What Are The Policy Issues In The Case. Who Bears Major Responsibility For Their Presence?

1. Identify the policy issues in the case. Who bears major responsibility for their presence? Their solution?
Generally, numerous community Hospital facilities consider that their ED to be a standout amongst the most important areas of a hospital in light of the way that they identify with a customary money looser. According to this case, it clearly states the ED and inpatient services are a financial loss to the community. Due to these financial problems community hospitals have to close their ED’s. More number of uninsured/ underinsured patients walking into ER it leads to the high amount of uncompensated care and bad debt. Based on the case there are number of policy issues and these policy issues may also raise moral issues.
• Kris Hines
failed to increases the private patients to community hospital. Because physicians got difficulties to admit patients. She failed due to admit too many beds in ER.
• Kris Hines also failed the working with Bureaucratic officials to improve the financial condition by a new ambulance routing system.
It may be failed due to Hines cannot be compromising bureaucratic or city official uncompromised nature and also clearly can consider that she may be incapable.
• Kris Hines has got recommended plan to demarked the ED (By reducing staffing, closing parking lots and reducing coverage etc.). By doing this successful demarking( long waiting time or going to other place for treatment) probably may not effect the patients who are having not much serious condition, but definitely effect and hurt the sick patients to attempt to go somewhere else to their treatment.
• The clinic comes up short its general obligation of beneficence by demarking the ED. By keep open the medical centers meets a general obligation of beneficence to the group and a particular obligation of beneficence to patients under treatment with the come about that it may go bankrupt.
2. Outline a strategy that would save community hospital without using the plan developed by the marketing consultant. How is it superior? Inferior?
Without using the plan developed by marketing consultant, there are possible number of strategies and meet the duties may be considered as inferior
action.
• Hines could implement the first plan that by appeal again with physicians. Due to loyalty and economics some physicians have most important their community hospital, identify them and develop a strategy.
• Sometimes, the city officials are faced with the choice of not dealing the actual problem, citizen’s health and jobs, so again appeal with this bureaucracy may be useless.
Generally, it fair to say that all community issues are political to some degree. The politicians have the larger constituencies, policies in the face of public interest. Working with politicians through community is more effective, government is responsible for providing the access to healthcare, and enormous consequences in the community that leads to lost jobs and community pride.
• Attracting privately insured patients.
• Expanding access to community- based primary care to treat those who inappropriately use the ED.
• Increase attention to revenue collection.
• Determine weather these ED visits could be shifted to primary care settings in the community is difficult, because the appropriate use of ED for health problems often depends upon the factors other than their urgency, including the time of day when care is needed, the availability of other providers in the community.
• Final, in a bad situation close the ED.
3. Critique the marketing consultants suggested plan from a public policy perspective.
• Generally, emergencies can get care; greatest number is produced by demarcating is good that community hospital can be
open.
• Demarcating causes inconvenient for the patients with minor problems that not truly serious condition and they may be less access to ED.
• Generally, treating true emergencies is duty, but sometimes it happen that ED has to treat the minor and non emergency cases. So by using this demarcating can treat only the truly emergencies case.
4. Identify the impacts on the service area if community hospital closes.
• First and fore most thing is if hospital is closed then the true Emergency patients will be the high risk to travel to other hospitals to receive treatment, if the other hospital is far enough then high risk of patient death.
• Patients who have the access to primary care in community hospital will loose access that sometimes they use hospital ED for primary care will have less access.
• Next thing is if hospital closes, definitely the workers will loose their jobs.
• Even community members need care/treatment have to travel for other place.
• Community pride will be lessened because hospitals are an integral part of community services and activities.
• Sometimes in very critical serious condition if the distance is more from one community to other hospital services may someone loose their life?