Open Heart Surgery at Cabarrus Memorial Hospital
Strategic Management for Healthcare Organizations
This analysis serves as an evaluation of the current strategic plan being developed by Cabarrus Memorial Hospital. It will highlight the recommended strategies in three different categories that will aid a guide in effort to successfully implement the strategies to bring the organization to the forefront of its market. Outlined throughout the analysis is the organization’s history, the suggested Directional Strategies, the Expansion of Scope strategies, and the Implementation strategies along with other key elements that are necessary for the plan to be a ...view middle of the document...
Throughout the years, it has grown in response the needs of the community it supports by increasing its size and the services provided. To determine whether there was sufficient demand in the service area to support expansion of the current cardiac services, a number of factors were considered. These factors included primary and secondary service areas based on historical data; population growth projections; population epidemiology; availability of existing open heart surgery medical centers; accessibility to cardiac surgery programs; continuity of cardiology care; and the rate of demand for open heart surgery. A summary of the various data is included in Appendix A.
For this initiative, the service area was defined as Cabarrus, Rowan, Stanly, Union, Mecklenburg and Iredell counties (see Exhibit 1, Appendix A). A study of the hospital’s patient database noting the patients’ residential address provided data on the location of current patients and the distribution of patients who had received heart catheterization treatment (see Exhibit 2, Appendix A). Based on epidemiological studies, a proposed open heart services population was developed (see Exhibit 3, Appendix A). To determine the possible future utilization rates, a population growth projection for the service area (see Exhibit 4, Appendix A), projected growth rates for the at-risk population (see Exhibit 5, Appendix A) and the heart disease mortality rates (see Exhibit 6, Appendix A) forecast the expected demand.
None of North Carolina’s 16 existing open heart surgery programs currently in operation were located in the Cabarrus Memorial Hospital service area. The closest facility was located in Charlotte, approximately 25 miles away. In addition, patient surveys suggested that patients preferred not to go to the Charlotte metropolitan area for health services primarily due to increased traffic congestion and the desire to stay close to home.
Continuity of care for cardiology patients is deemed critical. Quality is enhanced when patient transfers are minimized, avoiding delays in providing care as well as the inconvenience of the patient and family support having to move to a different location in the midst of an intervention. This proposed expansion would continue a trend of the hospital increasing cardiac services to improve the continuity of care, the quality of care and patient satisfaction. Just two years previously, the cardiac catheterization program had been established and implemented.
Strategy Formulation begins with the Directional Strategies. Directional Strategies include the Mission, Vision, Values and Goal Statements. The Directional Strategies set the framework for subsequent decision making. Cabarrus Medical Center’s mission is to “create and operate a comprehensive system to provide healthcare and related services, including education and research opportunities, for the benefit of the people we serve” (Cabarrus Medical...