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  Fellowship Case Reports
1996 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 and Development
American College of Healthcare Executives
One North Franklin Street, Suite 1700
Chicago, IL 60606-4425

--OR--

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


Craig S. Anderson

  • Planning for 13 Community Based Satellite Clinics in a Multi-Hospital Setting
  • Planning and Implementing an Oncology Program in a Multi-Hospital Network Delivery System
  • Planning and Implementing a Rehabilitation Medicine Services Program in Multi-Hospital/State Network Delivery System
  • Planning and Implementing Spinal Cord Injury Services in a Multi-Hospital Network Delivery System

Timothy L. Austin

  • Development of a National Behavioral Care Network

Sister M. Bernadette Bajuscik, OSF

  • Developing and Maintaining a Strong and Effective Mission Effectiveness Program
  • Development of an Intergenerational Program Between a Child Care Center and a Nursing Home
  • Incorporating an Employee Preventive Health Program Into the Workers’ Compensation Program

Christopher Lynn Bakke, MN, MPH

  • Providing Electronic Messaging to 3,500 Clinicians in a Large HMO: Responding to Patient Confidentiality Risks
  • Installing 1,000 Networked Workstations in an HMO in Four Months
  • Creating CyberPros: Incorporating Physicians into a Clinical Information System Vendor Selection Process
  • Implementing a Low Back Pain Guideline In a Primary Care Clinic: Stumbles and Lessons

Marina Baroff

  • Total Quality Management
  • Cleanliness Campaign
  • Conflict Management and Hospital Volunteers
  • Coordinating Quality Support Resources

Albert K. Blackwelder

  • Development of Parking Alternatives on the Campus of an Urban Hospital
  • Preparation of a Large Urban Hospital for the Olympic Games to be Held Less Than One Mile Away
  • Consolidation in an Academic Medical Center Environment of Laboratories from Two Hospitals, a Multi-Practice Specialty Clinic and a Reference Lab
  • Merging Management of Two University Owned Urban Hospitals

Ricky L. Blake

  • Promotion of a Comprehensive Cancer Program
  • The Benefits of a Decentralized Pharmacy - An Exercise in Re-engineering
  • A Study in Cost Management: In-House Versus Free-Standing Laundry Service
  • The Evolution of a Regional Hospital into an Integrated Health System - A Study in Organizational Restructuring

Nancy L. Bohnet, RN, MN, FAAN

  • Computerization of Clinical Documentation in a Home Health Care Organization
  • Continuous Quality Improvement in a Home Health Care Organization
  • Development of a Retail Pharmacy in a Home Health Care Organization

Andrea Adler Braid

  • Implementing a Strategic Plan for Rehabilitation Services
  • Meeting the Needs of Child Care in Today’s Healthcare Environment

John F. Bringhurst

  • Determining Feasibility for a Community-Based Air Ambulance System
  • Dealing With Dysfunctional Hospital-Based Physicians
  • Developing a Community Home Health Agency

Daniel L. Buche

  • Converting From a Moderately Managed to a Highly Managed Employee Health Plan
  • Creating a Community Cancer Center
  • Construction of a Medical Specialty Professional Office Building
  • Development of a Regional Rural Health Care System

Lonnie W. Bunn

  • A Feasibility Study for a Hospital Laundry
  • The Patient Services Assistant: A Program to Reduce Costs While Maintaining or Improving Customer Satisfaction
  • A Hospital Sponsored After Hours Pediatric Telephone Triage Program
  • Cross Training of Respiratory Therapy Technicians, EKG Technicians and Phlebotomists to Reduce Turnaround Times in the Emergency Department

Michael R. Burroughs

  • Anatomy of a Hospital Turnaround: The Role of Governance
  • Anatomy of a Hospital Turnaround: How to Achieve Operational Improvement
  • Anatomy of a Hospital Turnaround: Creating Positive Physician Relations in a Negative Corporate Culture

Phil K. Campbell

  • Reducing the Cost of JCAHO Accreditation
  • Development of a Provider PPO for a Small, Rural, 72 Bed Community Hospital
  • Development of a Comprehensive Fund Raising Program for a Small Rural 72 Bed Community Hospital

R. Chris Christy

  • Lessons to be Learned from Medical Group Relocation
  • Management Service Organization Development Issues
  • Organization Mergers: A Clash or Coordination of Cultures

Richard J. Cohen, Ph.D.

  • Development and Implementation of a Drug Treatment Program
  • Implementation of a Public Health Agency Corporate Office Move
  • Provision of Integrated Public Health in an Urban Community: The Rebirth of an Organization
  • The Merger/Acquisition of a Non-Profit Corporation

Robert Y. Copeland, Jr.

  • Conflict Resolution Between the Medical Director and Associate Medical Director at a New 60 Bed Medical Rehabilitation Hospital
  • Development of an Occupational Health Services Program
  • The Struggle of Inpatient Census Development in a New Freestanding Rehabilitation Hospital
  • Conversion of Surgery Scheduling System to be More Efficient and User-Friendly

Anthony J. Cooper

  • Crisis in the Cardiac Cath Lab: Factors Leading To, and From, The Suspension of a Vital Clinical Service
  • A Successful Capital Campaign: Raising Funds for a Community Medical Center

Robert Vincent Deen

  • A Positive and Low Cost Approach to Improving the Appearance of a Hospital
  • Returning a Small Rural Hospital to Financial Stability
  • Improving Ambulance Service Response Time in a Rural Area

Richard G. DeFoore

  • Implementation of Cardiovascular Surgery in a Community Hospital
  • Acquisition of a Non-Profit Organization: An Analysis of Political and Organizational Implications

Dean E. DeHaven, Jr.

  • Effective Approach to Developing Energy Efficient Facilities
  • Value and Mission Directed Downsizing and Restructuring
  • Utilizing CQI Techniques for Cost Reduction
  • Implementing Patient Focused Care in a Managed Care Environment

William H. Deitenbeck

  • Implementation and Effectiveness of Statistical Process Control in a Hospital Engineering Department
  • Biomedical Engineering Services - Analysis of the Transition from Contract Services to an In-House Department
  • Impact of Selecting Incineration for the Disposal of Medical Waste
  • Implementation and Effectiveness of a Quality Room Program

Peter W. Diestel

  • Planned Improvement of a Comprehensive Community Cancer Program
  • Achieving Board and Medical Staff Involvement in Performance Improvement
  • The Development of an Effective Communication Plan to support Hospital Redesign
  • Development of a Comprehensive Breast Care Center

Wayne T. Dodwell

  • Development of an Integrated Healthcare Organization Primary Care Network
  • Implementation of a Behavioral Health Network Development Program in a Community Medical Center
  • Implementation of a Utilization Management Program in a Community Hospital
  • Health Care 2000: Designing Tomorrow’s Systems Today

Ronald E. Dorris

  • An Approach to Staffing Using Concurrent Productivity Monitoring in a Rural Hospital
  • A Joint Venture Approach to Physician Recruitment in a Rural Hospital

Philip J. Driscoll, Jr.

  • The Development of a Cancer Institute as a Multi-Institutional Cooperative Venture: Case Study
  • The Development and Implementation of the Kidney Stone Treatment Center: A Case Study
  • Technology Assessment of Biliary Lithotripsy: A Case Study
  • A Postmortem on a Physicians’ Answering Service: A Case Study

Bruce A. Fellner

  • The Trials and Tribulations of Implementing an Automated Payroll System in a Healthcare Environment
  • Implementing and Controlling a Conflict of Interest Policy in a Healthcare Environment
  • Implementing and Internal Audit Function in a Healthcare Environment

Commander (Select) William P. Frank

  • Too Many Beds or Too Few Patients
  • The Critical Success of Strategic Planning
  • Marketing “1990’s Style” Healthcare Delivery Practices to “1950’s Style” Markets
  • Preparing for the Worst -- Earthquake, Terrorist Bombing, Floods

Marie E. Frey

  • Implementing a Flexible Benefit Program
  • Development of a New Employee Evaluation Tool

Maureen Gallo

  • Competitors as Collaborators - Developing a Super PHO
  • Implementation of a Physician - Hospital Organization

Jean Garten

  • Development of a Physician Hospital Organization
  • A Continuous Quality Improvement and Redesign Effort Addressing the Process of “Entry into the Setting” at a Regional Referral Hospital
  • Implementation of a Teleradiology Network Connecting a Sole Community Provider with Surrounding Rural Hospitals in an Effort to Improve Access to Timely Interpretation of Radiographs and Associated Consults
  • Development of a Physician Recruitment Program in an Environment with Few Resources and Concern for Legal and Regulatory Constraints

Jonathan R. Goble

  • The Differential Impact of Incentive compensation on Management vs. Non-Management
  • The Implementation of continuous Quality Improvement in a Rural Hospital with Limited Resources

David A. Greenberg

  • Providing Hospital Staff with a Cash Bonus in a Time of Close Public Scrutiny
  • Reducing Laboratory Expenses in a Rehabilitation Hospital
  • Selecting & Implementing a Clinical Information System
  • Restoring Clinical Staff Confidence After an Incident of Formula Poisoning

Terry Gunn

  • Planning, Development and Occupancy of a Hospital Integrated Medical Office Building
  • Acquisition and Integration of Primary Care Physician Practices by an Acute Care Hospital
  • Creation of a Managed Care Network Through Development of an Integrated Provider Network
  • Implementing and Operationally Driven Quality Improvement Program

Bob Haley

  • The Development of a Physician Recruitment Program
  • Developing and Operating Rural Health Clinics
  • Developing and Occupational Health Program
  • Acquiring and Integrating a Free-Standing Pediatric and Obstetrics Birthing Center into a Healthcare System

Andrew M. Harris

  • De-Licensing Acute Care Beds to boost the Bottom Line
  • Productivity - A Tool used for Successful Allocation of Human Resources in a Rural Hospital Setting
  • Mobile Imaging - The Answer to a Rural Hospital’s MRI Needs
  • The Value of Establishing a Skilled Nursing Facility in Rural Hospital

John R. Heer, Jr.

  • Implementation of a CQI Initiative in a Medical Center
  • Development and Implementation of a Clinical Resource Management Program in a Medical Center
  • Establishment of a Customer Satisfaction Environment in a Medical Center
  • Implementation of a Reference Laboratory in a Highly Competitive Environment

Alice J. Heiskell

  • Creation of a One Stop Shopping Pre Admission Testing Process
  • Development of an Infant Abduction Prevention Plan and Education Program

Sister Karen Helfenstein, SC

  • Development and Design of a Mission Strategic Plan for a Major Academic Medical Center
  • Using Patient Satisfaction Reports to Improve Service
  • Designing and Implementing a Values Integration Program During a Time of Major Institutional Transition
  • Conversion of a Hospital Clinic to a Primary Care Family Health Center

James R. Higgins

  • Developing and Managing and Effective Equipment Management Program
  • Identifying Animal Research Costs and Subsequent Decision Making
  • Merging the Human Resources Function
  • Enhancing the Operational Components of the Emergency Room

Mark Hood

  • Development and Implementation of Hospital Strategic Plan
  • Development and Completion of a $2 Million Dollar Hospital Fundraising Project
  • The Development and Approval Process for a Hospital Expansion Plan
  • Primary Care Expansion

Kenneth L. Hudson

  • Evaluation and Analysis of Acquisition of a For-Profit Dialysis Organization by a Non-Profit Dialysis Organization
  • Development of a Strategy to Minimize the Impact of the Effects of Competition from a For-Profit Dialysis Center on a Non-Profit Chain
  • Development of a Strategy to Avoid a Union Election: One Organization’s Experience
  • Implementation of EPO Therapy for Patient’s with End-Stage Renal Disease: An Administrative Perspective

Vera J. Hubiak

  • Restructuring of an Ambulatory Services Department
  • Integration of Hospital and Practice Group Data Systems
  • Examination of Management Functions at a Russian Hospital
  • A Consolidation of Pediatric Services from Three Institutions into a New Children’s Hospital

Douglas L. Johnson

  • The Integration of Community Agencies and Allied Health Professions Students in an Assessment of the Community Healthcare System
  • Raising community Awareness for a Healthy Heart Through the Creation of a Healthcare Industry Leadership Campaign for the American Heartwalk at a Large Rural Hospital
  • Dismantling and Redistribution of a Respiratory Care Department Among Functional Service Lines
  • The Creation of a Multi-Disciplinary Rehabilitation Department at a Large Rural Hospital

James Samuel Jones

  • Local Action to Address a Nationwide Reduction of Employees
  • Seek a Positive Outcome to an Equal Employment Opportunity (EEO) Discrimination Complaint
  • Implementing Hospital Wide Use of TQI/TQM Principles in a Large Government Teaching Hospital
  • Absorbing Outside Staff Resulting From Corporate Organizational Realignment

Richard L. Jones

  • Establishing a Physician Hospital Organization in a Pre-Managed Care Marketplace
  • What Comes After a Regional health Assessment....A Chip
  • Sale of a Private Not For Profit Hospital
  • When to Begin an Aggressive Physician Integration Program

Steven G. Kelly

  • Developing Mobile Clinic Services for a Rural Area
  • Developing Oncology Services for a Rural Hospital
  • A Community Relations/Community Giving Program to Support a Not-For-Profit-Community Hospital

John H. Ketring

  • Developing and Implementing a Physicians’ Economic Report System

Merlyn E. Knapp

  • Selection Process for a Fund Investment Manager
  • Creating a Inpatient Rehabilitation Unit in a Rural Community Hospital
  • Creating a Physician Hospital Organization in a Rural Community
  • Implementing a Case Management Program in a Rural Community Hospital

Cosmo J. LaCosta

  • The Reengineering and Redesign of the Clinical Laboratory and its Processes
  • The emergency Department Fast Track System: Diffusing Patient Volume to the Medical Center’s Family Care Satellites
  • Development of a Model Special Needs Plan for HIV/AIDS Medicaid Patient Population in New York State
  • Enhancing Pharmaceutical Services Through the Use of Electronic Data Processing and Automation

Fred L. Lang

  • Revamping Ambulatory Care: Designing a Family Care Center in a Community Hospital
  • Compensating Physicians for Indigent Care: Establishing Three Different Programs in a Community Hospital
  • Development of a Hospital Wide, Multi-Disciplinary, annual In-Service Program
  • Engineering an Image Change for a Community Hospital: The Role of a New Logo

Luther L. Lewis

  • Formation of a Rural Health Care Network
  • Consolidation of Hospital Services on Two Campuses to One Location
  • Development of a Management Services Organization for Physicians
  • Selection of a Joint Venture Partner

Steven G. Littleson

  • A Model for Assessing Strategic Affiliation Alternatives for a 134 Bed Community Hospital

Sister Mary Norberta Malinowski

  • The Need for Management Service Organization to Improve Closer Relationships with Primary Care Physicians
  • An evaluation of the Implementation of Values in a Catholic Hospital
  • The Role of the Surgical Services Coordinator
  • Establishing Mammography Screening Services Outside the Hospital

Joanne Bell Martucci

  • Rejecting the Act: An Alternative to Workers’ Compensation
  • Implementing a Continuous Quality Improvement Program: A Low Budget Approach
  • Prison Healthcare: contracting for and Implementing a System to Meet the Healthcare Requirements of an Inmate Population
  • Achieving JCAHO Accreditation in a Physician Controlled Ambulatory Care Setting

Ian E. McFadden

  • The Decision Making Process and Initial Development of work Partners: A Workers Compensation Managed Care Product, Designed to Control the West Tennessee Workers Compensation Market
  • Sports Plus Rehabilitation Centers: A Hospital Sponsored Outpatient Rehabilitation Clinic Concept Designed to Serve a Rural, Seventeen (17) County Region
  • OCC-MED: The Establishment and Implementation of a Hospital Sponsored Program for the Provision of Occupational Medicine Services in West Tennessee

Audrey Meyers

  • Compensating the Medical Staff President

Betty Lou Miccio

  • A case Report for the Credentials Committee
  • Utilization of Benchmarks to Improve Hospital Clinic Performance and Patient Service
  • Implementation of a Patient Coordinator Program to Improve Patient Throughput and Satisfaction in the Ambulatory Department
  • Implementation of Timed Appointment Schedule to Reduce Patient Wait Times in Surgery Clinic

Charles E. Nabors

  • Development of an Integrative Problem Resolution/Opportunity to Improve Model
  • Development and Implementation of a Vertically Integrated Rural Healthcare Delivery System
  • Development and Implementation of an Integrative System of Progressive Incentivation
  • Development and Implementation of a Hospitalwide Productivity/Activity Reporting System

David J. Newton

  • Space Management for the Short Term at a Large, Community-Based Teaching Hospital
  • Development of a Health Sciences Research and Education Institute at a Large, Community-Based Teaching Hospital
  • Neighborhood Network: A Hospital Facilitated Organization to Establish and maintain Relations with Organizations, Businesses, and Individuals in its Neighborhood
  • Development of a Strategy Based Master Facility Plan at a Not-For-Profit Hospital

David H. Northern

  • Establishing and Implementing Criteria Based Job Description and Evaluation Tool for Department Directors
  • An Analysis of Building and In-House Laundry Facility Versus Contracting Linen Services for the Hospital

James G. Parrish

  • Total Quality Management Implementation in the Small Rural Facility
  • The Small rural Hospital and Survival: Does Affiliation with a Tertiary Facility Help or Hinder the Junior Partner?
  • Resolution of the Accounts Receivable Problem at a Small Rural Hospital
  • Evaluation of the Provision of OB Services at East Adams Rural Hospital

Glenn E. Pearson

  • Salvaging a Cooperative Hospital shared Service Program from a Formidable Corporate Threat

Eugene Ragghianti

  • Initiating an Off-Campus Outpatient Rehabilitation Service in a Rural Community
  • Establishing Continuous Improvement (TQM) in a Rural Hospital
  • Development of a Regional PPO for rural Health Providers
  • Implementing an OB Service in a Rural Hospital Setting

Vernette Riley

  • Decentralization of Nursing at a Rural Hospital
  • Implementation of a Cardiac Rehabilitation Program
  • Reorganization of Obstetric Department

John M. Ritch

  • The Development and Implementation of a Hospital-Based Comprehensive Spine Center
  • The Development and Organization of a Managed Care Network and Contracting Capability
  • The Development and Organization of a Managed Care Network and Contracting Capability
  • Hospital Development of a Complete Continuum of Care for the Delivery of Rehabilitation Services

Alan F. Robinson

  • Evaluation of Whether to Outsource the Copy Services for a Three-Hospital Region
  • Implementation of Cost-Based Pricing for Hospital Services
  • Establishing a Performance Monitoring System Which Evaluates the Relationship Between Cost, Outcomes, and Satisfaction
  • Reorganization of Three Hospitals to Achieve Integration and Operating Efficiency

Joseph E. Roche

  • Developing a Network of Outpatient Services
  • Hospital Downsizing: Reducing Operating Expenses by 75
  • The Challenge of a Hospital Turnaround

Zeff Ross

  • Opening a New 100-Bed General Acute Care Hospital
  • An Innovative Method to Provide Day Care Services for Employees’ Children
  • Strategic Planning Initiatives: Meeting the Needs of the Community While Maintaining a Competitive Edge
  • Assessing Customer Satisfaction Levels and Responding to Identified Areas of Concern

Harold Rubin

  • Developing Community-Based Primary Care Clinics for Adult Medicine Patients
  • Evaluating and Developing a Lease for a Hospital-Owned Oncology Center
  • Development of a Health Maintenance Organization (HMO) Among a Hospital and Two Partner Organizations
  • Development of a Management Services Organization (MSO) Between a Hospital and Its Affiliated Independent Physicians

Harold Reed

  • Implementation of a Telecommunication and Teleradiology System
  • Establish a Hospital-Based Hospice
  • Establish a Hospital-Based Home Health Agency

Jack Randall Sauls

  • Implementation of a Rural Primary Care Network
  • Implementation of a Hospital Based Medical Service Organization for a Rural Hospital Medical Staff
  • Development and Implementation of a County-Owned, Hospital-Based Pre-Hospital Emergency Medical Service
  • Development and Implementation of a Recruitment and Hiring Policy and Procedure for a Rural Medical Facility

John C. Sheehan

  • The Development and Implementation of the Collaborative Options to Establish New Provider Systems in New and Existing Markets
  • The Development of a Medicare Risk Health Plan Product and Its Implementation in a Large, Vertically Integrated Health System
  • The Development and Implementation of a Home Health Services Strategy Within a Large, Vertically Integrated Healthcare System
  • The Reorganization and Reengineering of Pharmacy Services Within a Managed Care Environment

Donald J. Sieg

  • Development of a community Based Physician Organization, Preferred Provider Network, and Health Maintenance Organization
  • Renegotiation of an Emergency Medical Service Contract
  • The Fine Art of Delegation - Establishment of a 16 Unit Outpatient Geri-Psych Program
  • Renegotiation of an Exclusive Anesthesia Service Contract

Thomas J. Sloan

  • Establishment of a Public Art Program by a University Teaching Hospital
  • Reorganization of an Academic Health Center Into a Corporate Model
  • Establishment of Community-Based Clinical Practices for an Academic Health Center
  • Establishment of a Statewide Primary Care System for Persons with HIV/AIDS

Douglas J. Sundlof

  • Transitioning to a Nursing Case Management Model in a Long-Term Acute Care Hospital
  • Transitioning to a Product-Line Marketing Strategy
  • Reengineering the Referral Development Process for Specialty Hospitals in a Managed Care Environment

David A. Sweeney

  • Implementation of Cost Reduction and Revenue Enhancement Strategies in a Small Rural Hospital
  • Implementation of a Rehabilitation Program in a Rural Hospital Swing Bed Unit
  • Reopening a Small Rural Hospital Emergency Department on a 24 -Hour Basis

Jay Toth

  • Developing a Consultation Meeting Between the State of New York Health Department and All New York Tribal Health Programs
  • Developing Home Health Services for Tribal Health Programs
  • Shared Service Agreements with Tribal Health Programs
  • Managed Care Contracting for Tribal Programs

Paul L. Usher

  • Sexual Actions in the Office Place
  • Reducing the Hospital’s Pension Cost
  • Development of an Information Systems Strategic Plan
  • Developing a Long-Range Financial Plan

David R. Verstreate

  • Establishment of a Head and Neck Center
  • Using Key Indicators to Monitor Customer Satisfaction in Rehab Services
  • Establishment of a Hospital-based Domestic Violence Program
  • Service Line Management: Fully Integrating Marketing and Operational Authority is the Key to Success

Randall P. Wright

  • Decision Process to Close Hospital Operated Aeromedical Program
  • Development of a Cancer Therapy Treatment Program Using shared Resources from Two Hospitals
  • Development of a Program to Improve Efficiency in Departments of Radiology and Laboratory Medicine
  • Development of a Program to Monitor and Approve Conical Research Conducted Within a Hospital

Jesse O. Weatherly

  • Development of an Effective Joint Venture Between a Non-Profit Multi Institution Healthcare System and a Local Community Medical Center
  • Designing a Replacement Acute Care Facility in a Period of Rapid Change
  • Implementation of a Gainsharing Plan in a Non-Profit Acute Care Facility
  • Development of a Culture of Guest Excellence in an Acute Care Facility

Hans G. Wiik

  • Development of a Hospital Affiliated Rural Indigent Health Care Clinic
  • Development of a Rural Statewide Provider Network and Health Plan
  • The Development of a Market Oriented Physician Hospital Organization
  • Positioning a Regional Hospital Effort for Documenting and Communicating the Value of Community Benefit Initiative

   
 

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