Mandatory Discussion Questions

Mandatory Discussion Questions

MandatoryDiscussion Questions

MandatoryDiscussion Questions

Scenario1:

Question1

ABC’sproblems can be attributed to the lack of funds to financedevelopment and its failure to deliver up-to-date services. Theseproblems can be addressed using two strategies. First, the financialchallenge can be addressed by negotiating with providers of insuranceprograms. This is because dwindling of reimbursements can beattributed to the failure by the insurance companies and federalprograms (such as Medicaid) to reimburse the hospital in time for theservices it renders to its clients (Cunningham, 2009). Secondly, ABCshould buy the latest machines to improve the quality and efficiencyof its services.

Question2

Thefirst advantage of the first strategy (negotiating with insurancefirms) is that ABC will be able to maintain sustainable relationshipswith reliable insurers only. Although refusing to accept insuranceplans from unreliable firms will eliminate unprofitablerelationships, the hospital is likely to lose clients who are insuredby those insurance firms (Cunningham, 2009). The second strategy ofadopting the latest technology is beneficial in that ABC will be ableto offer services at an equivalent or even high quality andefficiency to the new and large hospitals. However, this is anexpensive strategy to implement.

Scenario2

Question1

Theissue of a decline in the quality of care and customer satisfactionat XYZ can be addressed using two strategies. First, XYZ can adoptmodern technology that will increase efficiency in service deliveryamidst the shortage of staff. For example, an electronic healthrecords system reduces the number of staff required to serve clients,which reduce the negative effects of staff shortage (Silow-Carroll,2012). Secondly, XYZ can adopt a more convenient staff schedulingplan (such as the 12-hour shift plan) that allow hospitals to havemore staff during peak and less staff during low periods (Amenodola,2012).

Question2

Usingtechnology (such as EHR) to replace retrenched employees can improvethe quality since machines are more accurate than human beings. Forexample, EMR, reduce medical errors, which reduce the risk of givingthe wrong medication (Weinfield, 2012). Using effective shift planscan improve quality by facilitating a fair distribution of staffduring the operational hours. This means that the hospital willallocate more staff when it expects more clients and less employeeswhen it expects less clients, which will reduce staff overload it anygiven time (Amenodola, 2012). Controlling staff overload will reducethe risk of giving the wrong medication.

References

Amenodola,K. (2012). Ten hour shifts offer cost savings and other benefits tolaw enforcement agencies. NationalInstitute of Justice.Retrieved September 5, 2015, fromhttp://www.nij.gov/topics/law-enforcement/officer-safety/stress-fatigue/pages/shift-work.aspx

Cunningham,P. (2009). Do reimbursement delays discourage Medicaid participationby physicians? HealthAffairs,28 (1), 17-28.

Silow-Carroll,S. (2012). Usingelectronic health records to improve quality and efficiency: Theexperiences of leading hospitals.New York, NY: The Commonwealth Fund.

Weinfield,J. (2012). Electronic health records improve the quality of care inunderserved populations: A literature review. Journalof Health Care for Poor Underserved,3, 136-153.