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Certificate of Need (CON) - Case Study Example

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The central subject of this case study is that Certificate of Need (CON) was enacted to improve quality health care and increase health care services. …
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Certificate of Need (CON)
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Download file to see previous pages The CON is crucial in the clinical setting in that it evaluates the competing interests and boost economic value. Without the CON, it is evident that the health care environment would be a free market with open competition. Challenges would emerge when making decisions and expanding medical services. As an outside consultant, I seek to evaluate the diversity issues in this case study and their impact in the clinical setting. The advantage of this position is that it lays a strong ground to be open-minded when giving out the solutions on what should be done to enhance quality care. However, the main challenge is that one does not have the power to make decisions that affects the organization. With this, the chief administrator would be in a better position to oversee what is going on in the organization and implement decisions that enhance the organization’s success. Diversity Issues and their impact The case in consideration is the open heart surgery, which is a highly profitable service that profits Pennsylvania. From 1996-1997 to 2007-2009, Pennsylvania increased the number of hospitals offering open heart surgery. Despite the progress made, the number of procedures made in the state decreased by 37%. The change attributed to less usage of clinical facilities, skilled surgical teams, and cardiothoracic surgeons. The issue was so severe that it contributed to the termination of three hospitals, which are Medical College of Pennsylvania, Episcopal Hospital, and Graduate Hospital. The main question that emerges from this case is why so many open heart programs would be launched despite the face of declining market. Major Problems and Issue In my opinion, open heart programs would be launched because they bring profit to the organization. As previously mentioned, open heart surgery is a highly profitable service that supports many hospitals. Nevertheless, opening many heart programs in the face of declining market would lead to economic depression. Most hospitals may not be in a position to meet their financial goals and objectives. The machines used on these programs are costly. Thus, it is important to understand the market before launching or adding them. This would prevent economic problems that eventually may hinder the successful running of the organization (Jonas, & Kovner, 2011). Organizational Strengths and Weaknesses Although the new programs were justified to bring income, the truth of the matter is that there was no market analysis conducted prior to launching the programs. The organization fails to recognize the negative effects that would emerge from launching open heart programs in the face of the declining market. As documented in the case study, the change of these programs resulted into less efficient utilization of clinical facilities and highly skilled surgical teams. In other words, it affected the entire work performance and productivity of the organization. Because of economic depression caused by programs launched, the Philadelphia experienced a number of changed such as the closure of three known hospitals. Alternatives and Resolution To rationalize the number of programs in an open and free market I would embrace the CON in effort to increase the access of many hospitals to use the programs. The CON would help to improve quality in major health care services, and in turn this would boost the planning and resource development of the hospital. The services I would recommend this organization to embrace in the CON is preparing, revising, and reviewing rules and regulation for the analysis of medical services application. It is also important to conduct special studies and projects on the major k health issues with special improvement in the ...Download file to see next pagesRead More
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