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Case study for managerial decision making
Case study for managerial decision making
Case study for managerial decision making
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Abstract
The simulation exercise consisted of a scenario in which the student was to be a manager at an up and coming facility. There were 3 sets of tasks to be accomplished, and the results of the student's choices given immediately to the student. Each choice affected the outcome in some way, whether positive or negative.
Simulation Paper
Upon completion of this exercise, I discovered how truly difficult it is to make managerial decisions. The adage "You can never please everyone all of the time" holds true. I learned this first as a team lead for DJ Orthopedics, when I had to make some type of lower level managerial decision every day. Most of my day was spent troubleshooting problems that arose, and trying to figure out the best way to resolve them. During the simulation, I had to think very carefully about every decision I made, since one slight mistake could affect the entire outcome. In choosing, almost every decision had a positive and negative side to it. I made decisions I felt were solid, and in some cases I was completely off base.
In phase 1, I chose to modify the cardiovascular disease program and introduce obstetrics. I chose to modify the cardiovascular program based upon the research conducted, and the numbers that were presented in the simulation. Many of the people surveyed had some form of cardiovascular disease prevailing, and most were on medication for it. I felt that modifying the existing program would be beneficial. I selected obstetrics as a new service line, again based upon the research conducted. There were many responses indicating that obstetrics would be needed. I did very well upon both, and especially in the area of cardiovascular. The team was pleased with the decision, and we moved on to phase 2.
In phase 2, I chose to set up a CCU and to deliver the new obstetrics care service, option C. I chose the CCU due to the low costs and resistance, and also due to life experience in the area. In dealing with a CCU, I have noticed the patients tend to receive a higher quality of care. In the simulation however, it was not the best decision. The simulation feels the quality of care does not improve and I could have reconsidered the decision. My decision to choose process C for obstetrics was an excellent decision. It makes the facility full service for obstetrics services, and again it was based upon research, and life experience.
1. How might you evaluate the CPOE implementation process at University Health Care System? Give examples of different methods or strategies you might employ.
In conclusion of the My Virtual Life Simulation Program, I raised Luciano, my male child, until he reached the age of 18 years old. Luciano came about the world normally through a natural birth; labor lasted about 10 hours. Luciano inherited 50% of my characteristics through the survey taken prior to the start of the simulation. The other half was through the actions and changes that occurred throughout his life by the choices of my virtual partner and I and Luciano’s personal decisions later on in life. Certain characteristics Luciano developed resulted directly from the authoritative parenting style I chose to follow throughout the simulation. Despite minor setbacks towards the beginning, Luciano, developed properly in his psychological development which involved his physical, cognitive, social, and moral development, personality, emotional understanding, and peer competence. In the beginning years of his life he endured minor academic problems but later had no issue and was even involved in honor classes. He was also very social having
The NHS change model has been selected for this quality improvement. The NHS change model consists of eight dimensions, which are described as a useful tool to enhance change. This model has been identified as being effective in health care organisations, encouraging the use of teamwork to implement systematic improvements.
Supply and demand plays an intricate role in the amount, price, and availability of products and services. The applying supply and demand concepts simulation guides users through making decisions for Goodlife, a management company for 2 bedroom apartments in Atlantis. The simulation names the user the property manager; responsible for vacation residents, new pricing for units, and advertising. The property manager makes decisions in circumstances including the changing of supply cure, demand curve, microeconomics, macroeconomics, and the equilibrium of price and quantity. All of these decisions move the business along as conditions change around it.
The first step in using the technique is to diagram the sequence of decisions and chance events that the decision maker faces.”
The RCA is an assessment that provides details after the event has occurred and it outlines the series of steps that was taken that lead up to the event and it identifies the factors that are associated with challenge. The RCA is utilized to describe; “trends and assess the risk that can be used whenever a human error is suspected” (Hughes, 2008). It is believed that when the root of the issue is determined it is easier to repair. Another system they can use to assess the system is Failure Modes and Effects Analysis (FMEA). The FMEA method is more an evaluation method or technique that will get rid of the known and possible failure, issues, concerns and errors of the system before they actually happen. This method is known for prevention by foreseeing the errors by estimation of the probability and the penalties. In order for strategic improvement there must strong leadership, good source of financial resources for training purposes and the necessary equipment to empower the healthcare professionals. Educating the stakeholders on how this will benefit the overall organization and gives way to fewer adverse events within the system. They will need to come together to develop a more precise solution to the issues and address them through interdisciplinary communications and cooperation which can put the healthcare culture at risk of safety. In order to move forward everyone needs to feel a part of the change and feel that their concerns where addressed. The patients and their families need to be ensured that every effort possible is made to correct any area of concern. The root cause analysis needs to be made aware of its usage and importance in the process. Behind all of the efforts
..., Watson, and Westley Planned Change Model consists of seven phases which the change is planned, implemented, and the evaluated (Yoder-Wise, 2011). The outcome of this issue is an ongoing process; the need has been submitted to the nurse practice council which has submitted the issue to the hospital policy board for implementation into policy (T. personal communication, April 2, 2014).
On the surface, the seven-member MGI team which comprised of Henry Tam and Dana Soiman – both current HBS MBA Students, Alex Sartakov – a Berklee College of Music student, Dav Clar – a MIT graduate student, and Alexander (Sasha) Gimpelson, Igor Tkachenko, and Roman Yakub – the MGI founders, seems like an ideal team, with each member bringing different experiences and technical skills to help with the business plan contest at HBS. However, as we will see in this paper, interpersonal dynamics, a lack of clear leadership, resulting in unclear team goals and individual roles, and a lack of healthy group norms, contribute to an ineffective team process at MGI. With the deadline less than three weeks away and the team without even a first draft of the business plan, Henry is certain that the team would not meet the deadline if it continued to function as it had so far.
With technology moving so quickly within the medical and nursing fields it is vital to embrace new and innovative ways to learn how to care for a patient. A nurse or nursing student is faced with the ever growing challenge of keeping up with new technologies. A fairly new way to gain education and build upon skills is with the use of simulated based learning. With the use a simulated nursing environment a student will be able to increase their level of understanding of new skills and technologies; this great resource has three major forms of real-life reproduction, can be used in many different areas of nursing, provides a means to evaluate a student’s understanding and demonstration of a skill, and eliminates the potential for harming a patient. With all education, the ultimate goal of mastering a specific trade or skill is the wanted end result. Simulated based education is a method that can be used within the field of nursing to accomplish this goal.
... is an abstract model that proposes an exploratory plan for health services and evaluating quality of health care. In accordance with the model, information about quality of care can be obtained from three categories: structure, process, and outcomes. In addition, not long ago The Joint Commission include outcomes in its accreditation valuations (Sultz, & Young, 2011, p. 378).
Robbins, S. P., Decenzo, D. A., & Coulter. M. (2013). Fundamentals of Management (8th ed.). Upper Saddle River, NJ: Pearson.
Robbins, S. P., & Coulter. M. (2014). Management (12th ed.). Retrieved from: Colorado Technical University eBook Collection database.
In health care, Continuous Quality Improvement (CQI) is defined as a structured organizational process for involving personnel in planning and executing a continuous flow of improvement to provide quality health care that meets or exceeds expectations. CQI is helpful in facilitating medical errors as its main focus is the organization’s system. CQI‘s main emphasis is avoiding personal blame. Its main focus is on managerial and professional processes associated with specific outcomes, that is the entire production system. The primary goals of CQI is to guide quality operations, ensure safe environment & high quality of services, meet external standards and regulations, and assist agency programs and services to meet annual goals & objectives. All stakeholders such as patients, employees, and so forth are involved in CQI.
The following is a decision-making model that I have used to arrive at a decision.
the greater understanding of importance of multifaceted approach to addressing healthcare issues but also strengthened my critical thinking skills in design and evaluation of effective plans. Similarly, I am participating in the six-day proposal development training program in the upcoming month and the training will certainly help me to acquire further knowledge in health care planning and