...Case Study 9 Boston Medical Center 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 Marginal cost estimate is $ 71,468 2.) What is the ‘relevant range’ for the cost structure? In other words, at what volume might you expect the fixed and variable costs to change appreciably? * The current amount of patients treated for liver transplant volume totaled 120 patients annually, with a reimbursement rate of $140,000, providing the hospital with the ability to handle 30 more patients before the fixed costs would increase. 120 +30= 150. This means that the hospital can sufficiently handle a capacity of 150 patients, but after 150 at 151 the expected fixed and variable costs will change appreciably. * The total average cost $140,000 for 19 days of average length of stay- per diem of $6,000 a day this can be reduced by almost $12,000 dollars by decreasing LOS by 2 days. 3.) What fixed cost proportion is implied if the price for Phase 4 hospital services is set at $90,000? HINTS: This is an iterative process, arrived at by trying different fixed cost percentages in the template. Also, remember that the Center’s price at this point is based on the marginal (variable) cost. * 37 % is the fixed portion that if implied for phase 4 hospital services would set services at approximately $90,0000, * 37 percent is $89,997...
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...been closed. Yelling for help, my nurse ran inside to assess the situation and a charge nurse entered my room shortly after to suture it. What was supposed to be a three day recovery, turned into an arduous month long hospital stay. I became anemic from the loss of blood, had to regain the strength in my legs through physical therapy, and I lost twenty pounds. While most hear this story and become discouraged to trust hospitals, I use this experience for motivation. Before, I thought that my end goal was to become a professional soccer player. Playing competitively throughout my life has taught me that I can achieve even the most difficult of challenges when I make it my passion. Now, my main passion is to become a physician. I see medical facilities and feel an uncontrollable urge to understand the hospital system and visit patients. I am also constantly wondering how the human body works and how health can be...
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...Marketing Research and Segmentation Problem Jennifer Lapponese HCS/539 August 20, 2012 Andrea Linder Marketing Research and Segmentation Problem Lifestyle Analysis The Children's Hospital at Montefiore (CHAM) is one of the nation's top-ranked pediatric hospitals, committed to providing care that transforms the health of children. The Children’s Hospital at Montefiore serves an inner-city population for primary care. By combining supreme clinical expertise, cutting-edge technology and outstanding medical education, In addition to exceptional health care, CHAM offers many non-clinical services to complement medical treatments and comfort for children and families of the Bronx and surrounding areas during their stay. These supportive services are highly dependent on charitable donations from caring donors. The dynamic nature of the health care industry requires diligent consideration to the preferences and opinions of the consumer. In an effort to provide a health service driven by consumer preferences, marketing research must occur. Marketing research gathers and studies the complex needs and concerns of the consumer to develop a strategy that meets the demands of the consumer. Research might predict demand and increase market share in a time when a marketing dollars need to have high impact on the audience. One way to narrow the market is through market segmentation. Market segmentation allows organizations to target consumers who will value a particular service based...
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...|Week 4 | |Jon Doe | Houston Methodist Hospital is the leading hospital of The Methodist Hospital System. It’s located in the Texas Medical Center in Houston, Texas; The Methodist Hospital was established in 1919 as an outreach ministry of Methodist Episcopal Church. Methodist Hospital is one of most comprehensive teaching hospitals in the United States with prominent specialists in every field of medicine. Methodist has consistently ranked as “One of America’s Best Hospitals” according to U.S News and World Report. The Mission statement for Houston Methodist Hospital is “To provide high quality, cost-effective health care that delivers the best value to the people in a spiritual environment of caring in association with internationally recognized teaching and research” (Methodist, 2013). Furthermore, Houston Methodist Hospital is a nonprofit health care organization. Currently, The President and the CEO of Houston Methodist Hospital is Marc L. Boom, M.D. Houston Methodist’s being recognized as one of the best hospital in Texas, Houston Methodist’s vision “is to be among the nation’s leading academic medical centers and health systems – providing patients in Houston and beyond a quality of health care unmatched by others” (Methodist, 2013). Houston Methodist Hospital has earned worldwide recognition in multiple specialties such as; cardiovascular surgery, cancer...
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...Field Trip Report Hackensack University Medical Center, part of the Hackensack University Health Network was founded in 1888. It is the best hospital in New Jersey and the third Best Hospital in Metro Area. In the national hospital ranking, Hackensack University Medical Center is one of the Top 50 hospitals in the United States. It is also one of the National’s Largest Cancer Centers, a National-Renowned Children’s Hospital and an Environmentally-Friendly Hospital Designed Just for Women. On April 7th, 2015, under the directions of Dr. Ramnarayanan, we had a trip to Hackensack University Medical Center to see how supply chain is used in the running of one of the best hospital in the United States. In the trip, the Vice-President of Supply Chain Management showed us how the supply chain works in HUMC to help them to improve their work efficiency, and told us about the benefits that the supply chain bring to HUMC. With the new technology used into the supply chain system in HUMC, automating manual processes become possible. Before, HUMC used paper work for the input and output of the medical device from the storage, the statistic of the medical device cost a lot of time and labor. Right now, they use the new technology to make this work much easier. The new handheld device can scan the barcode of each medical device, record the input and output of the medical device at the first time, then, send the data to the computer for statistic. Also, this can help the doctor to order...
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...Virginia Mason Medical Center Case study Question 1 How could TPS be used to solve the problems that Kaplan was facing at VMMC? VMMC was facing several critical issues when Kaplan assumed leadership of the organization: * High number of competitors in same geographic area * Lost substantial amount of money for the first time * Low morale among staff While Kaplan had implemented some changes to cut costs, he really needed to identify systematic ways to improve the quality of service and differentiate VMMC from its competitors. This is where TPS would prove valuable. Instead of being just another approach by management to create a more cost effective organization, TPS focuses on creating a culture of teamwork with the ultimate goal of delivering the highest quality service possible to the customer. And as a result of this focus on improvement, eventually costs are reduced. And lastly, TPS involves employees in the process and shifts the focus of management to the role of facilitator. Ideally these changes would undo some of the damage from past strategic innovations at VMMC and increase the staff morale. Why does TPS work at VMMC, while other similar approaches, i.e. TQM, have failed? The healthcare industry presents an interesting challenge: the relationship between the hospital and the physicians who work there. Historically the VMMC had a very difficult relationship with its physicians because they felt entitled to do what they wanted while it was...
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...BUS 695 Homework Overview Sheet 1. Text Reading: 1. Why do companies decide to enter foreign markets? 2. What are the positives and negatives of the impact of government policies and economic conditions in host countries? 3. What are political risks? 4. What are economic risks? 5. What are the concepts of multidomestic competition and global competition? 2. Current Events: http://www.roanoke.com/news/business/colorofmoney/2274592-12/money-and-happiness-are-not-unrelated.html Money and Happiness are not related By Michelle Singletary Elizabeth Dunn is an associate professor of psychology at the University of British Columbia and Michael Norton is an associate professor of marketing at the Harvard Business School. They wrote “Happy Money: the Science of Smarter Spending”. In this book they discuss how Money on its own does not give you overall happiness but the way you spend it can buy you happiness. They say ‘Shifting from buying stuff to buying experiences, and from spending on yourself to spending on other, can have a dramatic impact on happiness’. They tell you how to spend money in less typical but more pleasing ways. Here are their five principles. 1. Set aside money for experiences like vacations. 2. Have a special treat something you normally wouldn’t buy. 3. Buy Time. Hire someone to mow you lawn. Less stress. 4. Pay now consume later. Purchase a high end vacation now you will be less likely to be frugal on your vacation because...
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...Living in the moment can be difficult in todays’ fast pace society. We’re always on the move and never have time to relax. When meditating though, one can achieve living in the moment and relaxation all at the same time. Meditation has been practiced for thousands of years for religious and personal purposes. Meditation has also become a popular topic of research for universities and hospitals like Benson-Henry institute. When meditating one is engaging in the practice of relaxation and living for the moment. Meditation is a built in instinct we all have. One just has to learn how to tap into their natural ability to start rejuvenating their mind and body. There are hundreds of different ways to meditate and there is no one technique suitable for everyone. Most people associate meditation to just one practice. The practice of sitting crossed legged with a clear state of mind. This is a very popular form of meditation but one does not need to sit cross legged or even clear their mind to meditate. One just needs to find what is suitable for them. There are four main categories for meditation mindful, spiritual, movement and, focused meditation. Mindful meditation is when one sits crossed legged and enters a flow like state of mind. This means you allow your mind to flow from one thought to the next without really focusing on one particular thing. It is also the most popular practice of meditation in the Midwest. Spiritual meditation is the practice of using vibrations or sounds...
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...2013 IL App (3d) 120450 Opinion filed February 26, 2013 IN THE APPELLATE COURT OF ILLINOIS THIRD DISTRICT A.D., 2013 GARY WILLMS, Plaintiff-Appellant, v. OSF HEALTHCARE SYSTEM., Defendant-Appellee. ) ) ) ) ) ) ) ) ) ) ) ) ) Appeal from the Circuit Court of the 10th Judicial Circuit, Peoria County, Illinois, Appeal No. 3-12-0450 Circuit No. 11-L-252 Honorable David J. Dubicki, Judge, Presiding. JUSTICE O'BRIEN delivered the judgment of the court, with opinion. Justices Lytton and McDade concurred in the judgment and opinion. OPINION ¶1 The plaintiff, Gary Willms, a former employee of the defendant, OSF Healthcare System, alleged that he was terminated in violation of the Illinois Whistleblower Act (740 ILCS 174/1 et seq. (West 2008)). The trial court granted OSF Healthcare’s motion to dismiss, finding that Willms’ communication with an Illinois Department of Public Health inspector was not a “disclosure” under the Whistleblower Act. Willms appealed. ¶2 ¶3 FACTS Since this was a dismissal on the pleadings, the facts are as alleged in Willms’ complaint. Willms was employed as the maintenance director at the OSF Saint Clare Home for nine years. The St. Clare Home was owned and operated by OSF Healthcare. Willms was in charge of maintenance for the St. Clare Home. ¶4 In 2007, an outside contractor was hired to install a sidewalk between an exit door of the St. Clare Home and a parking lot. An inspector with the Illinois Department of Public Health initially...
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...Demonstrate your understanding and knowledge gained about session’s material. Complete with a short discussion (one paragraph) for each question on a Word document and upload through the courseware. Use the approach set of questions for either Beth Israel or TJX. For the Beth Israel outage case, answer these questions: 1. In your opinion, what decision options does Beth Israel Deaconess have in the case situation? Beth Israel Deaconess has few decision options as it pertains to their crisis with their network. They can choose to ignore the situation and hope it goes away; they can act as experts on their own working to solve the issue; they can request external help by an organization that has expertise in the area; or they can shut down their network, work off of paper and move forward. They aren’t all necessarily good options but rather those available based on the network issue they are having. The most viable option, in my opinion, is that of external help – bringing in outside support to diagnose their problem and implement a plan and solution. 2. What criteria is important to making this decision? To make an important decision such as this, it is necessary to talk a look from a bird’s eye view of the situation. Understanding the overall problem – the system is down/not working correctly because it is outdated – and what is needed to fix it – updating the system – allows for solutions. In addition to this, an understanding of timeframe and available budget...
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...Unit 5 Assignment 1 The Ebola Virus The world has been racing against time for the past few months. We have been on the watch of this deadly virus (Ebola). The Ebola virus was first isolated and identified to 1976 in the Democratic Republic of Congo. We are miseducated on this virus as a society. The problem the world has is lack of knowledge on this virus. The virus is spread by contact of bodily fluids and blood from others who are infected. Currently there are no documented cases of the virus spreading through the air. The Government has stepped up by controlling all flights coming from the following hot zones. Nigeria, Guinea, Liberia and Sierra Leone passengers must come through one of five designated airports. The airports are Washington Dulles International, Atlanta’s Hartsfield-Jackson, Newark’s Liberty International, Chicago’s O’Hare, and New York’s John F. Kennedy International airport. The threat of Ebola is limited by placing people in quarantine whom show signs of Ebola infection. The sudden onset of fever, fatigue, muscle pain, headache and sore throat is early indicator of the virus. Vomit, diarrhea, red eyes, chest pain, cough, stomach pain, severe weight loss are further indicators of infection. The previous countermeasures mentioned could help control the risk and the spread of .Ebola. The introduction of the following vaccines may combat the problem of Ebola. The first vaccine was developed by the U.S. National Institutes of Health and GlaxoSmithKline...
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...Erlinda Kintanar Alburo is a prolific contemporary Cebuano language scholar and promoter of the language. She is the Director of the Cebuano Studies Center of the University of San Carlos, Philippines. She is an active member of Women in Literary Arts (WILA), and writes poetry both in English and cebuano. She teaches on the anthropology of linguistics. Works: * Cebu Provincial History Project. Cluster 1 editor * Sinug-ang: A Cebuano trio, by Erlinda K. Alburo, Cora Almerio, and Ester Tapia. Women in Literary Arts-Cebu, Inc., 1999. Poems in English by three Cebuanas. * Dulaang Cebuano, edited by Erlinda K. Alburo, Resil Mojares, and Don Pagusara. Ateneo de Manila University Press, 1993. Collection of Cebuano plays. * Panulaang Cebuano, collected by Erlinda K. Alburo and with introduction by Resil B. Mojares. Ateneo de Manila University Press, 1993. Collection of Cebuano poems. * Bibliography of Cebuano folklore, University of San Carlos, 1977. * Cebuano poetry = Sugboanong balak. Edited and translated by Erlinda K. Alburo et al. Cebuano Studies Center, University of San Carlos, 1988. Cebuano poetry with translations into English. * Centering voices: an anthology. Edited by Erlinda K. Alburo, Erma M. Cuizon and Ma. Paloma A. Sandiego. Women in Literary Arts, 1995. Poems and short stories in English and Tagalog. * Cebuano folksongs. Editor/translator, Erlinda K. Alburo. University of San Carlos, 1978. * Gawad Bonifacio sa panitikan...
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... The Turnaround by George Pelecanos is a story designed to make the reader take a look into the past with a racial divide that was present within the communities of Washington D.C. It provides a setting that was present just after the Civil Rights Movement by discussing the genre of music and what athletes played basketball at the time. The Turnaround, is a fiction story which takes view points from young teenagers, not yet adults and what occurred one summer afternoon. It plays into the reader’s mind that the divide was very real, and that whites and blacks viewed one another completely different that one was group was of lower class and another group was more likely to succeed at life based off of their skin complexion and their location in Washington D.C. After the description by Pelecanos, the story then fast forwards to present day and focuses on how times have changed in their neighborhoods, while discussing the growth of each of the round characters. This growth took the round characters through a journey of pain, filled with regret to a road of redemption that lead to forgiveness and moving forward into a future together not as enemies or acquaintances, but as friends who end up viewing one another as family. Three of the characters that made a drastic change and found a hard time arriving to their individual development from their childhood were, Alex Pappas, Raymond Monroe, and James Monroe. The flat character of the Turnaround who made no strides or efforts into bettering...
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...1. The ability for a doctor to communicate with their patients can calm their fears. People go to the doctor because they are afraid something is wrong and a good communicator can inform a patient that there is nothing to fear and it goes with the saying “he has a good bedside manner”. Physicians who communicate well are less likely to be sued for malpractice than poor communicators, says Dr. Greg Schneider, assistant professor of family practice and community medicine at UT Southwestern Medical School at Dallas(Good Bedside Manners Make a Difference, Internet Article, Megan Malugani). 2. What are the ramifications of teacher misbehaviors on education? Teachers are pivotal to student perceptions of learning (West, 1994). Some of the educational outcomes of teacher misbehavior are it demotivates the student from learning, it causes a higher negative effect toward course material and it also negatively effects the learning development of low achieving students. Reference: Causes and effects of teacher conflict-inducing attitudes towards pupils: a path analysis model, Florin A. Sava, 12 December 2001 3. Which management communication style would be most useful in the fast food industry? Why? The most effective communication style for the fast food industry to me would be Tell style because in a face paced industry like the fast food industry a manager should be making the decisions while the employee does the labor. I also think that the level of a fast food employee is...
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...the common issues to EMR implementation, these includes leadership, workflow, provider, training, data interface and end users. These issues speak a volume about the success or the failure of the implementation. Leadership plays a huge role in EMR Implementation. When I talk of leadership, I refer to a variety of personnel ranging from CEO to clinic staff who are able and willing to provide organizational support, remove barriers, provide framework for communication plans for all staff with adequate timeline to lead on the EMR project. I do agree with Stephen Badger who stated that, ‘if a senior team is united in its commitment to a project’s success, the project will almost certainly succeed’. A report from the American College of Medical Informatics stressed the need for unwavering commitment of the the top-level leadership as a factor to success in the EMR project. In most institution hospitals and other bigger clinics where EMR implementation was reported as a huge success, a dynamic leader was always noted as the driving force behind their HIT projects as in the case of Beth-Israel Deaconess Hospital where Dr. John Halamka championed their Information technology and clinical operation Project. It is therefore imperative to have a committed leader with foresight who can steadily drive people and resources. Little insight into the clinic’s workflows and roles by the vendors before and after the implementation of an EMR is a big issue among the providers. In most settings...
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