Mm week 6

1

Operational Analysis Review Form

Administrative Information

New Healthcare Program Homeless Health Access and Care Coordination Program

(HHACCP)

Agency Sponsor for this New Healthcare Program Largest Regional Healthcare System Leadership Team

Date of Sponsor’s Operational Analysis June 2026

1. Vision Statement The strategic plan for this new healthcare service aims to further the following organizational vision:

Our vision is to build a community where everyone, no matter their housing situation, gets the quality healthcare they need, even if they don't have insurance.

2. Mission Statement The mission of ___ Homeless Health Access and Care Coordination Program _____________________ is to:

help the uninsured and underinsured homeless folks by offering them primary care, preventive services, and mental health support. We coordinate with community groups to cut down healthcare inequalities and boost well-being in the long run.

3. Identify 3 potential strategic goals/directions to guide development of your strategic plan.

Proposed strategic goal/direction 1: We want to make healthcare more accessible for homeless people by running

mobile clinics and getting out there in the community

Proposed strategic goal/direction 2: Lower needless trips to the ER and cut hospital readmissions through careful

case management

2

Proposed strategic goal/direction 3: To enhance overall health by blending physical, mental health services with

social support.

4. Program Description

Provide a brief summary of the planned new healthcare program and a description of the business processes it supports.

The Homeless Health Access and Care Coordination Program is designed to offer thorough healthcare services to uninsured and

underinsured homeless folks. It includes primary care, managing chronic illnesses, mental health counseling, and help for

substance abuse. Plus, there are preventive screenings and vaccinations. To make things more accessible, mobile healthcare units

and shelter collaborations are part of the plan. This supports our organization's aims by boosting community health, cutting down

on uncompensated care costs, and tackling healthcare inequalities for those who need help most.

5. Customer Satisfaction

5a. Identify the end-users of the investment in this new healthcare program.

• Uninsured and underinsured homeless individuals

• Community shelters and outreach organizations

• Healthcare providers and case managers

• Community stakeholders

5b. Briefly describe the process used to assess end-user/customer satisfaction (i.e., decreased ED

usage, improve primary care access, satisfaction surveys, etc.)

For customer satisfaction, we'll use patient surveys, follow-up talks, and look at healthcare usage data. We also check for ER visit drops, better primary care access, and how well patients stick to their appointments. Reviews will happen often to see where we can get better.

6. Strategic Goals

6a. How does the investment in this new healthcare program support to the Organization’s strategic goals?

This program fits right in with our goals for community health, managing population health, aiming for health equity, and cutting unnecessary medical expenses. It backs up our dedication to helping the community.

3

6b. How could this investment be combined with others to better meet the Organization’s

strategic goals?

We can blend it with telehealth, community health projects, housing help, and mental health programs. By putting these together, we tackle health issues along with the social factors that affect wellness.

6c. Discuss any potential risks associated with this new healthcare program.

However, there are some risks. Funding might be tight, and finding enough staff could be tough. Getting patients involved isn't always easy either. Plus, there's the issue of transportation and keeping continuous care. On top of that, following all the rules and sharing info between groups could be troublesome.

7. Financial Performance

7a. Discuss any budgetary constraints/issues associated with this new healthcare

program and how they will be managed.

The program could run into issues with startup costs, staffing, mobile clinic expenses, tech

investments, and keeping services going. To handle this, planners will seek grants,

donations, government aid, and help from community groups for support.

7b. What is the potential for unexpected costs, cost savings, or cost avoidance?

Unexpected costs might pop up, like higher-than-expected service needs or having to

replace equipment sooner. On the flip side, there'll likely be savings from lowering

emergency department visits, preventing unnecessary hospital stays, and cutting down on

unpaid care. Managing chronic illnesses better should also help reduce big picture health

care costs.

8. Technological Considerations

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.

4

For their study, the organization looked into telehealth, remote monitoring, mobile health

apps, and electronic care coordination systems to either replace or supplement face-to-face

visits (Mathew et al., 2023). These can boost access and keep care flowing smoothly.

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.

To pull this off, they need to integrate electronic health records across all sites, enhance

data sharing, set up mobile documentation, add strong cybersecurity measures, and make

sure staff is well trained. This way, they can deliver that all-important coordinated care.

9. Operational Analysis

Discuss availability, reliability, and maintainability for each component.

9a. Administrative support

Availability: A dedicated leadership team, program managers, and support staff are in place.

Reliability: A strong organizational structure helps programs run smoothly.

Maintainability: Regular staff training and quality improvement efforts support long-term

success.

9b. Financial support

Availability: Funding comes from the healthcare system, grants, and community

partnerships.

Reliability: Multiple funding sources provide greater financial stability.

Maintainability: Routine budget reviews and performance assessments help sustain funding.

9c. Legal consideration

Availability: Legal and compliance teams are available to guide operations.

Reliability: Established policies help ensure regulatory and privacy compliance.

Maintainability: Regular policy reviews and audits keep the program legally sound.

5

9d. Clinical activities

Availability: A diverse team of healthcare professionals supports patient care.

Reliability: Evidence-based practices promote consistent, high-quality services.

Maintainability: Continuous training and workforce planning help maintain clinical excellence.

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.

10a. Administrative Policy

Evidence of Structural Discrimination: No

Rationale: Administrative policies are designed to ensure that everyone can access services

fairly, regardless of their housing situation, income level, insurance status, or

background.

10b. Financial Policy

Evidence of Structural Discrimination: Yes

Rationale: Individuals without insurance or stable financial resources may face challenges

accessing care. Expanding financial assistance programs and flexible payment options

can help reduce these barriers.

10c. Legal Policy

Evidence of Structural Discrimination: No

Rationale: Legal policies focus on protecting patient privacy, rights, and fair treatment,

helping create an environment where all individuals receive equal consideration

10d. Clinical Policy

6

Evidence of Structural Discrimination: Yes

Rationale: Traditional appointment systems may not work well for people experiencing

homelessness or unstable living conditions. More flexible approaches, such as walk-in

services and community outreach, can improve access to care.

Reference

Mathew, S., Fitts, M. S., Liddle, Z., Bourke, L., Campbell, N., Murakami-Gold, L., ... & Wakerman, J. (2023). Telehealth in remote Australia: a supplementary tool or an alternative model of care replacing face-to-face consultations?. BMC Health Services Research, 23(1), 341. https://link.springer.com/content/pdf/10.1186/s12913-023-09265-2.pdf

1

Operational Analysis Review Form

Administrative Information

New Healthcare Program Homeless Health Access and Care Coordination Program

(HHACCP)

Agency Sponsor for this New Healthcare Program Largest Regional Healthcare System Leadership Team

Date of Sponsor’s Operational Analysis June 2026

1. Vision Statement The strategic plan for this new healthcare service aims to further the following organizational vision:

Our vision is to build a community where everyone, no matter their housing situation, gets the quality healthcare they need, even if they don't have insurance.

2. Mission Statement The mission of ___ Homeless Health Access and Care Coordination Program _____________________ is to:

help the uninsured and underinsured homeless folks by offering them primary care, preventive services, and mental health support. We coordinate with community groups to cut down healthcare inequalities and boost well-being in the long run.

3. Identify 3 potential strategic goals/directions to guide development of your strategic plan.

Proposed strategic goal/direction 1: We want to make healthcare more accessible for homeless people by running

mobile clinics and getting out there in the community

Proposed strategic goal/direction 2: Lower needless trips to the ER and cut hospital readmissions through careful

case management

2

Proposed strategic goal/direction 3: To enhance overall health by blending physical, mental health services with

social support.

4. Program Description

Provide a brief summary of the planned new healthcare program and a description of the business processes it supports.

The Homeless Health Access and Care Coordination Program is designed to offer thorough healthcare services to uninsured and

underinsured homeless folks. It includes primary care, managing chronic illnesses, mental health counseling, and help for

substance abuse. Plus, there are preventive screenings and vaccinations. To make things more accessible, mobile healthcare units

and shelter collaborations are part of the plan. This supports our organization's aims by boosting community health, cutting down

on uncompensated care costs, and tackling healthcare inequalities for those who need help most.

5. Customer Satisfaction

5a. Identify the end-users of the investment in this new healthcare program.

• Uninsured and underinsured homeless individuals

• Community shelters and outreach organizations

• Healthcare providers and case managers

• Community stakeholders

5b. Briefly describe the process used to assess end-user/customer satisfaction (i.e., decreased ED

usage, improve primary care access, satisfaction surveys, etc.)

For customer satisfaction, we'll use patient surveys, follow-up talks, and look at healthcare usage data. We also check for ER visit drops, better primary care access, and how well patients stick to their appointments. Reviews will happen often to see where we can get better.

6. Strategic Goals

6a. How does the investment in this new healthcare program support to the Organization’s strategic goals?

This program fits right in with our goals for community health, managing population health, aiming for health equity, and cutting unnecessary medical expenses. It backs up our dedication to helping the community.

3

6b. How could this investment be combined with others to better meet the Organization’s

strategic goals?

We can blend it with telehealth, community health projects, housing help, and mental health programs. By putting these together, we tackle health issues along with the social factors that affect wellness.

6c. Discuss any potential risks associated with this new healthcare program.

However, there are some risks. Funding might be tight, and finding enough staff could be tough. Getting patients involved isn't always easy either. Plus, there's the issue of transportation and keeping continuous care. On top of that, following all the rules and sharing info between groups could be troublesome.

7. Financial Performance

7a. Discuss any budgetary constraints/issues associated with this new healthcare

program and how they will be managed.

The program could run into issues with startup costs, staffing, mobile clinic expenses, tech

investments, and keeping services going. To handle this, planners will seek grants,

donations, government aid, and help from community groups for support.

7b. What is the potential for unexpected costs, cost savings, or cost avoidance?

Unexpected costs might pop up, like higher-than-expected service needs or having to

replace equipment sooner. On the flip side, there'll likely be savings from lowering

emergency department visits, preventing unnecessary hospital stays, and cutting down on

unpaid care. Managing chronic illnesses better should also help reduce big picture health

care costs.

8. Technological Considerations

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.

4

For their study, the organization looked into telehealth, remote monitoring, mobile health

apps, and electronic care coordination systems to either replace or supplement face-to-face

visits (Mathew et al., 2023). These can boost access and keep care flowing smoothly.

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.

To pull this off, they need to integrate electronic health records across all sites, enhance

data sharing, set up mobile documentation, add strong cybersecurity measures, and make

sure staff is well trained. This way, they can deliver that all-important coordinated care.

9. Operational Analysis

Discuss availability, reliability, and maintainability for each component.

9a. Administrative support

Availability: A dedicated leadership team, program managers, and support staff are in place.

Reliability: A strong organizational structure helps programs run smoothly.

Maintainability: Regular staff training and quality improvement efforts support long-term

success.

9b. Financial support

Availability: Funding comes from the healthcare system, grants, and community

partnerships.

Reliability: Multiple funding sources provide greater financial stability.

Maintainability: Routine budget reviews and performance assessments help sustain funding.

9c. Legal consideration

Availability: Legal and compliance teams are available to guide operations.

Reliability: Established policies help ensure regulatory and privacy compliance.

Maintainability: Regular policy reviews and audits keep the program legally sound.

5

9d. Clinical activities

Availability: A diverse team of healthcare professionals supports patient care.

Reliability: Evidence-based practices promote consistent, high-quality services.

Maintainability: Continuous training and workforce planning help maintain clinical excellence.

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.

10a. Administrative Policy

Evidence of Structural Discrimination: No

Rationale: Administrative policies are designed to ensure that everyone can access services

fairly, regardless of their housing situation, income level, insurance status, or

background.

10b. Financial Policy

Evidence of Structural Discrimination: Yes

Rationale: Individuals without insurance or stable financial resources may face challenges

accessing care. Expanding financial assistance programs and flexible payment options

can help reduce these barriers.

10c. Legal Policy

Evidence of Structural Discrimination: No

Rationale: Legal policies focus on protecting patient privacy, rights, and fair treatment,

helping create an environment where all individuals receive equal consideration

10d. Clinical Policy

6

Evidence of Structural Discrimination: Yes

Rationale: Traditional appointment systems may not work well for people experiencing

homelessness or unstable living conditions. More flexible approaches, such as walk-in

services and community outreach, can improve access to care.

Reference

Mathew, S., Fitts, M. S., Liddle, Z., Bourke, L., Campbell, N., Murakami-Gold, L., ... & Wakerman, J. (2023). Telehealth in remote Australia: a supplementary tool or an alternative model of care replacing face-to-face consultations?. BMC Health Services Research, 23(1), 341. https://link.springer.com/content/pdf/10.1186/s12913-023-09265-2.pdf