GUAM MEMORIAL HOSPITAL AUTHORITY

REMEDIATION PLAN (ACTION PLAN)

FY 2007

Category:

Poor Reimbursement Rates from Medicare

Premise:

Overall improvement of the Hospital services, medically and administratively.

Short Term Action:

Responsibility

Resources

Realization Date

-

Measures implemented by the Financial Management Improvement Plan (FMIP) will result in the enhancement of existing

FMIP Director

$25,000

Aug-07

internal process and procedures as the plan is intended to take both a broad and indepth analysis of the Hospital's

myriad of working systems.

Long Term Action:

-

The Hospital is in the process of compiling, review for accuracy, and amending it's internal policies and procedures.

Administration

$75,000

Sep-09

This is a necessary measure before the Hospital can perform an self assessment.  From the self assessment, the Hospital can

(Cost of the Survey &

Full Accreditation

identify deficient areas to apply corrective action.  On site surveyors require that the Hospital have at least four (4) months

Incidentals)

worth of track record of compliance with the JCAHO standards.  Although there are only three sections that JCAHO focuses on,

each section has several standards.  No date has been set by the Board of Trustees for the On-Site Surveyors to portion of the

accrediation process to commence.