Middleville Regional Health Care is one (1) of three (3) hospitals serving a community of
350,000 people. Summary statistics on Middleville and its competitors, from the AHA Guide, are
shown below in Table 1. All three organizations are not-for-profit.
Table 1: Middleville, Brierfield, and Greystone Health Care Systems
Beds Admissions Census OP
The governing board of Middleville hired a consulting company to evaluate its strategic
performance, specifically in the areas of Human Resources, Information Technology, Financing,
and Marketing. As part of the consultant’s evaluation, several leaders of Middleville’s units were
asked their perspective of the organization’s performance.
You are working for the consultant. Your job is to identify the issues from the response that
should be considered further by the consultant team and possibly discussed with the governing
board and the CEO. The firm has a rule, “Never offer a criticism or negative finding without
suggesting how the client organization can correct it,” so you must indicate what sort of
correction you would recommend as part of your list. Because you know there were about two
(2) dozen other interviews, you decide you should rank your issues in importance, to make sure
the most critical are discussed.
Write a six to eight (6-8) page paper in which you:
1. Explain the governing board’s role in these strategic initiatives, determining its
responsibility and involvement.
2. Evidence-based management means that operational and strategic decisions are made
based upon the evidence that goals and objectives are actually being met. Quantitative
measurements must be identified and measured. This data is then used to evaluate the
HCO’s performance. Name three (3) performances Middleville can use to measure its
success in providing quality healthcare to the community, and identify quantifiable,
measureable indicators that can be used to do so. Explain the importance of each
3. Given the statistics of Middleville and its two (2) competitors provided in Table 1,
recommend to the HCO what areas it should focus on to maintain its competitive market
share as well as continue to provide healthcare to the community in the 21st century.
4. Some of Middleville’s Board members are very interested in pursuing advanced
technology systems over the next five (5) years, while others are concerned about the
enormous expense and need assurance that the investment in technology will be
worthwhile. In both monetary and process terms, describe the costs and benefits
associated with implementing EMR and associated health data systems. Lay out a plan
for how various systems can be implemented.
5. Middleville has faced many challenges in recruiting and retaining nurses and other
clinical employees. The economy has hit the area very hard and budgetary limitations
have reduced the amount of money available for salary increases. The Board knows it
needs to provide other benefits to their valued employees. Provide at least two (2)
suggestions to Human Resources to promote employee satisfaction and, therefore, retain
6. Use at least three (3) quality resources in this assignment. Note: Wikipedia and similar
Websites do not qualify as quality resources.
The specific course learning outcomes associated with this assignment are:
Examine how healthcare management concepts and theories are applied to critical issues in
Analyze the critical management issues, purpose, functions, and performance measures of
different departments within healthcare organizations.
Explain how public policy has shaped the development of the U.S. healthcare system.
Use technology and information resources to research issues in health services organization
Write clearly and concisely about health services organization management using proper writing
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