Evaluation of Medical Clinic

4031 words (16 pages) Nursing Assignment

10th Nov 2020 Nursing Assignment Reference this

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Introduction

 The Frazier Family Clinic is a mobile medical clinic with the goal of providing care outside the normal brick and mortal style medical facility. The Frazier Family clinic will be able to bring medical care out to the communities, industrial settings, and rural areas.

Purpose Statement

 The Frazier Family Clinic was created to meet the healthcare needs of poor-access healthcare areas, industrial settings, and rural areas. The mobile clinic will provide high-quality acute and chronic care, health screenings, immunizations, and diagnostic testing. We want to offer these variety of services at a convenient location, affordable pricing, and comfortable environment.

Executive Summary

 Frazier Family Mobile Clinic was created to meet the growing population need for healthcare. The Frazier Family Mobile Clinic is owned and managed by a group of dedicated healthcare providers. This mobile clinic is located in a self-contained vehicle operated by quality and highly skilled medical team.  The mobile clinic is equipped to provide a variety of needed healthcare services. It will be available to travel to rural communities and on-site business and organizations.

 There is no other mobile healthcare service in the area. Having a mobile medical clinic will help an underserved population and those who have been subjected to long delays, lack of individualized care, and quality healthcare services.

 Frazier Medical Mobile Clinic will be licensed by the State of Louisiana Department of Health and Hospitals. We will accept Medicare, Medicaid, Private Insurances, and Self-Pay for payment sources.

 Sales estimates project a successful year with health revenues with increases revenues over the next three year period. Frazier Family Mobile has a substantial cash flow available for start- up costs.

Mission Statement

 The mission for Frazier Family Mobile Clinic is to improve health and quality of life outcomes by promoting health and well-being in a population that have limited access to basic healthcare. We will provide affordable, quality, and accessible healthcare for all ages.  Frazier Mobile Clinic will provide a variety of healthcare services to include onsite medical screening, urgent care, immunizations, and disease prevention.  We are committed to providing care that exceeds our patient’s expectations, resulting in a successful and profitable business.

Our Vision Statement

 Our vision is to become known as the leader in the mobile healthcare industry in the Louisiana coverage area for medical services as allowed by the nurse practitioner’s scope of practice.

Background information on the business

 Frazier Family Mobile Clinic will be a full-service healthcare clinic to help with minor surgical procedures, medical evaluations, and treatments. Our service will focus on the diagnosis of health problems, disease prevention with immunizations, and promoting of a healthy lifestyle. We will also offer services for homebound and handicap patients.

Frazier Family Mobile Clinic will be a fully equipped mobile healthcare unit. It will offer private rooms, a nurse’s station, and a lab station. It will be staffed with highly qualified and skilled nurse practitioners, nurses, and medical technicians.

Objectives for the business

 Objective 1. To create a mobile clinic that exceeds the patient’s expectations.

 Objective 2. To provide quality care to the residents in underserved areas.

 Objective 3. To create a mobile health clinic that meets the communities’ needs.

 Objective 4. To create a mobile clinic that is able to be financially self-sufficient within 10 months or less.

 Objective 5. To increase patient volume by 25% by providing high-quality care and word of mouth.

 Objective 6. Develop a user-friendly website for making appointments, providing  educational information, practice information such as location, hours, and service available.

 Objective 7. To have substantial collections for services provides at a goal rate of 95%.

 Objective 8. Average 350 to 400 patients per month within the first 9 months and 400 plus patients by the second year.

Our Business Medical Team Structure

 We at Frazier Family Mobile Clinic have a goal to start with a strong and competent healthcare provider team. We plan to start with a medical team composed of two nurse practitioners, and two medical technologists. Our healthcare team will be paid hourly wages and have medical and dental benefits. As the business grows we will add additional team members.

 We plan to have established medical protocols and a policy and procedure manual. This manual will serve as a reference for the employee who may have questions for benefits, pay, vacation time, and step by step procedure process.

 Our complete healthcare medical team members will be as follows:

Clinical Director (Owner)

  • Oversees all other employees within the clinic.
  • Align with other health workers to determine if the clinic is in accordance with goals and policies.
  • Charged with encouraging business investment.
  • Promotes economic development within communities.
  • In charge of directing the clinic’s financial goals, objectives, and budgets.
  • Implements the clinic’s guidelines on a day-to-day basis.
  • In charge of hiring, training, and terminating employees.
  • In charge of developing and implementing strategies and set the overall direction of a certain area of the clinic
  • Direct staff, including clinical structure, professional development, motivation, performance evaluation, discipline, compensation, personnel policies, and procedures.

Nurse practitioners

  • Diagnose, treat, and manage acute and chronic illnesses.
  • In charge of health promotion, disease prevention, and health education and counseling.
  • In charge of conducting, supervising, and interpreting diagnostic and laboratory tests.
  • Helps patients make better lifestyle and health choices.
  • Serve as researchers and patient advocates for the clinic.

Medical Assistants

Getting treatment and examination rooms ready for patients

  • Getting patients ready for examinations, treatments, and procedures.
  • Assisting with examinations and routine procedures, including minor surgery.
  • In charge of taking blood samples and specimens, dressing wounds and recording vital signs.
  • Sterilization of equipment.
  • Administering medications.
  • In charge of cleaning the clinic at all times.
  • Make sure the toiletries and supplies don’t run out of stock.
  • Handles any other duty as assigned by the director.

Accountants/Cashier

  • In charge of preparing financial reports, budgets, and financial statements for Frazier Family Mobile Clinic.
  • Provide management with financial analyses, development budgets, and accounting reports.
  • In charge of financial forecasting and risk analysis.
  • Understand cash management, general ledger accounting, and financial reporting.
  • In charge of administering payrolls.
  • Ensuring compliance with taxation legislation.
  • Take care of all financial transactions for the Frazier Family Mobile Clinic.
  • Serves as an internal auditor for the clinic.

Products and Service

 Frazier Family Mobile Clinic will provide quality healthcare to all ages and create the best healthcare experience to optimize health.  We will offer a variety of services for adults, pediatric, gynecology, dermatology, wellness visits, diagnosis procedures, immunizations, education for a healthy lifestyle and specific illnesses.

 Our customer service goal is to provide a total healthcare package for our customer base.  The plan is to provide the best possible experience at an affordable rate. The cost of services is based on materials used, time for each service, and healthcare provider time for each procedure. The services available to our target population are as follows:

Adult Medicine

Preventative and routine wellness checks

Diabetic teaching

Nutritional, exercise, and obesity counseling

Cardiology and EKG

Employment screenings and physicals

Pediatrics

Newborn and Infant Care

Annual Wellness Exams

Immunizations

Acute Care

Gynecology

Annual Wellness Exam

Family planning

PAP and STD testing

Acute Gyn Issues

Dermatology

Removal of skin lesions, moles, and warts

Biopsies of suspicious lesions

Wound care including draining and treatment

Minor Surgery

Repair of lacerations

Joint injections

Lesion removal

Vision and Hearing

Vision Exams

Hearing Exams

Lab Services

Complete Blood Count (CBC)

Urinalysis

Complete Metabolic Panel (CMP)

Platelet count

Stool Exam

EKG

CBG

Immunizations: Dtap, Tdap, MMR, Varicella, Hepatitis. A & Hepatitis B, Meningococcal, Pneumovax, Flu A/B, Polio, Gardisil 9, Hib, Tetanus

Research and development

 “Mobile Health Clinics (MHCs) is an innovative model of healthcare delivery that could help alleviate health disparities in vulnerable populations and individuals with chronic diseases. Some studies have concluded that MHCs are particularly impactful in the following contexts: offering urgent care, providing preventative health screenings, and initiating chronic disease management. By opening their doors directly into communities and leveraging existing community assets, MHCs can offer tailored, high-impact and affordable health care that responds dynamically to the community’s evolving needs” (Yu, Hill, Ricks, Bennet, & Oriol, 2017).

 Research shows that mobile health units offer primary and secondary care to underserved populations, including poor-access, industrial, and rural areas. These services are offered at an affordable rate, allows for emergency department avoidance, and healthcare improvement. Mobile health clinics should be considered a primary source to serve poor, underserved, and rural populations.

Market Analysis

 Opening and offering mobile medical services is excellent if we can get to where there is demand. The Frazier Family Mobile Clinic has the following targeted consumer:

  • Individuals and families in rural areas that have inadequate availability to healthcare due to their geographical location.
  • Private sector individuals who request convenient appointments.
  • For hire for governmental and business medical screenings.
  • Available for medical missions with a religious or governmental agencies.

Market Strategy

 Establish the mobile clinic as a quality healthcare resource that provides quick, quality, affordable, and accessible healthcare services and products. With an aggressive marketing plan, Frazier Family Mobile Clinic will experience steady growth. We plan to attract our patients through online media, new releases, seminars, health fairs, business cards, and word of mouth. Eventually, the growth of patients will result in increasing mobile services and mobile units.

Location

 The mobile health care clinic would like to serve the population of rural areas, disaster locations, and workforce locations. Poor or no accessibility in healthcare services due to a lack or absence of health care facilities. Areas which may have healthcare facility with the inadequate capacity to provide the basic healthcare services. Mission work to help in locations of disasters and endemics which need basic healthcare services.

The following is our target areas: (Crossroads of Louisiana)

Communication Strategy

 Offer promotions for wellness visits, lab services, and specialty services. Create a strong presence in the communities by giving talks at local community centers and schools. Locate an area with the highest doctor-to-patient ratio. Media blitz website, online advertising with locations, health seminars, and word of mouth.

Equipment and Supplies

 Well stocked equipment and supplies are essential to the operation of a mobile clinic. A mobile medical unit will be purchased and equipped to address clinic needs. Specifications for the mobile clinic include reliable and quality instruments and equipment, and supplies will be obtained according to procurement policies and procedures of the State of Louisiana. The medical staff will coordinate with the clinical director to maintain the proper inventory on a monthly basis. Special medical supply request can be made on an as needed basis, between the monthly orders.

Profile of Clients

 The Frazier Family Mobile Clinic will be open to care for all ages. The target population will be rural parishes, industrial settings, government responses to disasters or epidemics, and health screenings. The mobile clinic will accept all types of insurances, including Medicare, Medicaid and self-pay.

Competition

 Competition in the rural coverage areas is small. This population has limited access to healthcare and medical personnel. Rural populations are reluctant to seek medical care and we will provide individualizes, personal, quality, and affordable healthcare. The same population are more likely to return to a clinic that is convenient and accessible with location and hours of operation. The population will appreciate short waiting times for appointments, a knowledgeable and friendly staff, and healthcare providers willing to work with a variety of insurance providers.

 The following are competition to our mobile health clinic:

  • Private physician and diagnostic agency located 17 miles away.
  • Private local clinics and urgent care facilities located 19 miles away.
  • Private hospitals, two major in the area, are located 27 and 26 miles away.

 Advantages of a mobile health clinic:

  • Local hospitals trust us to provide preventative care and healthy lifestyles for our community.
  • Mobility will make healthcare widely assessable to people.
  • Our electronic medical records will allow for quicker results for our patients and referral physicians.
  • Our self-contained exam rooms will provide comfort and privacy for our patients.

 Disadvantages of a mobile health clinic:

  • Limited personnel and working hours.
  • Limited access to population with poor roadways.

Business Risks

 Risks for the mobile health clinic would be:

  • Risk of not being able to physically get to geographical location of need.
  • Not having needed number of patients to sustain a viable business.
  • Major unexpected expenses and not having cash flow to cover those expenses.
  • Difficulty finding qualified staff to work in a mobile health clinic.
  • Not being able to have a good working relationship with hospitals for referrals and admissions as needed.

Financial Plan

 Daily operations target income with recovery of expenses and no net gain (26 days)

Formula: Expenses/number of operating days-targeted daily operation income.

222,000.00/26 days=8,538.00

Daily operations target income with net gain for 26 days

Desired expected income for a day 10,000.00

Formula: Desired expected income for a day=number of working days

10,000.00-26-260,000.00

Net Gain:

Formula: Desired expected income for a day for 26 days-total expenses

260,000.00-222,000.00=38,000.00

SWOT ANALYSIS

 SWOT method identifies the businesses strengths, weaknesses, opportunities, and threats. When an organization is able to look at a SWOT analysis of the organization, they are able to set company goals and objectives for the business. The SWOT analysis will also help the business measure company progress. The strength and weakness components of the SWOT analysis are considered internal factors, and the opportunities and threats are considered external factors (Chron, 2018.)

Strength

  • Frazier Family Mobile Clinic strength is a team of highly skilled and compassionate healthcare providers.
  • Individualized healthcare with each patient visit.
  • Providing quality healthcare in a variety of easy access locations.
  • Offering a variety of acute, emergency and nonemergency healthcare services.
  • Acceptance of a variety of types of insurance coverages and contract pricing.

Weakness

  • The perceived weakness starting out is the public understanding the services we can provide.
  • Finding the best locations to offer care.
  • Ability to share patient medical information when necessary.

Opportunity

  • Relationships or partnership with larger facilities and local hospitals.
  • Increase growth of services offered.
  • Increased number of mobile vehicles.

Threats 

  • Competition of an urgent care in fixed location of the service area.
  • Financial and economic issues due to lack of business and reimbursement issues.

Evaluation

By the end of the year, Frazier Family Mobile Clinic should:

  • Have an increasing numbers of patient visiting the clinic.
  • Providing quality and affordable healthcare services for people and especially those living in very rural areas.
  • Have increased healthcare awareness of the importance of having regular wellness exams.
  • Have a mobile medical practice that surpasses patient expectations and providing high quality health care to the residents of rural areas, mission areas, and businesses.

Conclusion

 Through the research process and thought process of opening my own practice, I realize to open and sustain a business requires months of planning, hard work, and dedication. There are many barriers to overcome, with the licensing process, insurance approvals as a provider, start-up costs, and establishing a collaborative physician. Despite the overall intimidation of the many barriers, having my own mobile health clinic to reach my target population will be a personal goal obtained and will be very rewarding.

References

  • Buppert, C. (2018). Nurse practitioner business practice and legal guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.
  • Chron (2018). Retrieved from https://smallbusiness.chron.com/swot-analysis-business-1791.html.
  • Yu S., Hill C., Ricks M., Bennet J., Oriol N. (2017). The scope and impact of mobile health               clinics in the United States: a literature review. Int J Equity Health. 2017; 16(1):178. Published 2017 Oct 5. doi:10.1186/s12939-017-0671-2

Appendix

Business Card

(Front)

(Back)

Organizational Chart

Mobile Unit Design

Financial Projections

Capital requirements for initial start-up

Capital on hand

Description

Quantity

Cost

2,000,000

Mobile Clinic-fully furnished

1

1,170,000.00

 

Portable x-ray machine

1

315,000.00

 

ECG machine

1

103,275.00

 

Centrifuge Machine

1

22,500.00

 

BP cuff infant, child, large, and thigh sizes with stethoscope

2

1,500.00

 

CBG Kit

2

700.00

 

Nebulizer

1

500.00

 

Digital Thermometer

2

200.00

 

Personnel

1

200,000.00

 

Laboratory test Kit  (includes Reagents, Strips, Syringes, Vials, and Strips)

1 package

20,000.00

 

Maintenance and Gasoline

1

50,000.00

Total

 

 

1,883.675.00

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