2. Overview
Description and goals of the organization
Purpose of the clinic is to provide rapid interventions to
patients with asthma and other respiratory problems.
Mission statement
The Asthma Clinic in the emergency center of DHA
Medical Center is dedicated to provide the necessary
medical treatment and comprehensive evaluation to
patients with asthma exacerbation and other respiratory
problems in a timely manner to prevent progression of
the symptoms and worsening of their condition.
3. Organizational and Financial
Structure
Asthma Clinic will be located in the emergency center
of DHA Medical Center
The clinic will function under the main emergency
center therefore this will be a joint venture between
the EC Director of Nurses and the EC Medical
Director.
As a sub-department of the main EC, the Asthma
Clinic will obtain funding from the EC funds allocated
by the facility.
4. Decision Making Structures
Medical
Doctor
Respiratory
Therapists
EC
Asthma
Director Mid-Level
Clinic
of Practitioner
Manager Certified
Nurses Registered
Nurse
Nurses
Assistants
Hierarchy of Commands for the Asthma Clinic
5. Organizational Objectives
1. The Asthma Clinic will provide the evaluation,
diagnosis, treatment, and medications for patients
suffering from asthma exacerbation, allergies, and
other respiratory problems in the emergency
department in timely manner to prevent progression
of the symptoms and worsening of their condition.
2. The Asthma Clinic will have the available resources
and staff to provide care for patients with respiratory
problems to provide earlier treatment thus
preventing worsening of symptoms and saving the
patients and hospital money.
6. Strategic Planning Model
Vision
The Asthma Clinic’s vision is to capture 100% of the
respiratory related problems in the emergency center
and treat the patients rapidly to prevent worsening of
symptoms. The clinic aims to become a 24 hour clinic
after two to three years of operation. The clinic will
continue to expand their services and look into serving
other parts of the community in the future.
7. Strategic Planning Model
Key Strategies
1. Set up clinic equipped with the necessary equipment to evaluate,
assess, diagnose, and treat the patients .
2. Collaborate with human resources for staffing.
3. Develop a policy on the flow of operations.
4. Establish a standard protocol.
5. Establish a criteria regarding patient acuity.
6. Develop a standard protocol for treatment based on CDC and other
healthcare organizations’ recommendation.
7. Develop a system to promote preventive measures.
8. Develop a system to follow-up on the status of the clients post clinic
visit.
8. Operation Infrastructure
The clinic will be located within the emergency center of the hospital.
Support will come from emergency center Director of Nurses, Medical
Director and administrative body of the facility which comprises of the
President and Vice President, Chief Executive Officer, and Chief Financial
Officer. The Human Resource Department will support the clinic in hiring
the appropriate staffs.
Marketing of the clinic will be geared towards the prevention of
exacerbation of respiratory problems such as asthma, COPD, and common
upper and lower respiratory infections.
Referrals will come from facilities that perform pulmonary function tests
such as allergy clinics, pulmonary clinics.
Monthly staff meetings will review clinic initiatives, functionality of the
clinic, achievement of goals and objectives, and quality assurance
measures.
9. Strategic Management Process of
the Asthma Clinic
Situation Analysis:
• Develop an Asthma Clinic in the emergency center of DHA Medical
Center to provide rapid interventions to patients with asthma and other
respiratory problems who seek medical attention.
Strategy Formulation:
• Develop policies manual specific for the Asthma Clinic
• Coordinate with human resources regarding hiring staff for the clinic
• Coordinate with the EC Director of Nurses and EC Medical Director
regarding the treatment protocol for the patients
10. Strategic Management Process of
the Asthma Clinic
Strategy Implementation
• Train the staff
• Print copies of the policy manual
• Print copies of the protocol
• Prepare the clinic for patient care
• Implement protocols to patients
Strategy Evaluation
• Continuous evaluation of the functionality of the clinic though weekly , monthly,
and quarterly activities summary and revenue review
• Yearly staff evaluation and continuing education requirements
11. Strength Weakness Opportunities
Threats Analysis
Strengths Weakness
• Infrastructure in place • Lack of awareness among prospective clients
• Location is highly suitable • Potential need for larger premise
• Strong management team • Inability to obtain competent staff
• Very focused management and staff • Staffs need training
• Well-rounded and managed clinic • Process and systems needs to be set-up
• Highly skilled workforce • Policies and procedures needs to be developed
Threats Opportunities
• The department’s growth could attract major • The new department is poised for rapid growth.
competition • Possibility to evolve into a larger 24-hour clinic.
• Seasonal changes could reduce the need for the
clinic
13. Financial Plan
The adult EC sees an average of 500 patients per day. The clinic is predicted to see
10% of the current EC patient population which is 50. The average cost per visit of
a patient to the Asthma Clinic is $ 350.00. Base on this value a forecasted income
for the clinic is computed (please refer to the table below).
Period of Revenue Forecasted Income
Daily $ 17,500.00
Weekly $ 122,500.00
Monthly $ 490,000.00
Quarterly $ 1,470,000.00
Annually $ 5,880,000.00
14. Income Statement
Annual Revenue $ 5,880,000.00
Less:
Labor $ 800,000.00
Office Expenses $ 200,000.00
Depreciation $ 100,000.00
Other Operating Expense $ 1,000,000.00
Total Operating Expense $ 2,000,000.00
Operating Income before taxes $ 1,700,000.00
Income Tax Expense $ 595,000.00
Net Income $ 1,105,000.00
15. Cash Flow and Variance Planning
Cash Flow
The services provided in the clinic will be charged just
like a regular emergency room visit.
Variance
A forecast of 10% of the EC client population will be
seen in the clinic.
A variance of 10% of the 10% is allowed during the first
two quarters of operations after which 5% of the 10% is
allowed.
16. Implementation and Evaluation
The Asthma Clinic will plan to open their doors to the
public on July 4, 2009.
The day to day productivity and efficiency of services
offered will be evaluated and analyzed on a weekly,
monthly, quarterly, and annual basis.
The clinic will plan to extend the hours of operation to
a 24 hour clinic after evaluating the productivity and
functionality of the clinic.
The employees will be evaluated annually .
17. Conclusion
The Asthma Clinic in Asthma Clinic in the emergency
center of DHA Medical Center aims to provide rapid
interventions to patients with asthma and other
respiratory problems who seek medical attention.
Rapid intervention will help prevent the worsening of
asthma exacerbation and other respiratory problems.
The end result will save the facility and the patients
money thus increasing patient satisfaction and
increasing the revenue for the department.
18. References
Fink, J., & Dhand, R. (1999). Bronchodilator resuscitation in
the emergency department. Retrieved December 18, 2008,
from http://www.aarc.org.
Phipps, W., Monahan, F., Sands, J., Marek, J., & Neighbors,
M. (2003). Medical-surgical nursing: Health and illness
perspectives (7th ed.). St. Louis, MO: Mosby.
Respiratory Care Journal (1991). Incentive spirometry.
Retrieved December 19, 2008, from
http://www.rcjournal.com.
Stanford, R., McLaughlin, T., & Okamoto, L. (1999). The cost
of asthma in the emergency department and hospital.
American Journal of Respiratory Critical Care Medicine, 160,
pp. 211-215. Retrieved January 9, 2009, from
http://www.atsjournals.org.
