HCM FPX 5312 Assessment 5 Establish New Standards in Rehabilitation: Shirley Ryan AbilityLab

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Capella University

HCM-FPX5312 Analyzing the Health Care Environment

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Executive Summary

The “translational” program for Shirley Ryan AbilityLab’s rebranding initiative will be prioritized for implementation, integrating research and clinical practice with the goal of achieving results in a fast-paced, high-pressure, patient-centered environment. The program will benefit from insights gained through a PESTLE analysis to understand the external environment, market data analysis to assess patient trends, demands, and costs, and the application of evidence-based strategies to enhance care quality and outcomes. This approach provides Shirley Ryan AbilityLab the opportunity to solidify its position as a leading global entity in research and rehabilitation. The proposed changes aim to reduce daily disruptions in patient recovery by addressing all aspects of healing internally with a team of highly specialized medical professionals.

Organization Overview

In 1954, Dr. Paul B. Magnuson, a dedicated orthopedic surgeon, transformed a warehouse on Ohio Street in Downtown Chicago into a facility for treating individuals with disabilities (Organization, 1999). The Rehabilitation Institute of Chicago (RIC) aimed to provide the highest-quality patient care through research, scientific discovery, and education, earning recognition as the top Rehabilitation Hospital in America since 1991 (Organization, 1999). As demands for innovative solutions in science and healthcare increased, RIC’s expertise in merging these fields was evident. Despite its effective framework, further growth, both fiscally and in patient recovery, was seen as achievable through pioneering an integrated approach to research and medical solutions.

In March 2017, RIC rebranded as Shirley Ryan AbilityLab, becoming the first-ever “translational” research hospital that combines interdisciplinary efforts and discoveries (Washburn, 2017). The new facility at 355 E. Erie Street in Chicago, featuring a $550 million, 1.2-million-square-foot space, operates 24/7 to support its mission of providing top-notch clinical care, translational research, scientific discovery, and education (Washburn, 2017). The facility’s vision, further supported by Patrick and Shirley Ryan’s donation, is to advance human ability and position itself as a global leader in science-driven breakthroughs. Currently, Shirley Ryan AbilityLab serves patients nationwide and internationally, offering 242 licensed beds and a well-trained staff of approximately 2,500 (Shirley Ryan AbilityLab, n.d.). The rebranding and expansion are expected to set new standards in rehabilitative care, reinforcing the hospital’s mission and vision while ensuring long-term success in the medical and rehabilitation sectors.

PESTLE Analysis

To maintain a leading position in the rehabilitative industry, the organization must continuously evaluate external influences such as political, economic, sociocultural, technological, legal, and ecological factors, as these can significantly impact the business model.

Political Factors: Politicians influence decisions related to funding, insurance mandates, and tax legislation changes, which affect income and taxes. Health insurance mandates are required for health insurance reimbursement for specific services and conditions (Webber, 2014). Changes in tax legislation, driven by government officials, can impact regulations within the Affordable Care Act (ACA) and funding for programs like Medicare and Medicaid. Compliance with regulations from the Centers for Medicare and Medicaid Services (CMS) is essential for financial assistance and avoiding delays in reimbursement (A Guide to Healthcare Compliance Regulations, 2019).

Economic Factors: Economic conditions such as inflation and unemployment impact healthcare organizations by affecting profit margins and expense management. Increased costs and reduced revenue can lead to higher patient and insurance company responsibilities, impacting employee wages and hiring capacity (Frue, 2018). Economic downturns, such as recessions, can reduce demand for elective care, affecting revenue. External supply chains, including pharmaceutical and diagnostic equipment suppliers, can also be influenced by economic factors, affecting availability and pricing (U.S. Department of Health & Human Services, 2005).

HCM FPX 5312 Assessment 5 Establish New Standards in Rehabilitation: Shirley Ryan AbilityLab

Sociocultural Factors: Wellness and maintenance visits are influenced by demographic needs and public values. Understanding and adapting to sociocultural factors such as social determinants, education, income, and access to healthcare are crucial for aligning with community needs and ensuring accessibility (Frue, 2018). Shirley Ryan AbilityLab must address public ideologies and provide options for those unable to afford high levels of treatment, including government insurance and payment plans.

Technological Factors: Technology plays a significant role in healthcare, with advancements and adaptations necessary to maintain industry leadership. Shirley Ryan AbilityLab is recognized for its innovation and rapid adaptation of technology, such as updated CT and MRI machines (Shirley Ryan AbilityLab, n.d.). Technological advancements within the facility enhance patient care and recovery.

Legal Factors: Compliance with regulations such as HIPAA, Human Subjects Research Protection, and insurance rules is mandatory for ensuring safety and legitimacy in research and patient care. Shirley Ryan AbilityLab, operating as a 501(c)(3) organization, must adhere to legal standards to maintain its status and achieve long-term advantage (Jameton & Pierce, 2001).

Ecological Factors: Environmental considerations include the impact of technological and pharmaceutical waste on the climate and global safety standards. Shirley Ryan AbilityLab should prioritize eco-friendly practices and solutions to enhance societal approval and reinforce a responsible image (Jameton & Pierce, 2001).

HCM FPX 5312 Assessment 5 Establish New Standards in Rehabilitation: Shirley Ryan AbilityLab

Competition: Shirley Ryan AbilityLab’s project introduces a new framework model, unique in the world, with competitors including Schwab Rehabilitation Hospital, Saint Joseph Hospital Inpatient Rehabilitation Unit, and Northwestern Memorial Hospital Rehabilitation. While competitors offer various services, Shirley Ryan AbilityLab’s focus on injury-based recovery and comprehensive services distinguishes it. Northwestern Memorial Hospital is identified as a major competitor due to its extensive services and funding. Overcoming uncertainties related to integrating research and medical care and establishing global market presence will be essential for success.

Partnerships and stakeholders, including the Ryans and the Crown Family, play a critical role in supporting the hospital’s rebranding and expansion. The hospital’s 24/7 services and strategic partnerships enhance its competitive position and global recognition as a leader in rehabilitative care (Quality Outcomes, 2016). Shirley Ryan AbilityLab’s 501(c)(3) status provides fiscal benefits and increased revenue opportunities through donations and reduced tax requirements (Ferenc, 2017).

A segment of clinical knowledge may be effectively acquired from the National Health Interview Survey, which assesses the health of the civilian population in the United States (About the National Health Interview Survey, n.d.). Conducted by the widely recognized Centers for Disease Control and Prevention (CDC), this survey provides valuable statistical data on the prevalence, distribution, and impact of illnesses and disabilities (About the National Health Interview Survey, n.d.). The Shirley Ryan AbilityLab, while focusing primarily on the treatment of spinal cord injuries, stroke, traumatic brain injuries, arthritis, chronic pain, and sports injuries, also caters to other conditions (Washburn, 2017). These injury types are particularly suited to both long-term and short-term rehabilitation needs.

HCM FPX 5312 Assessment 5 Establish New Standards in Rehabilitation: Shirley Ryan AbilityLab

In the United States, spinal cord injuries affect approximately 291,000 individuals, with about 17,730 new cases annually due to falls, violence, sports, and other causes (National Spinal Cord Injury Statistical Center, 2019). Strokes result in the death of around 140,000 Americans each year, and approximately 795,000 individuals experience strokes annually (Centers for Disease Control and Prevention, n.d.). Traumatic brain injuries are a leading cause of death and disability among children and young adults in the United States, with an estimated 1.5 million Americans sustaining such injuries, leading to hospitalization, long-term disability, or death (Thurman et al., 1999). Furthermore, about 5.3 million individuals live with permanent disability from past traumatic brain injuries (Thurman et al., 1999). Arthritis affects 23% of adults, with 24 million experiencing limitations in their daily activities (Centers for Disease Control and Prevention, n.d.). Chronic pain impacts 20.4% of U.S. adults, with 8.0% suffering from high-impact pain (Centers for Disease Control and Prevention, n.d.). Sports injuries affect an estimated 8.6 million people, many of whom require long-term disability care (Centers for Disease Control and Prevention, n.d.).

These statistics highlight the diverse needs of patients and underscore the growing demand for expanded rehabilitation and research services in the medical field. The proposed program and rebrand aim to achieve successful rehabilitation outcomes while fostering innovation in treatment solutions and technological advancements. This new program could potentially transform healthcare by integrating humanity and science with patient and caretaker needs, prioritizing scientific discovery. For organizations like Shirley Ryan AbilityLab, such data is crucial as it identifies the number of individuals who may benefit from their specialized services and guides future research projects by pinpointing significant health challenges in need of varied treatment solutions.

Quality management analytics is an important area for further exploration, as it seeks to improve the overall quality of care (Healthcare Analytics Market by Type, n.d.). Firms specializing in assurance and efficient healthcare include 3M Company, Altegra Health, and ArborMetrix Inc. (Healthcare Market by Type, n.d.). Population health analytics can enhance outcomes for specific populations while reducing business costs (Healthcare Market by Type, n.d.). Understanding population demographics helps predict illness and disability risks, enabling targeted research for optimal patient outcomes. Metrics must be evaluated both internally and through third-party vendors. Surveys on patient satisfaction and recovery can provide insights into financial investments, recovery room usage, personnel needs, patient costs, and research directions.

HCM FPX 5312 Assessment 5 Establish New Standards in Rehabilitation: Shirley Ryan AbilityLab

Internal research and surveys within the medical and research departments are essential for assessing the effectiveness of rehabilitation frameworks and identifying areas for improvement. Regular meetings between leaders and staff, supported by the quality assurance department, should be conducted quarterly. Assigning specific caseloads within the quality assurance department helps monitor progress and resource use. Combining various analytics reports offers a comprehensive view for those overseeing the success of Shirley Ryan AbilityLab as it rebrands and addresses distinct market needs. Integrating insights from financial, clinical, and population health statistics provides a data-driven perspective of the organization.

Evaluating trends, such as fiscal input vs. output, patient demographics, and healthcare spending, will inform the effectiveness of the proposed changes. The PESTLE analysis of external influences—political, economic, sociocultural, technological, legal, and ecological—will help understand their impact on the business model. External factors like funding, insurance mandates, and technological advancements must be considered. A market data analysis will present patient trends, treatment responses, and available spending.

Evidence-based strategies are crucial for the successful launch of the rebrand. These strategies should include research-based evidence, patient preferences and values, and clinical expertise (Haughom, 2015). Implementing evidence-based strategies can minimize clinical complications, enhance care quality, and improve patient outcomes. The proposed rebrand should focus on integrating research and clinical practice to offer advanced solutions and address patient needs effectively. This approach will also address challenges related to costs, staffing, and service delivery.

HCM FPX 5312 Assessment 5 Establish New Standards in Rehabilitation: Shirley Ryan AbilityLab

In conclusion, while the initial business model was effective in generating revenue, the proposed rebrand offers opportunities for growth and enhanced health solutions. By adopting evidence-based strategies and a comprehensive approach, Shirley Ryan AbilityLab can position itself as a global leader in rehabilitation, improving patient outcomes and achieving long-term success (Ferenc, 2017).

References

About the National Health Interview Survey. (n.d.). Centers for Disease Control and Prevention. Retrieved from https://www.cdc.gov/nchs/nhis/about_nhis.htm

Centers for Disease Control and Prevention. (n.d.). Stroke facts. Retrieved from https://www.cdc.gov/stroke/facts.htm

Ferenc, J. (2017, March 6). New rehab hospital integrates research and care in one facility. Health Facilities Management. Retrieved from https://www.hfmmagazine.com/articles/2804-new-rehab-hospital-combines-research-and-care-in-a-facility-that-serves-to-inspire

Healthcare Analytics Market by Type (Predictive, Prescriptive, Cognitive) Application (Clinical, RCM, Claim, Fraud, Waste, Supply Chain, PHM) Component (Service, Software) Delivery (On-demand, Cloud) End User (Payer, Hospital) – Global Forecast to 2024. (n.d.). Markets to Markets. Retrieved from https://www.marketsandmarkets.com/MarketReports/healthcare-data-analytics-market-905.html

Healthcare Market by Type. (n.d.). Retrieved from https://www.marketsandmarkets.com/MarketReports/healthcare-data-analytics-market-905.html

Haughom, J. (2015, October 27). 5 reasons the practice of evidence-based medicine is a hot topic. Health Catalyst. Retrieved from https://www.healthcatalyst.com/5-reasons-practice-evidence-based-medicine-is-hot-topic

National Spinal Cord Injury Statistical Center. (2019). Spinal cord injury facts and figures at a glance. Retrieved from https://www.nscisc.uab.edu/Public/Facts%20and%20Figures%202019%20-%20Final.pdf