Upper Hill Hospital Case Study

A. Executive Summary

Organization Description

A 485-bed medical center serving a diverse population.
General medical and surgical facility
Part of a larger academic system.

Organizational Design and Structure

Functional design: grouping of staff is based on tasks and function.
Benefits: quick decision making, easier communication and improved learning.
Drawbacks: difficulties in communication across groups.
Visible problems: difficulties in collaboration and slow project implementation

Physical Design and Structure

Occupies 8 floors covering
1^st floor: Cafeteria, Guest Services, Social Work, Emergency Room, Information, Admissions, and Gift Shop
2^nd floor: Gastrointestinal Lab, Heart Check America, Cardiology Labs, Nuclear Medicine, Short Stay Unit, Imaging, and Radiology.
3^rd floor: Pathology, Anesthesiology, Recovery Room, Surgicenter, and Surgery.
4^th floor: Obstetrician-Gynecologist, Neonatal Intensive Care Unit, Labor and Delivery, and Lactation Room
5^th floor: Children’s Hospital/Pediatric, Intensive Care Unit, Orthopaedics, Rehabilitation, and Sickle Cell Center
6^th floor: Medical/Surgical ICU, Neurology/Neurosurgery ICU, and Neuro/Cardiac Stepdown
7^th floor: GI/Liver Unit, Transplant/ICU, Dialysis, General Surgery, General Internal Medicine, Medical Step down, and Medical Oncology
8^th floor: Bone Marrow/Stem Cell, Surgical Oncology, Adult/Clinical Psychiatry, Psychiatry Research, and Adolescent Psychiatry

MVV and SOAR

Mission: In collaboration with our academic partners, our mission is to advance healthcare to improve the health of our patients and communities, promote health equity and develop the next generations of healthcare leaders.
Vision: Our vision is to be the preeminent healthcare provider known for improving the health and wellness of our communities, providing exemplary care for our patients and advancing the knowledge to do so.
Values: Compassion, accountability, respect, and excellence.
Strategic issues: diversity, patient-centered care, changes to Medicare and Medicaid

Environment Assessment

Demographics: increasing diversity of patients due to immigration, causes language barriers
Political: Uncertainty over legislations such as the Affordable Care Act
Economic: Increase in income inequality impacts affordability of care
Immediate healthcare environment: About 10 institutions. The larger urban environment is saturated with multiple hospitals
Strategic plan: Primarily offers patient-centered care while aligning practices with changes in healthcare payment and delivery systems
Current issues: Implementing an assessments of needs plan dating back to 2016.

Culture

Upper Hill Hospital’s culture is closely tied to its mission, vision and values. The mission, vision, and values are prominently displayed throughout the organization, offering the staff and visitors a constant view into what the organization stands for and seeks to achieve.
The center’s culture is identified by a commitment to delivering quality care and maintain strong close relations among the various stakeholders. The alignment between the culture and the mission, vision, and values helps the hospital to work towards the common goal.

Committe/Teams/Communication

Committees:
- Audit and Risk Committee
- Emergency Executive Committee
- Main Tender Board
- Executive Committee
- Finance Committee
- Human Resources Committee
- Public Complaints Committee
- Supporting Services Development Committee
- Staff Appeals Committee

Communication

The hospital has an information strategy to track and report progress on various aspects of its operations and strategy.
Use of nursing informatics function
Data currently being monitored is limited due to the limitations of the information strategy at the hospital.

Decision Making

Hospital uses a top-down approach to decision making.
Main benefit: quicker decisions,
Challenges: Input from staff and other stakeholders overlooked

Leadership Styles

Mix of leadership styles in the hospital
Top leadership identity with the transactional approach to leadership
Lower-level leaders are largely transformational
Transformational style more welcomed by staff.

Change Assessment

Hospital is constantly changing
Created the Health Policy and Strategy Unit to help respond to change
Areas of focus include payment and healthcare delivery systems

Learning Organization Assessment

Magnet designated learning
Interprofessional Development and Collaborative Practice unit seeks to foster development of expertise and delivery systems at the hospital

B. Personal Reflection

The study has provided a picture of an organization that is striving to align its practices with its strategy amid challenges in the internal and external environment. The functional design embraced by the hospital leads to faster decision making, improved learning among the people in the same unit, and easier communication due to a similar skill set (Burns, Bradley, & Weiner, 2011). The values embraced by the staff suggest that the hospital is working together to achieve the common goal stated in the mission and vision. I believe that the hospital’s priorities involve delivering quality care services. This belief is based on the observation that the practices of the hospital focus on the quality of care and the relationships between the hospital and its clients. The major wicked problem I found regards the cost of care. The hospital does not give sufficient attention to this issue although it forms an important element of its culture. The tendency to overlook this aspect of healthcare indicates that the hospital might be locking out a significant section of the population with financial difficulties.

The analysis has provided me with important insights on the key areas that I need to improve as a member of the organization. I should participate more in decision making because it indicates a positive step towards helping improve the hospital (Meslin 2010). The state of communication across the organization is inadequate and requires significant changes to reach adequate levels. I believe that if I play my part then I might influence other members of the hospital to play their part in enhancing communication and ultimately the quality of care provided. Acting as an example will help me leverage the benefits of transformational leadership outlined by Bass and Riggio (2006) to advocate for change towards best practices. I think I will be most useful to the hospital in ensuring effective use of informatics to improve the services. I will combine my knowledge in information technology and nursing to help develop an informatics program that helps the hospital to achieve greater success.

In addition to helping solve the problem of communication, I will contribute towards enhancing collecting data and reporting information across the organization and to external entities. I am convinced that nursing informatics has the potential to significantly improve various aspects of the center and help it meet its goals. Accordingly, I will work in this area to help deliver an informatics program that meets the needs of the hospital.

References

Bass, B. M., & Riggio, R. E. (2006). Transformational leadership. Psychology Press.

Burns, L., Bradley, E., & Weiner, B. (2011). Shortell and Kaluzny’s healthcare management: organization design and behavior. Cengage Learning.

Meslin, E. M. (2010). The value of using top-down and bottom-up approaches for building trust and transparency in biobanking. Public Health Genomics, 13(4), 207-214.

Tan-McGrory, A., & Betancourt, J. (2014). Addressing language barriers and improving quality of transitions and discharge. Israel Journal of Health Policy Research, 3(1), 31.

Appendix

Upper Hill Hospital Organizational Chart

SWOT Analysis

Trend	Strengths/Weaknesses	Opportunities
Demographics	Strengths: Diverse staff Threats: Language barriers	Enhance diversity of staff
Political trends	Strengths: State support Threat: Uncertainty over Affordable Care Act	Influence the search for better care
Economical	Weakness: Affordability of care Limited resources Threats: Growing income inequality across the country may undermine the affordability of care	Partner with state agencies to offer more affordable care

Problem Statement

The purpose of this assignment is to identify an organizational problem to solve within your current workplace or industry and construct a problem statement that can be used as the basis for an action research project.

For this assignment, the first step is to identify an organizational problem to solve within your current workplace or industry. This is an opportunity for you to apply your learning while addressing a real-world problem.

Part of completing an action research project is clearly identifying and stating the organizational problem that needs to be resolved through the use of a problem statement. The problem statement must clearly articulate the single goal of the action research project. Use what you have learned in the Topic Materials to construct a problem statement for your action research project. Read and complete the “Writing a Problem Statement” handout to construct your problem statement. Submit the completed handout to your instructor.

Your problem statement will eventually become part of your final business proposal that will be submitted in Topic 8.

APA style is not required, but solid academic writing is expected.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. Problem StatementThe purpose of this assignment is to identify an organizational problem to solve within your current workplace or industry and construct a problem statement that can be used as the ba Assignment Help

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Discussion Board Forum Instructions

You will be required to write a thread of at least 400 words on the topic, complete with page references and specifics to document the response and submit it to the corresponding Discussion Board Forum. Proper English and grammar are required.

To complete your thread:

Topic: job satisfaction

Conduct an Internet search to find and read 3 recent articles that relate to job satisfaction.
Select the 1 article that you wish to discuss.
Submit a thread that contains the following information in the following format, using the headers so that you ensure that all aspects of the assignment are completed as required. Failure to follow these instructions will result in a point deductions.
1. Definition: Give a brief definition of the key term followed by the current APA reference for the term; this does not count in the 400-word requirement. The textbook should be used and cited for this portion of the assignment.
2. Summary: Give a brief summary of the selected article, in your own words. Remember when summarizing an article, one should cite properly.
3. Discussion:

i. Give a brief discussion of how the article relates to the selected chapter key term. This gives you the opportunity to add value to the discussion by sharing your experiences, thoughts, and opinions. Draw your peers into a discussion of topics by asking questions. This is the most important part of the thread.

ii. Biblical Integration: Use at least one appropriate scripture verse or narrative from the Bible to support your discussion and use it in proper context. Are there any Biblical examples of this term, is the term you are responding to related to a term you researched, if so, how?

iii. Each reference and article must be in current APA format. These do not count toward the 400-word requirement.

Threads are due by 11:59 p.m. (ET) on Monday of the assigned module/week.

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Topic Selection and Reference Identification for Final Paper

For this assignment, you are being asked to select a topic (identified below) and identify 5 peer-reviewed journal articles related to this topic. Throughout the remainder of the course you will be asked to develop an outline of your paper and then to write a 5 page paper in week 8.

This assignment will be useful to you throughout your career. You will engage in library research and critical thinking, skills that you will use in everyday life.

What topic do you want to study in more detail? organizational behavior: generational similiarities and differences
List 5 peer-reviewed journal articles you want to read to write your research paper. Use the library research guides for locating resources: http://libguides.excelsior.edu.vlib.excelsior.edu/human-resources (Links to an external site.)Links to an external site.. Cite these sources in APA format.
Outline what you would say to a company President about the need to consider this topic for her/his organization.

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if anyone has completed the assessment on corporate governance involving a case study on The Stake Pty Limited I was wondering if i can get help with this question? i have no idea on how to set it up or what exact information i should use. The teaching staff said use point form or flow chart.

As the Liquidator you are required to present in a simpler format perhaps using some diagram to better and more easily explain the factual situation of The Stakeholder Pty. Limited insolvency to an audience of unsecured creditors and unpaid employees of the company interested in when the company was insolvent and who may be personally liable.

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Affinity Diagram and Root Cause Analysis

The purpose of this assignment is to use an affinity diagram to brainstorm and identify root causes of the organizational problem and potential solutions for addressing it.

Now that you have identified the basic problem you want to resolve within your organization, you will need to think about root causes for the problem. Read the Topic Materials and the “Brainstorming With an Affinity Diagram” handout to help you narrow and specify the cause(s) for the problem.

Complete the affinity diagram action steps outlined on the “Brainstorming With an Affinity Diagram” handout, including the “Five Whys Root Causes Analysis.” This can be done using online mind mapping resources like those found in the Topic Materials, by using post-it notes, or through the use of Excel or Word documents and tables. When constructing the affinity diagram, be sure to complete all six steps described on the handout. You will reference these root causes

APA style is not required, but solid academic writing is expected.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Topic: Communicationpart 1You have to negotiate a contract with a businessperson from France. How will you approach them? How does the French communication pattern and listening habit differ from your Assignment Help

Topic: Communication

part 1

You have to negotiate a contract with a businessperson from France. How will you approach them? How does the French communication pattern and listening habit differ from your own culture?

Cite reference apa format. Minimum words is 250.

part 2

Where does your culture belong on Richard Lewis’s model? Do you agree with that assessment? What did you learn about your own communication patterns? How will this change the way you interact with your classmates? Does it explain some miscommunications in the past? Cite specific examples.

cite reference in apa format. Minimum words is 250. Topic: Communicationpart 1You have to negotiate a contract with a businessperson from France. How will you approach them? How does the French communication pattern and listening habit differ from your Assignment Help

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The Case for Incentivising Health Using Behavioral Economics comes from Australia, but the challenges of combating chronic disease there are similar to (if not worse than) the challenges present in the United States. Read the case carefully and consider the list of behavioral economic cues listed in the executive summary (page 7 of 32). Which of these do you consider to be most impactful in terms of changing healthcare behaviors of the patient? Which of them would you most readily respond to as a patient? Which are most likely to be adopted by providers and insurance companies?

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Problem 6. Your firm is thinking of buying an office building in Bangkok, and selling it in one year.

You plan to finance this using a two-year loan from a Chinese bank, in Chinese yuan. The interest rate on the loan is 7% per year. You believe that it is appropriate to use the interest rate on this loan as the discount rate for the project. There are no taxes involved in this transaction.

You assemble some cash flow and exchange rate projections as follows:

Year 0 Year 2

Purchase / sale of office building (THB) 30 million 40 million

Expected Thai baht exchange rate 30 THB per EUR 33 THB per EUR

Expected Chinese yuan exchange rate 4 CNY per EUR 3.8 CNY per EUR

Your boss asks you to calculate the net present value (NPV) of this transaction. In order to present the analysis to the head office in Paris, the NPV needs to be calculated in EUR terms.

a. Please calculate the net present value of the transaction above in EUR terms. Should you proceed with this project?

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Copy and paste the following questions into a Microsoft Word document. Answer each question with a minimum of two to three (2-3) sentences. Some questions will require substantially more than that to fully respond to the prompt. Be thorough when addressing each item and make sure you answer each part of the prompt. Please Answer ALL the questions.

What is a budget?

What are the (six) benefits of having a budget?

What is a master budget? Describe its components.

What is a static planning budget?

What is a flexible budget?

How does a flexible budget differ from a static planning budget?

What are three reasons that actual results may differ from what had been budgeted for at the beginning of a period?

How does a flexible budget account for these variances?

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