Martin Army Medical Center, Fort Benning, Georgia and St. Francis Medical, Columbus Georgia
Because resources are by definition scarce, it is important for tertiary healthcare providers to develop healthcare delivery structures that are efficient and effective. Since every healthcare organization is unique, though, these delivery structures can vary widely in scope and purpose. To gain some fresh insights into the healthcare delivery structures that are used by civilian and military health facilities, this paper provides a comparison of Martin Army Medical Center at Fort Benning, Georgia with St. Francis Medical in Columbus, Georgia, followed by a summary of the research and important findings in the conclusion.

eview and Comparison

Martin Army Medical Center, Fort Benning, Georgia

Health care delivery structure. Opened in 1958, this is a U.S. Department of Defense facility operated by the U.S. Army that offers inpatient, outpatient and emergency services. At present, Martin Army Medical Center 250-bed, 10-floor (four of…...

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References

About St. Francis Hospital. (2012). St. Francis Hospital. Retrieved from http://www.

sfhga.com/about-st-francis-hospital.

About us. (2012). Martin Army Community Hospital. Retrieved from http://www.martin.

amedd.army.mil/meddepts/about.htm.

Montefiore Medical Center
easons for Developing New Strategy

Designing the new strategy involved several meetings by the Medical Center's employees to assist in the development of a balanced scorecard and initiating nation-level measures. In this regard, the firm developed a new strategy to represent the cause-and-effect linkages among the environment, strategy, and operating plan that could deliver the required financial results. The new system proposed by the strategy was initiated to ensure that financials made up a 10-percent of the measures on the balanced scoreboard. Montefiore additionally, developed the new strategy to measure patient satisfaction, the cost, health care quality as well as cycle times of clinical and administrative processes. It was realized by the institution that the strategic measures were essential in positioning Montefiore for future innovation while encouraging organizational growth. The GIP strategy was initiated by the medical provider to help in increasing market penetration while assisting in attracting potential…...

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References

Barney, J.B. (1986). Organizational Culture: Can It be a Source of Sustained Competitive Advantage? Academy of Management Review, 11(3), 656-665.

Barney, J.B. (1991). Firm Resources and Sustained Competitive Advantage. Journal of Management, 17(1), 99-120.

Collis, D.J., & Montgomery, C.A. (1995). Competing on Resources: Strategy in the 1990s. Harvard Business Review.

Engestrom, Y., Miettinen, R., & Punamaki, R.-L. (1999). Perspectives on Activity Theory. Cambridge University Press.

Montefiore Medical Center (MMC): A Case Study
This study reviews a Harvard Business School case on Montefoire Care Centers. The Balanced Scorecard is chosen for the strategic management initiative at Montefoire and the reasons and results of such a choice is reviewed in this case study.

The objective of this study is to answer the question of what were the underlying reasons for the development of a new strategy at Montefiore Medical centre (MMC)? Secondly this study will answer as to how could the strategic direction chosen by MMC be described and what factors likely influenced the chosen direction? This study will compare and contrast the old and the new organizational structures. With reference to the notions of synergy and responsiveness, this study will analyze the advantages and disadvantages or each of these and will explain what is meant by the term causal ambiguity. This work will take the Heart Center Value…...

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References

Ambrosini, V. And Billsberry (2008) Value Congruence and Its Impact on Causal Ambiguity. 2nd Global e-Conference on Fit. 19th-21st November 2008. Retrieved from: http://www.fitconference.com/2008/fri01.pdf

Michael E. Porter -- The Value Chain (2013) Clint Burdett Strategic Consulting. Retrieved from:  http://www.clintburdett.com/process/05_research/research_05_4_valuechain.htm 

Montefiore Medical Center (2001) Harvard Business School. 9 Apr 2001.

Porter, ME and Kramer MR (2012) Creating Shared Value. Harvard Business Magazine. Retrieved from:  http://hbr.org/2011/01/the-big-idea-creating-shared-value

Schneck Medical Center
Provide a description of the company, its mission, and values

SMC (Schneck Medical Center) is a nonprofit healthcare organization that provides specialized and primary care services. The center was established in 1911 with a donation of five thousand dollars and a land from Mary Schneck (Jcr, 2007). It was established in memory of the founder's Husband to provide healthcare requirements to people of Jackson County. Initially, the center had a seventeen-bed capacity but it has now developed to ninety five-bed capacity. SMC celebrated its 100th centenary in 2011. This medical center is located in Jackson Country where it provides medical services to people of this area and the surrounding communities. Schneck Medical Center provides a full continuum of primary care services (Jcr, 2007). Particularly the medical center focuses on the health of women, noninvasive cardiac care, bariatric surgery, cancer care and joint replacement. Schneck Medical Center provides health services…...

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References

Biller, J. (2008). The interface of neurology & internal medicine. Philadelphia: Wolters Kluwer Health/Lippincott Wiliams & Wilkins.

Cribb, A. (2005). Health and the good society: Setting healthcare ethics in social context. Oxford: Clarendon Press.

Rahman, N., & de Feis, G.L. (2009). Strategic decision-making: models and methods in the face of complexity and time pressure. Journal Of General Management, 35(2), 43-59.

Johnson, K., Uecke, R., & Austin, R.(2006). The essentials of project management. New York: Harvard Business Press.

Schneck Medical Center: The Baldrige Award
Schneck Medical Center: Overview

The Schneck Medical Center according to the National Institute of Standards and Technology -- NIST (2011) "is a 93-bed nonprofit hospital providing primary and specialized services to the residents of Jackson County, Ind., and surrounding communities." The facility as NIST (2011) further points out, offers a variety of primary care services including but not limited to cancer care, noninvasive cardiac care, and joint replacement.

Established in 1911, the facility was amongst four organizations selected by the President and the Commerce Secretary in 2011 to be awarded the Malcolm Baldrige Quality Award. This particular award in the words of NIST (2011) is "the nation's highest Presidential honor for performance excellence through innovation, improvement and visionary leadership." It is important to note that apart from the Baldrige Award, Schneck Medical Center has been a recipient of several other awards including the Outstanding Patient Experience Award.…...

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References

Greene, A.H. (2012). HIPAA Compliance for Clinician Texting. Retrieved May 28, 2013, from:  http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_049460.hcsp?dDocName=bok1_049460 

Hester, D.M. & Schonfeld, T., (Eds.). (2012). Guidance for Healthcare Ethics Committees. New York: Cambridge University Press.

Hernandez, S.R. & O'Connor, S.J. (2009). Strategic Human Resources Management in Health Services Organizations (3rd ed.). Clifton Park, NY: Cengage Learning.

Lyer, P.W., Levin, B.J. & Shea, M.A. (2006). Medical Legal Aspects of Medical Records. Tucson, AZ: Lawyers & Judges Publishing Company.

In conjunction with this core aspect of their marketing strategy of concentrating on delivering exceptional experiences, Providence Portland Medical Center has developed an award-winning outreach programs strategy. The Center funds the Providence Community Grants Council which supports 52 different charities throughout the Portland, Oregon area. The Center has been able to successfully define a marketing strategy based on this approach to Corporate Social esponsibility (CS). As is the case with the continual improvement of internal processes and their support of the marketing process, the Center has also been able to integrate their CS messaging as part of their broader marketing strategies. The reliance of healthcare providers on socially responsible messaging is highly effective when put into the context of CS initiatives that genuinely benefit a community (O'Malley, 2005). Clearly the Center has been able to attain this level of performance as their occupancy rates are on average at 75% or…...

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References

Sandy Dancer, Theresa Johnson, Janiece Zauner, & Colleen Burch. (1997). Peer evaluation: A visual picture. Nursing Management, 28(11), 57-59.

Aliza Earnshaw. (2002, July). Providence Oregon seen as leader in technology.

The Business Journal, 19(20), 12.

Preston Gee. (2006, September). The strategic impact of revised DRG payments. Health Care Strategic Management, 24(9), 1, 13-4.

VA Medical Center
Quality Improvement at the Philadelphia VA Medical Center

The Philadelphia Veterans Affairs (VA) Medical Center is in the process of improving their quality of care for patients. The VA Medical Center provides care to veterans of the United States military and their families. The Philadelphia VA Medical Center has a list for quality improvements; of which one of the main objectives for improvement is customer service. In this paper I will discuss a plan for increasing customer service at the Philadelphia VA Medical Center.

ecent studies have shown that in the last five years there is an increase in the number of patients being treated by the VA Medical Centers in the U.S. (Ashish et. al., 2006). Clinicians are treating more patients with no additional help; this is could be contributing factor to the decrease in customer service. A higher level of customer service requires dedication from the business and…...

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References

Anderson, E.W., Fornell, C. & Rust, R.T. (1997). Customer satisfaction, productivity, and profitability: differences between goods and services. Marketing Sciences. 16 (2) 129-145

Ashish et. al. (2006). Overall outpatient satisfaction and its components: perceived changes at the Huntington VA Medical Center over five years. Hospital Topics. 84 (4) 33-36.

Berta, D. (2003). Keeping employees happy pays off. Nation's Restaurant News. 37 (51) 25.

ISO. (2010). Iso 9001-what does it mean in the supply chain? Retrieved from  http://www.iso.org/iso/9001supchain

Holly Patterson Extended Care Facility

Bad debt is not a major problem for the Holly Patterson Extended Care Facility, and though operating expenses are increasing at a fairly modest rate (with the notable exception of benefits to employees, which are increasing more rapidly) they are not running rampantly out of control. Despite this, the medical facility is operating at a loss that appears to be growing more significant for reasons that organization has very little control over. Federal and state funding has been used in part to cover the operating expenses of the facility, which does not meet its full expenses through patient revenue, however these sources of government funding have dried up and can no longer be considered in the organization's operating budget. As it is unlikely that this governmental spending will resume at any point in the near future, the facility will need to find other ways to make…...

Delray Medical Center
A particular level of personal achievement, drive and professionalism are expected from the individuals who make up the nursing team at Delray Medical Center. Due to the reputation that comes with being both a Level One Trauma Center and a hospital recognized as one of the top 50 in the United States, the nursing staff has to meet a strict standard. So, those applying for a staff position and seeking to join the Graduate Registered Nurse Program being organized, must exceed those leadership and professionalism criteria expected from other nurses. The goal of this essay is to familiarize the Delray Medical Center recruitment staff with my qualifications and to provide proof that I do have the accumulated personal achievements, professional credentials and drive to not only succeed but thrive in this learning and working environment.

Many nursing students come to the profession after working the first few years of…...

03
0.0375

0.045

0.0525

0.06

Total

109180

113950

120310

128260

137800

estside

106,000

109,445

114,480

121,105

129,320

Rate

0.0325

0.04

0.0475

0.055

0.0625

Total

109445

114480

121105

129320

139125

estside Savings is superior in all instances, because the CD it offers is a quarter point ahead of Metro's in all instances. But these calculations are important for understanding the risks associated with early withdrawal when the rates are competitive among the two firms.

3. Risk contracting is undertaken when the hospital contracts out some of the risk it faces with respect to Medicare payments. The HMO faces risk associated with the payment rates for specific services, and the risk that Medicare recipients will congregate in those areas with higher payouts. This risk has fluctuated since its inception, with the need to contract that risk fluctuating alongside it (Hurley, Grossman & Strunk, 2003). Any risk contract is going to create financial incentives. hat is important is that the financial incentives are to meet the organization's profitability goals. Efficiency of care is one way to improve profitability -- when the contract focuses…...

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Works Cited:

Bureau of Labor Statistics. (2011). Occupational Outlook Handbook 2010-2011: Financial managers. BLS. Retrieved March 13, 2011 from  http://www.bls.gov/oco/ocos010.htm 

Hurley, R.; Grossman, J. & Strunk, B. (2003). Medicare contracting risk/medicare risk contracting: A life-cycle view from twelve markets. Health Services Research. Retrieved March 13, 2011 from  http://findarticles.com/p/articles/mi_m4149/is_1_38/ai_99290677/

The introduction of RUG-53 on Jan 1, 2006, indicated the addition of further new categories in the Medicare reimbursement Prospective Payment System since its initiation 8 years ago. Nine new paying groups, making a total of 23, were added within the rehabilitation category. The main aim was to be able to provide more finances for the complicated medicinal expenses while still maintaining a regular and neutral budgeting format. Keeping this in mind, the Case-Mix Indices were rearranged, and the refund was restructured amongst the top 35 paying units, making the new additional 9 units pay more and have the highest Mix Indices Values than the other 26 and the last 18 paying units facing a small percentage increase in their contribution.

ibliography

http://www.hfma.org/hfm/2006archives/month11/silentppo.htm

Speisman, A. (2006) "Challenging Silent PPO Discounts," QAMCO, Member of the Nevada Chapter.

Hachenburg, M. "Challenging Silent PPO Discounts,"…...

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Bibliography

 http://www.hfma.org/hfm/2006archives/month11/silentppo.htm 

Speisman, A. (2006) "Challenging Silent PPO Discounts," QAMCO, Member of the Nevada Chapter.

Hachenburg, M. "Challenging Silent PPO Discounts," QAMCO.

Data Driven Decision Making TemplatePROMPTRESPONSEA.Describe a real-world business situation that could be addressed by collecting and analyzing a set of data.Adverse patient incidents such as surgical misadventures (i.e., operating on the wrong limb) and falls represent a major but preventable problem for all tertiary healthcare facilities, including Department of Veterans Affairs (VA) medical centers.A1.Summarize one question or decision relevant to the real-world business situation you will answer by collecting and analyzing a set of data.Which VA medical centers experience the highest rates of preventable adverse patient events such as falls by ward and shift?A2.Explain why the situation or question would benefit from a data analysis.Current estimates indicate that as many as 180,000 deaths occur each year in the United States due to medical care errors such as adverse patient incidents (Patient safety, 2017). In addition, adverse patient incidents can also increase the length of inpatient stays and the overall costs…...

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ReferencesMadadizadeh, F. & Asar, M. (2016, January 1). Quantile regression and its key role in promoting medical research. Iranian Journal of Public Health, 45(1), 116-120.Patient safety. (2017). U.S. Department of Veterans Affairs. Retrieved from safety.va.gov/about/faqs.asp. https://www.patient

Department of Veterans Affairs Medical Center, Oklahoma City, Oklahoma
Today, the Department of Veterans Affairs (VA) operates the nation's largest healthcare system through the Veterans Health Administration (VHA), including 152 medical centers (VAMCs), 800 community-based outpatient clinics and numerous state-based domiciliaries and nursing home care units (About VA, 2016). As the second-largest cabinet agency in the federal government, the VA's budget exceeds the State Department, USAID, and the whole of the intelligence community combined) with more than $60 billion budgeted for VHA healthcare (Carter, 2016). One of the VHA's largest medical centers that provides tertiary healthcare services to eligible veteran patients is the Oklahoma City VA Medical Center (OKC VAMC) in Oklahoma City, Oklahoma. Like several other VAMCs, the OKC VAMC has recently been implicated in a system-wide scandal concerning inordinately lengthy patient waiting times and misdiagnoses which may have contributed to the deaths of some veteran patients and jeopardized others.…...

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References

About the Oklahoma City VA Medical Center. (2016). Oklahoma City VA Medical Center. Retrieved from  http://www.oklahoma.va.gov/about/ .

About VA. (2016). Department of Veterans Affairs. Retrieved from   / about_va/vahistory.asp.http://www.va.gov 

Breen, K. J. & Plueckhahn, V. D. (2002). Ethics, law, and medical practice. St. Leonards, NSW: Allen & Unwin.

Carter, P. (2016). How to fix the VA. Slate. Retrieved from   / the_works/2016/03/25/slate_s_infinite_scroll_implementation_explained.html.http://www.slate.com/blogs 

Nursing Leadership and Management
Organizational Analysis -- The Organization

The hospital is well recognized and has been named a top 100 Heart hospital and top 100 hospitals nationally. The organization also has a nationally ranked children's hospital that has newborn and pediatric intensive care services. Sanford Medical Center is a level II trauma center that is supported by AirMed transport services that cover a three-state area. The services offered within the facility include:

• 3D Mammography

• Allergy & Immunology

• Behavioral Health

• Breast Health

• Cancer/Oncology

• Children's/Pediatrics

• Dermatology & Cosmetic Services

• Diabetes & Endocrinology

• Ear, Nose & Throat

• Emergency Medicine

• Family Medicine

• Neurology

• Ophthalmology

• Cardiology

• Palliative care

• Laboratory and Pathology

• Surgery

• Radiology

Sanford Medical Center is a not-for-profit rural health facility. The facility does partner with the community to bring health and healing to the people living and working across its region. At the core of the facility is ensuring that healthcare benefits reach the communities…...

Business Case Quality for Athens Medical Center
A cost reduction, and high quality healthcare delivery are paramount to the values of a healthcare organization. Typically, a cost reduction is driven by operational quality, and clinical improvement leading to removal of harm, variation and waste. The objective of this paper is to present a business case to achieve quality improvement for Athens Medical Center to deliver optimal quality improve patients outcomes. Moreover, the business case develops the implementation plan to enhance the quality of healthcare delivery for our Medical Center. The implementation plan will focus on health education for diabetes patients. After 6 months of the plan implementation, the paper previews that 50% of diabetes patients who receive the health education will record a lower HA1C by 1 point. At least, 25% of the patients will be able to lower their HA1C by 2 points. (Homer et al., 2004, Swensen et al.,…...

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References

Bailit, M., Dyer, M. B. (2004). Beyond bankable dollars: Establishing a business case for improving health care. The Commonwealth Fund.

Finkler, S. A., Jones, C. B., & Kovner, C. T. (2013). Financial management for nurses and executives (4th ed.). St. Louis, MO: Elsevier.

Goudreau, K. A. & Smolenski, M. C. (2014). Health policy and advanced nursing practice. New York, NY: Springer.

Henriksen, K., Battles, J. B., Keyes, M. A., Grady, M. L., Hagg, H. W., Workman-Germann, J., ... & Doebbeling, B. N. (2008). Implementation of systems redesign: approaches to spread and sustain adoption.

Innovative Medical Treatments and Technologies Pioneered by the Cleveland Clinic

The Cleveland Clinic, a world-renowned academic medical center, has a long-standing history of innovation and pioneering cutting-edge medical treatments and technologies. With its commitment to research and development, the Clinic continues to push the boundaries of healthcare, offering patients access to the latest advancements in medicine. Here are some of the innovative treatments and technologies currently being pioneered by the Cleveland Clinic:

1. Robotic Surgery:

The Cleveland Clinic is a leader in robotic surgery, using advanced robotic systems to perform complex procedures with greater precision, accuracy, and minimally invasive techniques. The da Vinci....