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Group 3 part 1 introduction
1. Runninghead:PART1 INTRODUCTION 1
Part 1: Introduction (Week 2) Team Project Outline
Group 3
University of Maryland University College
HCAD 670 9041
February 11, 2018
2. PART 1 INTRODUCTION 2
Part 1: Introduction (Week 2) Team Project Outline
Topic: Adding a Mohs Surgery Practice to Layman Hospital Systems
Design: Mohs Surgery Service Line for Layman Hospital Systems
Purpose of Mohs Surgery Service: Mohs surgery would bring in greater income and provide
better outcomes for skin cancer patients.
Introduction to the project
The design and implementation of a Mohs surgery service would provide greater income
to LHS and better cosmetic outcomes for LHS patients. Mohs is a type of microsurgery to
remove skin cancers (Snow & Mikhail, 2004). It provides a better cosmetic outcome by
removing only the necessary layers of skin and preserving healthy tissue. This reduces scarring,
a pivotal concern for patients (Zitelli, Mohs, Larson, & Snow, 1989).
Implementing a Mohs surgery line of service requires hiring a Mohs surgeon, providing
logistical support for a dermatology office, including laboratory services, billing, and marketing.
Mohs surgeons are among the highest compensative physicians, requiring a salary of
approximately $600,000 annually (Rosenthal, 2014). Logistical support needs are comparatively
minor, as the procedure is typically performed in the outpatient setting. However, laboratory
support on site is necessary for microscopic examination of excised tissue. Billing is
comparatively straightforward, as Mohs is considered medically necessary and covered by
Medicare. Indeed, it is as cost efficient as traditional surgical excision (Cook & Zitelli, 1998).
In the unusual case where Mohs is not covered by insurance, patients may still have the ability to
pay the $1,000-$2,000 cost privately, and may do so from a desire to reduce scarring. Given the
costs of retaining a Mohs surgeon, marketing is a significant consideration. Attracting sufficient
business to justify the costs and generate a profit will require a robust marketing campaign.
3. PART 1 INTRODUCTION 3
The project will have several phases. First, LHS will conduct an analysis of the project
background, describing the need, customers, and beneficiaries of the service. Next, the
environmental and organizational context will explain the current state of affairs, the benefits
sought, the risks, legal and practical impediments, alternatives, necessary approvals, and key
stakeholders. Third, LHS will address the proposed design of the service and implementation
challenges. Marketing and resources analysis follow, with LHS’s concluding recommendation.
4. PART 1 INTRODUCTION 4
References
Cook, J., & Zitelli, J. A. (1998). Mohs micrographic surgery: a cost analysis. Journal of the
American Academy of Dermatology, 39(5), 698-703.
Rosenthal, E. (2014). Patients’ costs skyrocket; specialists’ incomes soar. New York Times, 18,
A1.
Snow, S. N., & Mikhail, G. R. (Eds.). (2004). Mohs micrographic surgery. Univ of Wisconsin
Press.
Zitelli, J. A., Mohs, F. E., Larson, P., & Snow, S. (1989). Mohs micrographic surgery for
melanoma. Dermatologic clinics, 7(4), 833-843.