Healthcare Planning

According to Allen (2014), the management of healthcare organizations should use strategy planning to outline the mission statement, vision, and objectives of the organization. Hospital management focuses on establishing a nursing home unit to improve the welfare and medical care for the patients. Most of the patients require extensive medical care to recover fully and regain optimal health. Nursing facilities in long-term care delivery system include community and home services. The quality of healthcare services has been one of the major challenges in the UA; however, the government has introduced state regulations to address the safety issues. Due to the high demand of long-term services, the quality of the healthcare facilities remains one of the major concerns among policy makers and consumers.

As the board members of Certificate of Need (CON) we only have an option to deny the proposal as part of healthcare planning. Essentially, Naperville has decided to establish 120-beds long term facilities in Illinois, including Tabor Hills Healthcare Facility, Wynscape Health and Rehabilitation Center, and Community Nursing and Rehabilitation Centre. Currently, Naperville area has several healthcare facilities. In the region, community nursing has a four-star rating for both staffing and quality services. For instance, Tabor Hills has a five-star rating for its quality services. Similarly, Wynscape has a five-star rating in all categories (McNeeley, 2014). The Illinois Health and Facilities and Services Review Board has recently approved Monarch Landing, a new living facility for the elderly. Even though the center is still under construction, it would eventually have 96 beds in the immediate area. Therefore, we have to deny the proposal based on its numerous shortcomings.

According to Read (2016), Naperville health care facilities offer a combination of home health care and social services to the community members. However, research findings indicate that the centers need quality services to enhance the wellbeing of the residents. Therefore, the organizations have to hire competent employees to fight the competition. The main clients will be families and individuals in need of social services. Physicians and attorneys will be able to refer the patients to healthcare facilities.

Keys to Success

Naperville healthcare facilities have simple values to enhance its operations. The healthcare organizations strive to provide excellent and affordable healthcare services to the members of the community. The organization has an objective to recruit caring, competent, and accountable workers who are responsive to the needs of patients. The staff members should meet the educational requirements in the State of Illinois based on the healthcare services they provide. The management encourages advancement in education for all the members of the staff. Most importantly, the executives should provide the employees with a competitive compensation. The management will encourage an effective collaboration with other community professionals in hospitals and other healthcare organizations.

The health organization should obtain a license for operation from the State of Illinois. Additionally, Medicare, Medicaid, and other insurance carriers should reimburse the agency. The process of licensing has already started, and the organization tries to meet the regulations and guidelines to start providing social services. However, other healthcare facilities are located in the same area, which is why the market is competitive. Therefore, the centers should set their prices in accordance to Medicare, Medicaid, and other insurance bodies to satisfy the most demanding clients and beat the competition.

One of the applicants submitted an application for project 11-055 on July, 2011. The board approved the project on October 13, 2011. However, the claim relied on the personal opinion of the Naperville’s mayor that the land had to be approved for a zoning change. Nevertheless, the reliance was misplaced. Despite the futility, no strategies had been implemented to generate ill will in the community setting.

Healthcare has changed dramatically since the implementation of 11-055. Therefore, the fact that the board approved project 13-038 is an endorsement of perfunctory matter. It is apparent that project 13-038 and 11-055 differ in their structure and objectives. However, project 13-038 fails to acknowledge the substantial changes that have occurred since the implementation and approval of project 11-055.

Additionally, project 13-038 justifies the need for 841 beds in the health care centers. However, the application does not consider the adjustments by the board in changing its methodology and present an accurate bed needs calculations. Similarly, project 13-038 has no reference to the need of the board to reveal 1400, beds in excess. HSA 7-C reveals 120 excess beds based in the immediate area. It is apparent that there is no need for project 13-038.

According to a report of the board, they relied on the approval of project 11-055 based on a ten year projection that changed the need for long term care beds. The project related to a ten-year projection on the need for long-term care needs to be revised (Read, 2016). The project was inaccurate and required a statutory mandate to improve healthcare services; however, the board does not have the mandate to approve any projects in the healthcare setting.

Despite the previous need to reject project 11-055, the application for project 13-038 is submitted to obtain zoning approval in the future. However, it is unnecessary for the board to approve project 13-038 before obtaining the necessary zoning. Furthermore, the cost of the project 13-038 had increased by approximately $600,000. Moreover, the practitioners might incur other costs in addition to $600,000. Nevertheless, project 13-038 does not account for the time and money spent trying to complete the project (Bhuyan et al., 2017). During the annual progress report, the project applicant claimed to have completed 3% of the project. However, the report failed to reveal the challenges experienced in the process of completing the project. In total, the team spent $2,375,000 to purchase land.

In conclusion, the applicant needs to present documents to pinpoint projected referrals to justify of the project. The Edward Hospital submitted a letter to justify project 13-038. The correspondence predicted that the facility would attend to 400 patients annually. However, the board ascertained that the letter would not be accepted as part of the application. For example, Edward Hospital has failed to submit any obligation to replace the outdated letter. It is apparent that the healthcare facility management lacks enough information to complete an effective analysis. Therefore, the board needs to gather more information on the needed improvements at the facilities. Furthermore, the board needs to explain how the new facility will be viable. It should not have any adverse effects on both the users and employees. Negative effects can undermine proper utilization of existing facilities, which is why the board should take into consideration all the existing issues the healthcare services face.

References

Allen, J. E. (2014). Nursing home federal requirements: Guidelines to surveyors and survey protocols. New York, NY: Springer Publishing Company.

Bhuyan, S. S., Chandak, A., Gupta, N., Wyant, D. K., Kim, J., Bhatt, J., … & Chang, C. F. (2017). Provision of rehabilitation services in residential care facilities: Evidence from a national survey. Archives of Physical Medicine and Rehabilitation, 98(6), 1203-1209.

Bucci, R. V. (2014). Medicine and business. New York, NY: Springer.

McNeeley, S. M. (2014). Eight urgent care center best practices for safe care transitions. Joint Commission Journal on Quality and Patient Safety, 40(11), 483.

Read, T. (2016). Emerging needs in behavioral health and the integrated care model. (Doctoral dissertation, Boston University).