Various Key Competencies of The Crocs Inc Shoe Company Case Study

Various Key Competencies of The Crocs Inc Shoe Company - Case Study Example Crocs Inc can employ this strategy through making shoes from foam clogs (a croslite material) manufactured by a Canadian company (Snyder, 2011). This material is a mixture of inexpensive ingredients from many suppliers. This material is very easy to wash with water and it does not slip on wet boat decks. It prevents bad odor because of the presence of large ventilation holes. The foam is closely celled in shape of the wearer’s foot to provide maximum comfort. These new designs of shoes may be sold to sailors from a leased warehouse. They can also have a brand name â€Å"clogs†, which can capture the attention of many sailors. Synder (2011) postulates that the company may also hire experienced consultants in combination with their own representatives and distributors who will be experienced in sales and marketing to manage its sales and control costs. A supply chain that provides a competitive advantage can also be developed by Crocs Inc managers. Through this supply chain, retailers can place bulk orders to be supplied during the selling season. These orders can be quickly manufactured and shipped to new retail stores. This will no doubt offer a competitive advantage over other manufacturers. Crocs Inc may also expand through acquiring ideas from executives, Flextronics, and built infrastructure. The shoe company can also launch their sales worldwide to increase profits. It can also be helpful in getting a brand name that would stand out in the competing market in Europe (Snyder, 2011). Funky looking shoes would then be introduced in the market. The company should buy most of the competitors’ stakes so as to take control of the market. The company should also consider increasing more shoe companies. This can be done by opening more branches in different territories around the world. These new companies will add more ideas to the business and increase the rate of growth.

Genetic Cloning Essay Example | Topics and Well Written Essays - 1000 words

Genetic Cloning - Essay Example Human cloning is a controversial that elicits diverse reactions from all quarters and almost every member of the human race. The issue of cloning has caused much debate since the firs cloning of a live sheep in Scotland in 1997 (Allison, 2009). This is concerning ethics and authority to participate in the events leading to the creation of a new human being from the originally born one. This topic is crucial to the existence of human beings as it may be used to either improve their lives or degrade them. Genetic cloning takes place using embryonic stem cells, which is a concept that became known in the late 1990s with the isolation of the initial human embryo stem cell. This isolation works because embryonic stem cells can differentiate and form any human cell ranging from blood cells to skin cells, and it is from this that the idea to create perfect human beings first came into play. This is especially with potential use of stem cells to crate different organs and ensure that humans no longer suffer from conditions that can be healed through genetic cloning. The most popular means of cloning research done in the world today and from the 1970s is that of recombinant DNA technology, which entails replacement of molecular DNA fragments with those that are favourable to the host. This in human cloning is generating concerns in creation of super humans in that they select the best traits needed in humans and use recombinant DNA technology to fix these genes in host DNA (Bliss, 2012). The main way in which this technology has been used is through In-vitro fertilization that was discovered in the late 1970s, this has been used to date to eliminate undesirable traits in children and allow parents and scientists to pick out the traits, and conditions they would like to have their children. This is especially helpful I eliminating genetic conditions that parents may have in that the embryo is microscopically examined for signs of genetic disorders such as Tay - Sachs dis ease and Sickle Cell anaemia. Besides this, the creation of designer babies can be done after the child is already born, which is similar to vehicle maintenance through application of cannibalized parts from other vehicles. Children born with defects that were not detected during the genetic engineering process can undergo maintenance from selected genes from other children and genetically cloned parts. Genes, in this case refer to molecular units in a cell containing genetic information of heredity (Kaplan & Rdgers, 2003). This can be evidently seen in the case of Charlie Whitaker from the UK who was born with Diamond Blackfan anaemia, which prevented him from making his own red blood cells (Mclean, 2006). From this, genetic cloning allowed a designer baby to be made by correcting his situation at a young age by transplanting cells from his younger brother’s umbilical cord. This is indicative of some of the latest developments in human cloning to create designer babies throu gh curative measures. The key idea in designer babies is anchored around four key concepts and these are prevention of genetic diseases, promotion of conception of healthy children, correction of defects before a womb rejects an embryo and elimination of potential organ transplants. Another type of cloning is somatic cells nuclear transfer, which involves transfer of the nucleus of a

Business background and overview of Nestle

Business background and overview of Nestle The Nestle is almost 140 years old company providing the vast variety of the products across the world. The company as it is very old and senior in its category have its roots in almost every country across the world. Nestle is very famous nutrition and food products company it is very vast as far as their products are concerned. In UK is also have a very much reputation and reorganization of its brands are good enough. The employment in the UK of Nestle company is almost 7,000 at the various sites across the country. The Nestle has almost 6,000 different brands which are across the globe showing the reputation and appreciation of its products and brands worldwide. The quality of the product is the symbol of the organizations commitment to build a product with care and dedication. It is a universal fact that it is the quality which retains a company in the market. Nestle always kept in mind this principle because it knows very well that customers have no tolerance for the quality of product. Nestle efforts are to maintain highly customer satisfaction products. The Company implements a system approach that insure products of highly quality. It time to time integrated its system of manufacturing producing quality products. In its research system that data is entered by the researches to visualize the quality of product. Previous researches conducted by the company shows that when quality is produced with fixed cost, a high quality form like Nestle can undercut its rivals pricess and may find it profitable to invest more on quality according to market size. This is the reason that Nestle has been remained concentrated despite market growth. In the recent years Nestle products which are produced with fixed cost, the average quality of produces increases with marke t size and the market does not fragment as it grows large. In the global markets only those products are survived which are batter in quality and in competitive pricess. The Nestle always keeps in view that market trends and international quality standards are maintained. Nestle receives a great response from the investors because of its highly reputed products and quality management. As a result of its highly fame products its market size increased manifold. Its relationship strengthens between product quality and market size. Whereas outcome of a relationship between product quality and market size familiarity of the products. In this report we examined all aspects of the nestle products. Nestle Standards The nestle quality standards ensures its products acceptance and believe of the consumers in the product. The wide range of the supply of the Nestle products through out the world is presently working as the standards of the quality are maintained by the Nestle Product management team. Quality Assurance The quality means the purity in the product manufacturing by applying the applicable and necessary tools/ techniques which is good for health. The quality ensures the first step of product popularity as the purity/quality of the product is most likely to appreciate by the consumers. The quality of the products ensures the following. popularity of the product Acceptance of the product by the consumers. Health and environmental health factors are satisfied Build organization reputation in the market Gives tough competition to the competitors Nestle has come to realize that current economic down term and keen market competition it is not easy to attract customers without maintaining product quality. Other competitors of Nestle under estimates the enormous significance of seeking and recognizing consumers view and opinions regarding product improvements and service quality besides pricing managements. Nestle given importance the areas focuses on consumers perceptions of product and service quality as well as the product prize. Nestle used to study the data which is collected through the use of questionnaires, personal interviews, observations and data obtained from the market. The Need for the Change The need for the change in any of the company or organization is very much on the cards and necessary for any of the organization to keep itself at the high standards and up to date presentation and working of the company. The quality control is a process to ensure a level of acceptable quality of product. The department of quality control of Nestle keeps a closed watch to maintain the quality according to international standards. The quality control department needs to be changed time to time to get the latest equipments available for the process of quality assurance of the products t various stages of its production. The various products of Nestle go thorough the complex process after many laboratory examination and tests. Quality control involves the examination of product at various levels and after passing all the stages it is approved to be marketed. The Nestle knows very well that it is not possible for a single one but it is the collective responsibility of entire team. The Nestle engaged a team of professionals who work hard to maintain the quality of nestle products. The team work needs to be developed in the workable environment to gain the goal at the neutral grounds. The goal of quality control team of Nestle is to identify the products which do not meet specific standards of quality. The products of the Nestle need the proper advertisement and its presentation in front of the target market to get the appreciation from the market. The change in the policy of the advertisement of the various products is becoming more necessary and vital for the product appreciation and acceptance towards the customers. The change in the management policies and the employment enrollment process is also needs a revision in the company. The cultural and the race difference should be eliminated and the equal opportunity employment should be needed to be structuralized in the organization. Identification for the change If we are looking for the positive change in the organization and making the performance of the organization more and more better. The first step towards this is to create a team which identifies the various areas and spots on which the positive changes can be made and implementation of such changes are logical and applicable for the company. The identification of the changes requirement of the company at various levels is very much inevitable to create the understanding the future of the company and the future of the strategy of the company in the short and the long term basis. The identification can be made possible by making the proper evaluation process and analysis of the history of the various products selling and the future expected demands and trends of the organizations various products and brands in the international market. The change is not only the requirement in the development and the strategies of the brands and the products of the company it is also necessary in the management, employment and in the workforce of the company. The identification of the change in any organization requires the following steps to be taken The evaluation of the brands strategy and acceptance among the consumers The evaluation of the employment satisfaction and performance inside the organization. The evaluation of the consumer management relationship and its outcomes. The analyzing of all the evaluation data and figuring out the malfunctioning parts and brands of the organization Making a effective proposal for the elimination of the problems and the implantation strategy presentation. the possible ways to get the solutions of the ongoing problems and threats that can cause the damages to the origination Areas and Techniques/Methods for Evaluation The company management can adopt various methods and tools to analyze and evaluate its different areas for e.g. they can evaluate brands, consumer management relationship, employment satisfaction and performance etc. Areas Business Environment The analyzing the business environment is very much necessary for the organization. The Nestle maintain the good business environment however the changes according to the passing of time are also on the cards and should be taken time to time to maintain the healthy business environment. Management Performance The management has multi-dimensional responsibilities and should present the sense of responsibility to perform their duties with full commitment and dedication. However the management done their part in the companys work performance and done with responsibility but the evaluation of the performance of the management of the organization is also very important as they should might be fully committed but should be committed enough to meet the needs of the organization in the long run. Employees Participation The employees participation in the change and n the acceptance of the changes is also a big thing to worry about, they are the one which I reality implement the change in any origination. The employment of the organization should be well aware and prepared to accept and implement the change in the origination to get the full participation of the organization. Product Marketing And Delivery The product marketing and delivery is also a very key issue to discuss if we discuss the changes and need to be made the changes in the organization. The review in the marketing and the marketing strategy of the various products should also be a part of the change. Product Appreciation The evaluation form the customers will make the company analyze the appreciation of the product among the consumers of the products especially when the company is launching the new products the customers evaluation should be taken in account as a priority in evaluation. Employment Satisfaction The employment satisfaction to the new changes adopted and the expected changes to be adopted in the future should be analyzed and studied. The evaluation from the employment of the organization is good enough to get the view that the employment of the company is indented to the change or satisfied from this kind of the change or not. Methods: Evaluation Performas: The evaluation Performas are made to get the customers opinion for a particular product and there should be another for the employment that either they need the changes if yes which areas they require changes. This is the best source of getting the direct evaluation from the customers or the employment of the company at a short period of time. Product profit/loss ratio: The product acceptance in the market will get a good business for the company and gives the profit if not so it gives the loss. The analyzing the statistical reports on the profit or loss of the particular products individually will enable the management of the company to make an opinion that the product is doing well enough for the company or not. Market trend: The market trends should also be analyzed by the management of the company to make any decision for the brand or a product. Consumer Behavior: The consumer behavior is the also very must effective stimulus for the change strategy of any organization the consumers are those which can cause the changes in the products and branding of the organization. Diagnostic Change After the brief identification and getting the clear picture of the needs for the changes in the organization the very next step of the management is to diagnose the strategy an effective strategy that can be adopted in the future for the implementation of the changes in the organization. Change Management Process To maintain the quality of the product the Nestle Change management team follows proper outline provided by the Nestle Company. The process involves the following steps Analyzing the available resources of Raw Material. The change management team analyses the different available resources from where the raw material can be collected and utilized in the product manufacturing. The Analyses is done by the team of experts which apply different tools/techniques to test. The quality of the raw material in available resources. The best and purest resources are selected to manufacture a product. Collecting methods for Raw Material The selection of method of collection of new material is as important as the decision to select a source of raw material. The collection of product raw material is done with proper care and by utilizing hygiene tools/ Techniques to make the product look good taste good and it should also be good for health also. Product Manufacturing The product manufacturing is also a very vital and key factor for the quality of the product. The quality of the product can be affected if not manufactured under the good and hygiene standards of the products. The Nestle Company has adopted the applicable methods followed by tools/techniques for the product manufacturing. The product is pure as come under the manufacturing process and the process is designed in such a way that it maintains the quality and purity is assured at the outmost and prime objective. Product Packing The product after manufacturing process is passed to the consumers for the purpose to maintain the quality of the product the packing of the product is done in standard packing which can insure that the quality can be maintained over a large period of time. The packing of product by Nestle is done in such high standard that when its products are used by the consumers the quality standards are maintained and build the image of the Nestle product in the eyes of the Consumers Specially food products are packed in such a way that there are no slide chances of Damage of Nutrition. Implementating A Change The implementation of the change in the organization is very important and the implementation of the change needs a well defined and organized strategy which brings the changes in the organization. The implementation should be done through best available resources and methods and techniques. Criticism on the Change Although the changes in the organization brings many positive developments and progress for the organization but it can face different type of the criticism at various levels by the customers as well as from the employment of the organization. The customers will record or show their criticism if they are not likely to accept the changes in the brands, products or the other options provided by the organization. The employment might also criticize the change in the organization if they are not use to implement such changes which they thought might not be good for them and the organization. Strength Nestle Tries its best to provide the products to there consumers keeping in view the total Change management ethics. Followings are the Strengths of Its products The High Quality and Purity of the Products. The Standard packing and high product image in the market. Competitive quality products in the market. Manageable pricess of the products. Weaknesses It is said there is always remains space for the betterment so Nestle Products always needs improvement with regard to quality and pricing. Following are the Weaknesses of the Nestle Products. Nestle Products are high priced as compare to other companies products. The cost of packing sometimes incurred higher then the product. Quality costs high and it becomes difficult for the company to compete in the market. The prices of standard products changed the consumer behavior. Opportunities The Good will of the company attracted the consumers. A wide range of the product captured the market Standard of the products is pleasing the consumer and changing their preferences. Attractive packing is providing health competition. Packing is hygienically very suitable to maintain quality. Threats Expansion of the market is a major threat to maintain demand and supply. High prices of raw material will effect the cost the products Nestle has expanded the net work in other countries so administrative costs will increase. Storage and supply will effect the market Conclusion The change is what which is required and necessary everywhere in the world and the change for the betterment or the apace for the betterment is always available. Nestle makes packing decisions keeping in view the following reasons Protection of Product -Due to expand marked of Nestle; International standard packaging is used to protect the product from damaging during transportation and minimizing spoilage. Customer protection -A visible packaging design is used to attract customers. This is also important for customers who are not well-known with the Nestle Product. The Nestle tries its best to make its products prominent among thousands of other products of other companies. For which its packaging designs stand out more likely to be remembered future shopping. Value added packaging -Though packing designs and structure and value of the product but benefits can be obtained from the package structure as it make the product easier to use where as stylistic designs catch more attraction of the customers. And looks beautiful in display in the stores as well as at home. Distribution Beautiful and attractive packaging attracts the customers and facilitate the storing. Pricing Affect packaging can influence a significant of a product selling price. It is experienced that some time cost of some product increased to 40% of a product selling price yet people do not mind to purchase owing to high standard maintained quality. However smart packaging minimizes the actual price. Research and Development department of Nestle continuously conduct surveys and research to improve the quality of products and its packaging. Thats why the company develops the revised packaging time to time according to the wishes of its consumers and desires of market. Whenever the company creates a new package it is most often with the intension of having the design on the market for an extended period of time. As changing packaging design for a short period can have negative effects as compare to long term. In order to locate the product and may not confused in the altered design. Recommendations By analyzing the facts and the history of the organization we can recommend the following The change management strategy of the origination should be reviewed and restructured The management and the customers relationship should be built by different scenarios. The new opportunities for the employment and the product launching are required but the management change in terms of organizational behavior is important. The advertisement of the products should be launched with the new strategies and promotional strategies should be developed.

Educational Quotes Applied to Music Education Essay

Have you ever had a moment where you found yourself struggling to understand a difficult concept on your own when all of the sudden, â€Å"click,† and it all made sense? You could consider this to be like a light bulb turning on inside your head, and now the understanding is all clear. Now imagine a kind person giving you a source of light to make everything clear, rather than you trying to formulate a light bulb all by yourself. This is exactly how educators work and is what this wonderful quote is trying to address. By consuming their own knowledge and experience, they ignite a light that shines for their students to use to guide them to their future success. Before explaining its relevance to the music educational world, I will first clarify the symbolic use of the candle. As educators, we grow in our knowledge and mastery of the art in which we choose to pursue. By attaining more wisdom and skill, the foundations we build will carry over to our workplace and allow us to succeed to higher degrees. This can be closely related to the build of a candle. The stronger and better the wax or oil is made, the more brilliant the candle will illuminate when ignited. A stronger light means for a better view. Others may use this strong light to guide them through many dark challenges that face them. Although the candle cannot be used as a tool for direct protection, it offers a brighter understanding of what the individual may face, and from there they can make the correct judgment. Teachers serve as this candle, while students serve as the lost individual. If a teacher has a strong foundation in what they know, their wisdom can be passed on to their student so that they may make their way successfully to their future. Although the educator cannot be there to sit in the student’s chair and take the exam for them, they may deepen the student’s understanding of the concept and allow for them to make the right choices based upon their understanding. The candle does not walk for the holder, but it will light the way so they know where to walk and what to avoid. The wonderful thing about candles is that their light does not diminish at all until all the wax or oiled is consumed. Educator will always have lessons to teach their student until all of their wisdom is consumed by the student. The only thing that can extinguish its flame otherwise is the carelessness of the holder allowing it to defuse. Music educators do not stray much at all to academic educators when it comes to comparing their impact upon students. The more knowledge and skill a music educator has will impact how bright their student’s future will be and how well they will master the art of their instrument. This is why it is important for music teachers to receive great education in all elements of music education. Then maybe one day, the student may grow up to become a well-made candle for another ambitious student to light the way to their future.

Nazi-Soviet Non-Aggression Pact Essay

Without the Nazi-Soviet Non-Aggression Pact there would have been no war in Europe. To what extent is this statement accurate? Within Europe leading up to World War II, the Nazis and Soviets made the Nazi-Soviet Non-Aggression pacts which negligible of the pact it seems inevitable that the war would have existed as there were many other major factors that provoked the war in Europe. These factors include the unresolved issues of World War One, with the Treaty of Versailles being the main one, Hitler’s actions, one of these being the invasion of Poland, the failure of appeasement and the failure of the League of Nations. With these major factors the Nazi-Soviet Non-Aggression Pact was only a minor factor in the war in Europe and so without it the war would have still broke out. On August 23, 1939, enemies Nazi Germany and the Soviet Union signed the Nazi-Soviet Non-Aggression Pact, in which the two countries agreed to, take no military action against each other for the next 10 years. By signing this pact, Germany had protected itself from having to fight a two-front war and the Soviet Union was awarded land, including parts of Poland and the Blatic States. Soviet leader Stalin viewed the pact as a way to keep his nation on peaceful terms with Germany, while giving him time to build up the Soviet military, while Hitler used the pact to make sure Germany was able to invade Poland unopposed. Historian Ian Kershaw notes in â€Å"Hitler: 1936–1945: Nemesis,† the German chancellor was ecstatic. He congratulated his foreign minister and said the pact â€Å"will hit like a bombshell.† Hitler had planned on invading Poland from the start as it would bring lebensraum for the German people. According to Hitler’s plan, the â€Å"racially superior† Germans would colonise territory. German expansion had begun with the annexation of Austria in 1938 and continued in 1939 with the occupation of the Sudetenland and then all of Czechoslovakia. Both had been accomplished avoiding conflict On 22 June, 1941, just two years after the pact was signed, the pact was broken when Germany invaded the Soviet Union. Therefore, the Nazi-Soviet Non-Aggression Pact did play a role in provoking the war in Europe although was only a minor factor in the cause of the war. The Treaty of Versailles was the Peace Settlement between the Allies and Germany at the end of the First World War. This treaty held Germans solemnly  responsible for WWI and the German authorities had little choice but to accept the terms of the Treaty presented by ‘the Big Three’. The Versailles treaty placed a number of restrictions on Germany and put them in financial ruin and put them in a state of hyper-inflation. Germany was forced to pay reparations of a futile amount; they lost 10% of their land with a new map of Europe carved out of Germany and the German military reduced drastically, including the abolishment of its air force. The treaty of Versailles caused a depression throughout Germany which helped Hitler rise to power as he used the treaty as a way of justifying his expansionist policies. The Treaty of Versailles contributed greatly to the alienation many Germans felt about their civilian, democratic government, and when these combined with the actions of the military, it provided a rich material for Hitler to use to gain the support of those on the right. People were dissatisfied with the government and voted to power a man who promised to rip up the Treaty of Versailles. Therefore, due to the harshness of the treaty of Versailles it was inevitable that a war would break out.

Shawn Hornbeck Kidnapping

It was a shocking discovery that prompted an emotional response from even the veteran police officers who made it. Looking for a boy who had been kidnapped four days earlier, they found another boy who had been missing for four years. But the miraculous recovery of the missing teen immediately raised as many questions as it answered. On January 12, 2007, the investigation into the disappearance of a 13-year-old Missouri boy  who was last seen four days before getting off the school bus, resulted in the discovery of Shawn Hornbeck, 15, in an apartment near St. Louis. Police serving an arrest warrant in an apartment complex for another person  spotted a white pickup truck that matched the description of one being sought in the disappearance of Ben Ownby, who was last seen near his home in Beaufort, Missouri, about 60 miles southwest of St. Louis. Why Didnt He Escape? When police served a search warrant on the apartment of Michael Devlin, listed as the owner of the pickup truck, they found Ben Ownby along with Hornbeck, who disappeared in October 2002 while riding his bike in Richwoods, Missouri, about 50 miles southwest of St. Louis. Immediately questions were raised as to how Devlin was able to hold Shawn Hornbeck in an apartment for four years without him being able to get away, although he had several opportunities to escape. Neighbors reported seeing young Hornbeck hanging around outside of his apartment complex, unsupervised. He would also ride along the neighborhood streets on his skateboard or bike, alone or with a friend from the complex. When he was nearing the age to get a drivers license, neighbors saw Devlin giving him driving lessons. Most assumed that they were father and son. Hornbeck also had contact with the police four times during his captivity. One time he spoke to the police after he and his girlfriend discovered that his bike had been stolen while parked outside of a shopping mall.   He also had access to a computer and posted on the website dedicated to Hornbeck that his parents put up. He asked in his post how long they would keep looking for their son and he signed it with the name Shawn Devlin. Why didnt he run away? Why didnt he reach out for help? Deal With the Devil When Michael Devlin pleaded guilty in four different courtrooms to charges related to kidnapping and assaulting the two boys, the answers to those questions were revealed. Shortly after Devlin kidnapped Hornbeck, back in 2002, he planned to kill the boy after repeatedly sexually assaulting him. He took Shawn back to Washington County in his pickup truck, he pulled him from the truck and began to strangle him. I attempted to kill (Shawn) and he talked me out of it, Devlin said. He stopped choking the boy and sexually assaulted him again. In what prosecutors called a deal with the devil, Shawn told Devlin at that time that he would do whatever Devlin wanted him to do to stay alive. We know now the details that made him not run away, said Shawns stepfather, Craig Akers. Over the years, Devlin used many methods to control Shawn. The details of the abuse Shawn endured are so horrific and graphic that it was not released by most media outlets, although the reports were readily available. Devlin admitted to making pornographic photographs and videotapes of Shawn and taking him across state lines to engage in sex acts. To continue to control Shawn, Devlin took him with him when he abducted Ben Ownby in January 2007, telling Shawn that because he was in the truck he was an accomplice to the crime. Shawn Protected Ben Ownby Authorities said Shawn was a hero, who tried to protect Ben Ownby from the torture that he had to endure. Devlin told Shawn that he planned to kill Ownby after keeping him a short time. I think that Shawn Hornbeck is really a hero, Ethan Corlija, one of Devlins attorneys, told reporters. He really threw himself on the sword many times so Ben would not have to go through any undue torture. Devlin entered guilty pleas to dozens of charges in four different courts. At last count, he received 74 life sentences to run consecutively, which will keep him in prison the rest of his life. Were just so glad this is the outcome, that the monster is caged and will remain caged, said Craig Akers.

The Case of the Unhealthy Hospital Blake Memorial Hospital

The Case of the Unhealthy Hospital Anthony R. Kovner Harvard Business Review No. 91506 SEPTEMBER–OCTOBER 1991 HBR Anthony R. Kovner The Case of the Unhealthy Hospital Bruce Reid, Blake Memorial Hospital’s new CEO, rubbed his eyes and looked again at the 1992 budget worksheet. The more he played with the figures, the more pessimistic he became. Blake Memorial’s financial health was not good; it suffered from rising costs, static revenue, and declining quality of care. When the board hired Reid six months ago, the mandate had been clear: improve the quality of care and set the financial house in order. Reid had less than a week to finalize his $70 million budget for approval by the hospital’s board. As he considered his†¦show more content†¦And that was just scratching the surface. Without some of these investments, Blake’s ability to attract paying patients and top-grade doctors would deteriorate. As it was, the hospital’s location on the poorer, east side of Marksville was a strike against it. Blake had a high percentage of Medicaid patients, but the payments were never sufficient to cover costs. The res ult was an ever-rising annual operating loss. Reid was constantly reminded of the hospital’s uncompetitive position by his chief of surgery, Dr. Winston Lee. ‘‘If Blake wants more paying patients—and, for that matter, good department chiefs—it at least has to keep up with St. Barnabas,’’ Lee had warned Reid a few days ago. Lee complained that St. Barnabas, the only other acute-care hospital in Marksville, had both superior facilities and better technology. Its financial condition was better than Blake’s, in part because it was located on the west side of the city, in a more affluent neighborhood. St. Barnabas had also been more savvy in its business ventures: it owned a 50% share in an MRI unit operated by a private medical practice. 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