The prolonged rout in oil has left Saudi Arabia's long-standing peg of its currency to the dollar at its most vulnerable point in more than a decade. For almost 30 years, the kingdom has held the riyal at a fixed exchange rate and that has brought stability to government finances. Ninety percent of the government's revenue comes from oil, which is priced in dollars. But fewer dollars are coming in now, straining a budget that is committed to generous subsidies and public-sector wages. Abandoning the peg would make those dollars stretch further when converted to a local riyal, because without the peg, the riyal would weaken. What's more, to hold the peg, Saudi Arabia spends billions of its dollars buying riyals in foreign-exchange markets. With oil trading around $36 a barrel, some investors and Saudi Arabian businesses believe the government will succumb to the pressure and let the peg go--something long regarded as unthinkable. That is a minority view, but one that is growing in popularity. This week, the number of riyals that forward contracts can buy for a dollar in a year's time surged to a 16-year high. "We have a new economic reality in the Gulf region, with oil prices so much lower," said Michael Cirami, a portfolio manager at Eaton Vance. "That requires an adjustment." Mr. Cirami isn't betting on a weaker riyal, but he thinks Riyadh could shift its policy in the next few years. The debate over the Saudi peg underscores how the oil-price rout has upended conventional wisdom in economies linked to crude. OPEC's supremacy, for instance, has been eroded and rich oil states have fallen into budget deficits. The riyal is fixed at roughly 3.75 to the dollar, and one-year forward contracts were buying the greenback for 3.822 on Tuesday, close to the high of 3.8235 hit on Monday. The moves reflect both speculators betting on a weaker riyal and some local businesses hurrying to lock in better rates, analysts say. The price of oil has fallen by more than half since the middle of 2014, forcing the kingdom to run a record deficit of nearly 367 billion riyals ($98 billion) last year. Last week the government laid out billions of riyals in budget cuts. Meantime, Saudi Arabia and Iran have intensified their diplomatic spat over the kingdom's execution of a dissident cleric. That clash could push Saudi Arabia's defense costs up while it is already fighting an expensive war in Yemen and supporting allies in conflicts elsewhere, analysts say. To prop up its currency, the kingdom is buying the riyal with the dollar reserves accrued during years of high oil prices, analysts say. Those reserves fell to $635.2 billion at the end of November, down 15% from a peak of $746 billion in August last year, according to the latest central bank data. It is impossible to say how far the riyal would fall were the peg to be removed, but a decline likely would be far greater than the 2% devaluation implied by the forward rates. Many economists said the Saudi government w ...

1. The prolonged rout in oil has left Saudi Arabia's long-standing
peg of its currency to the dollar at its most vulnerable point in
more than a decade.
For almost 30 years, the kingdom has held the riyal at a fixed
exchange rate and that has brought stability to government
finances. Ninety percent of the government's revenue comes
from oil, which is priced in dollars.
But fewer dollars are coming in now, straining a budget that is
committed to generous subsidies and public-sector wages.
Abandoning the peg would make those dollars stretch further
when converted to a local riyal, because without the peg, the
riyal would weaken.
What's more, to hold the peg, Saudi Arabia spends billions of
its dollars buying riyals in foreign-exchange markets.
With oil trading around $36 a barrel, some investors and Saudi
Arabian businesses believe the government will succumb to the
pressure and let the peg go--something long regarded as
unthinkable. That is a minority view, but one that is growing in
popularity.
This week, the number of riyals that forward contracts can buy
for a dollar in a year's time surged to a 16-year high.
"We have a new economic reality in the Gulf region, with oil
prices so much lower," said Michael Cirami, a portfolio
manager at Eaton Vance. "That requires an adjustment."
Mr. Cirami isn't betting on a weaker riyal, but he thinks Riyadh
could shift its policy in the next few years.
The debate over the Saudi peg underscores how the oil-price
rout has upended conventional wisdom in economies linked to
crude. OPEC's supremacy, for instance, has been eroded and
rich oil states have fallen into budget deficits.
The riyal is fixed at roughly 3.75 to the dollar, and one-year
forward contracts were buying the greenback for 3.822 on
Tuesday, close to the high of 3.8235 hit on Monday. The moves
reflect both speculators betting on a weaker riyal and some

2. local businesses hurrying to lock in better rates, analysts say.
The price of oil has fallen by more than half since the middle of
2014, forcing the kingdom to run a record deficit of nearly 367
billion riyals ($98 billion) last year. Last week the government
laid out billions of riyals in budget cuts.
Meantime, Saudi Arabia and Iran have intensified their
diplomatic spat over the kingdom's execution of a dissident
cleric. That clash could push Saudi Arabia's defense costs up
while it is already fighting an expensive war in Yemen and
supporting allies in conflicts elsewhere, analysts say.
To prop up its currency, the kingdom is buying the riyal with
the dollar reserves accrued during years of high oil prices,
analysts say. Those reserves fell to $635.2 billion at the end of
November, down 15% from a peak of $746 billion in August
last year, according to the latest central bank data.
It is impossible to say how far the riyal would fall were the peg
to be removed, but a decline likely would be far greater than the
2% devaluation implied by the forward rates.
Many economists said the Saudi government will keep spending
dollars to avoid devaluation, which would come with
uncomfortable long-term consequences. Households and
businesses have debt in foreign currencies, and payments costs
would rise if the local currency falls. Consumers also would
have to pay more for imports, from cars to luxury goods.
That could be a tough path for the government, local analysts
said. Saudis already are angered by cuts to subsidies in the state
budget.
"Speculation over a devaluation of the Saudi riyal has mounted
in the past few days, but we think such a move is likely to be
used as a last resort," said Jason Tuvey, Middle East economist
at Capital Economics. "In light of the potential political
ramifications, this is something that the authorities will be
extremely keen to avoid."
During last week's budget announcement, Saudi officials gave
no indication that they were considering a change to the peg.
But some analysts are reluctant to take the dismissals at face

3. value. Officials at the Swiss National Bank, for instance,
publicly backed the franc's link to the euro mere days before the
bank stunned markets by abandoning it a year ago.
In recent months, two oil-rich nations also have abandoned their
dollar pegs.
Azerbaijan scrapped its peg to the greenback in December and
its currency quickly lost half its value. Kazakhstan, another
economy dependent on natural resources, let its currency float
freely in August and saw it lose more than a quarter of its value
in one day.
China has also moved to devalue the yuan since the summer as
it grapples with slowing economic growth.
"The last year has shown us that when economic fundamentals
change, pegs break," said Peter Kinsella, an emerging-market
strategist at Commerzbank in London.
Write to Tommy Stubbington at [email protected] and Nikhil
Lohade at [email protected]
Credit: By Tommy Stubbington And Nikhil Lohade
Question:
1. How did Saudi Arabia benefit from pegging the riyal to the
U.S. dollar?
2. Why is Saudi Arabia under pressure to abandon the riyal-
dollar peg?
3. What is Saudi Arabia doing to prop its currency?
Running Head: Capstone Project-Final 1
Capstone Project-Final 2

4. Capstone Project- Final
David Mack
HA499- Kaplan University
Professor Matthews
January 19, 2016
Section 1- Proposal and Introduction
Mayo clinic is among the largest and oldest non-profit health
care organizations in the United States. The clinic started as a
temporary medical center run by Dr. William with the help of
his two sons, Charles H. Mayo, and William J. in 1983 as a
response to the Tornado that struck Rochester in that year
(Olsen, 2014). Currently, the organization is a huge
organization that as four hospitals and three clinics in three
states. The company employs more than 40,000 workers who
include physicians, nurses, scientists and other health workers.
Mayo Clinic also owns the Mayo Clinic Health System. The
system consists of about 70 clinics and hospitals in lowa,
Wisconsin, and Minnesota. Mayo Clinic also owns various
medicine colleges which include Mayo Medical School, the

5. Mayo School of Health Sciences and Mayo Graduate school of
Medical Education. Along with these establishments, Mayo
Clinic treats millions of people at its premises from over 150
countries across the world every year.
I selected this organization due to its commitment to the interest
of the well-being of their patients. This guiding principle of the
organization was articulated by Dr. William (Olsen, 2014). The
Clinics mission, as stated on its website is to inspire and
contribute hope, health and well-being to its patients by
providing quality care to all its patients through clinical
research, education and practice (Mayo Clinic, 2015). Its
primary value is to ensure the patient’s needs come first. This
indicates that the clinic is focused to its patients. Another
reason I selected this organization is the fact that it has been
able to portray a true brand of quality healthcare in the United
States. The company has always focused on providing the best
quality of healthcare since it was started. Mayo Clinic believes
in team work and it employs a group-oriented approach that has
made it successful. The focus on quality makes this
organization stand out from other organizations in the
healthcare industry
Mayo clinic needs to focus on quality improvement and control
techniques to enable it achieve its commitment towards quality
healthcare to its patients (Noseworthy, 2014). The company can
implement various quality improvement techniques such as the
Six Sigma or Lean operations to achieve this. These are
common approaches being incorporated in United States
Healthcare sector. Mayo clinic should start by defining their
client needs and come up with new strategies that will enable
them to achieve their vision while maintaining their values to
rebrand the whole organization. The management is, however,
likely to face some resistance when it attempts to change some
of its historic practices to bring new practices as an attempt to
improve quality, patient access and cost reduction (Swensen,
2012). The world is rapidly changing, and Mayo needs to keep
up with the quest towards change and advancement. The

6. company needs to implement the quality improvement and
control techniques in its operations to continue offering
exceptional decorum and expertise in their services.
Section 2- Analysis of the Organization
Just like several other health care facilities today, the facility
the physical setting mainly revolved around the healing aspect
of the patients as well as the provision of comfort for the
families of the patients. The healthcare sector has evolved
enormously due to constructs formed by health policy makers
concerning patient care and promotion of holistic treatments in
the health facility. Numerous benefits emerge from the
substantial advantages of the design of the health care facility.
The benefits most importantly, improve the health of the
patient, and increase the effectiveness of the staff and also their
morale.
The setting enables administrators within the firm meets the
critical safety benchmarks required, cost reduction and also
increase their value and quantity of shares in the market
(Vincent, 2011). Currently in the health sector, several health
care facilities such as long term care health centers are
periodically being constructed with the purpose of replacing
those at the other end of their life span. The hospital has
adapted to varying designs that enhance the comprehension of
the healing environment, and the final research gathered the
evidence-based design. Also, since health consumers are slowly
becoming aware of the variety of choices in their hands, health
care firms hope to lure them to their facilities through the
welcoming environment. Therefore, the physical setting is
typically the first impression of the patient in regards to the
health center. It also is one of the most significant factors that
influence the perceptions of the patient concerning the quality
of care provided and their overall level of contentment (Turner,
1988).
The health facility caters for all patients with different income
backgrounds. Also, the convenient location of the hospital

7. benefits the patients from traveling constraints that might
hinder rapid treatment in case their health situation is critical.
The hygiene of the facility was favorable since prospective
patients prefer clean and sanitary hospitals developed with
sophisticated quality services. Since the hospital is enormous
concerning size, the respective wards make it easier for patients
that prefer low volume hospitals. The cost of treatment is also a
factor when trying to attract prospective clients. The integration
of insurance covers into various payment plans of the treatment
offered draws patients. The economic think tank of the facility
has devised modules that are cost effective for the patient and
consequentially, strengthens their reputation within the locality
(Blatt, 2014).
The effectiveness of various clinical activities within the firm
was evident through the various integrated improvement health
programs within the health care facility. The management in
charge with the various health promotion activities primarily
focuses on the education and advice towards the patients to
empower them with the knowledge of the risk factors involved
with the treatment and their particular ailment. Also, they
identify the various needs of the patients (Bryant, 2009).
Programs for rehabilitation and interventions have been
incorporated into the system of the facility to integrate and
ensure after the patient is discharged, continuity of care is
available. The facility also emphasizes on the provision of a
healthy work environment within the workplace.
The structure of the healthcare facility is essential especially
since it's still developing. The structure provides sufficient
guidance and the required clarity on the issues involving human
resources. The management initiates the implementation of a
formal structure especially during the early stages of the
development of the health care facility to create an identity for
the firm. The structure lays out the authentic reporting
relationships that are used to increase efficiency in the
workflow of the company. The structure of the organization
must be formally outlined to enhance the ease of adding new

8. employment positions within the firm and also, provides a
flexible means for development. The lack of a formal
organizational structure leads to employees finding it tedious to
acknowledge the chain of command in different situations. Also,
lack of clarity of the responsibilities of each worker emerges.
The structure increases the operational efficiencies within the
firm. The task is achieved through the provision of sufficient
clarity to all the workers. The management of the health
company had the foresight to see the importance of the
establishment of an organizational structure within the facility.
It enabled each employee to identify their roles and
responsibilities concerning their workload and ethical mandates.
The importance of a formal stable organizational structure is
emphasized so that as the health facility gradually develops,
stability regarding structure is maintained
Vision: To be at the helm in leadership for advancing health and
caring for people
Mission: To offer honest services to all patients, their particular
families, and those who care for them and the whole community
Values:Service: To vigorously aim to anticipate the rising needs
of all patients, co-workers, and the various physicians.
PatientFirst: The essential purpose of the health facility is to
deliver the best care possible to each patient. The patient will
always take priority in all the tasks we do. Integrity: We
promote transparency and gradually build trust with our patients
and the relevant stakeholders within the health sector without
compromising our ethical mandate. Respect: All individuals
involved in our daily activities are shown the highest form of
dignity and professionalism disregarding their social standard.
Innovation: We embrace evolution with open arms to vast
improve our techniques and every aspect of our firm in a
responsible manner. Teamwork: The effectiveness of a system
revolves around the cultural diversity and collective strength of
everyone, working with mutual respect and open
communication.
Goals:The primary objective of this facility is promotional of a

9. very high standard of health care, financial stability and most
importantly loyal to all relevant stakeholders within the
community.
All these objectives are done for the purpose of providing
excellence, promotion of innovation and unbiased care to all the
patients. Also, the health practitioners are trained, and the
dissemination of health knowledge is promoted within a
conducive culture that advocates diversity, equity, and
inclusiveness (Kelly and Tazbir, 2013).The patient is required
to receive a comprehensive explanation of the personal
physician of the particular medical condition and the
recommended treatment to take. Also, the expected risks and
results and also the reasonable alternatives for the treatment
must be discussed. However, the physician can explain some
sensitive information to the guardian or next of kin in case the
information poses a threat to the patient’s health
The patient must know all the written regulations of the hospital
and the various procedures that include the methods utilized to
save lives and also instances of withdrawal of life support. The
patient can also refuse treatment to the extremes allowed by the
law and must be informed comprehensively on the medical
repercussions of the refusal of treatment (Annas, 2012).
The patient must be assured that their financial and medical
records shall not be availed to anyone else outside the hospital
without their complete approval. The only exception would be if
the patient is being transferred to another health care facility
and; therefore, the information of the state of health of the
patient is vital (Dixon, Robertson, Appleby and Burge, 2011).
Modern and the latest advancements in technology cannot
substitute the significant role played by the specialized labor
within the healthcare industry. Healthcare mistakes are often
grave since the fatal consequences relayed to the patient.
Therefore, the healthcare staff must be highly competent in
implementation and following ethical and safety practices with
the highest standard. Within the firm, numerous hindrances are
affecting the human resource department. Currently, the

10. identification, recruitment and retention of quality job seekers
are challenging.
This problem occurs due to the increase in recruitment drives
done by huge powerful health firms within the market and also
abroad. The shortage of workers, however, can be handled
through the establishment of effective human resource strategies
elevate the chances of a favorable outcome. It is, therefore, the
task of the Human Resource department to mentor, coach,
counsel and identify suitable successors within the job market
(Hernandez, 2009).The task would be achieved through
consistent promotion of organizational values, beliefs, culture
and ethics
The facility synchronizes with various sectors within the
community and ensures that the greater effort primarily devoted
to raising the quality standards of the lives of people within the
community is achieved. Also, the firm reduces the horrible
quality of life that highly associated with chronic ailments,
disability and pain relief. In a global scale, continued devotion
to the provision of health care to the population eventually
culminates to an increase in the general labor force of a nation
and ultimately the stability of various economies from the
environment the health firm is situated all across the globe is
done (Gofin and Gofin, 2010).
SWOT Analysis
The SWOT analysis mainly focuses on the Strength,
Weaknesses, Opportunities and Threats linked with various
scenarios after considerations concerning the internal and
external aspects of the business organization and the market.
Through this direction, the managers easily comprehend the
current state of a situation (Pahl and Richter, 2009). Therefore,
he has the required fundamental elements in its favor and
eventually worth to be pursued. Currently, the analysis is a
primary tool used in the health care sector.

11. Strengths:
Weaknesses:
· The personnel of the facility must be highly competent in the
field of Medicare
· Active and healthy relationships with the patients.
· Active communication system within the firm
· The Medicare delivery services must be well designed and
efficient
· A reputation for creativity and innovation
· Unplanned expansion leads to an unconducive work
environment due to lack of proper management
· Expiration of excess stock of the medical supply and also an
increase in inventory costs
· An ancient system for maintenance of records
· An inefficient record maintenance system in place
· Outdated research data on various medical techniques
Opportunities:
Threats:
· Presence of expensive similar Medicare products with low
quality
· Presence of very loyal customers
· Increase in demand for the quality Medicare product and
services
· Numerous opponents with similar Medicare products within
the
· Attractive adverts from competitors
· A formidable competitor relocating to the same area that the
health facility is situated

12. Part 3- Financial Management, Quality and Marketing aspects
of the Organization
Finances of Mayo Clinic are compromised over six divisions,
before going in to the details of these six departments it is
important to understand the basic purpose behind the total
finance distribution. Mayo clinic is a non-profit research
organization and is considered one of the most highly ranked
medical research institutes. The six sub-departments of mayo
Clinic’s financial departments are (Seltman, 2013):
· Mayo Financial Services
· Treasury Services
· Foundation Materials management
· Foundation accounting
· Financial Planning and Analysis
· Internal Audit Services.
Out of all these six sub-departments, Financial Planning and
Analysis department helps in carrying out the important tasks of
insurance payments and Private pay analysis. As already said
this organization is research based with no profit methodologies
so the biggest task is about the funding flow, organization has
to maintain the productive outcome of carried researches in
order to have the constant flow of funds. Mainly mayo Clinic
gets its funds through international health care departments,
which contribute in the medical researchers in order to attain
better human health. All of the given six sub-departments of
finance are further divided in to more sub departments; all of
them have their respect6ive operations in order to carry.
Mayo Financial Services
It has four sub-units which are responsible for the funds
collection for the organization. This part is responsible for
collecting the funds from international bigger health care
organizations, then that fund is further divided in to the pays of
work force along with the research projects. Along with the
research projects this departments also deals with patient
collection and customer service, private pays of the complete

13. work force, and insurance payments of the overall
organizations.
Research Issues
Research issues in this organization are different as compared to
the research issues in other type of organizations. Mainly
research issues lead towards the idea of having poor outcomes
of the researches or having no outcome at all instead of putting
a lot of funds in a respective research. Another type of research
issue is when scientists are not sure that how to proceed further.
But here research issues more of ethical issues, where different
people with different styles of medical practices combine and
create different types of ethical issues based on different moral
foundations (Mielke, 2013). In short, research issues are more
of ethical issues where it is difficult to bring every working
physician to collect over the same point and same issues.
Quality and Ethics
In case of Accreditation, Mayo Clinic is considered as one of
the best medical related research institute. According to the
rankings of United States’ News and World Report, Mayo Clinic
is considered as one of the best medical based research institute.
This raking is based on the 2015 research reports, while back in
2009 Mayo clinic was given the award of healthcare unite,
which has always given quality results with no compromise over
the costs (Strongosky, 2016).
Regulations: Mayo clinic overall stand out as a research
institution. But when it comes to its core regulations this clinic
has divided its responsibilities in three major portions, Patient
care, education and research. This organization not only works
on the principal of contributing in the healthcare system by
providing the valuable researches but also contributes in the
health care system by entertaining overall one million patients
at its clinics. This helps in providing highly specialized medical
care within reasonable charges. As Mayo Clinic is a big
offender of fee or service kind of payments. It pays its doctors
only of a fixed amount of payment by the end of month instead
of giving them payments according to the number payments.

14. This eliminates the factor of seeing patients in large numbers
without giving them a proper attention.
Ethical Issues: Another ethical issue which is a main concern
here is that limited number of clinic with limited capacities only
allows limited number of patients to get specialized health care
with in low prices. This is a main ethical issue which makes
many patients unhappy as many of them don’t get the chance of
getting treatment from the Mayo clinic. Here the management of
organizations has its own reasons, as the medical service
capacities are limited but the number of patients (especially
those who needs specialized attention) is very large. This gives
birth to the conflicts, main management department of mayo
Clinic works over the principal that if many people of same
diseases like cancer or other deadly diseases are there, then
young people would get treatment the first. It might be
considered as highly un-ethical according to many other people
of the society. But the management says that oldies have
already lived their life in a lot better way, so young people
deserve more to live a healthy life so that they can contribute in
the healthy atmosphere of the society. This is all about the
perception of the person looking at these issues, as someone has
to decide that who will get the treatment and who will not.
Because of the limited services right now, Mayo Clinic is also
working over expanding its services with more clinics and more
availability of doctors so that the issues of seeing less number
of patients can be resolved (Hart, 2012).
Marketing
Brand recognition: mayo clinic is strong in its brand name.
Although ethical issues like who will get the treatment and who
will not, have led its name in to negative lime light but cleverly
the positive points of mayo clinic are just too strong to ignore.
For example, first of all it is one of the first kinds which
provide specialized treatments in a very affordable way and also
within the limits of maintaining the quality of the treatment.
Positive word of mouth also helped a lot in maintaining its
brand quality. But positive word of mouth, started with the

15. social media campaigns of Mayo Clinic. This played the biggest
role in the brand building of mayo clinic, apart from this mayo
clinic also got positive word of mouth through the international
recognitions because of its quality work and services.
International number one raking in all the existing health care
systems helped this organization a lot in building its brand
name.
Strategies
This organization works over the strategy of providing quality
results in case of education, healthcare treatment and research
which automatically gives it its brand status. Brand name is
famous because of its real brand status in the health care
industry. Apart from this, this organization has followed the
strategy of having better brand name though the positive word
of mouth spread of social media. Mayo clinic is a non-profit
research organization which supports the medical research and
due to bigger research magnitude, this organization is
considered as one of the most highly ranked medical research
institutes. The point of being non-profit and working only in
order to contribute in the betterment of health care system,
gives it highest positive edge in its brand building strategies
(Justice, 2013).
Community and employee involvement: community involvement
involves the involvement of all the fund providing organizations
while on the other hand overall public support of people
because of the positive contribution of this organization adds to
the community involvement towards this organization.
Employee involvement is different in this case as it only attracts
people who are genuinely interested in contributing in the
betterment of healthcare system. Money spinner employees
don’t show much involvement in this organization.
Part 4- Impact of Economic and Outside Influences to the
Organization
Mayo Clinic is a non-profit organizational healthcare institution

16. based in Rochester, Minnesota. The organization is considered
as a medical practice center and it is the first and largest of its
kind. Mayo Clinic has managed to employ more than 3000
physicians and more than 50,000 healthcare staff. The
organization usually employs tertiary care to treat patient. The
organization receives thousands of patients annually due to its
quality service from the skilled staff. The number of patients
visiting Mayo Clinic has been growing tremendously from year
to year thus, the profits (Starr, 2000).
Mayo Clinic was founded by Dr. William Mayo in 1864 in
Rochester, Minnesota. Mayo Clinic is considered to be the
largest hospital and a medical practice area. According to the
2014 / 2015 U.S News & world report, Mayo Clinic was ranked
the best hospital. Mayo Clinic has been voted among the best
hospitals for over 20 years. Mayo Clinic has been able to open
up healthcare campuses in various areas in the United States of
America. For instance, Mayo Clinic has opened campuses in
Florida, Arizona and Wisconsin. The institution is involved in
its core missions such as providing patient care practice. This
program has helped hundreds of patients and staff who visit
Mayo Clinic. Mayo Clinic recognizes the patient as the most
important asset to a health facility and therefore Mayo Clinic
has always administered quality service t her patient. The
organization is also involved in research and education (Reid,
2009).
Recent economic studies show that Mayo Clinic is involved in
$22 billion healthcare spending nationally. The study shows that
in Rochester alone, Mayo Clinic was responsible for spending
more than $9 billion. The organization also has an economic
impact in its Arizona campus with a spending of more than $1.5
billion. Mayo Clinic has therefore impacted on the national and
world economy positively. This is evident since the
organization has been awarded with the Impact award (Starr,
200).
Mayo Clinic has been a world economic driver especially in the
creation of Jobs, research and education. The organization has

17. employed more than 50, 000 healthcare practitioners who come
from different regions of the world. The organization also
serves more than 100, 000 patients annually from different areas
of the world. This fact has enabled the organization to grow
tremendously and has great impact in the economy. There are
hundreds of local residents who are volunteering at the Clinic
because the Clinic is ranked as one of the best places to work
in. the economic impact analysis has proved that Mayo Clinic
has had a great economic impact nationally and internationally.
Reason is everything the Clinic does from job creation to
research and business development in the health sector. The
organization’s work has provided job opportunities to different
skilled personnel and this has been and economic engine
nationally (Tuohy & Glied, 2011).
Research has proven that for every dollar spent by Mayo Clinic,
generates at least 2 dollars to the national economy. The
organization also generates federal tax which amounts to more
than $1.9 billion (Reid, 2009).
All service in Mayo Clinic aims to administer the best and
quality service and care. Mayo Clinic aims at delivering quality
service and care using their vast resources for example skilled
manpower. This has not been a challenge for Mayo Clinic. This
is because; Mayo Clinic has the best health practitioners who do
a very good job. Moreover, Mayo Clinic has volunteers from the
local residents who provide great services as well. The
volunteers also save a lot of time by doing the extra care service
delivery required (Tuohy & Glied, 2011).
Mayo Clinic has also been able to do research and education to
assist their service delivery. The research enables the
organization to use new ventures and skills for providing
quality services. This has been a great achievement for the
Clinic since it has presented new opportunities for them. The
education is mainly delivered to the health practitioners. They
are able therefore to provide great and quality service as
expected. Mayo Clinic has been able to preserve the values
which define the healthcare sector and provision of quality care.

18. The organization is able to use its resources very well to
provide the health care services. They are able to connect with
the patients or the communities and thus, they understand what
the patient is expecting from them. In providing their care
service, Mayo Clinic takes into considerations the social
impacts. Thus, they are able to manipulate the services to
provide development and a sustainable care model (Reid, 2009).
Health care reforms have been a vital move in providing quality
health care services to patients. There have been various
changes in the health care systems due to the health care
reforms. Due to the health care reforms, there has been
emphasis on the provision of quality service to patients at a
lower cost (Gruber, 2001). The changes caused by the health
reforms have caused various health practitioners to change their
care model. For Mayo Clinic, the health reforms are familiar.
This because, the health care reforms have care models which
are similar to those of Mayo Clinic. This means that Mayo
Clinic works in line with the health reforms. Mayo Clinic
integrated health care system provides quality services to
patients as required by the health reforms. This is because the
health practitioners in Mayo Clinic have put emphasis on
service provision and not on profit making (Starr, 2000).
Mayo Clinic is also able to increase the value of the quality of
services they provide and at reduced cost. The organization
provides quality services and care at the lowest cost possible.
This factor has also been made possible by the volunteers at the
organization. On the other hand, Mayo Clinic refutes some of
the health reforms or Obamacare. According to Mayo Clinic,
Obamacare has not been able to link the doctor’s fee to the
work they do and the health care provision costs. The
organization gears for such reforms to be evaluated and changed
(Gruber, 2001).
Mayo Clinic has various regulations which enable the
organization to work very well with in provision of quality
healthcare. The regulations require the staff, volunteers
included to work with integrity and compliance (Reid, 2009).

19. The staff is required to work with honest behavior towards the
patients and ethical behavior in the work place. The Mayo
Clinic has various regulations which have enable them to work
closely with the patient. The organization is able to provide
safe, quality care with utmost integrity and ethical behaviors.
This fact has enabled the organization to grow tremendously in
the health care system nationally and internationally (Tuohy &
Glied, 2011).
Mayo Clinic has been able to provide quality and great services
to patients around the globe. This move has enabled the
organization to grow tremendously in the recent past. The
organization has grown to be the best medical practice
especially in the United States of America. Thus, the
organization has grown to be responsible of considerable
spending thus, impacting the economy. Mayo Clinic has had
great impact on the national and international economy due to
creation of jobs, influencing the tax revenue and use of
sustainable health care model for her patients. Thus, the
organization has recorded growth of the thousand patients they
serve annually (Reid, 2009).

20. References
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