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AFN1 D546 Healthcare Policy and Governance Task 1 2025 Western Governors University

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Uploaded on
January 11, 2025
Number of pages
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Written in
2024/2025
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AFN1 D546 Healthcare Policy and Governance Task 1 2025
Western Governors University




D546: Healthcare Policy and Governance

AFN1 Task 1: Merger Analysis


A. Challenges


One unique administrative challenge in the merger between Cedar Bend Medical Center

and Western View Children’s Hospital is aligning the leadership structures of the two

organizations. Challenges can occur when aligning Cedar Bend’s hierarchical structure with

Western View, which employs a decentralized administrative framework. The administration

can leverage a hybrid approach to combine the two leadership structures. This allows strategic

decisions to be made at a top level but allows autonomy to the other team members to make

decisions within their own domains. This fosters collaboration across the organizations but

allows one to align with the overall goals. Another significant challenge will be standardizing

policies and operations. Cedar Bend offers a broad range of services and caters primarily to an

elderly population, while Western View specializes in pediatric care. This difference will lead to a

substantial increase in the diversity of the patient population, making it essential to update

policies and operations to address the needs of all patients effectively.


Integrating Electronic Health Record (EHR) systems is one significant financial challenge

of the merger. Western View uses a cloud-based EHR system, while Cedar Bend relies on a

proprietary system. Implementing a unified EHR system across the organization will be time-

consuming and costly. Another financial challenge is reimbursement from Medicare and

Medicaid. Western View Children's Hospital is a non-profit organization in an urban area where

, many families it serves are low-income and likely depend on Medicaid, which typically

reimburses less than Medicare. Cedar Bend is a for-profit organization that depends on

government and private payers' reimbursements.

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