Strategic Planning Report Template Updated 2022 completed
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Uploaded by toluleye2015
Name: Tolulope Florence Ogunleye
Class: HCAD 600 9080
Professor: Mark Metzger
Date: October 23, 2023
Strategic Planning Report 2023
Executive Leadership Meeting:
Strategic Planning Report
Section 1
Administrator’s Name
: TOLULOPE FLORENCE OGUNLEYE
Facility’s Location (City and State): Illinois
Facility Characteristics
:
Urban or Rural Healthcare Location: Rural healthcare
Facility Type: Critical access hospital, nonprofit
Facility Size or Capacity Level: 25 bed facility
Average Daily Census or Number of Patient Visits Per Day: The facility is a short stay facility with 25 beds with a stay of 3- 4days, we offer cancer and infusion services and birthing center. We also have an assisted living facility for the people recovering and needs minimal assistance as they recuperate.
Section 2: Specific Factors Influencing The Facility
Economic Factors Identify and discuss at least two economic factors that are influencing the facility. How do these economic factors influence the facility operations? Provide at least one recommendation to address one of the identified economic factors. 1.
Rural communities face significant transportation challenges in getting health care providers, frequently driving long distances to see a doctor or hospital.
2.
Demographics of the Population: The demographic mix of the area served by the CAH
might have a substantial economic influence on the facility, population dynamics, such
as aging populations or changing birth rates, might influence demand for certain services such as birthing centers and post-acute care in a rural setting. If the local population ages, there may be an increase in demand for services such as skilled nursing care and cancer treatment, both of which are frequently required by the elderly. On the other hand, if the birth rate falls, so may the use of the birthing facility.
Changes in demand can have an impact on revenue and resource allocation.
Conduct regular demographic assessments and community health needs assessments to understand the changing needs of the local population. Based on
this data, adjust the service offerings and workforce planning accordingly. If there is an aging population, consider expanding geriatric care programs and services. For declining birth rates, consider diversifying services or exploring partnerships to make efficient use of resources (Cyr et al., 2019).
Financial Factors Identify and discuss at least two financial factors that are influencing the facility. How do these financial factors influence the facility operations? Provide at least one recommendation to address one of the financial factors. 1.
Reimbursement is a crucial financial aspect for CAHs, particularly in rural areas. Medicare, Medicaid, and private insurers are all possible sources of compensation for the facility. As a critical access hospital, there is a total rely on Medicare for a significant percentage of the revenue. Changes in reimbursement rates or rules might have a direct influence on the financial viability of the facility. Furthermore, the mix of patients with various types of insurance or self-pay customers can have an impact on the revenue stream (O'Hanlon, et al, 2019).
Reduced reimbursement rates can put a strain on the budget, making it difficult to invest in critical resources such as technology, staff, and infrastructure. A high proportion of uninsured or underinsured patients may result in an increase in uncompensated care expenditures, which can harm the overall financial performance. These financial constraints can have an impact on the capacity to provide quality treatment and effectively staff the business.
Influence on institution Operations: If a significant part of our patients is covered by lower-reimbursement programs such as Medicaid, our institution may face financial difficulties. Changes in reimbursement rates might have an impact on the revenue stream and overall profitability. As a result, the ability to invest in equipment, personnel, and services may be limited.
Possible solution may include promoting higher reimbursement rates: Collaborate
with industry associations, politicians, and relevant stakeholders to campaign for higher reimbursement rates, particularly if the location has a high proportion of Medicaid or uninsured patients. Demonstrating the critical role the CAH plays in the community's access to healthcare can be a convincing justification for increased compensation (Bell, 2023).
2.
Staffing and Workforce Issues: Impact on Facility Operations: Rural healthcare facilities frequently struggle to attract and maintain healthcare professionals such as physicians, nurses, and specialist staff. The expense of recruiting and retaining qualified healthcare personnel can have a substantial impact on the operations, particularly in terms of service
quality and access. To tackle this problem, we can collaborate with educational institutions, work with local educational institutions to provide clinical training opportunities for students, which can lead to job chances after graduation.
Cultural and Workforce Management Factors
Identify and discuss at least two cultural and workforce management factors that are influencing the facility. How do these cultural and workforce management factors influence
the facility operations? Provide at least one recommendation to address one of the cultural and workforce management factors.
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1.
Critical access hospitals in rural areas frequently struggle to recruit and retain healthcare workers, difficulties in conducting quality improvement activities in rural hospitals, which are worsened by the presence of fewer registered nurses, a small set of colleagues with whom to learn and work together, fewer resources to facilitate participation in quality improvement data collection systems and national or regional programs, and lower procedure volumes. The area may be unappealing to younger healthcare workers, and there may be a restricted pool of talent available. This aspect can lead to workforce shortages and challenges in maintaining appropriate skill levels, particularly for specialty treatments such as cancer and infusion treatment.
Staffing shortages can lead to longer working hours for existing employees, fatigue, lower quality of care, and difficulty extending services. Maintaining a knowledgeable and consistent workforce is critical to providing high-quality treatment.
Possible way we can address this factor is by implementing efforts to attract and retain rural healthcare professionals, like doctors, nurses, and nursing assistants. This could include giving competitive wage packages, housing help, and professional development opportunities. Collaborate with educational institutions to create pipelines for local talent training and hiring. Telehealth can also be utilized to connect the hospital with off-site professionals to remedy a skills deficit (Cyr et al., 2019).
2.
Cultural variations and patient expectations may influence the facilities in rural locations like the Illinois town. Rural cultures frequently prioritize strong personal relationships and may hold conventional attitudes about healthcare. Patients may anticipate a more individualized, family-oriented approach to care.
This cultural aspect has the potential to influence how healthcare services are offered. Staff members may be required to take a more customized and empathic approach, which may be both a strength and a difficulty, particularly when dealing with delicate services such as delivery and cancer care.
Implement cultural sensitivity training for personnel to ensure they understand and respect the rural community's values and expectations. Encourage employees to develop excellent patient-provider connections and to educate patients about the services available so that they may make informed decisions while still feeling
supported.
Regulatory Policy Factors
Identify and discuss at least two regulatory policy factors that are influencing the facility. How do these regulatory policy factors influence the facility operations? Provide at least one recommendation to address one of the regulatory policy factors. 1.
To assure the quality and safety of patient care, CAHs are subject to a bunch of federal and state rules, as well as accrediting standards. It is critical to follow regulations issued by the Centers for Medicare & Medicaid Services (CMS) and accreditation agencies such
as The Joint Commission, noncompliance can result in fines, funding loss, and reputational damage (ncsl, 2020).
Keeping up with ever-changing healthcare rules and certification standards necessitates resources, staff training, and constant vigilance. This can result in administrative hassles, financial costs, and strain on staff and resources, compromising the CAH's capacity to deliver services efficiently and maintain high-quality care, particularly in areas such as cancer and infusion treatments.
Invest in good compliance and accreditation management solutions to assist the CAH in remaining compliant with regulatory and certification standards. Consider
using technology to automate compliance reporting, track policy changes, and ensure staff is properly trained. Assess the compliance efforts on a regular basis and seek external assistance from consultants or agencies specialized in healthcare
compliance and accreditation to find areas for improvement and to maintain a quality and safety culture in the facility
(ncsl, 2020).
2.
Telehealth Regulations: Telehealth has become an essential component of healthcare delivery, particularly in rural areas, by increasing access to specialized treatment and reducing transportation costs. Telehealth services, on the other hand, are subject to state-
specific regulatory policies. These regulations may include requirements for telehealth providers' licensure, reimbursement, and practice standards. The state's telehealth rules can have an impact on the CAH's capacity to provide telehealth services, particularly for follow-up care, post-acute care, and specialty consultations. If the state has tight or out-
of-date telehealth legislation, it may limit the CAH's capacity to provide critical services remotely, thus complicating complete treatment and fulfilling patients' demands (The Federal Register 2016).
Collaborate with state telehealth associations and lawmakers to advocate for more
permissive and up-to-date telehealth regulations that facilitate the delivery of remote healthcare services. Highlight the advantages of telehealth in boosting access to care in remote locations, as well as its low cost. Engaging with telehealth providers and telemedicine associations can also assist you in identifying and addressing specific regulatory constraints that may be impeding the delivery of the telehealth services.
Quality Initiatives and Change Management Factors
Identify and discuss at least two quality initiatives and change management factors that are
influencing the facility. How do these quality initiatives and change management factors influence the facility operations? Provide at least one recommendation to address one of the quality initiatives and change management factors. 1.
Patient Safety Initiatives: Ensuring patient safety is an important quality initiative for a critical access hospital (CAH). Patient safety should be a key focus at the CAH, given that it features a birthing facility as well as cancer and infusion services. This includes reducing medical errors, establishing evidence-based practices, and ensuring that employees are properly trained. Staying up to date with best practices and technology, as well as complying to tight rules and accrediting criteria, such as those defined by the Joint Commission, are factors affecting this project. Patient safety has a direct impact on
facility operations since it affects the hospital's reputation, potential legal consequences, and, most critically, patient outcomes.
2.
Staff Development and Training: Change management considerations have a substantial impact on the effectiveness of quality efforts. It is critical for the Laboratory Director to know that staff may be resistant to changes in processes and protocols. Implementing new patient safety measures or care coordination systems, for example, may face resistance from staff members who are accustomed to their current routines. Invest in thorough staff training and development initiatives to solve this. Regular seminars, online
courses, and hands-on training can all be used to ensure that all team members are adept in the new techniques. Creating a culture of continual learning and adaptability can also help reduce resistance to change (Nielsen et al, 2017).
Consider implementing a "Patient Safety Reporting and Improvement System" to address the Patient Safety quality initiative. Staff should be encouraged to report any safety issues, near misses, or unfortunate incidents without fear of retaliation under this method. Create a multidisciplinary team to analyze reported incidents, identify root causes, and take corrective steps. You can increase overall quality of care by establishing a culture of safety and continual improvement.
Administrator Summary and Top 3 Recommendations
Summarize the importance of each of these factors to the executive leadership team and share the top three recommendations that should be considered. The executive leadership team will consider the top three recommendations as the facility’s top priorities for the strategic plan. Economic factor: Economic issues influence the general health and well-being of the CAH population. Income, employment, and housing can all have an impact on the prevalence of health
issues and the need for specialized medical services.
Financial factor: Financial concerns are crucial for the CAH's long-term viability. These variables, such as revenue, reimbursement rates, and expenses, have a direct impact on the CAH's ability to continue providing important healthcare services to the community.
Cultural and workforce management: Taking care of these cultural and labor management issues is critical to the success of our CAH in a rural Illinois town. Our facility can better serve the community and assure the availability of key services by learning and respecting the local culture
while implementing tactics to attract and retain qualified healthcare personnel.
Regulatory policy:
By addressing these regulatory policy concerns through lobbying and effective compliance management, the CAH will be able to better negotiate the hurdles of Medicare reimbursement and regulatory compliance, allowing you to continue providing important healthcare services to the rural community.
Quality initiative and change management: Patient-centered care is frequently emphasized in CAH quality initiatives. When patients have a favorable experience, they are more likely to
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return for treatment and promote the institution to others, which can help the hospital's reputation
and viability.
Top 3 recommendations
Possible way we can address this factor is by implementing efforts to attract and retain rural healthcare professionals, like doctors, nurses, and nursing assistants. This could include giving competitive wage packages, housing help, and professional development opportunities. Collaborate with educational institutions to create pipelines for local talent training and hiring. Telehealth can also be utilized to connect the hospital with off-site professionals to remedy a skills deficit.
Collaborate with state telehealth associations and lawmakers to advocate for more
permissive and up-to-date telehealth regulations that facilitate the delivery of remote healthcare services. Highlight the advantages of telehealth in boosting access to care in remote locations, as well as its low cost. Engaging with telehealth providers and telemedicine associations can also assist you in identifying and addressing specific regulatory constraints that may be impeding the delivery of the telehealth services.
Consider implementing a "Patient Safety Reporting and Improvement System" to address the Patient Safety quality initiative. Staff should be encouraged to report any safety issues, near misses, or unfortunate incidents without fear of retaliation under this method. Create a multidisciplinary team to analyze reported incidents, identify root causes, and take corrective steps. You can increase overall quality of care by establishing a culture of safety and continual improvement.
Reference
Cyr, M. E., Etchin, A. G., Guthrie, B. J., & Benneyan, J. C. (2019, December 18). Access to Specialty Healthcare in urban versus rural US populations: A systematic literature review - BMC health services research. BioMed Central. https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-019-4815-5
Nielsen, M., D'Agostino, D., & Gregory, P. (2017). Addressing Rural Health Challenges Head On. Missouri medicine, 114(5), 363–366.
O'Hanlon, C. E., Kranz, A. M., DeYoreo, M., Mahmud, A., Damberg, C. L., & Timbie, J. (2019). Report improving rural health: State policy options for increasing access to care. National Conference of
State Legislatures. (2020, June 23). https://www.ncsl.org/health/improving-rural-health
The Federal Register. Federal Register :: Request Access. (2016, June 16). https://www.federalregister.gov/documents/2016/06/16/2016-13925/medicare-and-medicaid-
programs-hospital-and-critical-access-hospital-cah-changes-to-promote