1. The most important health administration problem/issue to be solved in the ca
ID: 395714 • Letter: 1
Question
1. The most important health administration problem/issue to be solved in the case. [3 sentence].
2. List other secondary problems in the case [1-2 pages].
3. Your recommended solution for the case (a.-d. below). Make clear specific realistic recommendations. There must be a clear logical sequence to your thoughts and recommendations. [4-5 pages]
a. At least three possible realistic alternative solutions for the most important problem (three possible realistic alternative solutions).
b. Criteria to evaluate possible alternative solutions. For example: acceptability to stakeholders, needed resources, legality, timing, cost-effectiveness, ability to implement, side effects, qualifications, statistical data, financial data, ethical considerations, fit with case facts, likelihood of actually solving the problem, etc.
c. Evaluation of the possible alternative solutions (3a) using the criteria (3b).
d. Your recommended solution for the problem, based on 3a, 3b, and 3c. Justify your recommendation.
ly Communities Initiatives 321 tent company. The index aggregates five socioeconomic in mary language, education, insurance status, and housi Summary of work in the collaboratives tion rated on a scale of 1 (low need) to 5 (high nee St ST. JUDE MEDICAL CENTER COMMUNITY BENEFITS EFFORTS 2005 (previously Move More Eat Healthy Camp Faces of Fullerton; Homeless Collaborative; Richman neighbor hood revitalization; Summer of Love ent with the mission, vision, and values of the Sisters of St. Joseph 2006 Move More Eat Healthy Campaign Teen pregnancy prevention program Move More Eat Healthy Campaign Move More Eat Healthy Campaign Community Building Initiative La Habra Collaborative of Orange, St. Jude's community benefits program focuses on mee eds of the community. Initially, St. Jude's community benefits program was the responsibility of the director of outreach whose to manage the medical center's mobile health clinic pro Joseph Health revised its vision to incorporate promoting health in ment and creating healthy communities, St. Jude expanded its definition of community outreach 2007 Buena Park Collaborative primary role ain prove teacher assigned to this project; representatives from the school district, city gov ncluded. As Ross began attending meetings he learned Fullerton very divided city of 135,000. Low-income residents, primarily Hispanic mmigrants, lived in the southern part of the city; upper middle income white and Korean families lived in the north. School performance and health and socioeconomic indicators were strikingly different in these two parts of the city. He concluded that the collaborative should be much more than a grant manager; it could play a role in solving problems fac ing the city and its residents. He found that others on the board shared Wh en Ross became responsible for overseeing the St. Jude ernment, local colleges, and social service agencies were also Community Benefits Program he embraced the vision developed by the Sisters of St. Joseph of Orange and adopted by the parent organization, St. Joseph Health. The focus on improving health through healthy com munities meshed with his educational background in public health and nursing. However, the pragmatist shaped by his MBA recognized that funds available for community benefits were limited, and the current emphasis on cost containment made it uncertain that funding existi s could be sustained long term. As a result, he wondered if oth ers in the community might be interested in working with St. Jude on its healthy communities initiatives. To explore the range of possibilities for the collaborative, Ross invited the collaborative director to join him at a healthy cities confer ence. The conference broadened their vision as to what was needed to create a healthy city, as well as the role of the collaborative. When the school district grant ended in 2004, members of the collaborative wanted to continue working together, and Ross helped them establish a c3) not-for-profit organization. This change in legal status required the collaborative-which had about 20 members at the time-to form a board of directors and raise funds to pay the director's salary. Ross became chair of the collaborative board and St. Jude provided a community ben BUILDING HEALTHY cOMMUNITIES THROUGH COLLABORATION or 15 years Ross provided leadership and technical assistance to develop veral local city collaboratives to partner with St. Jude on its healthy communities' goals (see Table 22.2). efits grant to fund the group and facilitate its strategic planning The Fullerton Collaborative The original leader Ross worked with entered city politics and, even- ally, became the mayor of Fullerton. Later, she became a state assem In discussions with the hospital's community outreach program Ross learned the Fullerton Public School District had recei start grant that funded a family support center at a of the funding requirement, the school district agrce munity collaborative. At the time, the collaborative lea bl woman. The path to political leadership continued when a subsequent rector ran for city council. With this pattern of political engagement, by others, as a place for new leadership to emerge d to establish a co rative began to be viewed as a threat by some in city politics anExplanation / Answer
The most important health admistration problem / issue to be resolved was to communicate the importance of community health to have a sustainable health for the masses and a healthy society. There is a need to have maximum participation from the community and bring in more funds for the community to serve on a regular and long term basis.
The other secondary problems that the community service intends to solve are as :-
At least three possible realistic alternative solutions for the most important problem:-
With respect to the above recommendation, let us now analyse the factors that may effect the implimentation of the strategy for running the community service in a long and sustainable manner.
Acceptability to stakeholders:- The stakeholders, who are investing in the project can be shared with an incentive on their investment in the for of tax benefits, nominal interest on investments, free community benefits for their families, etc...
Needed resources:- Resourses can be collected in the form of new and used resources. Used resources can be collected in the form of donations from the upper class society / members.
legality:- Local legal formalities must be formed to support the cause.
timing:- This project requires a 365 days participation, so there would be a 100% involvement.
Cost-effectiveness: The cost has to be maintained within limits as the funding is from the participants only.
Ability to implement:- More and more sharing of thepurpose and involvement of the society will help in the implementation of the social initiatives.
Side effects:- The side effects might be non participation from the masses. This needs for educating the citizens about the benefits of healty community service.
Qualifications: Anyone who wish to do community service, qualifies for this mission.It does not require any educational degrees.
Statistical data, financial data:- There has to be transparency in the data collected and must be shared with the masses. this will help in establishing confidence and respect for the noble cause.
Ethical considerations: Any good work done for the improvement of the society would conribute to the development of the society.
Fit with case facts:- Mass participation will lead to fitment of all the facts for the development of the society.
Likelihood of actually solving the problem, etc.:- Small social societies and mass community participation will lead to the success of the project for community service.
I recommend that the service for mass Healthy Community service must be done on a large scale. The involvement of the masses and sharing of expertise & experience will be the successful critrion of any social service. There is a need for smaller social groups merging in larger groups but having a common mission. The education system should start teaching the relevance and importance of community service. The government should advertise and encourage the mass participation of the people in community services.
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