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You are the chief executive officer of Southside HMO
Scenario/Summary
You are the chief executive officer of Southside HMO, which serves
495,000 members throughout the eastern region of the United States. It
has come to your attention that several members or patients who
participate in your plan have filed a complaint that your HMO plan does
not provide quality healthcare delivery. Several patients have been
denied healthcare services to see specialists to whom they were referred
by their primary care providers.
Your Role/Assignment
The board of directors has asked that you provide a 750-word report
detailing your strategies and recommendations to investigate the
complaints and to identify strategies to ensure that quality management
initiatives are in place to make sure that quality healthcare services
are provided to all members. The strategies and recommendations should
be as specific as possible and include the resources needed for
implementation. Your primary text and journal and website research must
be used as a reference to support your analysis.
