Preview

Decision Making Case Study

Better Essays
Open Document
Open Document
1487 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Decision Making Case Study
Decision Making Case Study
HCS/514
Managing in Today's Health Care Organizations
Instructor: Darlene Cantu
Camille F. Fuller

Decision Making Case Study
Health care is one of the largest growing industries in the country. Technology and medical advancements attribute to the constant changes in the health care industry. The economy also continues to change, and with the changing economy health care cost continue to rise. Companies across the nation have either closed or moved to other countries. El Paso County Clinic is struggling to keep the doors open. Buduget cuts have affected the clinic tremendously. The El Paso County Clinic’s budget has been cut by 15%. The population affected by the budget cuts are Medicaid recepients. Medicaid recepients have a two-fold problem; reduction of benefits, and the reduction of services at the clinic. El Paso County Clinic’s recent budget cuts will force the administration to reduce and eliminate services. The El Paso County Clinic must address the current budget cuts by reducing, and or eliminating services, and continue to provide quality health care.
The El Paso County Clinic has appointed a team to address the budget cut issues. The team will use the Informed Decision Toolbox to decide what is best for the clinic and the clients. The first step is to frame the question. The team will gather necessary information and frame questions regarding which services to eliminate, and which services to reduce. In framing these questions the specifics must be stated. What are the most utilized services in the clinic? How will service cuts and elimination affect the clients? What services can be outsourced to other facilities that accept Medicaid? Can lab test, and or raidology be outsourced? Are there any jobs that can be combined without affecting quality services to the clients? Specific questions pertaining to nonessential personnel. Can the custodial personel be downsized? Do the Medicaid recipients of the clinic have other



References: Rundall, T. G., Martelli, P. F., Arroyo, L., McCurdy, R., Graetz, I., Neuwirth, E.B., Curtis, P., Schmittdiel, J., Gibson, M., & Hsu, J. (2007). The Informed Decisions Toolbox: Tools for Knowledge Transfer and Performance Improvement. Journal of Healthcare Management, 52(5), 325-342. Liebler, J.G. & McConnell, C.R. (2008) Management Principles for Health Professional (5th ed) Sudbury, MA: Jones 7 Bartlett

You May Also Find These Documents Helpful

  • Powerful Essays

    Stoddard County Public Health Clinic is located on Highway 25, North of Bloomfield, Missouri. The clinic provides services to infant and child; young and middle aged adults; older adults; environmental services; and group/community services. When the 2009 budget cuts were distributed among the different departments, the manager of the Young and Middle Aged Adult Department noted a 15% budget cut. This paper is a case study of how the Young and Middle Aged Adult Department Manager will decide what tools she will use to decide which clinical service should be eliminated or introduced to better serve the Medicaid population at while at the same time make a 15% cut in its budget.…

    • 1411 Words
    • 6 Pages
    Powerful Essays
  • Powerful Essays

    Res351

    • 1871 Words
    • 8 Pages

    The research problem is finding a better solution for hospitals, and other health care organizations to operate without having to deal with issues on funding that is paid out by state and federal government programs. The purpose is finding a financial solution to reduce the rising bad debts and charity costs that have affected Banner Health since the budgets cuts went into effect on January 1, 2011.…

    • 1871 Words
    • 8 Pages
    Powerful Essays
  • Powerful Essays

    Liebler, J. G., & McConnell, C. R. (2008). Management Principles for Health Professionals. Retrieved from http://www.portal.phoenix.edu…

    • 1722 Words
    • 7 Pages
    Powerful Essays
  • Powerful Essays

    A change in demographics can affect the healthcare industry such as aging community, currently the healthcare industry is dealing with the “Baby Boomers” health decline and the demands for better technology. Federal agencies such as CMS have a direct impact in the way health care is practiced and provided; there are requirements that must be followed for hospitals participating in federal programs such as Medicare. Changes is legislature is another important factor, in Nevada there was a law that requested providers had to reside within the state to become licensed to practice. The BCCH leadership made a petition to the legislature to amend the law to make possible that tele health services could be provided to the patients in the hospital intensive care unit. The amendment of the law opened doors to services through tele health impossible otherwise. Before preparing strategies for the hospital, leaders need to know what factors to deal with, once this information is known, the process can begin to develop strategies. “The alternative to delivering preventive services such as counseling in a clinical setting is to provide referrals to outside providers, such as local health departments, tobacco quit lines, or community-based organizations. However, available evidence suggests that this practice is also not common. This may be a result of limited and variable access to such…

    • 1624 Words
    • 7 Pages
    Powerful Essays
  • Satisfactory Essays

    Hcs/514

    • 758 Words
    • 4 Pages

    EBOOK COLLECTION: Liebler, J.G. & McConnell C.R (2008). Management Principles for Health Professionals. (5th ed.). Sudbury, MA: Jones and Bartlett.…

    • 758 Words
    • 4 Pages
    Satisfactory Essays
  • Powerful Essays

    Accreditation Audit Task 1

    • 1716 Words
    • 6 Pages

    Shortell, Stephen M., and Arnold D. Kaluzny. Health care management: organization, design, and behavior. 5th ed. Clifton Park, NY: Thomson Delmar Learning, 2006. Print.…

    • 1716 Words
    • 6 Pages
    Powerful Essays
  • Satisfactory Essays

    Buchbinder, S.B., & Shanks, N.H. (2012). Introduction to health care management (2nd ed.). Burlington, MA: Jones & Bartlett Learning.…

    • 716 Words
    • 3 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Hcs 235 Syllabus

    • 2686 Words
    • 11 Pages

    This course provides a broad overview of the various functions of the United States health care system. The historical evolution of health care is examined. The student is introduced to the various forms of provider models and service delivery systems found in private and public health sectors, including ambulatory, acute, mental, and long-term care. The financing aspects of health care and their influence on health care delivery and quality are outlined.…

    • 2686 Words
    • 11 Pages
    Satisfactory Essays
  • Good Essays

    In John’s is dealing with factors that are unfortunately beyond his control. The fact that john has recently moved to a rural area is one problem. There are not many health care facilities in rural areas that accept Medicaid. John doesn’t own a vehicle which is an enabling factor. By him not having a vehicle ha has to rely on public transportation to get to and from. The form of insurance John has is also a factor because it doesn’t have that effective amount of coverage he needs. He has to go 40-minute up the road to closest physician who accepts Medicaid. That can be difficult when you don’t have transportation. It is also a big inconvenience because he has to make his appointment 2-weeks in advance. Being that is the closest physician office that receives Medicaid; they have a lot of patients. John will also have to take off work to have a doctor’s visit because they don’t have weekend and evening hours. John is facing a numbers of factors that affect his utilization. In order for john to fix this problem he would have to figure out which factors can be changed and…

    • 719 Words
    • 3 Pages
    Good Essays
  • Good Essays

    I. Medicaid was first created and developed to provide health care services for individuals with low income and limited resources. The government developed funds that would match State funds with Federal funds in order to serve the ill, the elderly and children. Team "B" will construct an outline of Medicaid and its development during the stages of policy making and what it takes to produce such a policy. Every American citizen will be affected by both the past and future policies implemented in the attempts to save Medicaid. (www.kff.org/medicaid)…

    • 1860 Words
    • 8 Pages
    Good Essays
  • Good Essays

    Roles and Functions Paper

    • 739 Words
    • 3 Pages

    References: Lombardi, D. J., Schermerhorn, J. R., & Karmer, B. (2007). Health Care Management. Hoboken, NJ: John Wiley @ Sons, Inc.…

    • 739 Words
    • 3 Pages
    Good Essays
  • Better Essays

    Outline a strategy for the health care provider you selected to determine the utilization of its products or services.…

    • 992 Words
    • 4 Pages
    Better Essays
  • Good Essays

    As adults and human beings we have certain inalienable rights to make decisions regardless of whether they are deemed as poor or inappropriate by others. One must take into consideration the level of understanding and competence a patient possesses to assure they are informed of all options and repercussions; the other must be whether the individual is harming anyone other than themselves by making said decision. Once those issues have been taken into consideration there must be an allowance for an individual to make their own well-informed choice, even though as a practitioner, we may feel it is not in their best interest.…

    • 796 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    Critical Access Hospitals

    • 3119 Words
    • 13 Pages

    Significant health disparities between rural and urban populations have been a major concern in the United States. One prominent factor contributing to the disparities is lack of access to quality care in rural areas which is closely associated with challenges faced by rural health care providers (National Rural Health Association, 2007). Rural hospitals are the key health care provider in rural areas, offering essential health care services to nearly 54 million people (American Hospital Association, 2006). They face a series of challenges such as workforce shortages, rise in health care costs, difficulty in finding access to capital, difficulty in purchasing new technology, small size, limited assets and financial reserves, and a higher proportion of older residents resulting in higher number of Medicare patients than those in urban areas (Rural Assistance Center-Hospitals, 2012). Rural Healthy People 2010 reported that only 10% of physicians practice in rural America despite the fact that nearly one-fourth of the population lives there. In addition, over the past 25 years more than 470 rural hospitals have closed (Southwest Rural Health Research Center, 2003). "Eye on Health" by the Rural Wisconsin Health Cooperative reported that the population of rural areas is 18% seniors, and 14% below the poverty level (Rural Wisconsin Health Cooperative, 2002). A key contributing factor for substantial increase in number of rural hospital closures during the 1980s is the restructuring of the Medicare reimbursement policies in the 1980s from a cost-based system to a prospective payment system (PPS) (Capalbo S, Kruzich T & Heggem C., 2002). For an average rural hospital, nearly 60% of its revenue comes from the Medicare and Medicaid programs which is about 10% higher than for the average urban hospital (Mohr P, Franco S, Blanchfield B, Cheng M, and Evans W., 1999). Under the PPS,…

    • 3119 Words
    • 13 Pages
    Powerful Essays
  • Powerful Essays

    The Primary Care Clinic

    • 1463 Words
    • 6 Pages

    The development of clinics has become increasingly more important since the passage of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010. Politics influence clinics because when laws such as these are put in place, federal funds will follow. These acts will make healthcare more accessible to millions of people in the United States. (Hobbs, Morton, Swerissen, & Anderson, 2010)…

    • 1463 Words
    • 6 Pages
    Powerful Essays

Related Topics