Healthcare Issue Project-business proposal

In HCAD-515 you have developed a business proposal in which you have identified a healthcare-related problem or opportunity facing your organization. Now in HCAD 590 Healthcare Administration Capstone Project, you will continue to expand on the identification of the Issue and incorporate solutions through research gathered from six of the courses in your Masters of Business in Healthcare Studies and outside research.Based upon this research you will identify a second potential solution.Both solutions will then be evaluated and a preferred solution determined and supported.You will conclude your project with lessons learned in a separate assignment – 6.2 Report (Capstone Project) and Personal Growth and Development.Instructions and other documents attached.
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Running head: FINAL PROPOSAL
Final Proposal
Indiana Wesleyan University
Instructor: Nader Eskander
October 19, 2017
I have read and understand the plagiarism policy as outlined in the syllabus and the sections in
the Student Catalog relating to the IWU Honesty/Cheating Policy. By affixing this statement to
the page of my paper, I certify that I have not cheated or plagiarized in the process of completing
this assignment. If it is found that cheating and/or plagiarism did take place in the writing of this
paper, I understand the possible consequences of the act/s, which could include expulsion from
Indiana Wesleyan University
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FINAL PROPOSAL
INTRODUCTION
This document is going to present an Information Technology Solutions Plan prepared
just for Changes Home Health Care. Bearing in mind the desires for a better and consistent
communication system in other for the staff (Primary Care Assistants, LPNs, CNAs, RNs, HHA,
and Clients) to review the information. This paper involves Executive Summary, Problem
Statement, Organizational Background, Goals and Objectives, Methodology, Evaluation Section,
Sustainability, and Budget.
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FINAL PROPOSAL
Executive Summary
Changes offer an exclusive home health care and some limited community-based social
services. The study indicates that there is an important need for quality home health care and
social services and we believe that by employing competent and well-educated staff and
providing them with organized and responsive management. As more long-term care is provided
at home and in the community, rather than institutions, dependence on family and informal
caregivers grows.
Organization Background and Problem Statements
Changes Home Health Care is the name of the Healthcare organization Iâ??ve worked with
for the last two (2) years. Changes came into being in 2011 when Rae Lee Woodall and Sandi
Sarjent realize that their goal was to provide the best possible home care services, the kind of
care that they would give to their loved ones. Changes Home Health Care isnâ??t just business but
truly personal. After seeking quality home care services for their friends and own families, Rae
Lee and Sandi were inspired to fill the need in their unique way. Now, the company is proud to
provide skilled, committed, trustworthy, compassionate care to the Central Indiana community.
The Mission of the organization is that we are committed to providing high quality,
client-centered, affordable home care services to our clients to assist them with leading dignified,
independent lives in the comfort and safety of their own homes. Being a world-class health
organization in your local community that does the right thing, at the right time, the right way
for the right reason. The organization is being an honorable and trusted employer that celebrates
excellent quality outcomes through innovative, customer-focused services. Caring people make
the difference at Changes Home Healthcare. You can experience it the minute you walk into our
FINAL PROPOSAL
4
office and meet our staff. We have experts on our team who are not just doing a job but
following a calling.
We serve all genders, all populations and all ages in Central Indiana area and its
surroundings. Compassion, Accountability, Relationships, and Excellence are the core values for
Changes Home Health Care. These values provide the framework for all our relationships with
our customers, staff, family members and community at large.
Itâ??s how we live out our mission together. It is accomplished by possessing a genuine love for the
people we serve and for those who are serving alongside us. Itâ??s not just a job, but a calling, a
purpose, a way to become fully alive as we each choose to live a life dedicated to serving others.
Changes focus on treating individuals with kindness, empathy, respect, building and maintaining
positive relationships through common purpose and open communication. The Care Specialists
provide services in the comfort and privacy of your own home. You can choose your schedule:
whether you need a two-hour visit, round-the-clock care, or anything in between, Changes Home
Health Care is ready to help.
Changes Home Health Care is involved in the following Making/changing beds,
organizing, shopping, and reading mail, washing dishes, sweeping/ vacuuming, laundry, meal
preparation, running errands (prescription pick up, dry cleaning, etc.), assistance with pet care.
Entertaining (games, reading, crafts), helping keep client in contact with family and friends
Bathing and grooming assistance, dressing/undressing, assistance with urinals, bedpans, and
commodes, Alzheimerâ??s care, fall prevention, providing transfer assistance and preparing meals
and feeding. Providing the best service and outcomes possible by going above and beyond to
exceed our customersâ?? expectations. As a trusted provider of home care services for the
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FINAL PROPOSAL
community, we pride ourselves on delivering high-quality, client-centered care for seniors and
adults with disabilities.
Sustainability
In general, a nonprofit organization is an organization that has been formed by a group of
people in order “to pursue a common not-for-profit goal,” that is, to pursue a stated goal without
the intention of distributing excess revenue to members or leaders. It is dedicated to furthering a
cause or advocating for a particular point of view. A nonprofit organization uses its extra profits
to achieve its purpose or mission, rather than distributing its surplus income to the organization’s
shareholders as profit or dividends.
Changes Home Health Care is a non-profit. Being a world-class health organization in
your local community that does the right thing, at the right time, the right way for the right
reason. The organization is being an honorable and trusted employer that celebrates excellent
quality outcomes through innovative, customer-focused services. Caring people make the
difference at Changes Home Health Care. You can experience it the minute you walk into our
office and meet our staff. We have experts on our team who are not just doing a job but
following a calling. We serve all genders, all populations and all ages in Central Indiana area and
its surroundings. Compassion, Accountability, Relationships, and Excellence are the core values
for Changes Home Health Care. These values provide the framework for all our relationships
with our customers, staff, family members and community at large. Itâ??s how they live out our
mission together. It is accomplished by possessing a genuine love for the people they serve and
for those who are serving.
FINAL PROPOSAL
6
Our long-term care is where they provide limited rehabilitation, restoration and ongoing
skilled nursing care to those patients or residents in need of assistance with activities of daily
living (ADL). Changes Homes Care has staff that works in various facilities including nursing
homes, rehabilitation facilities, behavioral health facilities, and long-term chronic care hospitals.
They also work with Hospice clients (people with life-limiting illnesses). The organizationâ??s
hospice care services are for adult patients with a wide range of life-limiting illnesses, including
cancer, stroke, heart disease, lung disease, liver disease, kidney disease, Alzheimerâ??s, and
Autism. We provide hospice care services wherever people with life-limiting illness reside and
could benefit from our care, including the patientsâ?? homes, hospice units or hospice care
facilities, hospitals, nursing homes, assisted living communities and residential care facilities.
The Home health care services are given in the homes for an illness or injury. Sometimes, it is
usually less expensive, more private and convenient, and just as real as the care you get in a
hospital or facility.
Some of the services provided are wound care, homemaker, bathing, grooming, and
feeding. The goal of home health care is to treat an illness or injury. Home health care helps you
get better, regain your independence, and become as self-sufficient as possible. Changes Home
Health Care staff are assigned and available 24 hours a day, seven days a week helping patients
and families to achieve their care goals, comfort, and relief. I envision. Servant leadership will
make my proposal sustainable in the real world because of the principles which include listening,
awareness, persuasion, conceptualization, foresight, commitment to the growth of people and
building the community.
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FINAL PROPOSAL
Goals
As Changes Home Health Care strives to improve the information system, we have certain
goals and objectives as indicated below.
â?¢ Increase the growth and strength of Changes Home Healthcare.
â?¢ Improve the quality and effectiveness of the home health care.
â?¢ Development the competencies of the healthcare and workforce.
â?¢ Increase the diversity and distribution of the health workforce and the ability of providers
to serve underserved populations and areas
â?¢ Enhance focus on health workforce assessment and policy analysis
â?¢ Increase understanding of what works in healthcare and public health practice to address
community needs
â?¢ Improve efficiency and effectiveness of operations
Objectives
To accomplish these goals, we will:
â?¢
Increase the number of healthcare access points to expand the availability of services to
underserved, disadvantaged, geographically isolated, and special needs populations.
â?¢
Provide technical assistance to the organization to ensure their operational health and
sustainability.
â?¢
Strengthen health care and related systems and networks through funding, policy
development, to build and support an effective service delivery.
FINAL PROPOSAL
â?¢
Provide technical assistance and other supports to providers and care systems to ensure that
persons served by Changes Home Health Care receive quality care through patient-/familycentered medical/health homes.
â?¢
Establish and evaluate learning and action collaborations among employees to advance
learning, enhance the quality of care, and achieve system-wide improvements.
â?¢
Support training and other activities that enhance the health workforceâ??s competency in
providing appropriate care.
â?¢
Support technical assistance, training, and other opportunities to help safety-net providers
expand, coordinate, and effectively use health information technology to support service
delivery and quality improvement.
â?¢
Develop ways to monitor clients and staff needs.
â?¢
Conduct training and expand other opportunities for team and individual competency
development to support a skilled workforce at all levels of the organization.
â?¢
Hold the staff or employees accountable for implementing meaningful and timely appraisal
processes, and recognize employee contributions toward achieving the companyâ??s goals.
â?¢
Staff to improve communication that strengthens program integrity.
â?¢
Promote timeliness by improving processes to respond to requests for information or
assistance.
â?¢
Expand the use of technology and other electronic tools to enhance communication
internally and externally.
8
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FINAL PROPOSAL
Methodology
Research methodology is essential in the project in that it does provide the research
design, Target population, sample size, sampling procedure, data collection and data analysis. In
this case, the project targets the home health care provider (Kothari & Garg, 2016). The primary
aim is to integrate the service with IT and achieve the objective outlined and ensure they can be a
reality.
Timeline
Milestone associated with IT in the health sector: The incorporation of IT in the area of
health has become a sensation that keeps on growing. The key importance that IT will be able to
achieve when incorporated in the health sector is one, documentation and tracing of a console
will be easy. Also, it will enhance diagnostic driven plan apart from smart scheduling (Wilson &
McEvoy, 2012). Additionally, it will strengthen automatic billing on the patients’ services and
improve transparency.
The resources needed for the full implementation of the IT include the creation of
software that is capable of handling all related medical cases and also give a valid feedback to
the users of the software. For the software to be a sufficient success funding is needed to ensure
the computers are available, internet connection is critical and ultimately getting the best
software in the market.
The users of the software will range among different users. The primary users will be the
doctor and the patients. The doctor will be able to input data regarding the patient’s signs and
symptoms. Then the prescription given will be relayed to the patients. Nurses will also use the
system in scheduling the medication to the patient further the billing will be processed through
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FINAL PROPOSAL
the system. The IT experts will be needed to be present at all times to ensure a smooth running of
the software.
Narrative Report
The report is going to undertake the quantitative approach. The reason as to why the
project will be using this method it is because the research is experimental. The inclusion of IT in
health is a new phenomenon as such constant observation is needed to ensure the move is safe.
The approach will involve several simulations, experiments and inferential statistics to ensure the
objective is attained with the inclusion of IT in the health sector.
The target population of the project will be two. One is the older adults; this is because
they need constant care and attention in matters relating to their health. Constant supervision
may sometimes prove to be tiresome the use of IT will go a long way in making the monitoring
process simpler. The second group is the patients they can be young or old they will medical
attention is a straightforward and efficient manner and this is made possible with the
advancement in the IT world.
The source of data will mainly be from the several statistics regarding health care and IT.
These data can be generated from the world health organization on matters regarding it in health
also studies carried out by the previous researcher exploring the use of IT in the field of health.
Data will also be gathered through the utilization of a questionnaire.
The graph below indicates a statistic done in the year 2014. The target was to find out the
people access to health-related IT products. (Health, gov, 2014)
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FINAL PROPOSAL
The data above indicates consumer uptake to IT products. The data shows a 50% increase
in usage of IT in 2014 compared to 2013. This impressive uptake shows the changing consumer
trends towards IT. The project is therefore of great importance in establishing what consumers
need and being able to meet the objective of the project.
Budget
Apparently, this is also known as the balance sheet and is a financial statement that shows
the relationship between the assets, liabilities, and equity. The balance sheet is only correct if the
total assets=total equity and Liabilities. Assets are divided into fixed or intangible assets and the
current assets. Fixed assets comprise of plants, buildings, equipment, furniture, land, motor
vehicles among others. (Rodriguez & Kaczmarek, 2016). The fixed assets are calculated regarding
their historical costs minus the accumulated depreciation or plus the revaluation gain to come up
with the net book value that is posted on the balance sheet. All fixed assets depreciate apart from
land, and thus there are various types of calculating depreciation such as the straight-line method
and the reducing balance method.
FINAL PROPOSAL
12
Current assets comprise of cash on hand, cash at bank, Inventory, and Debtors (Accounts
receivables) prepaid expenses accrued income, short-term investments. The Inventory is calculated
by adding the opening inventory to the purchases and deduct the return outwards to get the closing
inventory. (Rodriguez & Kaczmarek, 2016). Liabilities are divided into two that is the current
(short-term) and long-term liabilities. Liabilities are the debts that a company owes to the outsiders.
Current liabilities include the Accounts payables, Accrued expenses, prepaid income among other
payables. The long-term liabilities include debentures, long-term bonds, Loans for more than 3yrs,
Notes payables. The other part of the balance sheet is composed of the Shareholders equity which
comprises of the common stocks added to the retained earnings, and the accumulated
comprehensive income is deducting the treasury stock. Therefore, if the total assets are not equal
to the total liabilities, then the balance sheet is not well done and has errors that need to be
corrected.
It is also known as the income statement whose main purpose is to help the company find
out if it is making losses or profits. It deals with the incomes and expenses. There are certain users
of the information that is given in the income statement such as the managers so that they can find
out if they are making the right decisions on managing the firm. The investors use the income
statement to find out if the company is making profits or losses. Relatively, it is like a cost-benefit
analysis of the company.
The income statement is comprised of Total Revenue minus the cost of goods sold to give
the gross profit. The cost of goods is obtained by an addition of opening inventory to the purchases
and deduct the return outwards less the closing inventory. The operating expenses are then
deducted from the gross profit. The operating expenses include the sales and Distribution costs,
the administration costs and the General costs. The difference of the two is known as the operating
13
FINAL PROPOSAL
income which is added to other incomes and also the investment income to come up with the
Earnings before Interest and Tax (EBIT). (Rodriguez & Kaczmarek, 2016). The interest expense
is deducted from the EBIT to come up with the Earnings before Tax. The income tax is deducted
from Earnings before Tax to come up with the Net income or Profit. The outcome may be a profit
or a loss.
Part B
Table 1: Start-Up Budget
Projected Start-Up Costs
Initial Lease Payments and Deposits
Working Capital
FF&e
leasehold Improvements
Security Deposits
Opening Supplies
Company Vehicle and Lease Deposits
Marketing Budget
Miscellaneous and Unforeseen Costs
Total Startup Cost
$
$
$
$
$
$
$
$
$
$
25,000.00
65,000.00
25,000.00
10,000.00
2,500.00
10,000.00
20,000.00
10,000.00
7,500.00
175,000.00
Financing
For my business, the proposed type of financing is both equity and Debt Financing. The proposed
equity financing is from the management investment of $25000.00 while that of debt is from the
Banks and lenders of $100,000. Equity and Debt Financing is what I most prefer because then all
the liability is to the company and not a single individual.
Table 2: One Year Cash Flow Analysis
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FINAL PROPOSAL
Proforma Cash Flow Analysis
Cash from Operations
$ 152,225.00
Cash from Receivables
$
Operating Cash inflow
$ 152,225.00
Other Cash Inflows
Equity investment
$ 25,000.00
Increased Borrowings
$ 125,000.00
Sale of Business Assets
$
Account Payables increases $ 37,902.00
Total other cash inflows
$ 187,902.00
Total cash Inflow
$ 340,127.00
Cash Outflows
Repayment of Principal
$ 8,709.00
Accounts Payables decreases $ 24,897.00
Accounts Receivables Increases$
Assset Purchases
$ 112,500.00
Dividends
$ 106,558.00
Total Cash Outflows
$ 252,664.00
Net Cash Flow
$ 87,463.00
From my projections, there is the assumption that cash from operations will be at least
$12000 monthly so as it adds up to the figure $152225. The amount of cash from receivables is $0
since I do not expect to give any services on credit for the first one year. From the explained mode
of financing being equity specifically management investment as explained before will be $25000.
The increased borrowing will be $125,000 so as it can help in catering for th …
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