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Running head: PROPOSAL OF NEW ECONOMIC
OPPORTUNITY 1
Copyright ©2018 Capella University. Copy and distribution of
this document are prohibited.
Executive Brief: Proposal of New Economic Opportunity
Learner’s Name
Capella University
Health Care Economics and Decision Making
Executive Brief: Proposal of New Economic Opportunity
November, 2017
PROPOSAL OF NEW ECONOMIC OPPORTUNITY 2
Copyright ©2018 Capella University. Copy and distribution of
this document are prohibited.
Executive Brief: Proposal of New Economic Opportunity
The primary objective of Whilborne Medical Center (WMC) has
always been to deliver
high-quality health care to the community. The medical center
can take a step further in that
direction by setting up a new urgent care center (UCC) within
its premises. A UCC is a health
care facility that provides immediate care, without a scheduled
appointment, for injuries and
illnesses that are not life-threatening and do not require
admission to the emergency department
(ED). The key characteristics of a UCC are reduced wait times,
increased service hours, reduced
costs, and quick service (Chang, Brundage, & Chokshi, 2015).
WMC is located in an area that has around 3,000 locals whose
urgent care needs may be
met by the UCC. Additionally, WMC, being located near
Maxima Industrial Park, receives a lot
of cases of work-related injuries (e.g., minor burns, sprains,
cuts, and abrasions) and other minor
illnesses (e.g., fever, headache, ear infection, abdominal pain,
and respiratory illnesses) that
require immediate attention. Currently, such cases are handled
by the medical center’s ED,
which leads to overcrowding and reduced efficiency. Once the
UCC is set up, such cases can be
diverted to the UCC to ease the burden on the ED at the medical
center.
Outcomes of Starting an Urgent Care Center
WMC has always strived to focus on the six areas of health care
quality—timeliness,
safety, patient-centeredness, efficiency, equity, and
effectiveness—stated by the Institute of
Medicine (IOM). Setting up a UCC will help the medical center
achieve its vision of improving
community health and delivering superior health care,
irrespective of patients’ cultural
background, age, gender, and socioeconomic status (Agency for
Healthcare Research and
Quality, 2016).
PROPOSAL OF NEW ECONOMIC OPPORTUNITY 3
Copyright ©2018 Capella University. Copy and distribution of
this document are prohibited.
The new line of service will be convenient for patients with
noncritical conditions that
require immediate attention. They will not have to wait for
several hours as they do at the
medical center’s ED. They will be able to walk in without an
appointment and avail after-hours
health care services on all days of the week. Setting up a UCC
will help the ED concentrate on
critical, life-threatening medical cases; it will also improve the
efficiency of the ED and the
quality of care provided to patients (Qin, Prybutok, Prybutok, &
Wang, 2015).
Expenses on technology and infrastructure are comparatively
low for setting up the UCC.
Consequently, the cost of health care services provided at the
UCC will be low in comparison to
the cost of health care services at the ED of the medical center.
Moreover, a UCC is an
affordable means of availing health care services for noncritical
ailments (Qin et al., 2015). This
makes it an economically viable health care solution for the
neighborhood. With its services, the
UCC will generate additional revenue for the medical center.
Although setting up a UCC has several positive outcomes, it has
some negative
outcomes, too. One of the drawbacks of getting treated at a
UCC is that patients are likely to get
care from different physicians every time they visit the UCC.
This may result in the physicians
not knowing their patients’ personal or family health history,
and the patients may not receive the
same quality of care they receive at their primary care
physician’s office. In addition, although
wait times at UCCs are shorter than at EDs, patients could end
up waiting longer than when they
would see their primary care physician with an appointment on
days that the UCCs have high
footfall. Also, more staff may have to be hired at the UCC,
which will entail additional costs for
the medical center.
Factors Influencing the Setting up of an Urgent Care Center
PROPOSAL OF NEW ECONOMIC OPPORTUNITY 4
Copyright ©2018 Capella University. Copy and distribution of
this document are prohibited.
A UCC is a volume-driven business that is dependent on many
economic and
environmental factors. Environmental data suggests that WMC
is a reputed medical center in the
area and there are few health clinics in the vicinity. The walk-in
facility at the UCC and its
proximity to Maxima Industrial Park will make it a preferred
option for employees working at
the industrial park. As the industrial park consists mainly of
manufacturing units, there is a high
possibility of work-related injuries. Therefore, the UCC can
expect a high number of visits from
these employees. Also, most employees at these companies
work in shifts and sometimes on
weekends. This is a great opportunity for the UCC as it plans to
offer health care services even in
the evenings and on weekends.
The capital cost of the project is estimated to be $350,000. It
will include the cost of
construction, equipment, and furniture. There will be no land
cost because the UCC will be built
within WMC’s premises. One half of the required funds will be
procured through a bank loan;
the other half will be funded using the medical center’s
reserves. It is assumed that an average of
357 patients will visit the UCC every week and the consultation
fee for each patient will be
around $156 (AMN Healthcare, 2015; Yakobi, 2017).
Calculations suggest that the UCC will
record a cash surplus in the first five years. This illustrates that
starting a UCC will be an
economically viable opportunity for the medical center.
Analysis of Supply and Demand for the Urgent Care Center
Aside from the 3,000 locals in the area who might benefit from
the UCC at WMC, there
is a large client base at the industrial park located near the
center. Maxima Industrial Park
comprises 10 companies, each having an employee strength of
2,000–3,000 individuals. In all,
about 30,000 employees work here. There are just two primary
health clinics and a retail health
clinic around the industrial park, and WMC is the only
multispecialty medical center located
PROPOSAL OF NEW ECONOMIC OPPORTUNITY 5
Copyright ©2018 Capella University. Copy and distribution of
this document are prohibited.
within a 5-mile radius. Therefore, there are not enough facilities
in the vicinity to cater to the
medical needs of employees working in the industrial park,
creating a supply–demand gap.
Being the only multispecialty medical center near the industrial
park, WMC receives a lot
of cases pertaining to work-related injuries and minor illnesses
that require immediate attention.
This overloads the ED of the medical center with noncritical
cases and hinders it from being able
to focus on patients admitted for treatment of critical, life-
threatening diseases. Establishing a
UCC within WMC’s premises will contribute toward bridging
the supply–demand gap without
compromising on the quality of health care delivered.
While analyzing the data pertaining to the supply and demand
for the proposed UCC,
areas of uncertainty have been identified. The successful
implementation of this proposal would
depend on receiving timely approval of the planned bank loan
and approval from the board of
directors of the medical center to allocate funds to support this
proposal. Another area of
uncertainty is the level of awareness of UCCs in the
neighborhood. Therefore, there may be a
need to create awareness of the functions and necessity of a
UCC. Patients may not want to avail
services at the UCC because of their lack of awareness, and this
might negatively impact revenue
estimates.
Conclusion
Setting up a UCC will reduce the burden on the ED at WMC,
making it more efficient.
Patients will receive accessible, high-quality, affordable care
without a scheduled appointment,
and they will benefit from the after-hours care. Also, the UCC
will bring in additional revenue
for the medical center and help acquire new patients. Therefore,
setting up a UCC within
WMC’s premises will be a lucrative economic opportunity.
PROPOSAL OF NEW ECONOMIC OPPORTUNITY 6
Copyright ©2018 Capella University. Copy and distribution of
this document are prohibited.
References
Agency for Healthcare Research and Quality. (2016). The six
domains of health care quality.
Retrieved from https://ahrq.gov/professionals/quality-patient-
safety/talkingquality/create/sixdomains.html
AMN Healthcare. (2015). Convenient care: Growth and staffing
trends in urgent care and retail
medicine. Retrieved from
https://amnhealthcare.com/uploadedFiles/MainSite/Content/Hea
lthcare_Industry_Insights
/Industry_Research/AMN%2015%20W001_Convenient%20Care
%20Whitepaper(1).pdf
Chang, J. E., Brundage, S. C., & Chokshi, D. A. (2015, July
23). Convenient ambulatory care —
Promise, pitfalls, and policy. The New England Journal of
Medicine, 373(4), 382–388.
Retrieved from https://search-proquest-
com.library.capella.edu/docview/1698429950/fulltextPDF/393F
B954D5614B03PQ/1?ac
countid=27965
Qin, H., Prybutok, G. L., Prybutok, V. R., & Wang, B. (2015).
Quantitative comparisons of
urgent care service providers. International Journal of Health
Care Quality Assurance,
28(6), 574–594. Retrieved from https://search-proquest-
com.library.capella.edu/docview/1694933787?pq-
origsite=summon&http://library.capella.edu/login?url=accounti
d=27965
Yakobi, R. (2017). Impact of urgent care centers on emergency
department visits. Health Care:
Current Reviews, 5(3). http://dx.doi.org/10.4172/2375-
4273.1000204

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Running head PROPOSAL OF NEW ECONOMIC OPPORTUNITY 1 C.docx

  • 1. Running head: PROPOSAL OF NEW ECONOMIC OPPORTUNITY 1 Copyright ©2018 Capella University. Copy and distribution of this document are prohibited. Executive Brief: Proposal of New Economic Opportunity Learner’s Name Capella University Health Care Economics and Decision Making Executive Brief: Proposal of New Economic Opportunity November, 2017 PROPOSAL OF NEW ECONOMIC OPPORTUNITY 2 Copyright ©2018 Capella University. Copy and distribution of this document are prohibited. Executive Brief: Proposal of New Economic Opportunity
  • 2. The primary objective of Whilborne Medical Center (WMC) has always been to deliver high-quality health care to the community. The medical center can take a step further in that direction by setting up a new urgent care center (UCC) within its premises. A UCC is a health care facility that provides immediate care, without a scheduled appointment, for injuries and illnesses that are not life-threatening and do not require admission to the emergency department (ED). The key characteristics of a UCC are reduced wait times, increased service hours, reduced costs, and quick service (Chang, Brundage, & Chokshi, 2015). WMC is located in an area that has around 3,000 locals whose urgent care needs may be met by the UCC. Additionally, WMC, being located near Maxima Industrial Park, receives a lot of cases of work-related injuries (e.g., minor burns, sprains, cuts, and abrasions) and other minor illnesses (e.g., fever, headache, ear infection, abdominal pain, and respiratory illnesses) that require immediate attention. Currently, such cases are handled by the medical center’s ED,
  • 3. which leads to overcrowding and reduced efficiency. Once the UCC is set up, such cases can be diverted to the UCC to ease the burden on the ED at the medical center. Outcomes of Starting an Urgent Care Center WMC has always strived to focus on the six areas of health care quality—timeliness, safety, patient-centeredness, efficiency, equity, and effectiveness—stated by the Institute of Medicine (IOM). Setting up a UCC will help the medical center achieve its vision of improving community health and delivering superior health care, irrespective of patients’ cultural background, age, gender, and socioeconomic status (Agency for Healthcare Research and Quality, 2016). PROPOSAL OF NEW ECONOMIC OPPORTUNITY 3 Copyright ©2018 Capella University. Copy and distribution of this document are prohibited. The new line of service will be convenient for patients with noncritical conditions that require immediate attention. They will not have to wait for
  • 4. several hours as they do at the medical center’s ED. They will be able to walk in without an appointment and avail after-hours health care services on all days of the week. Setting up a UCC will help the ED concentrate on critical, life-threatening medical cases; it will also improve the efficiency of the ED and the quality of care provided to patients (Qin, Prybutok, Prybutok, & Wang, 2015). Expenses on technology and infrastructure are comparatively low for setting up the UCC. Consequently, the cost of health care services provided at the UCC will be low in comparison to the cost of health care services at the ED of the medical center. Moreover, a UCC is an affordable means of availing health care services for noncritical ailments (Qin et al., 2015). This makes it an economically viable health care solution for the neighborhood. With its services, the UCC will generate additional revenue for the medical center. Although setting up a UCC has several positive outcomes, it has some negative outcomes, too. One of the drawbacks of getting treated at a UCC is that patients are likely to get
  • 5. care from different physicians every time they visit the UCC. This may result in the physicians not knowing their patients’ personal or family health history, and the patients may not receive the same quality of care they receive at their primary care physician’s office. In addition, although wait times at UCCs are shorter than at EDs, patients could end up waiting longer than when they would see their primary care physician with an appointment on days that the UCCs have high footfall. Also, more staff may have to be hired at the UCC, which will entail additional costs for the medical center. Factors Influencing the Setting up of an Urgent Care Center PROPOSAL OF NEW ECONOMIC OPPORTUNITY 4 Copyright ©2018 Capella University. Copy and distribution of this document are prohibited. A UCC is a volume-driven business that is dependent on many economic and environmental factors. Environmental data suggests that WMC is a reputed medical center in the
  • 6. area and there are few health clinics in the vicinity. The walk-in facility at the UCC and its proximity to Maxima Industrial Park will make it a preferred option for employees working at the industrial park. As the industrial park consists mainly of manufacturing units, there is a high possibility of work-related injuries. Therefore, the UCC can expect a high number of visits from these employees. Also, most employees at these companies work in shifts and sometimes on weekends. This is a great opportunity for the UCC as it plans to offer health care services even in the evenings and on weekends. The capital cost of the project is estimated to be $350,000. It will include the cost of construction, equipment, and furniture. There will be no land cost because the UCC will be built within WMC’s premises. One half of the required funds will be procured through a bank loan; the other half will be funded using the medical center’s reserves. It is assumed that an average of 357 patients will visit the UCC every week and the consultation fee for each patient will be around $156 (AMN Healthcare, 2015; Yakobi, 2017).
  • 7. Calculations suggest that the UCC will record a cash surplus in the first five years. This illustrates that starting a UCC will be an economically viable opportunity for the medical center. Analysis of Supply and Demand for the Urgent Care Center Aside from the 3,000 locals in the area who might benefit from the UCC at WMC, there is a large client base at the industrial park located near the center. Maxima Industrial Park comprises 10 companies, each having an employee strength of 2,000–3,000 individuals. In all, about 30,000 employees work here. There are just two primary health clinics and a retail health clinic around the industrial park, and WMC is the only multispecialty medical center located PROPOSAL OF NEW ECONOMIC OPPORTUNITY 5 Copyright ©2018 Capella University. Copy and distribution of this document are prohibited. within a 5-mile radius. Therefore, there are not enough facilities in the vicinity to cater to the medical needs of employees working in the industrial park, creating a supply–demand gap.
  • 8. Being the only multispecialty medical center near the industrial park, WMC receives a lot of cases pertaining to work-related injuries and minor illnesses that require immediate attention. This overloads the ED of the medical center with noncritical cases and hinders it from being able to focus on patients admitted for treatment of critical, life- threatening diseases. Establishing a UCC within WMC’s premises will contribute toward bridging the supply–demand gap without compromising on the quality of health care delivered. While analyzing the data pertaining to the supply and demand for the proposed UCC, areas of uncertainty have been identified. The successful implementation of this proposal would depend on receiving timely approval of the planned bank loan and approval from the board of directors of the medical center to allocate funds to support this proposal. Another area of uncertainty is the level of awareness of UCCs in the neighborhood. Therefore, there may be a need to create awareness of the functions and necessity of a UCC. Patients may not want to avail
  • 9. services at the UCC because of their lack of awareness, and this might negatively impact revenue estimates. Conclusion Setting up a UCC will reduce the burden on the ED at WMC, making it more efficient. Patients will receive accessible, high-quality, affordable care without a scheduled appointment, and they will benefit from the after-hours care. Also, the UCC will bring in additional revenue for the medical center and help acquire new patients. Therefore, setting up a UCC within WMC’s premises will be a lucrative economic opportunity. PROPOSAL OF NEW ECONOMIC OPPORTUNITY 6 Copyright ©2018 Capella University. Copy and distribution of this document are prohibited. References Agency for Healthcare Research and Quality. (2016). The six domains of health care quality. Retrieved from https://ahrq.gov/professionals/quality-patient- safety/talkingquality/create/sixdomains.html
  • 10. AMN Healthcare. (2015). Convenient care: Growth and staffing trends in urgent care and retail medicine. Retrieved from https://amnhealthcare.com/uploadedFiles/MainSite/Content/Hea lthcare_Industry_Insights /Industry_Research/AMN%2015%20W001_Convenient%20Care %20Whitepaper(1).pdf Chang, J. E., Brundage, S. C., & Chokshi, D. A. (2015, July 23). Convenient ambulatory care — Promise, pitfalls, and policy. The New England Journal of Medicine, 373(4), 382–388. Retrieved from https://search-proquest- com.library.capella.edu/docview/1698429950/fulltextPDF/393F B954D5614B03PQ/1?ac countid=27965 Qin, H., Prybutok, G. L., Prybutok, V. R., & Wang, B. (2015). Quantitative comparisons of urgent care service providers. International Journal of Health Care Quality Assurance, 28(6), 574–594. Retrieved from https://search-proquest- com.library.capella.edu/docview/1694933787?pq- origsite=summon&http://library.capella.edu/login?url=accounti
  • 11. d=27965 Yakobi, R. (2017). Impact of urgent care centers on emergency department visits. Health Care: Current Reviews, 5(3). http://dx.doi.org/10.4172/2375- 4273.1000204