Essay About Healthcare Management Of Chronic Disease And Health Education

Nursing Leadership
[pic 1][pic 2][pic 3][pic 4][pic 5]EXECUTIVE SUMMARYIntroduction: Holistic Healthcare, (HH), an Illinois limited liability corporation (LLC), will offer health education to individuals in the northwestern Illinois area along with primary healthcare with a focus on elderly and women’s health care. The expectation for increasing need in healthcare continues as “baby boomers” enter their sixth decade of life.    Service: Healthcare management of chronic disease requires time, resources, and education that are designed to meet the needs of the individual.   Time is a critical aspect of this service.   Visits will be routinely scheduled for 30 minutes or more depending on the service level required.  This will also allow the office to keep appointments on time, often a problem with normal healthcare providers, where visits are routinely scheduled for 10-20 minute intervals. Education will be convenient, accessible, affordable, and tailored to the individual’s lifestyle. Alternative methods will be used that incorporate adult learning principles, in appropriate languages.  Annual physicals, immunizations, well-child care and school physicals, women’s healthcare, management of upper respiratory problems, screening for chronic disease as well as management of stable, chronic diseases, such as diabetes, hypertension, COPD, Cancer, arthritis, asthma, education for smoking cessation, weight control, hypertension management, and diabetes control are some of the physical activities provided at HH.

Market: HH will be located in one of three closely-knit communities.  Each town has approximately 1,000 people. Targeted marketing will be directed to two distinct cultural groups; a large population of Orthodox Jewish and a Hispanic population located north of the clinic about eight miles.  Strategy:  HH strategy is a focus strategy.  The focus strategy recognizes different segments within a market and works to satisfy those needs.  HH will be a best-cost provider.  The individual segments targeted by HH (female Orthodox Jewish, geriatrics, and Hispanics) will receive specialized services.  No other healthcare provider in the area addresses these services at this time.   Financials: A loan will be sought out in the first year.  HH will obtain a line-of credit from a bank.  A request for $50,000 for working capital in the first year as a line of credit, payable at current rates of interest will be sought.  Potential use of this funding will be for the first 3-6 months of operation.  Start-up money will come from personal funds and owner equity.  Funding will be paid back by the end of the second year.  The Advance Practice Registered Nurse (APRN) will see an average of 15-30 clients per week, based on a pessimistic, most likely, or optimistic cash flow budget.  There may be some seasonal fluctuation in visits, flu shots in October, November, well child checkups in August, but the nature of chronic disease requires frequent monitoring, usually every three months.  Another staff person, a licensed practical nurse (LPN) would be added to staffing levels to accommodate a higher rate of patient flow as needed.