ou are John Smith, chief operating officer of Regional Hospital, part of the Regional Health System...
Fantastic news! We've Found the answer you've been seeking!
Question:
Transcribed Image Text:
ou are John Smith, chief operating officer of Regional Hospital, part of the Regional Health System of 15 hospitals in Eastern State. You have just read Clayton Christensen's (2009) book The Innovator's physicians, and chronic care organizations. But his ideas are far different from the realities you face in managing operations at Regional Hospital. You wonder about changing the hospital organization from a "solution shop" to a "focused factory." According to Cook and colleagues (2014, 746), "the full-service US hospital has been described organizationally as a 'solution shop,' in which medical problems are assumed to be unstructured and to require expert physicians to determine each course of care." This model leads to unwarranted variation and results in lower quality and higher costs. Mayo Clinic determined that a focused factory model-which emphasizes a uniform approach to the delivery of a limited set of high-quality services-was appropriate for 67 percent of cardiac surgery patients. Implementation of the model reduced resource use, length of stay, and cost. Variation was also markedly reduced, and outcomes were improved. You are convinced, but how do you get other managers at Regional Hospital and Regional Health System to actively consider a focused factory model for implementation? Case Questions 1. What are the facts of the situation? 2. What are the reasons that an implementation structured similarly to the one at Mayo Clinic will or will not work at Regional? 3. Certainly, you will encounter stakeholder concerns about the costs of making the change, questions about how the change will affect reimbursement, and push-back from surgeons who are against the practice of "cookbook" medicine. How might you overcome other key stakeholders' opposition to the change? 4. What should you do now, and why? 5. How can you get buy-in from the system CEO while protecting your own job and not "biting off more than you can chew"? ou are John Smith, chief operating officer of Regional Hospital, part of the Regional Health System of 15 hospitals in Eastern State. You have just read Clayton Christensen's (2009) book The Innovator's physicians, and chronic care organizations. But his ideas are far different from the realities you face in managing operations at Regional Hospital. You wonder about changing the hospital organization from a "solution shop" to a "focused factory." According to Cook and colleagues (2014, 746), "the full-service US hospital has been described organizationally as a 'solution shop,' in which medical problems are assumed to be unstructured and to require expert physicians to determine each course of care." This model leads to unwarranted variation and results in lower quality and higher costs. Mayo Clinic determined that a focused factory model-which emphasizes a uniform approach to the delivery of a limited set of high-quality services-was appropriate for 67 percent of cardiac surgery patients. Implementation of the model reduced resource use, length of stay, and cost. Variation was also markedly reduced, and outcomes were improved. You are convinced, but how do you get other managers at Regional Hospital and Regional Health System to actively consider a focused factory model for implementation? Case Questions 1. What are the facts of the situation? 2. What are the reasons that an implementation structured similarly to the one at Mayo Clinic will or will not work at Regional? 3. Certainly, you will encounter stakeholder concerns about the costs of making the change, questions about how the change will affect reimbursement, and push-back from surgeons who are against the practice of "cookbook" medicine. How might you overcome other key stakeholders' opposition to the change? 4. What should you do now, and why? 5. How can you get buy-in from the system CEO while protecting your own job and not "biting off more than you can chew"?
Expert Answer:
Answer rating: 100% (QA)
1The situation is that John Smith the Regional Hospitals chief operating officer has read The Innovators Prescription by Clayton Christensen and is th... View the full answer
Related Book For
Management Accounting Information for Decision-Making and Strategy Execution
ISBN: 978-0137024971
6th Edition
Authors: Anthony A. Atkinson, Robert S. Kaplan, Ella Mae Matsumura, S. Mark Young
Posted Date:
Students also viewed these general management questions
-
Read the case study "Southwest Airlines," found in Part 2 of your textbook. Review the "Guide to Case Analysis" found on pp. CA1 - CA11 of your textbook. (This guide follows the last case in the...
-
Planning is one of the most important management functions in any business. A front office managers first step in planning should involve determine the departments goals. Planning also includes...
-
Managing Scope Changes Case Study Scope changes on a project can occur regardless of how well the project is planned or executed. Scope changes can be the result of something that was omitted during...
-
Marketing costs like advertising and sales commissions are Multiple choice question. part of costs of goods sold. part of gross profit. selling expenses
-
Is the matching concept related to (a) The cash basis of accounting or (b) The accrual basis of accounting?
-
PLC Company reported $400,000 in income tax expense for the year under the accrual method. Its balance sheet reported an overall increase in deferred income tax liability of $10,000 and a decrease in...
-
Control natural frequency a. Introduce damping b. Use vibration isolator c. Add vibration absorber d. Avoid resonance
-
The following data from the just completed year are taken from the accounting records of Mason Company: Required: 1. Prepare a schedule of cost of goods manufactured. Assume all raw materials used in...
-
Why would the following code give an error: int get_choice() { // get user choice of 1-3 int choice = 0; cout < < "Provide a choice of 1 to 3[ ]\b\b"; cin >> choice; return choice; int main() {...
-
The financial statements of JJ Ltd and KK Ltd for the year to 30 June 2018 are shown below: Statements of comprehensive income for the year to 30 June 2018. Statements of financial position as at 30...
-
details about websocket in python
-
How might practicing Islam affect a persons consumption choices?
-
Which denomination of Christianity has a work ethic named after it?
-
Bob is a 50 percent owner of Barco Enterprises. During 2017, Barco earned $80,000 in net income after subtracting Bobs $50,000 salary. Bob also withdrew $20,000 from Barco during the year. Bob would...
-
The first time Swedish furniture company IKEA searched outside Scandinavia for new design inspiration, it looked to China. The resulting product line, called Trendig, was a cultural collaboration...
-
Jewels home was completely destroyed by fire in 2017. The building had an appraised value of $185,000 before the fire. Four years ago Jewel paid $160,000 for the house and the land, with $25,000 of...
-
Bravo Car Care has outstanding growth opportunities. Its sales last year were $3M (M = million). They expected an increase in sales of 17% for the coming year. Their net profit margin is 8%, and they...
-
Coastal Refining Company operates a refinery with a distillation capacity of 12,000 barrels per day. As a new member of Coastal's management team, you have been given the task of developing a...
-
Why do companies producing a varied and complex mix of products have higher costs than companies producing only a narrow range of products?
-
Why may financial information alone be insufficient for the ongoing informational needs of operators/workers, managers, and executives?
-
How do diagnostic control systems differ from interactive control systems?
-
Derive the equations of motion, using Newton's second law of motion, for each of the systems shown in Figs. 6.18. F(t) 5k 00000 mi k F3(1) F2(t) 00000 m2 m3 00000 k k X2(1) k x(1) (1)Ex FIGURE 6.18...
-
Derive the flexibility matrix of the system shown in Fig. 5.39. mo e(t) ellee k1 k2 lllll m x(t) FIGURE 5.39 Mass hanging from a pulley.
-
Derive the stiffness matrix of each of the systems shown in Figs. 6.19 using the indicated coordinates. 31 4 4 3k O 8(t) 2k M,(t) Rigid bar, mass= 2m C 2m x1(t) F(t) m T x2(t) F2(t) FIGURE 6.19 Rigid...
Study smarter with the SolutionInn App