UMGC HMGT495 2022 January Assignments Latest (Full)

HMGT495 Strategic Planning and Leadership in Healthcare

Case Study 1

Instructions

Correctional Health Care Assignment

You applied and were accepted in an internship program of a state-level, Female Correctional Health Care Operation in the South Eastern United States and your primary responsibility is to work on the assigned projects related to the provision of inmate health care.

Associated materials:

***Correctional Health Care Delivery: Unimpeded Access to Care Section 2 and 4 are recommended for the main reference in working on this assignment.

The Health and Health Care of US Prisoners: Results of a Nationwide Survey

Public Health Behind Bars

Sample Tool Control Policy

Inmate Sick Call Procedures-Corrections

For the incarcerated population in the United States, health care is a constitutionally guaranteed right under the provisions of the eight amendments which is the prohibition against cruel and unusual punishment (see Estelle v. Gamble). This particular prison can hold in excess of 1,728 offenders and routinely houses between 1,600 and 1,700 women on any given day. This institution incarcerates all custody classes to include minimum security, medium security, close custody, death row, and pretrial detainees.

The health care operation provides the highest level of care for female offenders in the state. The health care facility is a 101 thousand square foot, 150 bed, three-story building that cost the taxpayers $50 million dollars to construct and is a hybrid of an ambulatory care center, long-term care center, and behavioral care center. The health care facility also houses an assisted living dorm.

The patient demographic includes women who have multiple co-morbidities including substance abuse, seriously persistent mental illnesses (SPMI), diabetes, cardiovascular disease, cancer, morbid obesity, HIV / AIDs, hepatitis, etc. On any given day there will also be 30 to 60 offenders who are pregnant, with 98% of those offenders having a history of substance abuse; all pregnant offenders are considered high-risk. The dental health of this patient population is exceptionally horrendous because of excessive drug abuse coupled with a sugary diet and poor oral hygiene practices. It is not uncommon for a 23-year-old to need all of her teeth extracted.

There are approximately 300 FTEs to include correctional staff that operate the facility and provide care to the offender population. The healthcare facility is comprised of the following directorates: (a) Medical, (b) Nursing, (c) Behavioral Health, (d) Pharmacy, (e) Dental, (f) Medical Records, (g) Health Service Support, and (h) Operations and Security.

Although the health care facility has a vast amount of capability, there limitations: (a) This facility does not have advanced cardiac life support capability (ACLS), (b) no surgical capability, (c) no ability to conduct telemetry, (d) no oral surgery beyond simple extractions, (e) no obstetrical capability beyond out-patient clinics, (f) MRI, (g) level 2 ultrasound, and the list goes on.

Those inmates who have medical needs that cannot be addressed by the health services staff at the correctional facility will need appointments with external health care providers who have a business relationship with the prisons in this area. On any given month, there will be approximately 300 offenders who will go to outside medical appointments, and making certain that these appointments take place is where the challenge lies. Similar to many health care operations, the prison Utilization Review / Case Management Department facilitates all external appointments and form the lynchpin between the correctional facility health care providers who refer offenders for specialty appointments, and the outside organization providing that appointment. 

Your assignment: You are the Case Coordinator. You have 300 patients that need to be scheduled for outside specialty appointments every month. You are tasked by the Administrator to develop a strategic plan organizing the out-of-the-facility appointments without impairing internal services.

***Note: additional personal or financial resources are not available fortis case strategic plan. However, the question of the additional personnel or resources can be discussed in an Addendum. Specific justification must be presented and supported by evidence.

As the first step, develop a Memorandum addressing:

Provide an overview of Estelle v. Gamble and how that 1976 Supreme Court ruling pertains to the provision of inmate health care.

Examine the challenges of providing health care in a correctional environment.

What are the challenges of providing health care to a female offender population that may not exist in a male prison?

What framework would you apply to strategic planning? Why? (Strategic planning frameworks)

Make sure to cite in APA format when appropriate. Support your statements with credible evidence.

HMGT495 Strategic Planning and Leadership in Healthcare

Case Study 2

Continue working with the case described in week 3.

Review

Good Organizational Decisions: Ethical Decision-Making Toolkit for Leaders and Policy Makers Step 3, 4, and 5. PP.# 27-38

Evidence-based Decision Making in Healthcare

Fill in the worksheet on p. 29

Fill in the worksheet on p. 33  ***Make sure to list all types of evidence relevant to this strategic planning process.

Fill in the worksheet on p. 37

The worksheets are targetting the case from week 3. Make sure to stay focused and target appropriate information and evidence.

HMGT495 Strategic Planning and Leadership in Healthcare

Case Study 3

Instructions

Continue working with the case described in week 3. Prepare a memorandum targeting the following:

1. What staff arrangements are available to meet the needs of out of the facility appointments?

2. What staff arrangements are needed to:

-accommodate the out of the facility appointments(show the calculations);

-meet the needs of in-house appointments (show the calculations);

-reduce the number of out of the facility appointments (justify);

3.Organizational plan to accommodate scheduled appointments, emergency appointments, and preventive appointments.

Make sure to use APA to cite credible evidence.

HMGT495 Strategic Planning and Leadership in Healthcare

Case Study 5

Instructions

Develop a Briefing report (continue working on the case from week 3) covering all the following:

Provide an overview of Estelle vs. Gamble and how that 1976 Supreme Court ruling pertains to the provision of inmate health care.

Examine the challenges of providing health care in a correctional environment.

What are the challenges of providing health care to a female offender population that may not exist in a male prison?

What framework would you apply to the strategic planning? Why? (HINT: Remember all the available frameworks that you learned in the previous classes as well as in this class to make a correct choice; justify the final choice through the collaborative ).

Identify what information and evidence you have to apply to the strategic process steps. Identify appropriate evidence you still need to correctly use the strategic planning process. (HINT: make sure to list all types of evidence you need)

Identify appropriate evidence you still need to correctly use the strategic planning process. (HINT: make sure to list all types of evidence you need)

Identify the sources of the needed evidence. Offer the stakeholders able to provide you with the evidence you are seeking.

Develop decision-making matrix and identify appropriate solutions to the case. Read more about decision-making matrix.

List potential implementation challenges and offer ways to offset them.

     The report should be no more than 10 pages including the table, the matrix, and the title+reference pages.

HMGT495 Strategic Planning and Leadership in Healthcare

Collaborative Group Organization and Dynamics

Instructions

Part 1: individual (6 points)

In week 8 you will have to submit a group assignment. In preparation for this event, write a 2-3 pages individual reflection paper discussing the following:

1.  What do you think are the most important components of a successful and productive group work? Support your choices with credible evidence.

2. How to organize the group work to meet the components you mentioned in # 1? Offer practical and useful process solutions.

3. What challenges the group dynamic might present you with? Offer examples. How to overcome the obstacles? Offer practical and doable solutions. Support them with credible evidence.

4.  Propose a conflict resolution process to ensure the important components are met and the group is effective and efficient. 

HINT: Please remember that different types of credible evidence exist. Make sure to mention what type you are using t support your choices. Complete this portion before attempting Part 2: group (4 points)- Group Charter.

HMGT495 Strategic Planning and Leadership in Healthcare

Group Charter

Instructions

Part 2: group

Develop a Group Charter based on the template below. You can modify the template to meet your group's needs. The components that must be present are:

1. Communication table/ portion

2. Role distribution table with the role definitions and expectations

3. Conflict resolution process (HINT: do not state something like: "We are adults and we will respect each other time and will contribute equally and on time" or "We will involve the faculty to mediate among us"). Be specific by identifying the conflict resolution framework, documentation, and penalties in case no resolution is met.