The business direction for HR is to be more strategic in their fu.docx

The business direction for HR is to be more strategic in their
function.
In your experience, do you think HR is involved with setting
and implementing strategy? If yes, how and what role does HR
play?
If not, what makes you believe they are not involved?
Module 1
Module 2
Module 3
Module 4
MHA506 - Health Care System Organization
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X
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MHA507 - Health Care Delivery Systems
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X
X
MHM525 - Marketing in Healthcare
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MHM502 - Health Care Finance
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MHM514 - Health Information Systems
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MHM522 - Legal Aspects of Health Administration
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Running Head: MISSION HOSPITAL ANALYSIS PROJECT
1
MISSION HOSPITAL ANALYSIS PROJECT
27
Mission Hospital Analysis Project
Professor’s Name
Student’s Name
Course Title
Date
MARKET RESEARCH AND SEGMENTATION

Mission Hospital is located in Mission Viejo, California.
Mission Hospital being state of the art has 523 beds as a
regional medical center and acute care in California Mission
Viejo. These number of required beds is calculated as, Number
of beds needed = the average number of admissions to the
hospital from the hospital statistics is approximately 7560, with
a mean length of stay of 30 days. The occupancy rate of the
hospital was approximated as 84.17%. Therefore, the number of
beds needed will be = It is one of the busiest paediatric Level 2
and adults designated in the state of California Trauma center,
full range of specialist of healthcare services with teams that
are highly skilled in the treatment of multitude conditions of the
complex are provided in the mission hospital (Rad, &
Anantatmula, 2010).
The range that is full of expertise is included in the
services of neuroscience and spine, cancer care, cardiovascular,
wellness and mental health, orthopaedics, and other variety of
services that are specialists. Mission Hospital on the beach of
Laguna provides coastal communities of South Orange with
intensive care and emergency services in 24 hours
(Kohlstadt, 2016). A 48-bed facility is the only area of the
hospital that is paediatric for children at Mission Hospital.
Factors Affecting an Organization Externally
An organization can be affected externally by social,
political, or technological. Factors that are internal lead to the
success of the organization (Rad & Anantatmula, 2010). A
mission sense that is clear in an organization explains its self
better to the world, and positive elements can align it in each
area. Leaders who can learn and communicate with an
organization also externally learn from the organization and
successfully communicate with it, leading to exchange ongoing
ideas for both organizations to benefit and their environment.
External change that is done throughout the society also brings
impact to the companies, such as the sexual harassment
elimination movement aims to deliver results (Rad, &
Anantatmula, 2010).

Common medical conditions of seniors overall health status
A typical medical condition is the frail homogeneous group
progressing rapidly towards individuals most commonly ion the
elderly. In advancing age, some factors change from a
perspective physiological such as blood pressure and blood
glucose. Elderly subgroups that are specific from a perspective
clinic can be identified. It may also be influenced by the
support system that is social and available to them
(Kohlstadt, 2016). The network of potential and current
informal supports, like friends and families, has to play a role
in the modulation of the clinical impact and are the ones to
determine the decision made by the elderly.
Common medical conditions of seniorsunique illnessesNutrition
and Physical Activity According to research staying
active physically help to delay or prevent certain diseases, such
as diabetes, some cancers, and heart disease, improve moods,
and relieve depression. Advancing age can be accompanied by
inactivity, where it is not supposed to. If you live and eat alone,
it is not right, but rather, you should be doing some exercises
and avoid calories that are empty in sweet and candy but eat
food rich in nutrients (Kohlstadt, 2016). ArthritisThis is the
breakdown of joints inside the tissues. It results in pain;
movement is restricted, and inflammation of the areas that are
affected. Weakness in the joints is also experienced. It is of two
types; rheumatoid and osteoarthritis (McTaggart, 2016). It is
caused by tears and wears in the bones of the older adults
mostly. It is characterized by stiffness, tenderness, pain in the
joints, restriction of movement in the joints and inflammation of
the areas in the joints that are affected.HypertensionThis is a
condition that is long-term where the pressure of the blood is
elevated in the arteries. The following are ways to discover that
a person has high blood pressure; heart disease, attacks
associated to the heart, diseases of the kidney, dementia of the
vascular, failures of the heart and strokes
(Kaplan, 2010).AsthmaThis is a health condition that occurs
when the airways of the body become sensitive to allergies or is

inflamed. Inflammation causes attacks that are painful and
attacking, which leads to the muscles of the airway narrowing
and tightening (McTaggart, 2016). Symptoms of this disease
include coughing, difficulties in breathing, and sensations that
are tight of the chest.BlindnessIt occurs mainly to older adults
as a result of the denigration of muscles. It is caused by
muscular deposits building up in areas, and it can be caused by
blood vessels that are normal developing under those areas
(Olstrom, 2012).
.Other common medical conditions of seniors
Injury and Violence
The primary cause of injuries is falling. Every three seniors
(65 years old and older) fall each year. Damages can be reduced
by the following strategies like medical review, strength, and
balance improvement through exercise; you can also reduce
injuries by home modification. Prevent intrusion through home
security. Place home-based devices for fire prevention
(Lucena, García-Pavía, Suarez-Mier & Alonso-Pulpon, 2014).
Although it is said that pollution affects all of us, studies from
the government indicate that ethnic minorities, the racial and
low income they live in areas where there is a risk in the
environment. Compared to the population that is general,
elderly higher proportions are just living a miserable life.
Types of services provided for seniors and catering for their
services
The seniors often complain of diseases that are chronic,
disabilities that are physical, illnesses regarding mental and
other aged related disorders. These illnesses become chronic
since most are left alone by their children to search for green
pastures. The elderly need to be taken care of both physically
and socially. They should be catered for through the
implementation of the following measures and programs;
programs of healthcare at the community level, provision of
health insurance covers and setting up homes to accommodate
the isolated older people in the society. Education provided
towards their children on the importance of looking after their

parents once they reach old age. Therapy services are also
accorded to them to relieve their muscles (McTaggart, 2016).
Length of stay for seniors at various hospitals
Overall, almost 55 percent of older people who are
admitted to hospitals stay for nearly a month. The reasons
behind this extended stay are the following; they have no one to
care for them at home, some are suffering from chronic diseases
that make them stay in the hospital for more extended periods
receiving treatments, lack of money to pay hospital bills among
many more reasons. They are also delays in receiving treatments
since most of them have no one to follow up after their
medications. These older people may, at times, be stubborn and
refuse taking medicine, making them stay long in hospitals until
they recover. They also go to hospitals when the diseases have
already become chronic, and treatment will take a longer time,
and the reason behind this is that they have no one to take them
to hospitals (Olstrom, 2012).
Local (Mission Viejo area) City demographics
Data regarding the following aspects in the area of Mission
Viejo; population, gender, age, household income, and race.
The total population is 96,016.
A chart showing demographics for age
A bar chart showing income per household
Individuals per reduced level are 4.9%
A bar chart with race demographics in Mission Viejo area
Who are your target market subjects?
The elderly who are 65 years and above They are the ones
with the most particular needs that need to cater for with great

concern. They contain the following most significant percentage
of 18.5 percent.
Where are they located?
They are located in Mission Viejo, and most of them live in
rural areas.
What special needs do they require?
They need emotional and social support since most of them
are left alone in rural areas with no one to look after them. They
need someone to show them love and companion in these old
days of their lifespan.
What special medical/health services do they wish to get?
They wish to have the following health services; diabetic
services, hypertensive services, cardiovascular disease services,
and therapy services to strengthen their bones. Hypertensive
services will reduce their risk of high blood pressure that may
lead to cardiac diseases leading to sudden deaths
(Johnson, 2012). Nutrition and Physical Activity; According to
research staying active physically help to delay or prevent
certain diseases, such as diabetes, some cancers, and heart
disease, improve moods, and relieve depression. Advancing age
can be accompanied by inactivity, where it is not supposed to. If
you live and eat alone, it is not right, but rather, you should be
doing some exercises and avoid calories that are empty in sweet
and candy but eat food rich in nutrients (Lucena, et al.
2014).Arthritis; is the breakdown of joints inside the tissues. It
results in pain; movement is restricted and inflammation of the
areas that are affected. Weakness in the joints is also
experienced. It is of two types; rheumatoid and osteoarthritis. It
is caused by tears and wears in the bones of the older adults
mostly. It is characterized by stiffness, tenderness, pain in the
joints, restriction of movement in the joints and inflammation of
the areas in the joints that are affected
(Olstrom, 2012). Hypertension; this is basically a condition that
is long-term where the pressure of the blood is elevated in the
arteries. The following are ways to discover that a person has
high blood pressure; heart disease, attacks associated to the

heart, diseases of the kidney, dementia of the vascular, failures
of the heart and strokes.Asthma and blindness; is a health
condition that occurs when the airways of the body become
sensitive to allergies or are inflamed. Inflammation causes
attacks that are painful and attacking, which leads to the
muscles of the airway narrowing and tightening. Symptoms of
this disease include coughing, difficulties in breathing, and
sensations that are tight of the chest (Lucena, et al. 2014).
Blindness; occurs mainly to older adults as a result of the
denigration of muscles. It is caused by muscular deposits
building up in areas, and it can be caused by blood vessels that
are normal developing under those areas.
What type of physician specialization would they like to have?
A physician who is specialized explicitly in therapies, older
people need therapies often to stretch their body parts, and this
makes them jovial (Lucena, et al. 2014). A gynaecologist is
helpful to older adults in the treatment of diseases that occur in
older adults. A specialist in asthmatic conditions.
Locations: Do they prefer a single medical centre (MC) hospital
location, or do they prefer a medical centre (MC) hospital and a
community clinic (CC)?
A community clinic would suit them best since they are not
able to walk for long distances due to their age. However for
those who can manage to reach the single medical centre
hospital location, it will be better for them also in avoiding
huge hospital lines as well as instances of hospital fall
(Johnson, 2012).
Survey questionnaire
What is the amount of bed sizes in GAH Mission Viejo?
What is the number of people admitted annually in GAH in
Mission Viejo?
What is the amount of people visiting GAH Mission Viejo as
outpatients?
What is the total number of people visiting GAH in Mission
Viejo daily?
What is the amount of employees in GAH at Mission Viejo?

What is the number of physicians in GAH at Mission Viejo?
What is total amount of traumas annually in GAH at Mission
Viejo?
What is the annual number of ER’s in GAH at Mission Viejo?
What is the number of birth rates annually in GAH at Mission
Viejo?
Column A
n=500
column B
Bed sizes
552
Admissions annually
19,639
Visits in the outpatient
102,084
Daily census at an average
230
Employees
2500
Physicians
698
No of traumas annually
1340
ER visits annually
70,696
No of births annually
5,043

ORGANIZATIONAL STRUCTURE AND FUNCTIONS
Organizational structure for GAH in Mission Viejo
What essential services or functions they can share?
Blood banks; they can use the same blood banks in GAH,
and in the Community Clinic instead of setting up others in the
Community Clinic Standards for Blood (Banks and Transfusion
Services, 2011). Operating rooms can also be shared between
both sectors, and these will save money that would have been
used in the construction of new operating rooms. The pharmacy
can also be one area that will be shared because they will need
to bring the medicines that will be required to cure the illnesses
that affect the seniors. The overall person-in-charge of Golden
Age Hospital can also be in charge of the Community Clinic.
Organizational relationships between the structure blocks
includes; Vertical linkages; these linkages tie subordinates and
supervisors together. It depicts a responsibility line where the
supervisor to the subordinates delegates authority. The
supervisor is in charge of evaluating the performance of the
employees, overseeing the activities, and providing guidance
towards any improvement necessary. Horizontal linkages; in
these linkages, every person in the organization has an equal
relationship (Holland, 2017). They are most needed when there
is a need for coordination that is close in all the organization
segments. Through this, all organization's aspects are
appropriately represented.
How (if appropriate) will you integrate the services of
physicians whose specialty is in geriatric treatment within the
GAH /CC?
Geriatrics is a specialty that has its focus on older adults'
health care. Its main aim is the promotion of health through the
prevention and treatment of disabilities and diseases in seniors.
There is no specific age for a patient to be under the care of a
geriatric physician (Apker, 2011). What determines is the
availability of the specialist and the individual needs. These
physicians will of great help in the Golden Age Hospital and

Community Clinic sector (Havert, 2019). This is the area where
most seniors will be going for check-ups and treatment services.
The first thing will be published on the hospital website
about the vacancy of geriatrics. The second thing will be
researching the best geriatrics in California. After they have
applied for the posts, call them for an interview and chose
among the interviewees the best geriatrics who will offer
services in Golden Age Hospital and Community Clinic
department (Malone, Capezuti & Palmer, 2015).
Define the mission statement for the GAH and Community
Clinic
The mission statement for Golden Age Hospital and the
Community Clinic is a specialized facility for geriatric,
education offers, and refining the life quality for the seniors in
Orange County (Statham, 2014). It is also aimed at expanding
services according to the seniors at their residential places that
will include a full assessment, referral services, and specialized
consultation. It will also be focused on compassionate delivery
of care that is client-cantered to the elderly population and the
caregivers with excellence, respect, and compassion.
Prepare a simple organizational diagram, depicting the
organizational structure (blocks) of the existing Mission
Hospital (MVH), Children’s Hospital (CHOC), and the proposed
Golden Age Hospital (GAH), and the community clinic (CC)
What is the recommended hospital size (number of beds)?
Taking into consideration the Orange County and its
branches, the elderly population takes about 40 percent of the
overall population. This means that out of the people of 1220,
they represent 49.84 (Epting, 2011). From this data using the
formula Number of beds needed = , it indicates that, on average,
Golden Age Hospital is recommended to have, but it should be
flexible to adjust in case of any increase in the number of in-
patients (Holt, & Ruta, 2015).
What significant services/treatments will be offered based on
your survey results at the GAH and the CC?

Nutrition and Physical Activity: The research staying active
physically helps to delay or prevent certain diseases, such as
diabetes, some cancers, and heart disease, improve moods, and
relieve depression (Holland, 2017). Advancing age can be
accompanied by inactivity, where it is not supposed to.
Arthritis: This is the breakdown of joints inside the tissues.
Weakness in the joints is also experienced. It is characterized
by stiffness, tenderness, pain in the joints, restriction of
movement in the joints, and inflammation of the areas in the
joints that are affected.
Hypertension: This is a condition that is long-term
where the pressure of the blood is elevated in the arteries
(Beevers & Brien, 2010). The following are ways to discover
that a person has high blood pressure. Asthma: This is a health
condition that occurs when the airways of the body become
sensitive to allergies or is inflamed. Inflammation causes
attacks that are painful and attacking, which leads to the
muscles of the airway narrowing and tightening.Blindness:
Muscular deposits building up in areas produce it, and it can be
caused by blood vessels that are normal developing under those
areas.Physician-Hospital integration
Provider’s organization's responses are likely reflected
by the integration of hospital-physician to pressures that are
competitive from the health insurance of the expanding
managed health care (Apker, 2011). Some authors have the
hypothesis that the combination of hospital-physician leads to
gains that are efficiency by facilitation of exploitation of cost of
transaction economies like deal better with incomplete
challenges that are contracting and scope economies. By this,
the more organization efficient that is integrated can offer
prices that are low to manage the plan's care. Others say that
integration should really and try to improve the power of
bargaining with care plans that are managed; thus, price
increases (Holt, & Ruta, 2015). The vertical relationship also
confers the power of the market by the facilitation of
cooperation that is horizontal.

Conclusion and recommendations
GAH must have the area for family waiting available, and a
room for consultation. Orange County and its municipalities
being considered, the population that is senior represent the
population of 40%, thus making 40% of 122=48.8. The average
of GAH shown by the data may operate on 50 beds and must
increase the safety and its capability if needed (Holt &
Ruta, 2015). Services needed should be provided for the senior
population; it is supposed to open the vital functions like
geriatric centre, pulmonary lab, and other services with
physicians that are licensed. Having all this in place, GAH is
safe in the accomplishment of its goals.
Finance and Budgeting
Finance and budgeting is very important in any hospital facility.
But specifically to Mission Hospital case, finance and budgeting
is essential since, it being a government organization, proper
plans are required to ensure that the resources allocated to the
facility are efficiently utilized. The organization must also have
its own goals which needs to be attained, therefore for these
goals to be attained, there is need for finance as well as
budgeting of the reimbursements. This will help in keeping
some resources for administrative issues before having a worth
balance which will be utilized in the achievement of the
hospital goals (Bednarska-Olejniczak, & Olejniczak, 2017).
Therefore, financial budgeting ensures that, the money raised by
the hospital via its operations and services is efficiently used.
It must be noted that the development of a sound hospital
budget is fast becoming a matter of paramount importance as far
as hospital administration is a concern more especially to
Mission Hospital whose operations depends on grants, donations
as well as government budgetary allocation. Financial budgeting
will help the hospital management in checking whether the
hospital progress is proceeding as per the budgetary estimates.
This is more specifically meant to ensure that the unfunded
healthcare needs are met via efficient planning as well as

utilization of the established resources (Franklin, & Ebdon,
2015). More especially with the ever increasing healthcare cost
makes it essential in managing the financial resources for the
purpose of getting maximum service units for every dollar
spent.
Mission Hospital Financial Budgeting Assumptions
For the purpose of Mission Hospital Financial Budgeting, the
cost of facility construction, the medical equipment as well as
hospital instrumentation will not be considered since they will
be coming directly as a grant from the state. Either the all the
patients who will be above 65 years of age will be considered
senior patients and the will only have the Federal Medical
Health Insurance. Some of the benefits that will be acquired
includes basic acute care coverage, cost sharing as well as free
drug prescription (Al-Mutairi, Naser, & Saeid, 2018). In total,
the United States Government spends $242.4 billion in this
program, and Mission Hospital will also acquire its share as per
the Medicare Prospective Payment System. The operating costs
of the hospital will be fully covered by the Medicare payments.
Services/Treatments to be budgeted
The following GAH Project table indicates some of the
important services that Mission Hospital needs to financially
budget for in ensuring that they are continuously and efficiently
provided to the patients without any financial constraints
(Nowak, 2016).The main services/ treatments to be included in
the hospital financial budget include;ArthritisThis is the
breakdown of joints inside the tissues. It results in pain;
movement is restricted, and inflammation of the areas that are
affected. Weakness in the joints is also experienced. It is of two
types; rheumatoid and osteoarthritis (McTaggart, 2016). Being
common among the elderly individuals, it has been budgeted at
$42,560 per person.CardiologyHeart disease is a common
problem to the American citizens more especially the elderly
Americans. The treatment service of this problem will be
available in this hospital. The services will entail medical
diagnosis as well as treatment of congenital heart defects,

coronary artery disease, heart failure, valvular heart disease as
well as electrophysiology (Olstrom, 2012). Its budgeted at
$52,980 per patient. Its budget is high because of its likeliness
to happen.Hypertension TreatmentHypertension is common
among the elderly individuals according to the American
Nursing statistics. For every five hypertension patients, three
are above 65 years of age. This is a condition that is long-term
where the pressure of the blood is elevated in the arteries. The
following are ways to discover that a person has high blood
pressure; heart disease, attacks associated to the heart, diseases
of the kidney, dementia of the vascular, failures of the heart and
strokes (Kaplan, 2010). Its treatment is budgeted at $31,800 per
patient.Dementia Treatment ServiceThis refers to a group of
thinking as well as social signs which tend to interfere with the
daily functioning of adult individual more specifically with 65
years and above. Therefore it should be noted that this is not a
specific disease but a group of conditions which are
characterized by impairment of at least two brain functions,
such as memory loss as well as judgment. The main services
will include laboratory testing and it can be treated to help but
the condition can’t be cured. It has been budgeted at
$17,400.Orthopedics ServicesThis refers to a medical specialty
that will be available in our hospital. It will focus on the
diagnosis, correction, prevention, as well as treatment of
patients with skeletal deformities (this entails the disorders of
bones, joints, muscles, ligaments, tendons, nerves as well as
skin. The hospital will have enough orthopedic surgions to offer
the services. Its treatment is budgeted at $24,500 per person
(Deering, & Lang, 2017).
Injury (Fall) Treatment
Since the elderly are not energetic enough, in case of any
violence, they will be the ones to be injured more, for this
reason, the funds for their treatments must be budgeted for. The
primary cause of injuries is falling. Every three seniors (65
years old and older) fall each year. Damages can be reduced by
the following strategies like medical review, strength, and

balance improvement through exercise; you can also reduce
injuries by home modification. Prevent intrusion through home
security. Place home-based devices for fire prevention
(Lucena, García-Pavía, Suarez-Mier & Alonso-Pulpon, 2014).
Its budgeted for $14,000 for every individual patient.
Column A (Services/Treatments)
Column B (Medicare Payments)
Column C
Column D
Column E
Column F
Cardiology
$52,900
720
$38,088,000
0.99
$380,880
Arthritis
$42,560
1,810
$77,033,600
0.96
$3,081,344
Orthopedics
$24,500
680
$16,660,000
0.96
$666,400
Injury (Fall) Treatment
$14,000
1080
$15,120,000

0.92
$1,209,600
Dementia
$17,400
1500
$26,100,000
0.94
$1,566,000
Hypertension
$31,800
2400
$76,320,000
0.97
$2,289,600
Profit/Loss Prediction
Assuming that the annual miscellaneous expense amounts to
$250,000, and from the above table it can be seen that the total
revenue for the hospital annually amounts to
$(380,880+3,081,344+666,600+1,209,600+1,566,000+2,289,600
) = $9,193,824. Therefore, it can be seen that the hospital will
attain a profit amounting to $(9,193,824 – 250,000) =
$8,943,824.
Conclusion
From the above financial information, it’s quite clear that this
project will be of great benefit to the community more
especially the elderly people. The hospital having realized a net
profit of $8,943,824 through the annual prediction, it’s clear
that its management will not be straining financially in any way
in the provision of the necessary services to the patients. This
will further foster the performance of the hospital through the
commitment that the service providers will input in seeing that
every patient is attended to his or her satisfaction. The hospital

stakeholders will also be in a position of earning from their
investment through the magnificent profits realized from the
annual prediction (Apker, 2011).
Quality control and Accreditation
Mission Hospital Core Competencies and Functions
Core competencies can be defined as the vital knowledge, skills
as well as attitudes which are necessary for the practice of
public health care. These competencies do provide the building
blocks for efficient public health practice, as well as the use of
an overall public health approach. It’s these competencies that
define the various functions of a health care provider like
Mission Hospital. The major competencies of Mission Hospital
include; disease and injury prevention, health protection, health
promotion, population health assessment as well as surveillance
(Coghill, & Hodgkins, 2016).
Disease and Injury Prevention; many elderly individuals are
prone to diseases due to the continued weakening of their
immune system as they age. To carb this, Mission Hospital have
introduced a unit which will be specifically dealing with the
prevention of unnecessary injuries like the ones which result
from falls as well as prevention of diseases which facilitates the
lowering of the elderly individual immune systems. The goal for
this competence is to reduce the deaths that occur due to
instances like falls (Monsen, 2018).
Health protection; the major role of every health care facility is
to promote a health living conditions to the public. Through
this, the health is protected. The same way with Mission
Hospital. It has been strategically located closer to the people

so that those who can’t make it in moving long distances to seek
for medical services, they can get the same quality services
from Mission hospital, hence protecting the health of the public.
The main goal for this is to provide quality health services to all
citizens (Salman, Kurt, Topcuoglu, & Demircay, 2016).
Health promotion; Mission hospital is highly committed in
promoting health to the community. By introducing services
like cardiology, Dementia, Orthopedics, Arthritis and
hypertension treatment closer to the aging people is a sign of
health promotion. The main goal for this is to reduce mortality
rate.
Population health assessment; in Mission hospital, before any
treatment, the patient is diagnosed first before any treatment is
given. After treatment, the patient is monitored and an analysis
on a given disease is done. The goal of this is to have the
knowledge and intelligence of the health status of the
population which is vital for disease prevention. This is also
linked to surveillance since it involves monitoring (Ćurković, &
Borovečki, 2019).
Control Method to be implemented
Management information systems (MIS); this is the method that
I propose to be implemented for the purpose of assisting
Mission hospital management to ensure that all the above
competencies are adhered to for the purpose of meeting its goals
and objectives. This is because, for effective management and
control of an organization, accurate and efficient information is
required (Salman, Kurt, Topcuoglu, & Demircay, 2016). The
intended information is on internal working of Mission hospital
and External environment information.
Competencies for JCAHO Accreditation
The following are the main competencies that should be met by
both the hospital staff and management in order to be accredited
by JCAHO.
a) Patient care; this should be the center of all the hospital plans
and decisions.
b) Medical or clinical knowledge; it’s important that the

management has got the knowledge pertaining to the medical
field.
c) Practice- based learning and improvement; the staff should
particularly practice what is recognized in the medical field.
d) Interpersonal and communication skills; for effective service
delivery, there must be collaboration from the staff members to
the patients as well as management.
e) Professionalism; the staff and management should portray the
highly understanding of the medical profession in their service
delivery.
f) Systems based practice; the hospital should be offering
services that are in line with the American medical systems.
Ethical Issues Adhered to in Mission Hospital
As spelt out by HIPAA, there are ethical issues which must be
adhered to by all the medical facilities as well as the medical
practitioners. Mission Hospital have gone extra miles in
ensuring that all the key ethical issues are adhered to while
dealing with the patients. Some of these include; patient privacy
and confidentiality, transmission of diseases, relationships as
well as end-of-life issues (Morris, & Smith, 2017).
End of life issues; there are instances where the elderly patients
may not be in a position to make their own decisions. This
entails the family members to decide for them on what or how
they want their lives end. The Mission hospital is purposely
aimed at promoting health by ensuring that individuals live
long. Therefore under ethical requirements, Mission hospital
can’t terminate an individual’s life, by it will strive to make
him or her live (Monsen, 2018).
Transmission of diseases; in cases like Ebola outbreak, the
medical staff should protect itself from being infected if they
come in contact with the infected individuals. Under the
instances where the patient’s history is not provided to the
medical practitioner, Mission hospital have given its staff
enough protection while handling patients whose history isn’t
well known.
Relationships: the instances of sexual relationships between the

medical practitioners and patients as well as between medical
staff themselves is highly prohibited in Mission hospital. Any
medical practitioner caught in such an act will face the law
besides being removed from the hospital as one of the workers
(Ćurković, & Borovečki, 2019).
Finally, patient privacy and confidentiality; at Mission hospital,
the protection of patient information is one of the important
ethical that is adhered to the rather. All the conversions between
the patient and the physicians are highly confidential as the
information regarding the patient health is as well (Monsen,
2018).
IT Systems Recommended
The first recommendation is the electronic medical record and
electronic health record. The electronic medical record will
replace paper patient records. The electronic health records also
helps in faster retrieve of the required information concerning
the patient, hence becoming easier to carry out the patient
analysis from one department to another.
Remote patient monitoring; this can be referred to us tele-
health. It provides the medical sensors which have the ability to
transmit the patient data to the health professional. This can
also be used to monitor blood sugar levels of a patient hence
contributing to disease prevention. The patient portals are also
important information technology system to be utilized in
Mission hospital (Coghill, & Hodgkins, 2016).
ERM and EHR Requirements
The physician tools; these are the things which makes it easier
for a physician to perform his or her job properly. For instance,
EPrescribing will allow the physician to submit the RX directly
to the pharmacy so that the patient can only pick the
medication.
Communication; the ability with a variety of sources outside the
practice is what makes EHR. Finally there is interoperability;
the ERM and EHR ability to request, process as well as store
laboratory orders as well as results is also an important
requirement (Ayagre, & Aidoo-Buameh, 2017).

Conclusion
In conclusion, from the above discussed quality, ethical, and IT
controls, it must be emphasized that all of them are meant to
improve the health status of the public more especially the
elderly individuals. Therefore, total adherence to them will not
only increase the efficiency of the hospital but also increase the
number of patients visiting the hospital.
Recommendations
I recommend that the implementation of the quality, ethical as
well as IT controls should not only be executed but they must
also be integrated to be part of the system of every medical
practitioner in the hospital. Also, as part of HIPAA, the costs of
implementing the quality, ethical as well as IT controls in
mission hospital should not be transferred to the patients
through their medical bills (French, 2018).
References:
Al-Mutairi, A., Naser, K., & Saeid, M. (2018). Capital
budgeting practices by non-financial companies listed on
Kuwait Stock Exchange (KSE). Cogent Economics & Finance,
6(1), 1468232.
Apker, J. (2011). Communication in Health Organizations.
Cambridge, England: Polity.
Ayagre, P., & Aidoo-Buameh, J. (2017). Ethical Values,
Integrity and Internal Controls in Public Sector Organisations:
A Developing Country Perspective. Management & Accounting
Review, 16(2).

Bednarska-Olejniczak, D., & Olejniczak, J. (2017).
Participatory budgeting in Poland–finance and marketing
selected issues.
Beevers, D. G., Lip, G. Y., & O'Brien, E. T. (2010). ABC of
Hypertension. Hoboken, NJ: John Wiley & Sons.
Coghill, D., & Hodgkins, P. (2016). Health-related quality of
life of children with attention-deficit/hyperactivity disorder
versus children with diabetes and healthy controls. European
child & adolescent psychiatry, 25(3), 261-271.
Ćurković, M., & Borovečki, A. (2019). The use of placebo in
schizophrenia relapse prevention studies: scientific or ethical
debate?. Acta Psychiatrica Scandinavica.
Deering, D., & Lang, D. W. (2017). Responsibility center
budgeting and management" lite" in university finance: why is
RCB/RCM never fully deployed?. Planning for Higher
Education, 45(3), 94.
Epting, C. (2011). Orange County. Charleston, SC: Arcadia
Publishing.
Franklin, A. L., & Ebdon, C. (2015). Democracy, public
participation, and budgeting: Mutually exclusive or just
exhausting?. In Democracy and public administration (pp. 96-
118). Routledge.
French, R. (2018). What Is the Good of It—Ethical Controls of
Human Subject Health Research?. Journal of bioethical inquiry,
15(4), 589-602.
Havert, N. (2019). The Golden Age of Disaster Cinema: A
Guide to the Films, 1950–1979. Jefferson, NC: McFarland.
Holland, G. J. (2017). Nutrition, Physical Activity, and Quality
Aging. Page Publishing.
Holt, R., & Ruta, D. (2015). Routledge Handbook of Sport and
Legacy: Meeting the Challenge of Major Sports Events. London,
England: Routledge.
Johnson, S. (2012). A Clinical Handbook on Child Development
Paediatrics - E-Book. St. Louis, MO: Elsevier Health Sciences.
Kaplan, N. M. (2010). Kaplan's Clinical Hypertension.
Philadelphia, PA: Lippincott Williams & Wilkins.

Kohlstadt, I. (2016). Food and Nutrients in Disease
Management. Boca Raton, FL: CRC Press.
Lucena, J. S., García-Pavía, P., Suarez-Mier, M. P., & Alonso-
Pulpon, L. A. (2014). Clinico-Pathological Atlas of
Cardiovascular Diseases. Basingstoke, England: Springer.
Malone, M. L., Capezuti, E. A., & Palmer, R. M.
(2015). Geriatrics Models of Care: Bringing 'Best Practice' to an
Aging America. Basingstoke, England: Springer.
Monsen, K. A. (2018). Ethical considerations. In Intervention
Effectiveness Research: Quality Improvement and Program
Evaluation (pp. 87-95). Springer, Cham.
Morris, T., & Smith, C. (2017). Ethical Energy Use at Gulf
Park: Some Suggestions for Greater Sustainability. Coastlines,
1(5), 8.
McTaggart, L. (2016). Arthritis: Drug-Free Alternatives to
Prevent and Relieve Arthritis. Carlsbad, CA: Hay House.
Nowak, W. A. (2016). Shaping public finance accounting and
budgeting systems in accordance with a political regime radical
change: evolution not revolution in Poland 1918–2015. Zeszyty
Teoretyczne Rachunkowości, (88), 125-142.
Olstrom, C. E. (2012). Undaunted by Blindness, 2nd Edition.
eBookIt.com.
Rad, P. F., & Anantatmula, V. S. (2010). Successful Project
Management Practices. West Yorkshire, England: Emerald
Group Publishing.
Salman, A., Kurt, E., Topcuoglu, V., & Demircay, Z. (2016).
Social anxiety and quality of life in vitiligo and acne patients
with facial involvement: a cross-sectional controlled study.
American journal of clinical dermatology, 17(3), 305-311.
Standards for Blood Banks and Transfusion Services. (2011).
Amer Assn of Blood Banks.
Statham, R. (2014). The Golden Age of Probation: Mission v
Market. Waterside Press.
percentage under 5 years 5 to 17 years 18 to 24 years 25
to 34 years 35 to 54 years 55 to 64 years 65 years and over

4.8000000000000084E-2 0.15000000000000024
8.1000000000000169E-2 0.10199999999999998
0.28800000000000031 0.15500000000000044
0.18500000000000041 income mission vieja USA 0
0
percentage
perecntage aliso vieja ladera ranch laguna hills
laguna niguel laguna woods lake forest mission
vieja rancho santa san juan 0.66900000000000126
1.4000000000000002E-2 2.0000000000000039E-3
0.10500000000000002 1.5000000000000022E-3
4.0000000000000022E-2 0.16900000000000001
0.15000000000000024 0.1
Module 3-4 Case topics
Module 3 – Assignment - Finance and Budgeting
1. Based on your proposed organization and structure for the
GAH and the Community Clinic, we will now focus on
financing and budgeting issues.
2. In order to do so, we will need to define the
following requirements and assumptions:
1. Cost of facility construction, initial medical equipment, and
instrumentation, will not be calculated – as they will be fully
paid by the state as a grant.
2. All senior patients will be above the age of 65, and will have
only the Federal Medicare health insurance. Research the major
constructs of Medicare health coverage as defined by
the “Medicare Prospective Payment System.”
3. The hospital and clinic will be financially balanced, that is,
income from Medicare payments will cover in full
all operating costs.
3. “Medicare Prospective Payment System”
1. The hospital is reimbursed by the government per procedure

and/or treatment by a predefined sum and not by
the actual expenses performed for and on a particular patient.
2. For example – a patient requiring open heart surgery will
utilize the services of physicians, nurses, OR, laboratory,
pharmacy, and occupies a hospital bed on average for six days.
If a certain patient is discharged after four days, the hospital
will still be paid the six-day amount. Hence, the incentive to
operate efficiently and effectively, enabling the hospital to
“save money.”
4. Based on the services you have decided to provide - at least
six, complete the table (GAH Project):
1. Input services/treatments in column A.
2. Input estimated and rounded Medicare reimbursement to
GAH (in thousands of dollars) for each treatment in column B
(assign for each a figure between $10,000 to $60,000).
3. Your instructor has inputted the projected number of
procedures/treatments performed annually at GAH in column C.
4. Calculate the total income for GAH by multiplying columns
B*C in column D.
5. Your instructor has inputted the GAH Projected Performance
percentage, relative to the Federal standard (100%) in column
E.
6. Calculate the total GAH gain or loss by D-(D*E) in column
F.
5. Assume a $250,000 annual miscellaneous expense.
6. Prepare (based on the table), a forecast of profit or loss for
GAH for the first year of operation.
7. Conclusions and Recommendations.
8. Your instructor will comment on your table in his feedback to
you, on the basis of which you will be able to further develop
your project plan.
Module 4 – Assignment - Quality, Ethical, and IT Controls
1. Based on your proposed organization and structure for the
GAH and the Community Clinic, we will now focus on
additional aspects pertaining to:
2. Quality control and Accreditation:

1. Define at least five core organizational competencies and
functions for the new organization, and define a goal/objective
for them.
2. Propose a control method/score board to be implemented in
the new organization to ensure that said core competencies and
functions are meeting their goals and objectives.
3. Assume that the new Hospital will seek JCAHO
accreditation. What major competencies will this require from
management and staff?
3. Ethical Issues - HIPAA
1. The Health Insurance Portability and Accountability Act of
1996 (HIPAA, Title II) required the Department of Health and
Human Services (HHS) to establish national standards for
electronic health care transactions and national identifiers for
providers, health plans, and employers. It also addressed the
security and privacy of health data. As the industry adopts these
standards for the efficiency and effectiveness of the nation's
healthcare system, the use of electronic data interchange will
improve.
2. Review CMS (2016). HIPAA basics for providers: Security,
and breach notification rules. Retrieved
from: https://www.cms.gov/Outreach-and-Education/Medicare-
Learning-Network-
MLN/MLNProducts/Downloads/HIPAAPrivacyandSecurity.pdf
4. IT Systems
1. Based on your proposed project’s organizational structure
and the geographical locations of Mission Hospital, Golden Age
Hospital and the Community Clinic, recommend the major
components of an IT system that can best provide for the
communication needs within and between the organization
units.
2. Identify and define your requirements from the system
subject to the ethical requirements of HIPAA (see above).
5. Conclusions and Recommendations – Final
for complete project.
6. Final paper

1. Combine all chapters of the project paper as you have
developed them over the past modules into one comprehensive
paper.
2. Note: If you need any clarification on the assignment,
communicate with your instructor at any time throughout the
modules.
MISSION HOSPITAL ANALYSIS PROJECT PRESENTATION
PRESENTED BY: (Students’ Name)
Market Research and Segmentation
Background
Mission Hospital is one of the Healthcare organization which is
situated within City of California
It is one of the largest healthcare facility since it uses the latest
technology in its operations and also it has employed the best
physicians and nurses around the country.
The External Environment
The are a number of external factors which are set to affect this
organization This factors are set to hinder it from attaining its
goals in the market.
Some of these factors might include things such as
technological advancing, changes in political temperature as
well as social changes.
In order to adopt to this environment, there is need for Mission
Hospital to ensure that it has followed everything to the later in

order to avoid any form of disruption in its operations.
Research conducted in the market shows that more than 90%
California Residents have a health coverage.
Most of them are either insured with the use of a Medicaid or a
Medicare plan which are provided by both the federal and the
local government.
The best segmentation approach which needs to use a combine
approach whereby it will be set to use both beneficial and
description segmentations towards its target audience.
The older members of the society are seen to call for greater
healthcare care for the older men in the society who might be
suffering from socially or physically.
Research conducted shows that the older generation are more
prone to a number of diseases due to the age factor.
Therefore to take care of their wellbeing, there is a need to
ensure that we take care of them both socially, physically and
emotionally for them to remain strong.
Finance and Budgeting
Finance and budgeting are considered to be some of the crucial
aspects when it comes to a healthcare organization.
Finance ensures that a business is in a place to run its functions
effectively and efficiently without any form of disruption in its
business activities.
Quality, Ethical, and IT Controls
Conflicts of interest avoidance. Nurses and doctors are the main
target to be promoted from the pharmaceutical, manufacturing

of equipments and medical devices.
Balancing the service to patient with the profit.. Organization of
the Healthcare must be able to balance their books to be able to
keep their doors open.
Conclusions And Recommendations
In the City of California especially in Viejo, there is a need to
establish a healthcare organization which suites the needs as
well as the expectations of the locals
The other major concern for Mission Hospital would to ensure
that we have the right form of medication and ensure that there
is a significant reduction of the referral and re-admission cases.
percentage under 5 years 5 to 17 years 18 to 24 years 25
to 34 years 35 to 54 years 55 to 64 years 65 years and over
4.8000000000000015E-2 0.15000000000000005
8.100000000000003E-2 0.10199999999999998
0.28800000000000009 0.15500000000000005
0.18500000000000005
Organizational Structure and Functions
Common Services Shared
Blood banks; same blood banks can be used, in GAH, and in
community clinic.
The pharmacy can also be one area that will be shared because
they will need to bring the medicines that will be required
(DeCoske, Tryon & White, 2011).
Operating rooms can also be shared between both sectors, and

these will save money and resources.
Organizational Relationships
Horizontal linkages; in these linkages, every person in the
organization has an equal relationship (Talbot &
Verrinder, 2010).
They are most needed when there is a need for coordination that
is close in all the organization segments.
Vertical linkages; these linkages tie subordinates and
supervisors together.
The supervisor is in charge of evaluating and providing
guidance towards any improvement necessary.
Mission Statement For The GAH And Community Clinic
The mission statement for Golden Age Hospital and the
Community Clinic is a specialized facility for geriatric and
education offers (Andrews, Jelley & Jelley, 2013).
It will also be focused on compassionate delivery of care that is
client-cantered to the elderly population and the caregivers.
It is also aimed at expanding services according to the seniors at
their residential places.
Organizational Structure Diagram
Recommended Hospital Size
Taking into consideration the Orange County and its branches,

the elderly population takes about 40 percent of the overall
population (Epting, 2011).
This means that out of the people of 122, they represent 48.8.
This data depicts that, on average, Golden Age Hospital is
recommended to have fifty beds.
Services/Treatments To Be Offered
Nutrition and Physical
ActivityArthritisHypertensionAsthmaBlindnessInjury and
Violence
Physician-Hospital integration
Provider’s organization's responses are likely reflected by the
integration of hospital-physician to pressures that are
competitive (Todd, 2012).
Some authors have the hypothesis that the combination of
hospital-physician leads to gains that are efficiency.
Others say that integration should really and try to improve the
power of bargaining.
Conclusion and recommendations
Orange County and its municipalities being considered:
The population that is senior represent the population of 40%,
and 40% of 122=48.8.
The average of GAH shown by the data may operate on 50 beds
and must increase the safety and its capability if needed.
(Malone, Capezuti & Palmer, 2015).
Why Financial Budgeting

Financial Budgeting gives the number values to all health care
units.
It assists in effective spending of the allocated resources
The hospital management is assisted in keeping some resources
for administrative purposes and the extra in goal achievement.
20
Importance of Financial Budgeting
It helps to ensure that the unfunded healthcare needs are met via
efficient planning as well as utilization of the resources
established (Clark, Larco, & Mann, 2017).
21
Financial Budgeting Principles
A mission statement which states specific objectives as well as
goals for the healthcare facility
Goals should be; measurable, simple, direct and attainable.
22
Financial Budgeting Principles Continuation
Strategic plan have to be the budget basis
A plan is meant to raise or even modify specified goals if the
resources aren’t sufficient.
The plan should relate to goal achievement.

23
The budget have to measure the hospital financial performance
The budget has to internalize the budgeting process
Financial budgeting is an aggregation of each department in the
hospital
24
The financial budget is based on operational numbers of every
department in the hospital (Miller, Hildreth, & Rabin, 2018).
Financial budget is linked to operational budget.
25
For A Good Financial Budget
Variance analysis have to be carried out
The mid-course correction have to be initiated
The financial budget units have to operate within the budget
All the operation policies must be established (Nowak, 2016).

26
For A Good Financial Budget
Every unit of the hospital must have to comply with the
financial budget policies as well as protocols
Every section as well as unit have to evaluate the financial
results of every newly started operation (Clark, Larco, & Mann,
2017).
27
Types of Budgets
Input-Output budget system
Zero based budget system
Conventional financial budget system
28
Categories of Hospital Budgets
Income budgeting which entails the estimation of man force
cost, material cost, overheads as well as working capital
estimation
Capital budgeting which entails;
Equipment
Infrastructure
The budget time frame is either five year plan, annual budgets
as well as monthly budgets (Al-Mutairi, Naser, & Saeid, 2018).

29
References:
Al-Mutairi, A., Naser, K., & Saeid, M. (2018). Capital
budgeting practices by non-financial companies listed on
Kuwait Stock Exchange (KSE). Cogent Economics &
Finance, 6(1), 1468232.
Bednarska-Olejniczak, D., & Olejniczak, J. (2017).
Participatory budgeting in Poland–finance and marketing
selected issues.
Beevers, D. G., Lip, G. Y., & O'Brien, E. T. (2010). ABC of
Hypertension. Hoboken, NJ: John Wiley & Sons.
Clark, B. Y., Larco, N., & Mann, R. F. (2017). The impacts of
autonomous vehicles and e- commerce on local government
budgeting and finance.
DeCoske, M., Tryon, J., & White, S. J. (2011). The Pharmacy
Leadership Field Guide: Cases and Advice for Everyday
Situations. ASHP.
Epting, C. (2011). Orange County. Charleston, SC: Arcadia
Publishing.
Harris. (2015). Handbook of Home Health Care Administration.
Burlington, MA: Jones & Bartlett Publishers.
Kaplan, N. M. (2010). Kaplan's Clinical Hypertension.
Philadelphia, PA: Lippincott Williams & Wilkins.
Kohlstadt, I. (2016). Food and Nutrients in Disease
Management. Boca Raton, FL: CRC Press.
Miller, G. J., Hildreth, W. B., & Rabin, J. (2018). Performance-
based budgeting: An ASPA classic. In Performance Based
Budgeting (pp. 1-504). Taylor and Francis.
Miller, G. (2018). Performance based budgeting. Routledge.
Nowak, W. A. (2016). Shaping public finance accounting and
budgeting systems in accordance with a political regime
radical change: evolution not revolution in Poland 1918–
2015. Zeszyty Teoretyczne Rachunkowości, (88), 125-142.
Rad, P. F., & Anantatmula, V. S. (2010). Successful Project

Management Practices. West Yorkshire, England: Emerald
Group Publishing.

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