Closing The Community Hospital Case Study

As the CEO, of a 100-bed locally owned hospital, I reviewed proposes of cost-saving measures, of closing the Hospital’s Emergency Department from 10:00pm until 6:00 am. The first, thing I would ask myself, “Do I have all the facts” Am I being fair to all involved?” I decided this was not a good cost saving strategy to even consider to measure, because the community should have an emergency department, and the residents should hot have to drive 50 miles to another facility. As a result, we need to restructure the staffing faculty utilized during the night hours. Unfortunately, this involves levels of change, and equity for employees and the community. As an administrator, I applied theorist Kant, to my decisions making, because will not be …show more content…
In this case, paternalism was applied because I believe I made the appropriate decision in the patient’s best interest. Beneficence and empathy was applied to patients and the entire community. Everyone, should have access to quality of care, and keeping the ED open 24-hours will support the ACA. Unfortunately, if the patient travel 50 miles and receive care it can also be an inconvenience for the patient, because the patient primary care doctor may not be able to access the patient healthcare record. Information, data sharing was established to provide hospitals and clinical ability to conduct multijurisdictional, multidisciplinary exchange of health-related information and situational awareness data among federal, state, local, territorial, and tribal levels of government, and the private sector (HHS. 2016). As a healthcare leader in the community. It is essential the hospital is alignment with continuity of for individuals in the community. If someone is being treated by clinicians in the local clinic the ED staff has access to their electronic health records. Healthcare quality is key, and the ED should be accessible healthcare for the community. that includes principles of law of compliance that includes National Committee for Quality Assurance (NCAQ) and Healthcare Effectiveness Data and Information Set (HEDIS) requirements. The NCQA, and Accountable Care Organization (ACO) helps health care organizations demonstrate their ability to improve quality, reduce costs and coordinate patient care. Built from our successful patient-centered medical home (PCMH) recognition program, NCQA’s ACO standards and guidelines incorporate whole-person care coordination throughout the health care