Building and Sustaining Co-Management Programs in Hospital Medicine: A Technical Report and Operational Guide-Appendix B

Appendix B - Example of a Business Plan

Pdf Summary

This document provides a mock business plan framework for establishing a hospitalist co-management service in a hospital setting. The key components of the plan include aligning the service with the hospital's strategic goals, enhancing clinical operations, and supporting the teaching and research missions. <br /><br />The mock budget sheet highlights projected operations over three years, forecasting growth in patient volume and hospitalist consultations. It estimates the full-time equivalent (FTE) hospitalists required to manage increasing consults, both for day and night shifts, factoring in vacation and census fluctuations. Salaries for these positions are outlined with placeholders for actual amounts.<br /><br />Projected savings and benefits focus on reduced average patient length and ICU stays, which could ostensibly lower costs. Improved documentation processes aim to capture comorbidities more effectively, potentially boosting hospital reimbursements and rankings due to better outcomes and documented care quality.<br /><br />The plan also forecasts expenses, including salaries, hospital support, benefits, recruitment, and overhead costs. Revenue streams such as productivity, research grants, and non-clinical funds are anticipated.<br /><br />Clinical and operational improvements include accelerating throughput in emergency and operating rooms, reducing length of stay, decreasing complication rates, and optimizing resource utilization. Efforts are made to ensure appropriate admission, observation status, and care transitions, contributing to overall efficiency and patient safety.<br /><br />Finally, the plan calculates potential net benefits and return on investment across a three-year span by comparing projected revenues and savings against expenses, providing a comprehensive financial overview necessary for decision-making and strategic planning. The plan serves as a guide for hospital leadership to evaluate the value and feasibility of implementing the co-management service.

Keywords

hospitalist co-management

business plan

strategic goals

clinical operations

patient volume

financial overview

cost savings

operational improvements

revenue streams

return on investment