A comprehensive satellite healthcare clinic will reduce admissions, as well as readmissions to the current single hospital within the county. This extra resource will reduce the possibility of competitors moving into the area, specifically those from neighboring hospitals that could bring the needed services that PMH is lacking and looking to provide. Additionally, consumers feeling forced to travel out of the area for care, or those facing the potential of being transferred out of the area due to the severity of the case as a result of inadequate primary and preventative care, or lack of space will diminish through these efforts. Strategies With the existing trend of shortages in healthcare providers and professionals, the recruitment and retention of this type of staff in a rural area may prove to be even more challenging. Although there are various methods in which to incentivize in order to obtain personnel, positions may still be over-looked if money and location are perceived as better elsewhere. Due to the significant need that exists, the small population, and the lack of monetary support, it would not be possible to place a teaching health center in Pocahontas County without fully-functional partnerships with other semi-local medical hospitals. Therefore, PMH should employ the various financial incentives and loan forgiveness programs offered by the government for healthcare workers in rural areas (CSU-Global, 2016b). The first step necessary for PMH is to become a National Health Service Corps (NHSC) site, which can easily be done in the current state as there is an existing rural health care clinic, expanding the breadth of the NHSC site once the satellite clinic is operational (National Health Service Corps, 2016). ... ... middle of paper ... ...e of the services and quick nature of care that will be afforded, taking full advantage of the realm of local care. And finally, implementing a new satellite clinic will also require culture building and maintenance with the current PMH staff to cultivate a cohesive working environment between the entities. Not only would this satellite clinic not be a strain on the community, it could become the hub for specialized care, drawing others, physicians and consumers alike, from nearby counties to the facility, as it may be closer than other options, generating more income in the area. Additionally, due to the transient nature of people within the county at any given time, because of the tourism, it is essential to have available resources for emergencies, at the only hospital. It is imperative that PMH use the draw of the beautiful countryside as a tool for recruitment.
The expense per discharge and the expense per adjusted discharge are both higher than average. The positive trend in outpatient profitability has been in an increase in profit per visit and net revenue per visit. Outpatients profit has influenced the hospitals in expanding their outpatients and shrinking its inpatient services. Inpatient charges increased the net revenue per discharge shown in the quartile information. The Riverview Community Hospital is known to provide high-quality services to its patients. It provides an adequate amount of revenue to cover its expenses. Moreover, it allows provides charity care without affecting its stability. Also, the Riverview community hospital has joint reimbursement from the government. The length of hospital stays has been below average with allowing doctors and nurses with effective resources. The average length is below average it is quite beneficial to both patients and the hospital because it is less costly, and opens up resources for other nurses and doctors not only does it help out the workers, but allows the patient to be taken care of with accessible facilities. Therefore, it
Another consideration that the clinic should take into account is the external environment. The seasonal patient volume and the bank agreement may be the main aspects of concentration. Although the relationship between the bank and the clinic is defined in the case, Alpine Clinic should consider alternative solutions or alternative organizations to finance its needs. Also, the clinic should estimate the possible changes in the economic environment in the next years and the impact of them in the serving population of the clinic.
Strengths Long-standing reputation Provision of quality healthcare Highest rank in patient satisfaction Recipient of Joint Commission accreditation Serving a diverse population Weaknesses Smaller than other four hospitals Decrease in net profit Increase in expenses Significant increase in long-term debt Not-for-profit status Opportunities Changes in government regulations Change in lifestyle Influx of patients due to higher patient satisfaction Cost savings Opening of some outpatient clinics and surgery centers Threats Too much competition
It is obvious that there is a large gap between where Coastal Medical Center is and where they need and want to be. When comparing CMC’s competitors, Johnson Medical Center and Lutheran Medical Center, CMC needs to provide more efficient, high quality care and focus on more profitable priorities instead of funding multiple unsuccessful projects such as the fifty-three unfinished developments.
The Crowded Clinic: Critical Analysis The Crowded Clinic Case Study (Colorado State University - Global, n.d.) discusses the issues of practice management as they apply to access to care. Access to care may be as inconvenient as lengthy patient wait times to issues far more serious that may have a profound effect on the health and well-being of a single patient or an entire cohort. In order to properly address the issue and look for a remedy, it is necessary to understand the underlying conditions that create the problem before creating the means to manage the change required to correct the problem. The Crowded Clinic has multiple issues, including social and operational, which are creating the associated inaccessibility to services.
There has been a shortage of physicians, lack of inpatient beds, problems with ambulatory services, as well as not having proper methods of dealing with patient overflow, all in the past 10 years (Cummings & francescutti, 2006, p.101). The area of concern that have been worse...
Organizational philosophy commits in establishing a high quality program that will be of distinct benefit to the community, as well as the medical staff. Mission consists of high patient satisfaction, compassion, reduction in medical errors, proper medical decisions, and patient education. For this reason, leadership is seeking the interest and commitment for expansion of a JRU to establish a program that is compatible with goals for quality, cost-effectiveness, and growth within the most efficient period.
"What Works: Healing the Healthcare Staffing Shortage." Modern Healthcare 37.29 (July 2007). ABI/INFORM. ProQuest. Ithaca Coll. Lib., Ithaca, NY. 2 Dec. 2007
The Health Information Technology for Economic and Clinical Health (HITECH) Act has provided PMH a great opportunity. The HITECH Act has provided funding for hospitals who are interested in implementing telehealth technology, that will allow patients and providers to connect with each other by using state of the art technology. Telehealth offer preventative and specialized patient care to many of the nation’s 62 million rural residents where hospitals are often lacking (2017). This type of technology is important for hospitals such as PMH, because the rising healthcare costs will make personal access to health care even more difficult. Telehealth technology will allow PMH to connect with other providers remotely and relieve some of the workload
I decided that I didn’t want to join a big hospital or to immediately continue my higher studies but to utilize what I have learnt till then to serve in a remote area and to give back to the society. I joined the state primary care program as a rural physician, a decision I now cherish. In my three years in this role, I learned how to effectively prioritize and efficiently execute multiple tasks with limited resources – a skill set I believe is very useful for a physician. I am the leader at my clinic and have to continuously keep the team engaged and motivated. I work with ill-informed population and have been exposed to an array of patients dispersed across a variety of socioeconomic strata. Daily interactions with them have taught me the importance of compassion, empathy and effective communication, all of which are just as crucial as medical skills. I learned that being a doctor is not just about treating what is wrong in a biochemical and pathological context, but also the ability to earn a patient’s trust. The goal is to heal a person, not destroy the
support medical practice in rural/remote regions: what are the conditions for success? Implement Sci. 2006 Aug 24;1:18.
There are currently demographic shifts and the hospitals administration and board of trustees have serious concerns about its patients mix. The population growth has occurred in the suburban areas to the north, east, and west in which PMH is located south of the city.
The region’s labor market is already tightening, as a result of which competition for skilled healthcare professionals is increasing. Kaiser Permanente would have to compete with the existing hospitals in recruiting and retaining qualified management and staff personnel responsible for the day-to-day operations of each of its hospitals and physician practices, including nurses and other non-physician healthcare professionals. The scarcity of nurses and other medical support personnel in the region presents a significant operating issue. This shortage may require Kaiser Permanente to enhance wages and benefits to recruit and retain nurses and other medical support personnel, recruit personnel from foreign countries, and hire more expensive temporary personnel. Competition for skilled healthcare professionals may lead to a further increase in Kaiser Permanente’s wage
For decades, individuals living in rural areas have been considered medically underserved. Access to healthcare is a problem that has been increasing for individuals in rural America due to aging populations, declining economies, rural hospital closures, rising healthcare costs, healthcare provider shortages and difficulties attracting and retaining healthcare personnel and physicians (Bauer, 2002). This population experience more health disparities than t...
... that is faced by Mayo Clinic during the current time which is a strategic alternative that should be incorporated into the strategic plan before increasing the global activities abroad.