Review the SWOT Analysis Microsoft PowerPoint prior to completing this assignment. Based on the Community Hospital scenario located in this week’s required reading, conduct a SWOT analysis to generate a list of perceived strengths, weaknesses, opportunities, and threats for the health care organization. Strengths and weaknesses are traits internal to the health care organization (e.g., strong physician loyalty to hospital, aging building, and availability of financial resources). Opportunities and threats are external to the health care organization (e.g., a mall facility available for lease or a competitor organization opening two physician practices in your market). Use the SWOT Analysis worksheet provided to complete this assignment. Write a 700- to 1,400-word analysis that incorporates the key components of a SWOT analysis for the scenario described above to generate a list of perceived strengths, weaknesses, opportunities, and threats. The analysis will include the following: Analyze how this SWOT analysis will be used to form a final recommendation in the full business plan. Analyze the limitations and advantages of conducting a SWOT analysis on your own (versus with a group of stakeholders). Use the table provided to record your analysis of the information from the strategic planning scenario and generate two factors for each of the SWOT categories (strengths, weaknesses, opportunities, and threats). Cite at least 1 peer-reviewed, scholarly, or similar references to support your assignment.
HCS 449 Capstone
Business Plan Scenario
Background
Community Hospital is a 180-bed acute care hospital that is qualified as a not-for-profit facility. The hospital was originally a county-owned facility and transferred status to an independent facility three years ago. The hospital receives no external funding from governmental agencies for operations. The hospital is accredited by The Joint Commission and received reaccreditation during their triannual survey last year. The hospital has an aggressive quality management program and a low volume of medical malpractice claims. The hospital is located in Bedford, which is a city of 50,000 people with 80,000 people in the regional market. The hospital provides a general range of acute care services including medical and surgical, rehab and emergency care. The president of the hospital has asked you to evaluate the feasibility of establishing an off-site urgent care center at a local mall. You will use data provided in this scenario to make your decisions and recommendations.
Current Performance Analysis
Mission and Vision
Our Mission- To improve health by providing high-quality care through a comprehensive range of services.
Our Vision- Community Hospital and its affiliates will be the health care provider of choice for physicians and patients. Our five-year vision is to create a large, multispecialty physician practice system that would include at least six family practice physicians and specialists in cardiology, oncology, and womens services. Currently the hospital employs three family practice physicians, one obstetrician, one medical oncologist, and one non-invasive cardiologist.
Market Forces Affecting Hospital
Volumes
Patients
The continued growth of chronic disease will require changes to the care management model.
Percent of population by age:
Five years ago Five years from now
Under 18 24 18
18 to 44 46 32
45 to 65 26 30
Over 65 4 20
Over 53% of residents have at least some college education, with just over 29% possessing an associates, bachelors, or graduate degree. Over 90% of residents possess at least a high school diploma.
The average unemployment rate in the county is currently 9.9%:
Market share distribution percentage with major competitor:
Five Years Ago Last Year
Community Hospital 48 35
Competitor 30 43
Out of County Hospitals 22 22
Patient Origin by Zip Code
Payment
Continued focus on pay-for-performance and increased wellness programs. Affordable Care Act creating more covered lives, however often with high deductibles.
The median household income for county residents is $59,548. On average, households in county earn more than the state median household income of $44,446 and more than the national average of $53,650. The addition of a new automotive manufacturing plant to the local market this coming year is projected to add 1,500 production line jobs and 300 administrative jobs by year end. Median income for the production positions is estimated at $45,000 and will provide health, vision, and dental insurance benefits.
As part of your review of this data, consider that a portion of the population will become Medicare eligible, the addition of manufacturing positions that include benefits will increase commercial insurance coverage and changes from the Affordable Care Act will increase the number of patients in the market with insurance coverage.
Employers
Expected growth in large employers with addition of automotive factory in northwest sector of county.
Physicians
Continued shortage of medical staff, especially in orthopedics, oncology, and primary care will require increased recruitment efforts.
Competitors
Other hospital in county, Hanover County Hospital, has an updated facility, which has drawn more market share to their facility.
Competitor Key Areas of Competition New Programs and Facilities Risk to Market Share
Primary Competitors
Hanover County Hospital Facility upgrade
Quality Scores Significant renovation of core hospital to update aesthetics
Added new wide-bore MRI machine last year
Reaching 95% percentile in five of six HCAPS categories
Drawing patients to newer facility
Accommodates heavier patients
Patient perception of higher quality and patient satisfaction
Medical Center in county south of Stevens Physician clinics
Financial stability E-visits with specialists
Low debt and high cash on hand Drawing patients out of primary and specialty care at Stevens
Ability to cash flow projects
Secondary Competitors
Retail pharmacy instant clinic Low acuity office visits Pharmacy added instant clinic in north end of county 6 months ago Loss of patients from primary care physicians practices
Technology
Addition of e-visits by large hospital system in adjoining county has drawn more market share to their physician practices.
Regulatory Changes
Health care reform through the Affordable Care Act has increased the number of patients with some form of insurance payment. These patients are now seeking care in greater numbers from a primary care physician. Community Hospital currently struggles with accommodating patient scheduling requests to establish care with a primary care physician.
Financial summary
This year Last year
Operating Revenues
Net revenues from services to patients 343,737,280 344,726,245
Other operating revenues 16,846,309 20,311,534
Total operating revenues 360,583,589 365,037,779
Operating Expenses
Salaries and benefits 192,053,379 182,853,245
Supplies and other expenses 130,173,477 135,560,131
Depreciation 18,969,799 20,644,157
Interest 2,695,623 2,226,437
Foundation 628,184 1,182,308
Total operating expenses 344,520,462 342,466,278
Income from Operations 16,063,127 22,571,501
Urgent Care Location Options
Location One is located at a strip mall on the north side of town with a twenty-minute drive to the main Community Hospital campus. The potential lease space is a vacant storefront that previously housed a video store. The building is mostly an empty shell that would require $30,000 in renovation to create acceptable medical office space with four exam rooms.
Lease cost of location is $3,000 per month for a total of 1,800 square feet. Utilities are not included in the lease rate.
Location Two is located at a strip mall location on the south side of town with a thirty-minute drive to the main Community Hospital campus. The lease space is a vacant grocery store. The building is mostly an empty shell that would require $35,000 in renovation to create acceptable medical office space with four exam rooms. However, the total space is very large, at 5,000 square feet, so there are other options available that could also be housed in that space.
Lease cost of location is $6,500 per month for a total of 5,000 square feet. Utilities are not included in the lease rate. The owner is not willing to subdivide the space for lease by multiple parties.