KELLER HSM 541 Week 6 You Decide Recommendations Memo

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• KELLER HSM 541 Week 6 You Decide Recommendations
  Memo
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• HSM 541 Week 6 You Decide Recommendations Memo
• You have been the CEO of Middlefield Hospital for
  2 1/2 years and finally resolved the workforce
  challenges that plagued the hospital when you
  first arrived. In a recent meeting, the chief
  financial officer (CFO) indicated that the
  financial performance of the hospital has been
  deteriorating over the last 6 months. The
  hospital is not meeting its budget and he is
  concerned about the future. The new facility
  across town has continued to cut into
  Middlefield's market share by admitting more
  patients. The number of admissions to Middlefield
  Hospital is declining each month, and more
  uninsured patients are seeking services at your
  facility. You convene the Middlefield Hospital
  management team and discover a few interesting
  facts, which are identified below.

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• The payer mix of Middlefield Hospital is
  comprised of more and more Medicare, Medicaid,
  and uninsured patients, and fewer patients have
  commercial insurance. This is reducing overall
  reimbursement and net income for the hospital.
  The nearby hospital that competes with
  Middlefield has opened a wellness center that
  offers a comprehensive array of preventative and
  wellness services to the community. This facility
  is attracting young families to seek services at
  this location. Most of Middlefield's managed care
  contracts are more than 2 years old. There are
  little reliable utilization and reimbursement
  data available. No one at Middlefield Hospital is
  assigned to manage these contracts or maintain
  ongoing relationships with managed care
  companies. The Joint Commission survey is
  scheduled for next year, and there are
  significant problems with the hospital's quality
  improvement program. The health plan offered to
  employees is getting more expensive each year. In
  fact, the costs are increasing at a rate of 20
  each year. This is adding significantly to the
  hospital's operational costs. The inpatient
  mental health services and neo-natal intensive
  care unit continue to lose money for the
  hospital.
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