Abstract A paper that compares for profit hospitals with not for profit hospitals. Included is an interview with a hospital administrator on the subject.
Abstract This paper describes the conflict between the inherent objectives of hospital administrators and hospital physicians and how this conflict is the source of the erosion of trust between the two groups. The paper explains that the administrators' goals of conserving resources and containing hospital costs conflict with those of the doctors. It explains that the doctors' goal is to provide their patients with the highest quality care possible and that methods for dealing with this conflict have thus far been inadequate and may even compromise patient care. The paper then suggests that the best way to deal with the problem would be to hire high-quality trainers to conduct world-class, trust-engendering seminars for management and doctors, since none of the current methods for creating trust between doctors and management seem to be effective.
From the Paper "As for administrators, their sense of trust with physicians, Succi asserts, boils down to one area ? ?cost/quality management.? When alluding to costs of providing services to patients, therein lies a very important factor in running a hospital, and there is little doubt that administrators are keenly interested in keeping costs from rising out of sight. And since hospital administrators are "rewarded for conserving resources and containing hospital costs" and physicians are gaining credibility for offering ever-higher levels of care, Succi believes these two conflicting concepts create an erosion of trust."
Abstract This paper examines the challenges facing a not-for-profit hospital in financial crisis. The paper explains that the hospital is facing a 15 percent shortfall, which may necessitate cutting services and staff. The paper discusses the pros and cons of various budget cutting measures. The paper also reviews how the hospital should deal with its staff over these issues.
From the Paper "As a community based, non-profit hospital, our goal is to fulfill a wide range of community needs, from providing quality health care to educating the public to promoting wellness in our community. The good news is that non-profit hospitals are..."
Tags: Financial crisis at a not for profit hospital, options and alternatives to shutting down the hospital, revenue, profit, loss, fixed costs, layoffs, reduction in services offered
Abstract This paper reviews the history of hospitals in the U.S. The paper examines historic societal responses -- both individual and governmental -- to public health needs. The paper then discusses the role of public policy in addressing these needs. The paper traces the evolution of health care from specialized hospitals to integrated delivery systems. The paper concludes by reviewing the growth of managed care in the U.S. and its impact on hospitalization and hospital policy.
Tags:Hospitals, Public, Health, Integrated, Delivery, Systems, Managed, Care
Abstract This paper explains that Victoria Hospital is currently undergoing the process of organizational change and that they must highlight their future plans and courses of action. The paper then proceeds to describe how the hospital's vision and mission statement should be developed as well as some of the strategies of operation it should adopt.
Outline:
Victoria Hospital Vision Statement
Mission Statement
Victoria Hospital Strategies
From the Paper "The mission statement takes on step further and communicates the audience the core competencies and the features on which the organization will base its actions in order to retrieve success. Furthermore, it also points out the main focuses of the organization in reaching their goals. For instance, a basic mission statement for a for-profit organization would be to offer their clients the best products and services and integrate the employees into the corporate culture, while in the same time registering profits. The mission statement is an important tool for communicating corporate objectives and commitment and it is addressed to all stakeholders, such as employees, clients, or patients in the case of Victoria Hospital, business partners or the general audience. The mission statement has to be developed by keeping in mind the corporate values and goals. For the Victoria Hospital, these are: dedicated personnel, the usage of advanced technologies and commitment to preserving and improving patient's health. However due to financial cuts, the management at Victoria Hospital desires to increase their profits, this will not be stated in the mission."
Abstract The paper examines and discusses several distinct and notable problems concerning a case study about the Faith Community Hospital. The key problem, or the problem of highest concern, as expressed in the case study, is that the level of patient care at this hospital is at risk. However, this is merely evidence to uncover serious or more noteworthy problems. In this case study, a variety of recognizable problems are introduced as well as the tools and techniques utilized to determine them. Several solutions to these problems are discussed, before the writer concludes that solving the main problems at the hospital will ultimately lead to better patient care and practices for the Faith Community Hospital.
Outline:
Identifying and Understanding the Problems
Client and Staff Misconceptions from an Ambiguous Mission Statement
False or Misleading Values
Inconsistent Procedures and Policies
Addressing Ethical Misconceptions
Discussing Discrepancies in Monitoring Control and Financial Obligations
Problem Resolutions
Devising a Clear and Concise Mission Statement
Consistently Govern and Regulate Ethical Practices
The Board of Directors Must Monitor Finances and Procedural Control
From the Paper "There is obviously a problem with the mission statement since the CEO, Pat, tells Chris Smith, the newly promoted executive assistant, "We've got some interesting interpretations of the mission statement being made in all of our stakeholder groups...any idea what's going on out there?" The main problem here is that the mission statement is not written clearly enough, and it could easily be misinterpreted by the reader because of that person's ethical or religious beliefs. In addition to this, it is relevant that the mission statement addresses all types of stakeholders who each have different needs or concerns with regard to health care and the services they seek or expect. These undefined interpretations from the different groups denotes that the hospital is viewed in many different ways, and since the hospital itself has an unclear mission, other groups or organizations involved will most certainly have similar misleading perceptions."
Abstract This paper discusses the difference between for-profit and not-for-profit hospitals. The paper begins by reviewing the for-profit and not-for-profit classification. Next the paper discusses what makes a hospital a not-for-profit and the charitable implications associated with such an institution. The paper concludes by comparing and contrasting the care quality between for-profit and not-for-profit hospitals.
From the Paper "Not-for-Profit A not-for-profit hospital is so defined by its status with the United States Internal Revenue Service. Specifically, the not-for-profit classification means that an institution..."
Abstract In this article, the writer looks at various aspects of the management of metropolitan public hospitals. The writer discusses that many of the public hospitals are in a state of crisis. The writer also discusses that there are many threats in the health care industry that can have a negative effect on the viability of public hospitals.
From the Paper "Many of the nation's public hospitals especially those in urban areas are in a state of crisis. Some have been or will be privatized, some are being sold to for-profit companies and others have simply been closed, as funds disappear and staff exits for more lucrative positions elsewhere. In the health care industry of today, numerous threats exist that can negatively impact upon the viability of public hospitals in metropolitan areas where they often represent the primary source of service ... "
Abstract This paper relates to the personal definition of hospitality for a client. The writer points out that as the client provided some information as to his/her concepts relative to hospitality, they have been included and expanded upon. The writer discusses that hospitality is a malleable concept when it comes to hotel management and that these concepts are integral to success in such endeavors.
From the Paper "Hospitality has been formally defined as a "cordial reception: kindness in welcoming guests or strangers." The dictionary's portrayal of what constitutes hospitality, however, is inadequate to truly and fully depict what hospitality means to someone working within the hotel management industry. In fact, the dictionary's definition of hospitality only begins to touch upon the word's importance as it utilized in action to serve patrons. To the writer, the hospitality constitutes creating a scenario in which customer/guest needs are placed first and, in so achieving, it is integral to achieve an atmosphere that will serve to allow guests from a variety of backgrounds to feel equally at ease. Moreover, hospitality cannot be completely achieved unless each employee is committed to the mission, which requires leadership from the top down exhibiting commitment to quality service; maintenance of a good attitude and a good personal appearance."
Abstract This paper outlines and reviews an article on hospital acquired pneumonia from the medical journal Chest. It first gives an introduction, listing all of the article and study main points, as well as the findings. Then it looks at the hospital settings involved in the article as well as the hospital setting problems that have been found by the author and researchers. Next, the article discusses correlational statistical procedures, these being the study and comparison of different invasive and noninvasive techniques that are used by medical staff.
From the Paper "The author first introduces the topic of hospital-acquired pneumonia, or HAP. The seriousness of this ailment has led the author to study the effectiveness and necessity of various forms of cultures that may detect and diagnose just what the cause of HAP is in any given case. Each type of HAP-diagnosing method is discussed and studied, as seen in patients on ventilators who are suffering from HAP, as well as general hospital patients who succumb to the affliction."
Abstract This paper explores the role of the nurse in creating a positive hospital stay for patients. The author describes a case study of hospital patients and summarizes these findings and their implications to nursing. The paper highlights the difference between the physical setting of the hospital and the importance of the interpersonal connections of the nursing staff to patients.
From the Paper "Overall this study attempted to reveal the perceptions of the hospital environment to patients in the acute care setting. It bought to light the fact that patients are not as concerned with the physical environment as the interpersonal connections with nurses. Few people in the study spoke of the actual physical environment of the acute care hospital. The following words of one of the participants should be a reminder to nurses that we do make a vital difference to our patients. " The psychic income from being a nurse is having that personal reward fro knowing you're making a personal difference to someone in that human-to-human contact."(Shattell et al., 2005)"
Abstract This paper presents a report on problems that have been plaguing a specific hospital and then presents possible solutions to these problems. The paper begins by discussing the problems the hospital has with admissions, room design, and medical surveillance. The paper then proposes three best practices concerning admissions, room design, and medical surveillance and concludes with suggestions for implementing these proposals.
Outline:
Introduction
Purpose of the Report
Admissions
Medical Surveillance
Feasible Course of Actions & Outcomes
Implementation Process
From the Paper "Doctors and nurses have been faced with an increased workload that is not being equally dispersed and employees are being asked to work without overtime pay. Added to this is the fact that the hospital is seriously understaffed with only five general practioners and ten nurses to 'man' three floors."
Tags:hospitals, medical surveillance, hospital issues
Abstract This paper assesses the performance of Shouldice Hospital. It explores its performance using the strategic service vision framework. The paper also offers solution for Shouldice Hospital's problems.
From the Paper "Since we are not provided with enough information about the hospital's financial condition to make any meaningful assessment about its financial success or financial strength we are left to assess the performance of the hospital ..."
Abstract This paper provides an outline of how the hospital and staff plan to obtain, maintain and use technology to achieve their goals, automate processes and ultimately provide better healthcare. This paper explains how a hospital should develop its technology plan along with outside references and sources to support the information.
Contents:
Introduction
Main Body
Review
From the Paper "One of the first items in setting up a technology plan is to estimate the funding and budget available for the technology plan. Naturally of course, there is no point in setting up a technology plan if there is no means to fund the plan. Another item needed to setup up a good technology plan is to determine the desired goals to be achieved by the technology plan i.e. the vision foreseen by makers of the plan where they would like the technology structure of the hospital to be initially and in the long term.
Policies and guidelines must be established to ensure the proper use of new technologies and also enforced if deem necessary. The IT department and also the general staff must be aware of their responsibilities and usage of the technologies to provide better healthcare. This would be achieved by ongoing training and other methods."
Abstract This is a short paper regarding the association of future trends in hospital financing and the accompanying changes and requirements that would be placed on an in-hospital pharmacy. The paper discusses various trends, such as closing or merging for those in capital poor situations; increased collections, greater use of technology and specializing were trends for those in capital rich situations. The paper examines the necessary pharmaceutical recommendations in response to these changes.
From the Paper "Future trends in hospital financing are either exciting or dismal, depending on what the hospital's current bond rating is ("How are Hospitals," 2004). If it is secure, the future is bright, as that hospital belongs to the group of hospitals considered "the haves." For the haves, money is not an issue and capital is readily available. For the "have nots" operating capital is scarce if it is there at all, the hospital is in jeopardy of closing its doors, and financing options are virtually non-existent ("How are Hospitals Financing, 2004). A reported "47% of hospital CFOs say they can't keep up with the basic need for capital improvements" (How are Hospitals, 2004)."
