個案總覽

Bayou Side Hospital (BSH) is a critical access hospital in rural Louisiana that has offered labor and delivery services to its community since its beginning. However, the viability of this department and the hospital could be threatened by the changing healthcare reimbursement structure brought about by the Affordable Care Act. The decision to discontinue obstetric services would impact BSH's bottom line, but it may also complicate the hospital's relationship with its community and compromise its mission statement. The case will give insight into the complex ethical nature of hospital decision making and the way in which community reciprocity affects rural organizations. The instructor's manual offers a quantitative financial analysis and a qualitative discussion and review of literature on mission statements and community embeddedness. Further, the instructor's manual provides learning objectives, student preparation questions, and an outline for class discussion of the case.