Question 1 20 pts (TCO A) You are a healthcare consultant hired

Question 1 20 pts

(TCO A) You are a healthcare consultant hired by the Eastcoast Healthcare System to

assist in evaluating an organization’s strategic plan for the next 5 years. The plan will

shape the development of a comprehensive network of services for the community.

You’ve been asked to give a presentation to the board of directors on options for

restructuring the local delivery of healthcare services. The hospital’s president has

asked you to focus your presentation on the common elements of a comprehensive

delivery system and to highlight innovative methods to restructure. The presentation will

lay out the requirements of an integrated healthcare delivery system and include how

much emphasis should be placed on what types of primary, secondary, tertiary, longterm care, and palliative care services, and why?

Question 2 20 pts (TCO B) You are the newly hired Vice President of Human Resources for the Bayside Regional Health System. You have the responsibility for all of the usual human resources functions, including retention plans, the training and development function, and the recruitment process. In addition, you have the additional departments of volunteers and the hospital chaplaincy services. This study source was downloaded by 100000756386324 from CourseHero.com on 02-21-2022 16:50:49 GMT -06:00 https://www.coursehero.com/file/40730624/HSM541FinalExamQuestionsdocx/ You’ve identified a number of serious organizational issues. Turnover is high, there are many job vacancies, and a very high number of positions are considered hard-to-fill positions because of national workforce shortages. There are also a very high number of EEOC complaints over the past 5 years for an organization of this size. Employees were blunt in their criticisms of the organization and its management in an employee survey conducted just prior to your arrival. The board of directors and the president know that they have serious human resource issues. They understand that management practices have to change in order to compete in the local healthcare market as an employer of choice. As in any healthcare organization, fiscal resources are limited, but the board is firmly committed to investing in a well-developed human resources plan that will decrease the turnover and stem the ever-growing turnover and vacancy rates. The president has asked you to attend the next board of directors meeting to share your plan for addressing these serious issues. What will you tell them? Outline the focus of your presentation and include the issues you have identified, as well as the recommended strategies for turning this around.

Question 3 20 pts (TCO C) You are the administrator of a small nonprofit rural hospital. You have been approached by a large for-profit healthcare system located about 75 mi away for talks about a possible merger. You know that the for-profit system limits the amount of Medicare and Medicaid patients treated for economic reasons. These controversial decisions present not only a major breakdown in the healthcare delivery system but also in the financing of healthcare for many individuals in the United States. Discuss the pros and cons of becoming part of this urban system.

Question 4 20 pts (TCO D) As the executive director of a managed care company, you have been invited by Congress to consult about national healthcare reform. Public outcry for changes in managed care practices is ongoing, Congress is calling for reform, and medical providers are extremely frustrated with how you restrict care and offer low reimbursements. This study source was downloaded by 100000756386324 from CourseHero.com on 02-21-2022 16:50:49 GMT -06:00 https://www.coursehero.com/file/40730624/HSM541FinalExamQuestionsdocx/ Congress has asked you to discuss how the managed care industry can be overhauled to provide a more customer-responsive product and to control national healthcare costs. What are the high-priority issues that will need to be discussed to overhaul the managed care industry? What stakeholders must be considered in the planning process?

Question 5 40 pts (TCO E) You are the VP for human resources and have been charged to recommend a new healthcare benefits plan that will improve healthcare services for your employees but manage costs effectively. You employ approximately 1,800 employees, and the current health plan provides traditional healthcare services. You want to expand reimbursement for wellness and prevention services so that you can improve the health of your employees, thereby saving monies in your illness coverage, as well as nonproductive time in sick days. You are meeting with the VP for finance and the president of the health system this afternoon. Discuss the pros and cons expanding the prevention benefits of the health plan, and describe what services would be offered.

Question 6 40 pts (TCO F) You are the Corporate Vice President of Operations Management for PatientFirst Healthcare System, a nonprofit hospital with seven rural satellite hospitals located within 250 mi of each other. Your organization has just approved new monies for developing new quality management initiatives. The individual hospitals have implemented their own quality management programs with varying levels of success. Some of their programs demonstrate stellar results and high levels of patient satisfaction, although others have much less impressive results. Your focus as the corporate VP of operations is to implement a corporate quality improvement program that will be standard throughout the company’s hospitals. The plan must also be responsive to any local needs or issues. What will your quality plan entail? Specify what processes will be measured. Will it include JCAHO or another accreditation review? Why or why not? Finally, how will you measure the results?

Question 7 40 pts (TCO G) You’ve just been hired as the compliance officer for the newly formed Gulf Coast Healthcare System. Your new employer was formed by the joining of four healthcare organizations—three acute care organizations and one long-term care agency. Two of the organizations have a history of various governmental regulatory violations, as well as suspected fraudulent billing practices. You’ve been hired to form a corporate compliance program that includes electronic billing and medical records that is HIPAA compliant and will address all areas of compliance. This plan will not only clean up any issues from the past but will also position the new organization as an organization with an impeccable reputation for compliance. Articulate your vision for this plan and the components that are required for its success. How will you justify the expense associated with your plan? Keep in mind that you have a newly formed organization and differing organizational cultures.