Toronto Rehab Case Solution And Analysis, HBR Case Study Solution & Analysis of Harvard Case Studies

Toronto Rehab Case Study Solution

The situation at Toronto Rehabilitation Institute

The largest academic hospital in Canada, Toronto Rehabilitation Institute (Toronto Rehab), specializes in adult rehabilitation, complex continuing care, and long-term care. The goal of Toronto Rehab was to assist people in rebuilding their lives after suffering from a crippling injury or disease. Through research, instruction, and knowledge exchange, Toronto Rehab also worked to advance the science of rehabilitation. The patient care activities were conducted in seven clinical programs spread across five different Toronto, Ontario, locations (Langer, 2021) .

The Spinal Cord Rehabilitation Program (Spinal Cord Rehab), which is housed at the Lyndhurst Center, is one of those programs. However, the Project managers for the Toronto Rehabilitation Institute's spinal cord rehabilitation program are required to secure supplies to implement rapid cost-saving measures due to ongoing budget deficits. A timetable of the nursing staff is one of these measures. Providing the necessary number and mix of nurses while yet meeting specific goal employment levels is a concern. However, the project manager for the Spinal Cord Rehabilitation Program at the Toronto Rehabilitation Institute was required to make recommendations for immediate cost-saving measures due to recurrent budget difficulties. The most effective technique to schedule the nursing staff was one of these metrics. The challenge involved achieving particular occupancy goals while assuring a sufficient number of nurses in the proper combination (Tam, 2019) .

Problem Statement

Toronto rehabilitation institute is one of the leading institutes across Canada that offer the best quality of services rehabilitation for patients with spinal injuries. The inflow of patients in the institute increased due to the economic crisis across the globe in 2008, the institute got affected
and due to the continued shortfall of budget, all the clinical programs faced an economic crisis so it required cost-saving measures.

However, Bone (Project manager) needs to take certain steps regarding the issues as the institute facing issues with budget shortfall based on the issue it is challenging for Bone to plan the nursing staff to fulfill occupancy target levels was one of the key concerns Bone knew she needed to address right away (King, 2022) .

Data Assessment

The data we have is average number of admissions of in-patients which is 270 and out-patients which is 5000. In rehab we got three in-patients units which has 20 beds each. 70 days are average for one in-patients to stay. The average hourly cost for the one registered nurse is $37.72 and for the registered practical nurses their average hourly cost is $26.05. The annual target of patient’s days for the spinal cord program were 20000. The occupancy capacity for three units were 60 beds, On the weekend it would be around 41 beds and on the weekdays it would occupied 54 beds.

The staff needed as per the patients need. Because we had one RN (registered nurse) for two to three patients in day shift, in evening shift it required one nurse for three to four patients and for the night shift it required one nurse for ten patients. In staffing Rota unit 2 did not have any RPN.

Only one RPN is assigned per unit and on the night shift there would be no RPN assigned (King, 2022) .

Recommended Alternative

The problem with Toronto healthcare is that the economic crisis of 2008 has led to overallbudgeting problems and thus nursing division in available vacancies is highly affected as the firm is undergoing a budget-deficit period and so cannot accommodate the wages of the new nurses.

Alternate 1 (Merger)

One method to overcome the current issue is a merger, which involves the integration of two institutes and thus aids in the sharing of resources and budget and is the most effective way of overcoming the current issue of budget. The staff members, as well as resources, are being shared which leads to the utilization of available resources in a better way.

Alternate 2 (Funding from Institute)

Another available option is the request for funding by institutes that aid the research and other funding. These organizations can be approached to seek funds and thus reliably overcome the economic crisis thereby faced. The funds can be best used to fulfill the vacant positions of nurses
and complete the count (Tam, 2019) .

Alternate 3 (Effective R&D Implementation)

The R&D department can be upgraded to research and implement effective economic distribution and thus help in overcoming the crisis faced by the firm. Seeking other possible opportunities to overcome the budget crisis according to the available condition is the best way to implement strategic planning.

Evaluations

The basic problem being faced by the firm is the budget crisis due to the fiscal crisis of the year 2008 due to which the firm is in a state of setback. The alternatives being provided are a merger, seeking funds from funding institutes, and Effective R&D Implementation. A detailed analysis of these alternatives is stated below.

Merger

The first alternative being provided is a merger which would lead to the integration of two institutes. If Toronto merges with a similar institute in the healthcare sector, it would enable both firms to share available resources. This is a give-and-take scene in which the resources of one will b utilized by the other and vice versa. The problems of Toronto can be solved by utilizing the budget and nurse of the other firm and in return providing its services to cater to the policy (Escrig-Pinol, 2019) .

Pros

The major advantage of this merger would be the sharing of resources in a revenue-deficit environment and might seek professional guidance if the firm is a better organization than Toronto. This is the best opportunity for the firm to overcome the current downfall and might later close the agreement when tenure ends to take advantage of the fruits being grasped.

Cons

The major drawback is the agreement which renders limitations to the usage of certain opportunities. Certain limits are being imposed. Moreover, the merger involves effective management as now two organizations are being run together which may lead to mismanagement which is an even bigger issue (Zarshenas, 2018) .

Funding from Institute

The funding process is very effective as many organizations are reluctant to offer money for the sake of science and healthcare. This can be an effective way to overcome the current problems without the aid of any other party.

Pros

The organization's financial needs can be easily fulfilled and in addition, other opportunities can also be sought which have never been thought of. The infrastructure and equipment can also be gained in the essence of the budget problem.

Cons

The main issue lies that the firm needs to be convinced that budget issues are being faced and if they do not find the problem of filling a nurse’s vacancy as important, they would not tend to offer the amount being approached for and reject the offer. In addition, certain limits are being posed and agreements are being made that hinder the process.

Effective R&D Implementation

The R&D department if upgraded might help in the thorough analysis of the firm’s current condition and how to rearrange resources to overcome the budget issue. This caters to the hiring of trained professionals or training the current employees to upgrade their tasks (Escrig-Pinol, 2019) .

Pros

The R&D department if upgraded might help in the future scopes and overcoming future problems and to avoid these scenarios from repeating. They might prepare the firm for the next time and also help the firm to overcome current problems.

Cons

The project demands training or hiring of professionals so it is budget demanding which is difficult for a budget-deficit firm. It is not reliable that the section will for sure understand all the problems and overcome the current issues so there would be a waste of budget in this case.

Decision

The best decision which can be undertaken is Alternate 1 i.e. Merger. This option although has disadvantages as restrictions and limitations are being imposed but are the best option that can be catered to according to the current scenario. It can help in filling the vacancies and also the budget issue being faced. It can also cover the other two options by fulfilling the funding needs and covering up the economic crisis thus there would be no need for the funding institutes and the upgrading of R&D sections (Zarshenas, 2018) .......................