Reference no: EM132355437

You are the Associate Director for Rankin General Hospital in Savannah, GA. The CEO is in the process of finalizing the $80 million budget. As part of this process, there are 6 off-site-clinics that were started 3 years ago to provide primary health care to residents living in the poorest neighborhoods that need to be addressed. These clinics are diverting much needed funds from the main facility. Also, some of the clinics are in a state of disrepair, which is not in keeping with the image of the hospital, which is high-quality care. The clinics costs about $1.3 million to operate and resulted in a loss of $275,000. The organization needs more revenue generating services. There are 4 in-house clinics (surgery, pediatrics, gynecology, and internal medicine). These clinics costs $250,000 a year and a loss of $75,000 was reported. There has been a 15% drop in clinic visits. The CEO wants the organization to be more competitive. Other facts you have uncovered:

1. Funding is needed for expansion of the neonatal ward, operating theater, MRI unit, and upgraded IT systems;
2. Without some of these projects, it is going to be hard to attract top talent;
3. There has been talk of getting ownership in services offered by private practices (for example, the MRI;
4. Cutting staff has been listed as an option to cut costs but could impact the quality of care;
5. There is a community perception that the care is lacking;
6. There could be backlash from the community and others if the clinics are closed and staff is cut;
7. A proposal has been made to drive the residents of these areas to the in-house clinics;
8. The number of prenatal visits have declined over the last 13 months. This service accounts for 60% of the clinics' business;
9. Other types of clinic visits have remained steady, with a noted increase in substance abusers since the implementation of the clean needle program;
10. The city cut funding for prenatal outreach to the low-income neighborhoods; and
11. The inpatient referrals from the clinics has increased over the last 6 months.

What would be some sound strategies that will address these issues and give the organization a competitive advantage by considering the following strategic management process:

1. Ensuring the mission and vision are being adhered to;
2. Identifying the priorities from the list above;
3. Identify short-term goals, functional strategies, and success measures to address the issues listed above (should all be addressed or the top few on the list of priorities);
4. How you would implement the strategies; and
5. How to evaluate and monitor progress