Scenario Metropolitan Memorial is seeking to expand its service offerings.docx

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Community Benefit vs. Organizational Benefit Perhaps you have been to a health fair sponsored by a local hospital in your community. Who benefits from such an effort? When you or your neighbors are screened for signs of illness (hypertension, for instance) or learn about available services, clearly the promotion benefits you, but what about the hospital? Having its name associated with "community service" benefits the institution. Any patients and/or clients the institution attracts may also result in some financial benefit, even if the organization is ostensibly "non-profit." In this Discussion, you will identify examples of promotion for social change in your community and analyze whether the promotion benefits the community, the organization, or both. To prepare for this Discussion: · Review this week's Learning Resources. · Identify two local health care providers and identify an example of each organization's effort in promoting a service or services as a form of positive social change. One of the organizations should be for-profit, the other, not-for-profit. Post a brief description of how each organization's promotion fosters social change. Then, evaluate how each organization's marketing promotion benefits the community and how it benefits the organization. Finally, for each example of marketing promotion you have identified, analyze whether the interest of the community and the interest of the organization are in conflict. Briefly comment on how the promotions of the for-profit and non-profit organizations differ and how they are similar. Support your work with specific citations from this week's Learning Resources and/or additional sources as appropriate. Fortenberry, J. L., Jr., Elrod, J. K., & McGoldrick, P. J. (2010). Is billboard advertising beneficial for healthcare organizations? An investigation of efficacy and acceptability to patients. Journal of Healthcare Management, 55(2), 81–9 5. STRATEGY CHALLENGE Alan M. Zuckerman What Would You Do? does the strategic plan require updating because of healthcare reform? Metro Health System (MHS) is a successfiil integrated delivery system (IDS) and the second largest healthcare organization operating in its metropolitan area. With the passage of healthcare reform into law, how- ever, MHS s leaders see a need to review and possibly revise the organization's strategic plan. Although MHS's relatively recent full plan update still should be valid, over the past nine months, board members and executives have raised important questions about the strategy. The question is, does MHS need to fine- tune its plan or is a more significant change in strategic direction required? The Situation MHS is a $1.3 billion (annual operating revenue), multifaceted IDS in a medium to large city. Its performance has been consistently strong for the past seven years as measured by margin, share, and other indicators. The organization comprises two large hospitals, about 300 emplo.

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Scenario You are the CFO of a rural hospital. During a recent review of the organization’s financial status, the hospital was deemed “at risk” for closure. Several factors contribute to the at-risk designation, including the state’s decision to opt-out of the Medicaid expansion program, the aging population which requires more expensive care, and the changes in reimbursement from Medicare. These challenges have resulted in rural facility closures across the country. As part of the strategic management team, you are charged with reviewing various facility units and making recommendations that may avoid closure. You determine that based on the profitability reports, the OB/GYN unit of the facility is underperforming in several key financial areas. Instructions In a written proposal to the hospital CEO, Administrator, and CMO, discuss the following: Identify potential challenges related to the OB/GYN unit’s performance. Explain potential trends in the community impacting health consumer utilization patterns. Explain the potential benefits of reorganization within the unit and how reorganization could improve its financial status. Recommend a course of action and the implications that those actions will have for patients, providers, and investors (i.e., how might closure affect the community or how might new service offerings, such as midwife services, improve profitability). Rubric -Clear and thorough identification of specific challenges related to the OB/GYN unit’s performance. Includes comprehensive descriptions of the specific challenges with multiple examples. - Clear and thorough explanation of potential trends in the community impacting health consumer utilization patterns. - Clear and thorough explanation of the potential benefits of reorganization within the unit and how reorganization could improve its financial status. - Comprehensive recommendations for a course of action and the implications that those actions will have on stakeholders. Includes multiple supporting examples for each recommendation. .

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Competency Employ contemporary economic principles that guide resource allocation decisions in health organizations. Scenario Upon reviewing the annual budget and fiscal standing of Metropolitan Memorial, the CFO has identified shortfalls that will impact the funding of its proposed expansion into rural communities. In order to secure adequate funding from the Board, the operational team must reduce current operating budget by a million dollars. Instructions The CFO requests that you draft a memo to the Board providing justification for the additional funding in light of the shortfall. You should review current literature to support your justification. Your memo should include the following information based on the literature: Explain the possible impact of resource allocation within a rural communities . Discuss the factors that may affect the quality of care by reducing healthcare resources to accommodate budgetary constraints. Discuss a potential service line and five possible ways in which the service line may maximize resource allocation. .

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Healthcare financial transformation—improving care delivery while lowering costs—has been an ongoing challenge for health systems in the era of value-based care and an even more prominent concern amid COVID-19. While better care and reduced expense to organizations and consumers might seem like opposing goals, by understanding the true cost of services and other drivers of expense, organizations can successfully manage costs while maintaining, and even improving, care delivery. To that end, health systems can use data- and analytics-driven tools and strategies to addresses financial challenges, including uncompensated care, prolonged accounts receivable days, discharged not final billed cases, inefficient resource use, and more.

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Strategic Thinking Examine how strategic thinking and planning affect the internal and external environments specific to Nursing Homes services by completing the following: Identify and analyze the various elements that comprise your health care industry\'s trends and policies. Define and explain the economic and business conditions, premises, policies, and other related forces that form the basis for generating change in Nursing Homes. Identify and analyze specific issues revolving around health care management and policy analysis specific to this organization. Examine the different types of markets in the health care system and the determinants of supply and demand in each market specific to the selected organization. Your two-page report should contain an introduction and a conclusion. Resources and citations should be formatted according to APA (6th edition) style and formatting. Solution 1). health care industry\'s trends will exert significant impact on capital investments,allocation of resources, innovation, and share of industry profits.these extraordinary achievements, the cost, quality, and accessibility of health care have become major legislative and policy issues. Substantial increases in the cost of health care have placed considerable stress on federal, state, and household budgets, as well as the employment-based health insurance system. Health care quality varies widely, even after controlling for cost, source of payment, and patient preferences. Many Americans lack health insurance coverage at some point during any given year. The costs of providing uncompensated care are a substantial burden for many health care providers, other consumers, and tax payers. 2.the economic and business conditions, premises, policies, and other related forces that form the basis for generating change in Nursing Homes business or reward suppliers that reduce costs or enhance quality with substantially increased volume or higher payments. CMS has limited ability to contract selectively with providers or use competitive bidding. Even straightforward purchasing initiatives, such as competitive bidding for durable medical equipment (DME), have generated considerable resistance, despite the success of a pilot project for DME competitive bidding 3.issues revolving around health care management and policy analysis specific to this organization a). Health Care Expenditures Are Once Again Rising Dramatically B. Health Care Quality Varies c).Economy Typically Relies on Market Competition 4.different types of markets in the health care system and the determinants of supply and demand in each market specific to the selected organization. Competitive pressures for cost containment have spurred the development of new forms of health care financing and delivery. Government payors have adopted new forms of payments for health care providers to slow health care inflation. Private payors have adopted systems, such as managed care and preferred provider organizati.

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CHAPTER 28 Case Study: Metropolis Health SystemBACKGROUND · 1.The Hospital System Metropolis Health System (MHS) offers comprehensive healthcare services. It is a midsize taxing district hospital. Although MHS has the power to raise revenues through taxes, it has not done so for the past seven years. · 2.The Area MHS is located in the town of Metropolis, which has a population of 50,000. The town has a small college and a modest number of environmentally clean industries. · 3.MHS Services MHS has taken significant steps to reduce hospital stays. It has developed a comprehensive array of services that are accessible, cost-effective, and responsive to the community’s needs. These services are wellness oriented in that they strive for prevention rather than treatment. As a result of these steps, inpatient visits have increased overall by only 1,000 per year since 2008, whereas outpatient/same-day surgery visits have had an increase of over 50,000 per year. A number of programmatic, service, and facility enhancements support this major transition in the community’s institutional health care. They are geared to provide the quality, convenience, affordability, and personal care that best suit the health needs of the people whom MHS serves. · • Rehabilitation and Wellness Center—for outpatient physical therapy and return-to-work services, plus cardiac and pulmonary rehabilitation, to get people back to a normal way of living. · • Home Health Services—bringing skilled care, therapy, and medical social services into the home; a comfortable and affordable alternative in longer-term care. · • Same-Day Surgery (SDS)—eliminating the need for an overnight stay. Since 1998, same-day surgery procedures have doubled at MHS. · • Skilled Nursing Facility—inpatient service to assist patients in returning more fully to an independent lifestyle. · • Community Health and Wellness—community health outreach programs that provide educational seminars on a variety of health issues, a diabetes education center, support services for patients with cancer, health awareness events, and a women’s health resource center. · • Occupational Health Services—helping to reduce workplace injury costs at over 100 area businesses through consultation on injury avoidance and work-specific rehabilitation services. · • Recovery Services—offering mental health services, including substance abuse programs and support groups, along with individual and family counseling. · 4.MHS’s Plant The central building for the hospital is in the center of a two-square-block area. A physicians’ office building is to the west. Two administrative offices, converted from former residences, are on one corner. The new ambulatory center, completed two years ago, has an L shape and sits on one corner of the western block. A laundry and maintenance building sits on the extreme back of the property. A four-story parking garage is located on the eastern back corner. An employee parking lot sits beside the laundry .

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The CMS Innovation Center held the fourth in a series of webinars for potential applicants interested in applying to Health Care Innovation Awards Round Two. The webinar held on Thursday, June 20, 2013 from 1:00–2:00pm EDT, focused on how to achieve lower costs through improvement. This webinar also reviewed the components of the Financial Plan. - - - CMS Innovations http://innovations.cms.gov We accept comments in the spirit of our comment policy: http://newmedia.hhs.gov/standards/comment_policy.html CMS Privacy Policy http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html

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· In this assessment, you will propose an economic initiative that presents an opportunity for improved care quality. Scenario As an emerging health care leader, the senior management has requested that you independently research and explore one of the economic opportunities that may be available in your care setting. This may be offering a new service line, working to improve a service line already offered, retiring an outdated or unprofitable service line, or any other economic initiative that you believe will be of benefit to your care setting in the short and long term. One example of this is a recently launched partnership with a local bicycle sharing company. Your care setting partners with them to host healthy community events that offer free screenings for early detection of various health issues. This helps fulfill some of your care setting's preventive and healthy lifestyle initiatives, while also potentially driving referrals to other services provided by your care setting. You have been asked to submit your proposal in the form of a 2–4-page executive summary that includes your proposed economic initiative, supporting economic data, and an analysis of the proposal's benefits for your department and for the care setting overall. Directions You have been asked to ensure that your report addresses the following. Note: The bullet points below correspond to grading criteria in the scoring guide. Be sure your work is, at minimum, addressing each of the bullets below. You may also want to read the scoring guide and the Guiding Questions: Executive Brief: Proposal of New Economic Opportunity document, linked in the Resources, to better understand the performance levels that relate to each grading criterion: · Propose an economic initiative that presents an opportunity for your care setting at both the micro (departmental, neighborhood) and macro (organizational, community) levels that you believe will provide ethical and culturally equitable improvements to the quality of care. · Analyze the supply and demand for your proposed economic initiative within contexts relevant to your care setting. · Explain relevant economic and environmental data that support your proposal and analysis. · Communicate your economic proposal in a logically structured and concise manner, writing content clearly with correct use of grammar, punctuation, and spelling. · Effectively support your proposal with relevant economic data and scholarly sources, correctly formatting citations and references using current APA style. Example Assessment: You may use the assessment example, linked in the Assessment Example section of the Resources, to give you an idea of what a Proficient or higher rating on the scoring guide would look like. Additional Requirements Your assessment should meet the following requirements: · Length: 2–4 double-spaced, typed pages. Your proposal should be succinct yet substantive. · APA format: Resources and citations are formatted according to c.

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