...Perpetual Mercy Hospital 1. How would you describe the consumer decision process for patronizing an ambulatory health care facility? (Type of service, initiator) Based on the case, it appears that customers choose health care services based on what they can afford, the choice of doctors available, services needed, and location. The ambulatory services became popular due to the ability for Perpetual Mercy Hospital to offer services with greater mobility and efficiency than before. Also, consumers tend to choose hospitals based off their needs and the radium in which they work. For instance, some customers have employer-related doctor visits such as workers’ compensation exams and pre-employment exams. These type of exams consist of basic check-ups and fluctuate with hiring by local employers. 2. How would you characterize the DHC’s performance after being open eleven months from a financial, marketing, operations, and hospital-wide perspective? From a financial and operational perspective, the hospital did not perform well in 1999 and 2000. Based on exhibit 5, there was a net loss each month beginning May 1999 and March 2000. On the other hand, from a marketing perspective, the hospital was successful in sending out referrals to individuals who have private-held insurance coverage. The large amount of Medicare customers prevented the hospital in meeting financial performance goals, in that this type of coverage includes subsidization. 3. What is your prognosis for the...
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...Perpetual Mercy Hospital Perpetual Mercy is a successful, nonprofit hospital located in the southern periphery of a major western city. It is extremely financially stable, debt free and holds the highest occupancy rate in amongst all hospitals located in its metro location. Perpetual Mercy has become extremely dependent on older, inner city occupants that are covered by Medicaid. More business is becoming minor, short stayed visits which have begun to jeopardize the financial stability of the hospital. Other major threats that Perpetual Mercy faces are the demographic shifts in the community, in which northern suburban areas are becoming more heavily occupied, placing potential business farther away from the hospital. Downtown Healthcare Clinic In 1998 Perpetual Mercy Hospital’s Board of Trustee’s did a study to find out if it would be worthwhile to open a clinic up north in a new construction area downtown. The clinic would offer specific services like: Preventive health care Minor emergency care Referral for acute and chronic health care conditions Specialized employer services Primary health care services Basic x-ray and lab test The clinic would not only service the local community but also serve as a preferred provider organization (PPO), holding a contractual arrangement with employment groups located near the new clinics area. These services will allow the hospital to expand their referral base, increase referrals of privately insured patients and establish...
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...facility? (Type of service, initiator) Based on the case, it appears that customers choose health care services based on what they can afford, the choice of doctors available, services needed, and location. The ambulatory services became popular due to the ability for Perpetual Mercy Hospital to offer services with greater mobility and efficiency than before. Also, consumers tend to choose hospitals based off their needs and the radium in which they work. For instance, some customers have employer-related doctor visits such as workers’ compensation exams and pre-employment exams. These type of exams consist of basic check-ups and fluctuate with hiring by local employers. 2. How would you characterize the DHC’s performance after being open eleven months from a financial, marketing, operations, and hospital-wide perspective? From a financial and operational perspective, the hospital did not perform well in 1999 and 2000. Based on exhibit 5, there was a net loss each month beginning May 1999 and March 2000. On the other hand, from a marketing perspective, the hospital was successful in sending out referrals to individuals who have private-held insurance coverage. The large amount of Medicare customers prevented the hospital in meeting financial performance goals, in that this type of coverage includes subsidization. 3. What is your prognosis for the DHC next year assuming the 8% increase in average service charges and the reduction in bad debt expense occur, but nothing else?...
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...With the opening of the Downtown Health Clinic, Perpetual Mercy Hospital expected to expand the current customer referrals and the demand as a whole. This clinic was aimed to help Perpetual Mercy Hospital with its customer base, patients and create many business opportunities. The original goal of the Downtown Health Clinic was for it to be self sufficient after three years of opening. Unfortuanately due to unseen competion, these goals are beginning to look too ambitious.After 11 months of operation the Perpetual Mercy Hospital experienced a net loss of 237,614 with diminishing returns. To restructure our organization, executives have come together in hopes that they can construct a strategy that can reposition PMH. The first group of executives brainstormed solid recommendations for PMH. Their recommendations included (1) Increase price by 8 percent with a 2% decrease in bad debt. This option would be considered their do nothing option, but could still in fact positively alter company financials. (2) Extend clinic hours which would include hiring a new physician for coverage. (3) Offering gynecology services in the clinic. Their final recommendation included pursuing the third option. The executives supported their choice with company statistics that confirmed that about 35 percent of all patients were women under 35. They believe that this is an untapped opportunity that could possibly yield substantial revenue. The second group of executives also provided us with...
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...Perpetual Mercy Hospital Case Analysis Keagan Marble April 2, 2013 Marketing Management and Strategy Section 002 Case Brief Receipt #: 317113731 MEMO: To: Linda Rochford From: Keagan Marble Date: April 2, 2013 Subject: Perpetual Mercy Hospital Case Brief A. Problem/Issue: In April of 2000, the Downtown Health Clinic (DHC), which is run and overseen by Perpetual Mercy Hospital (PHC), found out some troubling news and was very concerned about it. Perpetual Mercy Hospital found out about the possibility of establishing a similar clinic five blocks north of their facility. The main problem is that the new clinic may take away DHC’s current patients and put a damper on DHC’s profitability and financial progress. This situation and possible alternatives were analyzed to develop a recommendation of how DHC can keep their patients and continue to achieve its service and profitability objectives. B. Alternative Identification There have been many options in consideration regarding how to meet the patients needs more efficiently to prevent them from leaving DHC and moving to the new facility as well as attaining their profitability. The two main alternatives that can be analyzed are: Tactical Alternatives 1. Extend operating hours 2. Provide gynecology services Strategic Alternatives 1. For a second physician to be hired 2. Build long lasting relationship with business community C. Evaluative Criteria What’s being considered in deciding...
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...CASE #3: PMH GYNECOLOGY MAR 6805 Prof. Seaton Spring 2011 Perpetual Mercy Hospital (PMH) has succeeded in becoming one of the most financially independent hospitals of the “six general hospitals in the city and twenty in the county”. The hospital is publicly known for its excellence, yet PMH has become highly dependent on “inner-city residents…higher median age and higher incidence of Medicare coverage”. Their board of trustees concluded that an ambulatory facility in the downtown was needed based on their study. Incorporating the Downtown Health Clinic would be PMH’s service line strategy, which will assist in the following objectives: (1) expansion by hospital referrals, (2) higher privately insured patients referral, (3) developing a relationship with the business community and accommodating to employers’ specific health needs, and (4) becoming self-supportive three years after opening. According to the reports from May 1999 through March 2000, DHC was clearly meeting its’ objectives. Rather than analyzing the qualitative and quantitative perspectives of the Gynecology department of the clinic, the following analysis will explore how technology and social media can positively affect the clinic, particularly in expediting the scheduling of patient appointments. Women typically seek accessibility and convenience when choosing doctors or facilities to perform obstetrical/gynecological care. Incorporating technologically driven tactics to facilitate the working...
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...Abstract Research into trends concerning medical futility reveal that aggressive treatment at the end of life is not equating to better outcomes (Colello 2008). In fact, not only is it providing no benefit, all too often it imposes unnecessary pain and suffering. In the case of patients who lack decision making capacity and do not have an advance directive, families are often approached by nursing staff and asked “Do you want us to do everything?” or if they would prefer a Do Not Resuscitate status (DNR), meaning CPR will not be initiated if breathing or the patient’s heart were to stop. This sends a confusing message to families, that there is something worthy of offering their loved ones; when the reality is, there is nothing worthwhile left to offer. More often than not, despite a grim prognosis for the patient and the possibility of being in a persistent vegetative state (PSV), families routinely choose this option, largely because an informative conversation has never taken place as to the implications of these decisions. This is an issue which can no longer be overlooked. It is costing our nation dearly, both ethically and fiscally. As Americans, it is high time that we come to terms with our mortality and accept the reality that death awaits us all. Denial will not make it less likely to occur. As such, in an effort to promote awareness of this issue and the detrimental impact it has on patients and society as a whole, the following will define and explain the various...
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...World Religion Report Seventh-Day Adventist Church Axia of University of Phoenix Seventh-Day Adventist falls under the denomination of Christianity. They are a faith community rooted in the beliefs described in the Holy Scriptures. They believe that Jesus is one of the three persons; The Father, The Son, and Holy Spirit called the Trinity who makes up one God. The Holy Bible describes Jesus as the Father and the Holy Spirit as each being committed to our growth as Christians and to our salvation as their children. The salvation was made possible by Jesus being born as a human baby. He lived perfectly according to God’s perfect will, died innocently for all sins, and was placed in a tomb where he then rose from the dead in three days. When I sat down to interview my source, whom asked not to be mention by name, I asked her, what is the core or main beliefs of a SDA worshipper; she replied, “they (SDA) have a set of core beliefs we live by; we believe that the Seventh Day Sabbath or Jewish Sabbath was never changed and therefore we continue to observe the Sabbath on Saturday instead of Sunday. It is observed from sundown Friday night until sundown on Saturday night. They believe just as most other Christians that Jesus will soon return and their mission in the meanwhile is to get the people prepared for this day. The SDA believe that they have the right to “Religious Freedom based on the idea of the church that those who worship Jesus on Saturdays will be...
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...EDUCATION AND TRAINING LEGAL AND EThICAL IssUEs Of EUThANAsIA: ARGUmENTATIvE EssAy Bilal S. H. Badr Naga Majd T. Mrayyan (1) Bilal S. H. Badr Naga., MSN, RN, Prince Sultan Cardiac Center in Qassim, Saudi Arabia (2) Majd T. Mrayyan., Prof, RN, The Hashemite University, Jordan Correspondence: Bilal S. H. Badr Naga., MSN, RN, Prince Sultan Cardiac Center in Qassim, Saudi Arabia Email: Bilal_badrnaga@yahoo.com Case scenario Abstract Euthanasia is one of the issues that has been the subject of intense debate over time. It has been a pertinent issue in human rights discourse as it also affects ethical and legal issues pertaining to patients and health care providers. This paper discusses the legal and ethical debates concerning both types of euthanasia. It focuses on both the supporter of euthanasia and the opponent of euthanasia. Several statements for the Euthanasia argument arediscussed: a merciful response that alleviates the suffering of patients which is sometimes wrongly perceived to be otherwise unrelievable; the autonomy in which the patient has the right to make his own choices; the regulation and legislation of existing practices of euthanasia to protect health care providers and patients. In this heated debate religious, political, ethical, legal and personal views are also included. Among all these, those who desperately want to end their lives because they simply cannot go on in any way, are the ones who suffer. Every individual or group has a different viewpoint...
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...is multifaceted. 1) His death was for human sin and allows humans and God to become one again. 2) His ministry is full of Jesus providing peace to those he came into contact with. Matthew 11:28-30, he offers peace to those that are troubled, in Mark 1:21-2:12 he casts out demons and forgives sins and in Hebrews 12:14 followers are encouraged to copy Jesus by making ‘every effort t live in peace with all men. 3) When Jesus returns will bring everlasting physical and spiritual peace on Earth for those who believe. The central theme of Jesus’ teachings is the Kingdom of Heaven. The kingdom of God is characterized by peace- there will be no hardships or grief or pain (Revelation). The righteous and faithful will be redeemed and will live in perpetual peace. Islam Concept of peace Peace can only be found in the submission to the will of God. Like in Christianity peace was lost through Adam and Eve’s disobedience to God. In Islam peace can be reinstated in the world through dutiful obedience to the ways of God by following and understanding the teachings of the Prophets sent by God to guide humans. If an individual...
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...AN EASSY ON TOPIC: CRITICALLY EXAMINE THE PEFORMANCE OF ICPC, EFCC IN THE FIGHT AGAINST CORRPUTION IN NIGERIA WRITTEN BY AKPANG, MERCY EBOKPO MATRIC NUMBER-10/BPA-5/014 DEPARTMENT OF PUBLIC ADMINISTRATION UNIVERSITY OF CALABAR CALABAR SUMBMITTED TO MR. CHRIS N. (LECTURER) DEPARTMENT OF PUBLIC ADMINISTRATION UNIVERSITY OF CALABAR CALABAR IN PARTIAL FULFILLMENT OF THE COURSE REQIREMENT (NIGERIAN GOVERNMENT & AND POLITICS 2 OCTOBER, 2012 TABLE OF CONTENT INTRODUCTION 1.0 CONCEPTUALIZATION; CORRUPTION 1.1 A BRIEF HISTORY ON EFCC AND ICPC 1.2 CORRPUTION IN NIGERIA AND PROPELLING FACTORS THAT LEAD TO THE ESTABLISHMENT OF EFCC AND ICPC 2.0 ACHIEVEMENT AND FAILURES OF EFCC AND ICPC CONCLUSION BIBLIOGRAPHY INTRODUCTION Corruption in Nigeria is an endemic, pervasive and systematic problem, which over time has been perceived as capable of threatening the very existence of the nation. Combating corruption involves rebuilding Nigeria’s Sovereign National wealth. The Natural Capital made up in particular non-renewable energy resources and materials have been severely depleted and sold off, with most of the proceeds either looted or wasted through h mismanagement and ineffective use. Moreso, the overdependence on Natural Capital has led to the neglect of her Produced capital consisting of Infrastructure and value-Added Goods. Where resources were allocated towards...
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...ANALYSIS OF THEME IN METAMORPHOSIS THEMES ANALYSIS The theme of "The Metamorphosis" is modern man's sense of isolation. Driven to work long hours in meaningless jobs around people who do not care about others, just like Gregor, mankind seems to live a meaningless and ineffectual existence. Although Gregor's metamorphosis is actual and physical, Kafka implies through his change that all too often mankind is forced into an insect-like existence, no better than the bugs at the bottom of the natural order. When mankind tries to rise above their insect status and connect with humanity, as Gregor did when he emerged from his room to see his sister and listen to the violin, they are cruelly driven back into isolation and alienation. Through Gregor, Kafka presents a totally tragic view of man's existence. Kafka also shows that mankind is driven by materialism, often to the exclusion of developing human relationships. Modern life demands that a person have a job to earn money to fulfill materialistic desires. The materialistic mind-set usually enslaves the individual and transforms him into a beast or insect who does not have time to care for others. Gregor is the perfect example. He hates his job as a salesman but endures it in order to provide material things for his family. In order to have and give financial security, he sacrifices a social life, companionship, pleasure, and dreams. His life is miserable, and he counts the days until he can quit his job. Ironically, the people...
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...Sold to joezayed7@gmail.com THE SUNFLOWER SIMON WIESENTHAL THE SUNFLOWER SUPERSUMMARY 1 TABLE OF CONTENTS PLOT OVERVIEW 3 CHAPTER SUMMARIES AND ANALYSES 5 Chapter 1 Chapters 2-5 Chapters 6-10 Chapters 11-15 Chapters 16-20 Chapters 21-25 Chapters 26-30 Chapters 31-35 Chapters 36-40 Chapters 41-45 Chapters 46-50 Chapters 51-54 5 8 12 15 20 23 26 29 33 36 39 42 MAJOR CHARACTER ANALYSIS 45 Simon Karl Josek Arthur Adam Bolek Karl’s Mother 45 45 46 46 47 47 47 THEMES 49 SYMBOLS AND MOTIFS 51 COPYRIGHT 2016 THE SUNFLOWER SUPERSUMMARY 2 IMPORTANT QUOTES 53 ESSAY TOPICS 61 COPYRIGHT 2016 THE SUNFLOWER SUPERSUMMARY 3 PLOT OVERVIEW The Sunflower by Simon Wiesenthal is a book of non-fiction. The first section, also titled “The Sunflower,” is an account of Wiesenthal’s experience as a concentration camp prisoner under the Nazi regime. In the account, Wiesenthal describes his life in Poland prior to the German occupation, his experiences of anti-Semitism within the Polish culture, and his life as a concentration camp prisoner. He describes life in the concentration camp, the continuous humiliations, the hunger, the illness, and the constant threat of death. Central to the narrative in “The Sunflower” is the story of Simon being summoned to the deathbed of a young Nazi soldier whom Simon calls Karl and who has been wounded in combat. Karl confesses to...
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...THE LAW ON ASSISTED SUICIDE On July 26, 1997, the U.S. Supreme Court unanimously upheld decisions in New York and Washington state that criminalized assisted suicide. These decisions overturned rulings in the 2nd and 9th Circuit Courts of Appeal which struck down state statutes banning physician-assisted suicide. Those courts had found that the statutes, which prohibited doctors from prescribing lethal medication to competent, terminally ill adults, violated the 14th Amendment. In striking the appellate decisions, the U.S. Supreme Court found that there was no constitutional "right to die," but left it to individual states to enact legislation permitting or prohibiting physician-assisted suicide. (The full text of these decisions, plus reports and commentary, can be found at the Washinton Post web site.) As of April 1999, physician-assisted suicide is illegal in all but a handful of states. Over thirty states have enacted statutes prohibiting assisted suicide, and of those that do not have statutes, a number of them arguably prohibit it through common law. In Michigan, Jack Kevorkian was initially charged with violating the state statute, in addition to first-degree murder and delivering a controlled substance without a license. The assisted suicide charge was dropped, however, and he was eventually convicted of second degree murder and delivering a controlled substance without a license. Only one state, Oregon, has legalized assisted suicide. The Oregon statute...
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...Theory Freud didn't exactly invent the idea of the conscious versus unconscious mind, but he certainly was responsible for making it popular. The conscious mind is what you are aware of at any particular moment, your present perceptions, memories, thoughts, fantasies, feelings, what have you. Working closely with the conscious mind is what Freud called the preconscious, what we might today call "available memory:" anything that can easily be made conscious, the memories you are not at the moment thinking about but can readily bring to mind. Now no-one has a problem with these two layers of mind. But Freud suggested that these are the smallest parts! The largest part by far is the unconscious. It includes all the things that are not easily available to awareness, including many things that have their origins there, such as our drives or instincts, and things that are put there because we can't bear to look at them, such as the memories and emotions associated with trauma. According to Freud, the unconscious is the source of our motivations, whether they be simple desires for food or sex, neurotic compulsions, or the motives of an artist or scientist. And yet, we are often driven to deny or resist becoming conscious of these motives, and they are often available to us only in disguised form. We will come back to this. The id, the ego, and the superego Freudian psychological reality begins with the world, full of objects. Among them is a very special object, the organism...
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