Lagging elements in HCAHPS scores are inpatient patient satisfaction and primary care patient satisfaction. Market Forces Affecting the Hospital Volumes Volume changes last year versus this year 30000 26292 25000 20930 20000 15000 10000 5000 6365 7284 4458 5147 405 0 Admission ER visits Last year 472 This year Deliveries Surgeries Patients The continued growth of chronic disease will require changes to the care management model. Percent of Population by Age Copyright 2019 by University of Phoenix. All rights reserved. Stevens District Hospital Plan HCS/499 v4 Page 3 of 8 Five Years Ago Five Years From Now Under 18 24 18 18 to 44 46 32 45 to 65 26 30 Over 65 4 20 More than 53 percent of residents have at least some college education, with just over 29 percent having an associate, bachelor’s, or graduate degree. More than 90 percent of residents have at least a high school diploma. The average unemployment rate in the county is 9.9 percent: Market Share Distribution Percentage With a Major Competitor Five Years Ago Last Year Stevens District Hospital 48 35 Competitor 30 43 Out of County Hospitals 22 22 Copyright 2019 by University of Phoenix. All rights reserved. Stevens District Hospital Plan HCS/499 v4 Page 4 of 8 Patient Origin by Zip Code 20% 96101 is Stevens District Hospital zip code 16% 94963 is major competitor hospital zip code 42% 12% Increases in the percent of population with chronic disease and contributing factors will change significantly over the coming five years. Chronic Disease Predictions 5 yrs ago 26% 5 yrs ahead 22% 15% 12% 12% 5% Obesity Diabetes Heart Disease Copyright 2019 by University of Phoenix. All rights reserved. Stevens District Hospital Plan HCS/499 v4 Page 5 of 8 Payment There will be continued focus on pay for performance and increased wellness programs. The Affordable Care Act is creating more covered lives; however, there are often high deductibles. The median household income for county residents is $59,548. On average, households in the county earn more than the state median household income of $44,446 and more than the national average of $53,650. The addition of a new automotive manufacturing plant to the local market this coming year is projected to add 1,500 production line jobs and 300 administrative jobs by year end. Median income for the production positions is estimated at $45,000 and will provide health, vision, and dental insurance benefits. Current Payer Mix Uninsure d, 9% Other, 2% Projected Payer Mix 5years Medicaid, 35% Commerc ial, 24% Medicare , 30% Percentage of Population by Insurance As part of your review of this data, consider that a portion of the population will become Medicare eligible, the addition of manufacturing positions that include benefits will increase commercial insurance coverage, and changes from the Affordable Care Act will increase the number of patients in the market with insurance coverage. Employers There is expected growth in large employers with the addition of the automotive factory in the northwest sector of the county. Copyright 2019 by University of Phoenix. All rights reserved. Stevens District Hospital Plan HCS/499 v4 Page 6 of 8 Physicians The continued shortage of medical staff, especially in orthopedics, oncology, and primary care, will require increased recruitment efforts. Competitors Hanover County Hospital, which is the other hospital in the county, has an updated facility that has drawn more market share to its facility. Competitor Key Areas of Competition New Programs and Facilities Risk to Market Share • • • Significant renovation of core hospital to update aesthetics Added new wide-bore MRI machine last year Reaches the 95th percentile in five of six HCAHPS categories • • • UOP HCS 499 Week 3 Assignment
Drawing patients to newer facility Accommodates heavier patients Patient perception of higher quality and patient satisfaction Drawing patients out of primary and specialty care at Stevens Ability to cash flow projects Primary Competitors Hanover County Hospital Facility upgrade Quality scores • • Medical Center in County South of Stevens • • Physician clinics Financial stability • • E-visits with specialists Low debt and high cash on hand • • Low acuity office visits • Pharmacy added instant clinic in north end of county 6 months ago • • Secondary Competitors Retail Pharmacy Instant Clinic Copyright 2019 by University of Phoenix. All rights reserved. Loss of patients from primary care physicians’ practices Stevens District Hospital Plan HCS/499 v4 Page 7 of 8 Technology A competing hospital has added e-visits for physician practices, which is causing a shift of patients to the competitor hospital’s physician practices . Regulatory Changes Health care reform through the Affordable Care Act has increased the number of patients with some form of insurance payment. These patients are now seeking care in greater numbers from a primary care physician. Stevens District Hospital struggles with accommodating patient scheduling requests to establish care with a primary care physician. Plan Planning Components Explanation Objective Actions Organization goals that cover broad strategic issues, such as quality, finances, growth Broad action items that address organizational goals, such as increasing market share, increased use of technology, increased physician satisfaction Action item that meets an objective, such as implementing EMR, renovating physician lounge, increasing marketing for specific products • • • • • Examples Definition Goal Improve HCAHPS scores by 5% Improve operating margin by 3% Increase market share in 96103 zip code by 5% • Improve emergency department patient satisfaction survey by 5% Grow urgent care visits by 10% • Copyright 2019 by University of Phoenix. All rights reserved. Implement urgent care center in north zip code Purchase tablets for physicians for EMR rounding Measurement Stevens District Hospital Plan HCS/499 v4 Page 8 of 8 • • % increase in operating margin % change in market share • • % change in ED satisfaction survey % change in urgent care visits • • Financial Summary This year Last year 343,737,280 344,726,245 16,846,309 20,311,534 360,583,589 365,037,779 Salaries and benefits 192,053,379 182,853,245 Supplies and other expenses 130,173,477 135,560,131 18,969,799 20,644,157 2,695,623 2,226,437 628,184 1,182,308 344,520,462 342,466,278 16,063,127 22,571,501 Operating Revenues Net revenues from services to patients Other operating revenues Total operating revenues Operating Expenses Depreciation Interest Foundation Total operating expenses Income from operations Copyright 2019 by University of Phoenix. All rights reserved. Number of patient visits at new urgent care center % increased use of EMR HCS/499 v4 Goals for Stevens District Hospital, Part 1 Clear, actionable, and measurable goals are essential to strategic planning. It is important that the goals are designed to support the mission and vision of an organization. Answer the following questions with a total of 260 to 350 words. Your analysis should be based on your review of the data provided in the Stevens District Hospital strategic planning scenario and your SWOT analysis. Enter your answers beneath the prompts. Identify a clear, actionable, and measurable technology goal for the organization that clearly supports the mission and vision. Analyze how this goal supports the mission and vision of the hospital. Explain how you would measure progress toward the goal. • • Discuss milestones necessary for progress. Discuss the criteria you would use to measure that the goal was completed. Cite 2 peer-reviewed, scholarly, o r similar references according to APA guidelines. References Submit your assignment. Copyright 2019 by University of Phoenix. All rights reserved. .. UOP HCS 499 Week 3 Assignment
