Norfolk State University HSM 451 CMC Strategic Plan Question

Norfolk State University HSM 451 CMC Strategic Plan Question ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Norfolk State University HSM 451 CMC Strategic Plan Question Prepare an Outline of your strategic plan using your SWOT Analysis, see Individual Assignment 1. Use the format in the attached Strategic Planning Template. Norfolk State University HSM 451 CMC Strategic Plan Question Include a cover page, see “Sample Paper.” The main headings of your outline should be in Roman Numerals (I, II, III, IV). Subheadings should be in capital letters (A, B, C, D) Review “How to Write an Outline in APA Format” at https://www.verywellmind.com/apa-outline-format-4685910 The outline should be no more than three pages. Include a Reference Page with three peer-reviewed journal articles and the textbook. excerpt_of_case_study_coa Excerpt of Case Study: Coastal Medical Center See (Harrison, 2016, pp 1-28) Introduction Coastal Medical Center (CMC) is a licensed, 450-bed regional referral hospital providing a full range of services. The primary service area is a coastal city and three counties, with a total population greater than 995,000, located in the Sunbelt. This tricounty area has had one of the fastest population growth rates in the country for the past five years. According to the local health planning council, the tricounty population is projected to increase by 15 percent from 2015 to 2020. Appendix A, at the end of the case study (in the textbook), provides detailed population statistics for the city and tricounty area. The population growth rate for households (families) has been 1 to 2 percentage points higher than the overall population growth. The growth rate of the population under age 44 shows a young and growing community. Per capita (i.e., per person) income in the tricounty area is high and increasing. As the population of the tricounty area increases, the need for healthcare services is anticipated to increase. The area’s economy is largely supported by manufacturing, with service companies and agriculture accounting for another 35 percent. Unemployment is typically 6 percent. The overall poverty rate is 12.4 percent. A recent study revealed that 40,000 city residents are below 125 percent of the established federal poverty level. Healthcare Costs Healthcare costs in the region are high in comparison to healthcare costs in most other areas in the state. In response to what they feel are excessively high healthcare costs, county businesses recently formed a business coalition, hired a full-time executive, and publicly stated their intent to achieve reduction in healthcare costs. The local press has expressed its concern about the high cost of healthcare in the local community and consistently bashes the area’s hospitals and physicians. The coalition refused to allow the three major medical centers in the area to join, despite the fact that each is a major employer. Highlights of Coastal Medical Center As a referral center, CMC offers almost every level of care, including a number of tertiary care services, with the exception of neonatology and severe burn-unit services. Many of its patients require high-intensity services. For this reason, its costs are the second highest in the entire state. The average length of stay of a patient at CMC is 9.2 days, compared to a statewide average of 6.4 days at hospitals of similar size and services. This difference is probably attributable to the intensity of services CMC offers. CMC’s expenses per patient day are also the highest in the state, with the exception of two large university-affiliated teaching medical centers. Its FTEs per adjusted occupied bed (7.5), paid hours per adjusted patient day (35.2), and paid hours per patient discharge (238.5) all greatly exceed those of competitors and the norms of comparable facilities. CMC is currently authorized for 2,240 positions but actually employs 2,259 FTEs. Salary expenses per adjusted discharge and adjusted patient day are $2,760 and $491, respectively. A recent one-year market share analysis for the broader-eight-county region revealed the data presented in Exhibit Case.1. CMC has market advantage in substance abuse, psychiatrics, and obstetrics. JMC has market advantage in adult medical and surgical care. At a recent administrative meeting, the following CMC utilization figures for the year were reviewed: Admissions are down 14 percent. Medicaid admissions are up 11 percent. Ambulatory care visits are down 10 percent. Surgical admissions are down 6.7 percent. Exhibit Case.1, One-Year Market Share Analysis Facility Discharges Percentage of Total CMC 7,819 18 JMC 8,989 21 LMC 6,820 16 All others 19,546 45 Total 43,174 100 Norfolk State University HSM 451 CMC Strategic Plan Question A recent auditor’s report included the following notes: A significant adjustment was required at year-end to correctly reflect contractual allowance expense (i.e., the amount of money spent in hiring outside contractors). The data used at the beginning of the year to estimate contractual allowance expense were grossly inaccurate. Insurers were not billed for services by certain hospital-based employed specialists ($7 million for the past year) as a result of neglect on the part of the hospital billing staff. A total of $1.7 million in Medicaid reimbursement was not authorized. No follow-ups were done and no claims were resubmitted. Appendix H. Coastal Medical Center: Inpatient Data Trend Report Inpatient Utilization Statistics 2015 2014 2013 2012 Case-mix index 1.666 1.692 1.713 1.729 Medical MS-DRGs 66.26% 65.57% 65.00% 65.38% Surgical MS-DRGs 33.74% 34.43% 35.00% 34.62% Routine discharges to home 5,729 5,343 5,110 5,092 Discharges to other acute care hospitals 85 94 94 81 Discharges to skilled nursing facilities 1,360 1,346 1,238 1,305 Deaths 404 289 330 314 Other discharges 2,120 2,171 1,962 1,661 Total discharges 9,698 9,243 8,734 8,453 Psychiatric discharges (DPU, included in total) 493 508 451 443 Rehabilitation discharges (DPU, included in total) 139 171 141 166 Medicare Advantage (HMO) discharges 942 1,872 2,308 2,518 (not included in total) 2015 Statistics by Medical Services Number Average CMI- Medicare Length of Average Average Medicare Avg Inpatients Stay Charges (5) Cost (5) CMI Cost (5) Cardiology 1,513 3.6 23,498 6,550 1.030 6,362 Norfolk State University HSM 451 CMC Strategic Plan Question Cardiovascular Surg 1,123 3.9 86,224 21,103 2.909 7,255 Gynecology 38 2.1 36,756 8,613 1.084 7,944 Medicine 1,691 5.3 33,073 10,221 1.283 7,967 Neurology 502 4.3 27,248 8,378 1,200 6,982 Neurosurgery 42 9.5 111,058 30,272 3.492 8,669 Obstetrics 12 5.2 20,415 9,146 .687 13,324 Oncology 101 5.5 39,450 11,021 1.638 6, 729 Orthopedic Surgery 795 3.8 61,015 17,228 2.369 7,271 Orthopedics 145 4.1 23,034 7,127 1.060 6,725 Psychiatry 459 10.5 30,824 14,766 .924 15,989 Pulmonology 796 4.9 32,695 9,258 1.419 6,522 Surgery 513 8.8 100,849 27,114 3.858 7,027 Surgery for malignancy 37 6.9 89,678 22,285 2.138 10,425 Urology 420 4.5 27,637 8,802 1.199 6,742 Vascular surgery 265 3.7 52,825 13,205 1.886 7,002 ______________________________________________________________________________ TOTAL 8,453 4.98 45,557 12,827 1.729 7,421 Also, the CMC hired a new Chief Executive Officer (CEO). The new CEO did an exhaustive analysis of CMC and his findings are highlighted in the textbook (Harrison, 2016, p. 13-16). Among other things, the CEO found no formal strategic planning process in place at either the CMC or the Coastal Healthcare Inc. levels. Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10