This is a five page paper. It is a continuation of previous orders. It is a set of teaching notes that are about a case study also designed for this series of papers on Boston Children's Hospital. The focus is on community nursing and public health nursing. There are many issues involved such as the Patient Protection and Affordable Care Act, stakeholders in the community, and more
Boston Children's Hospital
This goal of this case is to demonstrate the importance of a community health nursing, or public health nursing strategy. The concepts addressed in the case study include forming strategic partnerships or alliances with related health care institutions, universities, and insurers. Concepts also include the ways non-profit organizations function and how strategic alliances are especially important to maintain. Also, the case study addresses the concept of community health nursing in general. Students should understand this case focuses on the multifaceted roles of the health care organization in the community. Students should also acknowledge the complex interaction between various external forces like economic constraint, legislation, and policy and the functioning of the organization. Students should also understand the complex interaction between internal forces like human resources management and cost accounting on the functioning of the organization. Students should recognize the key success factors for a non-profit health care institution.
Educational Objectives
Students should be cognizant of the fact that the non-profit organization is not accountable to shareholders.
Students should understand that the non-profit health care organization is accountable to the community, including all patients.
Students should understand how and why strategic partnerships and alliances are formed, and how they are helpful to the non-profit health care organization.
Students should understand how specific health care initiatives such as the Home Hydration Program and Community Asthma Initiative help the non-profit organization achieve its goals.
Students should understand how a community health nursing/public health nursing approach can solve problems related to budgeting and meeting the increased demands for patient care.
Students should understand who primary stakeholders are in the community.
Students should understand how an organization like Boston Children's Hospital has a symbiotic relationship with the community
Students should understand why President and COO Sandi Fenwick believes that the alliance with Blue Cross Blue Shield of Massachusetts (BCBSMA) is important.
Students should understand how and why community-based initiatives like the Community Asthma Initiative are created, and how they are sustained.
Discussion Outline/Question Set
1. How can Boston Children's Hospital continue to maintain its standards of excellence and award-winning status within a more restrictive economic climate?
2. How can Boston Children's Hospital cope with the rising demands for beds, especially as the Patient Protection and Affordable Care Act enables more families to afford services?
3. How can COO and President Sandi Fenwick use strategic partnerships and alliances to benefit Boston Children's Hospital, its clients, and the community?
4. What does it mean for Boston Children's Hospital to form a strategic alliance with educational institutions?
5. What does it mean for Boston Children's Hospital to form a strategic alliance with an insurance provider like Blue Cross Blue Shield of Massachusetts (BCBSMA)?
6. Why does Sandi Fenwick mention the Community Asthma Initiative and the Home Hydration Program? Why are these programs important from both the perspective of the Chief Operating Officer, and from the perspective of the community and all stakeholders?
Tips for Resolving Case
Students should receive handouts or readings on the concept of community nursing/public health nursing.
Students should review the text of the Patient Protection and Affordable Care Act, to understand its core provisions and how it might impact this case.
Students should read portions of the text related to community nursing, and public health administration.
Students should read about the differences between for-profit and non-profit health care institutions.
Students should learn about other examples of community health initiatives, and question which organizations create and maintain them.
Case Problem Questions & Answers
1. Identify the four main issues in this case.
Community health nursing/public health nursing is central to the operations of a non-profit health care institution
The Patient Protection and Affordable Care Act has unforeseen consequences, as increasing access to medical care services means greater demands for hospital facilities.
To meet the increasing demand, institutions like Boston Children's Hospital creates creative programs that allow for the delivery of services in the home for children.
By meeting the need of the institution, the institution also meets the needs of primary stakeholders and the community because children are best served in their homes.
The Community Asthma Initiative represents the role of the institution in promoting health care among low-income residents of the community
2. Identify the major stakeholders in this case.
Patients and their families
Staff and faculty
Partner organizations including education institutions
Insurance providers
3. Identify the major issues in health care management in this case.
Vision and commitment to organizational values
Operational costs and control
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