A. Discuss the goals and rationale for an affiliation by doing the following:
1. Explain critical goals for the affiliation and specific criteria a candidate affiliate must meet.
The Twin Pines Medical Center (TMPC) serves northern Louisiana's low-income,
uninsured, insured, and underserved populations. Pine Parish’s population is just under
48,000 community members that the TMPC serves. At least 33% of the population is
uninsured, and 36% is enrolled in Medicaid. The population comprises 93% Black, White,
and Native Americans; the remaining 7% is Hispanic, Asian, and two or more races. There
is a higher incidence rate for diabetes in the non-Hispanic black population and the
Native Americans, equaling 57%. (Profile: Twin Pines Medical Center, n.d.)
The goal to improve these services would mean that critical care cases related to diabetic
conditions could be monitored and managed before emergency medicine needs to be
administered if the preventive treatment is improved for the population. If complex care
can be avoided from the start, that would increase the patient's outcome and the quality
of care they receive. The patient outcome when the affiliation adds an endocrinologist,
nutritionist, health educator, telemedicine, case management, and educational resources
for diabetic care will improve drastically.
The organization must choose an organization that fits its mission and adds more value
to its partnership. The organization selected should be able to fuse with close values and
organizational culture. The corporate culture, management, decision-making, and
governance must be compatible. (Grube, M. E., & Finnerty, M. J., 2011)
2. Identify three specific advantages a well-aligned affiliation would provide for TPMC.
TMPC and the affiliate will improve the quality of services, starting with primary care,
family medicine, and emergency medicine for the diabetic community. Adding specialty
care for the diabetic population and adequate equipment in the emergency department
will help decrease the number of cases seen and increase preventative care.
The patient outcome when the affiliation adds an endocrinologist, nutritionist, health
educator, telemedicine, case management, and educational resources for diabetic care
will improve drastically. The advantage of the affiliation would be that it will grow and
expand services to the community.
An advantage would be shared budget and resources between the two facilities. An
upgraded integrated medical record system will positively impact the organization by
providing an improved way to create and monitor the comprehensive care plans that the
local communities will benefit from.
3. Analyze the current state of TPMC and the projected market segmentation for TPMC
anticipated from the proposed affiliation. Your analysis must be supported by demographic
data and include the following elements:
The center offers primary care services with a few specialties: outpatient services,
inpatient services, family medicine, and women’s health. “The mission and values to
provide accessible, affordable, comprehensive, and quality services to the communities it
serves.” (Profile: Twin Pines Medical Center, n.d.) However, the center lacks the diabetic
care specialty that the community desperately needs. The preventive care for diabetes
and health education is inadequate for this location. The emergency room sees diabetic
, patients need complex care that they cannot provide properly. Suppose the patients had
diabetic preventive care and education. In that case, the population may have a decrease
in diabetes, and the patients who already have diabetes deserve to become healthier.
(Profile: Twin Pines Medical Center, n.d.)
The affiliate and Twin Pines Medical Center will operate in an integrated network,
creating a solid clinical and healthcare business affiliation. The importance of remaining
independent for both affiliates means that they integrate clinical services but remain
separate from the other institution controlling the other institution. Both institution's
missions align by providing care to all regardless of their ability to pay and offering quality
care.
The success of the affiliation will ensure that the collaboration between them will carry
out the mission and vision of the affiliation. The strength of the affiliations operations is
that each emergency department and endocrinologist can share information on the best
standards of care to be offered to the patients.
B. Discuss the affiliate recommendation by doing the following:
1. Recommend an affiliate based on your goals and rationale from part A and include critical
attributes of the proposed organization that support the affiliation.
Twin Pines Medical Center should join Duke Health as an integrated network affiliation.
By creating a solid clinical and healthcare business affiliation. The importance of
remaining independent for both affiliates means that they integrate clinical services but
remain separate from the other institution controlling the other institution. Both
institution's missions align by providing care to all regardless of their ability to pay and
offering quality care. Duke Health advocates for quality care for all patients, irrespective
of their ability to pay. Their commitment to their patients ensures those uninsured or
low-income receive treatment. (Community Health | Duke Health., n.d.). Reducing cost
and providing diabetic care is the goal for TMPC, and integrating with Duke Health will
allow both institutions to improve diabetic care, reduce cost, and provide endocrinology,
nutrition services, and primary care.
2. Identify the significant benefits of affiliation with this organization and describe how these
benefits strategically align with TPMC’s goals.
Creating an affiliation with the Duke Health System would immensely help the TPMC
population as reviewing Duke Health System, they both would benefit from the quality of
care that both organizations provide, and the network of innovative care that is offered
through a partnership would bring the population better health outcomes with the
programs that Duke Health System provides. Research experts with extensive knowledge
of complex cases would bring more resources to the TPMC community and provide care
to all, regardless of their ability to pay. This will eliminate any health disparities created
through the lack of willingness to see patients because of their economic status.
The initiative Duke already has for the endocrinology department is precisely what the
TPMC is looking for. The affiliation would be most beneficial because the organization
already has a strong expertise in complex cases and would provide the highest quality of
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