Community South Medical Center Case Study

Superior Essays
Register to read the introduction… “Some experts believe that large, multispecialty practices, which combine primary care physicians and a range of specialists in the same practice, are the organizational structure with the greatest potential to provide consistently high-quality care” (Liebhaber & Grossman, 2007). With our recognitions and experience that our staff would attain their skills could become fully advanced which would lead other medical centers wanting that skill of our winning ways or a current staff member resigns to start their own practice. An example is you hire a brand new nurse in our prestigious neonatal center. After several years of working at a top notch duty section, they attain all the skills and knowledge that they become one of the best nurses in that section. Another medical facility in another state hears about the stellar nurse and calls to offer them more money for their skill sets at their medical center. Another example of a threat that could happen is that some employees could become lazy at their duties because they know that there are others that make up for their slack. This could result in a drop in moral because of the worthless employee cause unnecessary stress for the work …show more content…
I say this because I find it unusual for a 12% drop in our overall payments from Medicaid; especially when there is a growing number of an older population for Community South Medical Center. I believe that the strategic mission and plan needs to be a growth in the residential care, independent living, in-home nursing, hospice, advanced cardiac services, pulmonary services, and a neurosurgery center. I believe that it needs a growth so we can show the public that we have the services that the local population needs for their growing age and needs. Before we grow our services we first must understand why there has been a decrease in Medicaid payments and curtail our strategies to fit our major population of the elderly. Maybe they are finding their care elsewhere? If so we need to find out why and recruit them back to our …show more content…
As of right now Community South Medical Center’s reimbursement source is: 25% Medicaid (up 20%); 35% Medicare (down 12 %); 25% employer sponsored health insurance (unchanged), 8% managed care (down 20 percent), 4% private pay (unchanged) and 4% no-pay (up 25%). Managed care and Medicare were the two percentile drops that affected the medical center. It shows that there is a up rise in the elderly and we are seeing more of them which is why we need to prepare for that population. The center should also look into if the population of Medicare users is down or if we are just seeing more elderly; if there is a less population of Medicare users we need to look into what needs to be done to get that population

Related Documents

  • Improved Essays

    Baby Boomer

    • 1645 Words
    • 7 Pages

    Previously an elderly person would need to stay in the hospital for necessary treatments because traveling to and from their homes was too much of a hardship. With home health and the right medical professionals your treatments can come to your home. With the coming group of aged Americans there is also the lack of enough home health care professionals (Craig 37). Increased home health care needs causes an increased need for educated people to work in the home health care field. Education for medical professionals is at high level, and will continue to grow as the baby boomers start to retire.…

    • 1645 Words
    • 7 Pages
    Improved Essays
  • Superior Essays

    The projected growth to provide services will jump from 6.8 percent of the GDP in 2000 to 13.2 percent of the GDP by 2050, yet the number of workers contributing to the system will decline (Wiener & Tilly, 2002). This will leave America with a deficit in financing the future cost of healthcare. There are few ways I would propose to change the model to ensure its future. One I would change the eligibility requirements to limit access to those who do not have additional health care coverage, require long-term insurance coverage and ensure correct claims payment. Currently, Medicare allows an individual to utilize Medicare at age 65, if they or their spouse, have meet the number of quarters of payroll taxes under the Federal Insurance Contributions Act (FICA).…

    • 1175 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    Not only is it cost effective, it is also dynamic in addressing the needs of the hospital and the NGRN. Hospitals that implemented the program have seen and experienced a drastic increase in retention and a drastic decrease in turnover. This also resulted in a reduction of contract labor usage and overtime, which is an additional cost the hospital has to pay for in order to address the nurse shortage rate. Trepanier et al. (2012) analyzed the results of a study that was done and found that in 12 months of starting the nurse residency program, turnover rates went from 36.08% to 6.41%.…

    • 1456 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Impact of the policy/any unintended consequences. The ACA has successfully enrolled over 8 million more people on health insurance. It also assisted roughly 4.8 million more people to get coverage through Medicaid. Thus, this policy is predicted to lower the number of people who are uninsured by 25 million (Shaw et al., 2014). The unintended consequence is that the ACA is mainly focusing on insuring everyone and ignoring public health initiatives (Gable, 2011).…

    • 1506 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    Emergency departments provide twenty-four hour care for life threatening, chronic and acute conditions. However, the increase utilization of emergency departments lead to overcrowding and an increase in the number of individuals that leave without being seen (LWBS) by a physician. “According to a Center for Disease Control and Prevention report on ED use in the United States in 2000, at least 1.8 million patients left emergency departments without being seen” (Johnson et al., 2009). This is a patient safety concern due the miss opportunity to catch possible life threatening conditions. The evidence reveals that a large number of these individuals are disproportionately patients with lower acuity for the visit, young, low income, uninsured,…

    • 1172 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    According to the previously mentioned study done by the Deloitte Center for Health Solutions, 65% of doctors believe there will be a reduction in the quality of care given to patients. With more patients in the system, (approximately and 30 million new patients ) there will be an immense amount of work and pressure on medical staffs around the country. Because of this influx of patients, a few things will happen to make healthcare worse. One of these things is that doctors will have less time to spend with each patient. For example, after CHIP (Children’s Health Insurance Program) the probability of spending less than 10 minutes with a doctor increased.…

    • 797 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Shortage In Healthcare

    • 748 Words
    • 3 Pages

    However, hospitals are concerned about the cost of hiring theses nurses, and the type of quality care the patients are receiving. Also the patient has to pay a lot more money due to health insurance. “In addition to adversely affecting quality and costs, nursing shortages can result in reduced access to health care simply because there are not enough caregivers to provide for those in need” (Snavely). In a couple years from now people that need healthcare might not be able to receive healthcare. The cause of people not receiving care is due to the low rates of staff at medial facilities.…

    • 748 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    Disproportionate Share Hospitals (DHS) which once served as a safety net to the uninsured and underinsured is under threat to provide the population it was designed to help. Drastic budget cuts to this vital lifeline of the health care system could affect the health care needs of this vulnerable population. At the same time, there must be increased restrain to rein in the costs. We cannot talk about DSH, without first discussing the role of safety net hospital play in the healthcare system. Per Bailit at el, ...” National data from 2012 reflect that low-income communities experienced 29 percent higher rates of hospitalization, longer average length of stay, and 9 percent lower average hospital costs compared to higher-income communities.…

    • 1087 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    Many employers don’t mind giving their employees’ health care benefits. For some business owners, the rule is not of their liking. In result of this rule, there has been employees that have been fired or laid off so the employer can avoid providing health care. There are now people out there without jobs or health care. When employees are fired, that means that the remaining workers have more work to do.…

    • 1809 Words
    • 8 Pages
    Improved Essays
  • Improved Essays

    This is a huge problem for the Center for Medicare and Medicaid Services, and will only get worse in the future. The surge in elderly population in the next few decades can be attributed to the post World War II baby boom. After the war, congress passed the G.I. Bill, to help veterans rejoin civilian society. The bill lowered interest rates for veterans, to encourage home ownership and pursuit of higher education.…

    • 502 Words
    • 3 Pages
    Improved Essays