...STATE UNIVERSITY OF NEW YORK AT ALBANY Emanuel Medical Center Situational & Decision Analysis James T. Onisk 4/29/2012 Table of Contents Situational Analysis Appendices External Analysis Appendix A: S.W.O.T. Analysis Appendix B: External Trend/Issue Analysis Appendix C: Environmental Trends/Issues Plot Appendix D: Stakeholder Map Appendix E: Service Area Profile Appendix F: Service Area Structural Analysis Appendix G: Service Area Competitor Analysis Appendix H: Critical Success Factor Analysis Appendix I: Mapping Competitors Appendix J: Synthesizing the Analysis Internal Analysis Appendix K: Financial Analysis Appendix L: Value Chain Strengths and Weaknesses Appendix M: Value Chain Competitive Advantages Relative to Strengths Appendix N: Value Chain Competitive Disadvantages Relative to Weaknesses Appendix O: Strategic Implications of Strengths and Weaknesses References Decision Analysis Decision Analysis Appendices Appendix P: Directional Strategies Appendix Q: Adaptive Strategies Appendix R: Market Entry Strategies Appendix S: Strategic Positioning Appendix T: Value-Chain Funcations References 1 2-11 12-13 14-17 18-29 30-36 37-50 51-60 61-66 67 I-VII 68-74 75-81 82-86 87-91 92-95 96-105 VIII-XV 106-109 110-122 123-125 126-128 129-135 136 Issue Statement Emanuel Medical Center (EMC) is encountering tremendous financial troubles as it struggles to remain open as an independent general acute care hospital. Changes in federal regulations such as the implementation...
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...research identifies two operating ratios donors commonly use to evaluate the efficiency and effectiveness of nonprofits (i.e., the program service ratio, defined as the fraction of total expenses committed to advancing the charitable mission of the organization, and the fundraising ratio, defined as the ratio of fundraising expenses to donations revenue). Nonprofit managers have an incentive to over-report the expenses classified as program services and under-report the expenses classified as administrative and fundraising in order to improve these ratios. We examine whether nonprofits respond to these incentives, and we find evidence consistent with opportunistic cost shifting to improve the program service and fundraising ratios. Additional analysis finds that smaller nonprofits that are more reliant on donations revenue manipulate their operating ratios to a greater extent. JEL classification: M4; L3 Key words: Nonprofit organizations, earnings management, disclosure, hospitals. ______________________________________________________________________________ *Corresponding author. Tel.: (319) 335-0841; fax (319) ; email: robert_yetman@uiowa.edu 1 We thank Ashiq Ali, Ramji Balakrishnan, Leslie Eldenburg, Lil Mills, Shiva Sivaramakrishnan, and workshop participants at the University of Arizona and Texas A&M University for their helpful comments. 1. Introduction This...
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...Public Policy Analysis Fredrick Wallace Capella University POLICY ANALYSIS OF THE ACT TO AMEND SECTIONS 4145 AND 4147OF, AND REPEAL SECTION 4146 OF , BUSINESS AND PROFESSION CODE, TO AMEND SECTION11364OF,AND TO ADD CHAPTER 13.5 (COMMENSING WITH SECTION 121285) TO PART 4 DIVISION 105 OF, THE HEALTH AND SAFETY CODE, RELATING TO HYPODERMIC NEEDLES AND SYRINGES (Senate Bill 1159) SUMMARY Senate Bill (SB) 1159 makes the Disease Prevention Demonstration Project (DPDP), cooperation in the middle of drug stores and nearby and the government health authorities. Area under discussion of the local government approval, Senate Bill 1159 permits authorized drug stores which are listed enlisted in the health division that offer ten or less sterile needles and syringes, permitting the government to take an interest in the management state venture. The procurement dusks on December 31, 2010, if not the governing body revises law which amplify otherwise dispense with the nightfall day. Senate Bill 1159 mandates drug stores that create deals that embrace endorsed exercises, together with submission of clean injection disposal projects towards assurance to those syringes and needles will be discarded within a suitable way, as well as giving composed data otherwise unwritten advising taking place the most proficient method to get to medical action, in addition to assessment and cure of HIV and hepatitis C infection (HCV). Senate Bill 1159 allows an individual to have 10 clean syringes...
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...Marketing Plan Background IN-DEPTH MOBILE RADIOLOGY is a new medical staffing and mobile diagnostic company that caters to medical facilities that are in need of our services. Our company provides a couple of types of service who are in need of diagnostic machines or technologists. The first type of service is acquiring trailer truck based mobile MRI or CT scanner machines or providing ultrasound and mobile x-ray machines. The market is open for medical facilities, nursing homes or rehabilitation centers that do not have their own diagnostic equipment and instead of purchasing their own machine that cost so much our company can offer our services to bring our mobile machines into their facilities parked outside gets all their procedures done for the cheapest price possible. The second type of service is staffing for surgical centers or medical facilities providing technologists that would operate the advanced fluoroscopic x-rays, CT scans, MRI, ultrasound, bone density and other medical diagnostic equipment that needs a certification to operate. Most medical facilities have procedures daily but not all of their cases need x-ray, so it would be best for them to hire a temp rather than have a regular tech. IN-DEPTH MOBILE RADIOLOGY will base its main facility in the area of Palm Springs and Indio California by the 10 freeway for easier access to walk in clients. After surveying the area of southern California, we found that the Palm Springs area is one of the top 25 places...
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...Business Continuity Plan Under Development (May 2006) California State University, Stanislaus CALIFORNIA STATE UNIVERSITY, STANISLAUS BUSINESS CONTINUITY PLAN May 2006 Table of Contents INTRODUCTION I. II. III. IV. V. Incident Command System Business Impact Analysis Risk Assessment Business Plan for Localized Business Disruption Business Plan for Pandemics Page 3 Pages 4-7 Pages 8-11 Pages 12-13 Pages 14-15 Pages 16-17 Pages 18-19 Pages 20-36 Appendix IV-A: Power Outage Business Continuity Plan Appendix V-A: Pandemic Flu Business Continuity Plan 2 Final CP 5-30-06 CALIFORNIA STATE UNIVERSITY, STANISLAUS BUSINESS CONTINUITY PLAN May 2006 INTRODUCTION A Business Continuity Plan (BCP) is developed by an institution to plan for and describe how it will respond to and recover from disruptions. These disruptions can be localized threats (e.g., earthquakes, fires, floods, bombs, etc.) or global threats (e.g., Flu Pandemic). As part of the overall Emergency Operations Plan, California State University, Stanislaus has developed, and continues to refine and enhance, a Business Continuity Plan (BCP) for the University. This plan is about maintaining, resuming, and recovering the University’s activities as an educational institution. It considers human factors along with operational issues. The BCP was developed by a team of the University’s senior administrators and department managers representing all University divisions: Business & Finance, Academic Affairs...
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...system view the organization and the organizationÕs effect on their case management practice. Design: Semistructured interviews were conducted utilizing the Bolman—Deal Organizational Model. This model identifies four frames of an organization: symbolic, human resources, political, and structural. Sample: A purposive sample of nine nurses and one social worker was selected to participate in comprehensive interviews. Results: Data analysis identified two main themes. The first theme was the presence of organizational structural barriers to providing case management. The second theme was the lack of political influence by the nurses to change the structure of the organization; hence, their skills could be more completely utilized. Conclusions: Public health nurses who work in child welfare will need to systematically analyze their role within the organization and understand how to work in Òhost settings.Ó Nursing educators need to prepare public health nurses to work in non-health care settings by teaching organizational analysis. Key words: child protective services, organization, public health nursing. The purpose of this exploratory qualitative descriptive study was to investigate how public health nurses working in the child welfare system in a large metropolitan county in California view the organization. The study utilized the Bolman—Deal Organizational ModelÕs (1997) four frames for organizational analysis: symbolic, political, human resource, and structural. Public health...
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...Emergency preparedness is the ability of individuals, organizations, and communities to respond to public health emergencies, such as natural disasters, bad weather, bioterrorism, outbreak of diseases, accidents casualties, and chemical or radiation emergencies. The most indigenous role of the federal, state or local government is to protect and prevent citizens from injury or potential harm, which involves helping people to prepare and respond to emergency situation, including people with disabilities. To plan and respond to community emergency require involvement of everybody in the community, including people with disabilities in identifying needs in evaluating operational management. The issues identified with people of disabilities include notification, evacuation, transportation, sheltering, access to information, medication, refrigeration, backup power, and to mobility devices or service animals en route to shelter. Emergency preparedness is pertinent for every community because it could be a life-threatening situation. Summary of the event that took place at the Neighborhood community as read under the course materials section in the newspaper articles and scenarios in the Pearson Health Science Neighborhood in season two, episode five from University of Phoenix student website. The Neighborhood has a population of 64,200, localized close to a forest and beside the bank of a river. The community has been experiencing fire out-break for five days and had caused irreversible...
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...Project Charter UNIVERSITY OF CALIFORNIA CUSTOMER RELATIONSHIP MANAGEMENT TOOL IMPLEMENTATION Prepared for University of California, Office of the President Table of Contents BACKGROUND.. ................................................................................................................................ ……….3 MISSION…………………………………………………………………………………………………………………………………………………………..3 PROJECT SCOPE ......................................................................................................................................... 4 BuSINESS OBJECTIVES .................................................................................................................................. 4 PROJECT OBJECTIVES .................................................................................................................................... 4 Release Phase One Scope........................................................................................................................ 4 PROJECT DEPENDENCIES ...............................................................................................................................5 OUT OF SCOPE AND ASSUMPTIONS.....................................................................................................................5 PROJECT GOVERNANCE MODEL .................................................................................................................. 7 KEY STAKEHOLDERS...
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...quality services” (2013). Health care industry rules and regulations are determined by regulatory agencies, local, federal and state with mandatory oversight. Accreditation agencies require participation that is voluntary because certification of quality provides important ranking. Large private organization and the government help develop and enforce health care regulations. Role Governmental regulatory agencies in health care are the “Food and Drug Administration (FDA), The Agency for Healthcare Research & Quality (AHRQ), The Centers for Medicare & Medicaid Services (CMS), The Centers for Disease Control and Prevention (CDC), and The Occupational Safety & Health Administration (OSHA)” (2013). Regulatory agencies serve different purposes, “the oversight of drugs, medical devices, vaccines, blood products, and biologics, establishing rules for testing, clinical trials, approval of new products. Monitoring of safety, medical errors and adverse reactions to treatments, alerting the health care industry of risks associated...
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...The name Karen Ann Quinlan brings to mind the plight of many apparently terminally ill patients who are kept alive by lifesustaining mechanical procedures. On March 31, 1976, the New Jersey Supreme Court spoke to the issue raised by Miss Quinlan's specific plight and said, based on Karen's right to privacy, that "The present life support systems may be withdr?~m * * * without any civil or criminal liability therefore on the part of any participants." Ironically, Miss Quinlan lives on; so does the question of the role of machines and medication in sustaining vital functions and the propriety of stopping or withholding such treatment from patients. The dilemma doctors, patients, relatives and the legal community face in cases like Karen's is largely due to medical progress in the development of ever more sophisticated means of life support. Several years ago, a patient died when his heart stopped and "extraordinary" treaL"Uent consisted of an injection of adrenaline. However, with respirators, heartlung machines, organ transplants and similar measures, patients who would have died in the past can now be kept alive, at least technically, for weeks, months and even years. The slogan "death with dignity" implies a rejection of the paraphernalia by which a terminal patient is kept alive, usually at great cost to his family and in isolation from it. Such "intensive care," so the argument goes, is often less for the patient's benefit than for the physician's. It allegedly reduces the...
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...Case Study 13 Analysis Elizabeth Sapp University of North Carolina at Charlotte The situational analysis of Emanuel Medical Center (EMC) reveals a not-for profit independent hospital located in Turlock, California that is encountering financial troubles as it struggles to remain open. Changes in federal regulations such as the implementation of the EMTALA (Emergency Medical Treatment and Active Labor Act) laws and lower reimbursement rates for federally run insurance programs, changes in service area demographics, and the evolution of the services that locally competing hospitals offer have all contributed to five consecutive negative operating margins for EMC. (Harris, Vogt, & Gilinsky, 2004). Strategic Options Strategic issues are those events that affect an organization and its position within its environment. In the case of EMC the President and CEO, Robert Moen will need to discuss the options available to the hospital with other leaders through strategic planning. This is a process of developing steps for an organization to accomplish its mission and vision through strategic strategies. To make this process a success analyzing and understanding the situation is done by performing an external and internal environmental analysis along with refining the organizations’ directional strategies. In the end, EMC has five possible strategic options including, merging the hospital, selling the hospital, closing the ED, closing the hospital, or doing nothing and trying to...
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...Medical Malpractice Tort Reform in the Healthcare Industry Medical malpractice reform, also known as tort reform, includes strategies to limit medical malpractice costs, deter medical errors and ensure that patients who are injured by medical negligence are fairly compensated. Tort reform has the potential to reduce health care expenditures by reducing the number of malpractice claims, the average size of malpractice awards and tort liability system administrative costs (Medical Malpractice Reform, 2011). Since the 1970s, medical malpractice has been a controversial social issue, which has caused physicians to have increasing concerns about the large number of lawsuits and the negative connotations that tend to go along with them. Physicians have started pushing for legal reforms to decrease the large monetary awards for damages whereas tort attorneys have argued that the negligence suits are an effective way of compensating the victims fairly and forcing the medical professions to follow a proper standard of care (Pozgar, 2013). An article from the Journal of Patient Safety estimates that between 210,000 to 400,000 people die every year in the U.S. from hospital medical errors and 1 in 14 U.S. doctors face a malpractice lawsuit every year (Corapi, 2014). Physicians and healthcare providers argue that the millions of dollars that are awarded in damages increase the cost of healthcare by passing this cost onto the consumer in the form of higher insurance premiums and...
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...New Medical Devices in the US August 13 2010 Table of Contents 1. Introduction……………………………………………………………………………………………………………………………………2 2. Background and Framework……………………………………………………………………………………………………………4 2.1 Priority Medical Devices for the Netherlands…..……………………………………………………………………4 2.2 The US Vision: From see and treat to predict and prevent……………………………………………………6 2.3 Conclusions…………………………………………………………………………………………………………………………..7 3. Medical device sector in the US………………………………………………………………………………………………………8 3.1 Economic Impact…..………………………………………………………………………………………………………………8 3.2 The Sector by State…..…………………………………………………………………………………………………………10 3.3 Key Institutes: Patent Applications in the Cluster Areas…..………………………………………………….13 3.4 Conclusions…..…………………………………………………………………………………………………………………….20 4. Turning research into novel medical devices………………………………………………………………………………….22 4.1 The Medical Device Development Process…..……………………………………………………………………..22 4.2 CIMIT: A Structure for Medical Device Innovation…..………………………………………………………….23 4.3 Stanford Biodesign: Innovation as a Discipline…..………………………………………………………………..26 4.4 Conclusions and Recommendations…..……………………………………………………………………………….28 5. Summary and Conclusions…………………………………………………………………………………………………………….30 6. Acknowledgements……………………………………………………………………………………………………………………….32 7. References…………………………………………………………………………………………………………………………………….33 Appendices A1 Selection of Key Institutes A2 Results Patent Analysis A3 Research...
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...Professor Course Date Health care is the sustenance as well as enhancement of substantial and rational health particularly through the prerequisite of health services. Consequently, this paper shall look on articles related to clinical laboratory science as well as medical technology. What is clinical laboratory science: Department of Allied Sciences The occupation regarding clinical laboratory science technology also known as health technology is the medical career that offers more concerning laboratory technology. Thus, this also includes the services that are required for the identification along with healing of an illness. Consequently, the clinical laboratory scientists do execute an assortment of laboratory experiments so as to guarantee that the eminences of the test outcomes are correct. Among the paradigms of laboratory tests performed by the clinical laboratory, scientist do comprise of the discovery of the abnormal cells which leads to leukemia. Thus, the detection of DNA indicators for hereditary illnesses is also a test that is performed by the scientist. The careers that relate to clinical laboratory science do involve clinical laboratory broadness in the health facilities, treatment centers as well as viable laboratories. Another occupation entails of clinical laboratory administrators, directors as well as the supervisors in the health offices that they are stationed (Journal of clinical laboratory science 2015). The careers in clinical laboratory are alternate...
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...| California State University, Long Beach County Project: Plumas Brandon Gonzales ID#: 012658332 HCA 300 MW 9:30-10:45am 10/31/2014 Word Count: ~3,812 Abstract This paper will present an assessment and analysis of the health care information researched in Plumas County with addition to percentages and statistics gathered from registered sites and resources. This paper will also develop health resolutions and suggestions that are to be taken in to consideration with a resources profile and analysis. The research provided, focusing on the iron triangle made up of cost, access, and quality; will identify alarming health problems with increases and/or decreases to access and quality taken from legitimate sources and government data and surveys. The future consequences of these following problems, how Plumas County's health professionals plan to act on them, and recommendations to generate solutions will also be presented. A population research conducted in 2013, the "United States Census Bureau" estimated a total population of 18,859 residents in Plumas County making up .05% of California's total population estimated at 38,332,521. Since 2010, the county has shown a 6% decrease in total population losing more than a thousand people in the past 3 years. Plumas County contains a very small fraction of California's residents compared to larger counties in the state. A more precise breakdown of the research in population provided by the "U.S. Census Bureau"...
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