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Managerial Epidemiology Case Study

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Jaterrio Johnson When it comes down getting a clinic back up and running, appropriate and necessary changes must be implemented into the system that would steer the project towards a positive outcome. In order for Reid to keep Blake Memorial clinic up and running, he has to take a couple of incentives into consideration such as whether or not to cut staff and personnel, freeze wages and salaries, eliminate weekly in-clinics, or to eliminate the site as a whole.
Reid should keep the Blake Memorial clinic open, but in order to do so, he is going to have to first implement a plan, and then make the necessary cuts in the system. Typically a plan consists of the following five components: ends, means, resources, implementation, and control. (Fleming, 67) A strategic plan normally includes the following components: vision, mission, goals, and objectives. (Fleming, 68) As suggested by Keith F. Safian, president and CEO of Phelps of Memorial Hospital, Reid should limit clinic hours by consolidating sessions and by cutting staff positions accordingly. Other short term measures that can be taken: centralize record keeping, assist more patient to enroll in Medicaid, increase charges to sliding-fee patients, add clinics staffed with social workers or other lower cost providers, and phase out one or two clinics that lost too much money. By cutting staff accordingly, Blake Memorial should still be able to achieve the same quality of care. Patient care is measured by quality, not quantity. Of course, none of this is possible, as stated by Delgado, unless Reid rethinks his role as administrator. He must recognize that he is no longer at a university-based hospital where research takes precedence over service. Reid has to look beyond gross figures and identify the types of patients Blake serves and the types of employees necessary to satisfy those needs.
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