Posted: May 5th, 2016

perform an analysis of a capital investment case study?

Read the Capital Project Case Study and then use the data provided in the Capital Project Case Study (excel) to perform an analysis of a capital investment case study.

Capital Case Study, Part 1

This case study considers the expected costs and benefits to a managed care organization resulting from a decision to design a centralized nurse triage line. This triage line would assist routine primary care patients to provide self-care and/or seek urgent care in lieu of seeking more expensive care after-hours in the emergency room.

Summary
Jiranna Healthcare owns and operates a 268-bed hospital in the San Jose area. The hospital is Jiranna Healthcare’s main facility and is home to more than 80 on-site specialty and surgery clinics, employing over 5,000 staff. In addition to the main hospital, Jiranna Healthcare has 18 satellite clinics, containing primary care services such as pediatrics, family medicine, and geriatric health. These facilities (hospital plus outlying clinics) serve a total enrollee population of 97,000.
Currently, Jiranna Healthcare’s centralized call center schedules primary care appointments and handles an average of 1,500 to 2,000 calls daily with a staff of 20. Patients routinely have difficulty obtaining access to urgent or acute care (primary care) in a timely fashion. Additionally, the majority of Jiranna Healthcare’s primary care centers are unable to meet access standards in three out of four cases. These access issues have a secondary effect on the call center, which experiences a much higher call rate because members have to call back multiple times to find available appointments. The existing process leads to overutilization of emergency departments for urgent care and primary care concerns. In addition, patient satisfaction has steadily declined as a result of the continued lack of appointment availability.

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