A Small Town Like Fort Lupton

A comprehensive satellite health clinic will reduce admissions, as well as re-admissions to the current single hospital within the county. This extra resource will reduce the possibility of competitors moving into the area, specifically those from neighboring hospitals that could bring the needed services that PMH is lacking and looking to provide. Additionally, consumers feeling forced to travel out of the area for care, or those facing the potential of being transferred out of the area due to the severity of the case as a result of inadequate primary and preventative care, or lack of space will diminish through these efforts.

One area where access to care is a problem is in the rural communities. Healthcare professionals including physicians, nurse practitioners, and nurses all affect the quality and cost of care (Derksen, & Whelan, 2009). Going forward importance needs to be placed on using recourses more efficiently and effectively; these resources include but are not limited to tests, prescriptions,

Chick-fil-A is one of the most successful fast food restaurant establishments in the country. With over 1,300 locations in 37 states in the Southern U.S., they continue to grow the brand by expanding to new territories (Chick-fil-A Company, 2009, para 1). In 2008 Chick-fil-A has seen a 12.17 percent sales increase over the chain’s 2007 performance and a same store sale increase of 4.59 percent (Chick-fil-A Company, 2009, para1). Throughout the years Chick-fil-A has come up with many innovative ideas to continue expanding business and satisfying their loyal customers. One of the ideas was to offer different types of restaurant set-ups to cater to customer’s needs. The different restaurant set-ups include mall/in

D.E.: “Doctor: "1 mile away on Park Row” (Arlington Minor Emergency Clinic); Pharmacy: "CVS, 1 mile away"; Hospital: "7 miles away, Medical Center of Arlington and Arlington Memorial.”

The restaurant targets middle to lower-middle class families with children, as well as adults and seniors, located in Orlando, Florida. The area within 15 minutes of the store has 10,000 families, mostly from lower to middle class neighborhoods. Average family size is 4 people per household. There is no direct competition; however, there are fast food restaurants like McDonald’s, Taco Bell and Wendy’s in the geographical target market. The lower to middle class population is growing at about 6% per year over the next five years in this area.

The North East LHIN provides health care services and support to the community and people who reside across Northeastern Ontario. The geography and demographics of an area have a huge impact on how healthcare is delivered and received. The Northeastern Ontario landscape has a enormous land mass compared to population, therefore it makes it difficult to make sure there are enough health providers through the North East LHIN facilities (NE LHIN, 2014). There are some areas that are a part of the NE LHIN which are only accessible by air or by ice roads (communities along the James and Hudson Bay Coast) (NE LHIN, 2014). This impacts the way healthcare is delivered to the people who live in these areas and makes it difficult for health professions to go and improve assistance and medical attention in these areas.

The services includes; health screening, education and prevention programs for diabetes, obesity and HIV, screening and access to child immunization and shots for adult clients. This service is extremely important because so many people are lacking health care, especially if they come from a small reservation they might lack the capacity to for example find a disease like cancer, in one of their patients. They provide access to primary care by making contracts with different community clinics and medical providers for medical, dental and specialty care. They also provide culturally sensitive services because there are sometimes cultural issues between the doctor, and the patient due to different belief systems. The clinic provides services like physicals, management of medicine, STD/STI screening, pap smears, pregnancy testing breast exams, and contraceptives. It is important to note, that the also have health services for seniors/elders, nutrition and weight loss. The only requirement is the patient has to be a member of a federally recognized tribe or one that is state recognized to receive health education/service programs. The primary care clinic varies from clinic to clinic and should be consulted before

Starr took a city that has “slammed its doors and barred its windows at 5p.m.” and elevated it to one that is described as “bubbling over with vitality and life. “ (Starr) Like Fry, Starr is “relentlessly restless” in trying to incorporate his new neighborhoods with new restaurants like the “Momofuku-style restaurant. “ (Starr) The thing about Starr is that even though the success he is having is almost a “mathematical impossibility”, his strategy of building up is driving in this newest creation of restaurants that “Philly didn’t have, that it needed.

The whole world has issues with healthcare and how to provide care for all their citizens. The United States is currently in the process of making changes to its healthcare system. There are currently multiple types of health insurance in the United States. Today, I will address the health care insurance I have, its products, source of my insurance, my out-of-pocket expenses, the level of coverage I receive with my plan, the major limitations to my coverage, and the process of receiving needed care, needed care in my plan including exams, how to get to a specialist if needed and the process for non-emergency care.

The physical observation of Roseburg revealed numerous health related facilities. There is a major hospital and well as a veteran’s hospital, both with emergency services, urgent care facilities, and many clinics, rehab facilities, and long term care options.

•They are the most famous and one of the few outlets available in area and footfalls are generally heavy due to these•The places are usually visited very frequently by local people, students, etcPromotion•The joints rely on word of mouth publicity•There is no promotion done through ads for these joints. The promotion at maximum is limited to local newspaperSUGGESTIONS•McDonalds could increase the number of items served on its menu. Currently there are only 6 vegetarian and 6 non-vegetarian items served on the menu. It is also evident from the survey that many people feel that the variety of menu available is average and could be improved. Some of the customers prefer something new every time they visit. These potential customers could be targeted by increasing the number of items in the menu.

For instance, there were many dentist offices, three urgent care centers, a cardiovascular care clinic, phlebotomy care training center, eye care centers, obstetrics and gynecology office, and a mental health clinic. Besides health service centers, there were also alternative medicine centers such as acupuncture, massage clinic, and chiropractic specialist as well. There are also some social service centers such as the secretary of the state, social security administration office, and WIC program and clinic information center. Part of this city are several child care facilities and senior centers.

...................................................10 Alternative 3 – Review Existing Locations..........................................................................................11 Alternative 4 – Expansion through Franchise Operations.....................................................................11 Alternative 5 – Expand Catering Segment ...........................................................................................12 Recommendations and Action Plans .......................................................................................................12 Recommendations ..............................................................................................................................12 Action Plans .......................................................................................................................................13 Contingency Plan ...................................................................................................................................14 Attachments ...........................................................................................................................................15 Exhibit 1.............................................................................................................................................15 Exhibit 2.............................................................................................................................................16

A challenge that many rural communities are dealing with is the lack of primary care physicians, specialist, understaffed hospitals, and transportation. “Only about ten percent of physicians practice in rural America despite the fact that nearly one-fourth of the population lives in these areas” (National Rural Health Association [NHRA], n.d., para. 2). Although, there are programs designed to improve patients access to hospitals and physicians in rural areas, provider access for these patients remains a barrier. Technology can bridge some of the gaps of care for these patients and it can be beneficial in many ways. With enhanced technology, primary care physicians and patients will be able to have support, access to quality care, improvement in self-management skills, which ultimately, will improve a patient’s health. To assist physicians with delivery of optimal care and for patients to be able to go to scheduled wellness visits with physicians, a new approach to solving rural health barriers are needed.

[1] Explained by this exemplifies that a city should have a foundation for it to grow off of. I do believe this will also be the doing of the citizens that help plan at meetings with communities, yet a good foundation is what will lead to a “good city”. Furthermore, with the influence of citizens, a good city will develop from nothing and will have a sense of cultural background from the past of citizens who live there currently.