Description
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
Name | Beds | Admissions | Census | OP Visits | Births | Expenses (000) | Personnel |
Middleville | 575 | 13,000 | 350 | 221,000 | 2,300 | $125,000 | 2,000 |
Brierfield | 380 | 17,000 | 260 | 175,000 | 1,200 | $130,000 | 1,875 |
Greystone | 350 | 10,000 | 180 | 40,000 | 900 | $80,000 | 1,200 |
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:
- Explain the governing board’s role in these strategic initiatives, determining its responsibility and involvement.
- 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 performance measurement.
- 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.
- 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.
- 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 experienced personnel.
- Use at least three (3) quality resources in this assignment. Note: Wikipedia and similar Websites do not qualify as quality resources.
- Format your assignment according to the following formatting requirements:
a. Typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides.
b. Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page is not included in the required page length.
c. Include a reference page. Citations and references must follow APA format. The reference page is not included in the required page length.
The specific course learning outcomes associated with this assignment are:
- Examine how healthcare management concepts and theories are applied to critical issues in healthcare organizations.
- 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 management.
- Write clearly and concisely about health services organization management using proper writing mechanics.

Explanation & Answer

Attached.
Running head: EVALUATION OF MIDDLEVILLE’S STRATEGIC PERFORMANCE
Evaluation of Middleville’s Strategic Performance
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EVALUATION OF MIDDLEVILLE’S STRATEGIC PERFORMANCE
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Evaluation of Middleville’s strategic performance
The role of the governing board in strategic initiatives
Not-for-profit healthcare facilities are often administrated by a governing body. This
body constitutes the board of directors, and whose primary duty is to help develop the healthcare
facilities strategic goals and create paths that the facilities should follow in order to realize these
goals. There are various strategic initiatives in a facility such as Middleville. Some of these
initiatives include the development of goals and objectives that are necessary for facilitating
organizational growth and future sustainability. At the same time, strategic initiatives are meant
to ensure that, even while focusing on the growth of the organization, resources are put to the
best use and all stakeholders such as the community and the patients realize the expected
benefits. In fact, strategic initiatives are incomplete if a change process is not managed
appropriately (Thompson, Scott & Martin, 2017). In this case, an organization such as
Middleville needs to transform gradually based on the changes in the operating environment and
the needs of the community that it serves. There are various government regulations that all
healthcare providers should adhere to. As such, all the strategic initiatives should be aligned with
these policies and the necessary changes implemented relative to changes in various factors such
as the policies and financial state.
In Middleville, the governing body has a number of responsibilities towards the running
of the organization. One of these is developing the strategic goals and objectives. Notably, these
are important in shaping the future of the facility as well as the guiding it towards sustainable
operations. With the support of the management staff, it is then possible to understand the past
trends in the performance of the organization, the needs within the community, and strategic
EVALUATION OF MIDDLEVILLE’S STRATEGIC PERFORMANCE
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position of the organization relative to both the market and the competitors. This way, it is then
possible to forecast the future trends and then set goals that are relevant to the organization.
The governing body does not just develop the strategic goals and objectives. Rather, it is
responsible for overseeing their implementation. According to The Conference Board of Canada
(2014), it is the duty of the governing body to provide the necessary environment for the
implementation of the strategic goals and their realization. This is because they are the decisionmakers. They control all the aspects of the organization ranging from funds allocation to other
critical de...
