Week 7 – Signature Assignment: Develop a Business Plan for an Integrated Outpatient Clinic and Ambulatory Surgery Center

Week 7 – Signature Assignment: Develop a Business Plan for an Integrated Outpatient Clinic and Ambulatory Surgery Center

The Luxury Floor Plan

Planning Approaches

Table 6 shows the total square footage for the lean plan and the luxury plan. The lean floor plan uses 40,000 less building gross square feet (BGSF) than the luxury floor plan to accommodate the same projected annual workload. Department gross square feet (DGSF) are also adjusted in each floor plan accordingly.  The luxury floor plan separates departments and services and there are no shared clinics. Your hybrid floor plan will be a mix of the two versions, lean and luxury.   

Table 6 Floor Plan Square Footage

Luxury Floor Plan

Facility Component

Lean

Luxury

Urgent Care Center

8,600

15,000

Ambulatory Surgery Center

13,100

22,000

Orthopedic Clinic

3,700

6,200

Medicine Clinic

0

7,500

Surgery Clinic

0

5,500

Neurology Clinic

0

5,900

Shared Clinic

8,000

0

Express Testing Area

3,400

3,800

Entrance Lobby

3,200

3,200

Total DGSF

40,000

69,100

DGSF to BGSF Factor

1.25

1.30

Total BGSF

50,000

90,000

Table 7

Services to be Offered

· Urgent Care: 42,000 annual visits

· Adult Urgent care center with 32,000 annual visits

· Pediatric Urgent care center with 10,000 annual visits

· Orthopedic Sports Injury Clinic with 5,000 visits/procedures

· Ambulatory surgery center

· Surgery with 15,000 annual cases

· General surgery with 10,000 annual cases

· Orthopedic surgery with 5,000 annual cases

· Hospital-sponsored clinics:

· Medical (23,000 annual visits includes diabetics, adults, and adolescents),

· Orthopedics clinic (16,000 annual visits),

· dental clinic TBD

To accommodate the basic and specialty additions, HEALTH! will expand an existing laboratory to include a rapidly advanced testing area for X-rays, electrocardiograms, and specimen collection. This expansion will require additional personnel, i.e., Radiology Technologists, EKG technicians, and phlebotomists.    

The HEALTH! Health Economics and Statistics team along with the facilities planning team developed two planning approaches, aptly termed Luxury and Lean.  Size and configuration for the luxury and lean floor plans are shown in Figure 14 (Luxury Floor Plan) and Figure 15 (Lean Floor Plan).  The hybrid approach may use either space.  Along with the HEALTH! Health Economics and Statistics team and the facilities planning team, the clinical and professional staffing teams who are responsible for hiring personnel proposed the following staffing positions shown in Figure 8.  You, as the Health Economics intern, are responsible for developing the hybrid approach.

Table 8

Proposed Staffing Options

Clinical and Administrative Staff for the New Clinic:

· Advanced Registered Nurse Practitioner (ARNP)

· Physician Assistant (PA)

· Family Practice Physician (MD)

· Licensed Practical Nurse (LPN)

· Certified Nursing Assistant (CNA)

· Certified Medical Assistant (CMA-may be hired in lieu of CNA)

· Registered nurses (RN/BSN)

· Certified Surgical Technologists (CST)

· Physician Assistants trained to assist Orthopedic Surgeons

· Registered Physical Therapists (RPT)

· Physical Therapy Assistants (PTA)

· Orthopedic Surgeon-Sports Medicine Specialist (MD)

· General Surgeon (MD)

· Administrative Assistants

Additional Staff for the Advanced Testing Expansion:

· Radiology Technologists

· EKG technicians

· Phlebotomists

Assignment Instructions:

Using all of your prior completed assignments, the Becker’s Hospital Review resource, and at least two other resources that must be scholarly or credible, develop your business plan using the guidelines below:

1. Begin with an executive summary as your introduction.  In the executive summary, describe what you are going to do.  In no more than three sentences summarize and defend your decision as to which scenario -luxury, lean or hybrid – you have selected for the clinic. 

2.  Using the data from an area of your choosing, for example your own Zip Code or another area, develop a population profile that can be used to create the demand for care. Remember to use the
U.S. Census Bureau QuickFacts: United States in your Weekly Resources. Consult the projected staffing models and the services as the inputs to supplying care for your identified population. Your population profile will be in the form of a table. You may want to consult your Week 2 resources.   

3. Calculate three different service scenarios: the luxury, the lean, and your hybrid.  The luxury model does not use the least cost combination of staffing, while the lean use the least cost combination of staffing, and the hybrid is a mix of your choice that you will describe and defend using your population profile.

·

· Calculate the cost for the three different service scenarios, the luxury and the lean, and your hybrid version which is a mix of the other two. Use the amount of $225.00 per square foot in your total building construction calculations.

· Also, calculate the cost of hiring the personnel to staff the clinic from the services suggestions provided in Table 7 staffing suggestions shown in Table 8. Assume staff has a 40-hour workweek, which constitutes 8 hours a day for a 40-hour week. For all staff, assume the salary amount includes benefits. You will decide on the number of staff needed in each of the personnel categories from Table 8.  Be sure to use the
State Level Salary Data by Health Profession resource in your Weekly Resources.    

4. Use the payer variance tables from Week 4 to discuss the revenue impact of the payer mix.  

5. Discuss those services that you believe will be the most price elastic and inelastic. Defend your choice of elastic or inelastic.

6. Use your choice of market structure from Week 4 to develop a competitor analysis and discuss the relation of market structure to your choice of the service scenario.

7. Conclude with a final section entitled Recommendations and Conclusion, in which you recommend and defend your choice of a proposal.

Length: 14-16 pages, excluding the population profile table, title page, and references   By completing this assignment, you will be developing your competency in Analytical Thinking, Financial Skills and Accountability.

References:7 references   



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