Golden Age Hospital (GAH)

Establishment of Golden Age Hospital (GAH)

The complete SLP will consist of the following sections:

1. Title slide – to be submitted in Module 1.
2. Background – to be submitted in Module 1.
3. The External Environment – Data Gathering � to be submitted in Module 1.
4. Market Research and Segmentation � to be submitted in Module 1.
5. Organizational Structures and Functions � to be submitted in Module 2.
6. Finance and Budgeting � to be submitted in Module 3.
7. Quality, Ethical, and IT Controls � to be submitted in Module 4.
8. Conclusions and Recommendations � to be submitted in and for all modules.

SLP Assignment Expectations

Introductions

Seniors aged more than 65 years

have likelihoods of being hospitalized (Seller, Kravitz & Gallagher, 2014).

Comprises about 54.8% of the overall long stays in hospitals (Selker et al.,
2014).

“Golden Age Hospital (GAH).” proposed to cater for older people

The Background Information

Overall Health Status

About 47% of the hospitalized in USA are older people

Are aged more than 65 years (Yoo, Kim, Geng, Shin & Nakagawa, 2014).

Most of health centres and hospitals are assigned to older people.

There are emphasis on a high quality Medicare

The Background Information

Overall Health Status

Main causes of hospitalization of older people Yoo et al (2014) is because of:

cardiac dysfunction,

pneumonia, and

heart failures

The Background Information

Unique Illnesses among Older People

delirium (Yoo et al., 2014)

falling incidents

pressure ulcers (Mitton, Dionne & Donaldson, 2014).

malnutrition

Medical Institutions for the Seniors

Types of institutions and clinics serving seniors

adult day centers whose capacity was approximately:

4800 adults,

home health agencies were 12,200,

hospices were 15,700,

residential care communities, 22,200.

58, 500 were controlled and long term operators.

Medical Institutions for the Seniors

Types of institutions and clinics serving seniors

About two thirds traditional setting

with 26.8% being nursing homes,

37.9% being residential care communities.

4,800 day services could accommodate about 276,500 persons daily

daily service centers accommodated between 1 to 780 persons

Medical Institutions for the Seniors

Types of institutions and clinics serving seniors

The available 15,700 nursing homes:

a sum of about 1,669,100 beds

Range from 2 to 1,389 capacity beds each

with averagely 106 beds

residential community cares

22,200 in number

852, 400 beds

Capacity range from 4 to 582 bed

with averagely 38 beds (Yoo et al., 2014).

Medical Institutions for the Seniors

Types of Special Services Provided for Seniors and Catering to their Needs

The seniors’ care services may incorporate:

supportive services

personal care services

Healthcare services

Medical Institutions for the Seniors

Types of Special Services Provided for Seniors and Catering to their Needs

To achieve better services for the seniors Gershengorn, Kocher and Factor (2014)
recommends:

quality improvements

critical pathways

clinical practice guideline

Medical Institutions for the Seniors

Length-of-Stay of Seniors at Various Hospitals

seniors tend to stay longer in hospitals

The longer stay of seniors in hospitals may lead to:

contracting other hospital related illnesses

interfering with patients access and flow

Shortage of beds

Medical Institutions for the Seniors

Length-of-Stay of Seniors at Various Hospitals

Delays in the discharge of the seniors may be a result of:

accessing social care

career and patient needs

hospital related factors

Local (Mission Viejo area) City demographics

Aliso Viejo

Ladera
Ranch

Laguna Hills

Laguna
Niguel

Laguna
Woods

Lake Forest

Mission Viejo

Rancho Santa
Margarita

Population

50,231

22,980

30,972

65,328

16,415

83,236

96,386

49,359

Gender

male

23,586

11,209

14,983

31,542

5,722

41,675

48,808

24,412

female

26,645

11,771

15,989

33,786

10,693

41,561

47,578

24,943

Age (median resident age)

36.9 years

33.4year

43.9 years

45.3 years

76.3years

38.9 years

43.7year

37.2years

Household income (median)

$108,140

$81,837

$97,069

$107,101

$41,053

$100,557

$111,503

$109,496

Race (whites only)

59.3%

69.4%

57.2%

72.5%

84.0%

54.5%

65.7%

67.0%

Est.per capita

$48,986

$38,247

$48,038

$802,100

$41,865

$43,115

$47,838

$47,749

Median gross rent

$1,864

$2,070

$1,997

$1,973

$1,645

$1,954

$2,268

$1,864

Case 1 – Survey Table

Item #

A

To be filled by the student

B

Results – To be filled by the Instructor

Survey item

On a scale of 1-10, where:

10= very much needed, and

1 = not needed

1

Is a special GAH medical center needed?

2

Is a special community clinic needed in addition to the
GAH?

3

Is a special need plan for seniors service needed?

4

Is primary communication service needed?

5

Is assured healthcare services needed?

6

Is improved healthy lifestyle during early adulthood
needed?

7

Is periodic assessment for seniors needed?

8

Is primary prevention strategy against seniors’ illness
needed?

9

Is awareness creation adequate on seniors’ lifestyle and
health condition?

10

Will the existing political and social measures favour the
establishment of a special GAH medical center

Case 3 – Budget Table

#

A

To be filled by the
student

B

To be filled by the
student

C

Filled by Instructor

D

To be filled by the
student

E

Filled by Instructor

F

To be filled by the
student

Service / Treatment

Estimated Medicare
reimbursement to
GAH. (each 10 to 60
thousands of dollars)

Projected number of
procedures/treatments
performed annually

Total income

B*C

GAH projected
performance relative to
federal standards

GAH projected annual
gain (or loss).

D – D*E

1

Treatment of cardiac
dysfunctions

$55,000

85

$4,675,000

75%

-$1,168,750

2

Treatment of
pneumonia

$40,000

50

$2,000,000

110%

$200,000

3

Treatment of heart
failures

$42,000

200

$8,400,000

80%

-$1,680,000

4

Treatment of hip
failures

$20,000

150

$3,000,000

90%

-$300,000

5

Treatment of urinary
infections

$21,000

50

$1,050,000

120%

$210,000

6

Treatment of
septisemia

$35,000

100

$3,500,000

100%

0

7

Treatment of delirium

$10,000

60

$600,000

75%

-$150,000

8

Treatment of falling
incidents

$15,000

75

$1,125,000

85%

-$168,750

9

Treatment of pressure
ulcers

$32,000

110

$3,520,000

95%

-$176,000

10

Miscellaneous
expenses

$10,000

-$375, 000 (minus)

Total

280,000

880

$2,8470,000

-$ 3,583,000

Conclusions

Golden Age Hospital which will not only be useful

congestions in Mission Viejo Hospital will be solved

Project will reduce old age mortality and promote the quality of life.

Works cited

Mitton, C., Dionne, F., & Donaldson, C. (2014). Managing healthcare budgets in times
of austerity: the role of program budgeting and marginal analysis. Applied health
economics and health policy, 12(2), 95-102.

Gershengorn, H. B., Kocher, R., & Factor, P. (2014). Management
strategies to effect change in intensive care units: lessons from the world of
business. Part III. Effectively effecting and sustaining change. Annals of
the American Thoracic Society, 11(3), 454-457.

Works cited

Selker, H. P., Kravitz, R. L., & Gallagher, T. H. (2014). The national physician
payment commission recommendation to eliminate fee-for-service payment: Balancing
risk, benefit, and efficiency in bundling payment for care. Journal of general internal
medicine, 29(5), 698-699.

Yoo, J. W., Kim, S. J., Geng, Y., Shin, H. P., & Nakagawa, S. (2014). Quality and
innovations for caring hospitalized older persons in the Unites States. Aging and
disease, 5(1), 41.