Monday, May 20, 2019

Community Health Needs Assessment (CHNA) Essay

In the new(a)-fangled Commwholey Health Needs Assessment (CHNA), orthopedical cases are projected to amplification in the trio Hospital over the next five years. The assessment displayed that orthopedic cases are likely to persist from 11,800 to 17,338 (+46%) joint and a squirttha procedures by 30% and outpatient joint and spine procedures are expected to try by 350%. The assessment lastlighted the orthopedic assistants and the needs of the tierce fellowship. Some of the needs were shortage on physicians and specialist, gear, natural therapy utilitys, and functional suites. When looking at the business side of things you must understand supply look at. When beg rises and supply goes unchanged, a shortage leave behind follow leading to greater costs equilibrium and if charter does not change and supply drops a short happens. This means there will be an increase in the overall revenue because of the rise in the demand for the orthopedic services. The company has a h igh demand for orthopedic services so it is and the population size for the aging partnership is growing so it is likely these services will be at an all-time high in five years.A recent needs assessment displayed that the current orthopedic cases are expected to rise 46%, with a 30% growth in inpatient joint and spine procedures. As expected outpatient joint and spine procedures are projected to grow by 350%. The orthopedic centralize is in a high demand area and the numbers show a defined market area inwardly. There are besides two private local hospitals in competition with very good orthopedics schedules, which makes the need for ternions to devour a concentrated orthopedic program. Research shows that the main location is within the community with a projected population growth of 4%, this sets the demand for a quality orthopedic program to cover the growing community. The needs assessment shows that with an established orthopedic pertain, it is possible that we are ab le to declare oneself everyone in the triplet community with quality service for. It would be very feasible to develop the untried center salutary away in order to meet the demands of the community and provide adequate intercession and services with adequate equipment.The orthopedic center development should allow us to incorporate an international grade of providing quality health wish for all citizens in the community and spending less money. Regardless of the ability to collapse we must also look into ways to reduce spending and still providing quality health care. The development of a plan that will allow patients to be treated despite financial abilityand health policy could also dish us meet the demand in the community. While our country does not cite a national healthcare system, our rapidity can incorporate the international trend. In addition to maturation an integrated health system developing a selective groups of physicians and healthcare workers to provide ad equate services. shortly there are two groups that are moving in the area. Fortunately one group has late secured office space to open a branch of orthopedic practice on campus with the Trinity community, which helps us move to the integrated healthcare system. This benefits the Trinity community by providing more services and quality programs to serve up more patients.The ultimate goa at Trinity is to provide quality healthcare to all citizens of the Trinity community Robotic surgery and current digital equipment would be complementary to the new orthopedic center in surgical units. In addition to this we are able to accommodate the demands of orthopedic cases we deal with in the facility within our surgical units adequately. The development of the surgery facilities provide the advantage to recruit orthopedic groups that desire to be finisher to Trinity and apply for privileges for the facility. There are currently twenty operating rooms that are fit out with the basic setup ne cessary to accommodate the orthopedic program. The rooms are equipped with two CT scanners, MRI scanner, X-ray, nuclear medicine, mobile PET scanner, and ultrasound services. The nursing staffs at Trinity are wedded and skilled which helps increase orthopedic nursing certification rate to 75% showing that this is a strong area in the facility.Although we may not be highly recommended the drive towards patient quality care it is a major part of the increase in demand of services. Even though all our service lines compliment the orthopedic program, it is clear that we can work hand- in- hand to develop a valued healthcare system and meet the demands, not only for patients precisely all hospital staff as well. The recent research shows that we could cut cost by building a new 5000 square foot physiologic therapy/rehab center attached to the Trinity campus. The new building costs estimates to around 600,000 verses 700,000 to purchase the space adjacent to the Trinity campus. In ord er to expand the services by adding a radiology department and have two MRI machines could cost approximately $3,000,000. Currently in the capital reserves we have 25,000,000 so this would be feasible for this service line expansion.Adding an orthopedic center could potential shit approximately 2100 new surgical cases and also gaining about 6500 visits in physical therapy. This can bring the profit margin to about $2,171,500. According to the five year projection plan, it is projected that there will be about $25,000 in gross charges per orthopedic surgical case. It is also clear that there is a $275 in gross charges per physical therapy treatment. 31% is the ratio of cost in charges when calculated. The Medicaid, Medicare and self- pay patients are at an all-time high right now so it is projected that the orthopedic program will increase in revenue and gain more pay-in patients. Developing a bundle payment program can allow the patient insure and uninsured an opportunity to get q uality care and treatment in an affordable manor.A community hospital with the orthopedic center in it will be great in the future to help increase utilization, and also make-up for the decreased volume seen with the damage of the OB program and decay of common surgery volumes. An increase in the utilization could help our key financial indicators and also develop an in effect(p) profit plan for years to come. In order to increase the amount of specialists that are in the center we will need to target the patients who need total joint care. Developing a patient navigation system for these pacific patients can be a huge way to market the new service line to the community also coordinating care and appointments for the patients. This will also be a run across to provide physicians with the ability to sustain private practices and still work in the facility and have hospital privileges.It is suggested that we continue to work closely with those practices that are moving in the same direction as Trinity help outline the exact plan that has been developed for the marketing. A key marketing strategy that can be used in the marketing area is advertising. Highlighting the high quality services and natural endowment the physicians satisfaction rate which is 90% could convince new patients to come to Trinity. Adding the orthopedic group adjacent to the Trinity campus, a referral service could be developed. The system should be set up as Trinity refers the orthopedic cases to the physicians group who will then in return refer all of their patients to the new orthopedic center for surgery, physical therapy, etc.Working directly with the physicians can give a more unified unit where everyone is able to benefit and also help increase their revenue equally among the practices and the hospital. Marketing can urge on inon the expanding growth of the orthopedic specialists that are on staff and the new orthopedic center. Patients will be provided with referral information if the patient is in need for physicians services on Trinity campus. We can also give referral for physicians who are not directly connected to the Trinity facility but have privileges at the facility. These physicians are able to use the referral services and in return refer patients to our facility and the new orthopedic center.ResourcesKohn, L. T., Corrigan, J., Richardson, W. C., & Donaldson, M. S. (2000). To err is human Building a safer health system. Washington, DC National academy Press. McLaughlin, C. P., & Kaluzny, A. D. (1999). Continuous quality improvement in health care Theory, implementation, and applications. Gaithersburg, MD Aspen Publishers

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