Tuesday, February 26, 2019
Community Health Needs Assessment (CHNA) Essay
In the virgin Community Health Needs Assessment (CHNA), orthopaedic cases be intercommunicate to improver in the trinity Hospital over the next cinque years. The assessment displayed that orthopaedic cases argon likely to flow from 11,800 to 17,338 (+46%) conjugation and vertebral column procedures by 30% and out enduring joint and spine procedures be expect to rise by 350%. The assessment highlighted the orthopaedic go and the wishs of the trey companionship of interests. Some of the inquires were shortage on physicians and specialist, gear, physical therapy gains, and surgical suites. When looking at at the business side of things you must understand supply charter. When demand rises and supply goes unchanged, a shortage allow follow leading to great costs equilibrium and if demand does not change and supply drops a short happens. This means there will be an increase in the overall tax revenue because of the rise in the demand for the orthopedic benefits. The society has a high demand for orthopedic operate so it is and the world size for the aging lodge is growing so it is likely these services will be at an all-time high in five-spot years.A recent needs assessment displayed that the current orthopedic cases be expected to rise 46%, with a 30% growth in inpatient joint and spine procedures. As expected outpatient joint and spine procedures argon intercommunicate to grow by 350%. The orthopedic deoxidise is in a high demand rural area and the numbers show a defined market area inside. There are withal twain private local hospitals in competition with very good orthopedics courses, which makes the need for Trinitys to have a strong orthopedic program. Research shows that the main location is within the companionship with a projected population growth of 4%, this drivens the demand for a bore orthopedic program to cover the growing community. The needs assessment shows that with an established orthopedic warmheartedne ss, it is possible that we are able to provide everyone in the Trinity community with quality service for. It would be very feasible to wax the refreshful center right away in set to meet the demands of the community and provide adequate treatment and services with adequate equipment.The orthopedic center development should allow us to incorpo valuate an international trend of providing quality wellnesscare for all citizens in the community and spending less money. unheeding of the ability to payment we must in like manner look into ways to reduce spending and still providing quality healthcare. The development of a plan that will allow patients to be treated despite financial abilityand health insurance could as well as attention oneself us meet the demand in the community. While our country does not offer a national healthcare system, our installation can incorporate the international trend. In addition to underdeveloped an integrated health system developing a select ive groups of physicians and healthcare workers to provide adequate services. Currently there are two groups that are moving in the area. Fortunately one group has recently secured office staff 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 assist more patients.The eventual(prenominal) goa at Trinity is to provide quality healthcare to all citizens of the Trinity community Robotic operation and current digital equipment would be complementary to the pertly 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 closer to Trinity and apply for privileges for the facili ty. There are currently twenty operating rooms that are weaponed with the rudimentary setup necessary to accommodate the orthopedic program. The rooms are equipped with two CT scanners, MRI scanner, X-ray, nuclear medicine, mobile PET scanner, and ultrasonography services. The nursing staffs at Trinity are devoted 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 expose 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 save for patients but all hospital staff as well. The recent explore shows that we could cut cost by create a immature 5000 whole foot physical therapy/rehab center bordering to the Trinity campus. The new building costs est imates to about 600,000 verses 700,000 to purchase the space adjacent to the Trinity campus. In order to expand the services by adding a radiology surgical incision 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 gain approximately 2100 new surgical cases and also gaining about 6500 visits in physical therapy. This can require the profit margin to about $2,171,500. According to the five year jutting plan, it is projected that there will be about $25,000 in arrant(a) 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 pat ients. Developing a bundle payment program can allow the patient insured and uninsured an opportunity to institute quality 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 diminish volume seen with the damage of the OB program and decay of general surgery volumes. An increase in the utilization could help our key financial indicators and also develop an effective 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 big way to market the new service line to the community also coordinating care and appointments for the patients. This will also be a relegate to provide physicians with the ability to sustain private practices and still work in the facility and have hospita l 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 trade. A key marketing strategy that can be used in the marketing area is advertising. Highlighting the high quality services and giving 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 ref rangeal service could be developed. The system should be set up as Trinity refers the orthopedic cases to the physicians group who will indeed 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 weigh inon the expanding growth of the orthopedic specialists th at 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 honorary society 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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