Brilliant Answer 87

MENTAL HEALTH EXPANSION BUSINESS PLAN 3

Group 3

Executive Summary

With more than 50 years in the mental health industry, Dover Community Mental Healthcare has an excellent reputation for serving patients and providing services to Tuscarawas and Carroll counties. Dover Community Mental Healthcare offers behavioral health services, including counseling, psychiatry, substance abuse treatment, 24/7 crisis intervention, case management, day treatment, and school-based counseling (Dover CMH, 2021). At Dover Community Mental Healthcare, the mission of Community Mental Healthcare, Inc. is to provide high-quality, integrated healthcare services, including behavioral health services, substance abuse services, and primary care services, to consumers and agencies in Tuscarawas and Carroll Counties. The mission shall be accomplished by providing a broad range of cost-effective community-based treatment, recovery, and crisis intervention services that promote individual well-being (Dover CMH, 2021). Dover Community Mental Healthcare accepts Medicare, Medicaid, and private insurance and offers a sliding scale for patients. Presented is a business plan template to expand the mental health/substance abuse programs to include inpatient, long-term treatment stays for up to 180 days per stay, per patient.

Market Analysis

Economic principles relate to investment in the expansion of mental health/substance abuse services in three ways: macro-and microeconomic implications of market competition, the mental health services currently provided within a 25-mile radius of the organization, and the expanded provisions of the Affordable Care Act (ACA). Macroeconomics deals with the expansion on a much larger scale. For example, decisions made by the government are considered macroeconomic implications of market competition. Microeconomics deals with single factors, such as the decisions of Dover Community Mental Healthcare, according to Merriam-Webster (2016). One macroeconomic implication of market competition would be highways being built on or through this business. One microeconomic implication of market competition would be what services are offered at this organization. The mental health/substance abuse services that are currently provided within a 25-mile radius include counseling, drug and alcohol treatment programs, social work, and psychiatric services, according to a basic Google Maps search.

Loecker et al., (2020) states “In the absence of competition, firms gain market power and command high prices. This has implications for welfare and resource allocation. In addition to lowering consumer well-being, market power decreases the demand for labor and dampens investment in capital, it distorts the distribution of economic rents, and it discourages business dynamics and innovation. This has ramifications for policy, from antitrust to monetary policy and income redistribution.”

The Affordable Care Act (ACA) provisions for health care organizations and mental health and substance abuse programs included expansion of comprehensive private health insurance and Medicaid (Nami, 2020). By offering this expansion, people have seen a dramatic increase in mental health. The provisions of the Affordable Care Act (ACA) are as follows but are not limited to expanding Medicaid, made insurance more affordable to obtain through the marketplace, extended coverage for young adults, ended discrimination against people with pre-existing conditions, required coverage of mental health care, and extended parity protections (Nami, 2020).

In conclusion, macroeconomics has had the most significant impact on mental health expansions. The Affordable Care Act has been so influential when it comes to mental health. The market competition includes many of the same services within a 25-mile radius; however, this has little impact on the organization Dover Community Mental Healthcare. Health care administrators are also known as health service managers who direct operations in medical facilities and improve quality health services (Ansa et al., 2020). They do not directly treat patients daily but are involved in developing plans for various healthcare initiatives for a community because they ensure the mental well-being of the population. 

Type of Service (Model) Provision and Rationale 

A model mental health business plan that could be beneficial would be an optimal mixed service model. When we say optimal mixed service, it is a way of mixing informal and formal work. Casual jobs can include community groups, schools are religious structures but are overseen by routine appointments by professionals such as primary care wards, licensed mental health facilities, long-term psychiatric facilities, and large general hospitals. This combination or partnership ensures that the service will remain in the cognitive structure and the environment or the state of life of consumers. Population-level health promotion interventions can be necessary in improving mental health literacy by helping people recognize problems or illnesses, increasing their knowledge of the causes of disorders and options for dealing with them. treatment, and informing them of where to go for help.

Potential Marketing competition for this model may include: 

 1. Intense Personnel Competition.

 2. Competition for funding which clients or customers expect to have an organized service.

3. The primary feature of the health market (what makes your service model unique).

4. Future Research and Benefits (what makes this model work in the long run).

Ethical Issues

The success of a mental health service facility is mainly based on the establishment of individual care plans and treatment, which is important for the patient's general health and wellbeing of the patient. In this approach, Collaborative Care Model is the most appropriate model for the mental health service facility as it offers robust support for the recommended treatment. It indicates the possible outcomes based on continued research and new funding processes (Psychiatric Online, 2016). The utilization of this model in the mental health setting tends to aid in the identification of possible underlying issues that a patient may be suffering from. Moreover, this model also tends to allow psychiatrists to be part of the health care team, which ensures that the clients are offered satisfactory services in alignment with their personal needs, which promotes their general health and wellbeing.

The emphasis of a psychiatrist in this model promotes well-coordinated care, which aims to meet the needs of the patient. Communication among the health care professionals is more effective hence promoting positive mental health for the patient population (Psychiatric Online, 2016). Additionally, it is essential to input prescribing guidelines and point out the significant issues impacting mental health to develop practical solutions that promote successful mental health services. Fundamentally, the Collaborative Care Model will ensure the mental health service facility focuses on patient satisfaction, health services accessibility, and promotion of patient-doctor relationship to promote a more proactive mental disorder management.

On the other hand, having a psychiatrist tends to be quite essential as it contributes to the elimination of barriers and gaps such as convenience and cost, among others experienced during the offsite referrals. The organization tends to face potential competition from other mental health facilities. Thus, to ensure it remains competitive, the organization needs to foster established alliances and relationships within the mental health service facility. Additionally, constantly improving the health care provider performance and improving community awareness is necessary for the expansion plan. Fundamentally, understanding how other mental health agencies operate regarding their strengths and weaknesses may offer the organization a competitive advantage over its competitors.

Financial Analysis

Mental health in recent years has increased while the decrease of professional and non-professional staff loom over an organization that provides the care for those in need, thus leading organizations to create a financial analysis for capital requirements, professional staff, and non-professional staff. Patient Protection and Affordable Care Act (ACA) has provided the mental health organization a guideline to ensure support for the organization. According to Zigrang (2018) “continue to drive ongoing changes in the structure and financial operation of any healthcare provider enterprises, likely resulting in an even further increase in the pace of hospital/physician practice integration/transactional activities, as well as an increase in the number of U.S. physicians who hospitals currently employ.” (p. 38-39)

Within the organization, the staff will be certified, with a ratio of 1 to 5 not to include the registered nurse or the medical assistant, with a minimum certified nursing assistant on the floor with a current cardiopulmonary resuscitation (CPR) this would for the non-professional staff that includes the kitchen, janitorial, active, and any office personnel. Financially the rooms will have their rates ranging from $2,000 to $3,000 with a care level would be a point system that would relate to the amount of cost top off at $4,000 for the highest level of care. The entire mental health ward would have only 25 individuals to care for.

Certification

When it comes to certification, the organization must keep in mind. One or most all certificates will be guided by American Psychological Association (APA). Rosen, Washurn and Lilienfeld (2020) “APA develop standards for organizations that offer certification programs, as well as guidelines for practitioners who may consider applying for credentials, and these standards now provide guidance to other mental health associations and state licensing boards” (Rosen et al., 2020). (p. 547-548)

Certification for individuals comes from either schools or on-the-job training. Nursing certifications diversify from school to school. Reviewing the state of West Virginia, Gapp (2019) study has shown that nursing students are trained for cardiac crises through cardiopulmonary resuscitation (CPR) certification. Nursing students could be trained for mental health crises by being certified as Mental Health First Aid (MHFA) responders, increasing mental health literacy, and supporting those with mental health issues (Mor-gan et al., 2018) (p.373).

An organization’s physician must consider state or federal levels, and certification varies from state to state. According to Farrell, (2019) American Board of Medical Specialties (ABMS) “In 2007, the ABMS issued a policy for its member boards stating that each license is eligible for certification or recertification for a physician. A physician hold must be “current, full and unrestricted.” The policy created two exceptions to this requirement: Specialty boards may certify or recertify a physician with a restricted license if (1) certification would further a state medical board goal of physician rehabilitation provided the physician can practice within the limitations imposed by the medical board; and (2) the physician has unrestricted licenses in all the states in which the physician practices, those states are apprised of restrictions in other states and have concluded that the physician’s license should not be restricted. (p. 33-34)

Conclusion

In the ever-changing healthcare industry, healthcare organizations face countless challenges from both internal and external forces that include policies, budgets, certifications, technology, government oversight, staffing shortages, and cultural and ethical concerns that have impacted every healthcare organization worldwide. One way to combat these challenges is to create an expansion business plan. As seen throughout this review, the expansion business plans address market analysis, type of service and rationale, ethical issues, financial analysis, and certifications.

These topics ensure the framework in which an organization will either be successful or a failure; nevertheless, mental health is an increasing concern worldwide since it impacts individuals differently, thus preventing the one fits all plans. Health care will continue to face challenges; however, there will be a day that quality of care will overcome profits, thus genuinely making an organization successful until then, having an expansion business plan will guide those in this industry.

References

Ansa, B. E., Zechariah, S., Gates, A. M., Johnson, S. W., Heboyan, V., & De Leo, G. (2020, September). Attitudes and behavior towards interprofessional collaboration among healthcare professionals in a large academic medical center. In Healthcare (Vol. 8, No. 3, p. 323). Multidisciplinary Digital Publishing Institute.

Dover CMH. (2021). Quality Person-Centered Services. Retrieved from https://cmhdover.org/about-us.

Farrell, M. L. (2019). The Effect of State Medical Board Action on ABMS Specialty Board Certification. Journal of Medical Regulation, 105(2), 33–41. https://doi-org.ezp.waldenulibrary.org/10.30770/2572-1852-105.2.33

Gapp, D. (2019). Implementing Mental Health First Aid and Certification in the Nursing Program. The Journal of Nursing Education, 58(6), 373. https://doi-org.ezp.waldenulibrary.org/10.3928/01484834-20190521-12

Livingston, J. D. (2021). A Framework for Assessing Structural Stigma in Health-Care Contexts for People with Mental Health and Substance Use Issues.

Loecker, J., Eeckhout, J., Unger, G. (2020). The Rise of Market Power and the Macroeconomic Implications, The Quarterly Journal of Economics, Volume 135, Issue 2, Pages 561–644, https://doi.org/10.1093/qje/qjz041

Merriam-Webster. (2016). The Merriam-Webster Dictionary. Merriam-Webster.

Nami. (n.d.). Issue brief what the Affordable Care Act has meant. Retrieved from https://nami.org/Support-Education/Publications-Reports/Public-Policy-Reports/What-the-Affordable-Care-Act-Has-Meant-for-People-with-Mental-Health-Conditions-What-Could-Be-Lost/NAMI_IssueBrief_ACA_11-10-20.

Rishel, C. W., & Hartnett, H. P. (2019). Preparing the Workforce to Prevent Behavioral Health Problems in Children and Youth. Journal of Teaching in Social Work, 39(1), 2–22.

Rosen, G. M., Washburn, J. J., & Lilienfeld, S. O. (2020). Specialty certifications for mental health practitioners: A cautionary case study. Professional Psychology: Research & Practice, 51(6), 545–549. https://doi-org.ezp.waldenulibrary.org/10.1037/pro0000324

Shidhaye, R., Lund, C., & Chisholm, D. (2016). Health Care Platform Interventions. In V. Patel (Eds.) et. al., Mental, Neurological, and Substance Use Disorders: Disease Control Priorities, Third Edition (Volume 4). The International Bank for Reconstruction and Development / The World Bank. doi: 10.1596/978-1-4648-0426-7_ch11

World Health Organization (WHO). (2003). The Optimal Mix of Service for Mental Health. Retrieved from: https://www.who.int/mental_health/policy/services/2_Optimal%20Mix%20of%20Service s_Infosheet.pdf

Zigrang, T. A. (2018). The Due Diligence Imperative: Healthcare Regulatory Environment. Value Examiner, 38–41.