capital proposed

Description:

The Great Lakes Hospital is requesting a replacement for our CT scanner. The new CT scanner, the Aquilion One 640 scanner made by Toshiba will be the new machine and will increase patient volume and efficiency. The Aquilion One scanner has a weight limit of up to 660 pounds which broadens our scope of patients. The scanner takes 640 slice pictures that reconstructs sections of the body. This is the only one of its kind in the United States that can take pictures with this many slices. The machine was approved by the FDA in September, 2012 and lowers the total cost of care. This technology has a .5mm x 320 detector, 16cm of coverage, .35sec rotation, 3D enhancement, and SEMAR metal artifact reduction. All of these features allows for a whole organ image that can assist in assessment of stroke when symptoms like chest pain present. Since the weight limit is 660 pounds the machine has a 78cm bore width. Additional features on the Aquilion One 640 Scanner is the AIDR 3D integrated and Adaptive Diagnostics Clinical Solutions.

The AIDR 3D reduces the noise in raw and data space. Allowing for the best quality image and lowest dose possible. The technology automatically determines how much radiation will be needed for a certain section of the body that is being scanned. Each organ requires different radiation dosage to obtain the highest quality image. The machine will prompt the medical professional to confirm the patient’s age, weight, and exam type. After the information is inputted into the scanner then the technology will adjust to the lowest dose.

The Adaptive Diagnostics Clinical Solution technology includes Sure Subtraction, single energy metal artifact reduction (SEMAR), variable helical pitch (vHP), dual energy, and Sure Cardio. All of these features assist the medical professional and reduce any guess work or uncertainty. High lighting on the Sure Subtraction for example, gives the option to eliminate bone and calcium from data set so arteries and tumors can be viewed without any obstruction. The clinical solution technology provides optimal information on the patient to diagnose a patient efficiently without using extra resources.

Cost:

Estimated Total Investment: 2,898,000

Financial Effect:

The application of the Aquilion One 640 CT Scanner will help increase patient volume and have a major impact on revenue. The large weight limit of the machine will allow for more patient referrals to our facility, because on average heavier patients have a difficult time finding a CT scanner that fits them comfortably, giving enough breathing room inside. The machine is easily upgradable to new innovated technology that Toshiba may introduce in the next couple of years. The 60 second scan will reconstruct brain perfusion and subtraction of calcium, which decreases the time medical professionals take to determine the problem.

The projection on revenue is based on the wider scope of patients that can be examined. It is estimated that 200 patients will be seen per month which will have a gross revenue per procedure of $300. The variable cost per patient will be $50 per month. The gross revenue and variable cost puts the net income per month at $50,000. The annual net income will be $600,000. The cost of this investment is $2,898,000 with an annual net income of $600,000 gives a payback period of less than 5 years.

Currently we are charging $450 per patient per scan, but with the new CT scanner we will be able to acquire $600 per patient per scan. The new annual net income would be $600,000, this will be a $420,000 profit from the current annual net income.

Service Effects:

The installation of the Aquilion One 640 CT Scanner can improve the quality of care substantially. The vast array of procedures in a timely manner benefits the patients and the health professionals. Diagnosing quicker gives the opportunity to treat patients with more accuracy and discharge them faster. This will place our facility at the top with our cutting edge technology and ahead of the surrounding facilities. The Adaptive Diagnostic Clinical Solutions and AIDR 3D simplifies workflow ensuring quality results for complex scanning situations.

Pediatric benefits are lower doses of radiation on such a small body mass. The 60 sec scan eliminates the need to sedate the patients. Also the improved timing of diagnosis prevents the need for more extensive services because the problem was caught in time.

The benefits for bariatric patients is the wider opening which reduces likelihood for claustrophobia and cutting down on variable costs. The technicians will be able to position the patient more freely without strain. The machine is able to perform EMR, HIE, and HER no matter what the weight of the patient is.

The Aquilion One 640 CT Scanner will increase revenue, quality, and community recognition. The features that are offered with the machine will be widely appreciated by the staff and the community. The goal with this new scanner is to provide innovative service and acquire more physicians to work here.

Reference

"Radiation Dose in X-Ray and CT Exams." RadiologyInfo.org. N.p., 2016. Web. 28 Apr. 2016.

Toshiba Leading Innovation. N.p., 2016. Web. 28 Apr. 2016. Path: Products; Aquilion One

Family.

"Toshiba Releases 640-Slice CT Scanner." DAIC. Ed. Melinda Taschetta-Millane, Dave Fornell,

and Jeff Zagoudis. N.p., 10 Jan. 2013. Web. 28 Apr. 2016.

"Toshiba Unveils Aquilion ONE ViSION Edition CT Scanner." MedGadget. N.p., 3 Dec. 2012. Web. 28 Apr. 2016.

"Used GE Bright Speed 16ct scanner." DotMed. N.p., 2016. Web. 28 Apr. 2016.