As an organization, PHC (both hospital campuses) are provided direction and leadership with a single Chief Executive Officer, a president and three vice-presidents who oversee physicians, operations and medical care. According to K. Nissen (personal communication, April 16, 2020), primary care is led by three additional directors and seven senior managers and is split into three groups (primary care, specialty care, and physician engagement). Within those levels, directors and managers are responsible for leading primary care clinics, behavioral health, cardiology, inpatient units, pharmacy, outpatient and emergency services. From a financial perspective, PHC has an advantage of being located in a relatively affluent market and has three main service lines, cardiovascular, oncology and orthopedic care, that are all profitable.
4 CONSULTATIVE CHANGE RECOMMENDATIONS Primary Needs of Organization’s Population ProHealth Care serves the community of Waukesha County, which is 580 square miles and has urban, suburban and rural areas within it. They have health care services available at the two hospitals, a free-standing cancer center, urgent care sites and over a dozen clinics. The total population is over 400,000 with continual growth. Waukesha County has a median age of 43 years, which is higher than averages in the State of Wisconsin and also includes an aging population with approximately 25% being over the age of 65. As mentioned earlier, the community has many high-income households which may skew the median household income number of $78,268. This county has approximately 5% of its’ population living below poverty level and others that are low-income, non-English speaking and vulnerable who may have significant barriers to health care. The specific demographics of this county include 93% White, 5% African American and 2% Hispanic (ProHealth Care, 2019). After reviewing the community needs assessment (ProHealth Care, 2019) the top three health risks present in this population are nutrition and obesity, substance abuse and access to healthcare. In Waukesha county, 69% of residents have a Body Mass Index (BMI) greater than 25, and admit they are overweight. BMI is a useful tool to assess if a person has a healthy weight and should be used in conjunction with waist measurements and body-fat percentage calculations. BMI readings above 30 classify a person as obese and at risk of developing diseases such as heart disease, high blood pressure and diabetes. These health risks impact OMH as it correlates to a higher need for and use of emergency and cardiovascular services at the hospital which impacts staffing and resources required to treat this obese patient population.
5 CONSULTATIVE CHANGE RECOMMENDATIONS This health risk can also affect the community and families of patients due to the higher incidence of death and disability related to cardiovascular complications such as stroke and kidney failure (Carey & Whelton, 2018).
- Summer '19
- Health care provider, OMH