Evaluation of Middleville Regional Healthcare Performance Report

This report evaluates the strategic performance of Middleville Regional Healthcare, analyzing issues identified through interviews and surveys. The report highlights key problems, including defining the governing body's role, improving healthcare quality, addressing market competition, implementing advanced technology, and improving nurse retention. It recommends performance measurement through information systems, resource allocation, and public reporting. The analysis compares Middleville's performance to competitors, focusing on bed occupancy, admissions, outpatient visits, and births. The report proposes an EMR system implementation plan and suggests strategies to improve nurse retention, such as quarterly rewards and addressing employee grievances, concluding that healthcare organizations must prioritize employee satisfaction and effective governance.

Running head: MIDDLEVILLE REGIONAL HEALTHCARE
Middleville Regional Healthcare
Name of the Student:
Name of the University:
Author Note:

1MIDDLEVILLE REGIONAL HEALTHCARE
Table of Contents
Introduction......................................................................................................................................2
Issues identified...............................................................................................................................2
Role of the governing body.............................................................................................................3
Recommendation.............................................................................................................................4
Conclusion.......................................................................................................................................7
Reference.........................................................................................................................................8

2MIDDLEVILLE REGIONAL HEALTHCARE
Introduction
Middleville Regional Health Care is one of the three hospitals that serve a large
community of 350,000 people and its governing body has hired a consulting company which will
evaluate its strategic performance. This study will actively play the role of a consultant’s
evaluation and several leaders of the Middleville’s unit will be asked to provide their perspective
on the performance of the organization. This study will emphasize on identification of the issues
after conducting a proper discussion with a consultant team and with the CEO and the governing
body.
Issues identified
Interviews and internal surveys were conducted and it provided an insight into the
practice of the manager and the several issues that are affecting the performance of the
Middleville Regional Health Care. The issues are highlighted as under:
 The exact role of the governing body must be identified so that the governing can
be involved into determining the involvement and the responsibility of the
governing body.
 The performance is not up to the standards and Middleville Regional Health Care
is unable to provide the quality healthcare to the designated community. There is
also the need to measure the indicators.
 The performance of Middleville Regional Health Care is hit and it faces stiff
competition from the other market competitors. Thus, there is a need to revamp it
healthcare structure so that is can maintain a market dominance.

3MIDDLEVILLE REGIONAL HEALTHCARE
 The Middleville Regional Health Care lacks advanced technology system within
it healthcare system and thus there is a need for enormous amount of technology
so that it can serve the community effectively.
 Middleville Regional Health Care also faces issues relating to retaining and
recruitment of the nurses and thus there is a need to increase the satisfaction of the
employees.
Role of the governing body
The governance of any healthcare institute is the central body that has the capability of
organizational success. Middleville Regional Health Care also has a governing body that works
towards the excellency of the organization. The governing body strives continuously for the
betterment of the care delivery to the people of the communities. However, considering the
recent developments and market competition Middleville Regional Health Care needs to
consider important responsibilities of governance body. The vital responsibilities of the
Middleville Regional Health Care governing body include board development, board monitoring,
orientation and recruitment. The responsibility of the board of the Trustees is to review and
develop overall strategy and mission of Middleville Regional Health Care. The responsibility of
the secretary of Middleville Regional Health Care is to recruit, elect and appoint the new
members. The responsibility of the general counsel is to oversee the team of attorneys.
Responsibility of the treasurer is similar to the role of a financial advisor. The responsibility of
the dean of medicine is to manage the everyday activities of the hospital. The responsibility of
the president is to effectively manage the relationship between the decision makers and the
owners. The roles of the upper management are to set budgets and goals for the departments. The

4MIDDLEVILLE REGIONAL HEALTHCARE
role of the hospital board is to oversee that best quality healthcare is provided to the patients and
also satisfy the shareholders.
Recommendation
The three performances that Middleville Regional Health Care can use to measure its
success in the community that are identifiable and measureable are as follows:
 Information systems can be implemented so that the performances related data
can be collected and organized from the existing information and it can be
disseminated. Focus can be placed on the resource allocation and cost
containment.
 Public reporting is an important aspect for the new health care organization as it
includes the informing the stakeholders and the general public (community). The
reports are published as information that can measure the performance of
Middleville Regional Health Care (Euro.who.int 2018).
 Professional improvement is the most common performance measurement
indicator. The assessment of the professional improvement will provide scrutiny
and external assessment existing in the health system. The performance
improvement provides feedback for the clinicians that can be judged in
comparison to their peers (Euro.who.int. 2018); (Redknap et al. 2015).
The performance of the Middleville Regional Health Care has been analysed in
comparison to its competitors and thus there is a need to maintain a competitive market share in
order to provide a better and effective care for the community.

5MIDDLEVILLE REGIONAL HEALTHCARE
Name Be
ds
Admissio
ns
Cens
us
OP
Visits
Birt
hs
Expenses
(000)
Personn
el
Middlevi
lle
57
5
13,000 350 221,00
0
2,30
0
$125,000 2,000
Brierfiel
d
38
0
17,000 260 175,00
0
1,20
0
$130,000 1,875
Greysto
ne
35
0
10,000 180 40,000 900 $80,000 1,200
The main areas of focus are as follows:
 It can be clearly seen that the number of beds is high in Middleville in comparison
to the other healthcare organizations (HCOs). While the number of admissions is
less in comparison to the other HCOs. Thus, there is a need to provide better
healthcare amenities for the patients.
 The number of outpatient visits is significantly high in comparison to the other
HCOs. Thus, Middleville must recruit more health workers and physicians that
can provide care to the outpatients.
 Considering the number of births in the Middleville, the governing body must
increase the number of the neonatal care units.
The interviews and the survey conducted have revealed that the board of members are
willing to incorporate a technology system over the period of 5 years. The implementation of the
technology will pertain to the adoption of electronic medical records that can be effectively
integrated with the health data system (Bratt 2013).

6MIDDLEVILLE REGIONAL HEALTHCARE
Planning stage
Incorporation of the
support staffs
Data collected from
patients
Feeding data into the
EMR system
Making data
accessible to the
patients
Figure 1: Implementation of the EMR system (done by author)
The EMR system implementation plan will incorporate an implementation plan that will
initially include a planning stage. The planning stage will have the planning process pertaining to
the equipping the EMR technology into the hospital system. The staffs will be incorporated
within the EMR system and they will collect patient data. The data collected are then fed into the
EMR system and the data are fed into the EMR system. The data will then be made accessible to
the patients as well to the physicians (Mutale et al. 2013).

7MIDDLEVILLE REGIONAL HEALTHCARE
Middleville is also facing issues pertaining to the retaining and the recruiting the clinical
employees. It has also been found that as because the economy is badly hit, the Middleville is
experiencing serious shortage of funds. This has negatively impacted the salary structure of the
nurses and the added work pressure has also the retention of the nurses (Brown et al. 2013).
Thus, to solve this issues and quarterly rewards and recognition can be organized for the nurses
that are working sincerely for people of the community. The issues and the grievances of the
nurses must be rectified immediately so that they can work properly under pressure (Van den
Heede et al. 2013). This way the employee retention can be improved (Twigg and McCullough
2014); (Mbemba et al. 2013).
Conclusion
From the above discussion it can be concluded that the healthcare organizations are an
important part for the people in a community that depend entirely on the health care institutes. It
has been seen that the healthcare organization often fall behind the other organizations in terms
of providing proper healthcare. Thus, external agencies are often assigned the duty of identifying
the issues and suggesting solutions for the same. The nurses are often seen to be having issues
with long hours of work and persistent pressure of attending the patients. Thus, healthcare
organizations must incorporate proper employee retention policies so the nurses can do their job
uninterrupted.

8MIDDLEVILLE REGIONAL HEALTHCARE
Reference
Bratt, M.M., 2013. Nurse residency program: Best practices for optimizing organizational
success. Journal for Nurses in Professional Development, 29(3), pp.102-110.
Brown, P., Fraser, K., Wong, C.A., Muise, M. and Cummings, G., 2013. Factors influencing
intentions to stay and retention of nurse managers: a systematic review. Journal of Nursing
Management, 21(3), pp.459-472.
Euro.who.int. 2018. Performance Measurement for Health System Improvement: Experiences,
Challenges and Prospects (2009). Retrieved from
http://www.euro.who.int/en/about-us/partners/observatory/publications/studies/performance-
measurement-for-health-system-improvement-experiences,-challenges-and-prospects-2009
Mbemba, G., Gagnon, M.P., Paré, G. and Côté, J., 2013. Interventions for supporting nurse
retention in rural and remote areas: an umbrella review. Human Resources for Health, 11(1),
p.44.
Mutale, W., Chintu, N., Amoroso, C., Awoonor-Williams, K., Phillips, J., Baynes, C., ... &
Sherr, K. 2013. Improving health information systems for decision making across five sub-
Saharan African countries: implementation strategies from the African Health Initiative. BMC
health services research, 13(2), S9.
Redknap, R., Twigg, D., Rock, D. and Towell, A., 2015. N ursing practice environment: A
strategy for mental health nurse retention?. International journal of mental health nursing, 24(3),
pp.262-271.

9MIDDLEVILLE REGIONAL HEALTHCARE
Twigg, D., & McCullough, K. 2014. Nurse retention: A review of strategies to create and
enhance positive practice environments in clinical settings. International journal of nursing
studies, 51(1), 85-92.
Van den Heede, K., Florquin, M., Bruyneel, L., Aiken, L., Diya, L., Lesaffre, E. and Sermeus,
W., 2013. Effective strategies for nurse retention in acute hospitals: a mixed method
study. International journal of nursing studies, 50(2), pp.185-194.