Develop sustainable operational processes that create opportunities to utilize best practices in patient care and functions.
Student Success Criteria
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Scenario
Health organizations continue to face challenges relative to costs and revenue. Changes in reimbursement structure is most often cited as one of the biggest challenges for providers. As a result, leaders are developing new approaches aimed at creating additional revenue streams.
Traditionally, hospitals have operated on profit margins that are often described as challenging. As a result of increased labor costs and a shift in payer mix, hospitals are being forced to do more with fewer resources. Consequently, hospitals are seeking new ways to improve their margins. Increasing patient volume is no longer effective in improving margins given the focus on value-driven care. As the CEO of XYZ hospital, you are asked to make a presentation to the board regarding ways to identify new streams of revenue.
Your hospital operates in a low-income community with a significantly large population of residents enrolled in Medicare and Medicaid coverage. Critical issues such as length of stay (LOS) requirements and other financial threats are creating an urgent need for your organization to consider new revenue sources. After conducting research into the development of alternate revenue streams implemented by hospitals, you propose a new state of the art wellness center. Your task is to gain support for the wellness center.
Instructions
Create a PowerPoint presentation in which you highlight the following:
Describe, in detail, the service offerings that you would include in your new wellness center.
Discuss any potential barriers to implementing the wellness center.
Explain how the new wellness center can potentially affect overall costs.
Explain how the new wellness center can potentially affect overall quality of care.
Describe the potential impact of the new wellness center on the underserved.
Discuss the potential implications of the proposed revenue stream on payers, patients, and providers
Full Answer Section
Barriers to Implementation
There are a few potential barriers to implementing the wellness center. One barrier is the cost of construction and operation. However, we believe that the long-term benefits of the wellness center will outweigh the costs.
Another barrier is the potential for opposition from some physicians. Some physicians may be concerned that the wellness center will divert patients away from their practices. However, we believe that the wellness center will actually help physicians by providing them with a referral source for patients who need preventive care and chronic disease management.
Impact on Costs
The wellness center has the potential to reduce overall healthcare costs in a number of ways. First, by providing preventive care and chronic disease management, the wellness center can help to prevent patients from developing serious health problems that require expensive treatment later on. Second, by promoting healthy lifestyles, the wellness center can help to reduce the incidence of obesity and other chronic diseases.
Impact on Quality of Care
The wellness center has the potential to improve the overall quality of care in our community. By providing patients with access to preventive care, chronic disease management, and educational programs, the wellness center can help patients to live healthier lives.
Impact on the Underserved
The wellness center will have a particularly positive impact on the underserved in our community. By providing affordable access to preventive care and chronic disease management, the wellness center can help to reduce health disparities.
Conclusion
We believe that a new state-of-the-art wellness center would be a valuable addition to our hospital system and to the community we serve. The wellness center has the potential to reduce overall healthcare costs, improve the overall quality of care, and have a particularly positive impact on the underserved.
Additional Slides
In addition to the slides listed above, you may also want to include the following slides in your presentation:
- A slide that shows the demographics of the community your hospital serves, including the percentage of residents who are enrolled in Medicare and Medicaid.
- A slide that shows the current health status of the community, including statistics on obesity, chronic disease rates, and life expectancy.
- A slide that shows the financial impact of the wellness center, including the estimated cost of construction and operation, as well as the estimated savings in healthcare costs.
- A slide that shows the potential impact of the wellness center on the quality of care in the community, including statistics on preventive care rates, chronic disease management rates, and patient satisfaction.
- A slide that shows the potential impact of the wellness center on the underserved in the community, including statistics on health disparities.
Recommendation
I recommend that we approve the construction of a new state-of-the-art wellness center. The wellness center has the potential to benefit our hospital system, the community we serve, and the underserved in our community.
Sample Answer
Introduction
As the CEO of XYZ hospital, I am excited to present to you today our proposal for a new state-of-the-art wellness center. This wellness center will be a valuable addition to our hospital system and to the community we serve.
Service Offerings
The wellness center will offer a wide range of services, including:
- Preventive care, such as physical exams, immunizations, and screenings
- Chronic disease management, such as diabetes, heart disease, and asthma
- Weight loss and nutrition counseling
- Fitness and wellness programs