...Big Changes for a Small Hospital Big Changes for a Small Hospital The factors that Nicholas Jacobs and Windber Medical Center applied from the Situational Theory is that Jacobs considered his role as president at Windber Medical Center was the last hope in keeping the doors open (Hughes, Ginnett, & Curphy, 2012). As the Situational Leadership Model suggests the leader must make decisions to use developmental intervention such as telling, selling, participating and delegating (Hughes et.al, 2012). Jacobs did just this by realizing the problems such as the outdated furniture, leaking windows and pink walls. Jacobs took the problem at hand and came up with solutions such as community involvement and building community relationships. Jacobs used slogans such as “work out at our hospital so you can stay out of our hospital” (Hughes et.al, 2012), which encouraged a healthy lifestyle for the community as well as the employees. Jacobs interviewed employees to find out firsthand what they wanted for the Windber community and the medical center (Hughes et.al, 2012). This helped include the employees in the decisions of improvements, as well as gain information from those that knew the most about the patients, community and problems within the facility. This is what helped Jacobs learn that octogenarians made up a larger percentage of the population in Windber, Pennsylvania, than in all of the Dade County, Florida, and he made it a priority to provide more options to seniors...
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...everyone’s mind. Manager should know how to motivate and direct the employees to achieve goals. So he should have the leadership qualities in himself. Making contacts with the outside world to get the information to achieve goals is very much important part of the managerial role. Informational Role – in this role there is interchanging of information is done. A person belongs to the organization spread knowledge about the plans and achievements to the outside world and collects feedback and information so that we can come to know about our negative things or maybe we can do better. Through this we can come to know what and how the taste of the people is changing. For example in IT, now we have cloud backup instead of room full with big head CPU’s. This change occurs because of the people demands. Decisional Role – In this role, manager develops new ideas to solve the issues and work on how to implement them to increase the performance. If different people work together, disturbances always occurred. To avoid these kinds of situations the manager takes charge to resolve the dispute. This role also involves the resource allocations. We should always know from where the resources are applying like...
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...Patton-Fuller Community Hospital (PFCH) is a for-profit health care organization serving the Northwest valley area. It is a 600-bed full service hospital opened in 1975 and has been committed to providing state of the art medical care to the people of Kelsey and the surrounding communities. This hospital is owned by the physicians practicing at the facility. The facility receives 80% of its revenue through in-patient services which include surgery, medical-surgical nursing, and intensive care charges. The Emergency Department and out-patient care services generate the remaining 20% of revenue. This paper will find out the significant financial changes between the year 2008 and year 2009 and determine the reasons for these changes based on the information in the Annual report. Analysis of Changes between 2008 and 2009 Using a combination of the balance sheet, statement of revenue and expenses, and also the 2009 hospital’s annual report, significant changes in the financial position of PFCH between 2008 and 2009 were identified. Based on the examination performed by the auditors for Patton Fuller Community Hospital, there was an increase of 9.68 % in net patient revenue over the previous year, with an average of 5.91 % increase in expenses which could primarily be attributed to new agreement with third-party payers resulting to contractual adjustments that provide for payments at amounts different from its established rates. In 2009, PFCH experienced some major events which...
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...packaging/packaging materials for drugs, employees that supply labour: • Many suppliers available in most cases • Resources supplied not scarce in most cases • Switching cost to another supplier low • Supplied product not typically differentiated • Supplier forward integration not a threat (small supplier cannot take over large drug company) • Customers are large in a consolidated pharma industry (drug industry has been seeing lots of mergers and acquisitions in recent years so drug companies tend to be very large) LOW Power of suppliers based on above. 2) Bargaining power of buyers Who are buyers? In this case buyers would be Doctors and Hospitals (look at the drug industry’s sales force, they service DRs and hospitals, as drugs need to be prescribed, they can’t just be purchased over the counter) • Many small buyers (lots of Doctor’s offices in most areas, maybe a few larger hospitals) • Each purchases a small proportion of industry output • Buyer backward integration not a threat (a Doctor or hospital is not going to take over a drug company) • Relatively few manufacturing firms due to industry consolidation • Few substitutes (alternative medicine, lifestyle changes are possible options in some cases, but if you need drugs for diabetes no real substitute for this outside of medication) • High product differentiation (drugs are developed for specific purposes and have patent protection, differentiation decreases after patent expiry when generics can enter) ...
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... 25 July 2013 Research Essay/Historical Evaluation The First Heart Operation. 1. What doctors, in 1800’s were able to perform and achieve in the operating rooms? 2. How was the first heart operation performed in 1893? 3. How did Dr. Daniel Hale Williams career change after his first heart operation? July of 1893: As a new century loomed, was this certainly particular year of great progress into new medical innovations. In that year, the first heart operation was performed and another man’s life was saved. This big achievement helped set the new stage for modern surgery. Medical professionals at that time said that: “operating on human heart was too dangerous, and there were no procedure for opening the chest.” (The first heart operation-chicagotribune.com) In 1800’s, being a doctor wasn’t easy as we may think. How was the first heart operation performed at that time and very important aspect of that, how did Dr. Williams career and life changed after his first heart operation? ...
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...Citation(s): Kesey,Ken. One Flew Over the Cuckoo’s Nest. New York: New American Library,1962.Print ----------------------- 5. “A sound of cornered-animal fear and hate and surrender and defiance, that if you ever trailed coon or cougar lynx is like the last sound the treed and shot and falling animal makes as the dogs get him, when he finally doesn’t care any more about anything but himself and dying,”(Kesey,267) allows the patients to conform to the oppressive Combine. McMurphy’s arrival ,with his consistent laughter, showed how he was an obvious rival to the well reserved Big Nurse. With McMurphy’s strength, like laughter, he is able to help patients like Chief, Cheswick, and Harding regain their strength. As the patients begin to regain their strength, Big Nurse begins to lose her control over the patients. As this dynamic changes the patients begin to be more rebellious themselves. McMurphy allows them to represents their sexualities, and most importantly...
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...15, 2013. Accepted for publication Jan 20, 2014. doi: 10.3978/j.issn.2305-5839.2014.04.04 View this article at: http://www.atmjournal.org/article/view/3720/4635 Having been working for more than ten years in the Department of Obstetrics and Gynecology in Peking Union Medical College Hospital (PUMCH), I have gotten accustomed to the busy clinical work, been used to the crowded clinic: isn’t this medical work? In 2012, I visited the Cleveland Clinic in the United States. I was astonished to see that the Cleveland Clinic was like a hotel! The health care gap between China and the US is the most treasure thing I’ve learnt during the year I stayed in the US besides medical professionals: there are still too much to learn from American medical service. It’s truly enjoyable for American patients visit clinic. They may fully communicate with the friendly and skilled experts. The root of the gap Does it have anything to do with the population? Not exactly. Data from the World Bank in 2010 showed that there were 1.5 practicing doctors among every 1,000 Chinese, and this number was 2.4 among 1,000 Americans. The difference between both countries is not big, which is of course small as well in the gynecologists and obstetricians. There are 1.3 billion people in China. Statistics from Chinese Medical Association of Obstetrics and Gynecology in 2008 showed that there were 190,000 gynecologists in China, that is to say, every 6,842 people share one gynecologist. This...
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...something that you would think about for a while. Sometimes you meet someone who leaves a good impression and it might change your life. But what if the change is so big, that you can barely handle it? This story shows a great example of how an impression of another person can change your life, without you realizing it before it’s too late. We get to meet the narrator who was a health officer in Africa but retained as a psychiatrist after he left Africa. In Africa he experienced life and death up close and that made him never want to go back as a doctor, "I retained as a psychiatrist. I never wanted to smell blood again.(…)" He left Africa many years ago, but still suffers from the trauma he experienced there and is medicated to help him sleep. He is not able to forgive himself for the things he did, "If I could peel back time, I would do things differently. But you don't get second chances." He wished he had made other choices, but it was too late. He has given up on drawing because he’s afraid to let his mind free and enjoy the excitement that drawing gave him: "That's why I don't draw anymore - I don't like the places my thoughts go to when set free." He didn’t like the idea of a servant (Celia) in the house, but it came with the house that came with his job. The idea of a servant to him was a symbol of discrimination and exploitation, but when the hospital matron told him Celia’s family depended on her, he let her stay. Their friendship started when Celia came and put...
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...MODULE 1: CASE ANALYSIS – CPOE at EMORY HEALTHCARE ID: 59255426 The differences between the types of physicians Compared with the full-time and directly employed physicians in other settings at Emory, most physicians at EUHM were not directly employed. The positions in EUHM were more like “part-time contractors”. In addition to work for EUHM, these physicians also took jobs from other area hospitals. Many of them were already familiar with CPOE from other places but the CPOE systems they had used were quite different with the one Emory implemented. Those physicians were very likely to react positively at the beginning because CPOE was not a new word to them, but would suffer from switching multiple CPOE system later when they realize the systems were totally not the same although they were all called the CPOE. However, Emory was not able to provide the customized education based on each individual. So these physicians had to adjust to that without the help. Indeed, I believe all the CPOE systems would be similar in general and might differ just about 20%. It seemed not a big problem to these physicians because the fact that they at least better than people don’t know CPOE at all before. However, the paper emphasized the challenge because of this situation. Why? This made me think about the find faults game. In the game, it would be harder and harder to find the faults when two pictures are getting more and more similar. It would be further harder for the pictures...
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...When something big happens unexpectedly, people respond in different ways. Anything small can impact something big. In the book, The Tipping Point, small expected and unexpected events lead to significant changes. This book by Malcolm Gladwell contains numerous examples of how little things can make big differences. Significant changes can occur from the slightest of impacts; these impacts can be caused intentionally, can be caused unintentionally, and, in the end, can cause epidemics. Minor, unintentional events can have big impacts on a society. First, sometimes events happen accidentally and cause big changes, like the flu for example. Gladwell states,“The ones causing the epidemic to grow —the ones who were infecting two and three and...
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...There are many issues facing small businesses today, a few to focus on are, Health care reform, and what it means to a small business owner, what changes will be made to make Health care reform work for employers as well as employee. The next issue is The Unemployment rate, and how job cuts affect businesses, employees and the economy. With the new Health Care reform in place, many changes need to be made in the economy, in personal life, and in the Business world. These new changes bring new problems for some. Health care reform and unemployment are not the only issues small businesses are facing. People who have no health care coverage are burdened with the worries of having a health issue and having to miss work and or pay for going to a clinic or hospital, therefore there are more people willing to go to work when they are not well, and bringing on more issues. Issues such as fatigue and possible spread of infection This year there are 150 million employer insured people with health coverage, 50 million uninsured, 40 million on Medicaid, 27 million with none group insurance. It is estimated that in the year 2019 there will be 159 million employers insured people with health care coverage, 22 million uninsured, 51 million on Medicaid and 25 million with non group coverage and 24 million exchanges. Americans from the ages of 19-29 have no health care coverage. “Small business owners, on the positive side, beginning this year, will be eligible for a tax credit to help...
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...on expensive insurance, fees on healthcare industries, a tanning tax, and cuts on Medicare spending. Insurance companies are required to be more efficient and the increased competition should also decrease the cost of insurances policies. In theory, this all sounds great and would benefit me, my family, and other Americans with preexisting conditions but the critics are skeptical that all will go as planned. The Republicans and big business are predicting the worst outcomes of the new law. Even the Chief Actuary of the Medicare Program has now made some dire predictions on the actuality of the law, including an increase in spending. Critics predict that businesses may cut employee healthcare and pay the lower cost penalties instead. The cuts to Medicare Part A may put hospitals in debt and threaten access to care for seniors. The system may be over utilized by all the extra consumers in the market for healthcare. Insurance premiums will likely go up rather than down and taxes and fines may hit the middle class the hardest. As with any change, there will be resistance and skeptics. The actual outcome and consequences of the new law may not be evident for months or years, but will more than likely lie...
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...excellence in entrepreneurial organizations focus primarily on the care of customers, constant innovation, committed people, and managerial leadership. Those entrepreneurial activities also lead to competitive advantage, wealth creation and success. Case, Kouzes , Drucker Entrepreneurs achieve desired levels of excellence in the development of their organizations through different strategies. Former AOL CEO, and chairman Steve Case describes his successful entrepreneurship in three different parts: people, passion, and perseverance. Case believes that if you put those three parts in the right balance everything is possible, and if you do not, nothing is possible. Today’s entrepreneurs must invest in people and ideas that can change the world. Innovation is a risk worth taking and everything people create take some time to realize. Focus on putting the right people around the right priority is a recipe for success. However, James Kouzes in his book “rising to the leadership challenge”, stated that Leadership is not about position, it is about motivating people in five different scales. The first level of motivation is being a role model and setting examples. Second, a leader should enable people to act. He should focus on what a team or an individual needs in order to function at their best, what are their aspiration, their hope and dream for the future. In the third stage, a leader should always be looking for new opportunity and challenge himself to take risks...
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...Pulling into Euclid Hospital Friday evening, February 24th at 7pm, the parking lot was very busy with consistent traffic flow in and out. Cars, Trucks and SUVs filled 90% of the parking lot. The Hospital was brick, light tan in color, sitting on approximately 17 acres. Green white and blue security truck sitting outside the E.R entrance where a big red hung over the glass revolving double doors that said “Emergency”. The front of the Emergency room entrance there were big glass square windows that went from the bottom of the building to the top. 3 large round posts stood several feet from the entrance. A large grass filled island was in the front of the doors that cars circled around. Inside the E.R lobby a sat against the big square glass...
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...Singapore Management University Maters of Science Innovation | Core Module MGMT 661 By Associate Prof. Adel F. Dimian My Definition, Understanding and Response of the Lecture Topic & Discussions. Innovation Strategy Development Part 1&2 When the need of wanting to be different arises, the need to innovate takes a strong hold in one’s mind to bring about new changes that are often challenged in many different styles, manner, methods and modes. To my understanding different types of innovations requires and employs different innovative strategy or strategies. Which in turn determines the growth phase of the organization and its strategic approach and desired outcome of the innovation. Developing an Innovation Strategy Frame Work The Innovative ideas and strategy plans and developments can only take valuable shape and growth with the right leadership and driving force. Therefore with the discussions developed and generated, I have come to an understanding that successful innovation strategy is determined by the true leadership of an innovative leader with an innovative mindset who wants to achieve success for his organization, employees and himself. Instead of being comfortable and clustering around a few achieved strategies, a successful innovative leader begins by setting high targets and aspirations for the organization. Followed by recruiting qualified candidates and instilling tremendous positive energy, spirit and enthusiasm in the work environment. Although...
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