...Scenario Pt. 3 - Kaiser in Kava Mgt/350 1-12-12 Yvonne Richardson Implementation of a decision is necessary for any organization to move in the direction of accomplishing its planned objective. Monitoring and evaluation of the decision is also needed to have an effective implementation. What improves the performance of an organization is evaluating decisions. Evaluating decisions will inform the organization if the solution that was implemented met the objectives of the organization. This paper will discuss the logic and strategy for implementing a solution to Kaiser Permanente establishing a presence on the Island of Kava. The paper will also discussed is the influence of implementing and evaluating the resources and procedures vital for decision-making, and evaluates the ethical implications of a solution from the perspective of stakeholders. The mission of Kaiser Permanente is to provide high quality, affordable healthcare services and to improve the health of our members and the communities we serve (Crane, 2002). Kaiser feels the essential components for an organization to be successful on the Island of Kava is the commitment to satisfying their customers, increase the value of their shareholder, and boosting initiatives of the community are. Kaiser’s top and mid level management team have approved the proposal to build a first-rate medical facility on Kava. Creating a greater presence on Kava is one of the main goals to the resolution that Kaiser will put into action...
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...Organizational Behavior Terminology and Concepts MGT-307 September 12, 2011 Farid Dalili Organizational Behavior Terminology and Concepts I will be discussing in this paper how the organizational culture, organizational behavior, diversity and communication is analyzed at Kaiser Permanente. I will define and explain how Kaiser Permanente uses the terminology and concepts in our hospital. Organizational Culture Organizational culture is the shared beliefs and values that make a difference in the behavior of organizational members. Culture plays an important role in stability and safety in an organization. Organization culture defines an organization's leadership and in order to understand its leadership, it is a must to first understand its culture. “Although it is relatively easy to conclude that what works well in one culture may not work as well in another, it is far harder to specify exactly how cultural differences affect things like motivation, job satisfaction, and ethical behavior.” (Schermerhorn, Hunt, & Osborn, 2008). The organizational culture at Kaiser Permanente has started a program called “Live Well Be Well” for their employees. This program has really made a big difference at our facility. The employees have better understanding of their health, motivated to come to work everyday and work ethics have improved as well. . Employees rely on culture for the ability to respond to any circumstances, culture becomes hard core in many organizations...
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...Strategies in U.S. Organizations A key strategic issue for all corporations in the United States involves labor relations (Mello, 2009, p. 540); the programs utilized within U.S. organizations may impact employee morale, productivity, adaptability and cooperation. Labor relations involve management’s ability to or strategies utilized to prevent and resolve workplace issues with employees. For example, Germany's Volkswagen utilizes a program called, Works Councils (Finkin, & Kochan, 2014). This program allows employees to share their work to reduce working hours rather than allow management to lay off employees at the company. On the other hand, Southwest Airlines, and Kaiser Permanente tailored programs specific to fit their individual company needs (Finkin, & Kochan, 2014). Lima Tire Company, a subsidiary of Treadway Tire Company was having issues with high operational cost and high turnover among foremen. Although the programs that were designed to control labor relations for the company; they were not effective as the company hoped. The company still faced the issue of a dysfunctional organization (Skinner, & Beckham, 2008). So, what are some of the strategies utilized by U.S. union free organizations today and why is it critical to the success of an organization to meet its goals and mission? This paper presents a summary of Lima Tire Company, a non-unionized organization, provides an alternative to handling its major problems, and provides a recommendation to help...
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...CASE: SM-136 DATE: 10/24/04 BETTER MEDICINE THROUGH INFORMATION TECHNOLOGY INTRODUCTION The health care industry in the United States was troubled. Most of the world’s state-of-the-art health care research occurred in U.S. university and corporate laboratories. Similarly, most of the best centers in the world for delivery of health care were located in the U.S. However, the costs of health care in the United States were exploding and overall quality, along many dimensions, was not increasing. For U.S. consumers it was the best of times and the worst of times—health care services were often terrific if judged by the ability of individual physicians to do more for patients and yet, as judged on almost any broad parameter such as life expectancy or infant mortality, the United States was at best average compared to other developed countries. In most developed countries, spending on health care grew dramatically over the past several years. This increase in spending, combined with lower overall economic growth, pushed up the share of health care expenditure as a percentage of gross domestic product (GDP) of OECD countries from an average 7.8 percent in 1997 to 8.5 percent in 2002. By comparison, the share of GDP spent on health care remained almost unchanged from 1992 to 1997 (Exhibit 1). In the United States, health care expenditure grew 2.3 times faster than GDP, rising from 13 percent in 1997 to 14.6 percent in 2002. Spending was $5,267 per capita in 2002, almost 140 percent...
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...Latatsha Keeten Eco / 561 July 28, 2014 Genevieve Turano Introduction The United States health care system relies heavily on private health insurance, which is the main source of coverage for most Americans. According to the Center of Disease Control, approximately 58% of Americans have private health insurance. The primary public programs are Medicare, a federal social insurance program for seniors and certain disabled individuals and Medicaid, also referred to as Medical. These two are funded jointly by the federal government and states but managed at the state level, which covers certain very low income children and their families. Health advocacy companies initiated to become visible to assist patients muddle through the complexities of the healthcare system (Wikipedia, 2014). In 2010 President Obama signed into law the Patient Protection and Affordable Care Act. This Act includes individual mandate that every American must have medical insurance or pay a fine at tax time (Obama Care Facts, 2014). Before the enhancement of medical expense insurance, patients were presumed to pay health care costs out of their own pockets, which is known as the fee-for-service professional standard. Hospital and medical expense policies were introduced during the first half of the 20th century. During the 1920s, individual hospitals began offering services to individuals on a pre-paid base, eventually leading to the development of Blue Cross organizations. The predecessors...
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...Applied Research Course Project Radames Ramirez RRamirez14@my.keller.edu MIS589 – Networking Concepts and Applications Instructor: Lynn Risley 3/10/2016 MIS589 Project Milestone 0Proposal Draft | Cloud infrastructure ServicesKaiser Permanente Hospitals | Prepared by: Radames RamirezDate: 03/03/2016 | Approved by: | 1. Description of the service-summary In an attempt to provide end users with a well maintained network storage that would be easily accessible from any location while maintaining a secured connection. To provide an environment to minimize the use and maintenance of local servers, server space, connectivity, and redundancy. | 2. Intended clients or customers The intended client or customer would be the end users of the company, this end users vary from medical office assistants, physicians, office managers, nurses, administrative assistants, receptionist, finance dept, insurance dept, medical records, and materials management to name a few. | 3. Business objective statementThe business objective is to minimize the cost of maintaining 40+ servers on a specified region, meanwhile providing for data storage, redundancy, and fast access to network files that would be housed in the cloud. | 4. Application architecture descriptionThe application architecture would consist of building a system that in scalable for future growth, it would possibly include emails servers, data servers, instant messaging. | 5. Information provided to the clientsThe clients...
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... Dr. Edward Armstrong People working in the helping field are subject to conditions that can lead to depletion or even impairment, such as the emotionally intense nature of the helping relationship and increasingly heavy caseloads. Burnout is a serious issue in human services. According to Johnson and Stone (1987), burnout “refers to a state of physical, in emotionally demanding situations” (p. 67). Factors that contribute to burnout and methods used to prevent burnout will be discussed in this paper. Individual, cultural, organizational, supervisory, and social support factors can lead to burnout. Some factors that correlate with burnout within an individual include overload, insufficient compensation, and lack of recognition. A heavy workload can be tiring and often causes an individual to work longer hours than he or she would like. This can lead to an individual feeling “out of control” because most time is being spent working instead of resting or doing things that give life value. Cultural factors can lead to burnout as well. Lewis, Packard, and Lewis (2007) stated, “Aspects of the culture at large, including a declining feeling of community, frustrated expectations for the self-actualizing potential of work, and pervasive competition...
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...Trend/Issue Analysis Appendix C: Environmental Trends/Issues Plot Appendix D: Stakeholder Map Appendix E: Service Area Profile Appendix F: Service Area Structural Analysis Appendix G: Service Area Competitor Analysis Appendix H: Critical Success Factor Analysis Appendix I: Mapping Competitors Appendix J: Synthesizing the Analysis Internal Analysis Appendix K: Financial Analysis Appendix L: Value Chain Strengths and Weaknesses Appendix M: Value Chain Competitive Advantages Relative to Strengths Appendix N: Value Chain Competitive Disadvantages Relative to Weaknesses Appendix O: Strategic Implications of Strengths and Weaknesses References Decision Analysis Decision Analysis Appendices Appendix P: Directional Strategies Appendix Q: Adaptive Strategies Appendix R: Market Entry Strategies Appendix S: Strategic Positioning Appendix T: Value-Chain Funcations References 1 2-11 12-13 14-17 18-29 30-36 37-50 51-60 61-66 67 I-VII 68-74 75-81 82-86 87-91 92-95 96-105 VIII-XV 106-109 110-122 123-125 126-128 129-135 136 Issue Statement Emanuel Medical Center (EMC) is encountering tremendous financial troubles as it struggles to remain open as an independent general acute care hospital. Changes in federal regulations such as the implementation of the EMTALA laws and lower reimbursement rates for federally run insurance programs, changes in service area demographics, and the evolution of the services that locally competing hospitals offer, all have contributed to five consecutive negative...
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...CULTURAL COMPETENCE IN HEALTH CARE: EMERGING FRAMEWORKS AND PRACTICAL APPROACHES Joseph R. Betancourt Massachusetts General Hospital–Harvard Medical School Alexander R. Green and J. Emilio Carrillo New York-Presbyterian Hospital–Weill Medical College of Cornell University FIELD REPORT October 2002 Support for this research was provided by The Commonwealth Fund. The views presented here are those of the authors and should not be attributed to The Commonwealth Fund or its directors, officers, or staff. Copies of this report are available from The Commonwealth Fund by calling our toll-free publications line at 1-888-777-2744 and ordering publication number 576. The report can also be found on the Fund’s website at www.cmwf.org. CONTENTS About the Authors.......................................................................................................... iv Acknowledgments .......................................................................................................... iv Executive Summary......................................................................................................... v Introduction .................................................................................................................... 1 Findings........................................................................................................................... 3 Defining Cultural Competence ..............................................................................
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...more competitive with each other, employers and business managers have to continually seek ways by means of which they can improve their performance and develop competitive strategies and edges in order to clinch leading positions. Among the myriad of strategies sought for this purpose is that of design thinking. Design thinking can be defined as a process by which businesses empathize with the situation and needs of the consumers so that they are able to produce goods and offer services that meet these needs. Therefore, design thinking is a protocol for solving emergent problems and discovering new ways and opportunities through which a business can improve and better its performance (Martin, 2007 P. 198). My Own Definition of Design Thinking Design thinking is the process of contextualizing business problems within the design framework. In this framework, the business leader envisions the problem at hand in a pictorial form and places all elements of the problem in its place. They then explore means to be used to link the problem with an amicable solution that will favor the needs of the consumers, who are the stakeholders that benefit the business. Application of Design Thinking in a Business Organization The concept of design thinking can be applied in a business context and as a leadership strategy to enable leaders to define the processes of their business in the most effective ways possible. However, the process of design thinking requires the leader to engage in a step-by-step...
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...Institute for Health Technology Transformation Population Health Management A Roadmap for Provider-Based Automation in a New Era of Healthcare Acknowledgements Alide Chase, MS Senior Vice President for Quality and Service Kaiser Foundation Health Plan, Inc. & Kaiser Foundation Hospitals Connie White Delaney, PhD, RN, FAAN, FACMI School of Nursing Professor & Dean Academic Health Center Director, Biomedical Health Informatics (BMHI) Acting Director of the Institute for Health Informatics (IHI) University of Minnesota Don Fetterolf, MD, MBA Principal Fetterolf Healthcare Consulting Robert Fortini VP & Chief Clinical Officer Bon Secours Health System Paul Grundy, MD, MPH Global Director of Healthcare Transformation IBM President Patient-Centered Primary Care Collaborative Richard Hodach, MD, PHD, MPH Chief Medical Officer Phytel Michael B. Matthews Chief Executive Officer Central Virginia Health Network Margaret O’Kane President National Committee for Quality Assurance Andy Steele, MD, MPH, MSC Director, Medical Informatics Denver Health 2 Dear Colleagues, Population health management has been around for a while, but only recently has it gained serious attention from mainstream healthcare organizations. The reason is simple: healthcare reimbursement is changing, and hospitals, healthcare systems, and physician groups must adapt to a new world in which providers are rewarded for meeting quality objectives for their entire patient panel, and not just those actively...
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...Akshata Makkaru kd7643, HCA 6200-02 April 22, 2015 Important trends in the Hospital Industry The objective of this paper is to discuss certain emerging trends in the hospital industry and their impact on the U. S health care system. The focus will be on Big Data, Re-admissions reduction program, and Tele Health services which have brought significant reforms in the U.S health care system. Big Data in Hospital industry: Large amount of data is produced in the healthcare industry and most of the data is stored in hard copy form. The current trend is towards the digitization of these enormous troves of data. Report says that the data from the U.S. healthcare system alone has reached,150 exabytes in the year 2011. Kaiser Permanente, the California-based health care network which has more than 9 million members is believed to have between 26 and 44 petabytes of potentially rich data from electronic health records, including images and annotations. By definition, big data in healthcare refers to electronic health data sets are so large and complex that they neither possible to manage with traditional software and/or hardware nor can they be easily managed with traditional or common data management tools and methods. Now, most of the patient data is compiled electronically because it is...
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...Introduction This paper strives to answer questions based on the case study “Emanuel Medical Center: Crisis in the Health Care Industry”. As excerpted directly from the case study, Mr. Robert Moen, Emanuel Medical Center (EMC) president and CEO, was experiencing a number of challenges in 2002. The medical center faced numerous challenges in its external and internal environment. First, EMC garnered an onslaught of negative attention for the “Haley Eckman incident” in which a young man, who happened to be a gang member, died within view of EMC’s Emergency Department (ED) medical personnel rendered no care and watched. The emergency department at EMC was also experiencing greater pressure to deliver services in an increasingly difficult health care environment, particularly after the federal Emergency Medical Treatment and Active Labor Act (EMTALA) was enacted; legislation that required access to emergency medical care for all, regardless of one’s ability to pay. Additionally, larger, for-profit managed care facilities were making substantial advances into EMC’s service area. Internally, the cost of operating the ED had increased significantly and patient traffic had vastly exceeded the capacity for which the ED had been designed. In addition, reimbursements for services from health maintenance organizations (HMO) and government programs had been drastically reduced. At the same time that other regulatory burdens had increased, EMC began to experience labor shortages...
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...Budget Management Analysis HCS/571 Financial Resource Management June 27, 2011 Dr. Lena Watson Budget Management Analysis Budget management analysis is used by mangers as a tool and helps determine that all resources available are being used efficiently. The budgets are determined yearly and are based upon the previous year’s budget and variances. This paper will discuss specific strategies to manage budgets within forecast, compare five to seven expense results with budget expectations, describe possible reasons for variances, give strategies to keep results aligned with expectations, recommend three benchmarking techniques, and identify those that might improve budget accuracy, and justify the choices made. Strategies to Manage Budgets Many strategies may be used to control budgets; managers and the chief financial officer of most healthcare organizations have the tools needed to manage the budget. By managing the budget the organization will be better prepared for the financial forecasts, which are the company’s future expenses. Some strategies and tools that will assist with managing the budget are zero based, activity based, performance based, cost variances and benchmarking. Zero based budgeting analyzes every expense within an organization and justifies the need and cost of each. Activity based costing is the gathering of the operating cost data, which is assigned to specific activities such as engineering. The performance dashboard uses the metrics of performance...
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...The Characteristics of A Place Called Home Kimberly Rodgers BSHS/461 December 21, 2011 Instructor: Therese Schmoll Inside A Place Called Home The writer of this paper had an opportunity to commit her time and dedication to do field experience at an organization named A Place Called Home. In this paper the writer will explain the characteristics and environments of this organization. It will show how the organization is governed and who the key stakeholders are. It will describe the different strategies the organization uses for public relations, and give details on certain trends this organization has, and how well they are managing the trends. A Place Called Home also known as APCH is a local non-profit organization that provides the at risk youth a chance to be in a positive environment. APCH has a very secured and welcoming family ambiance that strives to offer a variety of services to those in need within the community. They are located in South Central Los Angeles and are very well supported within the community around them. The mission and vision of APCH is specially designed to help the community and is very achievable. Their mission states, “A Place Called Home is a safe haven in South Central Los Angeles where underserved youth are empowered to take ownership of the quality and direction of their lives through programs in education, arts, and well-being; and are inspired to make a meaningful difference in their community and the world.” ("A Place...
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