Preview

Mt. Sinai Hospital Case

Better Essays
Open Document
Open Document
1450 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Mt. Sinai Hospital Case
Patrick Fitzgibbons
MBA 528
Case #2
11/17/2014

Mt. Sinai hospital is a Non-Profit hospital located on the West Side of Chicago that has in recent years faced increasing volumes of patients, demographic changes in their client’s, and increasing economic pressure. As a non-profit Mt. Sinai has a responsibility to provide affordable and quality care to individuals in the community despite their economic situation. This means relying increasingly on Medicaid as well as providing care to individuals that may not qualify for federal assistance through Medicare or Medicaid. During the past 20 years, the number of for-profit health care facilities, ranging from national hospital chains affiliated with major academic institutions to local dialysis
…show more content…
Sinai resides and provides care. A new report from Fitch Ratings predicts nonprofit hospitals in states that have chosen not to expand Medicaid will experience increasing financial challenges in 2014, and in years to come, while hospitals in states that have expanded Medicaid have already begun to realize the benefits of increased insurance coverage (Ratings, 2014). Due to continued reimbursement cuts to Medicare payments and an expected federal Medicaid funding reduction, Fitch expects hospitals in states that have expanded Medicaid to continue to benefit from the increase in coverage, while hospitals in non-expanded states will continue to feel the burden (Ratings, 2014). This will greatly affect Mt. Sinai and other non-profit hospitals in similar situations. A recent article in the Miami Herald illustrates this in a recent article about Florida hospitals and the potential of losing billions of dollars if the state decides not to expand Medicaid. Nonprofit hospitals stand to lose the most as they serve the most economically needy population. Illinois did expand Medicaid but it is still grossly underfunded and despite the legislative action will face issues as the federal government begins to wind down their funding of the state’s expansion. A state with many fiscal woes, as Illinois is, must find a way to fund the Medicaid expansion or hospitals like Mt. Sinai will face continuing financial pressures and bills that go unpaid. Patients rely on these programs but the state’s fiscal issues will ultimately decide whether these nonprofit hospitals serving rural and low-income communities continue to

You May Also Find These Documents Helpful

  • Powerful Essays

    Hillcrest Medical Case 1

    • 669 Words
    • 3 Pages

    Chief Complaint: The patient presents in the emergency room this morning, complaining of lower abdominal pain.…

    • 669 Words
    • 3 Pages
    Powerful Essays
  • Powerful Essays

    PHYSICAL EXAMINATION: This is a chronically ill appearing female, alert, oriented, and cooperative. She moves with great difficulty because of fatigue and malaise. VITAL SIGNS: Blood…

    • 630 Words
    • 3 Pages
    Powerful Essays
  • Powerful Essays

    Edgewood Lake Hospital (ELH) which opened in 1945, is a 30-bed, independent, not-for-profit hospital located in rural northern California. It provides inpatient and outpatient services to the close-knit community that resides within the forested and lakeside town the facility is nestled in. Although it is known for its great track record for quality and is held in high regard by the surrounding community, it has steadily experienced financial losses from 2006 through 2009. These losses can be attributed to factors both internal and external to the facility itself.…

    • 2986 Words
    • 12 Pages
    Powerful Essays
  • Satisfactory Essays

    HISTORY OF PRESENT ILLNESS: Mr. Barua is a 42-year-old gentleman from Bangladesh who presents with chest tightness, shortness of breath, and tachycardia. Dr. J.K. McClain of cardiology is evaluating his heart condition. The patient has had the recent onset of hypomtesis. He was treated for tuberculosis in Bangladesh 15 years ago. This has prompted the concern of whether his treatment for tuberculosis was adequate, or whether there is another cause for his hymoptesis. The duration of his tuberculosis treatment was apparently adequate, according to his wife. But, no records are available. In addition, the patient had a thrombosis of the axillary artery treated last year at Hillcrest. He had an embolectomy and has been on Coumadin since. INR is significantly elevated at 16. None the less, because of the cavitary lesions that are seen in the right and left upper lobes, the possibility of tuberculosis has been raised. Ancillary history was given by the patient’s wife Nupor, with the patient translating for her from the Hindi language.…

    • 602 Words
    • 3 Pages
    Satisfactory Essays
  • Good Essays

    Doctor's facility industry has experienced an emotional change throughout the years that is from beneficent associations up to a period where expanded clinic costs constrained the administration to reassess its part in human services, and individuals began paying for the administrations. Pate Memorial Healing Center is 600-bed doctor's facility which goes about as not revenue driven association ("Pate Memorial Hospital", 2017). It is an obligation free clinic with one of the most elevated inhabitancy rate in the region. The organization opens another facility in the five squares north from PHC. The association additionally confronts new rivalry as the market is productive.…

    • 947 Words
    • 4 Pages
    Good Essays
  • Better Essays

    Elijah Heart Center is a 120,000 square foot hospital to manage, and function as a coronary care unit for up to 140-beds in New York. The finance department has reported that Elijah Heart Center is facing a potential working capital shortfall because of discounts given to manage care companies, decreased in Medicare reimbursements, increase in present liabilities, unused equipment placed in patient’s room, and obtain the workflow of contract nurses. Elijah Heart Center will receive 2,300,000 from Medicare and other administered care organizations within three months but is…

    • 1194 Words
    • 5 Pages
    Better Essays
  • Better Essays

    The current grave state of the economy has had a significant impact on health care across The United States. Massive budget cuts, reduced services, and limited access to care significantly have affected Medicaid patients. Hennepin County Clinic (HCC), a facility that provides health care to Medicaid patients, is dealing with an additional 15% budget cut that will force management to make decisions about which services must be changed or eliminated while still meeting the basic needs of the clients.…

    • 1397 Words
    • 6 Pages
    Better Essays
  • Better Essays

    According to Kaiser Family Foundation (2013), more than 47 million Americans were uninsured in 2012. These gaps in health insurance undoubtedly increase healthcare costs, discourage the use of preventative care, and negatively impact the lives and health of the American people. One way to combat this issue is for hospitals and providers to offer charity care to those who qualify and are in need. Non-profit hospitals are organized to serve a charitable purpose to meet the needs of the community and serve indigent patients that would otherwise go without care due to lack of insurance. In return, these organizations receive tax exempt status on all of their earnings. However, some hospitals have fallen short in terms of fulfilling their obligations to the community and the patients in need.…

    • 1244 Words
    • 6 Pages
    Better Essays
  • Good Essays

    In chapter seven Dr. Makary states “getting good care can be a complex maze that confuses even the savviest consumers” (83). I agree with Dr. Makary that everyone should consider the kind of hospitals they choose to go to. At some point, every patient in…

    • 681 Words
    • 3 Pages
    Good Essays
  • Better Essays

    Rhode Island Hospital Case

    • 2096 Words
    • 9 Pages

    Women and Infants’ Hospital is part of the Care New England (CNE) Health System which is composed of four units: WIH, Butler Hospital (psychiatric subspecialty hospital), Kent Hospital (general care), and CNE Visiting Nurse Association (home health care). Women and Infants’ is the dominant provider of obstetric care in the state of Rhode Island servicing 82% of the market; it is also the primary teaching affiliate for Brown University in obstetrics and gynecology. It has the only Level 3 Neonatal Intensive Care Unit (NICU) in the state, which is a new state-of-the-art 80 bed individual room unit. The NICU is the largest source of hospital revenue for WIH. Maternal Fetal Medicine, also known as high risk obstetrics, is also an important service that supports the NICU through admissions and…

    • 2096 Words
    • 9 Pages
    Better Essays
  • Good Essays

    St. Marys Hospital Case

    • 1646 Words
    • 7 Pages

    1) Upon the story presented, necessary actions should be taken to overcome the hospital’s problems. St. Mary’s Hospital last year’s numbers showed the necessity of such actions. For the first time, since the hospital started operating, they presented deficit on its revenue. St. Mary’s hospital had some major problems in a few departments. During the last few years, the occupancy, or the number of patients in the hospital, has been declining. Such problem is explained by changes made to reimbursement policies, a larger emphasis on outpatient services, and an increase in local competition. Another major problem the hospital faces is the performance appraisal system. It seems inadequate for the system in operation because it lacks precise appraisal in individual employees. Such problem can be understood by the fact that the hospital never had to face a layoff before. This could be the reason why they have such a sloppy performance appraisal system in place. In reality, the hospital never had to make any use of it.…

    • 1646 Words
    • 7 Pages
    Good Essays
  • Better Essays

    390 Summary Report

    • 2455 Words
    • 7 Pages

    Wise Medical Center is regarded as one of the largest and best-managed hospitals in Eastern City. After appointing Dr. Dante in 2001 as the CEO the medical center has only elevated from financial despair to absolute success. Instilling Dr. Dante’s philosophy of “growth and investment” throughout the medical center, Dr. Francis and Matthews took over as chair and administrator for the Department of Surgery and recruited more than 30 faculty, increased total faculty practice by more than 150 percent and in 2010, the department earned more than $40 million in physician receipts for the first time in its history (Kaplan, 2013). However, both the department and the medical center are recently facing increasing financial pressures as the state and federal government look to reduce funding for Medicare, Medicaid, and other related programs. Simultaneously, the medical center is also grappling with space constraints due to the rapid expansion of all the departments (Kaplan,2013). Therefore, Dr. Dante and the department heads are trying to determine the most effective response to these increased financial pressures such as, creating a plan to address the future reductions in expenditures for each department within such a…

    • 2455 Words
    • 7 Pages
    Better Essays
  • Satisfactory Essays

    #5 Which items in the statement were easiest to project and why? Which were the most difficult and why? What effect could mis-estimates have had on projections? Which items would cause the most damage if mis-estimated?…

    • 964 Words
    • 4 Pages
    Satisfactory Essays
  • Good Essays

    The services that lead Northwestern Memorial Hospital (NMH) to the forefront are the specialties which are diabetes, endocrinology, neurology, urology, cardiology, cardiac surgery, pulmonology, oncology, nephrology, digestive disorders, gastroenterology, gynecology, geriatrics, pulmonology, orthopedics, and neurosurgery. Furthermore, NMH maintains by offering excellent customer and through clinical research studies. Also, what NMH have discovered works for their organization is participating in free care. According to (Northwestern Memorial HealthCare, 2010) “the hospital reports it provided community benefit contributions totaling $276.7 million in 2010 and including $44 million for charity care.” Most importantly, what do not work for NMH…

    • 143 Words
    • 1 Page
    Good Essays
  • Better Essays

    Health care is a vast and ever changing industry. The role of a health care provider includes many different disciplines working together to meet the needs of their patients. Health care is an intricate and interactive hierarchy of medical occupations and providers all which share a common goal. That goal is to provide quality care, across the continuum of care, at every stage of a person’s life. These occupations combine their expertise and bring about the best possible outcomes.…

    • 1127 Words
    • 5 Pages
    Better Essays