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This week’s case study comes from the public health system. Hillsboro County Health Department (HCHD) is a municipal department of the county government and receives all its funding from the county and federal and state grants. It is accountable to the County Commissioners. HCHD is responsible for the public health of citizens in Hillsboro County and accomplishes this task through the following:

  • Collecting, disseminating, and monitoring the health status of the citizens of Hillsboro County.
  • Assessing the accessibility, effectiveness, and quality of health services.
  • Serving as the county’s public health advocate.
  • Studying and reporting health problems and hazards.
  • Enforcing laws and regulations.
  • Overseeing the county’s 110-bed long-term care facility.
  1. Read “Case 9: Hillsboro County Health Department” in the textbook. (The Middleboro Casebook Healthcare Strategy and Operations)

An independent review of HCHD described the department as operating in five semiautonomous silos, noting the divisions should consolidate and integrate their services. Then, they made three primary recommendations.

Recommendation 1: Close the department’s Community Health and Health Promotion division and/or the Disease Prevention division and transfer all responsibilities and external funding to the Community Health Division of Hillsboro Health. The agency has indicated that it would accept these responsibilities if the transfer included a five-year commitment for a management fee equal to 15% of the external funding that accompanied the transfer.

Recommendation 2: Combine the department’s Community Health and Health Promotion division and/or Disease Prevention division in a manner that would preserve their existing services but lower their operational costs by at least 20%. Your assessment of this recommendation must include an assessment of programmatic impacts and an explicit statement of the source of the financial savings.

Recommendation 3: Lower the department’s operational expenses by 15%. Indicate a plan to achieve these savings including specific staffing reductions.

Address the following questions and provide appropriate quantitative justification to support your conclusions and recommendations:

  1. Assess each recommendation. Assume all grants are transferable.
  2. What should HCHD do and why? Endorse a recommendation.
 
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Tony Fortaleza, A
Filipino-American, is a loan officer in a mortgage company. He is often asked
by his supervisor if he “wouldn’t mind” doing some extra reports because one of
his coworkers is out sick or there is a vacancy in the department. He always
smiles as he says yes. But after accepting the most recent extra assignment, he
begins reviewing his last two years on the job. Nothing seems to be changing.
Of all the loan officers, he handles twice as many applications and reports as
anyone else. He is proud of his performance and knows that Barbra Wilson, his
supervisor, always counts on him to be quick and accurate and never refuses
extra work.

Last month there was an
opportunity for a promotion in the department, with some supervisory
responsibilities. No one suggested that Tony apply. Bob, a coworker who has
been there a year less, got the job.

The day after he hears
about Bob’s promotion, Tony applies for a similar position in another company
and is accepted. When he tells Barbra that he will be leaving in two weeks for
a better job, she is shocked. “Why are you leaving? If you want a raise, why
didn’t you ask for it or apply for the promotion that Bob applied for? I never
knew you were dissatisfied. What can I do to make you stay?”

Tony says “oh, nothing is wrong. I just
want a change.” Barbra is devastated because she never had a worker as
excellent as Tony. “What did I do wrong?” she wonders.

1. Suggest a title for
the scenario

2. Identify at two
behaviors of organization members in the scenario that are possibly a
manifestation of national cultural tendencies.

3. Assume the role of a
workforce diversity management consultant and suggest a response to Barbra’s
question, “What did I do wrong?”

 
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The welding department
supplies parts to the final assembly line. Management decides to implement a
kanban system and has collected the following data.

• The daily demand is
2,300 units

• The production lead
time is 6 days (this includes processing time, transport time, and waiting
time).

Management has decided
to have 2 day(s) of safety stock

• One container fits 425
units .

How many kanban
containers will be needed to support this system? (Round up to next whole
number). containers

Bananas are processed through
a two-step process. First, the fruit is separated in a machine with a capacity
of 1175 bananas per hour Next, the fruit is wrapped with a machine that has a
capacity of 825 bananas per hour. Demand for bananas exceeds supply

Round your answer to three
decimai places

In a pull system, what
will be the utilization of the first machine?

A copy machine is
available 24 hours a day. On a typical day, the machine produces 119 jobs. Each
job takes about 3 minutes on the machine, 1 minutes of which is processing time
and 2 minute is setup time (logging in defining the job). About 22 Percent of
the jobs need to be reworked, in which case the setup time and the processing
time have to be repeated. The remainder of the time, the equipment is idle.

What is the OEE of the
equipment? (Round your percentage answer to 1 decimal place.) What is the OEE
of the equipment? Percent

in a clinic, an average customer will wait 10
minutes before spending 40 minutes with the specialist Express your answer as a
percentage rounded to one decimal place What is the percentage of value-added
time?

At a spa, customers
generally spend 2 hours in the facility. On average, this includes 19 minutes
waiting after arrival, 5 minutes waiting for a massage, and 2 minutes waiting
to checkout. The remainder of the time is spent being pampered by the spa’s
staff, Report your answer as a decimal and round to 3 decimal places What is
the overall equipment effectiveness (OEE) of this spa?

 
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Write an analysis of what your analogy reveals about what you most value in the work teachers do.

Use the following prompts to guide your answer:

• What special qualities does your analogy state that teachers should have?

• How does your analogy suggest that teachers work with learner/s?

• What does your analogy reveal about the way you think teachers work with the knowledge?

• What does your analogy reveal about the thinking that teachers need to do in their work?

• Which part/s of the triangle does your analogy emphasise?

Which part/s does it mention briefly? Which part/s does it ignore?

• What does this reveal to you about your beliefs about teachers’ work?

 
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