SIMS Review Essay Example | Topics and Well Written Essays - 1250 words

SIMS Review - Essay Example As these discounts are likely to be provided on several years terms, it is impossible to eliminate the cash shortage problem by changing these discount immediately. This measure would affect the quality of the patient care in the hospital and make it lose even more money. The company must try to cut down the variable costs of the company which are usually subject to economies of scale. Up to certain point the marginal cost of providing extra unit of care is less than the average cost and thus the company should try to achieve the optimal level of servicing clients and try to cut down the variable costs. The second problem was estimated as giving nurses too high wages as the need for acute nurses was not met. If the increased wages were due to the fact that there was need for such services, this choice cannot also be eliminated and the staff should not be downsized. On the other hand, the best strategy would be to downsize the agency staff costs which are not directly associated to providing care services and thus must be at the optimal level. The agency staff hiring that the optimal number needed for successful hospital operation was estimated wrong and must be revalued as agency or contract staff is usually paid twice as much as regular workers for the same amount of utility they bring to the hospital. The third problem was low medical reimbursement levels which amounted to 70% charged to clients. As the hospital derives approximately 40% of its' revenues from Medicare patients this is a big loss for the company and this reveals that the staff hired to work in this direction is not performing efficiently thus resulting in working capital shortage. As the Medicare payments cannot be changed directly by the hospital and are set based on historical costs, the company can eliminate this problem only by providing efficient system of monitoring in time receiving these payments. The company has also experienced dramatic growth in current liabilities which mean that the company was spending a lot even though no major purchases for the company were made. This means that the hospital is not allocating resources efficiently. The next problem was estimated as unused equipment in patients' rooms which means some strategic mistakes which lead to purchasing this equipment but now it is not used. Together with reducing agency staff expenses the second strategy was chosen to reduce the staff benefits which include health insurance, retirement, salary increases above the market salaries, different bonuses and paid leave benefits. This can be a bad strategy in the long term as the best doctors can leave the hospital but the optimal choice would be to reduce these benefits for the newcomers to the hospital and reward those who add the highest value to the hospital services quality. This will on the other hand give incentives to newcomers to work harder to achieve higher rewards. This will generate sufficient cash flows for the hospital in the short term and will not affect the customer services quality hypothetically and slightly. These two measures of cost reduction will save the company $4,717,000 while the hospital has savings goal of $900,000 and is expected to receive over $2,300,000 in three months that is why it has to generate some cash until