LDR472:
Mentoring
and
Team
Leadership
HCA Coaching Plan
1 BACKGROUND AND TEAM STRUCTURE
HCA is a hospital chain that was founded in the 1960’s. Over the past four decades it has grown rapidly. HCA has built new hospitals in under-served communities, acquired facilities and contracting to manage hospitals for other owners. HCA has utilized its financial resources, management expertise, and medical background on a core group of market-leading hospitals.
This is a strategy still employed today by HCA and has continued to work well for the corporation. In 1969 HCA filed for initial public offering. By the end of that year HCA had 26 hospitals with over 3,000 beds. The company continued to invest its resources into its facilities and the acquisition
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LDR472:
Mentoring
and
Team
Leadership
This new company then acquired Medical Care America and several other healthcare businesses, building and expanding HCA’s comprehensive healthcare network.
In 1997, HCA underwent a major restructuring when the chairman and CEO immediately announced to shift the focus of HCA. This new focus was on providing high quality healthcare through a core group of market leading facilities. As a result, HCA sold its non-hospital businesses and several facilities that did not meet with this new strategy and focus. In 1999
HCA also completed additional spin-offs known as LifePoint and Triad Hospital groups.
In 2006 HCA returned to being a private company. This was down after completing another merger in which the company was acquired by a private investor group including affiliates of Bain Capital, Kohlberg Kravis Roberts & Co., and Merrill Lynch Global Private
Equity. The total transaction valued approximately $33 billion, making it the largest leveraged buyout in history at the time. HCA reopened its stock to the public after further restructuring and was known under the ticker symbol “HCA” on March 10, 2011. Based in Nashville,
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A nosocomial infection is a secondary infection given to a patient due to a healthcare provider or hospital staff member introducing a contagious bacteria, virus or fungus to a patient. One of the best-known nosocomial infections is
MRSA or Methicillin Resistant Staphylococcus Aureus. This bacterium has become resistant to many forms of traditional treatments, and is highly transmittable.
One issue with nosocomial infections is that of Medicaid and Medicare reimbursement. If a patient enters into a hospital and is admitted for any diagnosis, the hospital typically receives a payback from Medicaid/Medicare for the stay of the patient. However, if a patient is admitted and acquires a secondary infection as a result of the environment, the hospital must pay for the treatment of the patient and will receive no reimbursements. This has made hospitals become financially and morally responsible for causing patients to get infections that are beyond the scope of why they were admitted. It has also been a source of billions of dollars in financial loss for hospitals throughout the United States.
The cause of these types of infections can vary, but the primary source is that of