Benchmark Assignment—Business Plan Presentation
Resources: Week Two SWOT Analysis assignment, Week Three Staffing Matrix, and Week Four Business Recommendation assignment
Now it is time to put all of the elements of your business plan together and present it to the governing board of the Community Hospital. This board is comprised of the president of the organization, four business leaders from the community, and three leaders of the medical staff.
Create a 10-12 slide Microsoft® PowerPoint® presentation that summarizes your business plan. Include the following in your presentation:
Evaluate the market and demographic data provided in the scenario.
Include and discuss the SWOT analysis.
Indicate the location you selected for the urgent center and why.
Analyze the type of corporation proposed for the center.
E.g., department of the hospital or an LLC
Evaluate the equipment and technology needed at the center to deliver the intended services.
Do you recommend leasing or purchasing the equipment?
How does your recommendation impact the revenue and expenses?
Analyze quality management elements applicable to the center and the proposed services.
How you will monitor the quality of care at the center?
Analyze financial information needed to sustain the center
What are your projected revenue, expenses, and staffing figures?
Provide your final recommendation for the center based on your business plan analysis.
Format your assignment according to APA guidelines. Include a title slide, detailed speaker notes, and a references slide.
If you use resources outside of the information provided in the assignment, be sure to cite your references using correct APA formatting.
Business Plan Scenario
Community Hospital is a 180-bed acute care hospital that is qualified as a not-for-profit facility. The hospital was originally a county-owned facility and transferred status to an independent facility three years ago. The hospital receives no external funding from governmental agencies for operations. The hospital is accredited by The Joint Commission and received reaccreditation during their triannual survey last year. The hospital has an aggressive quality management program and a low volume of medical malpractice claims. The hospital is located in Bedford, which is a city of 50,000 people with 80,000 people in the regional market. The hospital provides a general range of acute care services including medical and surgical, rehab and emergency care. The president of the hospital has asked you to evaluate the feasibility of establishing an off-site urgent care center at a local mall. You will use data provided in this scenario to make your decisions and recommendations.
Current Performance Analysis
Mission and Vision
Our Mission- To improve health by providing high-quality care through a comprehensive range of services.
Our Vision- Community Hospital and its affiliates will be the health care provider of choice for physicians and patients. Our five-year vision is to create a large, multispecialty physician practice system that would include at least six family practice physicians and specialists in cardiology, oncology, and women’s services. Currently the hospital employs three family practice physicians, one obstetrician, one medical oncologist, and one non-invasive cardiologist.
Market Forces Affecting Hospital
The continued growth of chronic disease will require changes to the care management model.
Percent of population by age:
Five years ago
Five years from now
18 to 44
45 to 65
Over 53% of residents have at least some college education, with just over 29% possessing an associates, bachelors, or graduate degree. Over 90% of residents possess at least a high school diploma.
The average unemployment rate in the county is currently 9.9%:
Market share distribution percentage with major competitor:
Five Years Ago
Out of County Hospitals
Patient Origin by Zip Code
96101 is Community Hospital zip code
94963 is major competitor hospital zip code
Continued focus on pay-for-performance and increased wellness programs. Affordable Care Act creating more covered lives, however often with high deductibles.
The median household income for county residents is $59,548. On average, households in county earn more than the state median household income of $44,446 and more than the national average of $53,650. The addition of a new automotive manufacturing plant to the local market this coming year is projected to add 1,500 production line jobs and 300 administrative jobs by year end. Median income for the production positions is estimated at $45,000 and will provide health, vision, and dental insurance benefits.
Projected Payer Mix 5-years
Current Payer Mix
Percentage of Population by Insurance
As part of your review of this data, consider that a portion of the population will become Medicare eligible, the addition of manufacturing positions that include benefits will increase commercial insurance coverage and changes from the Affordable Care Act will increase the number of patients in the market with insurance coverage.
Expected growth in large employers with addition of automotive factory in northwest sector of county.
Continued shortage of medical staff, especially in orthopedics, oncology, and primary care will require increased recruitment efforts.
Other hospital in county, Hanover County Hospital, has an updated facility, which has drawn more market share to their facility.
Key Areas of Competition
New Programs and Facilities
Risk to Market Share
Hanover County Hospital
Significant renovation of core hospital to update aesthetics
Added new wide-bore MRI machine last year
Reaching 95% percentile in five of six HCAPS categories
Drawing patients to newer facility
Accommodates heavier patients
Patient perception of higher quality and patient satisfaction
Medical Center in county south of Stevens
E-visits with specialists
Low debt and high cash on hand
Drawing patients out of primary and specialty care at Stevens
Ability to cash flow projects
Retail pharmacy instant clinic
Low acuity office visits
Pharmacy added instant clinic in north end of county 6 months ago
Loss of patients from primary care physicians practices
Addition of e-visits by large hospital system in adjoining county has drawn more market share to their physician practices.
Health care reform through the Affordable Care Act has increased the number of patients with some form of insurance payment. These patients are now seeking care in greater numbers from a primary care physician. Community Hospital currently struggles with accommodating patient scheduling requests to establish care with a primary care physician.
Net revenues from services to patients
Other operating revenues
Total operating revenues
Salaries and benefits
Supplies and other expenses
Total operating expenses
Income from Operations
Urgent Care Location Options
Location One is located at a strip mall on the north side of town with a twenty-minute drive to the main Community Hospital campus. The potential lease space is a vacant storefront that previously housed a video store. The building is mostly an empty shell that would require $30,000 in renovation to create acceptable medical office space with four exam rooms.
Lease cost of location is $3,000 per month for a total of 1,800 square feet. Utilities are not included in the lease rate.
Location Two is located at a strip mall location on the south side of town with a thirty-minute drive to the main Community Hospital campus. The lease space is a vacant grocery store. The building is mostly an empty shell that would require $35,000 in renovation to create acceptable medical office space with four exam rooms. However, the total space is very large, at 5,000 square feet, so there are other options available that could also be housed in that space.
Lease cost of location is $6,500 per month for a total of 5,000 square feet. Utilities are not included in the lease rate. The owner is not willing to subdivide the space for lease by multiple parties.
Medicare Medicaid Commercial Uninsured Other 38 24 32 4 2
Volume changes last year versus this year
Admission ER visits Deliveries Surgeries 4458 20930 405 6365 This year
Admission ER visits Deliveries Surgeries 5147 26292 472 7284
[CATEGORY NAME], 52% 96101 93921 92106 94963 0.42 0.12 0.16 0.2 Column2 96101 93921 92106 94963 0.42 0.12 0.16 0.2 US Age Distribution 2010 Medicaid Medicare Commercial Uninsured Other 0.35 0.3 0.24 0.09 0.02