Venice
Family Clinic
Budget
Department
•provides comprehensive care to
many patients across California with
locations in multiples cities to best
serve the population including :
•Children
•Adults
•The elderly
•Various Departments:
•laboratory testing,
comprehensive physical exams,
diagnostic testing, treatment
and education
Financial
Condition
•In 2021 the Venice Family Clinic provided
comprehensive care to almost 120,000 individuals in
the South Bay, California area.
•81,000 patients were seen in the adult primary
care department
•Venice Family Clinic established a revenue of
$63,197,330 in 2020, an increase from $58,607,628
the year prior (Annual, 2021).
•Available free cash at the end of 2021 was
$13,567,506 per annual report
•$ 3,489,064 profit for the year 2020
Healthcare Trends
•Modern healthcare trend is the use of Telehealth and virtual visits for patients during the COVID-19 pandemic
(2022 Healthcare, 2022).
•Another healthcare trend that has been trending is the reimbursement of medical payments to facilities based
on a value-based system (2022 Healthcare, 2022)
•. Value-based system work to place an emphasis on the best quality of care and optimizing patient outcomes while
minimizing healthcare costs (2022 Healthcare, 2022). This system awards reimbursement to healthcare facilities
based on the quality of care received, not for the quantity of care received.).
Proposal Item
•The proposed initiative is to enlist
interpreter services within the Venice
Family Clinic
•Mission &values: The Venice Family
Clinic’s mission is to provide quality
healthcare to those in need
•The clinic values change and
adaptation to meet the needs of
the patient population
Organizational Strategic Goals
•Goals: our mission and vision revolve around providing our
community with the most comprehensive, quality care
(Venice, 2022)
•The clinic was founded in the 1970’s and has continued to grow
to serve more and more patients across Western California as our
clinics expand (Venice, 2022)
•In order to bring in more patients, while maximizing patient care
interpreters are needed to bridge the gap between English
speaking staff and migrant patients who do not speak English
O
•O 1: S , created
AMN
•O 2: I person interpret
open
•O 3: T I
S telephone
Financial Research
•Option 1: stratus video interpreters:
•Stratus will provide free iPad’s when a company purchases their system for interpretation. This system
comes at a $5,000 instillation fee with a $30 monthly fee for a 6-physician practice like the adult primary
care department here at Venice Family Clinic (Video, 2022).
•175 different languages available starting at $30/ month
•Cost less than in person interpreters who may only speak one or two languages.
Financial Research
•Option 2: In-person healthcare interpreters
•Depending on the individual’s skill set, number of languages, and experience interpreters can range from
$33 to $133 per hour (Bischoff, 2004).
•With the clinic being open about 57 hours per week this would place the cost at an average of $4731 per
week or about $250,000 per year.
•In person interpreters are the most expensive however are the most effective in accurately
communication/ translating information
Financial Research
•Option 3: telephone interpreters
•varying price depending on usage, costs
the least for services to be installed due to
just needing a telephone that is
operational. Cost is between $1.50 and $3
per minute.
•Additional costs may be associated with
purchasing more telephone’s to be in
clinic exam rooms to be easily accessible
for interpreter usage at the bedside
Organizational Resources
•Stratus video interpreting
•Human resources : Staff already present can be educated on use of the Stratus device, no new hired staff required.
Current IT staff will manage the system and update the system as needed.
•Equipment: The resources needed for this option would include staff education for use of this technology. The
technology is easy to use but staff must still be provided with an Inservice on the workings of the system and how to
access the multitude of languages. iPad’s will be given for free with purchase of the system, but the clinic will be
responsible for protective cases and platforms/ poles for the iPad’s to be attached to and used.
Communication
•Staff training:
•Email’s to notify staff of
the new system
•In service meetings with
Stratus representative
•Open-communication
between staff and
management to assess
efficacy of these
interpreters within the
department
Statements
•Of the 166,000 visits each year the clinic sees its highest revenue from the adult primary care department with
about 135,000 visits each year to this department with 36% of these patients speaking Spanish as their
primary language (Annual, 2022).
•A balance sheet was used to determine the ratio of hospital expenses (liabilities) and revenue (assets) over the
past few quarters to determine the amount of money available for this proposal.
•After reviewing the clinics statement of financial position there is a $52,250,669 difference between the company's
assets and their liabilities (Annual, 2022). The clinic’s consolidation statement of activities reports that $28,694,912
was made in revenue for the year 2021 from reimbursement of patient services provided (Annual, 2022).
•Cash flows reports that at the end of 2021 the clinic had $13,567,506 in cash or cash equivalents (Venice, 2022) .
Expenses
•Purchase of software
•$5,000 installation
•Monthly premium starting at $30/ month
•In person interpreters
•Salary for healthcare interpreters present in the clinic
•Pagers for staff to notify interpreters when services are necessary
•Telephone interpreters
•$1.50 to $3.00 per minute
•Cost to purchase dual headed telephones to facilitate telephone
interpretation
Reasoning
•The Venice Family Clinic provides care to a melting pot of
cultures and patients who do not speak English
•Interpreters decrease errors or adverse patient outcomes which
in turn decrease malpractice lawsuits and legal fees
•Better patient outcomes and increased reimbursement
•Use of interpreter services is a service that is able to be billed to
the patient or their insurance company
Ratio’s and
Calculations
•Return of Investment: When interpreters are
utilized patients have a deeper understanding of their
care plan and are more likely to comply with their
regimen, which in turn prevents returned visits
(Bischoff, 2004).
•when interpreters were utilized, there was a
17% decrease in return visits to the Emergency
Room which decreases healthcare spending
(Bischoff, 2004).
•Free cash flow: After implementing the video
interpreting devices, which cost roughly $5,400 to
initiate will leave a $13,562,106 in free cash flow of
the clinic’s available cash.
•$13,567,506- $5,400= $13,562,106
Short Term Impact
•In the short term the proposed initiative will
bring increased financial spending to the
estimated cost of $5,600.
•The cost to install the software is $5,000
and the service starts at thirty dollars per
month based on usage (Stratus, 2022).
The cost of the initiative will impact
spending and expenses on financial
statements but will have a direct impact
on patient care for the lifetime of the
clinic
Long Term
Impact
•Increased revenue by:
•Increasing number of
patients
•Billing for interpreter services
•Improving reimbursement
by improving patient
outcomes
•Decreased spending associated
with legal fees and malpractice
suits
•Improves the quality of care
provided to patients in our
community
Cost- Benefit
•The clinic may choose to hire one in person interpreter as well as purchase the stratus software to have
available for all other languages or utilize solely the Stratus video interpreter software.
•benefit the adult primary care department by increasing the number of patients receiving care, improving patient care
which in turn increases care reimbursement, and decreasing malpractice lawsuits (Stratus, 2022).
•The clinic will receive better reviews from patients and
insurance companies
•Increases government grants/ funding as well as incentives
Strategic Planning
1. Research on types of interpreter software
2. Include interpreter software into budget and assess for
impact on financial statements
3. Email staff about implementation and mandatory staff in-
service
4. Provide in-service with representative from Stratus video
5. Enlist the initiative in the adult primary care department
6. Give surveys to staff as well as patients to determine
usefulness and satisfaction with the service
Conflict
•Con: increase in short term expenses
•Vision statement: to improve the health of people and the community through accessible, quality care (Venice,
2022).
•The community this clinic serves is a community of migrants who are not fluent in English. How can we provide them
with accessible, quality care if we cannot even communicate with them? Interpreters are the vital part in the patient and
provider relationship. Use of interpreters improve patient outcomes, promotes health, and advance the company’s vision.
References
•Bischoff, Alexander & Loutan, Louis. (2004). Interpreting in Swiss hospitals. Interpreting. 6. 181-204. 10.1075/intp.6.2.04bis.
•Stratus video interpreting addresses high cost of language barriers in healthcare-says standardized interpretation reduces risk of
malpractice, improves patient care. Stratus Video Interpreting Addresses High Cost of Language Barriers In Healthcare-
Says Standardized Interpretation Reduces Risk Of Malpractice Improves Patient Care. (n.d.). Retrieved June 23, 2022,
from https://www.healthitoutcomes.com/doc/stratus-video-interpreting-addresses-high-cost-of-language-barriers-0001
•Venice Family Clinic. (2021, January 30). Retrieved May 26, 2022, from https://venicefamilyclinic.org/
•Video remote interpreting language services: Amn Healthcare. Video Remote Interpreting Language Services | AMN Healthcare.
(n.d.). Retrieved June 23, 2022, from https://www.amnhealthcare.com/technology/virtual-care/language-services/
