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Administrative Information
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New Healthcare Program
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Seek Kindness
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Agency Sponsor for this New Healthcare Program
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Michelle Murray
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Date of Sponsor’s Operational Analysis
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12.1.2024
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1. Vision Statement
The strategic plan for this new healthcare service aims to further the following organizational vision:
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Purpose: The vision statement gives a long-term and inspirational view of what's to be accomplished by this program. It reflects what would be an ideal result for the community and the greater implications throughout society for this health-care initiative.
Example: Providing health care that is appropriate and accessible for all homeless people, enabling them to reach their fullest health and human potential, and creating healthy communities in which no one has to experience homelessness
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2. Mission Statement
The mission of _________Seek Kindness_______________ is to: Our mission is to provide compassionate, accessible, and comprehensive healthcare services to homeless individuals, empowering them to achieve optimal health and well-being. We are committed to breaking down barriers to care by offering a safe, welcoming environment where every person is treated with dignity and respect
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Purpose: The mission statement outlines specific goals and focus areas for the health system within a short to medium term. It should express clearly the purpose of the program, its key objectives, and how it intends to meet the needs of the target population.
Example: Providing comprehensive, compassionate, accessible healthcare to homeless individuals. Emphasis on prevention with active community resources in mental health and chronic disease management, supported appropriately through collaborative partnerships
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3. Identify 3 potential strategic goals/directions to guide development of your strategic plan.
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Purpose: This section should cover the administrative activities that occur in order to support the program, such as leadership structure, staffing, management of the program, internal communication strategies, and descriptions of responsibilities for oversight among others.
Example
o Hiring of medical professionals, social workers, and administrative staff
o Partnerships with local shelters, nonprofits, and government organizations
o A case management team for comprehensive care with the individual
o Meetings for evaluating and working out the strategy regarding the progress of the program.
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4. Program Description
Provide a brief summary of the planned new healthcare program and a description of the business processes it supports.
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Purpose: Funding This section describes how the program will be funded, financial management practices, and budgetary requirements. It may also include cost-control strategies and financial sustainability.
Example:
o Identify funding sources such as government grants, charitable organizations donations, and local business partnerships.
o Budgeting for staffing, medical supplies, outreach programs, and administrative expenses.
o Develop an expenditure-tracking system with periodical reviews to ensure that value for money is secured.
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5. Customer Satisfaction
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5a. Identify the end-users of the investment in this new healthcare program.
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Purpose: This section lays out the legal and regulatory considerations put in place to ensure related healthcare laws, privacy laws, and other regulations on the same are followed to the latter. This includes the management of liability and risks.
Example:
· Compliance with all HIPAA regulations related to patient privacy.
· Ensure health providers are properly licensed and credentialed to provide services
· Create a liability release for Volunteers and Unlicensed staff.
· Consideration of possible concerns about consent for homeless persons who may not be deemed capable of giving consent verbally.
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5b. Briefly describe the process used to assess end-user/customer satisfaction (i.e., decreased ED usage, improve primary care access, satisfaction surveys, etc.)
Distribute surveys through various channels (in-person, online, mobile apps) to maximize participation. Ensure that the process is accessible to homeless individuals, considering their unique circumstances.- Gather Feedback: Encourage patients to provide feedback during visits or through follow-up calls. Use incentives if necessary to promote participation.
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6. Strategic Goals
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6a. How does the investment in this new healthcare program support to the Organization’s strategic goals?
Building strong relationships with community stakeholders is often a strategic priority. A dedicated program for homeless individuals can foster partnerships with local organizations, nonprofits, and government agencies.
Enhanced community relationships can lead to increased collaboration, resource sharing, and support, ultimately strengthening the organization’s reputation and reach.
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Purpose: Clinical activities include direct healthcare services for diagnosis, treatment, and follow-up. This section needs to outline the clinical services offered to homeless people and how they are integrated into general healthcare services.
Example:
· Health screening and physical exams among new clients.
· Disease management programs for chronic illnesses such as diabetes and hypertension.
· Mental health services, including counseling and substance use treatment.
Medical care and preventive services, including vaccination and cancer screening
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6b. How could this investment be combined with others to better meet the Organization’s strategic goals?
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Combining the investment in a new healthcare system for homeless individuals with other initiatives can significantly enhance the organization’s overall strategic goals. Here are several ways this investment could be integrated and aligned with broader organizational objectives:
Integrated Care Models
Description: Develop an integrated care model that combines physical health, mental health, and social services
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6c. Discuss any potential risks associated with this new healthcare program.
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Resource Constraints- Limited funding and resources may hinder the program's ability to meet the needs of the population effectively.
Licensing Issues- Ensuring that all staff are appropriately licensed and credentialed can be a challenge, particularly in a rapidly changing environment where roles may overlap
Funding Instability-Reliance on grants, donations, or government funding can create financial instability
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7. Financial Performance
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7a. Discuss any budgetary constraints/issues associated with this new healthcare program and how they will be managed.
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Purpose: It highlights the main stakeholders whose interest or dependence on the success of the program is relevant, also in terms of their needs and the manner of their engagement.
Example:
· Stakeholders: Homeless persons, healthcare providers, social service organizations, local government, donors, community leaders.
Engagement: Community outreach on a regular basis, advisory councils, partnerships with advocacy groups, collaboration with city officials to align with larger public health initiatives
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7b. What is the potential for unexpected costs, cost savings, or cost avoidance?
Training and Development: Unexpected costs may arise from the need for extensive training programs to ensure staff are equipped to handle the unique challenges of serving homeless populations.
Regulatory Compliance: Changes in healthcare regulations or unexpected legal requirements could impose additional compliance costs.
Unforeseen Health Crises: Outbreaks of infectious diseases (e.g., COVID-19) among the homeless population could lead to increased operational costs, such as additional staffing, testing, and treatment measures
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8. Technological Considerations
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8a. Identify if the Organization explored technological alternative methods for achieving the same mission needs that could be met by launching the new healthcare program.
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Purpose: Identify resources necessary for the successful implementation and sustainability of the healthcare program-human, material, technological, and financial.
Example:
· The human resources would involve doctors, nurses, social workers, administrative staff, volunteers.
· Material resources comprise medical supplies, clinic space, mobile health units, and patient transportation.
· Technological resources include electronic health records or EHR systems, telemedicine platforms, and mobile health applications.
· FINANCIAL RESOURCES: fund to operate costs, staff salaries, and patient services.
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8b. Identify and briefly describe planning that may be required related to system upgrade or system re-engineering required to support this new healthcare program.
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Conduct an inventory of current hardware, software, and network capabilities. - Assess compatibility of existing systems with new technologies and analyze the need for additional tools or platforms.
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9. Operational Analysis
Discuss availability, reliability, and maintainability for each component.
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9a. Administrative support
Administrative staff can manage scheduling for patient appointments, ensuring that healthcare providers are efficiently utilized and that patients receive timely access to care. Administrative support can help coordinate referrals to specialists or other services, streamlining the patient’s journey through the healthcare system.
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Purpose: Identify major milestones and timeline for program implementation. This should cover the planning, service delivery, and evaluation stages.
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Example:
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Phase 1 (3-6 months): This has involved planning the program, recruiting staff, developing partnerships, and piloting services.
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Phase 2 (6-12 months): Full-scale implementation, community outreach, and initial service delivery.
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Phase 3 (1-2 years): follow-up, evaluation, and adjustment based on program performance.
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9b. Financial support
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Availability: Allocate funds for tools that provide real-time monitoring of system performance and alerts for potential outages. Incident Response Plans: Budget for developing and implementing incident response plans to quickly address any availability issues. Negotiate contracts that guarantee specific uptime percentages, budget for penalties or credits if availability falls below agreed levels.
Reliability: Budget for reliable data backup systems that ensure data integrity and availability in case of Failures. Allocate funds for training IT staff on reliability best practices and system management.
Maintainability: Refers to the ease with which a system can be updated, repaired, or improved over time to meet evolving needs. Budget for a system design that allows for easy upgrades and component replacements.
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9c. Legal consideration
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Availability: Ensure the system complies with relevant healthcare laws and regulations, such as the Health Insurance Portability and Accountability Act (HIPAA) in the U.S., which mandates the protection of patient information and requires systems to be reliably accessible.
Reliability: Define liability clauses in contracts with vendors to mitigate risks associated with system failures. Clearly outline responsibilities for both parties in the event of a failure affecting patient care or data integrity.
Maintainability: Maintain compliance with regulatory requirements when implementing updates or changes to the system. This may involve notifying regulatory bodies or conducting impact assessments to ensure continued compliance.
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9d. Clinical activities
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Availability: Ensure that healthcare providers have immediate access to patient records, lab results, and imaging studies whenever needed. Any downtime can delay critical clinical decisions and adversely affect patient care.
Reliability: The healthcare system must reliably perform under various conditions, including peak usage times. Unreliable systems can lead to delays in care, errors in medication administration, and compromised patient safety.
Maintainability: Invest in ongoing training for clinical staff to ensure they are proficient in using the system. This includes training on new updates or features, which can enhance the system’s maintainability.
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10. Policy Examination – for each section below evaluate the policies and indicate if evidence of structural discrimination is noted in the policies? Yes or No? Include a rationale for the answer you selected. If you answered yes, describe the changes that need to be made to the policy.
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10a. Administrative Policy
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Purpose: Indicate here how the success of the program is defined and what kind of measurements are taken to determine its effectiveness. Here, both qualitative and quantitative measures must be included.
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Example:
Quantitative: Quantitative: number of homeless individuals served, reduction in hospital readmission rates, improvement in chronic disease management, patient satisfaction scores.
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10b. Financial Policy
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Qualitative: input from homeless persons, health care providers, and community organizations.
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10c. Legal Policy
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Ensure sustainable funding for the healthcare system.
Ensure compliance with all relevant laws and regulations.
Protect patient privacy and data security.
Develop policies that ensure compliance with healthcare regulations such as HIPAA, GDPR, and other relevant local, state, and federal laws.
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10d. Clinical Policy
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Ongoing surveys, one-on-one focus groups, tracking of health outcomes-e.g., improved mental health, increased access to housing, reduction in utilization of emergency departments
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