Annie Zanders
West Coast University
HA 540 Strategic Planning in Health Care Organizations
Professor Christopher Melisko
04/04/2021
Executive Summary
This project evaluates Mid- Atlantic Center (MANC), an assisted living facility, and a nursing home. The company bought two facilities a couple of years ago and spent the last two years focusing on its operations and integrating the two new facilities. The latest addition now has two facilities in northern Virginia and one facility in suburban Maryland, which comprise part of the Virginia – Washington D.C. – Maryland Metro area. Their approach calls for a change in organizational culture, where an emphasis is placed on understanding, respecting, and appropriately responding to individual wellbeing. In particular, it seeks to hire people who are a good fit for its culture and structure.
As a result, it has a stable workforce with a low turnover rate. With its steady operations and financial performance, it is now ready to enter another expansion phase. The purpose of this evaluation is to understand whether the assisted living facility and a nursing home are effective in improving patient and employee health outcomes in participating nursing homes using multiple implementations and outcome measures. The project also aims to assess participating nursing home fidelity using multiple implementations and outcome measures (Dung et al., 2020).
In the implementation (or process) evaluation, we have a previous resident son. He recently approached Mary Ann Lewis, the CEOcompany’s CEO, Mr. James Nguyen, interested in making an endowment in his mother’s memory. Mrs. Nguyen was a patient with Alzheimer’s who received home healthcare from Mid-Atlantic Nursing Center before passing away a few months ago. In exchange for an endowment to MANC, he would like MANC to open a facility to care for Vietnamese older adults with unique needs.
External environmental
Strength- Mr. Nguyen expressed a strong desire to help bridge the gap in caring for Vietnamese older adults by providing them an environment close to a community that they are familiar with, with caregivers speaking their language. He is grateful for his mother’s care at home but knows that many Vietnamese older adults cannot afford to have the personal home healthcare service that his mother had. Mary Ann comes from a healthcare administrator who also has a clinical background as a home health nurse practitioner. Therefore, Mary Ann is confident that she can lead her team through this exciting challenge. Nonetheless, she is aware that MANC’s organizational capability and resources will need to change to support this new service (Sengupta et al., 2018).
Weakness- On the other hand, Mary Ann Lewis is apprehensive about this new direction. Her company has not entered a niche market, and uncertainty is facing her company (Fonseca, 2012). Specifically, what is the law and regulation on offering services to a specific group that may exclude others? Is there enough demand for the Vietnamese niche market? Younger Vietnamese Americans may be open to the idea, but what if their parents resist it despite her company’s best efforts to customize and personalize the care environment? How will this niche service fit in with the rest of the services that MANC provides?
Opportunity- Mary Ann is excited with this potential opportunity to expand the service to a section of the population that has a unique need. As a home health nurse practitioner, she understands that social determinants of health play a crucial role in people’s quality of health and life. Culture, lifestyle, language, education, and socioeconomic status all play parts in how people seek and receive care, manage their care at home, and how family/community plays a role in their health. Mary Ann completely understands that adding this niche service will require her to hire new staff with specific skills, design programs that meet specific cultural and social needs, build partnerships with Vietnamese communities as the service takes off, and customize her marketing content to have both English and Vietnamese languages to reach the adult children and directly target the elderly 3parents, respectively (Sengupta et al., 2018).
Threat- Even though the Virginia – Washington D.C. – Maryland Metro area has the fifth-largest Vietnamese population among U.S. metropolitan areas. There are currently no nursing homes in immediate northern Virginia and suburban Maryland areas that cater to the Vietnamese people. Entering a niche market would differentiate the company’s services and attract a subset of the population. Given that there is a larger Vietnamese community in northern Virginia, most notably Fairfax, Alexandria, and Arlington counties, a small Vietnamese center could be open in one of these counties as a pilot.
Internal Environment
If this business model goes well, the company can replicate it with other subsets of the population, providing truly customized and personal care that these patients cannot find anywhere else. Having a benefactor who provides initial financial support to roll out this new service is an opportunity just too good to pass up.
Vietnamese center focuses on addressing an existing problem in the community. A closer look at its operation gives the audience sufficient evidence that the center is determined to provide care for the elderly and grant job opportunities to the Vietnamese community. That would be considered hitting two birds with one stone considering the two factors are deserving in the community (Fonseca, 2012).
Research
Mary Ann Lewis has contacted some Vietnamese and knows that they are a very tight-knit community. Adult children often take care of their aging parents at home. Nursing homes carry a stigma, and many Vietnamese consider them a place for people who are “abandoned” by family. She also needs an outside advisor who knows the Vietnamese community well to guide her through the process (Fonseca, 2012).
According to the survey previously conducted to evaluate the life Vietnam elderly population, it was found that they depended on nursing homes, family connections, and connections from community members. On a sample population of 291 older adults, it was found out that the sample group in the nursing homes was found to be having a low-quality life. Mid- Atlantic Center (MANC) provides a high standard of quality care from the community’s community, making the elderly feel at home while away from home (Dung et al., 2020).
Sufficient research on the issue is deemed crucial to avoid wastage of resources. The nursing home has to be on the lookout to ensure that the Vietnamese community is open to the idea of having their elderly taken care of outside their homes. An advisor should be considered to ensure the efforts yield great results. An awareness of the Vietnamese community is of utmost essence to change the people’s mentality on nursing homes. Once the process is finalized, the nursing home will be sure to have uninterrupted operations.
Ginter, P. M., Duncan, J. W., & Swayne, L. E. (2013). The strategic management of healthcare organizations. San Francisco, CA: Jossey-Bass.
Dung, V., Thi Mai Lan, N., Thu Trang, V., Xuan Cu, T., Minh Thien, L., & Sy Thu, N. et al. (2020). Quality of life of older adults in nursing homes in Vietnam. Health Psychology Open, 7(2), 205510292095471. DOI: 10.1177/2055102920954710
Fonseca, C. (2012). Nursing Care Indicators to Nursing Homes. Journal Of Nursing & Care, 01(03). DOI: 10.4172/2167-1168.1000107
Sengupta, M., Harris-Kojetin, L., Lendon, J., Caffrey, C., Rome, V., & Valverde, R. (2018). National and state estimates of long-term care services users: 2016 national study of long-term care providers. Innovation in Aging, 2(suppl_1), 474-474. doi:10.1093/geroni/igy023.1772
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