Preview

Healthcare Case Study

Powerful Essays
Open Document
Open Document
2840 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Healthcare Case Study
The Liberty Medical Group (A) 1. Prepare a brief situational analysis of LMF for Dr. Townsend, identifying at least 3 internal issues and 3 external issue/competitive issues that are affecting LMF.
Liberty Medical Foundation, which includes Liberty Medical Group (LMG) and Liberty Medical Plan (LMP), is a physician-centered, group-practiced health maintenance organization. Liberty was one of the first organizations to embrace “evidence-based” medicine, whereby an effort was made to identify best practices and develop standardized protocols for applying them, limiting the need for unnecessary tests and procedures. Liberty also invested in education and information about “home treatment” to aid minor illnesses and injuries to begin treatment without the need of a physician. However, although Liberty had managed to successfully survive with this structure, the medical setting and patient satisfaction had begun to negatively impact LMF both internally and externally.
Among the internal factors LMF currently faced was the recruiting of new physicians. Before Dr. Townsend was appointed as the new CEO of the organization, a few changes in policy caused a decline in the comfortability of the LMG physicians. These changes shifted the way in which health care was delivered to a team based system that heavily relied on NP’s, PT’s, health educators and support staff which meant less Physician-Patient interaction. This new policy also brought about a change in the way physicians were being compensated. With the new policy in place, physicians were given two options; they were required to either increase their workweek by half a day with no pay increase or they could have accepted a decrease in their current salary. These policy changes obviously created a negative impact on the physicians of the organization, which demonstrated that the executive staff was “isolated” from the realities of the daily medical practices. Another internal issue affecting the organization was

You May Also Find These Documents Helpful

  • Better Essays

    References: Robert Wood Johnson Foundation. (2010). The Future Of Nursing Leading Change, Advancing Health. Institute of Medicine Report, 85.…

    • 1184 Words
    • 5 Pages
    Better Essays
  • Good Essays

    Human Services Case Study

    • 763 Words
    • 4 Pages

    primary motivation behind this paper is to go about as the division chief and apply the moral and good choices on one of the businesses Deanna who takes mitigating medications home her own utilization. The paper examines diverse moral and good choices on the accessibility of human services office, and techniques and conventions about the taking care of, putting away and observing of medications. Systems and conventions are essential to raise a society that backings sheltered, powerful patient care and procurement of a sound workplace. Strategies and conventions ought to be produced to guarantee safe taking care of, putting away, and precise checking and also administering of prescription (Association of New Jersey, 2007).…

    • 763 Words
    • 4 Pages
    Good Essays
  • Good Essays

    One of the key success factors for reengineering in health care is the ability of the nursing leader or manager to redefine their organizations in terms of process. Health care reengineering is a powerful practice that helps organizations reorder priorities, provide more cost-effective care, and increase value to patients. Reengineering is not a solution, it is a critical core competency and essential skill for health care organizations if they are to succeed under managed care in future. Therefore in order for reengineering to be effective a nurse leader or manager must play a vital part in the process. They must combine strong leadership with clinical expertise and good business sense in order to be effective. Nursing leader must use the skills acquired to enhance to allocate resources for the benefit of patient care.…

    • 255 Words
    • 2 Pages
    Good Essays
  • Good Essays

    With the many regulatory changes and uncertainties occurring in the health care industry at this time, the requirements for physician practices are overwhelming. The new criteria for value-based payments places a huge reporting burden on practices. Our organization is transitioning to the patient-centered medical home (PCMH) model and is currently in the process of obtaining certification from the National Committee for Quality Assurance (NCQA). This requires buy-in and understanding from all providers and staff. Providers feel frustrated and burned out while the support staff is over-burdened in an already under-staffed environment.…

    • 406 Words
    • 2 Pages
    Good Essays
  • Better Essays

    All Americans regardless of their economic standing in the community deserve access to essential and quality preventative, and primary healthcare. Those Americans who currently fall under the “publicly insured” category (Medicaid), and the medically uninsured, are at similar risk for delayed or non-existent required medical care. Establishing a free, 24 hour accessible Shelby County Primary Care Clinic would eliminate patient medical care delay, and result in large scale overall savings in projected annual medical care costs. (So You Want to Start a Health Center?, 2011)…

    • 854 Words
    • 4 Pages
    Better Essays
  • Good Essays

    Managed Care Case Study

    • 792 Words
    • 4 Pages

    For the past several years, the health care and insurance industries in America have been undergoing significant reform in order to rein in the high cost of delivering health care services. Managed care has become a cornerstone of this process (Strickland, 1995). The case management industry (with its focus on cost containment, managed competition, and quality care) is playing an increasingly important role in the managed care environment (Owens, 1996). According to Mullahy (1995a), the number of case managers has risen astronomically in recent years. These individuals come from diverse professional backgrounds and practice settings that include nursing, rehabilitation counseling, and social work.…

    • 792 Words
    • 4 Pages
    Good Essays
  • Satisfactory Essays

    It is important for Australian healthcare to ensure that we are in trend with international countries and delivering consistently favorable health outcomes for all Australians. Developing countries are experiencing a significant growth in their middle classes whilst emerging and developed nations are ageing which in turn is driving up the demand for healthcare (PWC global 2017).…

    • 211 Words
    • 1 Page
    Satisfactory Essays
  • Satisfactory Essays

    FAMILY – A Family is my learning center for life and our shelter in times of storms and problems.…

    • 815 Words
    • 4 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Health Information Management Director would oversee the departmental Health Information Management (HIM) functions and processes at client engagements. They would Partner with the Executive Leadership team at client facilities to develop process improvement plans as necessary and implement processes, technology and procedures to deliver requested outcomes. They have to participate on all applicable committees and professional organizations and maintain personal and professional education and growth. Our client will reimburse you for one credential due annually. They would lead the ongoing development, interviewing, hiring and training of the HIM staff. They need to perform corrective actions when necessary. They have to develop strategic/tactical plans for the HIM Department. They would write and updates policies and procedures as needed. They need to participate in the client referral program with incentive opportunities for cross-selling business in client accounts and ensure compliance with state and JCHAO regulations. They have to support our client's Compliance Program by demonstrating adherence to all relevant compliance policies and procedures as evidenced by in-service attendance and daily practice; notifying management when there is a compliance concern or incident; demonstrating knowledge of HIPAA Privacy and Security Regulations as evidenced by appropriate handling of patient information; promoting confidentiality and using discretion when handling patient information.…

    • 267 Words
    • 2 Pages
    Satisfactory Essays
  • Powerful Essays

    My current practicum at the Johnson Unit of Sacred Heart Medical Center while enrolled in the Portland State University Masters in Social Work Program has been, thus far, a rewarding and enriching experience. The focus of this paper will be my observations of the Unit and will overlay the information from readings and presentations from classes. I will develop concepts that I think could be useful if integrated into the behavioral health service delivery system of SHMC and the Johnson Unit.…

    • 1875 Words
    • 8 Pages
    Powerful Essays
  • Satisfactory Essays

    Clinician Case Study

    • 284 Words
    • 2 Pages

    Why is it important that if the client knows that someone is being hurt that she and the client make the phone call to the appropriate people?…

    • 284 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    The state insurance options include both Health Maintenance Organizations (HMOs) and Preferred Provider Organizations (PPOs). In 2015, the total enrollment in Colorado’s forty-four HMOs was 839,754 (Kaiser Family Foundation, 2016). In December 2015, the total enrollment for Medicaid and CHP+ combined was 1,315,144 (Kaiser Family Foundation, 2016). The CHP+ focuses on providing quality care in preventative services, acute services, and services for chronic illness (Kempe, Beaty, Englund, Roark, Hester, & Steiner 2000). The PPACA mandate requires that all individuals be enrolled in some type of insurance plan or face penalties. Despite expanding access to healthcare insurance, access is now inadequate because healthcare resources…

    • 650 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    A. Pacific Healthcare could continue to utilize Kodak as its single source provider. The obvious advantages of staying with Kodak would be that there would be no decline in quality or service delays. An important disadvantage is that with Kodak priced much higher than the competition, there would be minimal opportunities to save on material costs.…

    • 785 Words
    • 4 Pages
    Powerful Essays
  • Satisfactory Essays

    It may be possible to increase both quality and output without adding cost because in the health care field the physicians can increase their quality by insurance the best care to their patients. Although it may be challenging to increase the quality it can cause them to loose output if they were to cut costs. "We can't reduce costs without adversely affecting quality," or, "We can't cut costs without losing output" (McConnell, 2015). According to McConnell, there is room for improvement in most human activities, and it is often possible to increase both quality and output.…

    • 184 Words
    • 1 Page
    Satisfactory Essays
  • Better Essays

    The National health institute (NHI) of South Africa is a financing system of health, which was designed to find or create funding in order to provide access to affordable personal health services of health services of quality for all South Africans. The type of health care needs catered for is regardless of socio economic statuses of individuals. (World health organisation, 2007).…

    • 1607 Words
    • 7 Pages
    Better Essays