...analyzes the strategies and recommendations to improve the financial performance of Middlefield Hospital. The problem started when the chief financial officer (CFO) indicated that the financial performance of the hospital has been deteriorating over the last 6 months. Hospitals throughout the world are operating on tight budgets.Therefore; operational managers must find ways to reduce cost and “manage productivity across all areas and job categories” (Langabeer, 2008, p. 129). There are many factors contributed to this problem: The hospital is exceeding its budget, the new facility across town has continued to cut into Middlefield’s market share by admitting more patients and finally, the number of admissions to the hospital is declining each month and more uninsured patients are seeking services at the facility. The hospital has to change its strategies in order to improve its overall financial performance. These strategies include (1) spending on accounting systems to cut costs, increasing the accounts receivable collections, or increase legitimacy with stakeholders and donors; (2) improving efficiency through professional administration; (3) spending on advertising to increase revenues through increased market share and premium prices; and (4) offsetting patient care losses with substantial net income from sources not directly connected to patient care. After my convention with the Middlefield Hospital management team, we were able to identify the core facts that my recommendations...
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...Introduction Hospital volunteers come in all shapes and sizes. High school students, college students, retirees, stay at home moms, clowns and even the four-legged variety can all be found volunteering at a local hospital. These types of volunteers serve for many reasons. Retirees are looking for ways to serve in the community. Volunteering also helps retirees make the transition from full-time employment to retirement. High school students need volunteer hours for their college applications. The four-legged volunteers with their human companions brighten the day of patients that may be missing their pets during a hospital stay. Clown volunteers just love clowning around with patients and staff members. Hospital volunteers impact a patient’s satisfaction during a hospital stay. Volunteers serve in many areas of a hospital. Volunteers provide a service to the hospital and this service can potentially increase a hospital’s performance. This paper will address how utilizing volunteers can impact a hospital’s performance as well as help increase patient satisfaction scores. The Value of Volunteers According to the Independent Sector website, the current value of volunteer time for the State of Texas is $22.57 per hour. The national average is $22.14 per hour (www.independentsector.org). Volunteerism in the hospital setting has expanded because of the hospital’s need to provide a higher level of quality care to its patients. Volunteers can help a hospital improve the...
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... Baptist Hospital of Miami is currently analyzing the possibility of developing risk management strategies that will ensure to meet all needs or the organization related to quality management. Every plan needs to be approved by every member of the board of directors. The purpose of the Clinical Risk Management Plan is to support the vision and mission of Baptist Hospital of Miami as it pertains to risks associated with the safety of employees, patients, visitors, volunteer, staff, third parties; also operational risks and property risks. The risk management plan will basically guide the process of development and implementation of a risk management program. The risk management promotes the philosophy of Baptist Hospital of Miami that the risk management and patient safety is responsibility of members of the organization and team cooperation is essential for an effective and efficient functioning. Baptist Hospital of Miami believes that organizational errors should be addressed through the implementation of evidence-based practices, constructive feedback, and learning from error analysis. Clinical errors should be addressed by using the following: • Proper report and analysis of errors related to medical or patient care. • Proactive identification of hazards and unsafe conditions. • Open discussions of mistakes. • Open acceptance of system improvements. The Risk Management Plan at Baptist Hospital of Miami promotes...
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...Measuring Performance at Midshires Hospital At the Midshires hospital management can use quantitative and qualitative data to measure performance. Quantitative data is measured through numbers and statistics. Management at the hospital use quantitative data by rating staff performance out or 100. Qualitative data is written this can come in the form of opinions and surveys, management can use this to evaluate the performance of staff as management can get patients to fill out questionnaires on their performance. Management at the Midshires hospital can give their staff targets to reach to measure performance. For example the diabetes ward may have a numerical target to reach in order to not receive disciplinary measures. Staff at the hospital may be given targets to reach to gain a reward or bonus for exceeding targets, this will increase both motivation and performance as staff will aim to complete the target so they can get or bonus or avoid disciplinary. When setting out these goals management will need to make sure the targets is S.M.A.R.T. Specific – The target has to be clear. For example management at the hospital may want to improve waiting times at the hospital; management can break this down by looking at what departments spend longest treating their patients and retraining them to help them become more efficient. Measurable – The targets set by the hospital need to be time specific so the department can measure their progress. The hospital can do this by putting...
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...implemented on the hospital. The budget cut make it difficult to Barbara to allocate a right personnel in case of some staff take a personal or vacation leave. In many cases, she has to rely on nurses from general float pool to cover the staff on leave, but this often lead to negative effect to her staff dynamics because the substitute nurses is not familiar with the GSU. There are three broad problem Barbara has to solve: lack of collaboration and teamwork, staff conflict either within her unit or within the hospital, and lack of transparent performance appraisal procedures. All of this three issues need to be address simultaneously to ensure that the unit perform as Barbara expected. It is evident that there is conflict between junior nurses, senior nurses, and PCAS’s which lead to ineffective collaboration among them. Junior nurses feels like the don’t belong to the team and they don’t get positive feedback from senior nurses. On the other hand, senior nurses feels that many junior nurses and PCA’s are incompetent and feel overwhelmed to support them. To solve this issues, Barbara need to redefine a clear role among the nurses and make sure that the role is properly understood by all her staff. In redefining the role, she must include advice from her staff to ensure that the role definition fit within her unit. She also need to develop a transparent communication mechanism to solve any role discrepancy within her unit. To address the performance appraisal...
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...be about. I think the director Ayub Din Khan wanted to express the Asian culture and his experience to the British audience. I watched this performance on 15th January 2015. In this controlled Assessment, I will be analysing the performance of East is East. The key characters in the play were: Ayub Din Khan (George), Jane Horrocks (Ella) and Micheal Karim (Sajit). George (Ayub Din Khan) is the head of the Khan family, who tries to enforce his culture in a different society. He rose and grew throughout the play with is humour. I believe he is an obvious stereotype due to the clothing he wears. His clothing reflects that he is a typical, narrow-minded Pakistani father. His strong determination to help his family was evident throughout the play. Ella is the mother of 6 children, whose first priority is the happiness of her children. She is the wife of George who tries to keep the family together. Throughout the play, Ella delivers a fun and incredibly emotional scene with equal excellence. Sajit, the son of Ella is a vulnerable child and shows the impacts of the family problems through his quietness. The first thing I noticed was the set. The set was realistic and had different locations; living room, the Khan chippie, a hospital corridor, consultation room and outside spaces. This permits flexibility with the performance that helps immensely in illuminating the plays central themes – love, hatred, misunderstandings and cultural heritage. This worked well as the...
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...pay involves giving employees a permanent pay raise based on past performance. Often the company’s performance appraisal system is used to determine performance levels and the employees are awarded a raise, such as a 2% increase in pay. I worked in a hospital and with nurses in an emergency room that got this exact raise. They had a cap that they could hit where they maxed out once they had been there for over 33 years they stopped getting the raise. The ever looming and potential problem with merit pay is that employees come to expect pay increases. This means it will be more so of an expectation and less so something earned. If you know something is coming either way, would you work harder for it? Not to sound lazy but time is valuable and why put in more time than everyone else for the same rewards? The only way to make merit pay more effective depends on making it truly dependent on performance and designing a relatively objective appraisal system. Without the appraisal system it is literally pointless. Ultimately, to be successful, the merit pay program must ensure that awards provided to the best performers will be substantially greater than increases awarded to average, or below-average performers. Merit pay when managed correctly provides a huge advantage for employers in my eyes. Merit pay helps an employer differentiate between performance of high and low performing employees and reward the performance of the higher performers. I believe that merit pay is worth it if...
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...intriguing performances and educating workshops all over Queensland for over forty years. The company adapted the original April’s Fool to be suitable for schools, making it a shorter performance but keeping the important information so the audience still gets an authentic piece. Brooke and Nathan are a part of the Grin & Tonic team they play the many characters that bring this show to life. The production of April’s Fool Redux uses a variety of Dramatic elements such as relationship, symbols, and role. The conventions of form and style in Drama used are duologues, storytelling, and multi rolling. A combination of these help to convey empathy towards the family and friends as they tell the audience about Krisjan Teraud’s life and death. The audience is helped to connect with the characters, by the way, their...
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...Organization structure is analogous to human anatomy with the caveat that an organization structure can be changed Organization Design Cont. * Two interrelated parts to organization design * How to divide the work and responsibilities and allocate them to units in an organization * How to coordination the work for those units to perform the organization’s overall work effectively The Importance of Organizational Design * Grouping people into work units having a common supervisor is a micro level in a organization. * EX: In small hospitals the nurse manager report directly to the VP for nursing * EX: In large hospitals there are intermediate of organization in nursing, with several nursing managers that all report to the director of nursing and then they report to the VP of nursing * Organization allocates resources and conduct planning and holds people accountable for performance and the use of those resources. Table of Organization * A table of organization or organizational chart, Consisting of boxes and lines provides a shorthand for describing structure * Dividing work and responsibilities to be performed by different units has both advantages and disadvantages. Twin Structural Issues; Differentiation and Integration * Differentiation- Segmentation of an Organization into units together with the structuring of those units/ development of organization practices/systems/ employees’ cognitive/emotional orientations...
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...(programme coordinator): ‘No performances have been planned for 11 and 12 March 2000, a weekend. Since he is one of the best known Dutch comedians, we thought Tom Hek might be willing to give two more performances at our theatre. But he thinks the five performances planned for May 2000 are sufficient proof of his love of Groningen. Well, I have just been told by a theatrical agency that a Latvian company is going to stage the operetta ‘Der Bettelstudent’ in the Netherlands in March 2000. The agency is asking €22,500,- for two performances – on Saturday and Sunday. I think we should accept this offer. We could price our tickets at €25 each and if each performance draws an audience of 450, we will break even. Just do your sums: 2 x 450 x €25 = €22,500,-’. Jan Dekker (controller): ‘But we had set aside that weekend in March for a big overhaul of the theatre. The theatre is pretty booked up for that period and the technical staff wants to carry out various small repairs’. Karin: ‘Come on Jan, surely you would not leave the theatre empty for a weekend during the high season?’. Jan: ‘Karin, there is something else to consider. We probably would not sell much more than 450 tickets per performance, although I believe we must make a sizeable sum out of that sort of performance’. Harm van Tol (director): ‘I think Jan has a valid point there. Operettas must bring in a good deal of money to cover deficits caused by less marketable performances. But leaving that aside, we have...
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...2454 Federal Register / Vol. 76, No. 9 / Thursday, January 13, 2011 / Proposed Rules 1. Electronically. You may submit electronic comments on this regulation to http://www.regulations.gov. Follow the ‘‘Submit a comment’’ instructions. 2. By regular mail. You may mail written comments to the following address only: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS–3239– P, P.O. Box 8010, Baltimore, MD 21244– 8010. Please allow sufficient time for mailed comments to be received before the close of the comment period. 3. By express or overnight mail. You may send written comments to the following address only: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS–3239–P, Mail Stop C4–26–05, 7500 Security Boulevard, Baltimore, MD 21244–1850. 4. By hand or courier. If you prefer, you may deliver (by hand or courier) your written comments before the close of the comment period to either of the following addresses: a. For delivery in Washington, DC— Centers for Medicare & Medicaid Services, Department of Health and Human Services, Room 445–G, Hubert H. Humphrey Building, 200 Independence Avenue, SW., Washington, DC 20201. (Because access to the interior of the Hubert H. Humphrey Building is not readily available to persons without Federal government identification, commenters are encouraged to leave their comments in the CMS drop slots located in the main lobby of the building. A stamp-in...
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...Pay-for-performance and Reimbursement Jason Teker HCS/531 May 2, 2016 Georgetta Baptist Pay-for-performance and Reimbursement Health care is in the middle of a change in how payment is received for services provided. Fee-for-service is the dominant form of reimbursement for hospitals and doctors. According to Medicaid’s website, the fee-for-service payment model is structured so that there are incentives in place based on the number of services provided. Fee-for-Service models allow for a system where quantity is more important than quality. With rising health care costs, the federal government is looking to change the way hospitals and doctors are reimbursed for their services. Quality health care is becoming a hot topic in many realms of the health care industry. The government has proposed a new form of repayment in a system called Pay-for-performance which was brought to the forefront of policy agendas by the Institute of Medicine’s (IOM) report in 2000 titled To Err is Human (Mayes, 2006). In the report, the IOM estimated “as many as 98,000 patients die annually in U.S. hospitals due to preventable medical errors” (Mayes, 2006, p.17). Pay-for-performance is “a reimbursement method under which some physicians and hospitals are paid more than others for the same services because they have been deemed to deliver better quality care and their patients appear to have better outcomes” (Mayes, 2006, p.17). With this new reimbursement method, the incentives are now...
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...|Total quality management implementation and competitive advantage: The role of structural control and exploration | |Thomas J Douglas, William Q Judge Jr. Academy of Management Journal. Briarcliff Manor: Feb 2001.Vol.44, Iss. 1; pg. 158, 12 pgs| | » | |Jump to full text [pic] | | | | | | » | |Translate document into: Spanish , Portuguese | | | [pic][pic][pic][pic] |Subjects: |[pic][pic][pic][pic][pic][pic][pic][pic]Studies, Total quality, Competitive advantage, Hypotheses, Correlation | | |analysis, Organization theory, Regression analysis | |Classification Codes |9190 United States, 9130 Experimental/theoretical, 2500 Organizational behavior | |Locations: |United States, US | |Author(s): |Thomas J Douglas [pic], William Q Judge Jr [pic]...
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...Running Head: IMPROVE FINANCIAL PERFORMANCE IN MIDDLEFIELDImprove financial performance in Middlefield | | Health Service Systems Professor: Julie DennisDeVry/Keller University Online | 2/8/2015 | | As CEO of Middlefield Hospital for 2 ½ years now, I analyzed, observe and came up with a plan of execution to finally rectify the current workforce challenges that not only burden but also tormented the hospital when I first arrived. Recently meeting with the chief of financial officer (CFO), documentation was presented, regarding the hospitals financial performance and how it’s worsen for the past 6 months. Because of the financial performance is not meeting the hospitals standards the (CFO) as well as myself are concerned regarding the future of not only the hospital but also the committed employees it has. Another important matter that was also presented during the meeting, the new hospital across town and cutting into our market share by admitting more patients, causing the uninsured patients to seek Middlefield hospital healthcare. Middlefield Hospital is not the first to face such hardship, as CEO it is my responsibility to implement a game of execution to better serve patient care as well as safety, help correct medical errors if needed, but most importantly help to motivate all staff members and a good way to do that is changing up the operational strategy and when it comes to hospital culture nothing is of importance as the patients as well as employees who have...
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...Chelsea Millard Performance Measures An intensive care unit (ICU), also referred to as a critical care unit, is a healthcare operating unit that treats persons who have been inflicted with life-threatening injuries and illnesses. Patients in an intensive care unit are observed closely by specially trained health care providers. Problems that are treated range from accidents to severe breathing problems. Patients are normally exposed to monitors, intravenous (IV) tubs, feeding tubes, catheters, and breathing machines. These particular items are used to extend a patient’s life, but infection risk can become common also. In an intensive care unit, many patients recover and are moved to a regular hospital room to receive care. Death is a common outcome for patients in an intensive care unit. If a patient’s family and health care providers have to make end-of-life decisions, advance directives will help the individuals come to a final decision (“Critical Care“). In the article “The Competitiveness and Balanced Scorecard of Health Care Companies,” the balanced scorecard has become an idea that has become influential to the business aspect. A balanced scorecard measures employee knowledge, relationship with customers, cultures of innovation, and change generated success. Many businesses has improved their performance by improving processes and becoming more competitive in the market (Mavlutova, Babauska, 2013). In the article “Pabon Lasso and Data Envelopment Analysis: A Complementary...
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