Program Development Case Study
Happy Valley Hospital is a community-based
facility with 288 acute care beds, a twelve suite family-oriented
birthing center, a forty four bed long-term care inpatient facility, and
a fourteen bed inpatient rehabilitation unit. Happy Valley has a major
competitor, GH, which has two hundred beds, a small cancer center, and a
kidney dialysis unit.
Happy Valley’s director of internal
medicine, along with the director of nursing for that department, are
considering establishing a new hemodialysis service. GH has a small
hemodialysis unit, but they do not have enough beds to properly
accommodate the needs of this community.
The Happy Valley medical director has
surveyed the six nephrologists with staff privileges at the hospital and
has determined that all six agree that there is a need for more
hemodialysis beds in the community. Moreover, these nephrologists all
have staff privileges at both Happy Valley and GH and would prefer
that the new beds be added to the GH unit. GH, however, has no plans to
expand their unit for at least the next five years, and presently,
new patients are being referred to a dialysis unit in another community
thirty minutes south of Happy Valley Hospital. Those patients as well as
their families find this alternative site and location to be
Based on your understanding of the above case, express your views on the following:
How should the medical director at Happy Valley try to
convince patients now being referred to the dialysis unit thirty
minutes to the south to switch their care to Happy Valley Hospital?
- What steps should the Happy Valley medical director
take to ensure that patients will get the proper care and facilities
at the Happy Valley Hospital hemodialysis unit, when it is established?
- Is the approach of GH for not having any expansion
plans for the next five years for their unit justified, keeping in mind
the interest of the community? Why or why not?