w Toy at City Medical Center Case The for Chapters 11 and 13 r Westbrook Sherill

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w Toy at City Medical Center Case The for Chapters 11 and 13 r Westbrook Sherill and Dale Buchbinder is used to examine parts of the gastrointestinal tract that cannot be of endoscopy. The process uses a very small camera attached to a ble tube to view the intestinal tract. The technology is particularly useful when ed in the small intestine and can sometimes diagnose sources of bleeding Cosule endoscopy with other types causes of abdominal pain such as Crohn's disease or peptic ulcers A group of gastroe nterologists at the City Medical Center proposed the purchase of apuale endoscopy equipment through the Capital Equipment Purchasing proces. After e quipment was approved and the purchase initiated, providers began the process of cplying for specific privileges to use it. Three gastroenterologists, Drs. Smith, Sams, and knali, applied for credentials and were approved by the department of gastroenterology nd,ulimately, the Medical Center Board of Directors to use capsule endoscopy. Afer the three gastroenterologists began to use the new equipment, they discovered that ugeon, Dr. Jones, intended to use the capsule endoscopy equipment for procedures, oa. Having done this procedure at another competing hospital on numerous occasions, jJones had also been privileged through the department of surgery and, ultimately, the Medical Center Board of Directors. When Dr. Jones put his first case on the schedule gstrenterology suite where the capsule endoscopy was to be performed, Nurse D the gastroenterology department and alerted them to this potential intrusion. Sams, Smith, and Amalfi were outraged. They had advocated for the equipment., iked mng to enter their domain. While cach of them told Dr. Jones 1urgerydepart a person," they were not willing to share their new toy with him or j t. They felt strongly that they "owned" the equipment and the suite. ther tempting iked him d he ars the Department of Gastroenterology did not pay for it. In addirion, the 593 ut to the trio that the hospital purchased the equipment with capial s who staffed the suite were employes of Ciry Medical Cente,not of

Explanation / Answer

1) Here, two departments are involved - Department of surgery and Department of Gastroenterology. The questions that the chairs of both the departments should ask each other are -

2) If Surgical department brings the maximum revenue, then it means, that department has full rights to use the equipment. Gastroenterology department has procured the equipment, doesn't mean that the department has entire rights on the equipment. Since, the department of Surgery is the reason for the maximum revenues, it has first and foremost right to use the equipment. Hence, this information is enough for the department of Gastroenterology to shut their mouths and surrender the equipment to the department of surgery.

In order to avoid such situation in future, organization should make sure that it takes multiple equipments, or if there is a sigle equipment,then there should be multiple rights for multiple departments to use the equipment.

3) The three challenges illustrated in the case are -

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