Mod 2 CASE. Organizational Structures and Functions

Module 2 - Case
ORGANIZATIONAL STRUCTURES AND FUNCTIONS
Golden Age Hospital (GAH)Assignment ExpectationsAs stated in the course and modular outcomes, you are expected to demonstratecritical thinking and a solid analytical and theoretical knowledge of all previouscourses in the program.Furthermore, emphasis should be inputted on applying what you already know tothe task of developing an individual project that reflects synthesis, integration, andreal-life application (action plans).As the environment is of a real-life project team, you will be assessed as to howwell you present your work to your company and peers (writing andpresentations).Feedback and comments from your instructor and peers should be implementedand early recommendations adjusted accordingly.General Background1. The Mission Viejo Medical Center (in the city of Mission Viejo, California)comprises two geographically adjacent institutions:a. Mission Hospital Regional Medical Center: MissionHospital Regional Medical Center, andb. Children's Hospital at Mission (CHM): Children'sHospital at Mission (CHM) https://www.choc.org/chocchildrens-mission-hospital/2. The two hospitals serve -- within less than a 10-mile radius -- the populationsof the following nine municipalities: Aliso Viejo, Ladera Ranch, Laguna Hills,Laguna Niguel, Laguna Woods, Lake Forest, Mission Viejo, Rancho SantaMargarita, and San Juan Capistrano.Listen6/16/20, 9)41 PMhttps://tlc.trident.edu/content/enforced/143409-MHA599-2020JUN…SessionVal=uxbBXydc3SEQWmIdUTwjOUxSG&ou=143409&d2l_body_type=3 Page 2 of 93. Retirement Communities:a. The city of Laguna Woods(https://www.cityoflagunawoods.org/), is home to“Leisure World” (http://www.lagunawoodsvillage.com/),a retirement community of over 23,000 senior (55 yearsand above) residents.b. The city of Mission Viejo is home to “Casta Del Sol,” aretirement community of more than 3,000 senior (55years and above) residents.4. Following the example and success of integrating a special CHOC - children’shospital within the Mission Viejo Hospital, it is suggested for the purpose ofMHA599 only, that an additional new hospital wing be built, catering to thespecial needs of the senior population, to be named: “Golden Age Hospital(GAH)”.5. The “MHA599 Consulting Team (MHA599CT)” has been tasked to researchand develop a project feasibility plan for the future GAH.The Project1. Note: You do not need to be a physician or health care provider to completethis assignment. Address it through management lenses.2. As independent members of MHA599CT, you will each undertake this task andprepare said plan, following the modular guidelines and assignments.3. Each module will focus on different topics, building on your previous studiesand based on the background materials of the courses taken in both the MBAand MSHA disciplines.4. The assignments for each module will be prepared and presented to theMHA599CT management (your course instructor) as follows:a. Case – developing and writing a segment of the plan.b. SLP – preparing a boardroom PowerPoint Presentation(PPT) based on the case paper.c. Discussion – preparing an executive summary based onthe case paper, to be posted on the TD platform.Members of the Team (all students) will comment ontheir peers’ postings and be able to share informationand data for their own plan (see guidelines in the TDplatform).6/16/20, 9)41 PMhttps://tlc.trident.edu/content/enforced/143409-MHA599-2020JUN…SessionVal=uxbBXydc3SEQWmIdUTwjOUxSG&ou=143409&d2l_body_type=3 Page 3 of 95. The Case Assignments are the crux of the coursework, whereas the SLP andTD are its derivatives. Case papers should be at least 4-5 content pages long.6. You will prepare and submit the sectional/modular case papers for eachmodule, adding the preceding ones as you go (like chapters in a book); that is,in Module 2 you will combine and submit Case 1 and Case 2, and so on.7. You will make amends to each case paper per the feedback you will get fromyour instructor.8. Finally, at the end of the course, you will need to aggregate all chapters intoone comprehensive paper, as follows:a. Title page - to be submitted in Module 1.b. Background - to be submitted in Module 1.c. Market Research and Segmentation – to be submittedin Module 1.d. Organizational Structures and Functions – to besubmitted in Module 2.e. Finance and Budgeting – to be submitted in Module 3.f. Quality, Ethical, and IT Controls – to be submitted inModule 4.g. Conclusions and Recommendations – to besubmitted in and for all modules.Module 1 – Assignment - Market Research and Segmentation1. The External Environment - Data Gatheringi. Overall health statusii. Unique illnessesiii. Otheri. Types of institutions and clinics serving seniors (their size perpopulation served)ii. Types of special services provided for seniors and catering totheir needs.iii. Length-of-stay of seniors at various hospitals.iv. Otheri. Can be obtained from but not limited to: http://www.city-6/16/20, 9)41 PMhttps://tlc.trident.edu/content/enforced/143409-MHA599-2020JUN…SessionVal=uxbBXydc3SEQWmIdUTwjOUxSG&ou=143409&d2l_body_type=3 Page 4 of 9data.com/ii. Input the nine municipalities (one by one) in the search box.iii. Scroll through the various data sets, and glean the relevantinformation: Population, Gender, Age, Household income,Race, Other.iv. Consolidate all nine city data sets into one table, total whereappropriatea. Search the Web and gather relevant general informationregarding hospitals for seniors and direct data pertainingto the external environment of the proposed GAHb. The proposed points below are just “starter points” foryou to expound upon and add to as you see fit.c. Common medical conditions of seniors:d. Medical institutions for seniors:e. Local (Mission Viejo area) City demographics:2. Based on the data gathered and the general picture you have obtained, we willnow focus on direct market research and segmentation of the seniorcommunity in the Mission Viejo area.3. In order to do so, you will need to define/address the following points:a. Who are your target market subjects?b. Where are they located?c. What special needs do they require?d. What special medical/health services do they wish toget?e. What type of physician specialization would they like tohave?f. Locations: Do they prefer a single medical center (MC)hospital location, or do they prefer a medical center(MC) hospital and a community clinic (CC)?g. Other.4. Survey Questionnaire:a. Complete the following proposed survey table – column A, thatyou plan to use in order to obtain the preferences and6/16/20, 9)41 PMhttps://tlc.trident.edu/content/enforced/143409-MHA599-2020JUN…SessionVal=uxbBXydc3SEQWmIdUTwjOUxSG&ou=143409&d2l_body_type=3 Page 5 of 9perceptions of the seniors of your target segment, assumen=500. (Click the link to access the GAH Project tables.)b. Your instructor will comment on your table and fill out column B(the average response score of the 500 subjects) in hisfeedback to you, on the basis of which you will be able tofurther develop your project plan.Module 2 – Assignment - Organizational Structures and Functions1. Based on the data gathered, the general picture you have obtained, and theresults of the survey (as returned to you by your instructor), you will now focuson the organizational structure and functions for the proposed GAH andCommunity Clinic.2. In order to do so, you will need to define/address the following points:i. Note what common services or functions they can share (e.g.,blood bank and laboratory services, shared operating rooms,pharmacy, etc.)ii. Explain the organizational relationships between the structureblocks.i. How (if appropriate) will you integrate the services ofphysicians whose specialty is in geriatric treatment within theGAH /CC?ii. Address the management aspects, not the clinical ones.iii. You can choose and explain one of the organizational formsdetailed in the following article: Cuellara, A. E. & Gertlerb, P.J.(2006). Strategic integration of hospitals and physicians.Journal of Health Economics. Volume 25, Issue 1, January2006, Pages 1-28. Retrieved from the Trident online Library.a. Define the mission statement for the GAH andCommunity Clinic.b. Prepare a simple organizational diagram, depicting theorganizational structure (blocks) of the existing MissionHospital (MVH), Children’s Hospital (CHOC), and theproposed Golden Age Hospital (GAH), and thecommunity clinic (CC)c. What is the recommended hospital size (number ofbeds)?6/16/20, 9)41 PMhttps://tlc.trident.edu/content/enforced/143409-MHA599-2020JUN…SessionVal=uxbBXydc3SEQWmIdUTwjOUxSG&ou=143409&d2l_body_type=3 Page 6 of 9d. What major services/treatments will be offered based onyour survey results at the GAH and the CC? At leastsix detailed services/treatments are required.e. Physician–Hospital integration:3. Conclusions and Recommendations.Module 3 – Assignment - Finance and Budgeting1. Based on your proposed organization and structure for the GAH and theCommunity Clinic, we will now focus on financing and budgeting issues.2. In order to do so, we will need to define the following requirements andassumptions:a. Cost of facility construction, initial medical equipment,and instrumentation, will not be calculated – as they willbe fully paid by the state as a grant.b. All senior patients will be above the age of 65, and willhave only the Federal Medicare health insurance.Research the major constructs of Medicare healthcoverage as defined by the “Medicare ProspectivePayment System.”c. The hospital and clinic will be financially balanced, thatis, income from Medicare payments will cover in full alloperating costs.3. “Medicare Prospective Payment System”a. The hospital is reimbursed by the government perprocedure and/or treatment by a predefined sum andnot by the actual expenses performed for and on aparticular patient.b. For example – a patient requiring open heart surgerywill utilize the services of physicians, nurses, OR,laboratory, pharmacy, and occupies a hospital bed onaverage for six days. If a certain patient is dischargedafter four days, the hospital will still be paid the six-dayamount. Hence, the incentive to operate efficiently andeffectively, enabling the hospital to “save money.”4. Based on the services you have decided to provide - at least six, complete thetable (GAH Project):6/16/20, 9)41 PMhttps://tlc.trident.edu/content/enforced/143409-MHA599-2020JUN…SessionVal=uxbBXydc3SEQWmIdUTwjOUxSG&ou=143409&d2l_body_type=3 Page 7 of 9a. Input services/treatments in column A.b. Input estimated and rounded Medicare reimbursementto GAH (in thousands of dollars) for each treatment incolumn B (assign for each a figure between $10,000 to$60,000).c. Your instructor has inputted the projected number ofprocedures/treatments performed annually at GAH incolumn C.d. Calculate the total income for GAH by multiplyingcolumns B*C in column D.e. Your instructor has inputted the GAH ProjectedPerformance percentage, relative to the Federalstandard (100%) in column E.f. Calculate the total GAH gain or loss by D-(D*E) incolumn F.5. Assume a $250,000 annual miscellaneous expense.6. Prepare (based on the table), a forecast of profit or loss for GAH for the firstyear of operation.7. Conclusions and Recommendations.8. Your instructor will comment on your table in his feedback to you, on the basisof which you will be able to further develop your project plan.Module 4 – Assignment - Quality, Ethical, and IT Controls1. Based on your proposed organization and structure for the GAH and theCommunity Clinic, we will now focus on additional aspects pertaining to:2. Quality control and Accreditation:a. Define at least five core organizational competenciesand functions for the new organization, and define agoal/objective for them.b. Propose a control method/score board to beimplemented in the new organization to ensure that saidcore competencies and functions are meeting theirgoals and objectives.c. Assume that the new Hospital will seek JCAHOaccreditation. What major competencies will this require6/16/20, 9)41 PMhttps://tlc.trident.edu/content/enforced/143409-MHA599-2020JUN…SessionVal=uxbBXydc3SEQWmIdUTwjOUxSG&ou=143409&d2l_body_type=3 Page 8 of 9from management and staff?3. Ethical Issues - HIPAAa. The Health Insurance Portability and Accountability Actof 1996 (HIPAA, Title II) required the Department ofHealth and Human Services (HHS) to establish nationalstandards for electronic health care transactions andnational identifiers for providers, health plans, andemployers. It also addressed the security and privacy ofhealth data. As the industry adopts these standards forthe efficiency and effectiveness of the nation'shealthcare system, the use of electronic datainterchange will improve.b. Review CMS (2016). HIPAA basics for providers:Security, and breach notification rules. Retrieved from:https://www.cms.gov/Outreach-andEducation/Medicare-Learning-NetworkMLN/MLNProducts/Downloads/HIPAAPrivacyandSecurity.pdf4. IT Systemsa. Based on your proposed project’s organizationalstructure and the geographical locations of MissionHospital, Golden Age Hospital and the CommunityClinic, recommend the major components of an ITsystem that can best provide for the communicationneeds within and between the organization units.b. Identify and define your requirements from the systemsubject to the ethical requirements of HIPAA (seeabove).5. Conclusions and Recommendations – Final for complete project.6. Final papera. Combine all chapters of the project paper as you havedeveloped them over the past modules into onecomprehensive paper.b. Note: If you need any clarification on the assignment,communicate with your instructor at any time throughoutthe modules.