In: Business and Management

Submitted By axay24
Words 2381
Pages 10
Of all American healthcare organizations, safety-net hospitals are facing one of the largest curveballs, as nearly 30 million Americans stand to gain coverage under the Patient Protection and Affordable Care Act beginning in 2014. Nationwide, only 2 percent of acute-care hospitals are safety-net facilities, but they currently provide about 20 percent of all uncompensated care to provided to the uninsured.

Despite this statistic, a decline in America's uninsured is unlikely to relinquish the need for safety-net hospitals, according to experts. Public hospitals for the poor will still have a place in the American landscape, especially since most safety-nets are responsible for training physicians and take on significant patient volumes would otherwise incapacitate markets. Instead, it's the traditional role and public perception of safety-nets that's poised for the biggest transformation.

"These hospitals don't always set out wanting to be the safety-nets, but it's a position they get forced into," says Igor Belokrinitsky, a strategy consultant with Booz & Company in Chicago. "They become a hospital of last resort, but they really want to be a hospital of choice. Do you want to stay a safety-net hospital or find something else that will set you apart?"

One safey-net's approach
Newspaper editor Henry W. Grady founded Atlanta-based Grady Health more than 120 years ago, concerned about a lack of quality healthcare for Atlanta's poor. Today, Grady's payer mix is roughly 34 percent uninsured, 32 percent Medicaid and 17 percent Medicare, with the rest covered by commercial insurance and workers' compensation. Grady provided roughly $200 million in uncompensated care to 100,000 uninsured patients in fiscal year 2011, and the system also trains roughly one-quarter of Georgia's physicians.

Like many safety-nets, Grady is facing questions about patients'…...

Similar Documents

Maturation in John Grady

...John Grady Cole is a sixteen year old boy running away from home in an attempt to start a new life. With the person he was closest to dead, and his mother selling the ranch he grew up on, John Grady leaves San Angelo with no regrets. This idea of detachment is reinforced throughout the book, but mostly in the latter half; it’s clear that John Grady feels no attachment to Texas or his family anymore, as he says, “I have no country” (p.299). He no longer has a sense of being; no sense of individualism. It's this sense of detachment McCarthy gives to further John Grady's character development. As All the Pretty Horses unravels, through the actions of Blevins and Perez, we see that book revolves around the maturation of John Grady. The crossing of the Rio Grande river is one of the first instances we truly see a change in John Grady's character. John Grady and Rawlins had just met thirteen-year-old Jimmy Blevins, a boy who acts as a FOIL character for the entirety of the book. At the river, John Grady and Rawlins debate whether or not they should let Blevins ride with them. For many reasons, Rawlins says no, however; John Grady can't bring himself to leave without him. (p.79) “Meanin just leave him?” “Yessir.” “…you realize the fix he's in?” “I realize it. It's the one he's put hisself in.” “…I can't do it.” Even though it meant re-routing his destination and eventually risking his life, John Grady stuck by Blevins’ side through thick and thin...

Words: 620 - Pages: 3

Science and Technology: Advantages and Disadvantages

...making it hard for these students to keep up on the new education. One of the biggest impacts of science and technology is in healthcare and medicine. Healthcare has come a long way in the years, saving many lives and discovering methods to fight back diseases. For example, in the story “Struggling Back from War’s Once Deadly Wounds,” written by Denise Grady, Grady writes about a young man named, Jason Poole, who came back from the Iraq war as a completely different man. He was injured by a road side bomb making him blind in the left eye, deaf in the left ear, and weak (Grady, 2008, para. 4, p. 331). If a solider in World War II was injured the same way it was lucky if he even had the slightest chance of survival but with the advancements of science and technology doctors can now keep more people alive. Poole now has a new face and is slowly starting to speak and walk again. He will never be the same man again but at least he has a chance to make a new man of himself. Poole states “I’m not good looking, but I’m still Jason Poole, so let’s go,” (Grady, 2008, p.336). Poole still hopes to get married and have children, (Grady, 2008, p.340), and with the science and technology advancements he still can. Science and technology has taken health care and medicine to a whole new level. Raising the life expectancy level and finding the cure too many diseases. Cancer survives now can have the chance of survival, heart attacks aren’t as deadly, diabetes can be easily treated. Science...

Words: 1444 - Pages: 6


... and the overall health care environment. Telehealth can be defined the removal of time and distance barriers for the delivery of healthcare services or related healthcare activities [ (Grady, 2011) ]. The new generation of technology-savvy students may be more comfortable with learning experiences that incorporate technologies they consider commonplace. A personal digit assistant (PDA), robots, telehealth apparatus, pagers, personal computers, notebooks and smart telephones are examples of how educators are leveraging student-friendly technology in healthcare to enhance learning outcomes [ (Grady, 2011) ]. Many nurse educators have recognized the need to push the nursing curriculum to the 21st century and are willing to do so; nursing is facing faculty shortages that threaten nursing educations ability to move its agenda forward. Students are being turned away from nursing programs because there is not enough faculty to teach the increasing students. Nursing student enrollment increased by 18 percent in 2005. The National League for Nursing (NLN) estimated that 147, 465 qualified student applications were turned away due to a shortage in faculty. Insufficient number of nursing clinical practice sites and a shortage of faculty often prevent schools from enrolling more students [ (Grady, 2011) ]. Downsizing and shorter patient stays in the hospital are leaving nursing students fewer opportunities in the clinical setting to practice their skills. In today’s ever......

Words: 1670 - Pages: 7

Conscientious Objection

...(Pozgar, 2010). Religious discrimination consists of “treating a person or group lower because of their religion, or treating someone differently because of what they do or don’t believe” (Pozgar, 2009). The state, federal laws and the American Medical Association’s Code of Medical Ethics strongly emphasize that only doctors have the right to refuse to provide treatment in a nonemergency setting, this is as long as other treatments are provided. Notwithstanding, conscientious objection does not apply to other health care providers including pharmacists. However, according to Grady, a large group of pharmacists has refused to provide medications on the basis of conscientious objection. (Grady, 2006) In October 2005, a resolution was passed by The American Association of Family Physicians (AAFP) stated “that a pharmacist’s right of conscientious objection” (Grady, 2006) must be reasonably accommodated (Grady, 2006). Furthermore, “In recent years, several states have passed laws that shield physicians and other health care providers from adverse consequences for refusing to participate in medical services that would violate their consciences” (Curlin, Lawrence, Chin, & Lantos, 2007). Case Complication Issues Based on the Conscientious Objection clause and in accordance to his ethical and moral convictions, the pharmacist has the right to refuse dispensing the medication. Based on patient rights, the patient has the right to request the medication at the hospital......

Words: 745 - Pages: 3

Hcs335/ Code of Ethics

...or all of their training at Stevens. We are also accredited by The Joint Commission – that shows patient care and safety matter to us. But that’s not all we do. Grady provides primary care services at our main Primary Care Center located at the hospital and six Primary Care Centers located around Fulton and DeKalb counties. Why? Because we want to you have a primary care physician to help you stay healthy. Why stop there - Grady's other service centers include a Diabetes Center, Georgia Cancer Center for Excellence and Avon Foundation Breast Health Center. Grady is also a Regional Perinatal Center. And, we provide a dedicated 60 Plus service line for older adults, Teen Health Services and 100 other subspecialty services. Because of our around the clock service and medical expertise, Grady houses Georgia’s Poison Center and 24-hour Rape Crisis and Advice Nurse lines. And, our Ponce de Leon Center was named one of the top three HIV/AIDS outpatient clinics in the country. Grady Health System was created by and named for Henry W. Grady, editor of the "Atlanta Constitution," who worried about the lack of quality health care for Atlanta's poor. Since that time, Grady has grown considerably from its original three story, 110-bed facility. It now stands as one of the largest health systems in the United States. Grady Health System today continues to maintain its strong commitment to the health-care needs of Fulton and DeKalb counties underserved, while also offering a......

Words: 646 - Pages: 3

Doing Good with Limited Resources system needs to be completely rebuild (Ulrich & Grady, 2009) The health care system in U.S. need to improve the care for people who are underinsured or not insured at all. The effort must be made in order to keep the population healthy and the outbreaks of epidemics under control. Many of the U.S. citizens do not have access to health services or do not look for health services even when they need them, just because they are unable to afford it. The underinsured and noninsured people are falling under the categories of disparities for health care access, health care facilities and advanced services. All of this will have an unwanted outcome for the patient. Advanced technologies are available and able to meet the need of the population, but at the same time they are available only for limited number of people who are able to afford it. All the medical staff is pressured to make a decision between the patient needs and what the patient can afford. The nurses and doctors are challenged as we try to “do good” with limited resources and sometimes “limited goods” within prescribed rules (Ulrich & Grady, 2009) It is very hard for the health care providers to provide a high quality care under constant rule changes and withholding useful services (Ulrich & Grady, 2009). All medical professionals are involved in “real life” drama and need to find the “imposable way” to help the patient. According to Ulrich & Grady “the current health care system preferentially......

Words: 518 - Pages: 3

Cloud Computing: a Technology Appraisal Report

...percent of small-to-medium businesses use some form of cloud services as of December 2013 and that percentage is only expected to grow in the coming years (Grady, 2014). Firstly, cloud computing brings a huge advantage to the Bring Your Own Device campaign that seems to be sweeping across businesses everywhere. Since consumers are using their mobile devices frequently, they are putting more information and data onto their own personal clouds which can then be integrated by an IT Department within an organization for business use (Grady, 2014). This could mean that more people are working from home and increasing personal productivity on the go. Another advantage of cloud computing is the access to big data analytics. Instead of keeping data analytics and cloud computing separate, companies have decided to start merging the two ideas into a harmonious relationship (Grady, 2014). This enables companies, no matter their size, to compete on the global scale in the business world since the customer reach is extended greatly and analyzed appropriately (Grady, 2014). Furthermore, another benefit of cloud computing is the idea of graphics as a service. Since cloud computing is becoming ever so strong, applications that run high-end graphics are now able to move away from the traditional hardware infrastructure and into clouds (Grady, 2014). This offers a huge benefit of lowering costs tremendously in this area. Additionally, another benefit to cloud computing is security.......

Words: 1577 - Pages: 7

Accountable Care Act

...The Affordable Care Act and Grady Hospital Atlanta Metropolitan Market The Atlanta Metropolitan market for healthcare services is dominated by nonprofit healthcare systems, including the academic medical system Emory Healthcare. Emory became the largest healthcare system in the market after its acquisition of St. Joseph’s Hospital of Atlanta. It is expected that the consolidation of healthcare systems will continue as healthcare reform and market forces make it difficult for smaller hospitals to remain independent. The 28 county Atlanta market has 43 acute-care hospitals with an estimated 459,909 inpatient discharges annually and 9,796 total acute-care beds. The average daily occupancy rate is 64 percent, and the average length of stay is 4.9 days (A Decision Resources Group Company, 2012). Grady as a Public Hospital Grady Health System operates Grady Memorial Hospital which is Atlanta’s public safety net hospital. Grady currently serves 7 % of the Atlanta market and Grady’s market share is 22 % Medicaid and 22 % self pay or uninsured. After the implementation of the ACA, one would assume that Grady will continue to serve 22% of Medicaid patients and 22% of the uninsured. Grady will continue to be Atlanta’s safety net hospital after the full implementation of the ACA (A Decision Resources Group Company, 2012). Grady has the only Level I Trauma center in the region and the state’s only poison center. Grady Memorial Hospital offers extensive medical care that other......

Words: 1508 - Pages: 7

Staffing Solutions

...workplace. Staff planning is a team effort between the Human Resources manager and the actual department hiring manager. The Grady Memorial Hospital has steps and requirements for housekeeping positions that must be met before an applicant can be hired. The cleanliness of a hospital is important in the health of its patients. If the hospital is dirty, a patient may catch a nosocomial infection which can cause death. A clean hospital on the other hand, can actually contribute to a patient’s health because fewer germs mean less chance of infection and a quick recovery. In order to ensure a hospital is as clean as it should be, there should be stringent training in the use of cleaning detergents and the proper way to clean. At Grady Memorial, the first step to being considered for cleaning position in the hospital is recruiting. The recruiting process is not as vigorous as most due to the number of military wives who seek employment at the base. Most of the recruiting is done by use of bulletin boards. Recruiting is also done at organized job fairs to reach potential applicants that do not have ties to the community surrounding Grady Memorial. While housekeeping is a job that requires on the job training, it does help to seek only the applicants that are able to handle the duties associated with cleaning a hospital. Screening applicants to work at Grady Memorial Hospital include background and security checks as well as general aptitude tests to ensure the......

Words: 748 - Pages: 3

Case Study 2 Hamilton County Judges

...William Morrissey | 0.039908 | Norbert Nadel | 0.044272 | Arthur Ney Jr. | 0.038832 | Richard Niehaus | 0.040859 | Thomas Nurre | 0.040333 | John O'Connor | 0.043449 | Robert Ruehlman | 0.045242 | J. Howard Sundermann Jr. | 0.062827 | Ann Marie Tracey | 0.040433 | Ralph Winkler | 0.028488 | b. Domestic Relations Court: Judge | (P) of Appeal | Penelope Cunningham | 0.002565 | Patrick Dinkelacker | 0.003166 | Deborah Gaines | 0.005455 | Ronald Panioto | 0.002467 | c. Municipal Court: Judge | (P) of Appeal | Mike Allen | 0.006993 | Nadine Allen | 0.004352 | Timothy Black | 0.005155 | David Davis | 0.005558 | Leslie Isaiah Gaines | 0.006626 | Karla Grady | 0.001142 | Deidra Hair | 0.001975 | Dennis Helmick | 0.003671 | Timothy Hogan | 0.005633 | James Patrick Kenney | 0.002144 | Joseph Luebbers | 0.005321 | William Mallory | 0.004591 | Melba Marsh | 0.004137 | Beth Mattingly | 0.004376 | Albert Mestemaker | 0.005628 | Mark Painter | 0.003126 | Jack Rosen | 0.005263 | Mark Schweikert | 0.006108 | David Stockdale | 0.004096 | John A. West | 0.001430 | 3. The probability of a case being reversed, per judge, is: a. Common Pleas Court: Judge | (P) of Reversal | Fred Cartolano | 0.003951 | Thomas Crush | 0.002966 | Patrick Dinkelacker | 0.006359 | Timothy Hogan | 0.003582 | Robert Kraft | 0.002231 | ......

Words: 879 - Pages: 4

Disadvantages of Mexico's Economy

...The Disadvantages of Mexico’s Economy The United States of America has many advantages such as natural resources, a stable government, and advanced technology. Its southern neighbor, Mexico, has not had as much luck. Mexico’s unfortunate terrain and unstable government has hindered its ability to gain any significant amount of wealth as a nation. In his novel, All the Pretty Horses, Cormac McCarthy shows us the difference in the wealth of these two nations through the travels of John Grady Cole and Lacy Rawlins. McCarthy gives readers an example of Mexico’s economic status when he writes, “How much they pay you? We was getting two hundred pesos a month. In Texas what do they pay for this work. I dont know. Hundred a month. Hundred dollars. Yessir. Eight hundred Pesos. Yessir. I reckon” (McCarthy 164). By writing about how much one would be paid for working on a ranch in Mexico compared to working on a ranch in America, McCarthy shows his readers the difference in the wealth of the two nations. An article from Time Magazine also gives readers an idea of what the Mexican economy is like by saying that, “The average Mexican worker makes 1 peso and 25 centavos an hour. At that rate, he has to work ten hours to buy lunch fro a family of five, 72 hours to pay an average rent in the center of the city, and 160 hours to buy a suit of clothes” (Time). Despite the close proximity of the United States and Mexico, the United States is the wealthier of the two nations due to......

Words: 1350 - Pages: 6

Wonder Boys

...Second, in Wonder Boys it has voiceover, a narrator Grady himself. Third, it’s a totally comedy, though there is some helpless emotion in the film, we can still find the humor in it. The film is about a professor of English at the university called Grady. Seven years ago his novel made him famous, become the Wonder boy. But seven years later, his writing into a bottleneck, for seven years he haven't finished a novel. His wife left him, and the headmaster his affair told him she was pregnant and the child’s father was Grady. But his unlucky things are not end yet, in the headmaster’s house after the party, he was bitten by the crazy dog. And his students James, in order to save him, James use the gun shot and kill the crazy dog. And then two people with a dead dog started to find the solution. Meanwhile, James took the collection of headmaster’s husband, the jacket that Monroe wear when her get married. For the explicitly presented events, such as Grady, he has written a novel for seven years, but it still haven’t finished yet, Grady even don’t know what did he write, he just can’t stop writing. Also, like James, he likes staying with his teacher Grady, his parents has died and his grandmother don’t like him, he feel the father’s love from Grady, so he want to follow Grady instead of going home. When Grady go to join the party that was held in headmaster’s house, the dog‘s bark and the dialogue, we can feel the ambiguity between Grady and headmaster. In the Wonder Boys,......

Words: 725 - Pages: 3


...all over Florida but one that personally stands out the most is no one other than Sheriff Grady Judd. What stands out to me most about Grady Judd is that he always has a new mindset or goal in place. Goal setting is a big part of becoming and being successful. Goal setting is the best way to improve motivation throughout the community (LINCCWeb). Grady Judd has been a goal setter his entire life starting at a young age when he told his parents that he wanted to be a sheriff (Chambliss). He didn’t stop there with his goal setting either; he has set a wide variety of goals like making Polk County a safe community and reducing crime. Power is a quality most leaders withhold. Power is described as the capacity to produce effects on others or to influence others (Hughes, 2015). This quality can also be used against the leader. Grady Judd has taken the basketball goals out of the local jail and prisons and donated them to nearby churches because he has the power to do that and he stated “if you want to play basketball stay out of jail” (Prison talk, 2010). Grady Judd also has some influence tactics up his sleeve. Influence tactics are a persons behavior designed to change another persons beliefs, behaviors and attitude toward something (Lewis, 2013). Judd has always been a very outgoing happy guy but he often changes his personality to gain trust in different generations and races of people. Grady also has values that he portrays. Family and safety are his biggest values, because......

Words: 840 - Pages: 4

Billy's Case

...realized this year and is, therefore, included in gross income. e. All $1,000 is economic income realized this year and is, therefore, included in gross income. f. Gene should include $400 in his gross income. 55. [LO 2] Grady received $8,200 of Social Security benefits this year. Grady also reported salary and interest income this year. What amount of the benefits must Grady include in his gross income under the following two independent situations? a. Grady files single and reports salary of $12,100 and interest income of $250. b. Grady files single and reports salary of $22,000 and interest income of $600. c. Grady files married joint and reports salary of $75,000 and interest income of $500. d. Grady files married joint and reports salary of $44,000 and interest income of $700. e. Grady files married separate and reports salary of $22,000 and interest income of $600. a. Grady excludes the entire $8,200 because the sum of his modified AGI plus 50 percent of his Social Security benefits ($12,100 + $250 + $4,100 (50% of Social Security benefits) = $16,450) is below the minimum amount ($25,000 or less for single taxpayers) for including Social Security benefits. b. $850 Grady is single and his modified AGI plus 50 percent of his Social Security benefits ($22,000 + $600 + $4,100 (50% of Social Security benefits) = $26,700) falls between $25,000 and $34,000. His taxable Social Security benefits are......

Words: 2994 - Pages: 12

Healthcare Marketing Analysis

...Marketing Analysis Grady Memorial Hospital commonly known as Grady Hospital located in the state of Georgia opened in 1892. “Grady Health System was created by and named for Henry W. Grady, editor of the "Atlanta Constitution," who worried about the lack of quality health care for Atlanta's poor” (Grady, 2010, p. 1). Grady Hospital is the largest public hospital in Atlanta with a specialization in trauma treatment. Grady hospital previously practiced racial discrimination by separating the African American patient from White patients thereby receiving the segregated name of “The Gradys.” Although Grady abolished the historic segregation, some elderly residents of Atlanta, and African American residents still refer to Grady as a hospital “segregated evenly between white and black wards” (Burns, 2011, p. 1). However, despite the alleged racial profiling Grady hospitals mission consist of serving poor Atlanta resident “while rising healthcare costs and the economic downturn threatened its solvency a few years back along with serving patients who can't get care elsewhere” (Burns, 2011, p. 1). The public recognized Grady Hospital as one of the premier hospitals in the Southern United States that provides trauma care to accident victims, fall victims, patients suffering from self-inflicted harm, and assault victims. Four P’s of Marketing Grady is a teaching hospital accredited by The Joint Commission that “shows patient care and safety matters” (Grady,......

Words: 1542 - Pages: 7