A community based non-profit hospital

As a community based non-profit hospital, our goal is to fulfill a wide range of community needs from providing quality health care to educating the public to promoting wellness in our community. The good news is that non-profit hospitals are in a growth industry. With the advancements in medical technology, we can expect more patients living longer and requiring more services throughout their lifetimes.

The bad news is that this hospital is struggling financially. In fact, we are facing a financial crisis. We face a significant budget deficit and if we cannot correct the problem, I must reduce fixed costs by 15%. That means we would need to consider a number of drastic measures including:

Not replacing employees who leave voluntarily,

Refusing to treat uninsured patients except in the emergency room,

Requiring advanced payment on all prescriptions for outpatients,

Creating rules forbidding hospital personnel from treating anyone while 'on the clock' free of charge

1. The problem in the case study is a financial crisis. This crisis is a result of a variety of problems, many of them linked to providing care to the uninsured resulting in unpaid hospital bills. Medicare and Medicaid have exacerbated the problem by delaying reimbursement, and by increasing administrative costs by forcing us to complete numerous forms and provide copies of various documents in order to qualify f

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tant step in the process of determining how to address the current financial crisis. To this end, the Board has authorized the use of outside consultants to work with department heads and staff to better understand the problem. Every employee is encouraged to give these consultants the time they need, and the benefit of your experience and observations. Part of the solution to the crisis is to ensure that the hospital charges patients for every procedure. In a hospital of this size, some procedures are not billed because the hospital misfiles or documents of fails to chart every procedure. This problem represents a loss of this revenue to the hospital, despite the fact that services were provided to patients and specific costs were incurred when doing so. The goal is for the hospital to seek reimbursement for any procedures performed. The obvious solution is to ask every member of the medical staff to be more diligent about charting the treatment and services received by each patient in your care. Attending physicians will with review patient charts to ensure that any test or procedure they performed is charted so that they hospital can bill the patient for these services. It is important to remember that our goal is

Category: Medical - A