...When Dr. Kaplan joined VMMC what attracted him to the medical field was a collaborative team approach and Virginia Masons’ unique culture that was created in the early 1900’s. With time VMMC started to face challenges, competition was fierce and VMMC soon began to experience financial troubles. In addition, its employees were unhappy and the staff morale around the hospital was declining. Kaplan noticed that change had to be made to the way VMMC ran its hospital. Kaplan proposed that VMMC follow Toyota Production System management method to restructure the way it ran its physicians, nurses and support staff. He felt that NMMC’s goals were similar to Toyota, especially putting the customer/patient first, focus on quality and safety, and a commitment to employees. Kaplan was trying to achieve this change while keeping the unique culture that VMMC began with so many years ago. 2. How does the Toyota Production System fit into his strategy? Dr. Kaplan and executives at VMMC had created a strategic plan focused on becoming the quality leader in healthcare; however he lacked a system to achieve this goal. Kaplan felt the Toyota Production System (TPS) was an appropriate match for the VMMC because of the similarities in goals that they both shared and desire to achieve them. VMMC’s new vision aligned with Toyota model including its priorities of putting the patient/customer first, along with satisfying quality, safety and its employees. Traditionally, VMMC had taken cost savings...
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...Virginia Mason Medical Center Case study Question 1 How could TPS be used to solve the problems that Kaplan was facing at VMMC? VMMC was facing several critical issues when Kaplan assumed leadership of the organization: * High number of competitors in same geographic area * Lost substantial amount of money for the first time * Low morale among staff While Kaplan had implemented some changes to cut costs, he really needed to identify systematic ways to improve the quality of service and differentiate VMMC from its competitors. This is where TPS would prove valuable. Instead of being just another approach by management to create a more cost effective organization, TPS focuses on creating a culture of teamwork with the ultimate goal of delivering the highest quality service possible to the customer. And as a result of this focus on improvement, eventually costs are reduced. And lastly, TPS involves employees in the process and shifts the focus of management to the role of facilitator. Ideally these changes would undo some of the damage from past strategic innovations at VMMC and increase the staff morale. Why does TPS work at VMMC, while other similar approaches, i.e. TQM, have failed? The healthcare industry presents an interesting challenge: the relationship between the hospital and the physicians who work there. Historically the VMMC had a very difficult relationship with its physicians because they felt entitled to do what they wanted while it was the administration’s...
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...INTRODUCTION The following paper will serve the purpose of analysing the policy response to HIV and AIDS in Kenya as a case study in East Africa. Kenya has the main organisation which facilitates and controls various HIV and aids policy strategic response which is the national aids control council (NACC). It is the mandate of the Kenya Ministry of Health (MoH) to deliver quality, affordable health care to all citizens of Kenya. Various strategic documents have outlined plans towards achieving this goal, including the Second National Health Sector Strategic Plan (NHSSP II, 2005-2010) and the Kenya National AIDS Strategic Plan (KNASP, 2005-2010).They are various other documents which include the HIV and AIDS Prevention and Control Act, 2006 Sexual Offences Act, 2006 Children’s Act, 2001 Medical Laboratory Act, 1999 Science and Technology Act, 1980 Public Health Act (Cap 242) HIV prevalence in Kenya is estimated based on the Demographic and Health Survey (2003 and 2008/9), AIDS Indicator Surveys (KAIS 2007 and 2012) and Antenatal Clinic (ANC) sentinel surveillance. A trend analysis starting from 1990 shows that prevalence in the general population reached a peak of 10.5% in 1995‐96, after which it declined by about 40% to reach approximately 6.7% in 2003. Since then, the prevalence has remained relatively stable. The decline of the prevalence from 1995 to 2003 is partly attributed to high AIDS related mortality while the stabilisation of the epidemic in the last 10 years is...
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...include HIV testing and counseling, the launch resulted in a remarkable increase in the number of people accessing testing. Between 2008 and 2012, annual HIV testing increased from an estimated 19.9% to 37.5% among men, and from 28.7% to 52.6% among women. The higher testing figures seen among women have been attributed to the added effect of the PMTCT program, which enables women to access HIV testing services when they go for antenatal appointments (HIV and A1). Another program established was the condom use and distribution program. Male condoms became widely available, while the female condoms are not as readily available as they should be. A very interesting program that was established in 2007 was the voluntary medical male circumcision (VMMC) which can reduce the risk of female- to-male HIV transmission by up to sixty percent. As the programs encourage and push people to care more about their health HIV/aids in Africa will decrease...
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...Problem Statement: The main challenge faced by Virginia Mason Medical Center (VMMC) was the loss of money, consequently staff morale was declining. To tackle this problem, Management wants to implement a new and innovative manufacturing management model called Total Quality Management (TQM) in the service sector. How can a manufacturing management model fit into the health care sector? Secondly, VMCC suffers loss of money for the first time in its history. How can the management of the hospital curb the cost? Thirdly, Management wants to provide flawless service to patients because even a simple defect may cause a patient’s life. But physicians are protected by the administration. They are guarded by the implicit compact that was about protection, autonomy and entitlement. How can management change the psychology of the physicians that they can do whatever they like because they are protected by the administration? Conclusion: Since implementing the TQM management model has both upsides and downsides, management should implement TQM considering the downsides too. In my view, VMCC should standardize the work process so that it can reduce waste and save time. It can also give some autonomy to physicians as a team in special cases. Another conclusion focuses on reducing the cost of the company. I think Management can consolidate less profitable service lines, but with proper caution so that this decision does not affect the entire value chain activities. Last conclusion focuses...
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...✓ Materials Needed Performance Measurement & Control Systems for Implementing Strategy: Text and Cases, by Simons, Robert. Prentice Hall, ISBN #0-13-234006-2 Cases in Management Accounting & Control Systems 4th Edition, by Allen, Brownlee, Haskins and Lynch, Pearson-Prentice Hall, ISBN #0-13-570425-1 Freakonomics: A Rouge Economist Explores the Hidden Side of Everything, by Steven D. Levitt and Stephen J. Dubner, Harper Collins, ISBN#0-06-073132-X ✓ University Communication with Students All email communication from the University is sent to the student’s wsu.edu address. Please be sure that you have set up the link to forward your personal email address (aol, hotmail, etc.) or you will miss announcements and information that is very important to you. This is the email I use to contact you regarding class matters. If you change your email address, be sure to update again. ✓ Catalog Course Description with Prerequisitites 3credits: Managerial evaluation of budgeting, cost accounting, and financial analysis techniques; their utilization in control of operations. (pre-requisite acctg 550 or equivalent). Please note that pre-requisites are strictly enforced and that students will be disenrolled if they do not have course pre-requisites). ✓ Instructor Course Objectives Knowledge and Skill Expectations: Students should have the knowledge and skill level to record economic events, read and analyze financial information through the topic areas covered...
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...HOUSEKEEPING DEPARTMENT INTERVIEW QUESTIONS: 1. When can you start working? ___________________________________________________________________________________________________________________________________________________ 2. What are the key components of housekeeping? ___________________________________________________________________________________________________________________________________________________ 3. Are you good at multitasking? ___________________________________________________________________________________________________________________________________________________ 4. How would you handle a client who was angry or upset about something? ___________________________________________________________________________________________________________________________________________________ 5. How comfortable are you with chemical safety procedures? ___________________________________________________________________________________________________________________________________________________ 6. Can you give me some examples of health and safety procedures you have used? ___________________________________________________________________________________________________________________________________________________ 7. What types of procedure tracking systems have you used? ___________________________________________________________________________________________________________________________________________________ ...
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...Brief 1. Advance Operations * 90 % behavior and 10% what you know, that’s why the teacher tells us that in businesses, machines are very easy to learn inside out but when the people comes in the picture is when we have a problem. Behavior has a massive content in respect to success. * A sense of leadership combined with strong authority causes people to lift their spirit up and wakes up a sense of fellowship. * In Shackleton’s time there wasn't a lot of knowledge on those technologies being used. That combined with the pressure of the countries competing with each other to discover places around the world. * These competition kind of resembles todays fight in the automobile industry.Efficient use of time , as explained and used in operations is a very important way to find improvement. * Gravity waves: These waves are generated in a fluid medium or at the interface between two media when the force of gravity. An example of such an interface is that between the atmosphere and the ocean, which gives rise to wind waves. * Examples of leadership in Shackleton’s: He Invented the power bar ( found the right logistics for food), as a leader you have to seek informal contact at times which is more important at times that formal contact. * As a leader you can never extinguish HOPE . Is a vital element to lift up the spirit. * Competitiveness in...
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...Chapter I INTRODUCTION In modern medicines, plants occupy a very important place as the raw material for some important drugs. Synthetic drugs are effective in controlling different diseases but these synthetic drugs are out of reach of millions of people. It is estimated that around 70,000 plant species have been used for medicinal purposes. The herbs provide the starting material for the synthesis of conventional drugs. (Kumal & Malhotra, 2010) Medicinal plants have curative actions due to the presence of complex chemical constituents. Today, lots of health problems are escalating. One of these is coagulation problems. A normal platelet count in a healthy individual is between 150,000 and 450,000 per μl (microlitre) of blood (150–450 x 109/L). Ninety-five percent of healthy people will have platelet counts in this range. Some will have statistically abnormal platelet counts while having no demonstrable abnormality. However, if it is either very low or very high, the likelihood of an abnormality being present is higher. Some diseases or disorders in the platelet count in the blood are the Thrombocytosis where the presence of platelets in blood is high and Thrombocytopenia where platelets count in blood is low. In this case, a new way to develop platelets is needed. The researchers wanted to test the effectivity of tawa-tawa plant (Euphorbia hirta) treated with Riboflavin in the development of blood platelets. Euphorbia hirta...
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...Mitigation and adaptation measures to HIV/AIDS in the Philippines Mitigation and adaptation measures to HIV/AIDS in the Philippines STS 1 - X GROUP 16 STS 1 - X GROUP 16 Mitigation and adaptation measures to HIV/AIDS in the Philippines ------------------------------------------------- Factolerin, M., Mantala, C.J., Bernardo, M.C., Villa, A., Navarro, A.J., Ausa, E., Obiña, M.L., Velarde, E., Bernabe, M., Lusanta, A., & Bolanos, J. I. Introduction Acquired immunodeficiency syndrome (AIDS) is a pattern of devastating infections caused by the human immunodeficiency virus (HIV) transmitted through the exchange of a variety of body fluids from infected individuals. It occurs in three ways: sexual transmission, exposure to infected blood or blood products, or perinatal transmission, which includes breastfeeding. The likelihood for transmission is affected by social, cultural, and environmental factors that differ between and within the various regions, countries, and continents. This virus attacks and destroys certain white blood cells that are essential to the body’s immune system (UNAIDS, 2000). When HIV infects a cell, it combines with that cell's genetic material and may lie inactive for years. Most people infected with HIV are still healthy and can live for years with no symptoms or only minor illnesses. They might be infected with HIV, but this does not necessarily mean that they have AIDS. HIV targets CD4+ lymphocytes that help recognize and destroy bacteria, viruses...
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