Case Study 1
Mission Matters at Heaven on Earth Nursing Home
Audit of Given Situation
Heaven on Earth is a church-owned facility, in Midwestern town with population of 30000.The facility is skilled one along with a respectable financial surplus. The facility has been converted in to skilled one by the hard work of the Nursing administrator after his appointment 5 years back. The facility is considered as the one running on tight financial budget and the administrator of Nursing is overwhelmed by potential effects of health care reform and Medicare regulations on Nursing homes. The new Nursing director has joined the facility, a young woman coming from large progressive long term care facility in Philadelphia. She is very much interested in increasing training of nursing staff and other workers through a program called “Just Culture” and develop a corporate caring culture. She believes that this program can help markedly to improve health care delivery and reduce frequent errors in care. The Chief administrator does not agree with her views readily. He thinks that the prospect of increasing the training of staff would not benefit that greatly or it would not mark the facility as different and superior to other Nursing homes in town. He believes that opinion of the Nursing director is more due to her being young and emotional, recently graduated official and considers it as immature.
The dispute between the Chief administrator and new Nursing director might seem as the main problem in the facility but in reality, the main problem is the conflicting aspects of mission of the facility and aims of the facility and the facility being church owned, are the principle aims and mission statement are good enough for it? The administrator is more concerned with the competitiveness of facility along with providing good care. He believes that keeping the “tight ship” running and increasing it progress slowly is the mission...