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    Decision-Making Clinical Case Study

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    You are a manager in a county clinic that provides care to Medicaid clients. Your department budget was recently cut by 15%.

    1) From a statewide health policy standpoint, given a defined budget constraint, what clinical services should be eliminated or introduced to best address healthcare needs of a Medicaid population? (Use tools described in "The Informed Decisions Toolbox: Tools for Knowledge Transfer and Performance Improvement"
    Rundall, Thomas G ; Martelli, Peter F; Arroyo, Laura; McCurdy, Rodney ; et al. Journal of Healthcare Management 52. 5 (Sep/Oct 2007): 325-41; discussion 341-2.)

    2) Identify the tool that you would consider to be the best for your decision and explain why you would select it.

    3) Describe how using the toolbox affects accountability, knowledge transfer, and a questioning organization.

    *Include at least three references

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    Solution Preview

    The Decision -Making Process: A Clinic's Case Study

    - Managing an organization is no easy fete. Effective decision-making is a critical role in the process. The daily decisions that CEOs and managers make will in fact affect quality, morale, productivity, success of employees, operations, and success of the organization (ACHE, 2012).

    - Even as evidence-based informed decision-making gains momentum, managers still confront barriers and challenges including but not limited to the lack of resources, and time constraints. As such, improving decision-making skills and effectively using toolkits to enhance and improve accountability, knowledge transfer, and a questioning organization is critical (Karsh, 2009; Rundall et al, 2007).
    Ideas for Solution-The informed decision toolbox that Rundall et al (2007) created can help the manager to better create a situation wherein he/she can arrive at the best decision for the county clinic as this relates to Medicaid recipients.

    - In this case study the clinic's budget has been cut by 15% and the clinic provides care to its Medicaid recipients.

    - The goal/challenge here then will be to manage so as to identify the medical services that could/should be eliminated and maintain or create those that will best serve to address the health care needs of the clinics' patient population.

    - As such, the manager will now determine which tool is better to help with the decision making in relation to the clinic and also provides a rationale.

    - Organizational Decision-Making: The Process
    The clinic's budget cuts can be attributed to but not limited to: The economy, enormous health care expenditures, and the rising health care costs.

    - Decisions are needed to decipher the best way to go about reorganizing clinical/medical services and at the same time maintain the quality of care the patients have grown accustomed to.

    - The decision-making process in combination with the use of the tool kit recommended by Rundall et al., (2007) will help the clinic reach an informed decision and make the changes ...

    Solution Summary

    The decision-making clinical case studies are examined.