After confirming that Mr. Boria's son is a new patient and that he is covered by Blue Cross/Blue Shield, what should you ask the patient?

A. Which Blue Cross Blue Shield plan is your son covered by, Mr. Boria?

B. When would you like to come in, Mr. Boria?

C. Has your son been seen in this office before, Mr. Boria?

Home Health of America is about to implement the new EHR. This EHR will be used by all of the nurses, nursing aides, therapists, and other staff members who work with patients in the patient's home. It will also be accessed in the home office for billing and other administrative purposes. The chief executive officer mandated the big bang go-live strategy. He also mandated that the go-live begin on Monday, which is their busiest day. His thoughts were that if the EHR could handle Monday, then it could handle anything. The users ran into several problems on the first day. Some of the functionality did not work, the cellular connections used to connect to the IS did not work at some of the homes, and the documentation was slow, which prevented them from seeing the patients in a timely manner. They had planned for some overtime as they knew that documenting in the new EHR would be slower. The overtime ended up being twice what was expected and they still did not see three of the patients. The decision was made to go back to the paper system while the problems were worked out.

If you worked for Home Health of America and the chief executive officer mandated the big bank go-live strategy, what would you have done?

Home Health of America is about to implement the new EHR. This EHR will be used by all of the nurses, nursing aides, therapists, and other staff members who work with patients in the patient's home. It will also be accessed in the home office for billing and other administrative purposes. The chief executive officer mandated the big bang go-live strategy. He also mandated that the go-live begin on Monday, which is their busiest day. His thoughts were that if the EHR could handle Monday, then it could handle anything. The users ran into several problems on the first day. Some of the functionality did not work, the cellular connections used to connect to the IS did not work at some of the homes, and the documentation was slow, which prevented them from seeing the patients in a timely manner. They had planned for some overtime as they knew that documenting in the new EHR would be slower. The overtime ended up being twice what was expected and they still did not see three of the patients. The decision was made to go back to the paper system while the problems were worked out.

Identify the implementation issues in the case.

Case Study - 5

Breaking The Bargaining Pattern

Gilson steel is a local fabricating and supply firm. Situated in open country, far from the large steel making centers. The firm has been in business many years. About the third of employees have worked in the organization for more than ten years. Top management would like to get away from the current practice in which negotiations on wage matters and fringes follow the pattern. The firm’s president feels that industry – wide bargaining tends to divorce employees from the firm. He thinks they feel that their employer is a combination of U.S steel and bethlem steel instead of Gilson. He argues that the local firm which has prospered can do better by employees than is possible in national pattern. He says that the local conditions should be considered. His basic objection to current practice, however, is his conviction that it tends to divorce its employees from local employer. The labor relations manager has been urged to try negotiating terms at variance with the national pattern.

 Answer the following questions: ·

1. What theory and policy do you read into the president’s suggestion? ·
2. How will his ideas fit into the existing pattern of public union policy? ·
3. Can you suggest a promising innovative approach?