our competition and we almost did so, but ended up in second place again with a cash balance of $2,660,393.

Staffing needs affect the nursing department’s budget, staff productivity, the quality of care provided to patients and even the retention of nurses (Jooste, 2013). The nurse manager has to explain to the management of the benefits of change in providing adequate staffing all the time. Adequate staffing helps staff retention. Staff retention saves a lot of money in terms of orienting new people to the unit. Safe staffing always helps in the reduction of falls, infection rates, pressure ulcers, decrease hospital stays and death. Flexible and creative scheduling is essential for retaining staff and promoting a positive work climate (Grohar-Murray & Langan, 2011). Adequate staffing with good staffing ratio will help nurses to concentrate on their patient care which may help in a reduction in medical errors and lawsuits to the hospital.

➢ Has to do what: To decide to either confront Gilman and change what she perceives as sexist and/or racist practices or to leave the company

After analyzing this information and reading through the case thoroughly, it would be quite difficult for Shouldice to perform 45 operations a day. They have limitations due to their operating rooms and the number of surgeons at their facility. According to the case, they have 12 full-time surgeons and only 5 operating rooms. Each surgeon operates on 4 patients per day so at most, the 12 surgeons can perform 48 total operations on a daily basis. Additionally, each operation takes 1 hour and since they only have 5 operating rooms, the maximum number of operations they can perform is 5 operations per hour. Operation time

2. Is there evidence of disparate impact against African Americans in the decisions that were made? On what basis did you arrive at this position? Illustrate how the “80 percent rule” can be used with the data in Exhibit 3.2.1 and whether there was a violation of this rule.

Since 1945, Canada based Shouldice Hospital has gained a reputation around the world for their primary performed surgeries and services in hernia repair. Shouldice’s main objective is to take the inconvenience of being diagnosed with a hernia and turn it into a quick and even enjoyable experience for their patients. This is all possible through Shouldice’s service delivery system, consisting of selecting patients that do not hold an overly complicated hernia in order to perform a superior surgical technique established by Dr. Shouldice. The patients endure an active stay to ensure a proper, speedy recovery, and a quaint estate resembling a country club accompanied with a pleasant staff and encouraged socializing with other patients that give them a unique experience. After the patient's stay, Shouldice Hospital invites them back for a yearly gala Hernia Reunion dinner to follow up and provide a complimentary hernia inspection. The lifelong bond that Shouldice has been able to establish and maintain display the above and beyond service they’ve given their clientele for decades.

In terms of resources and finances, inpatient care is the most costly form of healthcare. It not only requires the medical supplies, but basic care supplies such as food, bedding, etc. It requires more practical resources in terms of electricity and other services, as well as more human resources, as the patients require round the clock care and availability. Hospitals and centers providing inpatient care therefore need a minimum of two shifts, and possibly three in order to avoid unnecessary and costly mistakes due to the workers’ exhaustion.

Teoh case is a notable case between Minister of State for Immigration and Ethnic Affairs and Ah Hin Teoh, which shows the position of Australia when ratified an international convention. It concerns on administrative decision which was made contrary to the Convention on the Rights of the Child (CRC) ratified by Australia. In this case, Teoh alleged that the Minister delegate had disregard the provisions of CRC, particularly Article 3.1. of CRC, when refused his application for grant permanent status and consequently issued deportation decision to him. Finally, the High Court of Australia (by majority) decided that the two administrative decisions be set aside.

You have been the CEO of Middlefield Hospital for 2 1/2 years and finally resolved the workforce challenges that plagued the hospital when you first arrived. In a recent meeting, the chief financial officer (CFO) indicated that the financial performance of the hospital has been deteriorating over the last 6 months. The hospital is not meeting its budget and he is concerned about the future. The new facility across town has continued to cut into Middlefield's market share by admitting more patients. The number of admissions to Middlefield Hospital is declining each month, and

What is the normal process flow of the production system at Donner? Draw a process flow diagram.

In the table below, surgery has been added on Saturday and the number of operations performed per day is 30, this implies the number of beds added will not be utilized, this is because the number of beds available on Saturday are still under the operating policies.

Shouldice Hospital is a well famed hospital for those looking for hernia repairs. It has been serving people for the past half a century. Today the demand for services offered at Shouldice Hospital is much higher than its current capacity of 89 beds

This case analysis explores the possibility of Breezy, a leading supplier of carburators and air filters in North America, the possibility of developing offshore busines in countries where car manufacturing is growing. The report is structured as follows: First, there are five important questions that Breezy must consider and ask itself before developing a relationship with a new customer. After Breezy decides to go offshore, it will have to go through the negotiating process, which involves five steps. Breezy then, must have capabilities of how an offshore business is organized, consider the many different costs and risks involved in the implementation and decide how it will finance the project. The report also talks

The hospital is currently utilizing 71.43% of their beds, this is actually an ideal operating point. To increase its rate of utilization might decrease the service quality.

Dr. David Torchiana (Cardiac Surgeon) and Dr. Richard Bohmer (Quality Improvement Administrator) want to improve the process in the hospital by