Overview Description and goals of the organization Purpose of the clinic is to provide rapid interventions to patients with asthma and other respiratory problems. Mission statement The Asthma Clinic in the emergency center of DHA Medical Center is dedicated to provide the necessary medical treatment and comprehensive evaluation to patients with asthma exacerbation and other respiratory problems in a timely manner to prevent progression of the symptoms and worsening of their condition.
Organizational and FinancialStructure Asthma Clinic will be located in the emergency center of DHA Medical Center The clinic will function under the main emergency center therefore this will be a joint venture between the EC Director of Nurses and the EC Medical Director. As a sub-department of the main EC, the Asthma Clinic will obtain funding from the EC funds allocated by the facility.
Decision Making Structures Medical Doctor Respiratory Therapists EC Asthma Director Mid-Level Clinic of Practitioner Manager Certified Nurses Registered Nurse Nurses AssistantsHierarchy of Commands for the Asthma Clinic
Organizational Objectives1. The Asthma Clinic will provide the evaluation, diagnosis, treatment, and medications for patients suffering from asthma exacerbation, allergies, and other respiratory problems in the emergency department in timely manner to prevent progression of the symptoms and worsening of their condition.2. The Asthma Clinic will have the available resources and staff to provide care for patients with respiratory problems to provide earlier treatment thus preventing worsening of symptoms and saving the patients and hospital money.
Strategic Planning ModelVision The Asthma Clinic’s vision is to capture 100% of the respiratory related problems in the emergency center and treat the patients rapidly to prevent worsening of symptoms. The clinic aims to become a 24 hour clinic after two to three years of operation. The clinic will continue to expand their services and look into serving other parts of the community in the future.
Strategic Planning ModelKey Strategies1. Set up clinic equipped with the necessary equipment to evaluate, assess, diagnose, and treat the patients .2. Collaborate with human resources for staffing.3. Develop a policy on the flow of operations.4. Establish a standard protocol.5. Establish a criteria regarding patient acuity.6. Develop a standard protocol for treatment based on CDC and other healthcare organizations’ recommendation.7. Develop a system to promote preventive measures.8. Develop a system to follow-up on the status of the clients post clinic visit.
Operation Infrastructure The clinic will be located within the emergency center of the hospital. Support will come from emergency center Director of Nurses, Medical Director and administrative body of the facility which comprises of the President and Vice President, Chief Executive Officer, and Chief Financial Officer. The Human Resource Department will support the clinic in hiring the appropriate staffs. Marketing of the clinic will be geared towards the prevention of exacerbation of respiratory problems such as asthma, COPD, and common upper and lower respiratory infections. Referrals will come from facilities that perform pulmonary function tests such as allergy clinics, pulmonary clinics. Monthly staff meetings will review clinic initiatives, functionality of the clinic, achievement of goals and objectives, and quality assurance measures.
Strategic Management Process ofthe Asthma ClinicSituation Analysis: • Develop an Asthma Clinic in the emergency center of DHA Medical Center to provide rapid interventions to patients with asthma and other respiratory problems who seek medical attention.Strategy Formulation: • Develop policies manual specific for the Asthma Clinic • Coordinate with human resources regarding hiring staff for the clinic • Coordinate with the EC Director of Nurses and EC Medical Director regarding the treatment protocol for the patients
Strategic Management Process ofthe Asthma ClinicStrategy Implementation • Train the staff • Print copies of the policy manual • Print copies of the protocol • Prepare the clinic for patient care • Implement protocols to patientsStrategy Evaluation • Continuous evaluation of the functionality of the clinic though weekly , monthly, and quarterly activities summary and revenue review • Yearly staff evaluation and continuing education requirements
Strength Weakness OpportunitiesThreats Analysis Strengths Weakness • Infrastructure in place • Lack of awareness among prospective clients • Location is highly suitable • Potential need for larger premise • Strong management team • Inability to obtain competent staff • Very focused management and staff • Staffs need training • Well-rounded and managed clinic • Process and systems needs to be set-up • Highly skilled workforce • Policies and procedures needs to be developed Threats Opportunities • The department’s growth could attract major • The new department is poised for rapid growth. competition • Possibility to evolve into a larger 24-hour clinic. • Seasonal changes could reduce the need for the clinic
Financial PlanThe adult EC sees an average of 500 patients per day. The clinic is predicted to see10% of the current EC patient population which is 50. The average cost per visit ofa patient to the Asthma Clinic is $ 350.00. Base on this value a forecasted incomefor the clinic is computed (please refer to the table below). Period of Revenue Forecasted IncomeDaily $ 17,500.00Weekly $ 122,500.00Monthly $ 490,000.00Quarterly $ 1,470,000.00Annually $ 5,880,000.00
Income StatementAnnual Revenue $ 5,880,000.00Less:Labor $ 800,000.00Office Expenses $ 200,000.00Depreciation $ 100,000.00Other Operating Expense $ 1,000,000.00Total Operating Expense $ 2,000,000.00Operating Income before taxes $ 1,700,000.00Income Tax Expense $ 595,000.00Net Income $ 1,105,000.00
Cash Flow and Variance Planning Cash Flow The services provided in the clinic will be charged just like a regular emergency room visit. Variance A forecast of 10% of the EC client population will be seen in the clinic. A variance of 10% of the 10% is allowed during the first two quarters of operations after which 5% of the 10% is allowed.
Implementation and Evaluation The Asthma Clinic will plan to open their doors to the public on July 4, 2009. The day to day productivity and efficiency of services offered will be evaluated and analyzed on a weekly, monthly, quarterly, and annual basis. The clinic will plan to extend the hours of operation to a 24 hour clinic after evaluating the productivity and functionality of the clinic. The employees will be evaluated annually .
Conclusion The Asthma Clinic in Asthma Clinic in the emergency center of DHA Medical Center aims to provide rapid interventions to patients with asthma and other respiratory problems who seek medical attention. Rapid intervention will help prevent the worsening of asthma exacerbation and other respiratory problems. The end result will save the facility and the patients money thus increasing patient satisfaction and increasing the revenue for the department.
ReferencesFink, J., & Dhand, R. (1999). Bronchodilator resuscitation in the emergency department. Retrieved December 18, 2008, from http://www.aarc.org.Phipps, W., Monahan, F., Sands, J., Marek, J., & Neighbors, M. (2003). Medical-surgical nursing: Health and illness perspectives (7th ed.). St. Louis, MO: Mosby.Respiratory Care Journal (1991). Incentive spirometry. Retrieved December 19, 2008, from http://www.rcjournal.com.Stanford, R., McLaughlin, T., & Okamoto, L. (1999). The cost of asthma in the emergency department and hospital. American Journal of Respiratory Critical Care Medicine, 160, pp. 211-215. Retrieved January 9, 2009, from http://www.atsjournals.org.