How can I Describe:   initial thoughts about Stevens District Hospital, including:  The market served by the hospital Current financial challenges And takeaways  after reviewing the scenario Describing though if Stevens would be a good hospital to transfer to?

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How can I Describe: 

 initial thoughts about Stevens District Hospital, including: 

  • The market served by the hospital
  • Current financial challenges
  • And takeaways  after reviewing the scenario
  • Describing though if Stevens would be a good hospital to transfer to?
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How can I Explain how the strategic plan provides focus and direction for Stevens District Hospital.

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How can I describe the 

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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 in Jefferson City, which is a city of 50,000 people with 80,000 in the regional market. The hospital provides a general range of acute care services, including medical, surgical, rehabilitation, and emergency care.  

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 healthcare 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: Goals & Progress Table
Market Forces Affecting the Hospital 

Volumes 

Volume Changes Last Year Versus This Year 

Patients 

The continued growth of chronic disease will require changes to the care-management model.  

Percent of Population by Age Table 

Age Ranges  % Five Years Ago  % Five Years From Now 
Under 18  24%  18% 
18–44  46%  32% 
45–65  26%  30% 
Over 65  4%  20% 

More than 53% of residents have at least some college education, with just over 29% having an associate’s, bachelor’s, or graduate degree. More than 90% of residents have at least a high school diploma. The average unemployment rate in the county is 9.9%. 

Market Share Distribution Percentage Comparison Table 

Hospital  Market-Share Distribution % Five Years Ago  Market-Share Distribution % Last Year 
Stevens District Hospital  48%  35% 
Competitor Hospital  30%  43% 
Out-of-County Hospitals  22%  22% 

 Patient Origin by Zip Code 

Figure 1: In the Patient Origin by Zip Code pie chart, 96101 is Stevens District Hospital zip code and 94963 is major competitor hospital zip code. 52% are from 96101, 20% are from 94963, 16% are from 92106, and 12% are from 93921. 

Increases in the percent of population with chronic disease and contributing factors will change significantly over the coming five years.  

Chronic Disease Predictions 

Payment  

There will be continued focus on pay for performance and increased wellness programs. The Affordable Care Act (ACA) is leading to more people being covered; 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 next 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. 

Percentage of Population by Insurance 

 Current Payer Mix 

Figure 2: The Current Payer Mix pie chart shows that 35% are covered by Medicaid, 30% are covered by Medicare, 24% are covered by commercial insurance, 9% are uninsured, and 2% are noted as “other.” 

Figure 3: Projected Payer Mix in 5 Years 

 The Projected Payer Mix in 5 Years pie chart shows that 38% are covered by Medicare, 24% are covered by Medicaid, 32% are covered by commercial insurance, 4% are uninsured, and 2% are noted as “other.” 

As part of your review of this data, consider the following factors:  

  • A portion of the population will become Medicare eligible. 
  • The addition of manufacturing positions that include benefits will increase commercial insurance coverage. 
  • Changes from the ACA will increase the number of patients in the market with insurance coverage. 
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