Benchmark Assignment—Goals For Stevens District Hospital,
Clear, actionable, and measurable goals are essential to strategic planning. It is important that the goals are designed to support the mission and vision of an organization.
Complete the chart with a total of 260 to 350 words. Your analysis should be based on your review of the data provided in the Stevens District Hospital strategic planning scenario and your SWOT analysis.
Identify a clear, actionable, and measurable technology goal for the organization that clearly supports the mission and vision.
Analyze how this goal supports the mission and vision of the hospital.
Explain how you would measure progress toward the goal.
Discuss milestones necessary for progress.
Discuss the criteria you would use to measure that the goal was completed.
References (format using correct APA guidelines)
Cite 2 peer-reviewed, scholarly, or similar references to support your assignment.
Strategic Planning Scenario
Background
Stevens District Hospital is a 162-bed acute care hospital that is qualified as a not for profit facility. The hospital was originally a county-owned facility and its status was transferred to an independent facility three years ago. The hospital receives no external funding from government 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 Jefferson City, which is a city of 50,000 with 80,000 in the regional market. The hospital provides a general range of acute care services, including medical/surgical, rehab, and emergency care.
Current Performance Analysis
Mission and Vision
Our mission: To improve health by providing high-quality care, a comprehensive range of services, and exceptional service.
Our vision: Stevens District 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.
Previous Strategic Plan Review
Goal
Accomplishments
Increase market share by recruiting three family practice physicians.
The hospital was able to recruit only one family practice physician to increase primary care market this past year. The limited number of state medical school graduates makes local recruitment difficult.
Improve quality HCAHPS scores in all six criteria to a baseline of the 85th percentile.
The hospital improved HCAHPS scores in four of six criteria. Lagging elements in HCAHPS scores are inpatient patient satisfaction and primary care patient satisfaction.
Market Forces Affecting the Hospital
Volumes
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44582093040563655147262924727284050001000015000200002500030000AdmissionER visitsDeliveriesSurgeriesVolume changes last year versus this yearLast yearThis year
Patients
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
Under 18
24
18
18 to 44
46
32
45 to 65
26
30
Over 65
4
20
More than 53 percent of residents have at least some college education, with just over 29 percent having an associate, bachelor’s, or graduate degree. More than 90 percent of residents have at least a high school diploma.
The average unemployment rate in the county is 9.9 percent:
Market share distribution percentage with a major competitor.
Five Years Ago
Last Year
Stevens District Hospital
48
35
Competitor
30
43
Out of County Hospitals
22
22
Patient Origin by Zip Code
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Increases in the percent of population with chronic disease and contributing factors will change significantly over the coming five years.
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Payment
There will be continued focus on pay for performance and increased wellness programs. The Affordable Care Act is creating more covered lives; however, there are often high deductibles.
The median household income for county residents is $59,548. On average, households in the 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.
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Medicaid, 35%Medicare, 30%Commercial, 24%Uninsured, 9%Other, 2%
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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.
Employers
There is expected growth in large employers with the addition of the automotive factory in the northwest sector of the county.
Physicians
The continued shortage of medical staff, especially in orthopedics, oncology, and primary care, will require increased recruitment efforts.
Competitors
Hanover County Hospital, which is the other hospital in the county, has an updated facility that has drawn more market share to its facility.
Competitor
Key Areas of Competition
New Programs and Facilities
Risk to Market Share
Primary Competitors
Hanover County Hospital
Facility upgrade
Quality scores
Significant renovation of core hospital to update aesthetics
Added new wide-bore MRI machine last year
Reaches the 95th percentile in five of six HCAHPS categories
Drawing patients to newer facility
Accommodates heavier patients
Patient perception of higher quality and patient satisfaction
Medical Center in County South of Stevens
Physician clinics
Financial stability
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
Secondary Competitors
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
Technology
A competing hospital has added e-visits for physician practices, which is causing a shift of patients to the competitor hospital's physician practices.
Regulatory Changes
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. Stevens District Hospital struggles with accommodating patient scheduling requests to establish care with a primary care physician.
Plan
Planning Components Explanation
Goal
Objective
Actions
Definition
Organization goals that cover broad strategic issues, such as quality, finances, growth
Broad action items that address organizational goals, such as increasing market share, increased use of technology, increased physician satisfaction
Action item that meets an objective, such as implementing EMR, renovating physician lounge, increasing marketing for specific products
Examples
- Improve HCAHPS scores by 5%
- Improve operating margin by 3%
- Increase market share in 96103 zip code by 5%
- Improve emergency department patient satisfaction survey by 5%
- Grow urgent care visits by 10%
- Implement urgent care center in north zip code
- Purchase tablets for physicians for EMR rounding
Measurement
- % increase in operating margin
- % change in market share
- % change in ED satisfaction survey
- % change in urgent care visits
- Number of patient visits at new urgent care center
- % increased use of EMR
Financial Summary
This year
Last year
Operating Revenues
Net revenues from services to patients
343,737,280
344,726,245
Other operating revenues
16,846,309
20,311,534
Total operating revenues
360,583,589
365,037,779
Operating Expenses
Salaries and benefits
192,053,379
182,853,245
Supplies and other expenses
130,173,477
135,560,131
Depreciation
18,969,799
20,644,157
Interest
2,695,623
2,226,437
Foundation
628,184
1,182,308
Total operating expenses
344,520,462
342,466,278
Income from operations
16,063,127
22,571,501
96101 is Stevens District Hospital zip code
94963 is major competitor hospital zip code
Projected Payer Mix 5-years
Current Payer Mix
Percentage of Population by Insurance
Copyright © 2017 by University of Phoenix. All rights reserved.
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Sheet1
Column1 Column2
96101 42%
93921 12%
92106 16%
94963 20%
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Chart1
4458 5147
20930 26292
405 472
6365 7284
Last year
This year
Volume changes last year versus this year
Sheet1
Last year This year
Admission 4458 5147
ER visits 20930 26292
Deliveries 405 472
Surgeries 6365 7284
_1521447893.xls
Chart1
0.35
0.3
0.24
0.09
0.02
US Age Distribution 2010
Sheet1
US Age Distribution 2010
Medicaid 35%
Medicare 30%
Commercial 24%
Uninsured 9%
Other 2%
To resize chart data range, drag lower right corner of range.
_1521445882.xls
Chart1
0.15 0.26
0.05 0.12
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5 yrs ago
5 yrs ahead
Chronic Disease Predictions
Sheet1
5 yrs ago 5 yrs ahead
Obesity 15% 26%
Diabetes 5% 12%
Heart Disease 12% 22%