Tomball Health Care Case Study

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.

Opportunities Abilities to expand in hospital departments and health care services in facility. Location of hospital serves a large population area. Easy of public transportation to the hospital.

One of their issues with staffing physicians is the local competition. They are either employed with other managed care facilities, contractually obligated to another facility, or have other priorities. Due to the number of patients, they are outgrowing their current facility and looking to expand. They have found an ideal location, but would have to invest $500,000 to remodel as well as $479,000 to purchase the building. Although the new location would appeal to Medicaid patients and the insured population, Mrs. Marrs is unsure if the time is perfect to expand.

During the evaluation of the objectives in the (LHI) and the analysis of the perceived health of the community, three key factors were identified as potential health problems including children exposure to a second hand smoke, obesity among adults, and limited access to dental care. The identification of the LHI perceived as problems was based on personal observation and perception from community members.

1. Healthy People 2020: Have a vision of a society that all people live long, healthy lives by using a 10 year plan. Through their mission they identify

median household income of $36,327 and showed 29.2% of them living in poverty in 2013

The nation would need more than 15,000 additional providers to meet the target ratio of one primary care practitioner for every 3,500 residents, according to

Summit County has several factors leading to poor access to comprehensive, quality health care. The poverty rate is 16%, the unemployment rate is 7.2%, and the uninsured rate is 14.1% (Centers for Disease Control and Prevention, 2012). There is also a high obesity rate of 28.4% . (Centers for Disease Control and Prevention, 2012). According to Milio's framework for prevention (2014) the people that make up these statistics show that lower income, uninsured individuals have a poor health status compared to employed, insured individuals. Therefore, they are at a higher risk for cardiovascular disease. It is also interesting to mention that in Nancy Milio's research she found that most people, whether low, middle, or upper class, will choose the easiest option available the majority of the time (Nies & McEwen, 2015). People making unhealthy choices such as smoking, abuse of alcohol and/or drugs, eating poorly, and remaining physically inactive, pose the greatest risk to heart disease. These lifestyle choices lead to obesity, hypertension, diabetes, and high cholesterol which are the main causes of cardiovascular

One of the major health concern are chronic conditions. Some of these chronic conditions include, high blood pressure, diabetes and high cholesterol. Some of these chronic conditions can be eliminated with a healthier diet and a safe exercise regimen. In Carnasie about 29.6 to 33.2% of adults were told by health professionals that they have high blood pressure. About 12.1 to 18.1% of adults were told that they had diabetes. Additionally, 31.9 to 37.4% of adults were told by health professionals that they had high cholesterol. The percentage of adults who have had their cholesterol checked within the past five years was 83 to

In 2000, the median income for a household in the city was $39,514, and for a family was $49,681. Males had a median income of $14,137 versus $9771 for females. The income for the city per capita was $15,760. Around 47% of the families were below the poverty line. In 2010, the per capita income was $23,870. The median household income was $40,284. Population that was below the poverty line in 2010 was 17.5% according to the U.S. Census (U.S. Department of Commerce, Census Bureau, 2010).

Health centers have continually proven to be a worthwhile investment by delivering high quality, affordable health care. Evidence based research shows that Community Health Centers prove to be a lasting solution for disease prevention and health promotion to our medically underserved population. Additional evidence based research statistics show the following:

Edgewood Lake Hospital (ELH) which opened in 1945, is a 30-bed, independent, not-for-profit hospital located in rural northern California. It provides inpatient and outpatient services to the close-knit community that resides within the forested and lakeside town the facility is nestled in. Although it is known for its great track record for quality and is held in high regard by the surrounding community, it has steadily experienced financial losses from 2006 through 2009. These losses can be

Other occupations include healthcare, construction, and transportation. The average household income is $37,058, which is below the national average. This is in relation to the 20.9 % of families in this community that are below the poverty level (70806 Detailed Profile, n.d.).

These issues range from cardiovascular problems to dental hygiene issues. After the introduction of the community from our point of contact, the consensus was that many of the health problems affecting the congregation are related to their diet. It is apparent that the community is in dire need of education to help prevent and potentially correct some of their health

including expansion into other specialty areas. Various proposals haae been adaanced to increase the capacity of the hospital