MARKET RESEARCH ANDSEGMENTATIONGolden Age Hospital.docx

MARKET RESEARCH AND
SEGMENTATION
Golden Age Hospital
*
Background
Mission Viejo municipality is a large health facility that serves
a big population.
The total population comprises of 48.5% males and 51.5 %
female.
The municipality has two big health care facilities that serve a
radius of approximately 10 miles.
Mission Hospital Regional Foundation Centre acts as a
communal ship due to its functions.
Background
Currently, the Mission Viejo municipality has a larger
population of approximately 500,000 people according to the
latest census of 2012. The total population comprises of 48.5%
males and 51.5 % female. The county has two main healthcare
facilities that provide services to the community of radius of
approximately 10-miles. The Mission Hospital Regional

Foundation Centre acts as a communal ship due to its functions.
Besides, the mission health Centre is prominent to partner with
other facilities such as CHOC Children’s (Burgess, Shaw &
Kellas, 2011). The two healthcare facilities provide services to
a total of nine municipalities at Viejo. These municipalities are
San Juan Capistrano, Aliso Viejo, Laguna Niguel, Lake Forest,
Laguna Hills, Laguna Woods, Mission Viejo, Ladera, and
Rancho Santa Margarita.
*
Background cont…
Also, the mission health Centre is prominent to partner with
Kellas, 2011).
The facilities serve nine municipalities which include: San Juan
Capistrano, Aliso Viejo, Laguna Niguel, Lake Forest, Laguna
Hills, Laguna Woods, Mission Viejo, Ladera, and Rancho Santa
Margarita.
THE EXTERNAL ENVIRONMENT
Common senior medical situations
The Golden Age Hospital performs an important role in the
community because it provides quality healthcare services to
infected people and the old.
Many common health conditions affect the old age in the
municipality.
Some of the health conditions include: heart attack conditions,
lungs problems, and coronary diseases.
Presently, it is challenging to deal with these health conditions
due to lack of enough facilities.
Thus, an extra wing of the Golden Age Hospital will help to
provide quality health care.

The makeup of the Golden Age Hospital in the Mission Viejo
and its surroundings is useful because it provides quality
healthcare services to infected people and the old. Many
common health situations affect the old age in the municipality.
These most common health conditions include heart attack
conditions, lungs problems, and coronary diseases, which has
been reported in places like Aliso Viejo and Laguna Hills
(Collins, Connor, Mott & Hickey, 2015). Currently, dealing
with these common healthcare conditions is challenging because
there are no enough health facilities that can provide all needed
services to the public. In most cases, senior medical situations
need special attention which should be addressed with more
care. Therefore, there is need for an extra wing at the Golden
Age Hospital that should to be specifically responsible to
handle senior medical conditions only.
*
MAJOR MEDICAL INSTITUTIONS
The senior healthcare institution in the municipality is the two
hospitals located in Viejo.
It primarily provide acute healthcare services and respite
healthcare services to the elderly.
These healthcare services are susceptible.
Therefore, it can allow caregivers to attend to other daily
routines.
Major Medical Institutions
hospitals located in Viejo that primarily provide acute
healthcare services and respite healthcare services to the

elderly. These healthcare services are susceptible; thus, it can
allow caregivers to attend to other daily routines.
*
Market Research and Segmentation
Targeting and location of Golden Age Hospital
Statistically, the number of aging population is increasing
rapidly thus, requires more health care attention.
Development and modernization of an extra wing in the facility
will help to provide supplementary services.
In the nine counties, around 17.5 % of the total population is
fifty-five years of age assuming the average age is 77 years
(Havers & Evans, 2010).
The need for an extra wing in the city is driven by the increase
in several medical conditions among the aging population.
According to the current situation in the city, there is a need for
more wing of the facility to prove healthcare services to the
aging population that requires more attention. The development
and modernization of more extensions in the facility will help to
provide supplementary services to the two existing hospitals to
deliver excellence healthcare services to old people.
Statistically, in the nine counties, around 17.5 % of the total
population is fifty-five years of age assuming the average age is
77 years (Havers & Evans, 2010). The latter implies that
approximately 77,000 people out of the aggregate population
are susceptible to various medical situations. According to the
2016 report, the aging population in the nine municipalities is
increasing daily, thus creating the need for extra wings to help
to provide supplementary health care services to the aging
population

*
Demographic reasoning
The average income distribution of the people in Mission Viejo
region is relatively high even if the demographic situations is
unfavorable.
Mission Viejo is located in an industrialized nation where a lot
of demographic configuration had taken place.
Also, the birth rate in the city is relatively low compared to
longevity rates.
As such, an extra wing is necessary to provide special health
care services to the aging population.
region is quite high even though the demographic situations is
not favorable. Generally, Mission Viejo is located in an
industrialized nation where a lot of demographic configuration
had taken place. The latter implies that birth-rate is relatively
slower, while longevity rises (Havers & Evans, 2010). Typically
it is fair if the continuation and birth-rate move concurrently to
establish a balanced input versus output in the society.
Nevertheless, this seems to be challenging, and the governments
feel unable to control it due to the rapid increase in the aging
population among the locals. As such, an extra wing that will be
specifically targeting the aging population will help to solve the
problem because it will provide more Medical care to a larger
group of the aging population.
*
Physical specialized health care services

The establishment of the Golden Age Hospital in the city will
provide more benefits to residents of different ages.
The aging population will benefit more than any other groups
because most health care service will be dealing with lifestyle
health conditions.
Currently, the young age population is well considered with
health care systems are standard to meet all their needs.
The facility should focus on patient with health conditions like:
oncology and Cardiology, resilience service, and occupational
services (Stoichiţă, 2012)
The formation of the Golden Age Hospital will be a scene of
success not only to the aging population but also to other
patients who has some severe health care conditions. Currently,
the younger age is well catered for, but the middle age and the
aging population are the ones facing problems that should be
attended to ensure equality in health care delivery within the
municipality (Havers & Evans, 2010). As such, the primary
issues that should be handled well is finding specialized health
care practitioners to treat common diseases among the aging
population. Some of the sensitive services that the facility
should offer are like oncology and Cardiology, resilience
service, and occupational services (Stoichiţă, 2012).
*
Medical Centre Services Preferences
Apart from construction of another wing, the Golden Age
Hospital will play an important role in dealing with health care
situations in the city.
However, this will create a need for more health care
professionals, skilled, trained home caregivers, and
knowledgeable individual to provide healthcare services

(Rogers, 2014).
Additionally, trained health care professionals are presently
working in unsafe environments.
Besides the establishment of another wing is the formation of
the Golden Age Hospital which will reduce cases of older
people staying at home to seek for health care services from
community health workers who do not offer standard care
services. As such, this will create a need for more health care
(Rogers, 2014). Additionally, trained health care professionals
are presently working in unsafe environments. Therefore, it is
crucial to have partners to ensure that health care services
providers work on safe and conducive environments. The latter
will help to ensure that quality health care services are provided
to all people regardless of the age factor.
On the other hand, home healthcare services delivery in
developed nations should be standard health care services to the
targeted group of people. However, the use of home care
services to provide services leads to overall loss on the nation’s
Gross Domestic Product that needed human labor in different
sectors (Rogers, 2014). But the Golden Age Hospital was
recommendable and useful to offer quality services.
*
SERVICES OFFERED AT GOLDEN AGE HOSPITAL
Outpatient service
In-patient services
Specialized services

*
Medical Centre Services Preferences cont.…..
It is necessary to have partners to ensure that health care
services providers work on safe and conducive environments.
Home healthcare services delivery in developed nations should
be standard health care services to the targeted group of people.
Generally, the use of home care services to provide services
leads to overall loss on the nation’s Gross Domestic Product
that needed human labor in different sectors (Rogers, 2014).
But the Golden Age Hospital was recommendable and useful to
offer quality services.
*
Recommendations
Due to the current condition, the establishment of a new wing of
the GAH will help to solve the main problems facing the city.
The establishment of the an extra wing will help to solve both
fundamental and critical health care services.
Conclusively, the setting up of a new health care facility
branded as the GAH to incorporate the organizational ideal to
provide quality healthcare services.

ORGANIZATION STRUCTURE AND FUNCTIONS
Golden Age Hospital
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Shared services and functions
GAH and the community clinic share common functions and
services offered to their clients. These services include:
Heart Surgery
Knee Replacement
Physical Therapy
Sleep Study
Appendectomy
Hip Replacement
Common services provided by GAH and the community clinic
GAH and the community clinic provide common services to
patients. First, the facilities will provide essential health care
services, case specific to the demands of our patients. These
services are provided to the target population of GAH.
*
Organizational relationship between structure blocks
The Golden Age Hospital will have a hierarchical organizational
structure.
In each level within the organization will have a health
professionals who provide quality health care services.
The top management will engage in strategic planning and
creation of policies that will improve efficiency in the facility.

Also, there will be division of tasks to help in the smooth
running of activities at different levels within the facility.
The GAH will have a hierarchical organizational structure with
different level of management. Each level within the
organization will have a health professional who is mandated to
assume their roles with professionalism to increase the
standards of health care services offered to patients
(Bieberstein, Bose, Walker & Lynch, 2015). As such, the top
management will engage in strategic planning and creation of
policies that will improve efficiency in the facility. Besides,
there will be a division of tasks to help in the smooth running of
activities at different levels within the facility. For instance,
doctors, clinicians, and nurses will have distinct roles to
promote efficiency and services delivery.
*
Integration of services of physicians within the GAH
The Golden Age Hospital will provide health care services to a
different groups of people.
However, it will mainly provide quality healthcare services to
infected people and the old.
As such, integrating functions of physicians will be helpful to
provide quality services to the aging population to improve
quality of life in the city.
Integration of services will help to offer health care service to
many patients within a short period.
Since the facility will mainly provide health care services to the
aging population, it is necessary to integrate functions of

physicians to help in providing quality services to the aging
population to improve quality of life in the city. Integration of
services will help to offer health care service to many patients
within a short period.
*
Management aspects
The management aspect plays an essential role in enhancing the
smooth flow of activities.
The Golden Age Hospital should borrow the ideas of
management aspect to help running activities within the
facilities (Burgess et al. 2011)
Management theories will be adopted to create a clear channel
on how to run the activities of the hospital.
To achieve all organizational goals and missions, specialization
and division should be encouraged .
Management aspects
Generally, the management aspect plays an essential role in
enhancing the smooth flow of activities. Similarly, to help the
GAH to achieve its goals and objectives, there is a need to
borrow the ideas of management aspect to help running
activities within the facilities (Burgess et al. 2011). As such,
management theories will be adopted to create a clear channel
on how to run the activities of the hospital. In doing so,
specialization and division of labor will be encouraged to
ensure health care professionals are assigned duties in their
areas of expertise to improve efficiency.
*
Organizational forms

Conventional hierarchy organizational form.
This organizational structure encourages division of labor and
specialization to improve quality of health care services.
The facility will comprise of the top management, which
includes the Chief Executive Officer, Chief Administrative
Officer, Human Resources Managers, and medical officers
The GAH will have a conventional hierarchy organizational
form. In this form, the division of labor and specialization will
be encouraged to improve the quality health care services
offered to patients (Burgess et al. 2011). The facility will
comprise of the top management, which includes the Chief
Executive Officer, Chief Administrative Officer, Human
Resources Managers, and medical officers, among other health
care professionals. In this organizational form, there will be
specialization and division of labor amongst doctors, nurses,
clinicians, and laboratory technicians.
*
The mission statement of the GAH
The following are the primary mission statement of the GAH:
To meet all health care needs of the aging population by
offering special considerations to treat diseases affecting the
elderly.
To enhance the mental health of vulnerable people by creating
easy access to health care services to all groups of people.
To provide access to all medical services by all patients

regardless of social classes and level of income.
Reinforce health care projects and programs to help in help in
empowering activities that aim at improving the quality of
health care within the municipality.
Typically, a mission statement plays an essential role in an
organization by establishing objectives of an institution and
how to achieve. Similarly, the Golden Age Hospital has a clear
mission statement that will help it to achieve its goals. Since
that facility seeks at solving a health problem in the city, it will
concentrate on meeting the needs of the locals to improve the
quality of life in the city. Below is the primary mission
statement of the GAH:To meet all health care needs of the aging
population by offering special considerations to treat diseases
affecting the elderly.To enhance the mental health of vulnerable
people by creating easy access to health care services to all
groups of people.To provide access to all medical services by
all patients regardless of social classes and level of income.
Reinforce health care projects and programs to help in help in
empowering activities that aim at improving the quality of
*
Recommended hospital size
Currently, the rate of health care needs in the city for the aging
population is rising steadily.
The facility should be sized to accommodate all patients who
will be visiting the facility to seek medical services.
The establishment of the Golden Age Hospital in the city will
provide more benefits to residents of different ages.
The GAH should have a minimum number of 550 beds to
accommodate many patients at once (Stoichiţă, 2012).

Currently, the rate of health care needs for the aging population
is rising steadily. As such, the facility should be sized to
accommodate all patients who will be visiting the facility to
seek medical services. Therefore, the GAH should have a
minimum number of 550 beds to accommodate many patients at
once.
*
The organizational structure of Mission Hospital
CEO
Lab technicians
Chief Administrative Officer
Clinicians
Nurses
Human Resources Manager
Chief Medical Officer
*
Proposed Organizational structure of the GAH
CEO
Lab technicians

Clinicians
Nurses
*
Main services to offer at the Golden Age Hospital
The General Age Hospital will offer a variety of services. These
services include, but not limited to:
Cardiology diseases
Cancer, diabetes
Coronary ailments
Joint problems (hips, knees,etc)
According to the finding from the survey, the aging population
is affected most with health care conditions. As such some of
primary treatment that will be offered include Cardiology
diseases, Cancer, diabetes, Coronary ailments, Joint problems
(hips, knees,etc) among other lifestyles diseases (Burgess et al.
2011). Besides, the facility will also offer out-patient services,
in-patient services, and comprehensive medication treatment to
patients.
*

MODULE 3: FINANCING AND BUDGETING
Financing and budgeting helps organization to:
Plan for and realize financial and operational goals
The financial goals include:
Profitability
The operational goals include:
The necessary medical equipment
Healthcare supplies e.g. drugs
Financing and budgeting are a crucial part of implementing the
plan for the construction of the Golden Age hospital. The
budget ensures that the money required for the various purposes
are allocated and provided to ensure the actualization of the
plan. As such, it is imperative to ensure that every detail of the
construction and development of the hospital are included in the
plan to promote the realization of the desired positive outcomes.
*
CONTINUATION…
Reasonable budgeting is imperative for meeting the desired
construction standards
A proper budget should be developed to carter for:
The desired quality services
This ensures that all the aspect and requirements of quality are
met
Reasonable budgeting provides and opportunity to improving
the decision making of the process. This is realized because of
the enhancement of management responsibility created by the
certainty of having an effective budget in place. Quality service
is realized because the healthcare organizations are able to
carter for the specific care needs of the patients by providing

for the necessary funds in the hospital budget. The process also
ensures that the construction of the hospital is not affected by
luck of funds because all the required funds will be allocated
and provided to ensure the smooth construction of the hospital.
Image sourced from: http://georgiatoday.ge/news/5384/IFC,-
EBRD-Help-Aversi-Pharma-Expand-Access-to-Quality-
Healthcare-Services-in-Georgia
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CONTINUATION…
Financial resources are also needed for:
Purchase of specialized medical equipment
Designed for the specific target population
The aging population
These should be included in the initial planning and budgeting
of the project
Ensures that funds are provided in time
Providing the necessary financial resources in good time is an
important aspect of realizing the desired success for the
construction of the hospital. The hospital will required all the
financial needs to be covered in the budget from its initial
stages in order to ensure that all the necessary funds are
provided when they are in need. This will see to it that the new
hospital is able to equip the hospital with the required
specialized care equipment for the targeted population. As such,
it crucial for the government to make the purchase on it own
through it various agencies to ensure that all the necessary
items are purchased as argued by Young & Kroth (2018).
*

LEGAL FINANCIAL PROCEDURES
Legal financial procedures should be adhered to
This will ensure that:
The right care equipment are purchased
The quality of the equipment match the required:
Quality and standard specifications
Technological aspects should also be considered
The technology should be able to change with needs
Adhering to the legal and financial procedures ensure that
proper steps are followed in the purchasing of the medial and
overall healthcare equipment. This will ensure that the right
equipment for the specific roles are purchased and that the
equipment are of the required quality. Quality is important to
ensure that the equipment last long to realize the desired
outcomes. Also, the equipment being purchased should not only
meet the current but also the future technology needs. This
means that the equipment should utilize a technology that can
easily adapt to the constantly changing technology environment.
*
CONTINUATION…
Provision of the Federal Medicare Health insurance
For the target population:
Individuals of age 65 and above
This requires:
Reasonable financial projections
Employing financial professionals
Proper management of hospital funds

The provision of the Federal Health Insurance will ensure that
all the target individuals are able to access to the healthcare
services in order to realize the desired care outcomes. It is also
imperative to ensure that professional in finance are employed
to effectively manage the finances and budget of the hospital
after its completion. This will ensure that proper financial
projections are developed to meet the specific needs of the
healthcare organization as well as the individual patients
seeking treatment.
Image sourced from: https://www.alz.org/help-
support/caregiving/financial-legal-planning/medicare
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MEDICARE PROSPECTIVE PAYMENT SYSTEM
Reimbursement will be done based on:
Predefined amounts
Drives efficient care
Sufficient reimbursement
Ensure access to enough financial resources
When treating patients, it is imperative to ensure that the
reimbursements are done in good time to ensure the smooth
operations of the hospital which will promote the realization of
the desired positive healthcare outcomes as argued by
Bieberstein et al. (2015). The move also ensures that enough
financial resources are availed for the running of the hospital
operations. Access enough financial resources is crucial to
meeting its financial needs as well as the goals and objectives
of the hospital, (Burgess et al., 2011).
Image sourced from:
https://www.verywellhealth.com/reimbursement-2615205

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CONTINUATION…
Provision of prospective payment
This ensures that:
The hospital delivers adequate care
Thus determining the amount of:
Medial insurance fund
The hospital will be mainly offering specialized services to the
targeted patients. As such, it is imperative to ensure that
prospective payments are made to the healthcare organization.
Limiting the strict assessment used to determine the amount of
medical insurance will ensure that the hospital is shielded from
interference by the government. This helps the health
organization to focus on it main mandate and objectives thus
promoting positive outcomes.
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INTERPRETATION OF THE THE GENERAL AGE HOSPITAL
PROJECT
Based on the net loss:
The hospital will likely accrue more profits
This is to:
Improve efficiency of healthcare processes
Improved efficiency of the business process
The information presented in the project table shows that the
hospital is likely to make profits in the first year. This because
income is projected to more than the expenses that are bound to

be encountered during that year. Improve efficiency ensures that
resources are properly allocated to maximum productivity and
output of the healthcare professionals and the healthcare
organization as a whole.
Image sourced from:
https://www.healthcatalyst.com/success_stories/culture-of-
continuous-improvement-mission-health
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CONTINUATION…
The results also point out:
There is a need for :
Developing and
Implementing cost reduction strategies
E.g. reducing misc expenses
Developing and implementing cost reduction measures will
ensure that the hospital management is able to make the
necessary adjustments on its operations based on the prevailing
conditions. As such, the organization will be able to prioritize
its activities based on its set goals and objectives. This ensures
that the organization is able to realize continuous growth and
development because of positive healthcare outcomes as argued
by Burns & Muller (2018).
*
CONCLUSIONS DRAWN FROM THE CALCULATIONS
Based on the data from the calculations;
The GAH will make a profit of $18 million
This is because:

Total expenses are substantially lower than the total income
The results points that the hospital is bond to make losses worth
$1,115,000 in the first year of its operation. Making losses
presents various operational challenges for the hospital which
will affect its ability to meet its set goals and objectives. For
instance, the institution might find it difficult to meet its
organization costs and expenses thus straining its limited
financial resources. This makes it difficult for hospital to meet
the specific needs of the target population, the aging
population.
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CONTINUATION…
To prevent the loss, the management needs to:
Put in place appropriate preventive measures:
Cut down on costs
Improve employee performance and efficiency
Focusing on specific patient needs
Preventing the loss will help the healthcare organization to
overcome the associated challenges and realize positive
outcomes in its programs and activities. Cutting down on costs
will ensure that more resources are available to handle the more
crucial aspects of its processes. Improving the performance of
the employees will ensure that they are able to utilize minimum
resources to maximize outcomes. Focusing on the specific
customer needs will ensure that the healthcare organization is
able to identify and address the needs of the customers by
targeting them with the specific resources.
Image sourced from:

https://www.corporatewellnessmagazine.com/article/establishin
g-a-culture-of-health
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RECOMMENDATIONS
The recommendations are focused on:
Minimizing loses
Increase service chargeFor service that need more resources
E.g. surgical services
Increasing the service charge for those services that require
more resources will ensure that the organization is able to
generate more revenue to cover for such resources. For instance,
surgical services require more money to cater for the
professional services are well as the appropriate medication
equipment required to person the process. Therefore, increasing
the prices for surgical services will ensure that the hospital
raising enough money needed to meet such costs.
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CONTINUATION…
Limiting the number of services for specialized services
Specialized services are more costly than general care services
The more the services are delivered, the higher the
costs/expenses Reducing the services will result to:Reduce costs
Specialized services require more resources which make it
difficult for the healthcare organization to provide these
services to a large group of the target population. Limiting the
number of such services will see to it that the hospital focuses

on the more important health issues and condition which will
not only reduce costs for the organization but also increase
positive outcomes since it will be able to meet the specific
patient needs instead of utilizing a one-size fits all strategy
which is more costly.
Image sourced from: http://www.allhandshomecare.com/care-
services/specialized-care-services/
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CONTINUATION…
Utilize government support and incentives This will help the
healthcare organization to:Generate more incomeImprove the
quality of care services offered Promote positive healthcare
outcomes for the organization
There are various government initiatives that can be utilized by
the healthcare organization to promote the efficiency and
effectiveness of its programs and activities. Incentives will help
the organization to raise the necessary funds and resources
needed to meet its care activities. The move will ensure that the
organization is able to address the diversified patient care needs
among the target population.
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CONTINUATION…
Reducing the organization’s annual miscellaneous expenses
This increases the total profit
Reducing the miscellaneous expenses will help the healthcare

organization to increase its ability to address the unique patient
needs. Reducing the cost of running the organization will help
to save more funds that can be used to improve the overall
healthcare activities and processes it undertakes. Focusing on
the most imminent care needs will ensure that patients are able
to realize better and more comfortable lives after being treated.
Also, preventive measures reduce the prevalence of healthcare
challenges which improve the overall care outcomes.
Image sourced from:
https://www.fool.com/retirement/2018/01/18/5-things-you-
should-know-about-filing-your-2017-ta.aspx
*
References
Bieberstein, N., Bose, S., Walker, L., & Lynch, A. (2015).
Impact of service-oriented architecture on enterprise systems,
organizational structures, and individuals. IBM systems
journal, 44(4), 691-708.
Burgess, C., Shaw, C. & Kellas, J. (2011). Health & social care.
Harlow: Heinemann.
Burns, L. R., & Muller, R. W. (2018). Hospital‐Physician
Collaboration: Landscape of Economic Integration and Impact
on Clinical Integration. Milbank Quarterly, 86(3), 375-434.
Collins, A., Connor, J. A., Mott, S., & Hickey, P. (January 01,
2015). Using Data to Drive Improvement and Build the Science
of Nursing.
Havers, R., & Evans, R. (2010). The golden age of rock 'n' roll.
New York, N.Y: Chartwell Books.
Rogers, N. (2014). Polio wars: Sister Elizabeth Kenny and the
golden age of American Medicine. Oxford: Oxford University
Press.
Stoichiţă, V. I. (2012). Visionary experience in the golden age
of Spanish art. London: Reaktion Books.

Young, K. M., & Kroth, P. J. (2018). Sultz & Young's health
care USA: Understanding its organization and delivery.
THE END
THANK YOU!
*
Running head: Golden Age Hospital Complete 1
Golden Age Hospital Complete
21
Golden Age Hospital Complete
DeMario J. Stackhouse
MHA – 599
Dr. Tina Evans
Trident University International

Background
Currently, the Mission Viejo municipality has a larger
population of approximately 500,000 people according to the
latest census of 2012. The total population comprises of 48.5%
males and 51.5 % female. The county has two main healthcare
facilities that provide services to the community of radius of
approximately 10-miles. The Mission Hospital Regional
Foundation Centre acts as a communal ship due to its functions.
Besides, the mission health Centre is prominent to partner with
Kellas, 2011). The two healthcare facilities provide services to
a total of nine municipalities at Viejo. These municipalities are
San Juan Capistrano, Aliso Viejo, Laguna Niguel, Lake Forest,
Laguna Hills, Laguna Woods, Mission Viejo, Ladera, and
Rancho Santa Margarita. The county has communities and
homes which comprises of the aging population and retired
persons of fifty-five years and above.
The makeup of the Golden Age Hospital in the Mission Viejo
and its surroundings is useful because it provides quality
healthcare services to infected people and the old. Many
common health situations affect the old age in the municipality.
These most common health conditions include heart attack
conditions, lungs problems, and coronary diseases, which has
been reported in places like Aliso Viejo and Laguna Hills
(Collins, Connor, Mott & Hickey, 2015). Currently, dealing
with these common healthcare conditions is challenging because
there are no enough health facilities that can provide all needed

services to the public. In most cases, senior medical situations
need special attention which should be addressed with more
care. Therefore, there is need for an extra wing at the Golden
Age Hospital that should be specifically responsible to handle
senior medical conditions only.
Major Medical Institutions
hospitals located in Viejo that primarily provide acute
healthcare services and respite healthcare services to the
elderly. These healthcare services are susceptible; thus, it can
allow caregivers to attend to other daily routines.
Market Research and Segmentation
According to the current situation in the city, there is a need for
more wing of the facility to prove healthcare services to the
aging population that requires more attention. The development
and modernization of more extensions in the facility will help to
provide supplementary services to the two existing hospitals to
deliver excellence healthcare services to old people.
Statistically, in the nine counties, around 17.5 % of the total
population is fifty-five years of age assuming the average age is
77 years (Havers & Evans, 2010). The latter implies that
approximately 77,000 people out of the aggregate population
are susceptible to various medical situations. According to the
2016 report, the aging population in the nine municipalities is
increasing daily, thus creating the need for extra wings to help
to provide supplementary health care services to the aging
population.
Additionally, there is a need for an extra wing in the city is due
to the increase in common medical conditions that need more
attention and facilities. Another reason for the high demand for
another facility is due to the rising number of medical
conditions in the city which need critical care by building
another wing. The aging population can be segmented based on

demographic, psychographic, income, and community.
region is quite high even though the demographic situations is
not favorable. Generally, Mission Viejo is located in an
industrialized nation where a lot of demographic configuration
had taken place. The latter implies that birth-rate is relatively
slower, while longevity rises (Havers & Evans, 2010).
Typically, it is fair if the continuation and birth-rate move
concurrently to establish a balanced input versus output in the
society. Nevertheless, this seems to be challenging, and the
governments feel unable to control it due to the rapid increase
in the aging population among the locals. As such, an extra
wing that will be specifically targeting the aging population
will help to solve the problem because it will provide more
Medical care to a larger group of the aging population.
The formation of the Golden Age Hospital will be a scene of
success not only to the aging population but also to other
patients who has some severe health care conditions. Currently,
the younger age is well catered for, but the middle age and the
aging population are the ones facing problems that should be
attended to ensure equality in health care delivery within the
municipality (Havers & Evans, 2010). As such, the primary
issues that should be handled well is finding specialized health
care practitioners to treat common diseases among the aging
population.
The Golden Age Hospital is set to act as one of the branches of
the Mission Group that will be primarily significant is attending
to the aging population to offer essential health care services
that will enable them to live longer. Some of the sensitive
services that the facility should offer are like oncology and
Cardiology, resilience service, and occupational services
(Stoichiţă, 2012). Consequently, this will lead to high
innovation and technological levels to find ways of handling
critical health issues. Also, there will be a need for engagement

of qualified professionals to use advanced technical components
in the Golden Age Hospital to provide quality health care
services.
Besides the establishment of another wing is the formation of
the Golden Age Hospital which will reduce cases of older
people staying at home to seek for health care services from
community health workers who do not offer standard care
services. As such, this will create a need for more health care
(Rogers, 2014). Additionally, trained health care professionals
are presently working in unsafe environments. Therefore, it is
crucial to have partners to ensure that health care services
providers work on safe and conducive environments. The latter
will help to ensure that quality health care services are provided
to all people regardless of the age factor.
On the other hand, home healthcare services delivery in
developed nations should be standard health care services to the
targeted group of people. However, the use of home care
services to provide services leads to overall loss on the nation’s
Gross Domestic Product that needed human labor in different
sectors (Rogers, 2014). But the Golden Age Hospital was
recommendable and useful to offer quality services.
Recommendation
According to the current condition, the establishment of a new
part of the GAH is likely to solve the main problems facing the
city. As such, there is a need for the formation of the GAH to
help in solving both fundamental and critical health care
services.
Conclusively, the setting up of a new health care facility
branded as the GAH to incorporate the organizational ideal to
provide quality healthcare services.

Case 1 Survey.
Item #
A
To be filled by the student
B
Results - To be filled by the
Instructor
Survey item
On a scale of 1-10, where:
10= very much needed, and
1 = not needed
1
Is a special GAH Medical Centre needed?
9
2
Is a specialized community clinic needed in
Addition to the GAH?
8
3
Is palliative care needed?
They’re not sure what this means --- (9) Hospice
4
Is a speech therapy service needed?
4
5
Is Physical Therapy needed?
9 with OT
6
Is cardiology needed?
9
7
Are you in need of a neurology services?

8
8
Would a podiatry clinic help you?
7
9
Is a doctor who specializes in diabetes need?
6 Endocrinology
10
Is counselling needed to help cope with bad news?
4
11
Are chiropractor services needed?
Not an inpatient service
12
Are oncology services needed?
5
13
Are orthopaedic services needed?
9
14
Are Geriatric services needed?
9
Shared services and function shared between the GAH and the
community clinic

There are many health care services that the two facilities will
provide in common. First, the facilities will provide essential
health care services, such as outpatient services and in-patient
services. These services are provided to all ages, regardless of
social classes. Besides, the two facilities provide laboratory
services such as x-ray, radiotherapy, and blood test, among
other laboratory services (Burns & Muller, 2018).
The GAH will have a hierarchical organizational structure with
different level of management. Each level within the
organization will have a health professional who is mandated to
assume their roles with professionalism to increase the
standards of health care services offered to patients
(Bieberstein, Bose, Walker & Lynch, 2015). As such, the top
management will engage in strategic planning and creation of
policies that will improve efficiency in the facility. Besides,
there will be a division of tasks to help in the smooth running of
activities at different levels within the facility. For instance,
doctors, clinicians, and nurses will have distinct roles to
promote efficiency and services delivery.
Furthermore, the GAH will have a chart to clearly outline the
organizational structure and roles of healthcare professionals to
provide a road map for smooth running of activities (Burgess,
Shaw & Kellas, 2011). The chart will also display horizontal
linkages between health professionals between different levels
in the organization to facilitate smooth coordination. On the
other hand, delegation and execution of duties within the
facility will be based on the ability to offer quality health care
services to patients. However, a chain of command will have to
prevail to ensure that all health care professional adhere to
internal controls.
Since the facility will mainly provide health care services to the
aging population, it is necessary to integrate functions of

physicians to help in providing quality services to the aging
population to improve quality of life in the city. Integration of
services will help to offer health care service to many patients
within a short period.
Management aspects
Generally, the management aspect plays an essential role in
enhancing the smooth flow of activities. Similarly, to help the
GAH to achieve its goals and objectives, there is a need to
borrow the ideas of management aspect to help running
activities within the facilities (Burgess et al. 2011). As such,
management theories will be adopted to create a clear channel
on how to run the activities of the hospital. In doing so,
specialization and division of labor will be encouraged to
ensure health care professionals are assigned duties in their
areas of expertise to improve efficiency.
The GAH will have a conventional hierarchy organizational
form. In this form, the division of labor and specialization will
be encouraged to improve the quality health care services
offered to patients (Burgess et al. 2011). The facility will
comprise of the top management, which includes the Chief
Executive Officer, Chief Administrative Officer, Human
Resources Managers, and medical officers, among other health
care professionals. In this organizational form, there will be
specialization and division of labor amongst doctors, nurses,
clinicians, and laboratory technicians.
Typically, a mission statement plays an essential role in an
organization by establishing objectives of an institution and
how to achieve. Similarly, the Golden Age Hospital has a clear
mission statement that will help it to achieve its goals. Since
that facility seeks at solving a health problem in the city, it will

concentrate on meeting the needs of the locals to improve the
quality of life in the city. Below is the primary mission
statement of the GAH:
i. To meet all health care needs of the aging population by
offering special considerations to treat diseases affecting the
elderly.
ii. To enhance the mental health of vulnerable people by
creating easy access to health care services to all groups of
people.
iii. To provide access to all medical services by all patients
regardless of social classes and level of income.
iv. Reinforce health care projects and programs to help in help
in empowering activities that aim at improving the quality of
Currently, the rate of health care needs for the aging population
is rising steadily. As such, the facility should be sized to
accommodate all patients who will be visiting the facility to
seek medical services. Therefore, the GAH should have a
minimum number of 550 beds to accommodate many patients at
once.
The organizational structure of Mission Hospital
CEO

Lab technicians
Clinicians
Nurses
Proposed Organizational structure of the Golden Age Hospital
Chief Executive Officer
Lab technicians
Clinicians
Nurses

The Golden Age Hospital will have the same organizational
structure because it will be mainly constructed to provide
supplementary services to the Mission hospital.
According to the finding from the survey, the aging population
is affected most with health care conditions, that differ from
those of any other age group. Specifically, heart, lungs,
neurology, joints and even cancer reside at a higher risk
percentage for our target market. Considering the needs of our
patients, GAH has decided to offer services such as knee
replacements, sleep studies, cardiology services to include heart
surgery, hip replacements, Physical Therapy, and
Appendectomies. The selection of these services to offer came
as a conclusion of the demands of our local area. During the
second phase of development, GAH wanted to ensure we
selected services that could maximize the use of the facility for
our patients. Additionally, the facility will allocate a small
portion to also offer out-patient services to patients, for the
small percentage possessing uncommon needs, based off the
geographical location.
Physician-hospital integration
Various activities will be performed in the facilities to provide
quality health care services to patients. In doing so, some health
care program will be installed to help in providing quality
services. However, such services programs must conform to
professional requirements to ensure that the quality of health
care services offered to patients meets the minimum health
standards (Burgess et al. 2011). The facility will set health
targets to achieve through establishing social and health care
frameworks to help in the provision of standard health services.
Even though the facility aims at improving the quality of health
care services, the cost of offering those services will be

affordable to all classes of people to encourage more patient to
access quality health services regardless of the income levels.
For GAH to achieve this, the management will incorporate all
functions of the facility to reduce operation cost to charge a
reasonable price for their services.
Conclusively, the GAH should appropriately work on its
mission, objectives, and goals to ensure it provides quality
health care services to patient particularly the aging population
who are more in need to health services in the city. Doing so
will help to improve the quality of life amongst different groups
in the city.
Finance and Budgeting
The construction of the Golden Age Hospital will require a
reasonable amount of money to ensure that the facility
constructed meet the standards stipulated in the layout. For
instance, to build a 550-bed capacity organization, the
management of the facility should have a budget of close to $
800 million. The amount will be used to construct primary
supporting that will help to provide quality health care services
to the targeted groups (Young, & Kroth, 2018). The amount will
also be enough to purchase all medical equipment that will be
used to offer need-specific services to the aging population. As
such, it is appropriate for the sponsor of the project to avail all
financial requirements needed to finish the construction project.
Even though the state will procure most of the health care
equipment, legal procurement procedures should be followed.
Doing so will help to ensure that all equipment purchased are of
standard and are capable of offering quality health care services
to the targeted group. As such, since the state is making all
purchases on its own, people assigned to budget and procure
that equipment should know to ensure they purchase useful
items (Young, & Kroth, 2018). Purchasing of the right
equipment will help to provide quality health care services to
patients. Also, while making procurement activities,
technological concepts should be considered to ensure that

procured equipment does not become obsolete quickly with
changes and advancement in technology.
Since most of the clients who will be served within the facility
will be 65 years of age and above, Federal Medicare health
insurance will provide majority of the financial resources
needed for these patients. Intuitively, there is a need to know
how Medicare health coverage will be handled to ensure that all
patients have access all health care services. Also, the Golden
Age Hospital should have competent financial professionals to
manage funds properly, based off previous organizational
structures established.
Furthermore, the amounts will be considerate and enough to run
all operations of the facility's activities. The facility will
maintain this by ensuring that all governments' contributions are
disbursed in time, and all payments from individual patients are
collected in time. Moreover, the management of the GAH
should make reasonable financial projections to ensuring
operating costs do not exceed the total income that will result in
losses.
Medicare Prospective Payment System
The process in which the facility will be reimbursed by the
government, will be done based on the predefined amounts and
not according to the cost incurred when treating a patient, a
process also known as Prospective Payment System. This
process has been around since October of 1983, when it was
first introduced to the Federal Government. It came about as a
way to stop healthcare facilities from doing things, solely for
financial gain. This process is to drive providers to deliver
efficient care without overusing the services. Through this
means of reimbursement, an amount will be set based off
service, and even duration of stay(when applicable), and that is
the amount the GAH will see for delivered service. In doing so,
the government should ensure that reimbursement is done in
time to facilitate the smooth running of all the facility's
operations (Bieberstein, Bose, Walker & Lynch, 2015).
Also, this will help to avail enough financial resources for the

facility to enable it to run its activities well.
The reimbursement amounts made by the government should be
enough to enable the facility to offer quality services, while
maintaining the mission of the process. Consequently, this will
generate enough financial resources that will allow the facility
to make some expansion to increase services delivery (Burgess,
Shaw & Kellas, 2011). Based off the financial analysis of
services provided, an estimated $18 million would be generated
as income for the organization. This is a very efficient amount,
given this will be the third branch of the hospital. Another
security element to add is that it is from Medicare. The
disbursement of all government's financial supports and
incentives should be made at the beginning of every year. The
latter will allow for proper planning and allocation of resources
to all departments to facilitate for running all organization's
activities to ensure the smooth running of operations.
The General Age Hospital Project
A
B
C
Filled by Instructor
D
E
Filled by Instructor
F
Service / Treatment
Estimated Medicare reimbursement to GAH. (each 10 to 60
thousands of dollars)
Projected number of procedures/treatments performed annually
Total income
B*C
GAH projected performance relative to federal standards

GAH projected annual gain (or loss).
D – D*E
Treatment ABC
$10,000
75
$750,000
80%
$150,000 (do not add this line to total)
Knee replacement
$50,000
200
$10,000,000
80%
$2,000,000
Physical Therapy
$17,000
150
$2,550,000
90%
$255,000
Heart surgery
$60,000
50
$3,000,000
120%
-$600,000
Sleep Study
$11,000
100
$1,100,000
100%
$0
Appendectomy
$21,000
60

$1,260,000
75%
$315,000
Hip Replacement
$49,000
75
$3,675,000
85%
$551,250
Miscellaneous expenses
$10,000
25
$250,000
%250
-$375, 000 (minus)
Total
$18,910,000
$346,250
Interpretation
The net loss illustrates that the hospital is likely to incur more
profit than expenses in the first year of operation. It is projected
that GAH will generate $18 million in revenue from the services
provided. Additionally, financial analyses also show that the
hospital should expect a gain of $346,250. This is not as
profitable as GAH would like to see. As such, there is a need to
implement suitable measures to sustain current expenses or
minimize future expenses for the facility (Burns & Muller,
2018). This will ensure continued growth and increased profit,
in the years to come. For example, the organization must strive
to ensure that the “performance relative to federal standards” is
at a percentage in which, the services are profitable. When that
percentage is too high or extremely close to 100%, there is no

chance in seeing a profitable gain. Currently, with the levels
staying where they are, a profitable mission would be a
challenging one.
Financial & Budgeting Conclusion
Conclusively, the results obtained from the calculations show
that the Golden Age Hospital will incur a minimal profit from
the services offered, due to the percentage of performance
relative to federal standards, being too close to 100% or over.
The main reason why the facility is likely to cause financial
damages is due to the unforeseen circumstances that can’t be
controlled, only corrected. Therefore, the management of the
GAH, project committee, and stakeholders should identify
appropriate measures, ones in which would make all services
profitable. Putting appropriate measures in place will ensure
that the Golden Age Hospital has enough financial resources to
run its activities and still make profit.
Recommendations
According to the above results, the GAH is likely to make minor
losses in the first year of operation. Therefore, it is appropriate
for the management, and the stakeholders of the project to
consider the following recommendations to minimize or avoid
making massive losses in the futures:
i. Increase the charges of services that require more resources
and advanced technology to offer. For instance, the management
needs to increase costs on surgical services such as cardiology,
which require more attention and resources to provide to
patients. In doing so, the facility will be able to generate
enough financial resources that will be enough to run all its
operations as well as making reasonable profits.
ii. The management of the Golden Age Hospital should set a
limit on the number of services offered to specialized services
to reduce expenses. This will ensure the facility maintain
foresight and balance of the services provided and demands of
the community.
iii. The facility should apply for enough government support
and incentives to help to generate income that will enable it to

offer quality health care services to all patients. Besides, using
for government incentives and support will help the Golden Age
Hospital to provide all health care services need by patients.
iv. Lastly, the Golden Age Hospital should reduce its annual
miscellaneous expenses. The latter will help in reducing the
total costs for the facility and thus, will help in enabling the
Golden Age Hospital to offer quality services to its clients. An
audit shall be performed annually, to possibly reduce this
expense in the future.
Quality control and Accreditation
Core competencies and goals/objectives
The proposed organization and its structure and the community
clinic work best to uphold the core competencies of GAH.
These include; epidemiology that compacts with the incidence,
distribution, and prevalence of diseases and other factors
relating to the health of the older adults population. Another
competency is pathophysiology competencies, which describes
disordered physiological processes that refer to injuries or
diseases contactable by the target population. The goal of this
competency is to recognize the atypical clinical presentation
and progression of common conditions found in older adults and
determine the symptoms of drug-induced diseases and geriatric
syndromes (Sedhom, Sedhom, & Barile, 2019).
Thirdly, GAH is competent in the geriatric examination across
its demographic area. Under this, the goal is to identify basic
physical, cognitive, functional, and safety examination for
common diseases in the older adult population and assess social
and cultural determinant of health outcomes after interpreting a
comprehensive medication history about a patient’s current
health status (Xakellis et al., 2004). Fourthly is offering
medication treatment to these examinations. The hospital would
work best to define therapeutic goals integrating patient-
specific principles such as age, functionality, patient
preference, and culture and relate pharmacodynamic and
pharmacokinetic changes associated with aging to
pharmacotherapy regimen design. Lastly, a core competency

relating to emergencies is Emergent intervention modifications.
This focuses on recommending therapy based on the actual
benefit to risk ratios, such as sepsis, stroke, and, acute
myocardial infarction, such that age is not the only exclusion
from therapy for elders. Also, it aims to recognize and
implement measures for protecting elders from iatrogenic
complications, such as spinal immobilization, invasive bladder
catheterization, and central line placement.
Control method/scoreboard
Thompson (1998) studies on clinical indicators indicated that
current shreds of evidence on the “performance indicator
efficiency is reliant on the observational or experiential data”
(Shaw, 2003). Hospitals' scores on the Hospital Consumer
Assessment of Healthcare Providers and Systems (HCAHPS) is
one of the increasingly used scoreboards used in most hospitals
and could service the new organization better in assuring the
goals and objectives if the core competencies are achieved.
HCAHPS survey addresses communication questions relating to
the listening skills of the nurses and physicians to listen to the
patients carefully, their understanding, and medication
administration (Smart Shoup, 2015, p.5). HCAHPS scores help
the hospital to gather, examine, and act on data on the patient
experience as well as identify trends and problems in the
system.
JCAHO accreditation’s core competencies for management and
staff of GAH
There are essential aspects that are worth considering for both
the team and the management of GAH. If seeking the JCAHO
accreditation, the Medical Staff Standards focuses on the
progressive control and measures of the hospital’s practitioners
on regards of six fundamental competencies. First, patient care
is privileged the JCAHO section that stipulates that the
physicians should provide compassion, appropriateness and
effective patient care in a bid to prevent illness, treat diseases,

and promote health (Rosack, 2002). Secondly, medical/clinical
knowledge under JCAHO obliges both the management and
practitioners to demonstrate an understanding of clinical,
biomedical, and social sciences and use that information to take
care of patient and educate others.
Thirdly, practice-based learning and improvement as well as
interpersonal and communication skills are significant in
helping that the hospital maintains a relationship on grounds of
professionalism with both the patients, staffs, and healthcare
management team (Inc., 2019). The professionalism cuts across
ethics, professional development, and sensitivity to diversity,
with regards to medical profession, patients and society’s
attitude. Lastly, the management and staffs need to ensure that
all system-based practices are at their best.
Ethical Issues - HIPAA
Health Insurance Portability and Accountability Act of 1996
(HIPAA, Title II) stipulates that Privacy rule, Security rule, and
Breach Notification Rules as critical to the ethical
considerations of the hospitals and helps safeguard the privacy
and secure the PHI and offer persons with absolute rights to
their health information. HIPAA incorporates Department of
Health and Human Services (HHS) to establish federal
electronic health care standards for transactions and identifiers
for employers, health providers and health plans. First, the
privacy rule stipulates state or federal conditions under which
the protected health information (PHI) held by Health care
providers, Health care clearinghouses and Health plans, can be
disclosed and used in the health facilities (CMS, 2016). The
privacy rule offers individuals with significant rights on their
PHI as well as authenticates the use and release of the PHI for
patients care.
Secondly, the security rule defends the roofed entities and
business associates by advocating for the implementation of
various aspects that help to guard the Confidentiality, Integrity,
and Availability (CIA triad) of electronically protected

information (ePHI) (CMS, 2016). The hospital must work best
to design and implement practical and suitable security
measures via procedures, programs, and policies for protecting
the security of ePHI created, transmitted, received, and
maintained.
Lastly, among the critical ethical considerations is the breach
notification rule that necessitates the entities to inform the US
Department of Health and Health Services (HHS) and affected
person as well as the mass media of any breaches of unsecured
PHI or ePHI. The impermissible disclosure or use of ePHI or
PHI compromises the privacy and security rule and is a breach
if not demonstrated that there us low chances that the PHI is
compromised on grounds of risk assessment. Confidentiality
prevents the ePHI from access of an unauthorized person or
processes. Integrity prevents alteration or destruction of the
ePHI in an unprecedented way. Availability allows access and
use of ePHI on demand of the authorized individual.
IT Systems
IT systems are best for the proposed Mission Hospital, Golden
Age Hospital, and the Community Clinic. Electronic Health
Records (EHRs) systems is among the contemporary health
information technology that significantly helps medical
professionals to improve the quality of health care (Walker,
Bieber, Richards, & Buckley, 2006). EHR systems allow
medical physicians to chart the information of the hospitals’
patients over a given period in a more accurate and increase the
safety of the patients more considerable. There are various
components of this system that are very key to the
communication needs in abd between the organization’s units.
The first component is the patient management, which helps in
the functionality of registration of patient, admission, transfer,
and discharge (ADT). When registering the patients in this
system, their contact details, insurance data, and demographic
information are essential. The EHRs generates a exclusive
Medical Record Number for the specific patient to use with the

care facility. Secondly, the clinical component which
encompasses a variety of sub-constituents such as electronic
documentation, the computerized physician order entry (CPOE),
and nursing component (Walker, Bieber, Richards, & Buckley,
2006). CPOE helps providers to key in their needed orders for
direct patient management via electronics (computers).
Electronic documentation is essential when it comes to
documenting notes like the operative, history and physical,
consultation notes, and discharge summaries. Pharmacy systems
under this component are imperative when filling prescriptions,
crosschecking orders, and maintaining a drug formulary. The
nursing component, on the other hand, allows for nursing
documentation barcode medication charting, and medication
administration record (MAR).
Thirdly, the laboratory component facilitates communication
between the examination of the patient and tests conducted. Lab
component focuses on capturing of results from the lab
machines and incorporating billing, lab machines and orders,
with the EHRs. Fourthly, radiology information system (RIS)
with Picture Archiving & Communications System (PACS) is
helpful when managing and controlling the patients' workflow,
ordering process/procedures, images, and results (Mennerat,
2002). The last component of the EHR system that helps in
communication relates to funds – this is the billing system.
Every charge created in the care delivery to patients could best
be communicated to the billing department through the hospital
billing system. Insurance carriers receive claims generated from
fees. Data fed in the EHRs help the health care professionals to
screen Fundamental Professional Indicators, view data
dashboards and analytically report this to improve the
organization's performance.
Requirements from the system subject to HIPAA ethical
requirements
The EHRs contains electronically protected Health information
that should not be accessed by any unauthorized person. Shaw

(2003) refers that HIPAA standards and requirements stipulate
that:
a. Any health care provider for medical and other health care
services who communicates health information electronically,
such as through EHR systems with link to a transaction adopted
by HHS shall be standardized and be either clinics, doctor,
dentist, psychologists among other providers.
b. With regards to EHRs, any person or health plan group that
offers or recompenses the health care costs such as Medicare,
Medicaid, Health insurance firms and health maintenance
organization (HMOs) should operate best to uphold the CIA
triad of the EHR systems
c. Health Care Clearinghouse should be a public or private
entity which processes the health care transactions of another
entity to a non-standard size like community health management
information system (CHMIS), reprising companies, and billing
services and needs to use and access the information in the
EHRs in so doing.
Conclusions and Recommendations
In summary, the construction of the Golden Age Hospital will
require reasonable considerations of the quality, ethical issues
as well as IT systems that best work to ensure the hospital’s
cooperativeness. The core competencies that the new
organization should consider as well as regarding the JCAHO
accreditation include; medical/clinical knowledge,
professionalism, patient care, interpersonal and communication
skills, systems-based practices, and practice-based learning and
improvement. Key to the ethical issues of GAH is the concern
over HIPAA Security, Privacy, and Breach Notification Rules
that work best to ensure that the new organization maintains
high degrees of PHI confidentiality, integrity, and availability
(CIA) to the stakeholders of the organization. If the new
Mission Hospital, Golden Age Hospital, and the Community
Clinic were to use Electronic Health Records (EHRs) systems as
its best communication tool within and across departments, it
would enjoy the services of various components. These would

include the laboratory, clinical, patient management, radiology
information system (RIS) and billing systems components that
are all integrated in the system for efficient. These work within
the stipulated requirement frameworks of HIPAA for the
healthcare organization.
It is recommendable that GAH:
a. Consider the policies and procedures for operating within
frameworks that assure quality health care delivery within a
timely manner.
b. Seek and incorporate core organizational competencies and
functions that are well defined and best understood by the
organization's management and staff to ensure the processes are
most efficient and effective.
c. Adhere to the JCAHO accreditation when aligning the core
organization competencies for the management and the staff
members.
d. Adhere to the stipulates ethical conduct by HIPAA and
maintain a high degree for the patient's privacy, security and
breach notification to maintain top concerns for confidentiality,
integrity and information availability
e. Incorporate EHRs as a communicative tool within and
across departments and help in maintaining excellence in
electronic use to protect patient’s information.
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