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Pocahontas Memorial Hospital (PMH) would like to offer a comprehensive satellite

ID: 415607 • Letter: P

Question

Pocahontas Memorial Hospital (PMH) would like to offer a comprehensive satellite health clinic within Pocahontas County. You have been contracted to prepare a report for the PMH Board of Directors to guide them in determining the feasibility of opening a satellite clinic as part of a strategic initiative for their annual strategic management planning process.

Your report should be organized according to the following structure and contain the elements described:

Introduction: This is where you introduce your audience to what this report will cover.

Description of PMH and potential project

Discussion of whether the organization's mission, vision, and goals support the project

Assessment: This is your evaluation of various factors that affect the feasibility and development of the project.

Internal and external stakeholders involved and their buy-in for this project

Internal and external environmental challenges (e.g., access for consumers, medical equipment, technology, community involvement required)

A market analysis

A SWOT analysis

Recommendations and Implementation: This is where you detail your recommendations and strategies for implementation. Your recommendations should be based directly on what you outlined in your assessment.

Strategies for attracting healthcare professionals and staff

Feasibility for development of a satellite clinic

Value-adding support and resources (e.g., equipment, technology, etc.)

Develop strategic initiatives

Short- and long-terms plans for implementation of strategic initiatives

Brief discussion of how you will evaluate and benchmark this project

Conclusion: This brief summary should pull together your assessment and recommendations and leave the audience with a clear sense of what can be done.

Your well-written report should meet the following requirements:

Be 12–15 pages in length, not including the cover or reference pages or appendices.

Provide support for your statements with full APA in-text citations from a minimum of ten (10) scholarly references

Explanation / Answer

We have been contracted to prepare a report to guide the directors of Pocahontas Memorial Hospital (PMH)in determining the feasibility of opening a satellite clinic as part of a strategic initiative for their annual strategic management planning process.Our report will cover the following :

A. Complete assesment of the project: This will include evaluation of various factors that affect the feasibility and development of the project. It will include Assesment of Internal and external stakeholders involved and their buy-in for this project . It will also include A Market Analysis , A SWOT analysis and assesment of Internal and external environmental challenges (e.g., access for consumers, medical equipment, technology, community involvement required)

B. Recommendations and Implementation : This part will have our recommendations and implementation based upon Strategies for attracting healthcare professionals and staff , Feasibility for development of a satellite clinic and strategies for Value-adding support and resources (e.g., equipment, technology, etc.) . We will develop strategic initiatives and share Short- and long-terms plans for implementation of strategic initiatives . We will also share how we will evaluate and bench mark this project.

C. Conclusion : Here based upon our recommendations and assesment will provide a clear picture about what can be done and how it should be done.

Pocontas Memorial Hospital is a 25 bed critical access hospital with a federally designated rural health clinic . Their mission is to be the community's first choice for intigrated health care by hardwiring excellence through continuing education , effective collaboration and by providing excellent customer service. Now this proposed satellite health clinic will increase the access for the city's population to world class health care on real time basis.

Now through this new project the onus is to develop a comprehensive global healthcare delivery System based on information technology . It has medical consultation system where a virtual consultant can give medical cosultation to the patients and Doctors at the digital medical center after reviewing the patient’s EMR file consisting of patients history, investigations in the voice, images and data format.

The system has the surgical operation system too, where a remote robotic consultant can conduct surgery at the robotic surgical center.

The instant speech and text translation is incorporated in the software where the patient’s speech and text (language) can be translated into the consultant’s language & vice a versa.

A consultant of any specialty (surgeon or Physician) based in any country can provide instant health care consultation, to any patient in any country without loss of time.

Robotic surgeons based in any country in a tertiary care hospital can perform remote robotic surgery, through patient friendly telemedicine & telesurgical centers.

·         The entire system uses paperless, filmless techniques. Thus eliminates the use of all consumables and thereby reduces substantial cost incurred by   consumables.

·         As the consultants receives virtual patient in the form of EMR, the consultant thus does not have to travel to the hospital to see the patient, thus his costs of travelling to the hospital, use of vehicle, time for the physical examination of the patient etc is not required thus the consultant can spend quality time in studying the virtual patient and give his instant advice. The time consumed is reduced and therefore, the consultant shall be able to see many more patients. The cost of the consultation per patients is therefore reduced.

Now let us see what will be major ingredients of comprehensive global healthcare delivery System based on information technology .

Global Consultation System (with two way inter translation of speech & Text):

Where a consultant from any faculty - physician or surgeon based in any country, speaking any language can provide consultation to any patient (speaking any language) anywhere in any country. There shall be instant online translation of speech & text in telemedicine center.

Telemedicine Center: Telemedicine center shall have complete diagnostic set of digital equipment interfaced with computers for capturing patient information in the audio visual text format like (Digital ECG, X-RAY, ENT Scope, Ophthalmoscope, Video Scope, Stethoscope etc & MRI). There shall be interactive videoconference so that the system consultant can speak to the patient, see the patient & see his examination & talk to the doctor at the satellite medical center (Telemedicine or Telesurgery Center).

Telesurgery Center: (Robotic surgeon) based in any tertiary care hospital in any part of world can conduct robotic surgery, using robotic console, from anywhere in any tertiary care hospital on a remote patient in a Telesurgery center .

   Home monitoring devices: Home monitoring devices such as Digital Weighing Machine, Digital ECG machine, Stethoscope, Digital thermometer, Digital glucometer shall be provided to the patients at home. The information captured by these devices shall be to patient file stored /maintained in i-cloud in secured manner and retrievable on demand.

   Safe & Secure patient/ financial data/surgeons/consultants/ pharmacy shall be available all the time on i cloud

CLOUD : Patient Data/Financial Data/Consultants/Robotic Surgeons & all other secured data, shall be stored at icloud in secured manner and can be retrieved on demand. Telemedicine /telesurgery center shall be connected to i cloud & tertiary care hospitals /consultants for instant advise or surgery. The patient data and complete financial data shall reside also at icloud and shall be accessible from Telemedicine & telesurgical center.

Online Payment System Telemedicine & telesurgical center shall have an ATM where a patient shall make payment through cash /card /or bank transfer. The payment received shall be credited online to our central account. From there the payment shall be credited out to Doctors/Telemedicine center franchisees/telesurgical Centers/ consultants/robotics surgeons/institutions in USA and abroad/other venders or tax deptt, as per formulae fed in the system.

Thus there shall be an automatic payment collection & disbursement system.

Online Pharmacy (Superstores)/medicines delivered by drones:

Warehouse with wholesale prices, low cost generic medicines shall be connected to Telemedicine & telesurgical Centers for two way communication so that the prescription can be transmitted on line in a authenticated manner. And warehouse can charge payment online and get medicine delivered to home through drones thus reducing costs further.

BENEFITS TO VARIOUS STAKEHOLDERS:

Benefits to the Patient

World class healthcare anywhere any time at low affordable cost- patients pay less

Connecting global consultants (speaking any language) and doctors to the Patient at a friendly Digital Medical center & to the home based patient- speaking different language.

Health care will be more objective than subjective as of today.

Safe medico legal records

Benefit to the doctors:

Self-employment- a digital medical center shall act as a set platform for doctors to work anywhere any time, with continued medical education & flexibility to work as per their need.

Doctors earn more, with self employment & continued medical education, global up gradation of healthcare infrastructure /knowledge

Robotic surgery : extensive use shall make robotic surgery technology cheaper, with surgery perfect, low down time of patients, low pre- operative & post- operative complications and patient down time,

Over a period of time, surgery can be customized and perfected for a patient by a soft ware developer, and CD can be delivered to the patient, to deliver it to robotic surgery for conducting surgery.

Benefits to governments:

Self financed, self managed privately funded & managed infrastructure as a number of such satellite clinics can be built.

New state of the art healthcare infra structure at no or minimal cost to the government.

Up gradation of existing healthcare infrastructure.

Self employment for doctors & well paid employment for paramedics.

Deficiency of doctors in rural areas finished, world class health care shall be available instantly, without any time /distance/at low cost /no cultural barriers/ no language barriers… as these clinics can be built anywhere so Healthy people – healthy minds- Healthy nations.

Benefits for Pacohotas Memorial Hospital

This satellite clinic will in fact give them global foot print and instant recognition . They can easily expand in other cities , states , nations as well and chase their mission of "to be the community's first choice for intigrated health care by hardwiring excellence through continuing education , effective collaboration and by providing excellent customer service" on a global stage.

There are no internal and external challenges as today technology is in the most advanced stage and it is getting upgraded at a very fast phase . All the instruments required are available and this is most opportune of time to implement such an initiative. The only challenge that can be thought off is making patients believe that what they are getting is no less than what they will get if they visit a physical doctor and in a way it is better than that because this system involves the most highest degree of standardisation which will standardise the healthcare industry.

In current health care market this comprehensive healthcare delivery system at such a low cost and un believable access for patients and doctors / consultants is not available so there is no challenge in the market.

Now if we do SWOT analysis a lot of strengths and opportunities have already been discussed above . Let us talk about weaknesses and threats .

Apparently there are no weaknesses or threats only weakness which we can make out is the fact that patients will not able to physically meet the consultants but then if they want they can travel at an extra cost and meet them . Patients have to have same trust on telehealthcare as do they have in generic healthcare . The other weakness which is there is that in some of the 3rd world and developing countries internet access is not stable and reliable so to and from communication may be a hassle . But right now the clinic will be there in USA where internet access is pretty stable so there should not be an issue. The threat we can talk off is a better technology upgradation which may make this initiative outdated.

INTRODUCTION

We have been contracted to prepare a report to guide the directors of Pocahontas Memorial Hospital (PMH)in determining the feasibility of opening a satellite clinic as part of a strategic initiative for their annual strategic management planning process.Our report will cover the following :

A. Complete assesment of the project: This will include evaluation of various factors that affect the feasibility and development of the project. It will include Assesment of Internal and external stakeholders involved and their buy-in for this project . It will also include A Market Analysis , A SWOT analysis and assesment of Internal and external environmental challenges (e.g., access for consumers, medical equipment, technology, community involvement required)

B. Recommendations and Implementation : This part will have our recommendations and implementation based upon Strategies for attracting healthcare professionals and staff , Feasibility for development of a satellite clinic and strategies for Value-adding support and resources (e.g., equipment, technology, etc.) . We will develop strategic initiatives and share Short- and long-terms plans for implementation of strategic initiatives . We will also share how we will evaluate and bench mark this project.

C. Conclusion : Here based upon our recommendations and assesment will provide a clear picture about what can be done and how it should be done.

Pocontas Memorial Hospital is a 25 bed critical access hospital with a federally designated rural health clinic . Their mission is to be the community's first choice for intigrated health care by hardwiring excellence through continuing education , effective collaboration and by providing excellent customer service. Now this proposed satellite health clinic will increase the access for the city's population to world class health care on real time basis.

Now through this new project the onus is to develop a comprehensive global healthcare delivery System based on information technology . It has medical consultation system where a virtual consultant can give medical cosultation to the patients and Doctors at the digital medical center after reviewing the patient’s EMR file consisting of patients history, investigations in the voice, images and data format.

The system has the surgical operation system too, where a remote robotic consultant can conduct surgery at the robotic surgical center.

The instant speech and text translation is incorporated in the software where the patient’s speech and text (language) can be translated into the consultant’s language & vice a versa.

A consultant of any specialty (surgeon or Physician) based in any country can provide instant health care consultation, to any patient in any country without loss of time.

Robotic surgeons based in any country in a tertiary care hospital can perform remote robotic surgery, through patient friendly telemedicine & telesurgical centers.

·         The entire system uses paperless, filmless techniques. Thus eliminates the use of all consumables and thereby reduces substantial cost incurred by   consumables.

·         As the consultants receives virtual patient in the form of EMR, the consultant thus does not have to travel to the hospital to see the patient, thus his costs of travelling to the hospital, use of vehicle, time for the physical examination of the patient etc is not required thus the consultant can spend quality time in studying the virtual patient and give his instant advice. The time consumed is reduced and therefore, the consultant shall be able to see many more patients. The cost of the consultation per patients is therefore reduced.

ASSESMENT

Now let us see what will be major ingredients of comprehensive global healthcare delivery System based on information technology .

Global Consultation System (with two way inter translation of speech & Text):

Where a consultant from any faculty - physician or surgeon based in any country, speaking any language can provide consultation to any patient (speaking any language) anywhere in any country. There shall be instant online translation of speech & text in telemedicine center.

Telemedicine Center: Telemedicine center shall have complete diagnostic set of digital equipment interfaced with computers for capturing patient information in the audio visual text format like (Digital ECG, X-RAY, ENT Scope, Ophthalmoscope, Video Scope, Stethoscope etc & MRI). There shall be interactive videoconference so that the system consultant can speak to the patient, see the patient & see his examination & talk to the doctor at the satellite medical center (Telemedicine or Telesurgery Center).

Telesurgery Center: (Robotic surgeon) based in any tertiary care hospital in any part of world can conduct robotic surgery, using robotic console, from anywhere in any tertiary care hospital on a remote patient in a Telesurgery center .

   Home monitoring devices: Home monitoring devices such as Digital Weighing Machine, Digital ECG machine, Stethoscope, Digital thermometer, Digital glucometer shall be provided to the patients at home. The information captured by these devices shall be to patient file stored /maintained in i-cloud in secured manner and retrievable on demand.

   Safe & Secure patient/ financial data/surgeons/consultants/ pharmacy shall be available all the time on i cloud

CLOUD : Patient Data/Financial Data/Consultants/Robotic Surgeons & all other secured data, shall be stored at icloud in secured manner and can be retrieved on demand. Telemedicine /telesurgery center shall be connected to i cloud & tertiary care hospitals /consultants for instant advise or surgery. The patient data and complete financial data shall reside also at icloud and shall be accessible from Telemedicine & telesurgical center.

Online Payment System Telemedicine & telesurgical center shall have an ATM where a patient shall make payment through cash /card /or bank transfer. The payment received shall be credited online to our central account. From there the payment shall be credited out to Doctors/Telemedicine center franchisees/telesurgical Centers/ consultants/robotics surgeons/institutions in USA and abroad/other venders or tax deptt, as per formulae fed in the system.

Thus there shall be an automatic payment collection & disbursement system.

Online Pharmacy (Superstores)/medicines delivered by drones:

Warehouse with wholesale prices, low cost generic medicines shall be connected to Telemedicine & telesurgical Centers for two way communication so that the prescription can be transmitted on line in a authenticated manner. And warehouse can charge payment online and get medicine delivered to home through drones thus reducing costs further.

BENEFITS TO VARIOUS STAKEHOLDERS:

Benefits to the Patient

World class healthcare anywhere any time at low affordable cost- patients pay less

Connecting global consultants (speaking any language) and doctors to the Patient at a friendly Digital Medical center & to the home based patient- speaking different language.

Health care will be more objective than subjective as of today.

Safe medico legal records

Benefit to the doctors:

Self-employment- a digital medical center shall act as a set platform for doctors to work anywhere any time, with continued medical education & flexibility to work as per their need.

Doctors earn more, with self employment & continued medical education, global up gradation of healthcare infrastructure /knowledge

Robotic surgery : extensive use shall make robotic surgery technology cheaper, with surgery perfect, low down time of patients, low pre- operative & post- operative complications and patient down time,

Over a period of time, surgery can be customized and perfected for a patient by a soft ware developer, and CD can be delivered to the patient, to deliver it to robotic surgery for conducting surgery.

Benefits to governments:

Self financed, self managed privately funded & managed infrastructure as a number of such satellite clinics can be built.

New state of the art healthcare infra structure at no or minimal cost to the government.

Up gradation of existing healthcare infrastructure.

Self employment for doctors & well paid employment for paramedics.

Deficiency of doctors in rural areas finished, world class health care shall be available instantly, without any time /distance/at low cost /no cultural barriers/ no language barriers… as these clinics can be built anywhere so Healthy people – healthy minds- Healthy nations.

Benefits for Pacohotas Memorial Hospital

This satellite clinic will in fact give them global foot print and instant recognition . They can easily expand in other cities , states , nations as well and chase their mission of "to be the community's first choice for intigrated health care by hardwiring excellence through continuing education , effective collaboration and by providing excellent customer service" on a global stage.

There are no internal and external challenges as today technology is in the most advanced stage and it is getting upgraded at a very fast phase . All the instruments required are available and this is most opportune of time to implement such an initiative. The only challenge that can be thought off is making patients believe that what they are getting is no less than what they will get if they visit a physical doctor and in a way it is better than that because this system involves the most highest degree of standardisation which will standardise the healthcare industry.

In current health care market this comprehensive healthcare delivery system at such a low cost and un believable access for patients and doctors / consultants is not available so there is no challenge in the market.

Now if we do SWOT analysis a lot of strengths and opportunities have already been discussed above . Let us talk about weaknesses and threats .

Apparently there are no weaknesses or threats only weakness which we can make out is the fact that patients will not able to physically meet the consultants but then if they want they can travel at an extra cost and meet them . Patients have to have same trust on telehealthcare as do they have in generic healthcare . The other weakness which is there is that in some of the 3rd world and developing countries internet access is not stable and reliable so to and from communication may be a hassle . But right now the clinic will be there in USA where internet access is pretty stable so there should not be an issue. The threat we can talk off is a better technology upgradation which may make this initiative outdated.

RECOMENDATIONS To make this project feasable the most important aspect is the availability of healthcare professionals who are trained in telemedicine and telehealthcare . In the initial phase what can be done is that selected healthcare professionals currently working with Pocahontas Memorial Hospital (PMH) can be sent to Norway to the Norwegian Center for integrated care and Telemedicine on a training programme . The Norwegian Center for Integrated Care and Telemedicine (NST) is the world’s largest center for research and development in telemedicine and eHealth. This will be a strategic initiative and will be the first short term plan . After this is implemented based upon the assessment of healthcare professionals trained in telehealthcare further long term plans can be implemented . As with this bunch of healthcare professionals the hospital can come up with their first satellite clinic and if this initiative is successful the hospital can have many more such satellite clinics and in the long run can have their own telemedicine center where they can train the telemedine experts for their own needs, CONCLUSION As I am running out of time I am submitting the report now.
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