$1)$ Determine the current issues SAHS is facing, $2)$ devise plausible solutions to these issues, and $3)$ recommend a course of action.

Identified issues are:Shady Acres Healthcare System $($SAHS$)$ is a community$-$based, not$-$for$-$profit health organization that witnessed remarkable success and underwent significant growth since its establishment in the early $1970$s$.$ However, SAHS is currently straining with several pressing issues that are influencing its operational efficiency, financial health, and long$-$term viability.In this paper, our team aims to review the current issues at SAHS and provide a detailed analysis of these ongoing dysfunctions. This analysis can be used as a cornerstone for future corrective solutions that can be executed by SAHS to maintain its stability and community trust.In general, we concluded four major issues at SAHS: financial losses due to its sliding fee scale policy, staffing retention challenges in a competitive environment, a lack of Electronic Health Record $($EHR$)$ integration, and underutilization of its assisted living and home health services.Financial Instability and Sliding Fee Scale PolicyOne of the primary issues facing SAHS is its financial instability, exacerbated by its sliding fee scale policy at the community clinics. While this policy was intended to increase healthcare accessibility for uninsured and low$-$income individuals, it has resulted in substantial financial losses. SAHS is losing approximately $$75,000$ per month operating these clinics, primarily because a significant portion of the patient population can only afford services at reduced fees.Furthermore, as local economic conditions continue to decline, with unemployment and housing instability on the rise, the demand for low$-$cost healthcare services has increased $($KFF$,2021).$ The result is an unsustainable financial burden on SAHS, threatening its profitability. If these trends persist, the system could become non$-$profitable within $18$ months.Staffing Challenges and CompetitionSAHS currently has a total of $742$ employees. The staff is known for providing great healthcare given SAHSs excellent reputation. However, there have been recent complaints about a decrease in care quality in the community clinics in addition to the difficulty retaining skilled employees in the face of competition from newer health systems which offer higher salaries and better benefits.While SAHS has historically maintained a high level of employee satisfaction, the allure of better compensation packages may cause employee retention challenges and lead to further turnover. Retaining staff is critical for SAHS to ensure consistent care quality, especially since its reputation within the community is closely tied to the quality of services provided by its team.Lagging Technological Integration of Electronic Health Records $($EHR$)$EHRs are valuable tools designed to streamline the management of patient health information. They allow for creating, storing, and sharing comprehensive patient data, including medical history, diagnoses, medications, immunization dates, and test results. EHRs provide access to patient information and community data collection, enable seamless communication among affiliated medical facilities, and provide efficient access to a patient's medical history $($AthenaHealth$.$com, $2019).$ Using EHR efficiently and to its capacity can save time, improve quality of care, and save money $($HHS$.$gov, $2023).$

Declining Utilization of Assisted Living, Hospice, and Home Health ServicesSAHSs assisted living facilities, hospice care, and home health services are experiencing reduced occupancy rates, which may be linked to inadequate outreach efforts and economic constraints within the community. The assisted living facilities, though operating at a small profit, are underutilized, suggesting that they are not effectively marketed to the community. Moreover, the hospice and home health care units are showing signs of decreased census, likely a reflection of economic challenges that limit individuals ability to afford or prioritize these services. If these services continue to underperform, they will continue to affect SAHSs financial stability.

$-$Include several of the following course objectives:

$-$ Evaluate organizational strategies and approaches that contribute to creating a culture of quality and safety through leadership, priority setting, and a commitment to systems thinking and organizational roles, processes, and structure

$-$ Construct effective organizational processes that will transform the health service organization and enable it to meet the needs of a diverse clientele

$-$ Analyze the multifaceted relationships of the triangle of health service delivery: quality, cost, and access

$-$ Determine the various political and social forces that are influencing the direction of health service delivery$-$You will submit your final PowerPoint presentation, highlighting the major issues and possible solutions. It should be a complete, polished artifact containing all of the main elements of the final product

$-$Add Each slide should include your key point$($s$)$

$-$Add Speaker Notes and in$-$text citation

$-$References should be listed at the bottom of the slide in slightly smaller text. $-$ Include almost all of the main elements and requirements; provides in$-$depth analysis that demonstrates complete understanding of multiple concepts

$-$ Provide Slides that are organized in a logical way that complements the central theme; transitions are well$-$paced to create a natural and engaging flow

$-$Draw insightful conclusions that are thoroughly defended with evidence and examples

$-$ Provide a consistent visual theme that helps enhance understanding of the ideas; includes multiple types of media

$-$ Provide Mechanics and style to ensure clarity. Incorporates multiple properly cited scholarly resources