...Unit 4 – Peel Memorial Hospital Case Study GB520 Strategic Human Resources Management Professor Andrew Klein May 28, 2013 Introduction Before the 1990s, government funding allowed Canadian health care facilities to provide excellent service and quality. Increasing health care costs changed government funding, requiring providers to be held accountable for more of the financially responsibility in the early 1990s. During the mid-1990s, hospitals and regional health authorities across Canada were under siege from funding restraints, mergers and forced closures. The healthcare industry focused on delivering high-quality patient care and aligning the key stakeholders to the newly created vision during this time frame. To evolve and to survive, Peel Memorial Hospital implemented the Balanced Scorecard performance management system and that is the focus of this case study. The value of and the benefits to be gained when best practices are successfully used from the corporate sector are also highlighted. History and Issues Peel Memorial Hospital in Brampton, Ontario lacked significant targets and tired Mission Statement that tried to be all things to all people (Harber, 1998). Internal surveys revealed that employees were unclear on the organization’s strategic direction and the linkage of various programs and initiatives undertaken. In 1994, Peel Memorial Hospital took on a comprehensive continuous quality improvement training program and was followed by a lot of improvement...
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...The Influence of Health Informatics on Memorial Hermann Southwest Hospital Memorial Hermann system is the biggest nonprofit organization in Texas. Altogether, it serves the greater Houston area with 12 hospitals and has a large network of affiliated doctors. Located in the heart of southwest Houston, Memorial Hermann Southwest Hospital has been caring for families since 1977. A 568-bed facility, Memorial Hermann Southwest employs a team of highly well trained affiliated physicians and uses advanced technology to offer superlative care close to home. At the HVI, (Heart and Vascular Institute), physicians and patients benefit from technology at the primary edge and original cardiovascular programs. (Memorial Hermann Southwest, 2013). What impact did the rapid evolution of Asian immigration in Southwest Houston had on Memorial Hermann Southwest growth? Does Memorial Hermann mission statement value the community? How does Memorial Hermann health informatics technologies to impact its healthcare delivery and how does it use emerging trends in technology to support its initiatives? In August 2009 the Memorial Hermann Hospital System announced its plan to sell its Southwest Hospital to the Harris County Hospital District, which wanted to make the hospital its third general hospital (O'Hare, 2009). The majority of the medical staff and employees expressed strong dissatisfaction with the plan and manifested intents to resign if the sale took effect. On...
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...Preoperative Skin Preparation Practices Michael V. Smith Western Governors University Perioperative Skin Preparation Practices A. Select a perioperative procedure (e.g., routine shaving of the surgical site) that you would commonly find on a surgical floor. 1. Describe the process or procedure you have chosen and why you think it needs change. Surgical site infection accounts for forty percent of all hospital-acquired infection (Griffin, 2005). The Association of Operating Room Nurses (AORN) recommendations provide guidelines for achieving skin preparation of the surgical site. These are practices are achievable and represent what is believed to be an optimal level of practice (Association of Operating Room Nurses, 2002). Variation of the area where the surgical procedure is to be performed may occur, but the recommended procedures for this preoperative skin preparation remains the same. The AORN has recommended seven practices that should be followed for skin preparation prior to surgery. Recommended Practices for Skin Preparation of Patients (Association of Operating Room Nurses, 2002). I. The surgical site should be assessed before skin preparation. II. Whenever possible, hair should be left at the surgical site. I it is determined that hair should be removed; removal should be performed according to policies and procedures in the practice setting. III. The surgical site and surrounding areas should be clean. IV. When indicated, the surgical...
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...Parkland hospital was first built as a charity hospital in 1894 in Dallas Texas. It is also historically known as the hospital where President John F. Kennedy was rushed to after he was fatally wounded in 1963 by an assassin. Since then Parkland Hospital has morphed into a billion dollar organization where patients from all different backgrounds come seeking medical attention on a daily basis. How has it come to be this way? There could be many reasons. One could argue that the introduction of Medicare and Medicaid contributed tremendously to Parkland's growth. Before 1965 Parkland Hospital has always seen a steady growth, but shortly after the signing of Medicare and Medicaid into law in 1965, there was a sudden spike in growth activity within Parkland's organization. This growth could have been contributed to the influx of money coming in from medicare payments going to the hospital. Three years after the Medicare and Medicaid was signed into law beginning from 1968 through 1973, Parkland opened 9 new specialty care units. In 1978 Parkland had to form a patient care committee to review Medicare and patient services studies and to look at ways to ensure Parkland's long-term viability (Parkland, 2014). At this present time Parkland hospital has 861 adult beds, 107 neonatal beds and a number of clinics in the surrounding neighborhoods . They see a combination of indigent, elderly, psychiatric and inmate patients everyday. According to Parkland's 2013 financial summary...
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...Whenever I glance down and find the surgical scars on my abdomen, my mind floods with memories of a hospital visit that almost ended my life in the 6th grade. My first year in middle school had just begun and resembled an incredible beginning. I was the only student in my class to be invited to play with the Varsity soccer team, while still being able to participate in the Science Club and the Mars Rover team. As soon as we finished our experiment in the Science Club, I ran over just in time to join my soccer team for our routine stretches. A sharp pain started to attack my lower abdomen, which I immediately presumed were pre-game butterflies. As our first game commenced, I remember having to walk off the field due to the growing pain in my stomach. Since my...
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...career plan it gives he or she a visual of the work culture they may desire, by developing the strategic and operational plan it will help leaders reach the goal of the company. My current employer is Memorial Hermann Hospital and my goal is to become a material management director of the operating room. In completing the career plan it identifies me exactly. The current job title that I hold is administrative assistant to the director of the operating room; this title carries high power in the department. As a high powered individual at Memorial Hermann Hospital the job is very demanding which is a good thing because it allows giving 101% of yourself. The hospital is a teaching organization and this atmosphere is adapted by employees. Each day staff learns new skills; this career demonstrates your skills. The salary is competitive with the rest of the hospitals in the medical center. In the operating room there is always room for advancement. Every competency is essential in becoming a director because of the support to employees, surgeons, and patients. The ethical aspect is strength because as a leader you set the stage of doing what is right. When a problem occurs leadership has to follow up with the individual is having the problem (closing the loop). Memorial Hermann Hospital is known nationwide by having breakthroughs every day, and customer values. A weakness would be the supportive competency in this category the overwhelming feeling of putting on many hats. The operating...
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...Today many hospitals are forming integrated health systems that consist of a main hospital, outpatient services, and nursing homes. This causes challenges for hospital executives to align the organizational strategies and main principles with performance measurement and management indicators within all areas of service. The balanced scorecard (BSC) is an option for hospitals to measure not only a company’s financial performance but how the company is satisfying its customers and employees. The BSC is designed to manage strategy not tactics (Kocakulah 2007). As of the year 2000, only about 70 of the country’s 6,000 hospitals were using the BSC method. Part of the reason for lag in adoption is hospitals have always used nonfinancial statistics and believed that they were using measures similar to a BSC already. Unfortunately, this is not the case in terms of effectiveness ( ). How to implement an effective BSC is the most important question. The single most critical condition in implementing a BSC is the involvement and ownership of the executive team. The approach is usually top-down. A top level BSC is created for the board of trustees, and then is cascaded down the organization to the department level. This is done with a team-based collaborative approach that consists of an “organizational change expert” as the leader (Kacakulah 2007). This “organizational change expert” should be the head of human resources. A HR manager is best suited for this role in many ways...
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...- Solution at Peel Memorial Hospital Riiva Williams Kaplan University October 7th, 2013 Hospitals and regional health authorities across Canada are under siege. From mergers to forced closures to funding restraints, the healthcare industry is facing tremendous challenges. To make matters more complicated, add mediating cultural differences and the integration of non-acute and community-based services. At the same time, healthcare entities attempt to remain focused on delivering high-quality patient care and aligning the key stakeholders to the newly created vision. In the midst of these challenges, management must ensure that it brings as much alignment, direction and purpose as possible into the organization. A clearly articulated vision statement, measurable corporate goals and objectives, together with a strategic plan all help to bring more certainty to staff, patients and volunteers. The "deliverable" is the ability of staff and teams to align accountabilities, activities and resources in support of the vision and goals of the organization. For Peel Memorial Hospital (PMH) in Brampton Ontario, 1995 was a watershed year. It was evident that our corporate goals and objectives had run their course. We lacked measurable targets. We had a tired Mission Statement that tried to be all things to all people. Internal surveys revealed that employees weren't clear on what our objectives were, what strategic direction we were taking and how certain hospital initiatives were...
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...MEDICAL TOURISM IN THAILAND Table of Contents Medical Tourism What is Medical Tourism Why Thailand? Medical Tourism in Thailand Why Thailand is No.1 in Medical Destination? What makes Thailand a prime Medical Destination? History of modern medical services Medical and health services currently provided Present policy of medical tourism of Thailand Medical treatments that Thailand offer Additional services for your recover period Medical standards of Thailand Rules and regulations 4 4 5 5 6 7 10 12 14 15 19 23 25 Follow the doctor’s instructions pre-treatment strictly 26 While you are on your way Plan ahead Select health travel agent Summary 27 28 29 31 2 MEDICAL TOURISM IN THAIALND 3 Medical Tourism Medical tourism is a term that has risen from the rapid growth of international healthcare where people from all around the world are traveling to other countries to obtain general medical surgery, cosmetic plastic surgery and dental surgery at a fraction of the cost of healthcare in their home country. And, while abroad, if physical conditions permit, patients can experience the interesting cultural attractions their destination country offers. More and more people are seeking the expertise of medical tourism companies to travel abroad as an affordable, enjoyable, and safe alternative to having medical, dental, and cosmetic surgical procedures done in their home countries. What is Medical Tourism? Medical Tourism is the practice of travelling across the borders...
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...Law of tort is a civil wrong other than a claim for breach of contract; and for which a right civil action for damages may arise. Negligence is defined by Winfield and Jolowicz as “Tortious liability arises from the breach of duty primarily fixed by the law; this duty is towards persons generally and its breach is redressible by an action for unliquidated damages”. (Roger, W.V.H., 2006) In Malaysia, the law of tort is largely derived from common law in England. In the law of tort, negligence is the most widely used tort in the legal system. In order for a claimant who is seeking for remedy to successfully bring a claim in a negligence case, they must first prove these 3 factors: * The defendant held a legal duty against the claimant. Therefore, the defendant owed the claimant a duty of care. * The defendant had breach of that duty. * The claimant are suffering damages resulted in that breach of duty. These three factors will sometimes be shortened as duty, breach and damage. Duty of care This important factor of negligence came from a famous case of Donoghue v Stevenson (1932). In this case, the claimant, Ms Donoghue went to the Minchella’s Wellmeadow Café in Paisley with her friend. Her friend ordered a bottle of ginger beer that was contained in an opaque bottle. When she poured the remained ginger beer, a decomposed snail came out with her ice cream. Ms Donoghue became ill as she has consumed the contaminated beer. She could not sue the café under the rule of...
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...The Victorian period, the years between 1837 and 1901 and named after the great Queen Victoria, was a time of great change. The population of England represented various classes, occupations, and ways of life. The transportation of the period served as the forerunner of much of the transportation used today and the advances in medicine were also instrumental in changing the face of medicine forever. One of the most important things to know in Victorian society was good etiquette. Both men and women had their own set of rules of etiquette. There was a rule of etiquette for almost everything you did in a day. For women, there were rules about what kind of jewelry one should wear as well as when and where. Who to walk with, who to dance with, how and when to speak to a stranger, were all very critical knowledge. For men, there were rules about bowing, hat tipping, chaperonage, where to sit and next to whom, even about the circumstances in which it was correct or not to smoke or drink in front of ladies. There was also a correct title for almost every type of profession, social standing and rank. One of the major events in upper class society was the dance. Dances were usually scheduled to correspond with the full moon. Even most great houses did not have very large ballrooms. As a consequence, most balls were held outdoors. Most dances started around eight o'clock or so and the light of the full moon allowed less lighting to have to be put up. The practice was often to have the...
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...Tort Law Cases/Assignments Trial Procedures Lewis v. Robinson 2001 BCSC 643 British Columbia Supreme Court The plaintiff, Kenneth Lewis, was a delivery person. He knew that the defendants, Will Robinson and Marci Salach, were the new owners and occupants of the property, but Lewis didn't know that the defendants had a dog. Lewis entered the property and was confronted by Salach and her dog. She was holding the dog's leash at the time. Most times, the dog was chained to its doghouse on the defendants' property. However, on this particular day, Lewis arrived on the property, startling Salach and the dog. Salach asked Lewis to identify himself, received no response, and then warned him that the dog did not like strangers and to be careful. Lewis saw the defendant speaking, but claimed he couldn't hear her as the dog was barking. He tried to pet the dog and then tried to move out of the dog's range when the dog bit his hand. Prior to this incident, the dog had never attacked, bitten, or lunged at strangers, and there was no evidence of complaints from neighbours or friends. Lewis brought an action for damages, but his action was dismissed. For Discussion 1. Why did Lewis bring an action against the defendants . Lewis believed he was entitled to damages for the injury he suffered when the dog bit his hand. 2. Summarize the conflicting evidence. Lewis claimed...
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...Minnesota vs Ronald Riff PROSECUTION CASE SUMMARY 1. Defendant Ronald Riff left Red's Pleasure Palace, a gambling establishment on Devotion Avenue in Midtown, Minnesota, just after 12:00 A.M. the early morning of the alleged burglary. 2. Between 12:05 and 12:10 A.M. the defendant stopped at Rusty Fender's Body Shop at which time he stole a hammer. 3. Between 12:10 and 12:20 A.M. the defendant used the hammer to gain entry to Marquette's Market located on the corner of Main Street and First Street. Entry was gained by smashing the lock on the alley entrance of the store. The defendant obtained $910.00 (in a cloth money bag) from the cash register in the store. 4. At about 12:20 A.M. the defendant left the store by the rear exit at which time he discarded the stolen hammer in the side alley between Marquette's Market and Art Own's Hardware. 5. The defendant then began to run to his home and was seen by Soapy Waters (who saw the defendant drop $2.00 of the money) and Betty Biddy (who saw the defendant throw away the money bag). 6. The day after the alleged burglary the defendant used the stolen money to purchase a guitar at C. Sharp's Music City store. Included in the money he used for this purpose was a Canadian five dollar bill. (A bill identified by store owner Speedy Marquette as being in the store cash register the night before.) 7. Ronald Riff, the defendant, was arrested by Officer Schield at 3:30 P.M. the day after the alleged burglary. 8. The defendant...
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...Public Relations Cases This collection of contemporary international public relations case studies is an invaluable resource for teachers, researchers and students working in public relations, corporate communications and public affairs, as well as offering practitioners an indepth understanding of the effective use of public relations in a range of organizational contexts. Including cases from the UK, Norway, Sweden, Spain, South Africa, Canada and the USA, with a focus on such global corporations as Shell, BBC America, Worldcom, PriceWaterhouseCoopers and Marks & Spencer, it offers important insights into the development of public relations and communications strategies. These include: • • • • • • • • Corporate identity change and management Global reputation management Crisis management in the oil, shipping and tourism industries Developing strategic alliances between voluntary and private sector organizations Public relations support for international branding and market entry The importance of internal communications during international mergers The integration of public relations and marketing communications Business-to-business communication The cases examined in this book demonstrate the breadth of contemporary public relations practice and the increasing importance of the public relations function in both public and private sector organizations worldwide. Danny Moss is Co-Director of the Centre for Corporate and Public Affairs at the Manchester Metropolitan University...
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...Bioenergy Technology Development in Nigeria – Pathway to Sustainable Development TERM PAPER SUBMITTED BY ATTABO, AMEH M.Engr Mechnical Engineering Covenant university ota Nigeria ABSTRACT A major factor affecting Nigeria’s economical progress is power. And this has been a major discuss in the country for a long time. A reliable and sustainable energy source is greatly desired to power the nation’s economy and this need cannot be overemphasized, due to the epileptic power supply to the national grid, it has become absolutely important to explore other cheap sources of power to meet our urban and rural energy need. This will in no small measure support our national grid and reduce rural-urban drift. The heavy dependence on gas generated by the Nigeria National Petroleum Co-operation (NNPC) to power our turbines at our gas plants often exposes the country to power outage due to high cost of maintenance and vandalism. Applying biomass technology to generate power can help the country develop its energy sector more rapidly as the raw material needed to feed the Bioenergy plants are almost everywhere in the country some are mere waste such as agricultural and domestic waste. The focus of this paper is on the use of bioenergy to alleviate the poverty rate in Nigeria especially in the rural areas where there is large amount of Lands and biomass material. Developing the bioenergy strength of the country also creates wealth and employment...
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