For Expert_Researcher ONLY Assessment 5-3

Overall Comments:

Thank you for your initial work on this current environmental analysis of Parkland Health and Hospital Center.

An introduction to the organization would be helpful. Through reading of this paper, I could gather that this facility is in Dallas. Is this Texas? How many people are employed here? How many patients are served? Are there any specialties? Is this a for-profit or not-for-profit group?

You are an excellent writer. I look forward to your continued work.

Kind regards,

Dr.

Faculty Comments:

“You have used in-text citations. Additional citations are needed when matters of fact are presented. For example, when discussing the immigrant population, additional facts and citations could be added. Information from the organization should be included. Most of your references have to do with research and evidence based practice. Yet what is needed is actual information about the organization and the community. Links the the organization web page would be helpful.”

Faculty Comments:

“You have identified the political factors affecting health care including legislation. You did provide the example that when CMS and other health laws lowered the cost of care, the level of utilization increased. This is an interesting occurrence that could be further discussed. Reimbursement was discussed. What is the payer mix for this organization? What percent of the patients are covered by Medicare or Medicaid?”

Faculty Comments:

“Your PEST analysis looked at some factors that might affect the internal and external environment. The external analysis might also look at direct competitors to this organization. Who is the competition? How close are these other organizations? Are there any overlapping services? You did include mention of serving a large about of the immigrant population. What is the population that is actually served? Are there any other external factors that affect this organization? The internal analysis might look at employees. For example, are there any staffing issues? This area might also look at the physical plant - are any changes or upgrades needed? Do people have any issues with accessing the facility due to transportation needs or lack of parking? (just some examples)”

Faculty Comments:

“You have discussed a variety of challenges here including "activist lobbying that has impacted hospital operations." Expand on your thoughts here. Is this a "good" or "bad" thing? I also do not understand this thought/sentence: "...the hospital management is faced with the challenge of dealing with a stricture level of standards for an informed clique of consumers." What standards have changed? Who is this clique of consumers? Does serving immigrants with "a generally reserved cultural background" affect the way the organization does business? Are language interpreters used or needed? Does the staff need additional training in cultural diversity?”