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Case study
Publication date: 11 September 2017

Miriam Weismann, Javier Hernandez Lichtl, Heather Pierce, Denise Harris, Lourdes Boue and Cathy Campbell

The first three years of operation of the West Kendall Baptist Hospital (WKBH) in Miami, Florida provided a “poster child” for efficient and cost effective healthcare delivery to…

Abstract

Synopsis

The first three years of operation of the West Kendall Baptist Hospital (WKBH) in Miami, Florida provided a “poster child” for efficient and cost effective healthcare delivery to the West Kendall community that it served. The hospital leadership and management team exemplified a quality-oriented staff that moved as a cohesive and dedicated organization. WKBH exceeded every budget prediction and showed a profit in year 3, well before expected. Then came the winds of regulatory change. With the passage of the Affordable Care Act (ACA) and the attendant imposition of new reimbursement metrics, the picture at WKBH changed almost overnight. By the first quarter of 2016, WKBH started to lose money in excess of budget predictions despite its increased patient admissions, careful financial planning, expense reductions, quality service, and excellence in patient care delivery. A serious financial crisis was looming with little relief in sight. The hospital management team began to search for solutions.

Research methodology

The research methodology includes collecting quantitative data: original financial statements and financial data from WKBH, as well as qualitative data: interviews of hospital administrators and historical information.

Relevant courses and levels

Graduate capstone course in a finance course; masters in health administration; and/or the MBA program.

Theoretical bases

While it is clear that the ACA was designed with all good intentions, it has created substantial and perhaps, unanticipated financial burdens for caregivers. These issues are not only faced by WKBH. Most hospitals could relate to one or more of the four questions examined as part of this learning process. Graduate MBA students worked with the hospital to identify, define, focus, and resolve difficult quantitative and qualitative issues faced by the hospital as a result of major changes in the regulatory environment with the passage of the ACA. This case focuses upon the current reimbursement environment that has only recently emerged as a result of the implementation of the ACA.

Details

The CASE Journal, vol. 13 no. 5
Type: Case Study
ISSN: 1544-9106

Keywords

Content available

Abstract

Details

The CASE Journal, vol. 13 no. 5
Type: Case Study
ISSN: 1544-9106

Article
Publication date: 8 May 2018

Beth Sundstrom, Heather M. Brandt, Lisa Gray and Jennifer Young Pierce

Cervical cancer (CxCa) incidence and mortality remain unacceptably high in South Carolina, USA, presenting an ideal opportunity for intervention. To address this need, Cervical…

Abstract

Purpose

Cervical cancer (CxCa) incidence and mortality remain unacceptably high in South Carolina, USA, presenting an ideal opportunity for intervention. To address this need, Cervical Cancer-Free South Carolina developed an academic-community partnership with researchers and students at a public university to design, implement, and evaluate a theory-based CxCa communication campaign, It’s My Time. The paper aims to discuss this issue.

Design/methodology/approach

The goal of this campaign was to decrease CxCa by increasing human papillomavirus (HPV) vaccination and appropriate screening. This paper describes the development, implementation, and evaluation of a successful theory-based CxCa prevention communication campaign for college women based on formative audience research and targeted messages delivered to audience segments through new and traditional communication channels. The health belief model (HBM) served as a theoretical framework for the campaign throughout development, implementation, and evaluation.

Findings

This campaign demonstrated the effectiveness of the HBM to address CxCa prevention, including HPV vaccine acceptability. The campaign aimed to increase perceptions of susceptibility, which were low, by emphasizing that HPV is a sexually transmitted infection. A community-based grassroots approach to addressing disparities in CxCa prevention increased benefits and decreased barriers. Social media emerged as a particularly appropriate platform to disseminate cues to action. In total, 60 percent of participants who responded to an anonymous web-based survey evaluation indicated that they received the HPV vaccine as a result of campaign messages.

Originality/value

This paper offers practical suggestions to campaign planners about building academic-community partnerships to develop theory-based communication campaigns that include conducting formative research, segmenting target audiences, engaging with young people, and incorporating social media.

Details

Journal of Communication Management, vol. 22 no. 2
Type: Research Article
ISSN: 1363-254X

Keywords

Abstract

Details

Black Mixed-Race Men
Type: Book
ISBN: 978-1-78756-531-9

Book part
Publication date: 26 January 2023

Rachel Elizabeth Fish, David Enrique Rangel, Nelly De Arcos and Olivia Friend

In this chapter, we examine how the schooling experiences of disabled children have changed during COVID-19, how families' engagement, advocacy and support of their children have…

Abstract

Purpose

In this chapter, we examine how the schooling experiences of disabled children have changed during COVID-19, how families' engagement, advocacy and support of their children have shifted during the pandemic, and how race, class, and other axes of inequality shape these processes.

Methods/Approach

We used a semi-structured interview protocol with families of disabled children, asking them about their experiences with their children's schools before and during the pandemic. We analyzed the interview data using “flexible coding” and the constant comparative method.

Findings

COVID-19 has had wide-reaching effects on disabled children's schooling experiences, yet these effects varied, particularly at the intersections of disability with race, class, linguistic status, and gender. Remote learning and other pandemic-related changes to schools exacerbated extant inequalities in children's educational experiences, as well as in families' ability to effectively advocate for their children in school.

Implications/Value

This research provides important information about how the pandemic has exacerbated inequality at the intersection of disability, race, and other axes of inequality. Moreover, it provides a lens to examine ableism and other systems of oppression in schools. The findings have crucial policy implications, pointing to the necessity of equitably allocated, high quality, inclusive educational services for disabled students, as well as to the need for special education policy that does not rely on individual family advocacy to allocate appropriate services.

Details

Disability in the Time of Pandemic
Type: Book
ISBN: 978-1-80262-140-2

Keywords

Book part
Publication date: 26 August 2014

Heather Parola and Kimberly M. Ellis

Despite the number of articles over the past two decades mentioning the importance of the negotiation stage in the M&A process, there has been very limited theoretical development…

Abstract

Despite the number of articles over the past two decades mentioning the importance of the negotiation stage in the M&A process, there has been very limited theoretical development and empirical analysis emphasizing multiple factors critical to M&A negotiations. The purpose of our paper is twofold. First, we provide a review of the extant academic literature on negotiations in the M&A process. Then, drawing on the M&A process perspective and classical negotiation theory, we develop a framework to highlight major components of the M&A negotiation stage examined in existing studies and offer key insights of how this underdeveloped area of study is ripe with opportunities for future theoretical development and empirical research.

Details

Advances in Mergers and Acquisitions
Type: Book
ISBN: 978-1-78190-836-5

Keywords

Article
Publication date: 1 March 1982

Now available from Vaughan Associates, is the FERCO range of Printed Circuit Board Holders. Available in three design options, antistatic, high conductivity (especially suitable…

Abstract

Now available from Vaughan Associates, is the FERCO range of Printed Circuit Board Holders. Available in three design options, antistatic, high conductivity (especially suitable for PCBs with MOS components) and heat resistant. These holders are durable, rigid, readily adjustable and can be stacked safely without fear of tipping. Ideal applications include factory movement of partially assembled boards and storage of complete boards. Maximum board width is 1 ‐ 3m. This unique system has been designed with complete flexibility and can be utilised either vertically or horizontally.

Details

Circuit World, vol. 8 no. 4
Type: Research Article
ISSN: 0305-6120

Book part
Publication date: 21 November 2022

Maria Vamvalis

De/uncolonizing educational visions in the context of insistent and persistent ecological violence is an urgent task, one requiring profound shifts in thinking, being and knowing…

Abstract

De/uncolonizing educational visions in the context of insistent and persistent ecological violence is an urgent task, one requiring profound shifts in thinking, being and knowing. Meraki is a Greek word denoting something done or undertaken with all of one's soul. Metanoia is also a Greek word signifying a deep shift in one's way of life resulting from a profound change of heart and worldview. Metis is a figure in Greek mythology known for wisdom and deep thought, but the word has also been used to mean a deeper spiritual awareness or consciousness. This chapter, written by a Greek educator on Turtle Island, explores the imaginaries of ancient Greek ways of knowing with her responsibilities to support decolonizing processes in the place in which she now lives. The author identifies the process of regeneration, of replacing or restoring damaged or missing dimensions of life as a call to which our educational systems must respond. Regeneration is synonymous with rebuilding, restoration, rehabilitation, revival, rebirth, redemption, renewal, recovery, and reconstruction. Her recognition that metanoia (a profound transformative shift) resulting in regeneration done with meraki (soul) and grounded in metis (wisdom and spiritual knowing) forms the basis of her revisioning of schooling and community. In reclaiming hidden structures of Greek wisdom, the author dives below the often incomplete frames of “western” ways of knowing and discourses to redeem deeper ontological frequencies hidden beneath the surface, joining these in constellation with other de/uncolonizing discourses and movements to redeem a “wholeness of being” that must be regenerated for planetary survival. This chapter traces a vision for leadership that reclaims the depth of Spirit and soul that are the basis upon which we can heal the traumas of the legacies of fragmentation, division and violence and remake/regenerate our educational systems.

Details

Decolonizing and Indigenizing Visions of Educational Leadership
Type: Book
ISBN: 978-1-83982-468-5

Keywords

Book part
Publication date: 15 December 2016

Heather Groves Hannan

Merging library traffic from dispersed service points into a combined services desk is not new, and many reasons prompt this move. George Mason University, Virginia’s largest…

Abstract

Purpose

Merging library traffic from dispersed service points into a combined services desk is not new, and many reasons prompt this move. George Mason University, Virginia’s largest public research institution, combined a total of 10 service desks located in four libraries on three distributed campuses. To consolidate services and reduce costs, the Mason Libraries established a “one-stop” service point in each library. With the goal of “one-stop” service point in each facility, the Mason Libraries recrafted physical spaces, reviewed policies, procedures, and workflows as well as revised staff roles and responsibilities.

Methodology/approach

This chapter explores why institutions embark on redesigning the traditional library service desk; discusses how changing service needs impact desk space; and addresses the effect on public services personnel. Observations are based on highlights from the evolution of George Mason University Libraries’ goal of a “one-stop” service point in each library to provide more efficient and consistent user-focused interactions and services.

Findings

As a manager of one of the facilities, the author provides insights on achieving a “one-stop” service point.

Originality/value

This chapter considers library staff needs, in concert with internal effort to not only refine user services influencing changes, but also revisit policies, procedures, and workflows to align staff roles and responsibilities. Mason Libraries is one of a few university library systems trying to implement single service points in all libraries.

Book part
Publication date: 29 June 2016

Lauren W. Collins and Lysandra Cook

The use of verbal reinforcement has longstanding support in encouraging desired student responses. For students with learning and behavioral disabilities, the use of verbal…

Abstract

The use of verbal reinforcement has longstanding support in encouraging desired student responses. For students with learning and behavioral disabilities, the use of verbal reinforcement through behavior specific praise (BSP) and feedback are promising practices for improving academic and behavioral outcomes. While these strategies are relatively straightforward to implement, they are often applied inappropriately. Thus, specific guidelines should be followed to ensure that BSP and feedback are used effectively. The purpose of this chapter is to provide an overview of BSP and feedback related specifically to students with learning and behavioral disabilities, provide theoretical and empirical support for these practices, offer research-based recommendations for implementation, and identify common errors to avoid.

Details

Instructional Practices with and without Empirical Validity
Type: Book
ISBN: 978-1-78635-125-8

Keywords

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