Executive Summary, Overview, and Financial Data for Inve">

Description of this paper

Loading

I need help with the excel portion please which is the document-(Answered)

Description

Instant Solution ? Click "Buy button" to Download the solution File


Question

I need help with the excel portion please which is the document titled "WK11ProjP2BennettA"


Executive Summary, Overview, and Financial Data for Investment

 

in the Rural Urgent Care Center

 

I. Executive Summary

 

Urgent care is the delivery of ambulatory care in a facility dedicated to the delivery of

 

unscheduled, walk-in care outside of a hospital emergency department. Development of

 

the Rural Urgent Care (RUC) facility in Sylacauga, Alabama will facilitate access to care

 

providers through extended service hours within closer geographic proximity to patients,

 

families, and caregivers. The Director of Emergency Services will provide clinical

 

monitoring to ensure quality service provisions. The RUC facility will act to alleviate

 

demand for emergency department (ED) services by shifting lower acute patients to a

 

less resource-intensive environment.

 


 

II. Program Overview: Market Opportunities and Utilization Patterns

 

The RUC will provide treatment to patients suffering from non-life-threatening conditions

 

that require quick attention, including bone fractures, pneumonia and flu, and minor

 

lacerations. Since the late 1980s and early 1990s, hospitals have looked to facilities

 

such as RUCs as a means to reduce rates of inappropriate ED utilization by triaging

 

non-emergent patients to less acute settings. The ED is not the most appropriate care

 

setting for many patients. Non-urgent patients account for well over 10 percent of the

 

average ED?s caseload, and semi-urgent cases account for another 20 percent (refer to

 

Figure 1)1. At the other end of the acuity spectrum, most emergent patients would be

 

better served in an inpatient unit, but many are forced to board in the ED because beds

 

are unavailable.

 


 

Figure 1

 


 

1

 


 

Centers for Disease Control, National Hospital Ambulatory Care Survey. Advisory Board Company. Washington, D.C.

 


 

? 2015 Laureate Education, Inc.

 


 

Page 1 of 7

 


 

Triaging patients to an appropriate site of care properly allocates resources to meet

 

patient acuity and results in better clinical outcomes. RUC staffing and treatment

 

approaches are fundamentally different from those in an ED; patients get more

 

abbreviated and pointed clinical work-ups, which provides care more efficiently by

 

clinicians who are oriented to less intense discovery and intervention.

 

The RUC will also address community needs for convenient, reliable access to care.

 

Current alternatives to RUCs include the ED, which like other comparable U.S. and U.K.

 

EDs, has long wait times and potentially stressful patient environments. Decreasing wait

 

times is positively correlated with better outcomes.

 


 

Figure 2

 


 

Services

 

To meet the needs of the community and provide the appropriate level of care without

 

unnecessary duplication of a resource-intensive emergency department, the RUC will

 

provide basic emergent procedures, diagnoses, and treatments.

 


 


 


 


 


 


 


 


 


 


 

Nursing triage

 

Physician assessments

 

Minor procedures

 

Basic lab services

 

Basic diagnostic imaging

 

Vital signs

 

IV therapy

 

EKG

 

Wound care

 


 

The potential to house ambulance services out of the RUC provides additional

 

requirements and opportunities. To accommodate the needs of the EMS crew, multiple

 

waiting room/bunk rooms will be added to the facility, as well as a separate entry point

 

for the ambulance service. Supplies will also be warehoused at RUC for easy restocking

 

of ambulances. The RUC can also be part of the disaster-planning strategy by providing

 

easy access to needed equipment and supplies during emergencies.

 


 

? 2015 Laureate Education, Inc.

 


 

Page 2 of 7

 


 

Other Potential Offerings

 

The RUC could offer opportunities to leverage the convenient retail setting to provide

 

additional revenue-generating clinical services. For example, Occupational Safety

 

Testing could be provided utilizing a secure bathroom to provide basic drug testing.

 

Currently, the service is offered at the hospital, but is much better suited for a

 

freestanding center.

 

The RUC's diagnostic lab and x-ray services could also be offered on a referral basis for

 

local GPs, providing a more convenient location for these services than the hospital and

 

creating greater access to care.

 

Yearly Staffing Costs by Clinical Lead Model

 


 

Facility

 

? 2015 Laureate Education, Inc.

 


 

Page 3 of 7

 


 

Facility design must meet the needs of clinicians and consumers. Consumers invariably

 

associate the quality of healthcare services with the aesthetics of the site of care. The

 

facility will be designed to blend into the local architecture to be a part of both the

 

eastern and western communities. The RUC will have the following basic space layout:

 

Facility Description

 

Space Description

 

Central nursing/Physician station

 

Exam rooms

 

Treatment room

 

Radiology room

 

Staff offices

 

Reception/waiting area

 

Employee break room

 

Medical records

 

Laboratory

 

Restrooms

 

EMS facilities

 

Utility rooms

 

Subtotal: Usable Square Footage

 

Circulation, mechanical,

 

telecom/IT, other space

 

Total Facility Size

 


 

Quantity

 

1

 

5

 

1

 

1

 

2

 

1

 

1

 

1

 

1

 

3

 

2

 

2

 


 

Square Feet Per

 

Room

 

500

 

100

 

150

 

200

 

100

 

400

 

250

 

250

 

200

 

50

 

80

 

150

 


 

Total Space

 

500

 

500

 

150

 

200

 

200

 

400

 

250

 

250

 

200

 

150

 

160

 

300

 

3,260

 

915

 

4,175

 


 

Operating Model

 

The RUC will open after the normal working hours of local physicians. These operating

 

hours also align with the peak ED visit times, which significantly trail off after midnight.

 


 

III. Market Profile

 


 

? 2015 Laureate Education, Inc.

 


 

Page 4 of 7

 


 

Market Overview

 

Define your service area.

 

RUC Service Area

 

Area

 

Number of

 

persons in RUC

 

service area

 


 

Total

 


 

3 years

 

ago

 

64,009

 


 

2 years

 

ago

 

64,209

 


 

1 year

 

ago

 

64,395

 


 

Demand Forecasting

 

Adjusted Demand of Services Forecast

 


 

IV. Financial Analysis

 

Capital Requirements

 

To estimate the total funds required for launch prior to commencement of operations,

 

the hospital has developed the following assessment of anticipated expenses related to

 

the building of a single RUC with 3,260 sq. ft. of usable space and 4,175 gross sq. ft.,

 

as described in an earlier section relating to facility design and a basic review of

 

expected equipment costs.

 


 

Capital Requirements per RUC Site

 


 

? 2015 Laureate Education, Inc.

 


 

Page 5 of 7

 


 

Total Construction Cost

 

Contingencies,

 

Professional Fees,

 

Management & Overhead,

 

Equipment

 

Total Project Costs

 


 

$3,246,605

 

$2,216,341

 

$5,462,946

 


 

Construction Costs per Square Foot

 

Project Costs per Square Foot

 

Square Footage

 


 

$777.63

 

$1,308.49

 

4,175

 


 

Reimbursement Model

 

The RUC will charge a flat per-visit fee of $450, based on similar current hospital ED

 

visit charges. This rate will stay constant. Contractual discounts for insurance is 30% of

 

gross patient revenue.

 

Expenses

 


 

Services Offered

 


 

? 2015 Laureate Education, Inc.

 


 

Page 6 of 7

 


 

Nursing Triage

 

Physician

 

Assessments

 


 

General

 

Services

 


 

Potential Diagnoses

 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 

Common illness

 

Respiratory illness

 

Allergies

 

Bladder infections

 

Eye/ear/sinus infection

 

Strep throat

 

Mononucleosis

 

Pregnancy testing

 

Skin rashes

 

Sport injuries/sprains/strains

 

Monitoring Services

 

Emergency transfer to KEMH

 

Vital signs

 

IV therapy (antibiotic, hydration)

 

EKG

 

Wound care

 

Immunizations, TD, Pneumovax, Flu Vaccines

 

Minor Procedures

 

Incision and draining of abscess

 

Excision of skin

 

Aspiration of cyst

 

Sutures

 

Lab Services

 

Blood

 

Urine

 

Other

 

Diagnostic Imaging

 

Ultrasound

 

X-ray

 


 

? 2015 Laureate Education, Inc.

 


 

Page 7 of 7

 


 

 

Paper#9209109 | Written in 27-Jul-2016

Price : $19
SiteLock