... | | |[strategies and solutions for Middlefield hospital] | | | As the new CEO of Middlefield Hospital, to address the challenges plaguing the hospital such as deteriorating employee morale, competition resulting from the opening of a new hospital, and coping with a nursing shortage I have decided to implement specific strategies that will alleviate these issues and establish Middlefield Hospital as an asset to the community and as an organization that is competitive and resourceful. To begin, I will promote employee morale and decrease employee turnover by fostering an environment that promotes advancement and motivates employees to do better. Because employees are often motivated differently, employers must develop a work environment that promotes motivation. “Organizations need to know what is important to their employees and then to emphasize these factors”. Motivation in Today’s Workplace: The Link to Performance (2010). HRMagazine, 55(7), 1-9. As an example, I will create a survey for employees to list and recommend changes that would be beneficial to them and their longevity at Middlefield Hospital. This survey would also allow me to effectively gage where the...
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...Decide Middlefield Hospital has been a great healthcare facility to the Middlefield area. Middlefield Hospital consists of a 450-bed tertiary facility in a major urban area in the Northeast. The hospital is an integrated health system that provides the full array of inpatient and outpatient services. The hospital enjoys a reputation of quality care in the area. In recent years, there are areas of concern that need to be addressed. As I have been assigned the position as the new Chief Executive Officer (CEO) of Middlefield Hospital, I will provide strategies and recommendations needed for implementation to turnaround the hospital into a more positive experience not only for the patients but for the employees as well. My approach will implement a triad of care – access, cost, and quality. Middlefield Hospital has been a key staple within our market area of Middlefield. The hospital was able to build another facility on the other side of town. The new hospital offers much better facilities and the technology is state of the art. While visiting the new hospital, I noticed that the staff appeared much more invested in the quality of patient care and the patients also seem happier. As with new facilities, there comes lots of excitement. The quality of our old facility needs to be upgraded and needs some new type of organization. There needs to be a balance of power so that the new hospital is able to start performing better. This lies within the hospital medical staff, hospital administration...
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...This paper 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...
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...Middlefield Hospital Report of Strategies and Recommendations For workforce shortages and employee morals Executive Summary Middlefield Hospital has been known throughout the community as a hospital that provides a full array of inpatient and outpatient services. We have been recognized in the community as providing quality care for all of our customers. Today our hospital is faced with many issues that will affect our ability to adequately service our community. This report will discuss in detail the main issues the hospital has been faced with such as: * New hospital recently opens in the area increasing competition. * Local colleges eliminating its nursing degree program. * Employee turnover rate exceeding 20%, leading to over a 100 nursing positions vacancies. * Employee morale deteriorating over the last 12 months. Presented in the report will be strategies to overcome the new competition, proposals of working with the local colleges, and recommendations which would help improve employee morale as well as decreasing the turnover rate. Middlefield’s Competition: The new hospital in the area brings competition for Middlefield Hospital. This affects not only the hospital revenue; it also creates competition for retaining staff. Middlefield is currently losing our medical staff to the new hospital. In efforts to compete with our competitor we have to re-strategies the organization structure. One suggestion would be to renovate our current...
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...In order to make Middlefield hospital outstanding place to work there must be something’s we need to work on which is the shortage of nurses and to improve the employee morale. These two factors must be improved in order to keep Middlefield hospital open and running and also to make the patient happy. There were some reviews on how people with the company feel. Dr. Rusty Gates which is a internist which moved his practice to a new hospital. Dr. Gates stated that the new hospital staff appear to have more invited in quality of patient care and the patients seem to be much more happy. Eileen Wright, which is the board member of Middlefield hospital, stated that within the last 12 months Middlesex has been declining. She also stated that the director of nursing is having difficulty retaining nursing staff, which is the main problem that we are having at Middlefield hospital. This is her major concern for the company. Last, there was Anne Teaks, which is the registered nurse for Middlefield hospital. She has been with the company for 22 years. She really doesn’t like the shortage of the staff, which occurs on all the shifts. She would like to see a turn around so that the patients can get the care that they need. In order to improve this problem that we are having at Middlefield I would say that Middlefield should improve more and continue to work with schools or nursing, universities, community colleges, and high school this way we will be able to recruit potentials staff....
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...In order to make Middlefield hospital outstanding place to work there must be something’s we need to work on which is the shortage of nurses and to improve the employee morale. These two factors must be improved in order to keep Middlefield hospital open and running and also to make the patient happy. There were some reviews on how people with the company feel. Dr. Rusty Gates which is a internist which moved his practice to a new hospital. Dr. Gates stated that the new hospital staff appear to have more invited in quality of patient care and the patients seem to be much more happy. Eileen Wright, which is the board member of Middlefield hospital, stated that within the last 12 months Middlesex has been declining. She also stated that the director of nursing is having difficulty retaining nursing staff, which is the main problem that we are having at Middlefield hospital. This is her major concern for the company. Last, there was Anne Teaks, which is the registered nurse for Middlefield hospital. She has been with the company for 22 years. She really doesn’t like the shortage of the staff, which occurs on all the shifts. She would like to see a turn around so that the patients can get the care that they need. In order to improve this problem that we are having at Middlefield I would say that Middlefield should improve more and continue to work with schools or nursing, universities, community colleges, and high school this way we will be able to recruit potentials staff....
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...Management This paper will analyze some of the strategies and recommendations that will improve the financial performance of Middlefield Hospital that has seen some dramatic issues taking place financial wise over the past 6 months that is a great concern for the chief financial officer. Over the past 6 months Middlefield Hospital has been dealing with deteriorating financial issues that can be placed on several issues that have been noted. The budget has taken a big hit due to the new facility across town admitting more patients and this has declined the number of patients being seen at our facility. The number seems to be dropping by the month, and more uninsured patients are seeking services here at our facility. The payer mix of Middlefield Hospital is creating an overall reduction of reimbursement and net income for the hospital because more and more patients is comprised of Medicare, Medicaid, and uninsured patients. The facility across town is a very big competitor and seems to have opened a wellness center that offers its patients many different preventative and wellness services, and is attracting young families to seek care at their facility. In order to stay ahead of the competition Middlefield needs to make some changes in its operations and make a big effort to implement some strategies to improve its overall financial performance measures. Some of the strategies that will enable Middlefield to compete alongside its competitor and surpass them...
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...Address to the Board of Middlefield Hospital As the Chief Executive Officer for the Middlefield Hospital, I am honored to be associated with a well-established and large tertiary facility which is well known in the community for providing high quality services. Middlefield Hospital has enjoyed this reputation for over 22 years and I am confident that we can continue to provide these services for many more years. Our facility offers many services that are needed in this community including inpatient and outpatient services. With that said, I am also aware that we are facing some difficult times right now. The opening of a new facility within close proximity to us has had an impact on our staffing, both in our physician and nursing populations. What are the reasons for this shift? What incentives are being offered that are not being offered at our facility? Why has the overall morale of our facility dropped significantly over that past 12 months? These are the type of questions we will explore after specific strategic steps have been implemented. How we respond as a team to these issues will have a major impact on our future. The transformation that is currently underway for our facility which includes the professional healthcare staffing is a challenge for all of leadership to address. We cannot stop these changes from taking place. What we can do is embrace them and implement strategies that can enhance our facility. Thus the only recommendation I would like to propose...
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...I have made several evaluations in our turnover and the existing moral, measures to intensify our marketing strategy and help the University of Essex in recruiting students in the Nursing program. I have several ideas that could create a positive retention for our employees and increase employee satisfaction in the workplace. I have some ideas about how we can strengthen the number of instructors for college and increase our marketing strategy. Nursing Turnover Rate and Employee Satisfaction "Nursing is essential for health care. Nurses provide extended clinical services to patients and support the role of the doctor. Many nurses assume relatively independent responsibilities of very complex services for patients as well." (Williams 2009-03- 25, p. 118) the turnover rate of nurses is 20 percent in the last 12 months. It is a lot of loss of our staff to be recovered quickly by finding reasons nurses leave so suddenly. I have some solutions that help retain our qualified nursing staff and improve their job satisfaction and loyalty to our many facilities. First recommendation would be to create a bi-weekly or monthly newsletter that gives praise to time nurse and the nurse of the month. All results (projects, inspections, priority areas, recognition of other staff, etc.) for that particular month are indicated in each department or area of our facilities. This commitment includes patient’s congratulations to the attention of a staff member who went above and beyond to make...
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...remuneration is often inadequate because of budget limitations. The requirements of quality assurance and continuous quality improvement designed to achieve higher levels of, and increased uniformity in standards of care and performance in the hospitals and towards patients. These changes in the health care system require even better qualified nurses and health professionals in general. Therefore individuals who are already involved with this profession or studying to develop careers that may require public health management skills, should be well versed with the ever shifting trends in the public health work force. This as a whole is making nurses to switch to other less demanding and tedious jobs. Another point which has decreased the turnover is that the new hospital opened close to this hospital provides flexible hours of work with higher pay scale. The management has taken care of nurses issues and problems which they faced in majority of the hospitals. (MULIIRA, 2004) Advances in medical practice and technology, the impact of new diseases and infections [e.g. Human Immunodeficiency virus (HIV) Acquired immune deficiency syndrome (AIDS)], and changes in public (consumer) expectations is a major reason for the low count of nurses in the hospital as well as for this specific profession. The top most reasons nurses have cited for discontent, early retirement and changing from nursing to other jobs are, increased work road, inadequate staffing, poor patient ratios, harmful changes...
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...Business Plans Handbook Business Plans A COMPILATION OF BUSINESS PLANS DEVELOPED BY INDIVIDUALS NORTH THROUGHOUT AMERICA Handbook VOLUME 16 Lynn M. Pearce, Project Editor Business Plans Handbook, Volume 16 Project Editor: Lynn M. Pearce Product Manager: Jenai Drouillard Product Design: Jennifer Wahi Composition and Electronic Prepress: Evi Seoud Manufacturing: Rita Wimberley Editorial: Erin Braun ª 2010 Gale, Cengage Learning ALL RIGHTS RESERVED. No part of this work covered by the copyright herein may be reproduced, transmitted, stored, or used in any form or by any means graphic, electronic, or mechanical, including but not limited to photocopying, recording, scanning, digitizing, taping, Web distribution, information networks, or information storage and retrieval systems, except as permitted under Section 107 or 108 of the 1976 United States Copyright Act, without the prior written permission of the publisher. This publication is a creative work fully protected by all applicable copyright laws, as well as by misappropriation, trade secret, unfair competition, and other applicable laws. The authors and editors of this work have added value to the underlying factual material herein through one or more of the following: unique and original selection, coordination, expression, arrangement, and classification of the information. For product information and technology assistance, contact us at Gale Customer Support, 1-800-877-4253. For permission to use material...
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...HOW CAPITALISM WILL SAVE US Why Free People and Free Markets Are the Best Answer is Today's Economy S T E V E FORBES and E L I Z A B E T H A M E S HOW CAPITALISM WILL SAVE US HOW CAPITALISM WILL SAVE US W h y Free People and Free Markets A r e t h e Best A n s w e r i n Today's E c o n o m y Steve Forbes AND ELIZABETH AMES CROWN BUSINESS ALSO BY STEVE FORBES Power Ambition Glory (coauthored with John Prevas) Flat Tax Revolution A New Birth of Freedom To the millions of individuals whose energy, innovation, and resilience built the Real World economy. Their enterprise, when unleashed, is always the answer. Copyright © 2009 by Steve Forbes and Elizabeth Ames All rights reserved. Published in the United States by Crown Business, an imprint of the Crown Publishing Group, a division of Random House, Inc., New York. www.crownpublishing.com CROWN BUSINESS is a trademark and CROWN and the Rising Sun colophon are registered trademarks of Random House, Inc. Library of Congress Cataloging-in-Publication Data Forbes, Steve, 1947How capitalism will save us / Steve Forbes and Elizabeth Ames.—1st ed. p. cm. Includes index. 1. Capitalism—United States. 2. United States—Economic policy. 3. United States—Economic conditions. I. Ames, Elizabeth. II. Title. HB501.F646 2009 330.12'20973—dc22 2009032751 ISBN 978-0-307-46309-8 Printed in the United States of America DESIGN BY BARBARA S T U R M A N 1O 9 8 7...
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