Healthcare management

 

Scenario

You are the Chief Information Officer (CIO) for a local health system. Your organization held its annual strategic planning session and decided that there needed to be a change in the Emergency Departments (ED) relative to the triage process at one of the facilities. The Chief Executive Officer has suggested a pilot program utilizing telemedicine to supplement its ED services. The use of telemedicine may reduce wait times at the ED and triage non-emergent needs to the appropriate level of care (i.e., urgent care or primary care). It would also allow for more resources to be deployed for ED related services, such as on-call physicians operating remotely.

Instructions
In your role as CIO, you will need to research the use of telehealth in the ED and its implications for the organization. Draft a memo outlining the readiness of the organization to implement the change strategy. Your memo should include:

A SWOT analysis identifying internal and external forces and trends that may impact the change initiative.
A discussion of the challenges facing the ED based on research into the utilization practices of the ED in your community or in a community with which you are familiar.
Recommendation of the organization’s potential readiness for the change, including any actions that should be taken to increase readiness.
Research common challenges facing Emergency Departments. In addition, research utilization practices commonly aligned with ED visits. Use information from your current facility (or one you are familiar with or can research) to develop a SWOT analysis. Your recommendation should be based on both your SWOT analysis and your research into ED challenges.

Healthcare Management

 

 

Complete the Problem beginning on page 463 of your text titled “Problem: Economic Credentialing” in a one to two page paper. Submit the completed assignment to your instructor. See page 369 for a general description of Marcus Welby Hospital.

You are the lawyer for Marcus Welby Community Hospital. The administrator approaches you about how to amend the bylaws so that the hospital can get rid of doctors who are costing the hospital too much money under Medicare and HMO insurance. The administrator is concerned about which removal actions can be defended in court and which bylaw amendments are politically feasible with physicians. Advise the administrator on each of these options:

• Amend the Hospital Bylaws to give the hospital board authority to remove doctors from the medical staff for any reason, regardless of the medical staff’s own recommendations, as long as the medical staff is first consulted.
• Amend the Medical Staff Bylaws to declare that an additional criterion for medical staff membership is to practice an efficient style of medicine that avoids wasting medical resources or providing unnecessary care.
• Forget about amending any bylaws. Instead, go after physicians who are economic losers based on their general medical competence and their unwillingness to be cooperative.
• Keep but supplant the entire medical staff structure by limiting who can practice in each department through one-year renewable contracts with the 200 best doctors out of the present 300.

Note that the assignment asks you to comment on each of the options, not just one. You may comment on one option being better than another for some reason, but be sure to comment on all the options. Support your advice with material from the text.

 

 

Healthcare Management

 

Select one of the healthcare management opportunities encountered in a previous performance assessment during your Healthcare Management program. You will then select one of four professional lenses through which you will frame the deliverable. You will conduct research and analysis to support your recommendations to help the selected healthcare organization overcome the opportunity identified. You will identify and justify recommendations to help improve the healthcare organization—from the conception of an idea all the way through implementation.