For-Profit Healthcare Organizations

Strategic Planning is an essential first step in the development of a result-base accountability system,” (Schilder, 2013, p. 1). In strategic planning an organization must know their goals, missions, and how to reach them. Health care facilities are in huge demand for the elderly and for people who lives in low-income communities. A person who receives good quality health care services can prevent the spread of contagious diseases. This paper will describe the need of the community, population it is serving, and a brief description of the facility.

The role of human resources is also very important in maintaining an effective health care industry. If the managerial personnel are performing their duties effectively and efficiently in a health care organization, the organization will automatically progress. Additionally, the organization will provide the improved outcomes of the patient health and health care delivery as well. This is so because human resource is also considered as one of the most important inputs to effective health care services. Although there exists a variety of challenges in inducting qualified human resource professionals but there is a strong need to solve this issue. (Kabene, 2006)

In hopes of getting a handle on the managed care contracts, I would like to assign a team of personnel to specifically handle and maintain the various managed care contracts. I would like for this team to make sure that we are getting the best out of these contracts. The team will know what our goals are before deciding on a managed care contract. Some of the goals that would be considered are:

The human resources department needs to revisit some of their decisions to strength their portion of the structure and better the company for the future. The high turnover rate has caused lack of employee motivation, low morale and with pay levels below their competitors’standards; there is lack of structure in the performance review process within the entire company. These issues can be corrected by creating a coaching, feedback process, and

In the United States, the unsustainable growth in health care spending is one of the greatest crises facing this country. Health care spending is projected to increase from 17.4 percent of gross domestic project (GDP) in 2013 to 19.6 percent in 2024 (Keehan et al. 1407). Health care expenditures are the third highest government outlays besides defense and Social Security expenses. The uncontrolled rise in health care spending burdens families and businesses and affects financial stability of the government. It also prohibits the nation from investing in other sectors of the economy (Mukherji 391). Accountable Care Organizations (ACOs) are a health care model that has been proposed to contain costs and improve quality, efficiency and health

Both organizations have mission statements, and visions that are the foundations for their organizational structures, each organization is aligned with a specific strategy to meet their goals. While both offer medical services their approach in offering such services will vary in their operational approach. Additionally, each has the ability to respond to a continuously evolving health care environment, but the for-profit would seemingly have the ability to adapt within a greater response time especially with regards to variables that would impact profitability. Federal/Local/ State rules and regulations govern both business models, but the nonprofit must strictly adhere to those guidelines in order to maintain their desired level of classification.

With medical malpractice insurance companies being a major customer segment for TD&P, an essential part of my role was to compare and contrast the relative implication of new policy developments for these stakeholders. I helped resolve stakeholder inquires

The White Paper released by the Camden Group and presented for review by the contributing authors (Rebecca Bales, Kelly Tiberio, and Tara Tesch) offers a perspective from one of the nation’s leading Health Care advisory firms. The paper brings to the forefront the characteristics of Non-Profit and for-profit hospitals, and the outlook for conversion from one industry classification (Non-Profit into a For-profit) business entity. Contained within the paper are a wide-range of topics with regards to the similarities between the two health care models, laws and regulations from both the State & Federal levels that guide their respective classification, market outlook for the health care industry and case studies that highlight the impact of actual conversion from Non-profit to For-profit hospitals from an industry standpoint. The health care is a challenging and competitive environment, therefore the paper focuses on providing insight on a strategy based on adapting from one business model into another in order to remain competitive.

This week's reading in regards to patients care was very educational in learning the struggles of millions of Americans in need of healthcare. The shift from fee-for-service to manage care such as HMO has made it difficult for patients to get the proper health care. Strategies used by HMO included restricting patients choices of physicians; controlling their access to care, limiting the treatments their physicians prescribed; limiting the doctors ability to refer them to specialists and evenually damaging the patient's trust in their doctors.

I think as the CEO, I would be involved with the selecting of the vendor and product. Being not-for-profit health care organization, any big purchase such as new software is a big undertaking. While the CIO will lead the change, there will be open communication and feedback reported frequently. For this to be successful, there will be a great deal of collaboration from top to bottom (Bryson, 2018). One person cannot implement a change of this magnitude. The product and vendor selection will need to align with the organization's strategy. Executive leadership can provide the financial and human resources necessary to increase the chances of success.

At the Dimensions Healthcare Corporation, a voluntary Board of Directors governs Dimensions and each of its affiliated facilities and operations. This board of directors is committed to assuring quality care and patient safety. Members of the Board devote countless hours of service to the governance of the system and consist of the following individuals:

This paper provides an overview of the facility planning process for the Urgent Care Clinic. The Urgent Care Clinic is considered a family clinic that is located in Virginia. In this paper the author will discuss the following elements. The communities need for the clinics renovation. The current type of population that is in need of health care services. And a brief description of the Urgent Care Clinic and what it will offer to those residents within this area.

The broad focus of this case is one of strategy planning. Perpetual Mercy Hospital has to determine the best course of action to help the Downtown Health Clinic achieve its stated objectives of expanding the hospital’s referral base, increasing referrals of privately insured patients, establishing a liaison with the business community, and becoming self-supporting within three years of its opening. This last objective is jeopardized by the possibility of a competing clinic opening 5 blocks north of the DHC’s location. The underlying problem is that the DHC may not be self-sufficient within the projected timeframe, regardless of competition.

This personal case paper will focus on the company that I am currently employed in, PT LLC. PT is one of the many pharmacy benefit management companies that manages pharmacy benefits for major health insurance companies or organizations. Some health insurance companies run their own pharmacy benefit organizations embedded within. PT is owned by a major health insurance company, TCTS. PT is owned by TCTS, but is not operated as a third party. It is rather operated as a third party organization that was created to give independence to the parent insurance company mandated to adjudicate pharmacy benefit for members. TCTS is a non-profit insurance company, but PT is a for-profit business. PT is operated uniquely because it provides services to members/patients, is owned and regulated by an insurance company TCTS and regulated as well by the government by Centers for Medicare and Medicaid Services (CMS).

For this assignment, I interviewed two human resource professionals, Ms. Cathy Price and Mr. Richard Newman. I previously worked with Ms. Price as her understudy for three years. I appreciated the education and work lessons she provided and often utilize the skills and abilities gained from the experience. I specifically chose to interview Mr. Newman for his position in a hospital setting, as it is my intention to seek employment in the healthcare industry following graduation. My interview choices reveal my desired career path outlining where my career began, to where I hope it is destined for in the near future. Additionally, it highlights the differences of operating human resources in two diverse industries. Each professional provides valuable insight into their organizational challenges and goals.