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  Fellowship Case Reports
1997 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 60606-3529

--OR--

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


M. Raymond Alvarez, CHE

  • Implementing a Management Services Organization in a Rural Area
  • Introducing Work Redesign and Continuous Quality Improvement in a Unionized Community Hospital Laboratory
  • Positioning the Medical Staff of a Rural West Virginia Community Hospital for a Managed Care Environment

Kathleen A. Ambs

  • Analysis of Replacing a Mobile CT Scanner with a Fixed CT Scanner, Option to Buy or Lease, for a Small Rural Hospital
  • Financial Feasibility Study of the Impact of a Construction Project for a Small Rural Hospital
  • Management Alternatives for a Small rural Hospital: The Executive Team Approach Versus a Chief Executive Officer

Joan Ellis Beglinger

  • Elimination of the Monitor Watching Function in Adult Intensive Care
  • Implementation of a Management Strategy to Transform a Persistently Negative Culture Within a Unit of the Medical Center
  • Implementation of a Shared Governance Model in a Nursing Organization
  • Improving Eye Donations through the Routine Referral Process
  • The Development of a Partnership Between a Hospital-based Emergency Department and Community-based Emergency medical Technicians

Clark R. Beil

  • Creating a Pneumonia Clinical Pathway Using Decision Support Software
  • Turn Around of a Failing Primary Care Medical Practice

Nancy L. Berger

  • Improving Customer Service by Initiating a Livery Service
  • Reversal of Dissatisfaction to Satisfaction of Timely Radiology Retrieval Utilizing a Manual System
  • Implementation of a Same Day Cardiac Catheterization Program Utilizing Performance Improvement Methodology
  • Value Analysis Program Impact on Hospital Costs

Kent L. Brown

  • Diversification of a Rural Hospital: Reducing Dependency on Acute Care Services
  • Evaluating and Selecting an Acute Care Hospital Food Services Management Firm
  • Temporary Agency Support Department Workers: An Approach to Increase the Flexibility of Hospital Staffing

Deborah M. Byrd

  • Implementation of a Labor Efficiency Program for Dialysis Services
  • Implementation of a Mass CPR Community Training Event
  • The Evaluation of an On-Site Incinerator Operation and the Decision to Implement an Alternative, More Costly Solution

Glenn W. Chong

  • Development of a Shared Management Structure for a Two Hospital System
  • Implementation of Enhanced Severance Benefits to Facilitate a Reduction-in- Force
  • The Effects of Risk Assumption on Hospital Organization and Utilization
  • The Management of Full Risk Contracts in an Integrated Delivery System

Lawrence J. Connors

  • Evolution and Implementation of a Continuous Quality Improvement Culture
  • Examination of the Feasibility of Laboratory Merger
  • Improving Patient Satisfaction of Non-urgent Emergency Services

Gretchen M. Dahlen

  • Collaboration to Improve Pediatric Immunization Rates
  • Executive Leadership Selection: Resume Inflation?
  • Development of a Strategic Business Plan for a Healthcare Alumni Association


Martin F. David

  • Planning for the Successful Opening of a Hospital based Long Term Care Facility
  • Refurbishing a Facility: The Headaches are Worth the Effort
  • The Purchase and Operational Consolidation of a 200-Bed Long Term Care Facility with a Half-Occupied 480-Bed Long Term Care Facility
  • Working with a Board of Directors to Develop a Plan for Program Expansion to Meet Community Needs

Major James M. Davis, Jr.

  • Converting a Complex Functional-Based Federal Sector Healthcare Delivery
    System into an Integrated Multi-Disciplinary Service-Line Organization
  • Implementation of Alternative Nursing Systems to Reduce Demand on Scarce Healthcare Resources in a Closed Healthcare Delivery System
  • Implementation of a Prospective Strategic Resource Allocation Methodology to Create a Paradigm Shift in the Delivery of Healthcare Services
  • Restructuring Inpatient Nursing Functions in a Continuous Quality Improvement Environment to Improve Patient Outcomes Increases Healthcare Delivery Costs

Larry R. Davis

  • Development of a Smoke Free Campus as a Way to Carry Out a Healthy Community Mission in a Rural Health Setting
  • Integrating a Rural Health System into a Community Collaboration Effort to Promote Healthy Communities
  • Preparing a Rural Health System to Move from Treatment of Episodic Sickcare Events to Population Based Health Status Outcomes Through The Development of a Disease Prevention Unit

John M. Dawes

  • Developing an Enterprise Ancillary Information Systems Solution for an Integrated Healthcare Delivery System

E. Pauline Degenfelder, Ph.D.

  • Clinical Utilization Management Process Improvement
  • Formation of a Hospital-Based Home Health Agency and Joint Venture Group
  • Implementation of a State-Sponsored Medicaid Managed Care Program for Persons with Chronic Illnesses and Disabilities

Richard O. Garber

  • The Development of an MSO and Primary Care Physician Group in a Metropolitan Area
  • The Development of a disaster Plan in a Rural Community Hospital
  • The Dissolution of a Staff Model HMO
  • The Engineering of a Financial Turnaround of a Staff Model HMO

Suzanne M. Garszczynski, Ph.D.

  • Blood Lead Screening Program for Children Living in a Superfund Site
  • Development and Implementation of an Outreach Program with a Major Reference Laboratory
  • Emergi-Care - A Program for Providing Emergency Care for Children
  • Utilizing TV to Bring Healthcare Information to the Community

CAPT Dean F. Glick

  • Canceling Long-Term Plans to Develop a Locally Conducted Tropical Medicine Course
  • Challenging State Quarantine Requirements for the Prevention of Rabies Importation
  • Saving a Biological Safety Level Three (BSL-3) Laboratory From Scrap
  • Solving Claim Problems for the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) Program for Personnel Stationed Overseas

Judith S. Gould

  • Establishing a Satellite Clinic to Improve Access to Medical Services and Protect Market Share
  • Health Fairs as a Strategy to Enhance Relationships with Employers and Improve Community Health

Richard K. Hartman

  • Developing a Criterion Based Process for the Selection of a Construction Management Firm for a Major Hospital Expansion Program

Captain Michael G. Heath

  • Local Area Networking: A Crossfunctional Sharing of Information
  • Outpatient Dictation system: Implementation and Marketing

Major Bruce W. Johnson

  • Funding a Construction Project for a new Women’s and Children’s Center
  • How to Implement an Effective Provider Network Strategy During Managed Care Contract Transition
  • Marketing the Military Health Plan with an Infomercial
  • Writing Effective Memorandums of Understanding (MOUs) with a Managed Care Contractor

Linda J. Knodel

  • Establishing a Comprehensive Surgical Services Planning Process
  • Implementation of a Comprehensive Women’s Healthcare Service
  • Implementation of Patient Care Computer Technology
  • The Establishment of a Joint Kidney Transplant Center

Stephen M. Lucas

  • Implementation of Patient Bedside Telephones at a VA Medical Center
  • The Response of a Federal Healthcare Facility to Severe Flooding
  • Veterans Affairs Medical Center Leadership in Organizing a Community-Wide Effort to Aid Victims of Hurricane Andrew

Martin Manning

  • Developing a Systematic Approach to Evaluating Outsourcing Opportunities

Steven A. Mariner

  • Balancing EMS Services Between the Needs of the Community and the Hospital
  • Sexual Harassment in the Work Place: When the Medical Staff is Involved!!
  • Substance Abuse Involving the CEO: The Impact on the Hospital
  • Surviving a Nurses Strike!!

Lieutenant Colonel Charles M. McGibony

  • Establishing a Regional Healthcare Management Headquarters
  • Internal Marketing of an Automated Healthcare Information System
  • Redesigning a Patient Relations Program
  • Relocating Outpatient Services from a Hospital-Based Setting

David W. Miller

  • Application of TQM Principles to Clinical Quality in the Late 1980s: Success and Failure
  • Developing Joint Business Plans to Overcome Barriers Between Two Health System Partners
  • Developing a Preferred Provider Organization to Address a Market Niche
  • Reengineering Through Patient-Centered Care

Kevin J. Miller

  • Turning Around a Small Hospital
  • Winning Managed Care Contracts in a Small Hospital

G. Kevin Moffitt

  • The Decision and Approval Process for a Digital Stereotactic Breast Biopsy Unit in a Healthcare System that Recently Merged Two Hospitals
  • The Redesign and Implementation of a Pre-Operative System at a Community Hospital


George Newby, Jr.

  • An Example of the Organizational and Functional Requirements of Physician/Hospital Joint Ventures to Comply with Stark Amendments to the Medicare Act
  • Findings and Recommendations for the Development of a Strategy to Acquire Medicaid Program Market Share
  • Use of Hierarchical Cluster Analysis to Improve Needs Assessment Methodologies in Primary Care Program Planning
  • Utilization of the Earn Out Model as a Method for Acquisition of Physician Practices

Thomas Mumford Osborn

  • A Management Review of a Construction Program to Establish Adequate Management Controls
  • A Patient-Centered Planning Model for the Provision of Adequate Emergency Department Treatment Space Capacity
  • Combining Diverse and Traditionally Independent Departments Within Consolidated Work Units
  • Implications of Inadequate Pre-Planning for the Initiation of a Cardiac Surgical Service

Sister Mary Modesta Piwowar

  • Development of Programs for Supportive Care for the Terminally Ill and Their Families
  • The Challenges of Progressing From Quality Assurance to Organization Performance Improvement
  • Major William G. Puckett
  • Implementation of Managed Care Reforms

Barry Rassin

  • Conversation from Single Physician Ownership of the Hospital to Physician, Community and Management Ownership
  • Initiating a Quality Program in a Hospital in a Developing Country
  • Moving from Physician Hostility to Physician Integration

George T. Roberts, Jr.

  • Maintaining Control of a Hospital Based Ambulance & the Development of an Ambulance Subscription Program
  • Selection of a Hospital Architect & Development of a Hospital Master Plan
  • Serving as a Hospital Interim Chief Executive Officer
  • The Establishment of a County Medical Alliance

Sister Mary Roch Rocklage

  • Development of Governance Principles
  • Worker of the Future

Sister Mary Renetta Rumpz

  • A Strategic Plan for A Non-Teaching Community Hospital: Assessed, Developed, and Implemented
  • Board Members Orientation: A Characteristic of Effective and Excellent Governance
  • Meeting the Challenge: Achieving Joint commission Accreditation with Commendation in 1996

John M. Snyder

  • A Case Report in Healthcare Management Prepared for the Credentials Committee in Partial Fulfillment of the Requirements for Fellow Status
  • Development & Implementation of a Materials Management Systems Review & Process Redesign
  • Developing and Implementing a Waste Management and Minimization Plan-Solving Current Problems with the Future in Mind
  • Discharge Process Redesign in a Hospital with Increasing Acuity and Decreasing Lengths of Stay

John H. Solheim

  • Fulfilling and Unmet Need…The Building of Winchester on Washington

Tim Sughrue

  • A New Approach to the Acquisition of Medical Capital Equipment
  • Implementation of a Block Scheduling Program in a Hospital-Based Surgical Department
  • Implementation of a Mattress Replacement Program as a Low-Technology, Effective Cost-Reduction Effort
  • Resolution of Construction Management Dispute with a General Contractor

Sylvia K. Sumners

  • A Decision to Build a Diagnostic Center to Accommodate Increased Volume
  • Developing an Occupational Medicine Clinic
  • Implementation of a Skilled Nursing Unit in an Acute Care Hospital

Gary Thomas, CHE

  • Analysis of the Effectiveness of a Decentralized Purchasing and Receiving Operation
  • Introducing a QI Structure in an Autocratic Organization
  • Utilizing a Central Verification Service for Medical Staff Credentialing

Ira F. Walton, III

  • How to Reduce the Number and Size of Meetings and Be More Efficient
  • Preparing for Joint Commission on the Accreditation of Healthcare Organizations Survey Success in a Medical Center
  • Reducing the Time Required for Personnel Acquisition at a Medical Center
  • Strategic Planning Made Functional and Simple

Bryan J. Werner

  • Designing and Implementing Two Complementary Home Care Programs
  • Planning and Developing and Assisted Living Program in an Urban Area
  • Preparing the Facility for its First Long Term and Subacute Care JCAHO Surveys
  • Expanding a Medical Model Adult Day Care Program Successfully
   
 

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