Eye and Dental Services Business Case

Continuation of prior paper Proposal of New Health Care Economic Opportunity: The Radax Eye and Dental Services Develop a 4–7-page business case for the initiative you proposed. Examine feasibility and cost-benefit considerations over a 5-year period, analyze ways to mitigate risks, and complete a cost-benefit analysis. Develop a business case for the economic initiative you proposed in Assessment 1. Examine the feasibility and cost-benefit considerations of implementing your proposed initiative over the next five years. Analyze ways to mitigate risks and complete a cost-benefit analysis. Requirements The requirements for your business case, outlined below, correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, be sure to note the requirements for document format and length and for supporting evidence. • • Analyze the potential economic opportunities and risks associated with your proposed initiative. o How do the potential opportunities benefit your organization or care setting? o How could potential risks pose a threat to the financial security of your organization or care setting? o How do the potential economic opportunities compare to the potential economic risks? Propose ethical and culturally sensitive solutions that address the risks associated with your initiative to the future economic security of your organization or care setting. o o Which risks are potentially the most significant for your organization or care setting? o How could you modify your proposed initiative to mitigate those risks? o How have other organizations and experts in the field dealt with similar risks? How do ethics and equality factor into your proposed solutions? o o • Are your solutions unfairly burdening or disadvantaging any specific groups? How will this proposal affect community health care delivery outcomes? o What makes this a great opportunity for economic growth? o What potential issues should be considered? Analyze the economic costs and benefits of your proposed initiative over a five-year period. o Use the Cost-Benefit Analysis Template [XLSX] for your calculations. Add the worksheet to your business case as an appendix. o Does your analysis warn against specific aspects of your proposed initiative? o • How would you recommend that your findings be incorporated into decisions about the feasibility of your proposed initiative? Propose ethical and culturally equitable ways of keeping costs under control, while maximizing the benefits of your initiative. o What costs are you most likely to be able to control or reduce? o o How could controlling or reducing these costs affect the benefits of your proposed initiative? o o • How would you go about ensuring this? What strategies could you employ to maintain or maximize these benefits, while controlling or reducing costs? How do you plan to ensure that any cost controls or benefit reductions are ethical and equitable? Justify the relevance and significance of the quantitative and qualitative economic, financial, and scholarly evidence you used to support your business case. o This criterion applies to any evidence you cited throughout your business case. Your evidence should be persuasive and relevant to your findings, proposals, and recommendations. Consider one or more of the following questions when citing support evidence: o How is the evidence relevant to your organization or care setting? o How is the evidence relevant to your proposed economic initiative? o How does the evidence illustrate a solution that has been successful in the past? o How does the evidence illustrate that an initiative or solution is likely to be a net benefit to the organization or care setting? Cost-Benefit Analysis The following presentation from the CDC’s series on economic evaluation addresses methods to assess programmatic costs. • Centers for Disease Control and Prevention. (n.d.). Part IV: Benefit-cost analysis [PDF]. Retrieved from http://www.cdc.gov/dhdsp/programs/spha/economic_evaluation/docs/podcast_iv.pdf The following blog post addresses how to effectively write an accurate and thorough cost-benefit analysis. • Plowman, N. (2014). Writing a cost benefit analysis [Blog post]. Retrieved from http://www.brighthubpm.com/projectplanning/58181-writing-a-cost-benefit-analysis/ SHOW LESS Cost Effectiveness and Economic Evaluation The following presentation from the CDC’s series on economic evaluation addresses methods to assess programmatic costs. • Centers for Disease Control and Prevention. (n.d.). Part III: Programmatic cost analysis [PDF]. Retrieved from http://www.cdc.gov/dhdsp/programs/spha/economic_evaluation/docs/podcast_iii.pdf The following presentation from the CDC’s series on economic evaluation addresses cost-effectiveness analysis. • Centers for Disease Control and Prevention. (n.d.). Part V: Cost-effectiveness analysis [PDF]. Retrieved from http://www.cdc.gov/dhdsp/programs/spha/economic_evaluation/docs/podcast_v.pdf The following three articles illustrate examples of how to evaluate the cost-effectiveness of new service lines, therapies, or treatment initiatives in different settings. Eye and Dental Services Business Case

• Leininger, B., Bronfort, G., Evans, R., Hodges, J., Kuntz, K., & Nyman, J. A. (2018). Costeffectiveness of spinal manipulation, exercise, and self-management for spinal pain using an individual participant data meta-analysis approach: A study protocol. Chiropractic & Manual Therapies, 26(1), 1–8. • Sanders, G. D., Maciejewski, M. L., & Basu, A. (2019). Overview of cost-effectiveness analysis. JAMA Guide to Statistics and Methods, 321(14), 1400–1401. • Shearer, J., Papanikolaou, N., Meiser-Stedman, R., McKinnon, A., Dalgleish, T., . . . Byford, S. (2018). Cost-effectiveness of cognitive therapy as an early intervention for post-traumatic stress disorder in children and adolescents: A trial based evaluation and model. Journal of Child Psychology & Psychiatry, 59(7), 773–780. The following article provides a systematic review suggests that local and national public health interventions are highly cost-saving. • Masters, R., Anwar, E., Collins, B., Cookson, R., & Capewell, S. (2017). Return on investment of public health interventions: A systematic review. Journal of Epidemiology & Community Health, 71(8), 827–834. Retrieved from http://jech.bmj.com/content/71/8/827 The following article addresses how economic evaluation helps to identify, measure, and compare activities with the necessary impact, scalability, and sustainability to optimize population health. • Rabarison, K. M., Bish, C. L., Massoudi, M. S., & Giles, W. H. (2015). Economic evaluation enhances public health decision making. Frontiers in Public Health, 3, 164. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4478374/ The following article addresses the significance of the leadership role for problem solving relative to the economic decision-making process. Decision making is multifaceted and inclusive of the factors surrounding the change process, such as data collection, trial and error, and collaboration. • Verboom, M. C., Gelderblom, H., Kerst, J. M., Steeghs, N., Reyners, A. K. L., Sleijfer, S., . . . van den Hout, W. B. (2019). Survival and cost-effectiveness of trabectedin compared to ifosfamide monotherapy in advanced soft tissue sarcoma patients. Sarcoma, 2019, 1–11. The following article addresses the how and why behind the concept of spending efficiently in health care organizations. It provides an example of efficient spending and what outcomes can be realized. • Weeks, J. (2018). Eye and Dental Services Business Case

Paradigm change in integrative care: Third-party payment and the cost-benefit . . . plus more. Integrative Medicine, 17(4), 24–27. The following article provides a real-life example of comparing the costs of treatment strategies and reveals all the elements of what is most important to consider from a fiscal management perspective. • Yuen, T., Carter, M. T., Szatmari, P., & Ungar, W. J. (2018). Cost-effectiveness of universal or high-risk screening compared to surveillance monitoring in autism spectrum disorder. Journal of Autism & Developmental Disorders, 48(9), 2968–2979. Developing a Business Case Scoring Guide NONPERFORMANCE BASIC PROFICIENT DISTINGUISHED Analyze the potential economic opportunities and risks associated with a proposed initiative. Does not describe potential economic opportunities and risks associated with a proposed initiative. Identifies potential economic opportunities and risks associated with a proposed initiative. Analyzes the potential economic opportunities and risks associated with a proposed initiative. Analyzes the potential economic opportunities and risks associated with a proposed initiative. Draws sound conclusions based on an astute comparison of clearly articulated risks and benefits. Reconciles conflicting data. Propose ethical and culturally sensitive solutions that Does not propose solutions that address the risks associated with an initiative to the Proposes solutions that address the risks associated with an initiative to Proposes ethical and culturally sensitive solutions that address the risks Proposes ethical and culturally sensitive solutions that address the risks associated with an initiative to CRITERIA CRITERIA NONPERFORMANCE BASIC PROFICIENT DISTINGUISHED address the risks associated with an initiative to the future economic security of the organization or care setting. future economic security of the organization or care setting. the future economic security of the organization or care setting. associated with an initiative to the future economic security of the organization or care setting. the future economic security of the organization or care setting. Justifies proposed solutions and articulates underlying assumptions. Analyze the economic costs and benefits of a proposed initiative over a five-year period. Does not describe the economic costs and benefits of a proposed initiative over a five-year period. Identifies the economic costs and benefits of a proposed initiative over a five-year period. Analyzes the economic costs and benefits of a proposed initiative over a fiveyear period. Analyzes the economic costs and benefits of a proposed initiative over a five-year period. Impartially examines potential negative implications or consequences of the initiative and provides clear, justifiable recommendations for using analysis findings in deciding on the feasibility of the initiative. Propose ethical and culturally Does not propose ways of keeping costs under Proposes ways of keeping costs under control, Proposes ethical and culturally equitable Proposes ethical and culturally equitable ways of keeping costs NONPERFORMANCE BASIC PROFICIENT DISTINGUISHED equitable ways of keeping costs under control, while maximizing the benefits of an initiative. control, while maximizing the benefits of an initiative. while maximizing the benefits of an initiative. ways of keeping costs under control, while maximizing the benefits of an initiative. under control, while maximizing the benefits of an initiative. Eye and Dental Services Business Case

Clearly articulates tradeoffs underlying fully justified and effective strategies to control or reduce costs, mitigate risk, and maximize benefits. Justify the relevance and significance of the quantitative and qualitative economic, financial, and scholarly evidence used to support a business case. Does not describe the quantitative and qualitative economic, financial, and scholarly evidence used to support a business case. Describes the quantitative and qualitative economic, financial, and scholarly evidence used to support a business case. Justifies the relevance and significance of the quantitative and qualitative economic, financial, and scholarly evidence used to support a business case. Justifies the relevance and significance of the quantitative and qualitative economic, financial, and scholarly evidence used to support a business case. Presents a persuasive argument strengthened by explicit evaluation criteria and a perceptive interpretation and synthesis of the evidence. Write concisely and Does not write concisely and Writes passively, Writes concisely Writes concisely and directly. CRITERIA CRITERIA NONPERFORMANCE BASIC PROFICIENT DISTINGUISHED directly using active voice. directly using active voice. with a tendency toward wordiness. and directly using active voice. Conveys precise and unequivocal meaning through clear and consistent use of active voice. Apply APA formatting to in-text citations and references. Does not apply APA formatting to in-text citations and references. Applies APA formatting to in-text citations and references incorrectly and/or inconsistently, detracting noticeably from good scholarship. Applies APA formatting to in-text citations and references. Exhibits strict and nearly flawless adherence to APA formatting of in-text citations and references. 1 Running head: BUSINESS CASE Copyright ©2018 Capella University. Copy and distribution of this document are prohibited. BUSINESS CASE FOR A NEW ECONOMIC OPPORTUNITY 2 Whilborne Medical Center (WMC) is a multispecialty health care facility situated in proximity to an industrial park. Its management is planning to start a new economic initiative in the form of an urgent care center (UCC) within WMC’s premises. The UCC will not only help provide quality health care to the community but also provide an additional revenue stream for WMC. The objective of this business case is to present a detailed report on the feasibility and cost–benefit considerations of implementing the proposed economic initiative over the next five years. The business case includes an evaluation of various risks and opportunities associated with the new initiative. It recommends ways to lessen the risks associated with setting up the UCC and strategies for controlling costs and maximizing benefits. Opportunities Associated With the Proposed Economic Initiative An economic and environmental analysis was performed to determine the opportunities and risks associated with the UCC. WMC is situated near Maxima Industrial Park. Most of the patients treated at WMC are among the 30,000 workers from different companies in the industrial park. Eye and Dental Services Business Case

Copyright ©2018 Capella University. Copy and distribution of this document are prohibited. BUSINESS CASE FOR A NEW ECONOMIC OPPORTUNITY 3 Additionally, the area has around 3,000 locals. The UCC may cater to the nonemergent needs of both the workers from the park and the locals in the area. UCCs present an opportunity to reduce overcrowding in the ED at WMC. Often, EDs have to tend to patients whose cases are urgent, but do not merit the emergent care that EDs provide (Qin, Prybutok, Prybutok, & Wang, 2015). Non-emergent cases can be diverted to the UCC, where health care personnel will be able to treat workers of the industrial park who walk in with workrelated injuries or for preventive care. Additionally, any urgent health care needs of the local community may be met by the UCC. The ED will be able to exclusively tend to the Comment [A1]: This is great that your initiative can help address a larger problem within the U.S. health care system as well as help your organization. more emergent cases, while the UCC will exclusively tend to the urgent care cases received by WMC. Thus, an additional revenue stream for WMC will be created with the addition of the UCC. Copyright ©2018 Capella University. Copy and distribution of this document are prohibited. BUSINESS CASE FOR A NEW ECONOMIC OPPORTUNITY 4 Additionally, UCCs must serve a high number of patients to break even (Yee, Lechner, & Boukus, 2013). Therefore, location near a target patient population is an important factor in the success of a UCC (Gurganious & Greenfield, 2015). The required target population for the UCC is found in the 30,000 workers employed at Maxima Industrial Park. WMC has developed a relationship with workers from the park through the annual health checkups it organizes. The UCC can benefit from this relationship as there is a high likelihood that employees who are satisfied with the care they received at WMC will return to the UCC for urgent care issues. A competitor analysis conducted in the area shows that there are two primary health clinics, but no UCCs in WMC’s vicinity. Most patients prefer primary health clinics over UCCs and EDs (Qin et al., 2015). This issue is mitigated by the number of work hours that EDs and UCCs have over primary health clinics. With the introduction of a UCC, patients will be able to avail afterhours health care for minor illnesses on any day of the week at lower costs compared to primary health clinics (Chang, Brundage, & Chokshi, 2015). Also, as patients can go to a UCC without an appointment (unlike a primary health clinic), they will find the UCC more accessible for treating minor illnesses (Yakobi, 2017). These advantages over its competitors will help WMC capture a significant market share in the urgent care segment. Risks Associated With the Economic Initiative and Ways to Address Them The potential risks associated with the setting up of a UCC were identified. It was observed during the competitor analysis that a retail health clinic inside a Walmart store situated near WMC could pose a threat to the UCC. Retail health clinics are walk-in clinics located inside the financial security of the UCC grocery stores or supermarkets. They mainly provide convenient care to retail store customers at risk as it might appear more suffering from minor illnesses. Like UCCs, many retail health clinics offer after-hours care and attractive to patients in need of easy accessibility without an appointment; at the same time, the health care cost at these clinics is urgent care. less than it is at UCCs (Chang et al., 2015). Therefore, the presence of the retail health clinic puts Copyright ©2018 Capella University. Copy and distribution of this document are prohibited. Eye and Dental Services Business Case

BUSINESS CASE FOR A NEW ECONOMIC OPPORTUNITY 5 A UCC is equipped to handle a wider number of ailments than a retail health clinic (Chang et al., 2015). Being affiliated with WMC, the UCC can provide its patients access to more facilities such as scans and tests that are not provided by retail health clinics and other UCCs. These factors set the UCC at WMC apart from its competitors and can be used to promote the clinic. Clients will consider the UCC a convenient and viable option for their healthcare, where multiple tests can be done if needed. Additionally, the UCC must also ensure that the focus of the clinic is on providing a convenient and satisfactory experience for the patient (Gurganious & Greenfield, 2015). If patients receive quick and timely care from excellent service providers, they will be encouraged to visit again and refer new patients to the UCC. UCCs are known for providing immediate care to many patients in a relatively short time (Yakobi, 2017). The staff and management of the UCC will have to be aware that the highvolume, speedy health care delivery environment leaves room for errors such as misdiagnoses. Eye and Dental Services Business Case

These errors can result in the UCC and its staff facing serious legal risks. Therefore, it is important for the UCC to maintain meticulous documentation to insulate itself from the consequences of misdiagnoses or medical malpractice. The symptoms, physical observations, and lab results which are used to develop a plan to administer care should be identified to ensure Comment [A2]: It is good that you have identified this threat…this is something that could undermined the economics of your initiative. Copyright ©2018 Capella University. Copy and distribution of thi … Eye and Dental Services Business Case