Extended Care Extended Issues

705 Words3 Pages
Extend Care’s Extended Issues Extend Care Specialty Hospital is a 32-bed long-term acute care facility, specializing in pulmonary management, infectious disease management as well as wound care management. According to Hrehor and Sabharwal (2009) “LTCHs typically provide extended medical and rehabilitative care for patients who are clinically complex and suffer from multiple acute on chronic conditions” (p. 25). This facility is a for-profit organization aimed at providing in-depth medical care for the acutely ill and medically stable patient. Extend care provides advance technological medical treatment using cost-effective techniques. Although the facility opened their doors 12 years ago and has threatened bankruptcy, new leadership shall enhance their decentralized organization, the undesirable functionality, and most lucrative location.
Organizational design
The local facility is part of a 112 chain hospital corporation. Within each individual facility, a chief executive officer is appointed as the executive officer, who is ultimately responsible for the company’s success.
Decentralization
The consists of four major departments, the leadership team, the admission’s department, the clinical team, and the pharmacy team. These departments operate independently with separate budgets; however they have common goals and shared interest. Rushing (1974) stated “ such conflict in the decision-making process is less likely in profit-making hospitals, because competing criteria for making decisions are more apt to be systematically subordinated to only one criterion, the economic interest of the hospital” (p. 477). The admissions department consist of an DBD, or director of business development and she has three clinical liaisons that report to her daily. The clinical team is led by the CNO, or chief nursing officer, and she is responsible for the nursing staff, the
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