...The Case for Open Heart Surgery at Cabarrus Memorial Hospital HSA 599 Capstone Andrea Jackson Professor Lisa Jones February 16, 2013 Abstract Scenario: It was a clear, crisp October morning in Concord, North Carolina. The board of trustees of Cabarrus Memorial Hospital gathered in the windowless, walnut paneled boardroom for its monthly meeting. Board chairman George Batte opened the meeting saying. “Because we do not have open heart surgery program, patients needing open heart surgery or coronary angioplasty have to be transferred to another hospital, causing inconvenience to the patient’s families and risk from delayed treatment. There are several questions we have to answer in addressing this issue. Should we add open heart surgery to the mix of cardiac services we offer? Does the hospital’s existing service area provide adequate patient volumes to support the program? What role should the Duke University Medical Center play in the proposed program? Will we be able to obtain the required certificate of need (CON) from the State of North Carolina’s Department of Health and Human Services? Will there be opposition to the CON from surrounding hospitals? What costs are likely to be incurred in the required renovation, construction, medical equipment, and staffing?” He continued, “As you all know, one of the factors pressing a quick decision is the desire of Dr. R.S."Chris” Christy to return to the staff of the hospitals after completing...
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...Running head: THE CASE FOR OPEN HEART SURGERY AT CABARRUS The Case for Open Heart Surgery at Cabarrus Memorial Hospital Terry Brown Strayer University Health Services Administration HSA 599 Dr. Donna Leveque November 17, 2012 Abstract This report will discuss the ways an open heart surgical program does or does not comply with Cabarrus Memorial Hospital’s (CMH) mission. It will analyze whether or not CMH has the infrastructure and financial resources/leverage to add this program. This report will describe the competitive situation among other hospitals that will impact the hospital’s decision. This report will further describe the changes necessary in the service area to accommodate the cardiovascular surgery service. Key Words: cardiovascular services/competition, mission, decision factors, financial considerations, changes The Case for Open Heart Surgery at Cabarrus Memorial Hospital Cabarrus Memorial Hospital (CMH) was dedicated to education. They were affiliated with Duke University Medical Center. This affiliation allowed for many specialists to practice at CMH. The goal at CMH was for everyone to have the best healthcare services. The issues now facing CMH were to address the opening of a new cardiovascular service program, in order to continue to provide this excellence in care. Cardiovascular services/competition The decision was in front of...
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...Open Heart Surgery at Cabarrus Memorial Hospital Strategic Management for Healthcare Organizations EXECUTIVE SUMMARY This analysis serves as an evaluation of the current strategic plan being developed by Cabarrus Memorial Hospital. It will highlight the recommended strategies in three different categories that will aid a guide in effort to successfully implement the strategies to bring the organization to the forefront of its market. Outlined throughout the analysis is the organization’s history, the suggested Directional Strategies, the Expansion of Scope strategies, and the Implementation strategies along with other key elements that are necessary for the plan to be a success. It will provide an inside look at why new alternatives are not needed and the why the focus should be placed on the products and services already offered and the introduction of the new cardiac care unit to maintain its position in the healthcare market. The purpose is to initiate a strategic plan which makes recommendations to leadership based on the results of the study and to maintain an overall setting of patient and family satification. Key Issues The lack of open heart surgery program at Cabarrus Medical Center results in requiring patients who require open heart surgery or coronary angioplasty services to transfer to another hospital, delaying necessary treatment and causing anxiety and hassle to the patient and their family. Should the current mix of cardiac services be...
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...Independent Case Analysis Paper: Open Heart at Cabarrus NAME College Abstract In this activity, I will analyze The Case for Open Heart Surgery at Cabarrus Memorial Hospital by using the tools and skills previously learned in my Health Science curriculum. I will provide a brief summary of the case, discuss the major problems, use two case analysis tools and provide a detailed report with a decision. Independent Case Analysis Case Summary The board of trustees at Cabarrus Memorial (CMH) gathered in October for its monthly meeting. The meeting opened by stating the fact that (CMH) did not have an open heart surgery program. The Chairman mentions the fact that a quick decision is needed since Dr. Christy needs to make a decision regarding where he will be working. Dr. Christy was previously a staff member that left CMH to complete a fellowship in cardiovascular surgery and wants to return to work at CMH after his fellowship is complete. Dr. Christy needs to make a decision by the first of January. Should CMH add the open heart surgery program? SWOT The SWOT tool has been utilized to help determine the strengths, weaknesses, opportunities and threats of opening a heart surgery program at CMH. The use of this tool has identified several strengths. One of the strengths includes the fact that CMH and Duke have an affiliation. CMH had several educational affiliation programs and extensive in-service and continuing education programs, including a...
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...The Case for Open Heart Surgery at Cabarrus Memorial Hospital Due Week 6 and worth 280 points Read “The Case for Open Heart Surgery at Cabarrus Memorial Hospital” case. Write a 4-6 page paper in which you: 1. Discuss ways the program does or does not comply with the hospital’s mission. 2. Analyze whether or not CMH has sufficient infrastructure and financial resources / leverage necessary to add the program. 3. Describe the competitive situation among other area hospitals that could impact the decision. 4. Describe the change in the service area required for the cardiovascular surgery service. 5. Discuss alternative strategies the Board should consider before making a “go / no-go” decision on the possible addition of the open heart program. Your assignment must: Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; references must follow APA or school-specific format. Check with your professor for any additional instructions. Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required page length. The specific course learning outcomes associated with this assignment are: Apply analytic skills to define strategic problems, generate and evaluate strategic alternatives, and develop implementation tactics. Use technology and information resources to research issues in the strategic...
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...The Case for Open Heart Surgery at Cabarrus Memorial Hospital Due Week 6 and worth 280 points Read “The Case for Open Heart Surgery at Cabarrus Memorial Hospital” case. Write a 4-6 page paper in which you: 1. Discuss ways the program does or does not comply with the hospital’s mission. 2. Analyze whether or not CMH has sufficient infrastructure and financial resources / leverage necessary to add the program. 3. Describe the competitive situation among other area hospitals that could impact the decision. 4. Describe the change in the service area required for the cardiovascular surgery service. 5. Discuss alternative strategies the Board should consider before making a “go / no-go” decision on the possible addition of the open heart program. Your assignment must: Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; references must follow APA or school-specific format. Check with your professor for any additional instructions. Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required page length. The specific course learning outcomes associated with this assignment are: Apply analytic skills to define strategic problems, generate and evaluate strategic alternatives, and develop implementation tactics. Use technology and information resources to research issues in the strategic...
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...Cabarrus Memorial Hospital first opened on July 26, 1937 in Concord, North Carolina. With the full support of Mr. Charles A. Cannon, the area’s largest employer, and other community leaders the hospital was open for patients. This public hospital was established to provide services to the people in Cabarrus County. Initially, the hospital consisted of 50 inpatient beds and 19 employees. Then in 1940 CMH made an addition of 100 more beds. Another addition occurred in 1951 raising the number of beds to 339. Finally, in 1982 CMS had another project to update their services and increased their bed count 457 beds. Thus, CMS has seen tremendous growth over the years. The issues now facing CMH is whether to open a new cardiovascular program...
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...City of Charlotte, North Carolina Comprehensive Annual Financial Report For the Fiscal Year Ended June 30, 2012 Mayor: Anthony Foxx Mayor Pro Tem: Patrick Cannon City Council: John Autry Michael Barnes Warren Cooksey Andy Dulin Claire Green Fallon David Howard Patsy Kinsey LaWana Mayfield James Mitchell, Jr. Beth Pickering City Manager: W. Curtis Walton, Jr. Prepared by the City of Charlotte Finance Department Greg C. Gaskins, Chief Financial Officer Teresa T. Smith, Chief Accountant This document is available online: CITY OF CHARLOTTE, NORTH CAROLINA TABLE OF CONTENTS Page INTRODUCTORY SECTION Letter of Transmittal ....................................................................................................................................... 1 Certificate of Achievement for Excellence in Financial Reporting ............................................................... 14 Organizational Chart .................................................................................................................................... 15 FINANCIAL SECTION Independent Auditors’ Report ...................................................................................................................... 17 Management’s Discussion and Analysis ..................................................................................................... 19 Basic Financial Statements: Government-wide Financial Statements: Statement of Net Assets ..................................
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...fundamentals of cost accounting fourth edition William N. Lanen Shannon W. anderson Michael W. Maher ® accounting The integrated solutions for Lanen/Anderson/Maher’s Fundamentals of Cost Accounting, 4e have been proven to help you achieve your course goals of improving student readiness, enhancing student engagement, and increasing their comprehension of content. Known for its clear and engaging style, the Lanen solution employs the use of real-world scenarios, LearnSmart, and instant feedback on practice problems to help students engage with course materials, comprehend the content, and achieve higher outcomes in the course. Our new Intelligent Response Technology-based content offers students an intelligent homework experience that helps them stay focused on learning instead of navigating the technology. Finally, McGraw-Hill’s adaptive learning component, LearnSmart, provides assignable modules that help students master core concepts and come to class more prepared. LearnSmart with Lanen is an introductory managerial accounting review, providing students with a refresher on these topics for their cost accounting course. PROVEN EFFECTIVE Get Connected. FEATURES Intelligent Response Technology Intelligent Response Technology (IRT) is Connect Accounting’s new student interface for end-of-chapter assessment content. Intelligent Response Technology provides a general journal application that looks and feels more like what you would find in a general ledger...
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