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  Fellowship Case Reports
1998 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 & Development at (312) 424-2800 and provide credit card information.


Lieutenant Colonel Jeffrey H. Allan

  • Coordination and Communication with those Holding Opposing Viewpoints are Key to Success in a Conflict Situation
  • Dealing with a Difficult Customer: Management Challenges and Lessons Learned
  • Headquarters Management Restructure: A Case Study in Responding to Organizational Inefficiency
  • Implementation of a Patient Appointment System in a Small Military Hospital

Scott Elliott Armstrong

  • Changing Hospital Operations in Response to a Nursing Strike
  • Integrating Management Teams as Two Hospitals Merge Operations
  • Successfully Closing Inpatient Nursing Units

F. Patrick Ausband

  • How Not to Work with Community When Closing a General, Acute Care Hospital in a Rural Setting
  • Planning and Implementing a Safety and Environmental Health Program to Decrease Workers’ Compensation Expense and Exposure in a Combination Retirement/Long-Term Care Facility
  • Shifting from a Not-for-Profit Community Based Pharmacy Service to a Proprietary “Long Distance” Service
  • The Creation of an Outreach Benefits Program to Provide Assistance for Aged and Needy Retired Merchant Seaman

William R. Avenel

  • Benchmarking Information Systems for Efficiency and Cost Control
  • Development of a Structured Process for Filling All Management Positions After an Organizational Restructuring within the Information Systems Division
  • Expansion of Laboratory Outreach Services by Focusing on Developing a Business Proposal which Proves to be Mutually Beneficial to Both the Physician Practices and the Laboratory
  • Implementation of an Information System Definition and Selection Process which Improves upon the Traditional Request for Proposal: (RFP) Process

Joe R. Babb

  • Accreditation of a Continuing Care Retirement Community
  • Establishment of a Medicare Approved Rehabilitation Unit
  • Development of a Twenty Bed “Special Care Unit” for Patients with Alzheimer’s and Related Dementias within a Forty-Four Bed Skilled Nursing Bed Expansion
  • The Decision to Oppose a Hospital’s Certificate of Need to Convert Acute Care Beds to Medicare Certified Nursing Home Beds for the Purpose of Short-Term Rehabilitation

Carol A. Beehler

  • Effective Collaboration Between Competing Hospitals in Cardiac Services
  • Establishing an Electrophysiology Program in a Community Hospital
  • Hotel Services for Cardiac Surgery Patients

Marilyn Biros

  • Generating Support from County Government and Business Leaders to Construct a $56 Million Building Project to Replace Aging Facilities
  • Picking Sides. How Many and Who Will Play? The Initial Development Stages of a Rural Provide Sponsored Network
  • Recapturing the Local Market—How a Newly Developed Physician Hospital Organization Steered Patients Back Home

Edward Maurice Brandenburg, Jr.

  • Meeting Rural Health Needs Through Implementation of a Mobile Health Clinic
  • Managing a Successful Facility Construction and Renovation Project
  • Taking a Hospital Beyond its Walls Through Implementation of a Healthcenter Foundation

Rosemary Broderick

  • Building Strategic Partnerships Between Physician Organizations and Health Care Systems
  • Establishing a Chest Pain Center as a Performance Improvement Initiative
  • Information Technology Structure and Strategy for Managed Care
  • Integration Initiatives: Pursing the Formation of a Group Practice

Traci R. Buechele

  • Development of an Outpatient Pharmacy
  • Human Resources: The Consolidation, Problems and Improvements
  • Increasing Efficiency and Quality in the Orthopedic Service
  • Medical Staff Leadership Educational Retreat

Alton Tate Byers

  • The Development and Implementation of a Resource Optimization Program
  • The Merger of Two Competing Networks in the Same Region
  • Transition from a County Hospital to a Regional Medical Center

Douglas T. Cardinal

  • Issues in the Development of an Institutional-Based Primary Care Network
  • Physician Networks in Transition: One System’s Story

David D. Clark

  • Developing a Regional Women’s Health Network at ABC System

Robert E. Del Guidice

  • Establishing a Guest Services Program
  • Planning, Implementing and Altering a Hospital Construction Program in a Managed Care Environment
  • Productivity Improvement in a Community Hospital
  • The Reorganization of an Institutional Review Board in a Community Hospital

Leslie A. Donahue

  • Development of a Community Health Foundation Resulting from a Shared Equity Partnership
  • Implementing a Performance Improvement Program in a Community Hospital
  • Selecting a Regional Health Care Delivery System as a Shared Equity Partnership with a Community Hospital

Ronald E. Dorris

  • A Joint Venture Approach to Physician Recruitment in a Rural Hospital

Michael C. Downing

  • Importance of Medical Staff Participation and Buy-In for Success of Hospital Mergers
  • The Value of Collaboration Among Acute Care and Long-Term Care Providers

Sharon R. Dudley

  • Geropsychiatry: Implementation of a New Product Line
  • Implementing A Cost Effective Employee Health Accident/Injury Safety Program
  • The Development of a Bloodless Medicine and Surgery Program
  • Transition from Employed to Contracted Emergency Department Physicians

Lieutenant Colonel William D. Evans

  • External Marketing of the TRICARE Military Managed Healthcare Program

Gerald T. Finley

  • A Town—Gown Bridge: Collaborative Community Wide Health Screenings
  • Developing a Regional Trauma System to Enhance Care and Reduce Costs
  • Executing the Obvious-Enhancing Clinical Resource Utilization by Acting on Staff Input
  • Privatizing a County Run Primary Health Care Clinic

John W. Fobes

  • Comprehensive Actions Surrounding Leadership Transitions at the Departmental Level
  • Impact of Ownership Change Upon the Operations and Organizational Infrastructure of a Home Health Care Company
  • Issues in Operational and Management Realignment of Clinical Departments for Integrated Service Delivery
  • Utilizing Group Oriented Processes in Decision Making, Project Planning, and Operational Issues Analysis to Maximize Options and Outcomes

Raymond L. Ford

  • Development of a Productivity Tracking System in an Integrated Healthcare Organization
  • Financial Turnaround of a Community Hospital
  • Preventing an Unfriendly Sale of a Community Hospital
  • Successful Development of a Two Hospital PHO

Stuart I. Forman, Ph.D.

  • Creating a Comprehensive Perinatal Care Program within a Hostile Medical Community
  • Diversification of Revenue in a Grant Reliant Non-profit Health Organization to Obtain Financial Integrity
  • Modifying Public Opinion: Marketing a Failing Healthcare Organization During a Corporate Turnaround
  • Rapid Operationalization of a Construction Program in the Absence of an Organization Planning Process, or Sufficient Development Assets

J. Wilson Futrell, Jr.

  • Establishment of a Cardiac Cathereterization Service
  • The Development of a Radiation Oncology Center
  • The Implementation of a Patient-Focused Care Service Delivery Model

Constantine Dean Germano

  • Developing a Low-Income Dental Health Program to Improve the State Oral Health of the Medically Underserved of a Rural Northern California County
  • Developing a Residency Linkage in a Community Health Center (CHC) to Improve Recruitment and Retention of Family Practice Physicians
  • Increasing Rural Access to Primary and Preventive Health Care for Uninsured Children through the Introduction of the Community’s First Capitated Health Insurance Product
  • Overcoming Social-Cultural Barriers to Primary Care for a Rurally Isolated Southeast Asian Population

Colonel Joseph P. Gonzales

  • A Child Care Facility on Site: Meeting an Unmet Need
  • A Program to Provide Mentoring and Professional Development of Junior Staff
  • A Unique Preparation Method for a Successful JACHO Survey
  • Operation Prairie Chicken: A Series of Field Training Exercises to Increase the Readiness of Surgical Teams

Robert J. Gray

  • Developing a Comprehensive Home Health Service in a Community Hospital
  • Developing a Management Service Organization that Works for You and Your Customers
  • Direct Marketing Through the Development of Occupational Health Services
  • Homecare Connection—The Making of a Joint Venture

Todd S. Greenberg

  • A Strategy for Survival: A Specialty Hospital Navigates Through Uncharted Managed Care Waters
  • Development of a PHO: From Evolution to Implementation
  • Establishment and Acceptance of a Newly Created Managed Care Department Within a Specialty Hospital
  • The Consequences of Transition from Chief Executive Officer to Board Chairman, Acting as Interim CEO and Its Effects Upon the Development of a Managed Care Strategy

Cheryl Hays

  • Creation of an Outpatient Services Wing through the Reorganization, Renovation, and Movement of Outpatient Service Departments in a Hospital
  • Development of a Community Fitness Center
  • Expansion of Hospital Physical Therapy and Cardiac Rehab Programs to Include an Outpatient Rehabilitation Facility

Janice L. Head

  • Development of a New Strategic Direction for a Small Community Hospital
  • Development of a System Incentive for an Integrated, Not-for-Profit Health Care System
  • Development of a Transitional Care Unit Within a Community Hospital
  • Implementing a Pediatric Service Line in a Multi-Hospital System

David R. Heier, MA, MHA

  • Administrative Aspects of Organ and Tissue Donation at a Level 1 Trauma Center
  • Reengineering the After Hours Administrative Staff
  • Strategic Planning: Charting a Course in a Resource Constrained Environment
  • Union Negotiations: A New Era of Partnership

Forrest G. Hester III

  • Developing and Implementation of an Effective Managed Care Strategy in a Small Community Hospital
  • Development and Implementation of a Cost Effective and Results Focused Quality Management Plan in a Small Community Hospital
  • The Implementation of a Simple Planning Strategy in a Small Community Hospital
  • The Successful Implementation of a County-Wide Health and Wellness Initiative by a Small Community Hospital

Michael D. Israel

  • Conversion of a Major Teaching Hospital’s Strategic Agenda to an Actionable Strategic Plan with Broad Operational Integration
  • Design and Implementation of Service Line Management at a Major Teaching Hospital
  • Development of Corporate Partnerships: Provider-Supplier Risk-Sharing Agreements
  • The Strategic Agenda: Phase I Planning

William David Kinsaul

  • Design and Implementation of an Internal Hospital Reengineering Process
  • Development and Implementation of a Hospital Access Center

Henry D. Lipman

  • Developing an Effective Investment Guidelines Policy for Monitoring and Evaluating Investment Manager Performance
  • Formation of a Regional Physician-Hospital Organization in a Rural Market
  • Serving as a Chief Executive Officer on an Interim Basis
  • Structuring a Risk Sharing Managed Care Agreement

Dev D. Mahadevan

  • Developing an Effective Working Relationship with the Board of a District Hospital in California
  • 360 Degree Performance Evaluations Can Change the Way You Work
  • Using Trans Telephonic Monitoring of Cardiac Patients to Improve the Quality of Life of the Patients and Reduce Costs

Joan Marie Sevy Majers

  • Preparing a Hospital-Based Inpatient Program for Initial Accreditation by the Commission for Accreditation of Rehabilitation Facilities
  • Integration of Strategic Planning Principles as a Team-Building and Change Management Methodology

Michael J. McBride

  • Development and Implementation of a Wound Care Center
  • Development of an Inpatient Service in a Small Community Hospital
  • Physician-Led Medical Staff Strategic Planning
  • Planning for the Construction of a New Emergency Department

David M. McConkey

  • Customer Centered Process Redesign
  • For Your Good Health/Wellness Center—The Shifting Paradigms

Michael L. McEahern

  • Creating Community Value Through Cooperation
  • Development and Implementation of a Inpatient Distinct Part Psychiatric Unit
  • Opportunity: Saving versus Eliminating a Business Line

Elizabeth S. McGrady

  • Design of a Women’s Center to Achieve Sustainable Competitive Advantage
  • Development and Implementation of a Program to Build Referrals from the Medical Staff by Improving Perception of Communication with Administration

Anne L. McNeill

  • Creating a Healthy Work Community
  • Developing a Horizontal Approach to Operational Design
  • Re-engineering Compensation
  • A Strategic Response to Competition in the Outpatient Market

Mary J. Meehan

  • Development of an Emergency Response Team for Non-Compliant Psychiatric Patients
  • Reengineering of Human Resources Department

Colonel James P. Moreland

  • Establishment of a Functional Specialty Career Planning Program
  • Medical Logistics Automated Information System Hardware Replacement
  • Next Generation Prime Vendor Program
  • Origin and Continuous Improvement of the Medical Logistics Internship Program

Thomas L. Nielsen

  • A Decision to Develop a Provider Service Organization
  • Implementation of a Distinct-Part Skilled Nursing Facility
  • The Development of a Joint Laboratory Service
  • The Redesign of an Emergency Department

Wayne C. New

  • Children’s Heart Center: Development of a Cardiac Team for Identity, Quality Improvement, and Clinical Growth Purposes
  • Developmental Feedback: Aligning Employee Performance with Organizational Core Values to Encourage Performance Improvement
  • Listening to Your Employees: Use of Employee Opinion Survey for Cultural Change and Operational Improvement
  • Malcolm Baldridge National Quality Award: Creating a Management Culture for Change and Improvement

Randy Oostra

  • Integration of Three Independent Hospital Laboratories

Lynn M. Oswald

  • The Development and Implementation of a Physician/Hospital Organization (PHO) Involving an Acute Care Community Hospital and Selected Local Physicians

Nancy Pike

  • The Development of a Community Health Center for the Medically Underserved
  • The Development of a Successful Physician Recruitment Program in a Community Hospital
  • The Development of a Senior Health Center as a Unit of a Community Hospital

LT. James B. Poindexter III, MSC, USN

  • Designing and Implementing the Ideal Organizational Structure for a Large and Very Busy Obstetric and Gynecological (OBGYN) Department of an Overseas Military Medical Treatment Organization
  • Standardization of Procurement Procedures and Management Training Opportunities at an Overseas Medical/Dental Treatment Organization

Francis A. Pommett, Jr.

  • A Joint Venture to Develop a Center for Pediatric Respiratory Medicine
  • Development of a Pediatric Home Health Agency by a Children’s Specialty Hospital
  • Establishing a Hospital-Within-a-Hospital: Post Acute Pediatrics in a General Acute Facility
  • Merger of a Specialty Hospital with an Acute Hospital System

Steven D. Porter

  • Ascending to the Top 100
  • Private Healthcare and a Local Government Immunization Cooperative

Jerolyn S. Quillman

  • Implementation of a New Care Delivery System for Nursing—Lessons Learned
  • Selecting the Right Construction Team to Successfully Address Issues of Time, Cost, and Quality

Gregory Ramey, Ph.D.

  • Development of a Twenty-four Hour Short Stay/Observation Unit
  • Utilizing a Management Practices Survey to Improve Managerial Performance

Dana Regnier

  • Addressing Availability and Appropriate Utilization of Monitored Beds
  • Creating a Partnership for Wellness with a Community Organization
  • Developing Package Pricing in Response to Managed Care Requirements for Cardiovascular Reimbursement
  • Organizing Cardiac Services with the Creation of a Heart Institute

Louis Rubino, Ph.D.

  • Consolidation of Two General Acute Care Hospitals
  • Development of a Hospital Based AIDS Clinic
  • The Evolving Hospital Administrative Team

LTC Edward J. Sanford III

  • Changing Walk-In Sick-Call to an Appointment System for U.S. Army Soldiers
  • Developing Effective Facility Maintenance and Preventive Maintenance Programs for a Hospital at a Remote Army Installation
  • Master Facility Planning of Health Services at a Remote Army Installation
  • Development of an Emergency Preparedness Plan at a Remote Army Installation

Thomas M. Schmitt

  • Hospital Renewal through Integration
  • Rapid Cycle CQI Team: Evolution of CQI Techniques
  • Response to a PR Crisis: Closure of Community Hospital’s Mammography Service
  • Strategic Planning and Business Development with a Large Physician Group

Maxine Simon

  • Expansion of a Hospital Department
  • Organizing for Accountability

John A. Sirabian

  • A Major Cost Reduction Initiative Resulted in an Added Benefit of Improving Outcomes
  • Improving Patient Satisfaction
  • Trying to Save a Failing IPA
  • Why We Decided to Outsource our Information Systems Activity and the Unexpected Benefit We Realized

Linda M. Smith

  • Implementation of a Mobile Asthma Clinic
  • Massive Downsizing in a Day
  • Recovery from a Devastating Earthquake—the Evacuation and Consolidation of Two Hospitals
  • Team Building Among the Staff of a Family Planning Clinic

D. David Sniff

  • Bringing a Small and Rural Hospital into an Integrated Delivery System: Win-Win
  • Developing an Alliance Relationship with Another Hospital When Other Options Are Not Available
  • Developing Tools to Assist Rural Hospitals in Transition

Samuel L. Soltis

  • Development of a Level II Trauma Center
  • Development of a Materials Management Operational (Strategic) Plan
  • Development of a Medical Staff Development Plan
  • Development of a Network Strategic Plan

Erwin R. Stainback

  • Certified Registered Nurse Anesthetist (CRNA) Recruitment and Retention: A Large Medical Center’s Response
  • Developing a Successful School-Business Partnership: A Worthwhile Investment in our Community
  • Implementation of an Employee Incentive Compensation Program in a Large Medical Center
  • Shared Governance
  • Implementation in the Post Anesthesia Care Unit: A Management Model That Has Come of Age

Alfred P. Taylor

  • Establishing Sub-Specialty Outreach Clinics in a Rural Hospital
  • Establishment of a Multi-Disciplinary Pain Management Clinic Within a Rural Tertiary Care Center
  • The QA to TQM Transition: Integrating the Planning Process
  • Consolidation and Redeployment of Health Care Resources for a Metropolitan for a Metropolitan Multihospital System

William A. Tuttle

  • Increasing Physician and Employee Productivity in a Medical Group by Improving the Patient Scheduling Process
  • Implementing a Foundation Model for Physician Recruitment in a Rural Hospital
  • Implementation of a Geropsychiatric Program in a Rural Acute Care Hospital

Ruth A. Waible, RN, MA

  • Development and Mentoring Healthcare Leaders: The Story of Three Young Managers’ Rise to Leadership Effectiveness through a Mentoring Process
  • Improving Healthcare Outcomes: A Coalition of the Children’s Hospital, Pediatric Research Center, Medical School, Other Healthcare Organizations and the Community to Improve the Health Status of Children

Linda S. Widra, Ph.D.

  • Sustaining Community-Based Hospital Care in an Environment Threatened by Encroachment from External Competition
  • Planned Rightsizing in a Community-Based Hospital
  • Using Customer Service and Performance Improvement Processes to Achieve an Image Turnaround in a Community-Based Hospital
   
 

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