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  Fellowship Case Reports
2003 Fellow Case Reports

If you would like to order any of the following case reports, please send $5 per case report (checks should be made payable to the "Foundation of the ACHE") to:

Division of Research
American College of Healthcare Executives
One North Franklin Street, Suite 1700
Chicago, IL 60606-3529

—OR—

Call the Division of Research at (312) 424-2800 and provide credit card information.


Patricia N. Bentley

  • Strategic Approach to Organizing Business Operations within a Healthcare System for Emergency Medicine

K. Candis Best

  • Expanding an Existing Appointment Call Center to Offer Telephone Triage Services and Consolidate Follow-up Calls for an Urban Public Hospital
  • Implementing a Cycle Time Reduction Initiative in the Adult Medicine Ambulatory Care Clinic of a Public Hospital
  • Implementing a Patient Navigator Program in a Large Urban Hospital
  • Introducing an "Open Access" Model in the Primary Care Clinics of a High Volume Public Hospital Outpatient Department

DeAnna Bokinsky

  • The Planning and Development of a Comprehensive Women's Health Center to Meet the Needs of an Untapped Market

Aimee Gomlak Brace

  • Alternative User for a Closed Hospital
  • Development of Employed Physician Compensation Model
  • Reevaluation of Hospital Employed Primary Care Strategy
  • Successful Hospital-Physician Joint Ventures: Imaging Success

Georgia P. Brogdon

  • COBRA Violation: A Hospital's Action and Response
  • Development of a Comprehensive Hospital-Based Ob/Gyn Clinic for Indigent Women
  • Development of a Hospital-Employed Pediatric Practice for Indigent Children
  • Managing Neonatology Services: Transition to a Hospital-Employed Neonatologist from a Contract Medical Director Service
Sylvia L. Burkey
  • A Professional Development Assistance Program-A Retention and
  • Recruitment Program That Really Works
  • Focus and Integration: Keys to a Strong Management Team
  • The Development of a Comprehensive Skill Based Pay Program for Nurses

Patricia M. Burrows, RN

  • Creation of a Well Baby Clinic
  • Implementation of a Service Acceleration Program at Facility A
  • Opening of Facility A Referral Redesign

Frank D. Byrne

  • "Does This Mean I'm Going to be Your Guinea Pig?"—Bringing World Class Clinical Research to the Community Hospital Setting
  • No Good Deed Goes Unpunished: Transforming a Hospital Foundation from Fundraising Alone to Fundraising, Grant making and Community Benefit Program Administration
  • What a Long, Strange Trip It's Been: From Clinician to Physician Executive
  • When the Medical Staff President Tells the Board Chair the Hospital CEO Should be Fired It Focuses Your Attention: A Model for Physician Involvement in Governance and Management in the Community Hospital Setting

Robert A. Colvin

Maj Robert H. Cothron

  • Implementing Health Insurance Portability and Accountability Act (HIPAA) Title II Requirements-Developing a Full-Time Privacy Officer Program
  • Implementing Teleradiology in the Air Force Medical Services (AFMS)
  • Providing Continuity of Care During Base Realignment and Closure (BRAC)

Michael D. Cragin

  • Introduction of Management Engineering to a Tertiary Intercity Hospital

Martin Diamond

  • Selecting a Director of Health Plan Contracting for a Health System Challenges the Ability of Two Medical Groups, Two Hospitals, and a Foundation to Work Together. When All Parties Participate in a Process They Design, the Result is Very Positive.

G. Gordon Docking

  • Development of an Outpatient Medical Mall Facility on an Existing Hospital Campus
  • Development of an Outpatient Wound Center on a Community Hospital Campus
  • Expansion and Redesign of an Existing Emergency Room at a Community Hospital

Carol Edwards

Mary Jane Edwards
  • The Impact of Managed Care on Surgical Services

Louis F. Fegan

  • Contamination in Critical Areas of the Hospital-Diagnosis and Solution
  • Development of Non-Hospital Laboratory Services
  • Overview of the Recovery from a Hospital Fire
  • Rapid Turn-Around of the Hospital's Bottom Line

James R. Foster

  • Implementing Total Quality Management in Support of Financial Viability for Florida Hospital District
  • Improving Career Transition through Executive Coaching

J. Clay Fowler

  • Creating a Customer Satisfaction Culture
  • Organizing and Implementing an Effective Cost Control Program
  • Recruiting Physicians to a Small Town with a New Hospital
  • Reopening a Community Hospital That Was Recently Closed

Nora G. Frasier

  • Consolidation of Separately Organized Medical Staff in a Newly Merged Health System
  • Design of a Reward and Recognition Program to Enhance Patient and Employee Satisfaction
  • Establishment of a Supplemental Staffing Pool to Address Nursing Shortages

LT John P. Gaze

  • Deploying a New Automated Procurement and Inventory Management System in a Federally Funded Hospital
  • Improving the Communication and Staff Meeting Approach in a Federally Funded Medical Treatment Facility: A Change Strategy
  • Improving the Outpatient Coding Process: A Pilot-test in One OB/GYN Department
  • Reducing Procurement Lead-Time: Forward Deploying the Purchase Card to Internal Customers

Ruth A. Glaser

  • Implementation of Phase I of the North Carolina Smallpox Immunization Plan in a Rural Community Hospital

Betsy Peirson Gornet

  • Developing and Implementing a System-wise Compliance Program
  • Imposing a Moratorium on a Hospital Program
  • Restructuring Governance in an Uncertain Environment
  • The Process of Increasing Management Effectiveness to Advance Strategic Objectives

Patsy A. Hardy

  • Creating An Employee Recruitment and Retention Plan
  • Finding Alternatives to the Malpractice Crisis to Enable Physicians to Continue Practicing

Renia Harris-Hellams

  • Techniques Used by One Hospital to Assess and Improve It's Pre-Admission Testing Process and Increase Physician and Patient Satisfaction

Fred B. Hood

  • The Role of the System-Affiliated Community Hospital in Patient Placement and Continuum of Care

COL Dorene Hurt

  • Developing an Ongoing Process to Achieve and Maintain Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and Department of the Army Evaluations Processing Standards
  • Preparing and Deploying Medical Personnel to Theatre of War and Providing Family Support
  • Providing Comprehensive Outpatient Care to the National Guard During Annual Training

Sr. Janet M. Jeffers, I.H.M.

  • Developing a Customer Service In-Service Program for the Nursing Homes of Catholic Health Services of Long Island

William C. Johnson

  • Developing Data Center Disaster Recovery Alternatives
  • Performing an Information Services Management Review
  • Re-Engineering a Hospital's IT Planning Process
  • Social Dynamics of System Selection

Debra P. Jones, RN

  • Establishing a Professional Environment by Sharing Labor Cost Savings with Staff
  • Reduction of Emergency Care Turnaround Times
  • Reoccupying Territory: Re-establishing Hospital-based Rehabilitation Therapies
  • Short-term Facilities Planning to Meet High Volume Needs

Joseph Thomas Karr, Jr.

  • Development and Implementation of an Organizational Change Process
  • Driving Strategy to Results: Performance Management Utilizing Balanced Scorecard Techniques
  • Insurance Fraud: Insiders as a Conduit for Information to Chiropractors and Attorneys
  • Negotiating Techniques Utilized in the Acquisition of a Computerized Physician Order Entry System, Computerized Data Repository, and Computerized Documentation System

Robert C. Keen, Ph.D.

  • Implementing an Effective, Low Cost, Continuous Quality Improvement (CQI) Process in a Small Hospital
  • The Challenge of Providing EMS Services to a Rural/Suburban Community

Johnson Kelly, MD

John Paul Kendrick

  • Developing a Case Management Program in an Overseas Military Medical Treatment Facility
  • Establishing a Preferred Provider Network in an Overseas Military Treatment Facility
  • Implementation of a Pediatric Resource Sharing Agreement in a Small Military Medical Center

Adrienne Kirby, Ph.D.

Virginia Larson

  • Assessment of Nursing Services within a Rural Medical Center
  • Implementation of a Diversity Program entitled "Bridging Cultures" within a Rural Medical Center

Douglas J. Leonard

  • Improving the Purchase of Capital Equipment and Projects through the Use of a Capital Acquisition Team

Mary Kathryn Leonard

  • Increasing Market Share by Positively Improving the Hospital Image and Community Perception through Community Involvement without a Large Marketing Budget

Marcel J. Lisi

  • Collaborative Approach to Supply Cost Savings
  • Development and Implementation of a Clinical Service Line
  • The Development of Staff and Implementation of Universal Beds, also known as One Stay Beds
  • Use of Physician Extenders in Clinic and Hospital Settings to Improve Physician Productivity and Provide More Provider-Contact Time with Patients

Thomas Mattice

  • Implementation of Service Lines in an Integrated Service Network

Karen O. Moore, RN

  • Collective Bargaining: Approaches to Structure and Process to Meet Multiple Stakeholder Interests
  • Creating a Healing Environment: Applying Evidence-Based Practice to Transform an Aging Facility and Inform Future Facility Planning
  • Integrated Service Line Structure: Approaches to Assessing Service Line Structures for Value Added Outcomes

William J. Mott, Jr.

  • HEICS: Hype or Help?
  • Improving Customer Satisfaction One Room At a Time

Randy L. Napier

  • Minimizing Internal Competition in a Health Network/Partnership

Mary T. Parra, MPH

  • Development of a Participating Provider Database for the Purposes of Delegated Credentialing with Contracted Managed Care Payors
  • Development of a Payor Implementation Team to Improve the Contract Implementation Process for Third Party Payors

Mary Ellen Pratt

  • Establishing a Systematic Approach to Improving Employee Satisfaction
  • Implementation of Six Sigma in a Community Hospital

David G. Putt

  • Development of a Center of Excellence for Rural Health Care
  • Establishing Tele-Medicine in a Rural Community Hospital Emergency Room
  • Rural Hospital Survival
  • The Utilization of TeleRadiology in a Rural Community Hospital

Carol Jefferson Ratcliffe, RN

Randall W. Ross

  • Contracting for Anesthesia Services: A Shift from Independent Practitioners to a Contract Model
  • Rapid Process Improvement-Breast Cancer Success Story
  • Turnaround of a Medical Oncology Program

James J. Sapienza

  • A Decision to Expand Ophthalmology Services at a Multi-Specialty Surgery Center
  • Development of Vision and Mission for New Owners of an Ambulatory Surgery Center
  • Implementation of Medical Departments of a Newly Created Multi-Specialty Medical Group
  • Results of a Multi-channel National Promotional and Manufacturing Campaign to Ensure Full Supply of Pediatric Multi-vitamins for Infusion in Hospitals

Jessie Thomas Shepherd

  • Balanced Scorecard Deployment
  • Creating an Innovative Organizational Structure Using Service Line Management as the Basis
  • Developing a Project Management Process for New Construction
  • Using an External Consultant to Facilitate an Internal Consulting Process

Charles L. Stewart

  • Consolidation and Merger of a Freestanding Rehab Hospital and a Medical/Surgical Hospital
  • Development of a Managed Care System for Medicaid Maternity Patients
  • Management Dilemma: When Nursing Staff Disagree with the Recommendation of the Hospital's Ethics Committee and the Decision of a Patient's Family
  • Resolving Anesthesiology Coverage Issues in a Hospital Surgical Services Department

Joan C. Sullivan

  • An Integrated Systems Swift Response to Dynamic Market Conditions Results in Dramatic Re-design of the System Owned Primary Care Network
  • Creating Contemporary Medical Practice Facilities to Realize the Hub and Spoke Vision for Service Delivery
  • Developing a System Wide Revenue Management Team Yields over $20 Million in Incremental Net Income in Less Than Three Years
  • Transforming a Traditional Academic Environment into a Responsive Practice Management Culture

Marcia Taylor, RN

David S. Wagner

  • Accessing Community Capital
  • Ceasing Sponsorship of a Rural Health Clinic
  • Selection of an Exclusive Radiology Provider
  • Streamlining the Board Structure

Janet Weckenborg

  • Development of a Patient Safety Focus in a Community Hospital Setting
  • Improving the Medical Records Services in a Community Hospital
  • Integration of a Radiation Therapy Center into the Larger Organization Hospital
  • Integration of a Renewed Customer Service Culture

K. Scott Wester

  • Acquisition of a For-Profit Hospital and Converting to a Not-For-Profit Community Based Hospital
  • Converting a Small Rural Facility to a Critical Access Hospital

CDR Lisa Ziemke

  • Developing a Successful Environment of Care Program at Mid-Sized Military Hospital
  • Establishing a Successful Emergency Medical Services Partnership Between an Outpatient Medical Clinic and Local Fire Department
  • Establishing a Well-Rounded Customer and Staff Satisfaction Program at a Small Outpatient Clinic
  • Organizational Development and Focus through Staff Participation at a Small Outpatient Medical Clinic
   
 

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