...Steps 1-3 – The Problem Identification Stage Step 1 – Review the case and identify the relevant facts Problem situations or cases often include extraneous information or irrelevant ‘stuff’. Therefore, when you are trying to find a solution to a situation or to answer a case question, the first step is to identify the key facts so that you can figure out what is going on before deciding how to answer or solve the problem. In advanced courses, this usually involves extensive research but in an introductory or foundation level course, you will typically only use the information in the case. However, to do well in any case study assignment, it is important to read the case carefully and also to make sure you fully understand what the assignment and/or case questions are asking for. As you review the case, this will help you to identify what you need to pay attention to and what to ignore. That’s what relevance means – eliminating ‘stuff’ and identifying the important facts in a situation. Let us assume that you have just read a case entitled XYZ company and are trying to answer the following question: What are the current challenges facing XYZ company? You must identify and list the key facts which, for the purposes of our example, are those listed below: * The government has recently deregulated the industry to stimulate competition. * Telecommunications advances have led to increasing internet use. * More and more users are comparison shopping on the...
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...Case Study Analysis The Case of the Unhealthy Hospital Submitted by: Date: Contents Introduction 3 Reid to Demonstrate Strategic Leadership Qualities 3 Strategic Planning 4 Invest in Clinics 4 Better Working Relationship with Stakeholders 6 Create Separate Governing Council 6 No Staff Reduction 6 Industry Experts Advise 7 Dan Pellegrini 7 Ellen Schall 7 Keith F. Safian 8 Jane Delgado 8 Bernard Lachner 8 Conclusion 9 References 10 Introduction Bruce Reid has been recently appointed the CEO of Blake Memorial Hospital, which is facing a tough time. The hospital’s financial health was not good; it suffered from rising costs, static revenue, and declining quality of care. Bruce Reid found his assignment far more challenging than he anticipated while taking over the responsibility. Currently the challenges in front of him are to improve the quality of healthcare services and the financial health of the hospital. Reid has less than a week to finalize his $70 million budget for approval by the hospital’s board. One major issue he needs to address is the future of six off-site clinics, which are incurring losses. He needs to arrive at the conclusion to close them or continue operating them as he is stuck between Blake’s responsibility to serve the uninsured on one hand and to remain viable and self-sustaining on other hand. To arrive at the conclusion he has been advised by few industry experts. Reid to Demonstrate Strategic Leadership Qualities ...
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...Case Study Health Services Management II Case Study The issue that is standing out with Hillcrest Memorial Hospital is the dramatic increase of employee turnover throughout the past year. According to the surveys given, there does not seem to be a problem with the pay and benefits for the employees, it is the dissatisfaction with job autonomy. Hillcrest operates under a traditional hierarchy structure which includes the more dictorial roles rather than the more participative roles of managers and employees. A traditional hierarchy is one that has relative little open communication between the different levels of employees, with those who are assigned to work within departments normally being assigned to jobs and told what to do without an ability to have input into policies and procedures (What Is a Traditional Organizational Structure, n.d., para 1). Hillcrest employees have limited freedom and are neither motivated nor empowered by managers. The managers also do not like empowering the employees because they feel they will run amok and the company will suffer. Upper management needs to start thinking seriously about motivating and empowering the employees of Hillcrest. If they do not, the business runs the risk of closure because we cannot keep employees or the right employees to run the business properly. We run the risk of poor customer service and negative impact on Hillcrest because of that poor service. Upper management needs to understand that...
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...Review of article: “Statin Use and Risk of Cerebral Aneurysm Rupture: A Hospital-based Case-control Study in Japan,” Y. Yoshimura, Y. Murakami, et al. Design and Data Collection The presented study is a case-control study design, meaning it is based on measuring the associations between statin administration and the likely rupture of a cerebral aneurysm in purposefully selected indicator and control populations. The foundation of the study grew from theoretical components tied to animal models used in the past. The underlying conditions of interest are important but not commonly seen in humans, making it difficult to know the best medical measurements and, if possible, prescriptive interventions for unruptured neurological disorders, which generally now can be dealt with by way of surgical interventions. The written assessment of the study indicated limited evidence of human studies showing the effect of statin drugs in reducing the risk of aneurysmal ruptures. The study model used in this investigation (case-control) is readily suitable to study uncommon diseases with low overall prevalence rates. However, given the impact such a condition could have on a population segment thought to have many years of productivity – and because of promising animal studies – the study was deemed beneficial as an initial step toward learning more about the drug’s beneficial indicators. The primary endpoint of focus was the likelihood of the rupture of an aneurism and the protective effect...
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...evaluate hypothetical situations in law cases, it is by no means limited to the study of the law. Useful for case studies presented in varied mediums such as narratives, videos/films, or recordings, the IRAC method may be applied to other activities such as defining a term or demonstrating a concept, principle, relationship, analogy, or contrasting idea. Often the instructional focus is on the end result of case study discussion rather than on how to "walk through" a method or approach to be used by the students in the case analysis (Bittner, M.1990). Issue: A recent court ruling should motivate hospital risk managers to conduct a careful periodic review of their facility's procedures and legal obligations when it comes to treating intoxicated patients. The patient, Kevin Kowalski, later wandered onto a nearby highway and was struck by a car, leaving him paralyzed below the neck. Throughout the case, Mr. Kowalski contended that even though he decided on his own to leave the hospital, the hospital should have prevented him from doing so based on his level of inebriation. Analyze: In order to analyze the specific details of our risk management-drunken patient lawsuit, we need to state the facts. In June 2007, the New York State Court of Appeals dismissed the lawsuit accusing St. Francis medical hospital of Poughkeepsie, of medical malpractice and negligence for preventing an intoxicated patient, Kevin Kowalski, from leaving the hospital while still intoxicated. Mr. Kowalski...
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...Case Study 1: Prelude To A Medical Error 1. Background Statement My case study is over chapters 4 and 7. The title is Prelude to a Medical Error. In this case study, Mrs. Bee is an elderly woman who was hospitalized after a bad fall. After her morning physical therapy, Mrs. Bee felt she could not breathe. Mrs. Bee had experienced terrible spasms in her left calf the previous evening and notified Nurse Karing. Nurse Karing proceeded to order a STAT venous Doppler X-ray to rule out thrombosis. She paged Dr. Cural to notify him that Mrs. Bee was having symptoms of thrombosis. Dr. Cural was upset that he was being bothered after a long day of work and shouted at the nurse, telling her he had evaluated Mrs. Bee that morning and to cancel the test. When Nurse Karing returned to the hospital the next day, Mrs. Bee’s symptoms were worse. She ordered the test. After complications, Dr. Krisis from the ER, came immediately to help stabilize Mrs. Bee. Unaware of Nurse Karing’s call to Dr. Cural, Dr. Krisis assumed the nursing staff was at fault for neglecting to notify Dr. Cural of Mrs. Bee’s status change the previous evening. Denying responsibility, Dr. Cural also blames the nursing staff for not contacting him. Not being informed of Mrs. Bee’s status change, her social worker, Mr. Friendly, arrives with the news that her insurance will cover physical therapy for one week at a rehabilitation facility and they will be there in one hour to pick her up. An angry Nurse Karing decides...
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...Case Tudy Example Regarding Decision Making Example of case study Let us examine the problem faced by Mr. Nataraj, Regional Manager of Alpha Pvt. Ltd. Alpha makes and distributes products from more than 10 international pharmaceutical and health care companies. Mr. Nataraj is responsible for managing existing clients and also to get new clients. He manages a number of sales representatives. Important customers have dedicated sales representatives, while other sales representatives try to get new clients. One day an important customer (Good Health Hospital) called Mr. Nataraj and complained that Mr. Bhavan (the sales representative) was ineffective and insisted he be removed, or else they would not give any business. Here are Mr. Nataraj's thoughts: * In an internal enquiry, Mr. Nataraj found that the real reason was personal differences between Mr. Bhavan and the hospital superintendent. * The track record of Mr. Bhavan was good and he was liked within the company. Dismissing him or even transferring him to a new region will affect the morale of the work force. * Good Health Hospital is a major customer and gives good business. Losing the hospital is not an option. Therefore the demands of the hospital have to be met. If you were Mr. Natraj - How will you solve this issue ? Here are some sample options: 1. Good Health Hospital is a major customer and cannot be displeased. I will remove or transfer Mr. Bhavan. 2. Mr. Bhavan is a loyal and hard working...
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...MEDFORD UNIVERSITY CASE STUDY ANALYSIS #3 Leilani P. Sharp Potomac College Abstract Medford University is a research university with about 10,000 students. It has a good liberal arts undergraduate program, a top-rated medical school, and a fine law school. It employs about 12,000 people. A majority of these employees work at the university hospital. Lately, the university has faced significant financial pressures. The hospital is under pressure to reduce costs because of changing health care regulation and insurance coverage. INTRODUCTION 1. President Kobayashi appointed a task force to consider the issue of fringe benefits. She could have asked the university’s human resources department to design a plan. The appointed task force to reduce expenditures and design a new package for the fringe benefit package offered to faculty and staff of Medford University. At the same time, President Kobayashi wants to maintain the quality of the faculty and staff abroad. This task force would consist of different members of the faculty and staff in hoping that each member would have specific knowledge to help or to contribute in the decision making process. As far as the human resources department in creating a new fringe benefit package for the faculty and staff, this may have caused some questions and raised eyebrows from employees in thinking that the package is geared toward the upper class members, the rich and the possibility to show more...
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...for hospitals. However, in recent years, due to various changes in health care with regard to changes in Medicare reimbursement, it has become increasingly difficult for hospitals to maximize their cardiac cath lab’s potential economic return. In order to tackle the patient flow quandaries of delayed start times, physician unavailability, improper staffing, and excessive non-productive time in the cardiac catheterization lab, the implementation of the use of a combined Six Sigma and Lean System quality improvement methodology is suggested. Six Sigma’s focus on customers (in this case, patients) and quality improvement will be beneficial in identifying areas of concern and will provide a structure for the identification of and changes to poor patient flow in a cardiac catheterization lab. The call center on the other hand is an important operational center for management of an organization which calls for increased efficiency. The most important process in the call center, which needs most improvement, is an agent handling inbound or outbound call. Six-sigma methodologies can produce major breakthroughs in call handling providing improved results for employees, customers, and shareholders. The five step DMAIC project for both cases: Define. Defining the issues and their importance is not difficult. Since starting the first case of the day plays such an important role in the flow for the rest of the day, a quality and process improvement plan must address this issue. Cases need...
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...Unit 5 IP – Challenges and Security Issues American InterContinental University Abstract In this assignment, review of three different case studies will be discussed. Topics will include when an antivirus software cripples your computer, determining how secure cloud computing is, and electronic medical records systems. After the review of each case study, a set of questions will be answered to provide details on each study as to what was reviewed. Challenges and Security Issues (Case Studies) Introduction In this assignment, review of three different case studies will be discussed. Topics will include when an antivirus software cripples your computer, determining how secure cloud computing is, and electronic medical records systems. Case Study #1 When Antivirus Software Cripples Your Computers On April 21, 2010, McAfee crippled hundreds of thousands of McAfee equipped machines, by mistakenly sending an update to its users reclassifying svchost.exe as being a malicious file which was known as W32/wecorl.a virus (Humphries, 2010, para 1-2). The factors that were responsible for this software problem was that McAfee failed to send users a warning notifying them that svchost.exe was going to be either deleted or quarantined; instead they deleted the file completely. On the other hand, failure to detect this error was at the fault of McAfee’s automated quality assurance. Another reason this spread so quickly is because of the high demand for faster antivirus updates....
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...interpretive and radical) according to their differing structures, processes and outcomes. Each view, or lens, directs attention to some aspects of politics and away from others, and each has strengths and weaknesses embedded in it. In order to assess whether multiple perspectives on politics can be fruitfully applied simultaneously, we describe and analyze a case of a hospital administration engaged in budgeting games and illusion making. The data for the case were collected using naturalistic inquiry and multiple methods including structured and unstructured interviews, review of documents, observation of meetings and casual interaction facilitated by frequent visits over a ten-month period. The case revolves around the hospital administrators' attempts to deal with what they termed a "disastrous deficit" and the most serious financial situation in the hospital's history. Strategies for dealing with the funding agency and board of directors included the management of meaning and communications about the term "deficit." The three perspectives on organizational politics highlight different dynamics in the case. The interpretive perspective on politics assumes that parties exert influence by constructing the meaning of what others experience. Focusing on a deeper structure of power, the elements of politics which become highlighted are the use of...
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...BSHS/335 I chose case study 14. Tavion was brought to the Methodist Hospital by his father for a broken arm. Taviaons father was reluctant to leave his side. When asked what happened to his son the father replied that he had fallen from the jungle gym at the playground. When the nurses took Tavion to do his x-rays they did not allow his father to come. They then questioned the boy about his injury and his response matched his fathers. However the boys injuries were clean and the story seemed false. When asked if he was scared of getting hurt at home his answer was no. Before leaving the hospital Tavions father requested that the medical records are released to no one, unless he was contacted. The following weekend Tavions mother, who is divorced, requested a copy of the hospital records because she suspected abuse. I do believe that Tavions mother has a right to the hospital records of her son, especially if she believes her son is being abused by his father. This does give the hospital the right to investigate further. Tavions mother knows the father of her son more than the hospital staff and if she has concerns it should be looked into. There are other departments that Tavions mother can go to for help if she suspects that her son is being physically abused. Such as the hospital, department of children and families and the police. They can further investigate the situation. The police could even talk to the child...
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...Within both of the case studies it is clear to see that the communication cycles have been put into practice on a number of occasions and have generally worked well. I am going to discuss how the communication cycle has been put into practice within the Jason Young and Stephen Polanski case studies. From the Jason Young case study we can clearly see that the Tuckmans cycle has been working very effectively. The Tuckmans cycle is all about effective communication in groups. Many groups may experience some sort of struggle before people unite and communicate effectively. Within the Jason Young case study we can see that while Jason was in hospital there were many multi-disciplinary meetings to discuss Jason’s progress with a goal to getting Jason as independent as possible. This is an example of the health care professionals working effectively together to ensure Jason is receiving the best possible care while he is in hospital. These multi-disciplinary meetings would not happen if health care professionals did not communicate together and bring their ideas forward to each other. The nurses in the hospital are trying their best to ensure Jason has a pleasant experience. The staff that works with Jason have to feed him, take him to the toilet and clean his teeth etc. As Jason needs a lot of attention it is important that the health care workers work together to ensure all his needs are accommodated for and as a result of this the workers could also try to develop his communication...
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...INTRODUCTION The Shouldice Hospital, located in Thornhil, Ontario is considered a global leader in hernia repair and recovery. The Shouldice Hospital was established in 1945 by Dr. Edward Earle Shouldice. Major Dr. Edward Earl Shouldice saw many men denied enlistment into the army because they were deemed physically unfit to serve due to the need of hernia surgery. Dr. Shouldice developed an innovative technique to repair hernias during this World War II era and has been known in the medical world for his superior methods ever since. Shouldice created a method that included factors such as a local anesthetic, the abnormal nature of the surgical procedure itself, encouraging movement following the surgery, and many other postoperative methods used by his team. Using these factors, Dr. Shouldice developed a surgical technique for repairing hernias that were superior and much more efficient than other methodologies. SWOT ANALYSIS Strengths Very efficient process Specialized Expertise Culture, atmosphere unlike hospitals Reliable and high quality service Competitive Pricing Minimal overhead Capacity utilization Customer satisfaction Quick recovery time for patient Weaknesses Narrow product line Inability to market due to inability to keep up with potential demand Location (Decrease in demand during winter months) Number of locations Age of some key personnel Opportunities New locations, Possible location in United States Create new market segments...
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...Crownsville Hospital Center, formerly known as Crownsville Hospital for the Negro Insane, was founded in 1911 and is the third institution in the United States to be erected for the exclusive admittance of African American residents. It was purchased by the Board of Managers from the Maryland General Assembly for $19,000. They agreed that there had to be something done about the vast amount of homeless and mentally unstable African American population in the Maryland and in particular, Baltimore. They voted that the hospital should not actually be in Baltimore, hence their decision to buy the plot of former tobacco farmland in Crownsville to establish the institution. Starting in 1911, the builders of the first building were actually 12 patients ordered to build their new home. As the months wore on, more patients were transferred to the camps to...
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