...Running Head: Non-Profit to Profit Making Plan Non-Profit to Profit Making Plan Assignment Two Strayer University HSA 505 Health Services Strategic Marketing Non-profit and for-profit hospitals come with their own set of rules, regulations, and expectations. They both work financially differently and it is known that for-profit hospitals generate millions of dollars in revenue every fiscal year. This is not the same for non-profit hospitals. Non-profit hospitals work with what the state and federal government allots them and they do not make money hand over fist. The obvious motive for turning a non-profit hospital into a for-profit hospital is for money. This paper will address the external and internal factors that influence decisions, the theory and practical framework of data, market segmentation, and analyzing of data for the switch from non-profit to for-profit hospitals. Describe the external and internal factors that influence the executive team’s decision making and specify which might be most instrumental in making the decision to become a for-profit entity. Why do you think so? It is imperative to understand the differences of internal and external factors, especially in terms of decision-making due to the fact that a problem has to be recognized in order to establish a next crucial step. In this instance the next crucial step is the decision to move from a non-profit to a for-profit entity. Within this move both internal and external factors...
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...Human Development Name Institution Instructor 55. There are several models (theories) of middle age, among which is the “crisis model” and the “transition model”. Which do you agree with more, based on what you know about these theories and what you have observed? The crisis model postulates that when an individual is faced with an overwhelming threat they cannot handle, they will either adapt by developing new coping skills or they will be overwhelmed by the crisis to the point of requiring external intervention (Baltes and Baltes, 2014). Failure to cope with this occurrence can result in a crisis that lasts between 4 -6 weeks. Similarly, the transition model seeks to understand how a person responds to changes in their life or environment and postulate most of these changes involve transition periods that lasts between 6 and 12 months. The transition periods present window periods for growth or pose serious hazards to the concerned individual. Most people reacting to changes in their lives or immediate environment (positive or negative) to require and adjustment period that can last up to a year as I have observed and thereby concur with the transition model. 56. What changes in physical functions are associated with the middle adult years? Do you think men or women are affected most by these changes? People at this stage of life often experience a decline in strength, reaction time, fine motor skills as well as a decreased sensation. They develop skin wrinkles, have sagging...
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...Improving Quality and Value in the U.S. Health Care System By: Niall Brennan, Nicole Cafarella, S. Lawrence Kocot, Aaron McKethan, Marisa Morrison, Nadia Nguyen, Mark Shepard and Reginald D. Williams II Share on email Share on twitter Share on facebook Share on linkedin More... Share on google_plusone_share Share on stumbleupon Share on reddit Share on print Executive Summary The U.S. health care system faces significant challenges that clearly indicate the urgent need for reform. Attention has rightly focused on the approximately 46 million Americans who are uninsured, and on the many insured Americans who face rapid increases in premiums and out-of-pocket costs. As Congress and the Obama administration consider ways to invest new funds to reduce the number of Americans without insurance coverage, we must simultaneously address shortfalls in the quality and efficiency of care that lead to higher costs and to poor health outcomes. To do otherwise casts doubt on the feasibility and sustainability of coverage expansions and also ensures that our current health care system will continue to have large gaps — even for those with access to insurance coverage. There is broad evidence that Americans often do not get the care they need even though the United States spends more money per person on health care than any other nation in the world. Preventive care is underutilized, resulting in higher spending on complex, advanced diseases. Patients with chronic diseases such as hypertension...
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...Demographic Paper Angela McDowell HCS/490 08/25/2013 Tina Folk-Cromartie Demographic Paper Like the rest of the world, the US is an ageing society. This will place substantial additional pressure on publicly-funded health, long-term and income support programs for older people. This paper analyses the demographic changes that the US faces and how they will affect those programs, concentrating on the factors that may affect the economic burden that these programs impose. The aging of the baby boom generation, the extension of life, and progressive increases in disability-free life expectancy have generated a dramatic demographic transition in the United States. Official government forecasts may, however, have inadvertently underestimated life expectancy, which would have major policy implications, since small differences in forecasts of life expectancy produce very large differences in the number of people surviving to an older age. Forecasts were made with a cohort-components methodology, based on the premise that the risk of death will be influenced in the coming decades by accelerated advances in biomedical technology that either delay the onset and age progression of major fatal diseases or that slow the aging process itself (Wiener & Tilly, 2013). . Population Demographic Data Like the rest of the world, the US is an ageing society. Between 2000 and 2050, the number of older people is projected to increase...
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...limited to private, profit orientated organisations. Government entities are also faced with environmental challenges that create a necessity to adapt through various change management initiatives. Generally more bureaucratic and less malleable than private organisations, change projects are likely to require greater planning and focus to ensure success. Facing some of these difficulties, Rural Ambulance Victoria (RAV) underwent a restructure in 1999 in order to amalgamate six existing rural services into a single provider. Restructuring health care providers is not uncommon in current times as they aim to adopt a patient focused care model through integrating processes, technology, facilities, organisational design and employees (Clarke and Lee 1994). Experts have attempted to provide guidance and sequence to organisational design in healthcare (see Decker et al, 2001; Henderson & Williams 1991) demonstrating the necessity for a thorough, planned process. This paper reviews the implementation of the change in organisational design at RAV as outlined in a case study by Griggs and Lyster (2004, 612-631). The key focus addresses the implementation strategies chosen by RAV across five major activities. The discussion also analyses methodology and posits various...
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...INTRODUCTION TO HEALTH CARE ADMINISTRATION Obamacare Kayla Yonamine This paper is about the issues health care in the United States faces now that Obamacare is being put into action. Our group was able to meet with Dr. Curt Barr, who works at Creighton University and has owned numerous pharmacies. The biggest issues that Obamacare poses are the Medicare budget cuts, the employer mandate, and the increasing amount of money our nation spends on health care. Dr. Barr and I had some suggestions that could help people transition to Obamacare better and have a better understanding about their own health care. For our research papers, my group was lucky enough to meet with Dr. Curt Barr. Dr. Barr is a Creighton University graduate and received his pharmacy degree in 1974. He comes from a family of doctors and initially wanted to be a physician as well, but could not get into medical school. There was a need for pharmacists at the time, and Creighton accepted him into their Pharmacy School, without him even applying. He was either going to move to Kansas City to accept a managerial job or accept Creighton’s Pharmacy School offer. He decided that he would try out pharmacy school and ended up thoroughly enjoying it. Dr. Barr is extremely friendly and has a great sense of humor. He made all of us feel very comfortable and answered all of our questions without any hesitation. Dr. Barr is approachable and very knowledgeable when it comes to health care and pharmacy related issues...
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...kvnmangai@gmail.com / kv.nathan@hp.com Tel : +91 9176648555 Profile Summary Overall Experience of over 25+ years Currently leading Customer service and Warranty Analytics Delivery - Capabilities Build: Warranty Installed Base Analytics, Warranty Spend Analytics, Predictive, Fraud Analytics , Customer Research and Competitive Intelligence on warranty offerings Spearheading analysis of critical aspects of business using data mining, statistical models, dashboards and innovative visualization software. Establishing & driving consistent methodology for Transformation; building & socializing the Virtual team for Supply Chain and Volume operations with the focus. Lead Asia Pacific product returns policy, process re-engineering and on line claims system implementation across all distributors of APJ Managed defective supplies (ink cartridges and laser toners) warranty program across APJ region. Managed distribution compliance, logistics and SC distribution process for APJ Conversant with Multiple Project Methodologies and 6 Sigma methodologies Executed BIG Data , Un Structured data solutions and modeling Presented Warranty non compliance predictive modeling paper in PAW – Chicago 2013 Papers selected in INFORMS & WCM forums on the work done on analytics solution Managed Complex Cross Functional Teams (15+ years) in Customer service and warranty Executing various programs / projects involving scoping, initiating, high level design & architecture, resource mobilization, execution...
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...Economics Intern The purpose of the internship program is to provide opportunities for highly motivated, near-final year university students interested in a future career with the Department to gain first hand experience in the application of economics in a public policy environment. Successful applicants will work on a broad range of tasks, including policy advice, research, analysis and report writing. Applicants will also be considered for an internship with the Essential Services Comission (ESC). The Essential Services Comission is Victoria’s independent regulatory of the electricity, gas, water and sewage, taxi, ports and rail freight industries. Position details Title: Economics Intern Classification: Grade 2.1.1 Work Location: 1 Macarthur Street, East Melbourne (DTF) or Level 37, 2 Lonsdale Street, Melbourne (ESC) Tenure: Fixed Term (3 months) Employment Type: Full-Time Salary Range: $44,679 (pro rata) plus 9.5% superannuation Further information: Ms Mai Thai - (03) 9651 2745 Position reports to: Senior Economist/Senior Policy Analyst Closing date: 12 September 2014 * ------------------------------------------------- Organisational environment * The Department The Department of Treasury and Finance (DTF) serves government by providing leadership in economic, financial and resource management. We influence outcomes that can have a real impact on people’s lives. Our vision is a prosperous future for all Victorians. At DTF, you’ll be...
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...Implementing Successful Transitional Care: A structured move from Acute to Sub-Acute or Ambulatory Care Introduction Transitional care is defined as a set of actions designed to ensure the coordination and conti- nuity of health care as patients transfer between different locations or different levels of care. Representative locations include (but are not limited to) hospitals, sub-acute and post-acute nursing homes, the patient’s home, primary and specialty care offices, and long-term care fa- cilities. Transitional care is based on a comprehensive plan of care and the availability of health care practitioners who are well-trained in chronic care and have current information about the patient’s goals, preferences, and clinical status. It includes logistical arrangements, education of the patient and family, and coordination among the health professionals involved in the transition. Transitional care, which encompasses both the sending and the receiving aspects of the transfer, is essential for persons with complex care needs.1 Contents 1 Introduction 1 Historical Problems 2 Attempted Solutions 3 AmerisourceBergen Solution 3 Benefits 5 Outcomes 5 Summary Historical Problems with Transitional Care Despite considerable attention focused on improving 30-day readmission rates to hospitals, only modest change has been achieved according to the Centers for Medicare & Medicaid Services (CMS). Medicare Readmission Penalties Max Penalty 278 Hospitals ...
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...Abstract This paper provides an overall impression of the United Kingdom’s health service, inception of the National Health Service, challenges the NHS faces regarding financial sustainability, providing effective and efficient care, and the move towards more privatization . Comparisons are made between the National Health Service and heathcare in the United States across multiple sectors that include acute care settings, skilled nursing facilities, primary care providers and regualtions governing nursing practice and the challenges faced by both systems. Table of Contents Introduction 4 Background 4 Impression of the NHS 5 Mr. John Smith Director, Civil Eyes Research 7 Mr. Andrew Cheesbrough, CEO Orders of St. John Care Trust 8 Mr. Robert Creighton, Transition Director and Government Advisor on Public Health 9 Dr. Elizabeth Fellows-Smith. Senior Policy Advisor, Mental Health 10 Dr. Rodney Taylor, Former Medial Director NHS Hospital 12 Professor Simon de Lusignan, Primary Care 12 Mr. Bernell Bussue, Director of London Region,Royal College of Nursing 12 Mr. Paul Holdom, CEO The London Clinic 14 Professor Duncan Empy, Group Medical Director of BMI Healthcare 14 Shirley Kramer, Chief Executive Institute of Healthcare Management 16 Strengths and Weaknesses 16 Summary 17 References 19 Introduction Since its inception in 1948, the United Kingdom’s National Health Service (NHS) formed an...
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...Institute for Health Technology Transformation Population Health Management A Roadmap for Provider-Based Automation in a New Era of Healthcare Acknowledgements Alide Chase, MS Senior Vice President for Quality and Service Kaiser Foundation Health Plan, Inc. & Kaiser Foundation Hospitals Connie White Delaney, PhD, RN, FAAN, FACMI School of Nursing Professor & Dean Academic Health Center Director, Biomedical Health Informatics (BMHI) Acting Director of the Institute for Health Informatics (IHI) University of Minnesota Don Fetterolf, MD, MBA Principal Fetterolf Healthcare Consulting Robert Fortini VP & Chief Clinical Officer Bon Secours Health System Paul Grundy, MD, MPH Global Director of Healthcare Transformation IBM President Patient-Centered Primary Care Collaborative Richard Hodach, MD, PHD, MPH Chief Medical Officer Phytel Michael B. Matthews Chief Executive Officer Central Virginia Health Network Margaret O’Kane President National Committee for Quality Assurance Andy Steele, MD, MPH, MSC Director, Medical Informatics Denver Health 2 Dear Colleagues, Population health management has been around for a while, but only recently has it gained serious attention from mainstream healthcare organizations. The reason is simple: healthcare reimbursement is changing, and hospitals, healthcare systems, and physician groups must adapt to a new world in which providers are rewarded for meeting quality objectives for their entire patient panel, and not just those actively...
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...important variable that defines an organization and has significant implications on its ability to be effective and efficient. Culture can be a critical barrier to leveraging new knowledge and implementing technical innovation (Helfrich et al, 2007). This paper will first provide an overview and analysis of the cultures and subcultures of two Ontario healthcare organizations - Trillium Health Centre (THC) and Credit Valley Hospital (CVH) in the context of a recent voluntary merger of the two organizations. The paper will then examine the impact of the dominant and sub- organizational cultures on the capability of the two organizations to be more effective, efficient and patient focused, as will the ways in which these cultures create barriers to current change efforts. Finally, the paper will identify recommendations for the merged leadership of the organizations to consider in order mitigate the identified cultural barriers in order to support future change efforts. A Cultural Overview THC and CVH are large community hospitals located within the Mississauga Halton Local Health Network (MH LHIN), serving a population of over a million people. Both organizations provide comprehensive primary, secondary and tertiary services to the communities and the region. Clinical program planning in the...
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...Health Care Spending Paper HCS/440 Health Care Spending Health care spending in America is at an all-time high. The baby boomer generation is reaching retirement age and its dependence on health care is greater than ever before. This burgeoning demand for health care services has put a huge strain on the infrastructure of the health care system that was originally designed to accommodate far less Americans than it currently supports. Many financial experts predict a drastic increase in health care spending in the years ahead. According to Wayne (2012), "Federal, state and local governments are projected to spend $2.4 trillion on health care in 2021, half of all U.S. medical expenditures, according to the analysis in Health Affairs by actuaries and economists from the Centers for Medicare and Medicaid Services. Government accounted for about 46 percent of health spending through 2013” (Glide Path). This particular article shows monumental increase predicted for government funded health care in the near future. Speculation regarding the impact of the Affordable Health Care Act on future spending has been mixed. Some analysts say that spending will level-off; while others state that the reform will increase spending. According to Walker (2012), "National healthcare spending grew very little in 2011 -- just 3.9%, which was the same rate seen in 2010 -- to reach $2.7 trillion. The slow growth was mostly because of the lingering effects of the recession, the study...
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...Term Paper Information Technology Strategic Plan CIS 500: Information Systems for Decision-Making Information Technology Strategic Plan Established in 1984, in Chattanooga, TN, 1st Step Counseling started as a privately owned counseling practice, primarily serving the local courts by providing first time DUI offenders with DUI education service and assessment, as mandated by their court ordered probation. Over the next ten years 1st Step Counseling has expanded its’ services to deliver out-come focused Mental Health and Substance Use Disorder counseling. By 1995, 1st Step Counseling had a patient census of approximately 300 patients, requiring the employ of an Internal Medicine Specialist, a Psychiatrist, a Nurse Practitioner, three Licensed Practical Nurses, two Clinical Psychologist, six Licensed Professional Counselors and two Clinical Social Workers, plus eight Administrative and Support staff. Later the same year, 1st Step Counseling opened a second office in Farragut, south of Knoxville, TN. Since this first expansion, 1st Step Counseling has established itself as a prominent Mental Healthcare Service provider, with 14 locations in or near metropolitan areas, throughout the Southeast. In January 2014, the Board of Directors decided to expand to the national market. To begin steering the company toward the national stage, the Directors and Senior Executives rebrand the company’s identity by changing the name to Access-Link Behavioral Healthcare (BHC)...
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...members who provide care to their physically or cognitively impaired relatives, are leading providers of services to elderly individuals. However, caregivers frequently experience symptoms of depression, stress and anxiety. Also, caregivers may suffer from physical or psychological distress as a result of these symptoms. The author examined the effects of depression, stress and anxiety and suggested an assessment instrument to gauge levels of anxiety. In addition, strengths and limitations of this approach were delineated. The author hypothesized that caregivers would exhibit higher anxiety scores than non-caregivers. This hypothesis was tested by comparing a group of informal caregivers to a group of non-caregivers. Furthermore, recommendations for reduction of stress and anxiety symptoms were made. Anxiety Scores of Informal Caregivers Family members of elderly, impaired individuals in the United States provide the majority of necessary daily care for their relatives (Sheehan & Nuttall, 1988). These caregivers may be described as informal: individuals who provide unpaid care to a friend or family member out of love and respect for the impaired person (George & Gwyther, 1986). Unfortunately, many caregivers reported significant stress, depression and anxiety (Sheehan & Nuttall, 1988). Research demonstrated a correlation between caregivers’ depressive symptoms and potentially harmful behaviors toward the recipients of their care (Pillemer & Finkelhor...
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