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Problem #1
One of the first problems to be addressed is that ambiguous terms are being used in the mission statement.The mission statement reads as follows
"With the foundation and commitment of our spiritual heritage and values, our mission is to promote the health and well-being of the people in the communities we serve through a comprehensive continuum of services provided in collaboration with the partners who share the same vision and values."
The mission statement uses ambiguous terms like "spiritual heritage and values", 'promote the health and well being through a comprehensive continuum of services'.These statements unfortunately would mean different things to different people, which is precisely the case.Currently the hospital faces many problems that can be linked directly to this ambiguous mission statement.According to the CEO of the Faith foundation hospital "We've got some interesting interpretations of the mission statement being made in all our stakeholder groups".
Cheap University Papers on Critical Thinking Case Study: Let it Pour
One of those stakeholder groups is the Board of director's whose "diversity alone represents a kaleidoscope of thinking and decision-making."If the board of Director's is having trouble interpreting the mission statement, than how are others able to decipher it?Cleaning up the mission statement has to be one of the highest priorities.This is the major problem being faced by the hospital, and may directly or indirectly contribute to the other problems facing this hospital.
Solution #1
The solution to this issue is relatively simple.Simplify and clarify the mission statement.Replace misleading or ambiguous sentences with clear and concise wording.
The second major problem is that the hospital needs clear and concise definitions regarding procedures.These procedures fall into three main categories.Medical, Administrative and Religious.The first, Medical, would deal with the way current medical procedures are being performed.Some doctors and nursing staff feel it's necessary to create their own ways of doing things based on the current situation.The hospital has counselors treating patients without payment, or pro-bono.Medical procedures such as Do-Not-Resuscitate(DNR) need to be carefully monitored. On two occasions DNR orders were followed incorrectly.This needs to be an iron clad policy, with no wavering or on-site interpretations by the attending medical staff. This will need to be looked at by the legal staff.Another issue that has come from a lack of structured policy is the ordering of unnecessary tests for the terminally ill.Any ordering of tests needs to be checked for validity.
The second category of procedures, administrative, would include current administrative guidelines such as insurance coverage.One of the pharmacists is accepting prescription payments on an installment basis.Is there a policy in place regarding this?Another administrative procedure that needs clarifying is whether the hospital gives care if insurance coverage has not been confirmed first.As the CEO puts it "All we need is for someone to die because we didn't service him or her!"
Solution administrative
A decision needs to be made, do we accept prescription payments on an installment basis.The answer is yes. It is better to be paid slowly than not at all.An installment plan can be structured to allow for interest or finance charges to help offset any added costs.As to the question of whether care can be given to those whose insurance has been verified?If the injury is deemed to be life threatening of course any medical procedures will be performed without the need to wait for the paperwork to be filed. If an injury or medical condition is deemed to be non life threatening, than insurance coverage can be verified before treatment is performed. The verification process could be as simple as a phone call to the insurance provider.This can be done while the patient waits for medical personnel to treat them.
The third would be religion.What is the policy regarding religious beliefs?Can a patient refuse treatment or a Doctor withholdtreatment based on religious convictions?Do Not Resusitate?
We need a more uniform coverage definition form the HMO's and PPO's etc.There is too much difference between who gets covered, for how much and how the hospital gets paid.
SolutionThere needs to be uniform payment terms put in place. All insurance companies must comply. Etc.
4Lowering costs.Average cost per patient up from 17 to 40.Costs go up every year that is a basic inevitability.Only 8% of the costs are fixed.Need to increase patient populations.
SolutionAdvertise,work with HMO's PPO's to become hospital of choice, become a preferred hospital.Look for ways to become more efficient.
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