Ch 11 case studies case study 4 1 issues that come

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structure, asset efficiency) does not meet the standard set by the HSO. Ch 11 Case Studies Case Study 4: 1. Issues that come from this could be establishing a system that is inefficient. Bookkeeping requires someone who is knowledgeable about the policies and detail oriented. If a local health department is allowed to establish their own system this could decrease productivity. 2. Some clients may prefer this because it regulates their fees and policies. If the fees are centralized to the entire state, then the city/county cannot apply unnecessary fees. However, having policies through local health departments can be better because not every city/county is the same, they are all unique. 3. Local health departments may have cities or counties that require different, unique needs. A large city like Nashville with drastically defer from a smaller town like Cunningham/Springfield. Therefore, it is better to allow each health department to determine the employee packages. 4. A state like Virginia is staffed with state employees and all the policies and procedures are set by state. This makes it generally easier to manage since everything is relatively the same and not
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