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You are the CEO of a 300-Bed hospital in Miami, Florida. Your Chief Financial Officer (CFO) has just informed you that Medicare has penalized your hospital just over $2 million dollars in the calendar year 2017 because your hospital has taken a significant number of readmissions (within 30 days of discharge) back to your hospital. You have learned that all penalties for these readmissions were related to 3 primary diagnoses:
Congestive Heart Failure (CHF) – $600,000
Myocardial Infarction (Heart Attack) – $800,000
Pneumonia – $700,000

1)    Please investigate (research) and define the parameters of each issue and how they relate to your hospital.
2)    Do you think these two issues are related? If so, why and how? (you must use the extant literature to cite/reference your answers).
3)    How will you deal with the internal issues within your hospital to address these two problems? (Some {but not all} of the questions you should be asking yourself are):
a.    What are the internal issues as you see them?
b.    How does this affect all of the departments within your hospital? 
c.    How will you need to change your daily operations to address these issues?
4)    How will you deal with the external issues within your hospital to address these two problems? (Some {but not all} of the questions you should be asking yourself are):
a.    What are the external issues as you see them?
b.    How do the external factors (over which you have no control) affect your hospital?
i.    Political
ii.    Technological
iii.    Social
iv.    Economic
v.    Regulatory
c.    How do these issues affect your non-employed physician staff?
5)    What is your overall plan to deal with these issues over the next year?
6)    Once your plan is approved by the board of What is your DETAILED (step-by-step) plan to handle these issues over the next 90 days?

 

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