In: Nursing
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. Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page is not included in the required page length. Include a reference page. Citations and references must follow APA format. The reference page is not included in the required page length.
Introduction: Several essential factors move in play while running the healthcare company. I plan to discuss few of important components, which have influenced development of the health care facility. Clinic mission statement would be described and also addressed to clear up any confusion. I plan to find 3 performance measures I might utilize to measure clinic’s effectiveness as well as give rationale for every performance measure. I would in addition describe methods in that I would approach decisions on the expansions. I would in addition describe role the main clinic has played in healthcare systems in the community. At last, I will examine how public healthcare policies have motivated formation of the outpatient clinics within healthcare system. Healthcare management has been quite included and also may at times be challenging for understanding what measures are required to be taken and also when.
The Impact of the Social, Economic and Political Forces on the Development of the Clinic:
Few important factors, which have motivated development of this clinic, have been political, economic along with social. Development of clinic has been affected through separate political components. Few of those components are inclusive of several laws and also policies, which are being set in place since last some years. For instance, Patient Protection along with Affordable Care Act was signed in law 23rdMarch, 2010 through president Obama (Auerbach 2014).
This act makes sure that all Americans have access towards quality; affordable health care along with would develop transformation in between health care system compulsory to include costs. Those kinds of laws affect primary health care companies through making health care more accessible to several Americans, which had been at one time unable to afford medical care.
They in addition help to make sure federal funding for medical care given. Few major economic influences have been present state in that domestic and also national economy has been. On the whole status of economy’s performance like wage rates, spending budgets, income as well as unemployment would all have the bigger influence on development of the facility. Our clinic as several requires the economy to be doing well for maintaining the profitable business.
Few social forces, which would influence development of clinic, have been community’s values, trusts and also ethnicity of field in that we work. There have been several separate traditions and also trusts on the health care based on our culture. We live in the world, which has been more diverse than ever earlier along with that this must be taken into account while it comes to giving health care. There have been several health risks based on the person’s race and also background.
Comprehensive Mission Statement:
Any establishment must have what has been named mission statement. Mission statement has been the statement of purpose, this has been good or advantage that company intends towards giving community. Their mission statement describes: We would give unparalleled level of the patient care in the pleasing, positive setting. They would strive towards exceeding expectations of the patients and also our staff through concentrating on higher quality medicine, attention to detail and also ultimate patient comfort.
They would not discriminate against any cultural trusts or values. Patient satisfaction along with highest standard of care has been their goal. This statement shows the kind of care, which we have been striving to give. This lets people to know that we care of them along with their requirements have been well like cultural trusts.
Performance Measures for the Effectiveness of Clinic:
Measuring clinics performance has been important when they have been willing to be the successful health care company. It would provide knowledge required for ensuring we have been giving best patient care along with patient satisfaction. There have been 3 measures, which I would utilize for measure or the clinics performance.
Initially, I will utilize boundary spanning. Boundary spanning measures trends as well as variations within the satisfaction surveys, counts of the unexpected events, financial performance, quality of the care measures and also community of the health measures (White &Griffith, 2010) This information has been gathered by the financial reports, complaint records along with regular client surveys.
2nd performance measure I might utilize should be responsive communication. Such a measures satisfaction surveys retention, absenteeism along with vacancy measures. Those measures would let us know what has been going in between the company. Few examples have been percent of the loyal associates; percent of RN positions have been vacant along with tenure of associates. Concept of this has associate satisfaction, retention along with complaints. For giving best care, we would be required to know what staff has been feeling. Happy employees mean best performance that equals best patient care.
For 3rd measure, I could concentrate on the corporate design. Corporate design measures market share, efficacy of the care, per capita cost of the care, improvements unmet/delayed as well as variation within the internal performance. Concept behind such measure has been to find extent of service, uniformity of the performance as well as competitor relations. Surveys have been bigger part of gathering all such information and also give the greater deal of information on how well this company has been performing.
Decisions of the Annual Plan’s Approval along with Clinic’s Expansion:
Business plans have been models of the particular strategy or function, which guides design, operations along with objective setting (White &Griffith, 2010). Yearly business plans set stage for what company has wanted to attain in that year. Business plans may involve mergers, joint ventures along with bigger scale investments.
One manner that I could approach making decision for expanding could be to take the beat look at longer range projection plan. Such a plan has been the ongoing projection of the financial position stating earnings, debt as well as capitalization for minimum next 7 years. Prior making the major decision like expansion we are required to have certain idea about where we would be in following years.
I might in addition take in consideration demand for clinic expansion, meaning has been their sufficient business to warrant expansion along with has there been sufficient people to staff newer expansion. Newer expansion would cost a lot of money and also cost of paying staff to run that has been moving to be huge. We should be required to make sure that this would fit in budget prior moving ahead with project. The environmental assessment must be done to decide when this has been in community’s best interest at this present time.
Role of Clinic being the Component of Healthcare Delivery System:
Healthcare system has been complicated of facilities, companies and also trained personnel involved in giving health care in between the geographical field. Best healthcare facilities have been important to promote advantageous health in between the community. Primary care clinics have been the 1ststep in generating healthier community. Any time the person gets sick 1staction they often take has been moving to its primary care physicians’ clinic.
Primary care clinic has been where the beat portion of diagnostics has been run and also recommendations of the treatments have been provided. Preventative medicine has other role primary care clinic plays in healthcare delivery system. Promoting as well as educating community on what has been best to maintain the healthy body has been one of things primary care clinic does and also providing vaccinations to help avoid disease. They provide affordable plans along with except all kinds of insurance that permits several separate citizens like opportunity to get the health care.
Impact of Public Healthcare Policy on Formation of the Outpatient Clinics within Healthcare System:
Public healthcare policy has motivated the growth of more outpatient facilities in the bigger manner. Outpatient facilities have been lesser costly to work and also manage. Wait times have been bit low than that of the bigger hospital. There have been several separate kinds of the outpatient facilities from the emergency room kind settings to the outpatient surgery procedures.
Healthcare has been compulsory these days and also with everyone having to get health insurance, insurance organizations I believe have been feeling less pressure, particularly at present that they may not deny coverage for pre-existing illnesses. I have actually chosen to have the procedure done at the outpatient facility because of the costing less. Insurance organizations have at present been not covering lot of cost for the procedures being done.
Conclusion:
Lot goes in management of the healthcare facility beginning with legal aspect all the manner towards hiring process. Regularly monitoring of healthcare policies has been most. There is lot going on since signing of Affordable Care Act. Growth of all outpatient facilities has helped primary care clinics providing them lesser costly option for the patients.
References:
Auerbach, M. P. (2014). The Health Care Reform Act of 2010. Research Starters Business , 1-6.
Kreidler, M. L. (2015). Health Care Policy & Politics. Research Starters Business , 1-6.
Shi, L. (2012). The Impact of Primary Care: A Focused Review. . Retrieved from
http://www.hindawi.com/journals/scientifica/2012/432892/ .
White, K., & Griffith, J. (2010). Operational leadership. In The well-managed healthcare organization (7th ed., p. 92). Chicago: Health Administration Press.