22 Jun (TCO A) You are the new
(TCO A) You are the newly hired Chief Knowledge Officer (CKO) for a mid-size hospital in a semiurban area of the country. Your first task is to develop the organization’s strategic plan that will shape the development of a comprehensive network of services for their community.
The organization provides the usual array of inpatient services expected in a moderate-sized community hospital. A local nursing home and retirement community is for sale, and the organization is considering the purchase of that agency. Several physician practices are also interested in alliances with the hospital. There is a local county health department that provides some clinic services, primarily for the uninsured.
You’ve been asked to give a presentation to the board of directors on options to restructure the local delivery of healthcare services. The hospital’s president has asked you to focus your presentation on the common elements a comprehensive delivery system attempts to accomplish and to highlight innovative methods of restructuring. The presentation will lay out the requirements of an integrated healthcare delivery system. (Points: 25)
2. (TCO B) You are the newly-hired Vice President of Human Resources for the Bayside Community Health System. You’ve been on the job for just 3 months and have considerable experience in human resource functions. You have responsibility for all of the usual human resources functions, including the recruitment process, the training and development functions, and the retention plan. In addition, you have the additional departments of volunteers and the hospital chaplain services.
You’ve identified a number of serious organizational issues that are impacting the hospital. Turnover is high, there are many vacant positions, and the organization has a very high number of positions that are considered hard-to-fill positions because of national workforce shortages in nursing, pharmacy, and radiology.
The board of directors and the president know that they have serious human resource issues that will have to change in order for them to compete in the local healthcare market as an employer-of-choice. As in any healthcare organization, fiscal resources are limited, but the board is firmly committed to investing in a well developed human resources plan to decrease turnover and stem the ever-growing turnover and vacancy rates. The president has asked you to attend the next board of directors meeting to share your plan for addressing these serious issues. What will you tell them in your presentation to address the retention and recruitment problems? (Points: 5)
3. (TCO C) Some physicians and for-profit healthcare organizations in your area are refusing to treat Medicare and Medicaid patients for a variety of reasons. These controversial decisions present not only a major breakdown in the healthcare delivery system but also in the financing of healthcare for many individuals across the nation. Delineate at least three reasons that physicians have for refusing to participate in these governmental programs, as well as the impact this practice has on other areas of the healthcare delivery system. (Points: 25)
4. (TCO D) As the executive director of a managed care company, you have been invited by Congress to consult about national healthcare reform. Public outcry for changes in managed care practices is ongoing. Congress is calling for reform, and medical providers are extremely frustrated with how you restrict care and offer low reimbursements.
Congress has asked you to discuss how the managed care industry can be overhauled to provide a more customer-responsive product and to control national healthcare costs.
What are the high-priority issues that will need to be discussed to overhaul the manag
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