Evaluation of Strategic Performance Governing Board’s Role in Strategic Initiatives

  
Middleville Regional Health Care is one (1) of three (3) hospitals serving a community of 350,000 people. Summary statistics on Middleville and its competitors, from the AHA Guide, are shown below in Table 1. All three organizations are not-for-profit. 
Table 1: Middleville, Brierfield, and Greystone Health Care Systems 
   
Name 

Beds 

Admissions 

Census 

OP Visits 

Births 

Expenses (000) 

Personnel 
 
Middleville 

575 

13,000 

350 

221,000 

2,300 

$125,000 

2,000 
 
Brierfield 

380 

17,000 

260 

175,000 

1,200 

$130,000 

1,875 
 
Greystone 

350 

10,000 

180 

40,000 

900 

$80,000 

1,200 
The governing board of Middleville hired a consulting company to evaluate its strategic performance, specifically in the areas of Human Resources, Information Technology, Financing, and Marketing. As part of the consultant’s evaluation, several leaders of Middleville’s units were asked their perspective of the organization’s performance. 
You are working for the consultant. Your job is to identify the issues from the response that should be considered further by the consultant team and possibly discussed with the governing board and the CEO. The firm has a rule, “Never offer a criticism or negative finding without suggesting how the client organization can correct it,” so you must indicate what sort of 
correction you would recommend as part of your list. Because you know there were about two (2) dozen other interviews, you decide you should rank your issues in importance, to make sure the most critical are discussed. 
Write a six to eight (6-8) page paper in which you: 

Explain the governing board’s role in these      strategic initiatives, determining its responsibility and involvement. 
Evidence-based management means that operational      and strategic decisions are made based upon the evidence that goals and      objectives are actually being met. Quantitative measurements must be      identified and measured. This data is then used to evaluate the HCO’s      performance. Name three (3) performances Middleville can use to measure      its success in providing quality healthcare to the community, and identify      quantifiable, measureable indicators that can be used to do so. Explain      the importance of each performance measurement. 
Given the statistics of Middleville and its two      (2) competitors provided in Table 1, recommend to the HCO what areas it      should focus on to maintain its competitive market share as well as      continue to provide healthcare to the community in the 21st      century. 
Some of Middleville’s Board members are very      interested in pursuing advanced technology systems over the next five (5)      years, while others are concerned about the enormous expense and need      assurance that the investment in technology will be worthwhile. In both      monetary and process terms, describe the costs and benefits      associated with implementing EMR and associated health data systems. Lay      out a plan for how various systems can be implemented. 
Middleville has faced many challenges in      recruiting and retaining nurses and other clinical employees. The economy      has hit the area very hard and budgetary limitations have reduced the      amount of money available for salary increases. The Board knows it needs      to provide other benefits to their valued employees. Provide at least two      (2) suggestions to Human Resources to promote employee satisfaction and,      therefore, retain experienced personnel. 
Use at least three (3) quality resources in this      assignment. Note: Wikipedia and similar Websites do not qualify as      quality resources.
Format your assignment according to the following      formatting requirements:

a.     This course requires use of Strayer Writing Standards (SWS). The format is different  than other Strayer University courses. Please take a moment to review the SWS  documentation for details. 
b.    Include a cover page containing the title of the assignment, the student’s name, the  professor’s name, the course title, and the date. The cover page is not included in the  required page length. 
c.     Include a source list. Citations and sources must follow SWS format. The source list  is not included in the required page length. 
The specific course learning outcomes associated with this assignment are: 

Examine how healthcare management concepts and      theories are applied to critical issues in healthcare organizations. 

Analyze the critical management issues, purpose, functions, and performance measures of different departments within healthcare organizations. 

Explain how public policy has shaped the      development of the U.S. healthcare system. 
Use technology and information resources to      research issues in health services organization management. 
Write clearly and concisely about health services      organization management using proper writing mechanics. 

NOTE: Be sure to read Chapters 11-13& 5-9 in the course textbook and have completed Research Exercises 1 & 2, Assignment 1 as well as reviewing the Weekly Lectures. Be sure to cite your sources as you proceed through the paper and provide a sources list as the last page.
Begin your paper on Page 2 by writing a six to eight page paper (does not include Title or Source pages)
BE SURE TO INCLUDE IN-TEXT CITATIONS THROUGHOUT THE PAPER FOR ALL PARAPHRASED OR QUOTED MATERIALS. USE SWS FORMAT.
Middleville Regional Healthcare
Write your introduction here: It should be one (1) good paragraph (not more than 1 paragraph) to introduce the reader to your topic and it should explain in detail what your paper will be discussing. Much of your introduction may be taken from the assignment itself (in your own words). Read the scenario to get a feel for what the paper is about and explain what your paper will be discussing – so be sure to review the Assignment instructions AND Rubric for understanding. Finally, please ask me any questions about this assignment. 
Governing Boards Role and Role in Strategic Initiatives
CONNECT ALL CRITICISMS OR FINDINGS WITH SUGGESTIONS FOR CORRECTION
WHAT IS THE BOARD’S ROLE?
WHAT IS THE BOARD’S RESPONSIBILITY?
HOW SHOULD THE BOARD BE INVOLVED IN STRATEGIC PLANNING AND RELATED  DECIISIONS
 RANK ISSUES/RECOMMENDATIONS IN ORDER OF IMPORTANCE
CONSIDER THAT THE BOARD IS RESPONSIBLE TO ASSURE ALL STRATEGIC ACTIONS ARE CONSISTENT WITH THE HEALTH CARE ORGANIZATIONS MISSION
Evidenced Based Management
  
Note: OPERATIONAL   AND STRATEGIC DECISIONS ARE MADE BASED UPON
EVIDENCE THAT GOALS ARE   ACTUALLY BEING MET. QUANTITAIVE 
MEASUREMENTS MUST BE IDENTIFIED   AND MEASURED AND USED TO 
EVALUATE THE HEALTHCARE   ORGANIZATION’S PERFORMANCE

 
NAME THREE   PERFOMANCES MIDDLEVILLE CAN USE TO MEASURE ITS SUCCESS IN PROVIDING 
QUALITY   HEALTHCARE TO THE COMMUNITY—WHAT ARE THE GOALS AND HOW ARE THEY MEASURED. 
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WHY ARE THEY   IMPORTANT?
Ø QUANTIFIABLE E.G. DATA
Ø MEASUREABLE   INDICATORS
Ø IMPORTANCE OF EACH   PERFORMANCE MEASURE
PROVIDE THE THREE   PERFORMANCE MEASURES. 
CLEARLY IDENTIFY THE MEASUES
DETERMINE WHAT MEANS YOU WILL YOU TO MEASURE THE   IDENTIFIED PERFORMANCE GOALS 
AND WHAT  INDICATORS YOU WILL UTILIZE. 
INDICATE THE IMPORTANCE OF EACH MEASURE.
Recommendations to Board and Management
Use the statistics provided in Table 1 to guide your recommendations.
Identify
  
Ø AREAS   ON WHICH TO FOCUS IN ORDER TO MAINTAIN MIDDLEVILLES COMPETITIVE MARKET SHARE
 
Ø AREAS   ON WHICH TO FOCUS ON IN ORDER TO PROVIDE HEALTHCARE TO THE COMMUNITY IN THE   21ST CENTURY
CAREFULLY REVIEW THE TABLE AND CONSIDER MIDDLEVILLE’S   STATISTICS AS COMPARED TO BRIERFIELD AND GREYSTONE
Note the below observations from the table or any additional ones that   you make
• Occupancy for Middleville is about 61%, Brierfield is 68 % and Greystone is about 51% (Determined by dividing the average census by the number of beds)(Note the number of admissions overall is for the full year)
• Brierfield has the greatest number of admissions, but less out patient visits
• Middleville has a higher average census which may be indicative of longer lengths of stay
• Middleville has the highest number of births
• Greystone has the highest cost per activity, but the lowest expenses.
• Middleville has a the highest number of personnel
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• Almost 18 % of Middleville’s admissions were maternity whereas they were 9% of Greystone’s and 7% of Brierfield’s.
Pursuing Advanced Technology and Board Concerns
Brierfield is 68 % and Greystone is 
DESCRIBE THE COSTS AND BENEFITS OF IMPLEMENTING AN EMR AND ASSOCIATED DATA SYSTEMS
Ø ADDRESS MONETARY AND RESOURCE(PEOPLE) COSTS
Ø ADDRESS THE BENEFTIS OF AN EMR
PROVIDE A PLAN FOR THE IMPLEMENTATION OF THE EMR AND DATA SYSTEMS. 
Ø What preliminary steps and planning would need to occur
Ø What are the steps involved in the implementation plan
Determined by dividing the average 
Recruitment and Retention of Personnel
CONSIDERATIONS SPECIFIC TO MIDDLE VILLE
Ø ECONOMY –AREA HAS BEEN HIT HARD
Ø BUDGETARY LIMITATIONS
Ø SALARY E.G.—REDUCED MONEY AVAILABLE FOR SALARY INCREASES
Ø OTHER BENEFITS
PROVIDE TWO CONSIDERATIONS TO HUMAN RESOURCES TO:
Ø PROMOTE EMPLOYEE SATISFACTION TO ACHIEVE RETENTION OF EXPERIENCED PERSONNEL(RECALL OUR DISCUSSION REGARDING INTRINSIC AND EXTRINSIC MOTIVATORS)
Ø BE SURE TO INCLUDE REASONING RELATED TO THE ECONOMY AND BUDGETARY LIMITATIONS
Concluding paragraph
Summarize major points and conclusions as the manager about this Medical Center.
Sources
List your reference here in SWS format. The reference page must include all of the references you used, listed in proper SWS format.  All references listed here must be used (cited) in your paper. 
Provide at least 3 credible sources that are related to your paper content e.g.  
One source should be the course textbook. Another could be sources used for the Research Exercises if used in this paper.
1.  Sharon Buchbinder.2017. Introduction to Healthcare Management. HSA 300 textbook.
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Student Writing Standards. Pages 7-8.
Note: Wikipedia and other Websites do not quality as academic resources.
Your assignment must follow these formatting requirements:
After deleting the blue fonts in this template, make sure your original writing is turned to a black font.
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