Perfecting Patient Care Case Study Questions
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Perfecting Patient Care Case Study Questions
Synopsis of Mini-Case 11.1: Perfecting Patient Care (p. 173; Lee textbook): In this case, Jamie, the nursing home administrator, and Logan, the system’s Chief Operations Office, are under the impression that the management team at the nursing home, in question, needs to focus more attention on improving operational efficiencies and addressing perceived safety concerns by utilizing a Lean production approach. The system vice president of finance, Reilly, expressed concern that utilizing a Lean may actually lower the quality of care provided to the residents due to the cost cutting that will result. In addition, he is concerned that resultant changes in processes will put unnecessary pressure on employees and, finally, that diminished quality of care and unnecessary pressure on employees are inconsistent with the current mission of the organization.
This mini-case does a really nice job illustrating that there isn’t always unanimous support for cutting costs to increase profits. With that said, there is a lot of pressure on organizations to lower their operating costs in order to generate the needed profits to reinvest in the business. Healthcare reforms have increased the number of previously uninsured residents and citizens, which has correspondingly increased the volume of clients utilizing healthcare services. At the same time, reimbursement methodologies are moving away from the fee-for-service model, which is based on volumes, and instead are using a value-based approach, which is focused on the quality of the case provided. In addition, there is a growth in capitation and bundled payment systems—each compelling providers and provider organizations to better manage their expenses. These same healthcare reforms and insurers are adding pressure the healthcare leaders to adopt new models of care delivery that will improve outcomes while better controlling costs. This trend isn’t likely to lessen. Instead, healthcare organizations are going to need to place more emphasis on utilizing health informatics and data analytics to drive financial, operational, clinical, and strategic decision-making. In addition, leaders will need to put more effort on identify and addressing inefficient and ineffective processes, since these will increase costs and lower profits. Perfecting Patient Care Case Study Questions
Sources
Lee, R. H. (2015) Economics for Healthcare Managers Third edition. Chicago, Ill: Health Administration Press.
DIRECTIONS
The student, will assume the role of Jamie, and has been tasked with preparing a position paper that supports his recommendation to utilize a Lean production approach to improve the operational inefficiencies and safety concerns associated with his facility. Realizing that this paper will be read by members of the system’s senior leadership team, including Reilly, and approval will be needed to move forward with the Lean approach (reengineering), Jamie will need to address the concerns expressed by Reilly. It should be assumed that Reilly’s concerns may be shared by other members of the leadership team. Jamie will need to take into consideration how you would respond to the following questions when preparing the position paper:
- Why is inefficiency common in healthcare? Doesn’t competition force organizations to be efficient?
- What evidence do we have that process redesign can improve efficiency? Isn’t process redesign just another name for making employees work harder? Is there evidence that employees will accept the redesign?
- Plenty of evidence indicates that problems with quality of care harm patients, but won’t improving quality cost more? How could better quality not cost more?
Perfecting Patient Care Case Study Questions
RUBRIC
Excellent Quality
95-100%
Introduction 45-41 points
The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.
Literature Support
91-84 points
The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.
Methodology
58-53 points
Content is well-organized with headings for each slide and bulleted lists to group related material as needed. Use of font, color, graphics, effects, etc. to enhance readability and presentation content is excellent. Length requirements of 10 slides/pages or less is met.
Average Score
50-85%
40-38 points
More depth/detail for the background and significance is needed, or the research detail is not clear. No search history information is provided.
83-76 points
Review of relevant theoretical literature is evident, but there is little integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are included. Summary of information presented is included. Conclusion may not contain a biblical integration.
52-49 points
Content is somewhat organized, but no structure is apparent. The use of font, color, graphics, effects, etc. is occasionally detracting to the presentation content. Length requirements may not be met.
Poor Quality
0-45%
37-1 points
The background and/or significance are missing. No search history information is provided.
75-1 points
Review of relevant theoretical literature is evident, but there is no integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are not included in the summary of information presented. Conclusion does not contain a biblical integration.
48-1 points
There is no clear or logical organizational structure. No logical sequence is apparent. The use of font, color, graphics, effects etc. is often detracting to the presentation content. Length requirements may not be met
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