Decision-Making Case Study Health Care Management
Stoddard County Public Health Clinic is located on Highway 25, North of Bloomfield, Missouri. The clinic provides services to infant and child; young and middle aged adults; older adults; environmental services; and group/community services. When the 2009 budget cuts were distributed among the different departments, the manager of the Young and Middle Aged Adult Department noted a 15% budget cut. This paper is a case study of how the Young and Middle Aged Adult Department Manager will decide what tools she will use to decide which clinical service should be eliminated or introduced to better serve the Medicaid population at while at the same time make a 15% cut in its budget.
Clinic Services Available and StaffingThe services available for the Young and Middle Aged Adult Department includes: breast and cervical screening project, anemia screening, sexually transmitted diseases, pregnancy testing, immunizations, nutrition education, W.I.C, womens health screenings, high risk pregnancy counseling and case management for prenatals (Stoddard County, 2008). Staffing for the department includes: Department Manager; 2 full-time LPNs to perform screenings, draw blood samples and administer immunizations; 1 full-time nutritionist for the nutrition education; and 1 RN Case Manager to manage the womens health screenings, high risk pregnancy counseling. The clerical staff is shared among the entire clinic.
The Department Manager looked at the year-to-date information for each service provided under her department with the thought of possibly eliminating a service to make up for the 15% budget cut. Upon reviewing the all statistics concerning frequency of use and after surveying all staff members within the clinic, it was determined that each service was very important to the Medicaid recipients of Stoddard County. One suggestion from a staff member was to convert one of the full-time LPN positions to a part-time position and starting a clinical volunteer program. Another...
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