house calls docs business plan presentation christine lewandowski
TRANSCRIPT
House Calls DocsBUSINESS PLAN PRESENTATION
CHRISTINE LEWANDOWSKI
Business Concept
House Calls Docs propose to provide a solution to the lack of access to care for the senior community of Orange, Osceola, and Seminole counties in Florida.
Home based medical care will be provided post-discharge from an acute care setting.
Chronic disease management will be closely monitored to ensure barriers are removed from better outcomes and achieve goals of self-management by means of educating patients.
“
”
The mission of House Calls Docs is to treat the senior population by managing chronic conditions and improving outcomes by treating the patient’s whole person, body, mind, and spirit.
Providing care at the patients’ convenience
Market Segment
Demographics: Aging Society
Market Summary
Population Demographics for Seniors 65 + Orange County:
Population Age 65+: 117,189
Medicare Beneficiaries: 110, 919
Osceola County
Population Age 65+: 32,428
Medicare Beneficiaries: 29,656
Seminole County:
Population Age 65+: 54,244
Medicare Beneficiaries: 50,677
Market Summary
Orange County Population of people 65+ under poverty level: 10.6%
Median Income: $47,581
Disability Rate: 35.5%
Race:
White: 45.1%
Hispanic: 27.6%
African American: 19.7%
Other: 7.6%
Market Summary
Osceola County Population of people 65+ under poverty level: 11.2%
Median Income: $43,891
Disability Rate: 41.7%
Race:
White: 38.9%
Hispanic: 46.8%
African American: 9.3%
Other: 5%
Market Summary
Seminole County Population of people 65+ under poverty level: 7.8%
Median Income: $58,175
Disability Rate: 34%
Race:
White: 65.6%
Hispanic: 17.8%
African American: 10.7%
Other: 5.9%
Market Summary
Readmission Data
Nation Florida Region Florida Hospital Orlando Orlando Health0
5
10
15
20
25
Readmission Data CY 2014
Readmission Data CY 2014
Readmissions and Follow-up Care
Of those Medicare beneficiaries that were readmitted, Only 66% had a follow-up appointment with a primary care physician
Of those will a follow-up, 46.8% were subsequently still readmitted
92.5% of those patients were readmitted within 1-14 days
7.5% of those within 15-30 days.
Environmental Analysis
Opportunities
The current problem is high readmission rates Reasons for high readmission rates can be related to a lack of access
to follow up care
Lack of resources to adhere to discharge instructions
Lack of coordination in care settings following acute care discharge
Increase in Medicare reimbursement for non-face-to-face care
Medication therapy management
Chronic disease management
Reimbursed for coordination of care
Opportunities
Competition
In considering competition, all primary care physician services and home health providers were considered in addition to mobile physician services
Our unique services is only in direct competition with three physicians in the market area
Florida has a lower than national average of primary care physicians for every 1,000 people Competitive Advantage
Goals and Objectives
Set up a joint venture with Florida Hospital Orlando and Florida Hospital Medical Group Provide unique services to attract a market share in those patients
who require or request services in their home setting (home, skilled nursing or assisted living facility)
Follow up with patients post discharge from an acute care setting within 24 hours
Manage chronic disease to prevent admissions and readmissions
Improve patient outcomes and increase self-management
The TeamFlorida
Hospital Orlando
Medical Director
Florida Hospital Medical Group
Administrator
Physicians
SLP PT
MSW NP
RN HHA
Resource Requirements
List requirements for the following resources: Physicians, Nurse Practitioners, Registered Nurses, Speech Language
Pathologist, Social Worker, Home Health Aide, Administrator, Medical Director
EMR/EHR (Cerner)
$1.3 in first year capital expenses
Pay back > 1 year
Referrals from Hospitals
Commitment to improve patient outcomes
Financial Plan
Risks and Rewards
Rewards Improved outcomes for community
Reduced readmission rates
Better self-management
Increased tenure for seniors in community
Substantial return on investment
Risks High competition for similar service (Primary Care)
Lower than expected referrals
Difficulty obtaining buy-in to improve coordination of care/communication
SWOT Analysis
Strengths = Partnership with Florida Hospital and Physician Medical Group. Few competitors in mobile physician care.
Weaknesses = High readmission rates.
Opportunities = Only 2 competitors in direct service line of home physician care, opportunity to reduce readmission rates with transitional care model.
Threats = Many competitors in primary care available as alternatives to care, ACOs.