Question

You are the manager of a new primary care clinic located about twenty five (25) miles outside of a small city (population of 50,000). With five (5) family physicians, two (2) nurse practitioners, two (2) physicians’ assistants (PAs), and twenty (20) clinical support staff consisting of RNs, LPNs, and CMAs, the clinic provides primary care services to a diverse community of people living and working outside the city limits. Originally a rural area, the community has been growing and now includes promising opportunities in employment, education, and comfortable living spaces for young families. However, there are still many residents who struggle to make ends meet with older farms that have belonged to families for generations.   

The central city includes two (2) large acute care facilities, and one (1) tertiary care facility that is known for its excellent pulmonary care. Both acute care hospitals provide the usual services such as labor and delivery, outpatient surgery, chronic diseases care, etc. and have fully equipped ancillary departments, such as lab and radiology. Up until this point, the residents have used the facilities’ emergency departments for routine illnesses and conditions when their private physicians were not readily available.

Write a five to seven (5-7) page paper in which you:

Analyze some of the key social, political, and economic factors that have led to the proliferation of urgent care facilities and primary care practices over the last 20-30 years.

Create a comprehensive mission statement for the clinic, and discuss how it will facilitate the provision of quality services.

Analyze and discuss one (1) or more directions the clinic might take to grow its business. Determine what factors you would consider when deciding what services to provide in-house and which ones to affiliate with other institutions.

Decide how you will determine if the clinic is meeting its goals. Identify three (3) performance measurements you could use to evaluate the success of the clinic’s services. Begin by naming a goal, and then identify a quantifiable measurement you could use for each to determine if you are coming close or falling short of the goal.

Determine how you would then address whatever opportunities for improvement seem to exist and what processes you would put in place.

Use at least three (3) quality resources in this assignment. Note: Wikipedia and similar Websites do not qualify as quality resources.

Format your assignment according to the following formatting requirements:

Typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides.

Answer 1

Primary care clinic is a corner stone in the delivery of health care in form of preventive,promotive and curative services. Although it is available and accessible to all people in the community the urgent services of the people are unmet because of larger population it caters. This has led to the mushrooming of more urgent care facilities and primary care practices .The three factors that play a major role in the proliferation of Urgent care and primary care practices are the following.

1. social factors: In a diverse community the needs and problem vary among individuals and everyone need special attention as they step into a clinic. such attention is not available in primary care clinics as the number of clients seeking services exceeds the anticipated number with a low count of healthpersonnel in primary care clinics.

More over the time taken to receive a emergency care services is longer which dissatify the people receiving care.this has made the medical practitioners to take way of starting the urgent care facilities and primary practices.

2. Political factors: The national health policy play a vital role in strenthening the health care facilities at all levels.Observing the data on health care delivery at primary level ,the government make policies for the establishment of urgent care setting and make provisions for the practitioners to start withtheir primary practices which led to the proliferation of urgent care settings and primary care practices.

3.Economic Factors:

The economic status of the people determine the types of facility they seek to receive the health care. Most of the time it is the creamy layer who seek services at the primary care practices bacause they can afford the cost of care. The urgent care settings and primary care practices in the form of Insurance and other discounts target this group .This has become a business and led to the proliferation of such type of facility.

Mission Statement:

The primary care clinic will provide comprehensive health care services to all the people in the community. The primary care clinic will utilize the all advance technology in the provision of care. In order to fullfill the delivery of comprehensive care the primary care clinics will be equipped always with efficient health care personnel,Modern equipments and best inpatient/outpatient facilities to deliver quality care.Quality care starts from the person who delivers it . A well qualified and efficient health personnel can handle any type of clients condition thus it fasten care delivery and speedy recovery. Technology plays a vital role in the delivery of prompt health care services. Efficient man power along with all advanced equipments enhance diagnosis of clients condition and speed up treatment.

Factors to be considered when deciding services to provide in-house and to affiliate with other institution

-population served(age cultural group,needs)

Qualification and experience of practitioners,,other health team members.

-type of facilities available(acute,chronic,emergency,rehabilitative,specialised)

-length of stay/condition of clients.

-diagnostic facilities available.

-number of beds.

mode of payment of bills.