Analyzing Facility Research and Selection Term Paper

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Facility Research and Selection

The report describes the facilities, need and services offered in an Ambulatory Care Clinic.

VICTIMS RIGHTS MOVEMENT

Health practitioners should expect some very dramatic changes in the area of ambulatory care within the next decade. Driven by different factors, which include double digit improvement in some major outpatient areas, health care managers should expect the trend that began in the 80s to continue. The issue of ambulatory care is now a major issue for health care providers. A lot of health care institutions experienced some growth, spanning double digit in major outpatient sectors and significant changes in some major inpatient services to the modes of outpatient only. Hospitals are expected to adopt a new philosophy and plan of action for system redesign, carrying out a scrutiny of the traditional way of making the needed care available with the aim of surviving in the future. While these hospitals keep experiencing significant growths in ambulatory services, the financial viability of most of the programs in the future will still play an integral role.

The profitability of ambulatory care depends mainly on the large visit and procedural volume. The operating margins are quite slim when compared to the returns inpatient admissions generated. The average charge for procedures falls below $200 for each patient, as compared to the $5,000 average charge for each severe care admission. This fact emphasizes a situation which many providers will face in the future. Prior to recent times, all payments made for most outpatient services were mainly cost-based.

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Nevertheless, the FY 1991 budget law, which was signed by President George Bush, alters the way physicians and hospitals are paid for the outpatient services they provide to medical beneficiaries (Matson, 1991).

Types of Facilities and Services offered

The procedures adopted for ambulatory care align with more than two distinct and separate categories, tagged Type I & Type II ambulatory services (Allen & Weber, 1995).

The procedures adopted in Type 1 are fairly predictable when it comes to the amount of time needed to carry them out, in addition to not being likely to involve any serious complications. Some common examples of surgeries that fall within Type I include: several orthopedic surgeries; nose, ear and throat procedures; some gynecological surgeries; eye surgeries; and certain all-inclusive surgical procedures, such as the inguinal repairs for hernia. Examples of procedures for Type I imaging include: X-ray of the chest region and all other routine radiography procedures such as mammography, orthopedic tomographic scans, as well as perinatal ultrasound. Performing Type I procedures in an inpatient environment is not a must. Therefore, the efficiency utilization of Type I facility is always higher than the efficiency utilization of Type II or an inpatient facility.

Contrary to the Type I ambulatory services procedures, Type II ambulatory services procedure are less predictable due to their complex nature. Difference in the time needed for the performance of these ambulatory procedures, coupled with their attendant, increased the risk of complications, given accurate definition of the Type II procedures, which equally.....

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