...EXECUTIVE SUMMARY: BBDE is a behavioral health service center founded by Rulan Wilson to serve the mental health needs in an urban western county. The center provides individual and group therapy, inpatient long-term care, psychiatric care and recreational therap. For 20 years, Rulan has been the director and Chief Executive Officer (CEO) of the growing health center. The center currently employs 100 full time employees and generates approximately $11 million in annual revenue. Revenue comes from state block grants (1/2), Medicaid (1/3) and the balance from county government, insurance, fees and small contracts. The Board of Directors (BoD) is a volunteer board with members from the local community (county commissioner and certified public accountant) as well as individuals with a mental/behavioral health background. The current board members have all served for more than 10 years. The BBDE accounting staff includes a Chief Financial Officer (CFO), controller and several clerks. The controller, Don Blake, had only been with the company three months at the time of the case study. Despite the title of controller, Don spends the majority of his time preparing Medicaid reports instead of focusing on supervising, planning, decision making, and implementing strategy. In Don’s short tenure with the organization, it has been brought to his attention that proper guidelines are not followed for travel expense reimbursements and the Board of Directors are part of...
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...Ijoni Ogaga ijoniogaga@yahoo.com 500 university Ave. West. Dakota Hall, Apt. 407. Minot. ND. 58707. Cell: (513) 773-8364 Summary of Qualifications • More than 6years experience in business • Effective at budgeting and supervising • Excellent with follow-up and attention to detail ------------------------------------------------------------------------------------------------------------ Professional Experience Supervision and Training • Organized human resource management workshops for new • Coordinated staff training and professional development workshops • Created customer service training program • Hired new staff and supervised 10 professional staff members Budgeting and Fiscal Management • Administered $50,000 payroll budget more than 3 years • Provided receipt verification for nightly deposits • Maintained fiscal database for accountability • Supervised purchase requisitions and material transfers Marketing and Promotion • Provided positive public relations to customers • Served as a liaison between senior and mid managers Store Manager • Manage store operations by ensuring exceptional performance and excellent customer services • Assist customers in all aspects of store services including handling complaints and inquiries • Train and supervise employees • Ensure banking...
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...communicate so they can run a smooth operation (dupre) whether the employees in my organization communicate verbal or not there is an understanding of what is expected from each person. I currently am employed at a community health center in a rural area; there are many different people who use this center as their medical provider. I am one of the front desk receptionists, which is where the communication between patient and doctor begins. Sometimes this can be tough due to the diversity there are many language barriers, but things have started to get better with time. The clinic has become very successful with different means of advertising and communicating what the clinic has to offer for medical services. The cliental is usually low income, in which the state picks up the bill, so they have used every available source such as bill boards, radio ads, and commercials to promote people to use the clinics to help keep health cost down. There is also a web page that allows the client to a view the main website that contains many different types of information such as locations, specialties, job opportunities. The clinic is mainly run through phone calls, pages or messages being sent through I Pads. The clinic does not use traditionally health charts, this is...
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...community itself. I am hoping that by being a strong advocate for those who have had difficulty advocating for themselves that I will also be able to pass my attitudes and caring on to others who provide care for this group of people. I see my role as the nurse practitioner as being a primary care provider working in collaboration with an entire team to provide the best possible outcome for the patient by utilizing all available resources. I want to work in a community health center where this can and is being done. Those served by the community health center are in desperate need of health care, quality health care. These patients have not had insurance up until the institution of the Affordable Care Act and have been treated poorly, if treated at all, in our current health care settings. My role as their primary care provider will be one of providing quality, comprehensive care along with the health teaching they so desperately need. Working with physicians and Nurse Practitioners in the community health center I work in now I am able to evaluate the differences in their care. Physicians are needed for diagnosing and managing the most difficult of the illnesses and diseases but the nurse practitioners manage the patient. The difference, in my opinion, is that by managing the patient the nurse practitioner is able to get a more thorough and correct history, thus leading to different diagnoses and ultimately better patient outcomes. I want to be...
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...340B Contract Pharmacies Frequently Asked Questions What is 340B? The 340B Drug Pricing Program helps provide underserved populations with affordable prescription drugs through qualified community health organizations. Federal regulations allow community health centers to contract with retail pharmacies to dispense 340B medications. SUNRx enables these contract pharmacies to provide affordable medications to 340B customers seamlessly and efficiently. Our fully automated solution manages eligibility, formulary, sliding scale and co-payment calculations, replenishment and inventory management. SUNRx also generates purchase orders and invoices to reduce paperwork and improve cash flow. Because our system uses standard NCPDP transaction codes and adjudicates just like third party insurance, minimal training is required for pharmacy staff and claims can be processed without disrupting patient flow. What is the financial impact of participating in a SUNRx 340B program? Many contract pharmacies realize a significant increase in revenues by participating in a 340B program administered by SUNRx. Will a 340B program disrupt my pharmacy operations, add additional burdens on my staff or inconvenience regular customers? SUNRx’s 340B solution was designed to integrate seamlessly into your current pharmacy operations. Because our system uses standard NCPDP transaction codes and adjudicates just like third party insurance, you serve 340B patients the same way you serve...
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...I. Description of Project The project for this week or course was to: "Identify one of the waste "wedges" or categories identified in the JAMA article by Berwick and Hackbarth and explore the opportunities where managerial epidemiology principles applied in accountable care models of care can reduce waste". The reason for the project is to explore the reasons why, and possible changes that can take place to lower the costs of healthcare. Healthcare in the United States is at an astounding 18% of GDP and is definitely demanding a change to lower the costs of healthcare. Not only does the United States pay more for healthcare than other leading countries, it sees less quality of care. As per the article by JAMA, the minimum believed to be spent on wasteful spending is $558 billion per year, and a midpoint of $910 billion per year. Eliminating that alone is enough to make a change in our healthcare system. In order to elaborate on the topic, this project identifies one of the waste wedges I decided to write about, tells why I chose the particular one that I did, what exactly the wedge is and how it produces waste while affecting healthcare, and then finally what we can do to lessen the waste, as well as a proposition to eliminate waste in said category while looking at a proposal to better the organization and population. II. Selection of Topic For this project I chose Failures of Care Delivery as my waste wedge to explore. A. What is Failures of Care Delivery Failures...
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...Organizational design in health care consists of many components. These components derive from internal and external factors. An organization may follow different designs at different stages of the organization. According to Carroll and Rudolph (2006), “clinicians and managers must design and redesign for their organizations at different organizational stages” (p. i8). The organization this paper will focus on is a non-profit organization operated by a local volunteer board of trustees. Southeastern Health has 452 beds, treats 14,000 inpatients and 76,000 emergency patients annually, consisting of acute, intensive, and behavioral health services. The following paper will identify the type of organizational design of Southeastern health, the internal and external factors defining and shaping this organization in terms of size, organizational structure and processes, and how the demand for more accountability is affecting the behavior of this organization. Internal Factors Internal factors affecting the design of Southeastern Health are the mission and vision, structure, policies and procedures, organizational strategies, and services. The mission and vision of this organization represents its dedication to the community it serves. The vision is to be recognized as the regional health care provider of choice and the mission is to provide quality regional health care in a safe, compassionate, and efficient environment (Southeastern Health, 2013). All internal...
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...The Future of Nursing Practice If nurses truly “practice to the full extent of their education and training” (Institute of Medicine, 2010, p. 85), then the sky is the limit for how nurses can lead the way in developing positive changes in many different aspects of the healthcare paradigm. Although there are countless relevant literary reports on how to achieve such changes, The Institute of Medicine’s report on the Future of Nursing (2010) is held in the highest regard for the impact it could have on nursing education, nursing practice, and nursing leadership. About 55% of nurses today are prepared at a Baccalaureate Degree level (American Association of Colleges of Nursing, 2014). A key recommendation of the Future of Nursing report is to increase the number of Baccalaureate Degree prepared nurses to at least 80%. This would impact nursing education significantly, by changing the structure of the delivery of entry level nursing education, or possibly eradicating Associate’s Degree nursing programs altogether. According to Sherman (2012): Many nurses don’t realize that as part of the Bologna agreement, which was signed over a decade ago, professional nursing education in the European Union shifted to the baccalaureate level as the standard for professional licensure. Australia and New Zealand also now have BSN preparation as entry into practice. There are a number of states in the United States where there is active lobbying for legislation to require RNs to obtain a...
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...The case that has been presented to us addresses the issue of measuring and improving quality through evidence-based quality management. The information in this particular case was obtained within a home health organization. The organization is The Visiting Nurse Association Health Care Partners of Ohio (VNAHPO). VNAHPO is a not-for-profit agency that provides a variety of services including home health services, hospice cars, and private duty nursing. It is a large community healthcare organization located in Ohio that encompasses 6 organizations. VNAHPO prides itself as an agency for their efforts of innovation and community service. The largest service provided by the corporation is their home health service which generates approximately $30 million per year. Home care is a continuously expanding and diverse industry that is part of the large scale continuum of healthcare services. Currently around 7.6 million individuals receive home care and Medicare is still the largest payer for home care services. Recently concerns about quality of care and the cost of care have stimulated further data collection. Electronic information systems have made the collection process much easier however VNAHPO has been challenged to create an innovative data collection and monitoring method that will significantly help quality improvement. VNAHPO presently has a quality improvement program that provides an ongoing, planned method for accurately observing customer satisfaction, the quality...
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...Revitalizing a Brand- Plaza Home Health Services Donna L. Jones-Bryant HSA 505 July 26, 2015 Dr. Becky Foster Revitalizing a Brand- Plaza Home Health Services Plaza Home Health Services Plaza Home Health Services is a leader in providing home health services in Georgetown co-owned by Nancy Edwards and Jennifer Moore. Their pledge to provide exceptional home health service has commanded that their services be maintained at the maximum echelon, well above the competition. The entrepreneurs are relentlessly seeking methods to solidify their position in the market via economic control and deeper endeavors in constructing a brand that would be recognized as tantamount with unsurpassed quality home health service. Current Marketing Communication, Identity, and Brand Position The current market communication of Plaza Home Health is based on inadequately created logo, unappealing business cards and advertising brochures and, a lackluster building insignia. The existing market communication is so ineffective that the only observable marketing effort perceived are the actual services; aside from this, the company has not made a resolute attempt at branding. The printed personality of Plaza home services is just a plain black and white advertising display of their name. Presently, the labeling efforts are undeveloped with no visible energies spent to manufacture an exclusive trademark. SWOT Analysis Strengths: • Entered the market at the strongest...
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... Questions 1. In the 1980’s healthcare professional didn’t consider marketing to be important because of the seller and buyer market .Employeer had began to purchases health care , and the physcians role in referring patients to hospitals disminished National chains of hospitals , nursing homes and home health agencies were mereging another profound effect on marketing. 2. The physcians 3. The demand for many health services is relatively rate and highly unpredictable . the end user may not be the target for the marketing campaign . The product being marketed may be complex and may no lend itself to easy categoration. Not all prospective consumers for a health services are consider desirable . it is difficult to measure the outcome of the provision of health sciences.it is difficult to quality the differnces between healthcare oragnizations and they services they dilver. It is more of a chanllege to market services than goods 4. Government regualtions were put into place to control the claims of purveyors of such prroducts, and with the support of AMA. Food drug Administration , and the federal Trade Commisiion watch over health related products and medical devices .physicians sometimes strayed from their areas of expertise. Doctors were paid to assist the Brand X was heathier for consumers . the ...
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...DOWN CANADIANS WANT MORE ACCOUNTABILITY TO REDRESS OLD WOUNDS IN HEALTH CARE Source: Hamilton Spectator, The (ON), 08/22/2011 Accession Number: Q4K151090617711 Database: Canadian Points of View Reference Centre HTML Full Text DOCTORS' REPORT CARD GRADES DOWN CANADIANS WANT MORE ACCOUNTABILITY TO REDRESS OLD WOUNDS IN HEALTH CARE Section: CANADA / WORLD, Pg. A6 TORONTO Most Canadians want greater input and accountability when it comes to patient care, including a formalized process to voice complaints about the health-care system, according to a new report. In its National Report Card on Health Care in Canada, the Canadian Medical Association enlisted pollster Ipsos Reid to assess Canadians' attitudes toward the health-care system. In findings from the CMA's annual report released Monday, 93 per cent of Canadians agreed that they would like their province to adopt a patient health charter, designed to ensure accountability and responsibility for the quality of care received. Some 82 per cent of those polled agreed such a charter outlining patients' rights and responsibilities would make the system more efficient. The survey found 87 per cent of Canadians agreed the patient charter should have a mechanism in place where citizens could complain about poor health-care service. Most polled also supported the inclusion of an independent ombudsman to voice such complaints. Greater transparency of health-care operations within and between provinces and territories was...
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...of care, providing a model to guide daily decisions about the patient’s healthcare delivery. Furthermore continuum of care is meant to guide post for a patient to have their overall care managed. For example a patient can receive assistance with basic care like setting up doctor’s appointments or more extensive care such as hospital care. What are the problems with Long Term? Long-term care is one of the greatest challenges facing the health care delivery system today because of the cost. With the rising cost of healthcare period in the U.S., long-term care services are more extensive due to the fact that many people are living longer this is causing a lot of work place shortages , quality of care is being jeopardize and also the financing is at stake. For example my grandmother had a long term life insurance from the early fifths but when it came time to use it for assistance they said her amount had depreciated due to the amount of time she had but she lived longer then her life expectancy. Long term care is hitting the health care hard with it cost trying to find a profit out of it is slim to none years to come it is predicted that...
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...ISSN 1940-204X The BBDE Health Center: A Case Study of Business Ethics Jason C. Porter University of Idaho Darryl J. Woolley University of Idaho BACKGROUND BBDE is a behavioral health center that acts as sole-source provider for an urban western county. As a sole-source provider, it contracts with the county government to provide mental health and substance abuse counseling. It is a nonprofit corporation. Rulan Wilson, the center’s director, founded the center about 20 years ago and has been the director and CEO since its founding. He is highly respected in the community and in the industry. The center has approximately 100 full-time employees and revenue of around $11 million. Nearly half of the revenue comes in the form of block grants from the state. Another third of the revenue is from Medicaid. The remaining revenue comes from the county government, insurance, patient fees, and a variety of small contracts with several state agencies. The center provides individual and group therapy, inpatient longterm care, psychiatric care, and recreation therapy. BBDE is governed by a volunteer board of directors. The board includes a county commissioner, a local certified public accountant (CPA) who acts as the board’s financial expert, and five individuals with backgrounds in behavioral health and mental health advocacy. Board members serve two-year terms and may serve for multiple terms. The members of the board nominate and select new members as needed. Most of the current...
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