Free Essay

Carson Manor

In:

Submitted By ANQIYU
Words 1099
Pages 5
MKE402 CASE STUDY
CASE6-3 Carson Manor

1. Identification of Problem:

-Key issues/problems

Carson Manor is a senior home that has been open for many years. There operation is to provide housing for the elderly that require the care and supervision of nurse’s. The key issue of the Carson Manor study is to reduce cost on a per-bed basis to be in-line or near the state average. Currently Carson Manor costs are approximately 14 percent higher than state averages on a per-bed basis.

-Subsidiary issues

Subsidiary issues include; finding goods and services at minimum cost that will be consistent with desired quality, delivery timing, and reliability. Carson Manor has had issues with measuring and controlling costs. Without change, nurses will not be able to provide good quality care for their patients and patients will receive unequal care. The increasing levels of care required by Carson Manor residents have a major influence on costs.

2. Situational Analysis

- Relevant Factors
* Average cost of per-bed costs within the state
* Identification of problem areas in Carson Manor that could use strategies made up by the city to help productivity (ex. contract management services)
* Review of administration, staffing, and organizational design and management systems.
* Resident care assessments (what materials are needed, what requirements/skills should the nursing staff have)
* Develop comprehensive recommendations for improved operating systems
* Develop comprehensive recommendations to lower purchasing costs
* Find consulting companies within the area with relevant experience
* Budget
* Patient classification system

-Quantitative Analysis
*Cost on product
* Cost on staffing Carson Manor
* Cost on outsourcing
* Number of staff members
* Patient population

-Qualitative Analysis
* Carson Manor quality of service
* Outsourcing service quality
* Management strategy of Carson Manor Staff
* Operational Strategy
* Management of outsourcing operations
* Patient level of care
* Relationship between firm and the sponsor (the city of Winston)
* Hired nurses and staff relationship with patients

|(Scale from 1-5) |Patient Care |Clarke-Hamilton |Standardcare |
|Methodology |2 |4 |3 |
|Anticipated Reduction & |3 |5 |4 |
|Implementation Cost | | | |
|Experience |4 |4 |5 |
|References |1 |5 |3 |
|Service Cost |5 |4 |2 |

3. Evaluation of Feasible Alternative Solutions

-Alternative 1: Patientcare

Advantages:
-Lowest bid of the proposal is $35,000.
-Analyze staff and cost.
-Fully estimated the sum of all proposed operating deficiencies.
-Provide assistance with implementation if required.
-Claim to have rich experience on management.

Disadvantages:
-The cost would be at least $700,000 if implemented.
-The method they provide is lack of details and overly simple.
-Patientcare are not professional enough; the quality of the service doesn't contend with other two operators.
-The cost is hard to manage.
- References were impractical or nonexistent

-Alternative 2: Clarke-Hamilton

Advantages:
-Benefit to cost ratio ranges from 3 to 1 all the way to 30 to 1.
-Experience in implementing two different types of work standard/ patient classification systems and MIS systems.
-Extensive experience in specific areas, mainly in hospitals.
-Pay attention to reviewing each step.
-Lower price than Standardcare.
-References accredited savings
-References were satisfied
-Are sure to include city and Carson Manor in steering committee administration; more eyes over seeing the operation

Disadvantages:
-Has a higher price than the proposal from Patientcare.
-Steering committee formed in order to oversee the operation of Clarke-Hamilton may issue the city and Home with another cost (overtime?).

-Alternative 3: Standardcare

Advantages:
-Anticipated savings are to be in the order of 8 to 10 percent of total expenses, approximately 1.1 million in the case of Carson Manor.
-Have extensive background in similar situations.
-Extensive list of 15 facilities either completed or in process.
-Manage Henford Lodge---150-bed restorative care program.
-Owns or manages 2400 nursing home bed and units in this state and Florida.

Disadvantages:
-Such a large operator of nursing homes it would be easy to overlook problems within Carson Manor; meaning that they already have a lot of there plate. They may not be able to give Carson Manor the attention they need.
- May be over qualified
- Anticipated savings are not concrete; may be misleading
- Have one reference but due to high price no others were looked into. One reference doesn't make them accredited enough
-The price they are asking for is too high for Carson Manors budget

Recommendation:

-Alternative 2, Clarke-Hamilton

-Justification or Recommendation
In this case, the most important concerns to Carson Manor are the quality of service they provide and their reliability. Clarke-Hamilton has excellent reviews of nursing care. The savings they promise are high and their services are offered at an expectable price. Along with these benefits Clarke-Hamilton has a steering committee that they plan to implement that will keep the sponsor involved. It allows the city and Carson Manor management to have an input on the new systems that will be put in place. Standardcare is a poor choice because of its large operating system of nursing home, which makes it easy for them to overlook problems within Carson Manor. Their prices also exceed what Carson Manors budget entails. Although Paitientcare had the lowest price of all 3 budget proposals their references were extremely unreliable or non-existent.
Clarke-Hamilton is the top pick in both cost and quality.

Implementation

-Plan of action -Form Steering Committee. -Oversee the implementation done by Clarke-Hamilton. -Review and revise terms of contract with Clarke-Hamilton. -Review sections. -Interviews and tour. -Identify all areas to improve. -Finalize report and present it to Steering Committee for approval.
-Consideration of cost and control issues -Increased cost from the choice of Patientcare, but decreased cost from the standardcare -Steering Committee will require more time for deliberating and working through the chain of command, which may lead to cost increased. -Gives control to the sponsor by forming Steering Committee, keeps goal on track.
-Time frame -Request report: June 9th -Pre-bid conference held in Sept. -3 proposals submitted: Nov 17th -Recommendations due in Dec 19th -Implementation and start up of Steering Committee should be done in a timely manner.
-Possible obstacles -Steering Committee doesn’t form quickly enough. -Projected sales and cost layout exceed or fall below estimate. -Time conflicts -Steering Committee may bring in too many opinions making it unorganized. -Steering Committee is inefficient.

Reference

Department of Community and Social Services
-Firm conducted operational review at Webster Regional Centre and they were satisfied with their performance. Although not totally implemented, it appeared that they would meet or surpass their estimated savings.

Webster Regional Centre Mgt.
-Talked to administrator who was satisfied with the manner in which they very professional approach with minimum of disruptions.

Regional Municipality of Gast city, Greenfield Home for the aged
-Firm performed salary review.

Similar Documents

Premium Essay

Carson Manor Case Study

...1. What would be your analysis of the current situation? (4 pts) The current situation at Carson Manor is that they have continually had problems relating to budgeting and cost control, and the council which funds them now wants to get to the root of the problems. They’ve asked for, based on the recommendations of an internal report, an outside consulting company to offer proposals as to how they would methodically go about their research; the chosen company will be based on the cost of their study and the expected savings that come from their recommendations, as well as previous experiences and references. 2. What are the basic issues? (Please list at least 4 and explain each with one sentence) (6 pts) The key issue seems to be cost, first and foremost. Carson Manor’s costs were approximately 14% higher than state averages on a per-bed basis, something which clearly needs to be addressed. Another key issue is the bureaucracy within the structure of the command chain; there is a convoluted hierarchy and this could have a negative impact on the efficiency of operations for Carson Manor as decisions take a long time and there may be a lack of responsibility as there are many groups and boards which make decisions, rather than an individual manager which may be the case at a private institution. There hasn’t been a form of classification of care requirements for patients, therefore the facility isn’t being as efficient as it could and in fact the report seems to indicate...

Words: 931 - Pages: 4

Premium Essay

Carson Manor Case Study

...for Carson Manor, a Winston based non-profit organization that provides nursing care service for senior citizens. The report will identify key issues that may impact Carson Manor’s day-to-day operation on the basis of budgeting, cost control and cost measurement. The key issues will be analyzed against Carson Manor’s objective to outsource a solution provider to conduct a review of their current situation. This report will evaluate three bidders based on total cost of study, potential savings, possible implementation, experience and references. A recommendation is stated at the end of the report, which comprises the possible solutions to the key issues and some actions need to be taken after selecting one of the three bidders. This report would recommend that Clarke-Hamilton Ltd. would be an optimal consultant for Carson Manor given their highest expected savings, suitable implementation of a patient classification system, excessive experience and positive feedbacks from users. Background Description Carson Manor was a not-for-profit institution that provides nursing care services for aged people. It was founded in city of Winston 30 years ago and currently became a medium sized institution with a bed capacity of 470 and a total of 235 employees. Carson Manor administrator is responsible for overseeing day-to-day operations and serving as an information conduit to Mr. Henry Davis, the director of social services. Mr. Davis, his staff in conjunction with Carson Manor administrative...

Words: 2520 - Pages: 11

Premium Essay

Carson Manor Case Study

...Carson Manor Case Study Executive Summary The following case study report is for Carson Manor, a Winston based non-profit organization that provides nursing care service for senior citizens. The report will identify key issues that may impact Carson Manor’s day-to-day operation on the basis of budgeting, cost control and cost measurement. The key issues will be analyzed against Carson Manor’s objective to outsource a solution provider to conduct a review of their current situation. This report will evaluate three bidders based on total cost of study, potential savings, possible implementation, experience and references. A recommendation is stated at the end of the report, which comprises the possible solutions to the key issues and some actions need to be taken after selecting one of the three bidders. This report would recommend that Clarke-Hamilton Ltd. would be an optimal consultant for Carson Manor given their highest expected savings, suitable implementation of a patient classification system, excessive experience and positive feedbacks from users. Background Description Carson Manor was a not-for-profit institution that provides nursing care services for aged people. It was founded in city of Winston 30 years ago and currently became a medium sized institution with a bed capacity of 470 and a total of 235 employees. Carson Manor administrator is responsible for overseeing day-to-day operations and serving as an information conduit to Mr. Henry Davis, the director...

Words: 313 - Pages: 2

Free Essay

Haunted Mansion

...“If you think you’re so tough, then I challenge you to go to the haunted mansion and stay there for a whole night” Nancy said. Everyone knew that the manor was vacant for over 50 years. Everybody wants to know how that will turn out. “Whatever, you’re on”. Todd exclaimed. When Todd was at the gate, dim clouds appeared. Lightning struck the roof. While he was slowly walking in, he saw that the door was opened .When he ascended into the house, he heard a loud squeak. He was questioning what it was. The first thing he gazed at was the living room. It was all filthy. The only stuff there was a T.V. and a couch and they were covered with immense plastic bags. Then he arrived at the kitchen. In a second, there were knives coming at him. He leaned to his right and the knives punctured into the wall. For the first time, Todd felt apprehensive. When Todd was walking upstairs, he found a show case. It was clogged with swords and paintings. He opened it and swung a sword. Then, he took a painting and looked closely. It looked like his dad. He was Todd’s best friend until he left the family. Todd was about to weep. He couldn’t look at it. Todd shattered the image to the ground. Suddenly a ghost appeared. “Get out of my home” the ghost said in an infuriated tone. The spirit remained until he left the mansion. Todd sprinted out of the manor with a speed of 90 mph. He was running like a lion chasing its prey. Because of this dangerous journey, Todd swore he will never do a dare...

Words: 336 - Pages: 2

Free Essay

Student

...area’s spa hotels include the relaxing heat of the spa facilities, but also a versatile array of activities and high quality accommodation and restaurant services – all under one roof. Those who value great transport connections and shopping opportunities choose to stay in the hustle and bustle of the town centre, where all services are nearby. Lakeside views You can choose to stay amid Lake Saimaa’s beautiful nature, in the peaceful setting of a wilderness cottage that will ensure a true chance to relax. If your holiday preferences include both activities and relaxation surrounded by nature, a cottage located near town is the perfect choice. Those looking for exotic experiences can enjoy an unforgettable holiday by staying at a farm or a manor house. The Saimaa area takes good care of its guests, so the accommodation services offer alternatives for travellers with allergies or disabilities or those who value ecological travel. Hotel accommodation at Saimaa Whether you are counting sheep, stars or the number of beds, the choice of hotel does make a difference. The versatile selection of hotels available in the Saimaa area will cater for all your accommodation needs. The Saimaa area’s hotels are found in such locations as the hustle and bustle of town, near golf courses or other activities and amid breathtaking natural scenery....

Words: 934 - Pages: 4

Free Essay

Our Endangered Environment

...Have you ever considered how many different types of chemicals are on the food you are eating for dinner? That is exactly what Rachel Carson writes about in her novel Silent Spring. Pesticides are all around us, they are in the air we breathe, the water we drink and the ground we walk on. Their effects on our bodies and the environment are unknown, but chances are that they are not going to be good. Rachel Carson dedicates an entire novel to try to prove her point of how horrible they are for the world. She argues constantly that we need to find an alternative before it is too late. Within her arguments, Carson uses several different methods and types of evidence while trying to convey her point. Throughout the entire novel, Carson is constantly putting down the use of pesticides. However, everything she says would be useless if she did not have evidence. She uses qualitative and quantitative data several times throughout the book. Her use of qualitative data begins with her first paragraph. She describes the beauty of nature and how much life is abundant in it. Then as her fictional story continues, she begins to start explaining how none of this would be with the continuous use of pesticides. Carson also goes into detail describing the disastrous effects that it could leave on the environment as a whole. Her realistic descriptions of the possible harms of the pesticides can really appeal to the reader. With the vivid descriptions that she has, the reader can imagine the world...

Words: 1190 - Pages: 5

Premium Essay

American History Outline

...Sentence: Before one can evaluate the enormous success or Rachel Carson’s Silent Spring one must weigh in on the era Carson was coming off of in order to understand why her book had such an impact at the time that it did. 1. By 1950 American had faced 2 World Wars and an economic Depression U.S. becomes super power 2. 1950’s there is a shift to consumerism and conservatism 3. Average Citizen wants nuclear family and suburbia b. Paragraph II ii. Topic Sentence: Now that the United States was finally economically sound and our international relations, while not at its best, were somewhat stable; American society was able to focus on issues that for so long had not had the time to address. 4. The Cold war and nuclear threat became a key role in the formation of the environmental movement 5. Humans now have power to significantly change the environment around them 6. Nuclear weapons also introduced other technologies that threatened nature such as pesticides and chemicals for agriculture iii. Concluding Sentence: These new threats along with the a shift to a more liberal U.S. mindset provided Rachel Carson and Silent Spring impeccable timing to make the largest impact and start a revolution that at any other time could have been overlooked. III. In what ways was Carson both gentle and subversive? c. Gentle iv. Topic Sentence: While Carson’s passion and deep love...

Words: 572 - Pages: 3

Free Essay

Pesticides and Their Place in Modern Life

...Spring, a marine biologist Rachel Carson showed that indiscriminate use of pesticides is harmful and can make the earth unfit for life. Although Carson was a scientist, she chose to use fairy-tale style of language to attract the attention of a large audience to the problem. And she did it successfully. Published in 1962, Silent Spring became a cornerstone of modern environmentalism and spurred changes to the laws. First, on an example of imaginary town, Carson showed a world without pesticides, where “ all life seemed to live in harmony with its surrounding”(469). Farms were prosperous, fields were full of grain, and orchards bloomed. Streams flowed clear water and had abundance of fish. Woods and roadsides were places of beauty with variety of birds, berries, fens, wildflowers, and other vegetation.“ So it had been from the days many years ago”(Carson, 469). Then the author showed how dramatically life changed after a mysterious white powder (pesticides) was sprayed over the area. Instead of prosperity, illness and death came to the farms. Chicken, cattle, and sheep sickened and died. There were almost no offspring, “ the young survived only a few days”(470). Woods that had once throbbed with bird voices were silent now. Birds had gone. The roadsides lined with withered vegetation, and the fish died in the streams. Much illness and several unexplained deaths came to farmers families. “The people had done it to themselves”, pointed out Carson(470). She thought that people...

Words: 788 - Pages: 4

Free Essay

Haha

...Participants: * Dr. Ben Carson * Donald Trump * Kermit The Frog * An actual bag filled with bricks * Bill Clinton (thug) * Kanye West PROPS IF POSSIBLE: 6 chairs or podiums. A Kermit the frog doll, puppet or stuffed toy. A laundry bag filled with bricks (if we can get bricks) SKIT BEGINS WITH SPOTLIGHT ON MEGYN KELLY TOWARDS FRONT OF STAGE. ALL OTHER LIGHTS OUT. Megyn Kelly (to the camera/ audience) ladies and gentleman, thank you for tuning-in to FOX News for the twelfth, and penultimate round of the National Republican Presidential Debates. I am your host, and propaganda supporter, Megyn Kelly. We are here live from the beautiful Staple Center in Los Angeles CA, where Ronald Regan was rumored to have urinated in in 1986. All Hail Regan. (Candidates still in the dark chant): ALL HAIL OVERLORD REGAN Megyn Kelly So here’s how this is going to work folks, I will be asking questions to the candidates concerning their knowledge on both domestic and foreign issues. Each candidate is permitted 1 minute to respond, with an additional 30 seconds awarded for each phrase ending in Regan. (candidates still in the dark): ALL HAIL OVERLORD REGAN Megyn Kelly: Without further a-do lets meet the candidates fighting for a chance to rule this country with an iron fist! (lights blink on and reveal the 6 candidates). Megyn Kelly All right, first we have the black butler from the Fresh Prince of Bell-Air, Dr. Benjamin Carson. Dr. Carson: (smiling and soft...

Words: 1254 - Pages: 6

Free Essay

Press Release

...FOR IMMEDIATE RELEASE LA Galaxy Players Will Participate in Beach Clean Up Carson, CA (Wednesday, April 8, 2015) – In celebration of 20 years in Major League Soccer, the LA Galaxy will be participating in 20 acts of community service within Los Angeles throughout the 2015 season. All of these events will be open to the community, fans, players, alumni, and supporters of the LA Galaxy. This Friday, April 10 from 1-4 p.m. the team will take part in cleaning up Redondo Beach. Several well-known players, such as AJ DeLaGarza, Alan Gordon, Tommy Meyer and Todd Dunivant are taking part in this event. Team Manager, Becky Patterson says, “This will be a great way for the team members to interact with and give back to their fans and supporters. It will be a day filled with fun and charity and we encourage everyone who is interested to come. All of the boys are vey excited; we are hoping to make this an annual event.” The team is pairing with Heal the Bay for this event, which is a nonprofit environmental organization making Southern California coastal waters and watersheds, including Santa Monica Bay, safe, healthy and clean. The team and Heal the Bay purposefully scheduled this event on Friday, April 10 in celebration of Earth Day. Throughout the day, Galaxy Star Squad will be hosting Galaxy giveaways and other fun and interactive activities for the volunteers to participate in. In order to support the LA Galaxy Foundation, there will also be merchandise, such the LA Galaxy...

Words: 423 - Pages: 2

Premium Essay

Silent Spring Analysis

...Silent Spring Analysis Silent Spring is a book that makes just about everyone think, except for the major chemical companies that it was attacking. This is definitely one book that help shaped how we look at the environment today and also how we approach it. Rachel Carson aimed for a book that was going to open peoples eyes to what really was happening and who and what was doing it. She nailed this right on the head, while the book was very technical when it came to talking about the details of DDT, it was written at a level that everyone could understand and relate too. Easily this could be one of the most important books written in American history, where would we be without it and how would our future have turned out. While this book was aimed for the public to be able to understand, it also directly attacked the companies who were manufacturing the chemicals that people were using, especially DDT. If one were to try to explain how DDT worked at the chemistry level, most people would think your insane, but Carson is able to explain the devastating effects of this chemical in a way that everyone can understand. She does this by explaining the process chemically first, but then switches gears into how it is hitting people at home. This starts in the first chapter where she begins with “There once was a town…”. This is the beginning of the account that shaped Americans way of looking at the environment, especially when it came to using chemicals and other harmful substances...

Words: 1771 - Pages: 8

Free Essay

The Heart Is a Lonely Hunter Plot Overview

...Plot Overview The first chapter of The Heart Is a Lonely Hunter introduces us to John Singer and Spiros Antonapoulos, two good friends who live together in a town in the Deep South and who are both deaf-mutes. Antonapoulos works in his cousin's fruit store, and Singer works as a silver engraver in a jewelry shop. They spend ten years living together in this way. One day Antonapoulos gets sick, and even after he recovers he is a changed man. He begins stealing and urinating on buildings, and exhibiting other erratic behavior. Finally, Antonapoulos's cousin sends him to a mental asylum, although Singer would rather have Antonapoulos stay with him. After Antonapoulos leaves, Singer moves into a local boarding house in town run by a family named the Kellys. The narrator then introduces us to Biff Brannon, the proprietor of the New York Café, the establishment in town where Singer now eats all his meals. Biff is lounging on the counter watching a new patron named Jake Blount, as the constantly drunk Jake is intriguing. Blount goes over and sits with Singer and begins talking to him as though the two are good friends. Then Singer leaves. Once Jake realizes in his drunken stupor that Singer has left, he goes into an alley and begins beating his head and fists against a brick wall until he is bruised and bloody. The police bring Jake back to the café, and Singer volunteers to let the drunk stay the night with him. The narrative shifts to the perspective of Mick Kelly, the young teenage...

Words: 7300 - Pages: 30

Free Essay

Ljnnknkm

...Admissions GA GA StubHub Center - Carson CA TWC SPORTS PRESENTS GAL160423 LA GALAXY $27.50 GA / / GA 105 5474625 vs Real Salt Lake SAT APR 23 2016 AT 7:30PM GP 100Q 496 THIS TICKET IS SOLD SUBJECT TO THE FOLLOWING TERMS. BY ACCEPTING THIS TICKET, YOU AGREE TO THE FOLLOWING: This ticket is a revocable license and management reserves the right to refuse admission to, or eject any person whose conduct is deemed unbecoming. Holder assumes all risks and danger incidental to the event for which the ticket is issued, whether occurring prior to, during, or after the event. Holder acknowledges that the event may be broadcast or otherwise publicized, and hereby grants permission to utilize holder's image or likeness in connection with any live or recorded transmission or reproduction of such event. This ticket cannot be replaced if lost, stolen, or destroyed, and is valid only for the event and seat for which it is issued. It is unlawful to reproduce this ticket in any form. Unlawful resale or attempted resale is grounds for seizure and cancellation without compensation. In the event of a cancellation or rescheduling of the applicable event, management shall not be required to issue a refund provided that you are given the right to attend a rescheduled performance of the same event or to exchange this ticket for a ticket comparable in price and location, to another similar event as designated by management except as otherwise provided by...

Words: 519 - Pages: 3

Free Essay

Sonya Carson Essay

...Sonya Carson Growing up in and out of foster homes, the world was not always kind to Ms. Carson. She had only achieved a third-grade education, and was married by the age of 13. After birthing her two sons, Benjamin and Curtis, Sonya had observed that her, once loyal and dedicated husband, was no longer the man she once knew. Collecting all her courage, she took her two sons, and moved away from the life she knew in Detroit to be with her sister in Boston. As a single mother, raising two boys, and working numerous jobs, Sonya had two choices; she could struggle, stress, and wonder how she was going to survive the next week, or she could ‘learn to do her best, and let God do the rest’. This became known as the phase that resembles the personality of Sonya Carson. She was not always dealt the best hand in life, but she always has a positive outlook on the future. Believing that if she tried her hardest to achieve what she could, God would lead her into success. She instilled this optimistic lifestyle on her two sons. She was determined that Curtis and Benjamin would have a better life than she did, but she also knew that they would have to work hard for it. Sonya raised her sons in a strict manner, only allowing two television programs each week. In addition, they were assigned to read two books from the library each week and submit a report to her on those books. They didn’t know until they were older, that their mother only had a reading level of a third-grader. She most...

Words: 518 - Pages: 3

Free Essay

Paper

...Vanna White v. Samsung Electronics America, Inc. (1992) United States Court of Appeals, 9th Circuit Background: The Plaintiff is Vanna White, a popular game hostess of the famous TV show “Wheel of Fortune” and has gained popularity by marketing her image to various advertisers. White brings suit against Samsung for an advertisement for Samsung VCRs (videocassette recorders) where the ad depicted a robot, dressed in a wig, gown, and jewelry that resembled her hair and dress. The robot posed next to a game board that closely resembled the Wheel of Fortune game show set, in a stance that imitates her signature pose on the game show. Samsung has also acknowledged that the ad is known as the “Vanna White” ad. White claims infringement of several individual property rights (right to privacy, under Section 3344 of the California Civil Code*, right of publicity, and trademark infringement), claiming she did not consent to the ads and was not paid for it. But the district court granted summary judgment against White. White appeals. (*Any person who knowingly uses another's name, voice, signature, photograph, or likeness, in any manner, on or in products, merchandise, or goods, or for purposes of advertising or selling, or soliciting purchases of, products, merchandise, goods or services, without such person's prior consent, or, in the case of a minor, the prior consent of his parent or legal guardian, shall be liable for any damages sustained by...

Words: 936 - Pages: 4