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    Dialysis Proposal

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    imtiaz
    This document proposes the establishment of a dialysis center in Mitchell, CO to serve patients from Woodland Ridge Hospital who currently must travel 60 miles for treatment. The center would employ nurses, administrative staff, and a part-time manager. It would contain 45 treatment areas and cost $1.6 million initially for machines, installation, and furnishings. Financial projections estimate costs of $80 per treatment paid primarily by Medicare. The center would operate 8 hours daily, 7 days a week to serve the local end-stage renal disease patient population.

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    Dialysis Proposal

    Uploaded by

    imtiaz
    1K views4 pages
    This document proposes the establishment of a dialysis center in Mitchell, CO to serve patients from Woodland Ridge Hospital who currently must travel 60 miles for treatment. The center would employ nurses, administrative staff, and a part-time manager. It would contain 45 treatment areas and cost $1.6 million initially for machines, installation, and furnishings. Financial projections estimate costs of $80 per treatment paid primarily by Medicare. The center would operate 8 hours daily, 7 days a week to serve the local end-stage renal disease patient population.

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    dialysis centre report

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    This document proposes the establishment of a dialysis center in Mitchell, CO to serve patients from Woodland Ridge Hospital who currently must travel 60 miles for treatment. The center would employ nurses, administrative staff, and a part-time manager. It would contain 45 treatment areas and cost $1.6 million initially for machines, installation, and furnishings. Financial projections estimate costs of $80 per treatment paid primarily by Medicare. The center would operate 8 hours daily, 7 days a week to serve the local end-stage renal disease patient population.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    1K views4 pages

    Dialysis Proposal

    Uploaded by

    imtiaz
    This document proposes the establishment of a dialysis center in Mitchell, CO to serve patients from Woodland Ridge Hospital who currently must travel 60 miles for treatment. The center would employ nurses, administrative staff, and a part-time manager. It would contain 45 treatment areas and cost $1.6 million initially for machines, installation, and furnishings. Financial projections estimate costs of $80 per treatment paid primarily by Medicare. The center would operate 8 hours daily, 7 days a week to serve the local end-stage renal disease patient population.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 4
    At a glance
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    The proposal outlines plans to set up a dialysis center in Mitchell, CO to serve patients with kidney failure who currently must travel long distances for treatment.

    The center aims to serve patients with end-stage renal disease who require dialysis to replace the functions normally performed by their kidneys.

    The center will provide hemodialysis treatments using machines in private treatment areas. It will employ nurses to administer treatments and support staff to manage administrative duties like scheduling.

    Capital Investment Project Dialysis Center

    Capital Investment Proposal:


    Dialysis Center

    Woodland Ridge Hospital - 1400 Main Street - Mitchell. CO

    PROJECT OVERVIEW

    Page 1

    Capital Investment Project Dialysis Center

    Kidney disease is a prevalent medical condition in the United States. Many patients with
    End-stage renal disease, in other words total kidney failure, must have dialysis. Dialysis
    is a process where a machine does the work a patients kidneys would normally do.
    During a dialysis procedure, blood is removed from a patients body filtered through a
    machine to remove impurities and then returned to the body. Because dialysis must be
    performed at least threes times a week dialysis patients need a dialysis center
    conveniently located. Mitchell, CO currently has no other dialysis centers. Patients from
    Woodland Ridge hospital are currently traveling 60 miles to a large University Hospital to
    receive their dialysis treatments.
    This void in local medical services has left Woodland Ridge with an opportunity to tap
    into an untouched market as well as help many local dialysis patients.
    STAFFING ISSUES
    Physicians
    The Woodland Ridge Nephrology group could refer patients to this center. The 4 doctors
    in that unit have significant contacts with their peers at other Nephrology groups in the
    community. We care confident there would be enough referrals to the unit, without
    needing to bring any additional physicians onto the medical staff.
    Compensation for physicians has not been included in this proposal because physicians
    bill for their own professional services.
    Nurses
    Nurses are the primary employees of this center. They administer all treatments.
    Because of this, staffing for nurses is directly tied to demand. 8 hours equals 1 FTE, so
    dividing the number of procedures by 8 tells us how many FTEs we need to staff the
    center, based on the demand. We will use the following staffing formula:
    # of procedures per day / 8 hours = number of FTEs required
    Front Desk/Administrative Support
    Because patients come to a dialysis center so frequently, there are a lot of administrative
    details. Scheduling procedures is complex. As a result we have proposed 3 FTE
    administrative personnel for the entire life of the project. We would like to start with all
    three at the beginning of the project because as demand increases, we will already have
    three well-trained support people in place.
    Manager
    Finally, the unit will need a manager. However, because we are suggesting three support
    personnel, we believe someone at only 0.25 FTE could manage this center. Someone
    managing one of the hospitals smaller units or even one of the nephrologists from our
    Nephrology group could devote one quarter of his/her time to running this unit.
    SALARY ISSUES
    The following compensations are for 1 FTE per year.
    LPN - $35,000 per year
    Administrative Support - $16,000 per year
    Manager - $50,000 per year

    Page 2

    Capital Investment Project Dialysis Center

    Benefits
    Woodland Ridge also spends an additional 28% of the total salary for all FTEs on a
    project to cover medical and dental benefits.
    FACILITY ISSUES
    This unit has been designed to take a total of1000 square feet. It will have a waiting
    area and front desk. There are 45 patient treatments areas, separated by curtains. Each
    area has a hemodialysis machine, a chair and a TV. Our goal will be to make this center
    as comfortable as possible for both patients and the family member who brings them to
    their treatment. Both patient and family member spend an average of 15 hours a week in
    the Center. We want the space to be calm, comfortable and inviting.
    PATIENT PROFILE
    The typical dialysis patient has end-stage renal disease. Most are adults, though it is
    possible that we could attract a few pediatric patients. Most patients who come to a
    Dialysis Center are awaiting a kidney transplant. Not all patients who need a transplant
    get one. As a result, some patients who come to the dialysis center may be very ill and
    near death and some may be at the beginning of their fight. Patients with kidney failure,
    who have not yet had a transplant, must continue to receive dialysis or they will die.
    FINANCIAL ISSUES
    Operation
    The Dialysis Center will be open 8 hours per day, 7 days a week, 52 weeks a year.
    Cost of the Procedure
    Price per procedure is $80 and that price is expected to rise 4% per year. There is an
    associated consumable price of $5 per procedure for the life of the project.
    Payor Considerations
    All patients with End-Stage Renal disease are automatically enrolled in Medicare. Some
    patients, however, continue to be self-payors.
    Initial Costs
    We anticipate the following initial costs:
    Cost of Machines
    Cost of Installation
    Misc office furniture
    Misc office Equipment

    $1,350,00
    0
    $225,000
    $21,000
    $15,000

    Note: Installation costs include construction and other remodel costs associated with
    preparing the facility.
    Ongoing Costs
    There is an annual service contract for maintenance at a cost of 1% of initial costs of the
    equipment. This maintenance begins in year two of the project. This is a contractual
    price, which will remain constant for the entire length of the project.

    Page 3

    Capital Investment Project Dialysis Center

    Finally, the facility will bear the expenses of any other hospital department, including the
    following annual costs:

    Space/Maintenance fee - $15 per square foot

    Furniture Maintenance fee 10% of the initial cost of office furniture

    Equipment Maintenance fee 12 of the initial cost of office equipment

    Overhead, including:
    o Equipment Overhead - 5% of the initial cost of all the facilities equipment
    o

    Hospital Overhead 8% of the total expenses in a given year

    RESEARCH
    No research revenue or expenses are associated with this project.
    TIMELINE
    The center would take 6 months to build and install the dialysis machines. This is an 8year project and we anticipate salvaging each dialysis machine for $100.

    Page 4

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