Nadine Ranger Week 3
HCS/514
August 23, 2010
Sara Brown
Decision-Making Case Study Effective decision-making is a major component in managing an organization, resources, and staff members. Managers make important decisions daily that affect the operations, quality, and success of their organization. Instituting evidence informed decision-making is a growing concept among health care organizations, but managers face several challenges including time pressures and lack of resources to determine quality information. The use of adequate decision-making tools and resources help managers make strategically important decisions as well as develop and improve their decision-making skills. To effectively the best recourse in the following case study, the manager describes the best tool for deciding what services to improve or eliminate and how the tool affects accountability, knowledge transfer, and a questioning organization. Case Study The manager will use the tools in the informed decision toolbox developed in 2007 by Rundall et al. to best decision for the county clinic providing care for Medicaid clients. The scenario in this case study involves a county clinic in which the budget has been cut by 15%. This clinic provides care to Medicaid clients and the challenge to management is to identify the clinical services that should be eliminated or introduced to best address the health care needs of the clients. The manager must determine the best tool to use to make these decisions and the rationale using it. Starting the Decision-making Process With rising health care costs and the current state of the economy, it is not surprising that the clinic is forced to reduce its budget. The organization has decided to finalize the budget cuts, and decisions must be made about how to best achieve the goal of reorganizing
References: Health-evidence.ca. (n.d.). Tools to support evidence-informed decision making. Retrieved 8/18/2010, from http://health-evidence.ca/tool National Collaborating Centre for Methods and Tools. (n.d.). Evidence-informed public health. Retrieved 8/18/2010, from http://www.nccmt.ca/eiph/index-eng.html Rundall, T. G., Martelli, P. F., Arroyo, L., McCurdy, R., Graetz, L., Neuwirth, E. B., ... Hsu, J. (2007). The informed decision toolbox: Tools for knowledge transfer and performance improvement. Journal of Healthcare Management, 52(5), 325-342.