Demonstrate application of epidemiological principles and tools used for the integrative decision making in healthcare

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Learning Goal: I’m working on a public health exercise and need an explanation and answer to help me learn.
Part 1
Demonstrate application of epidemiological principles and tools used for the integrative decision making in healthcare.
Timberline Health, an integrated delivery system serving residents in five counties in eastern Washington, is considering new opportunities to increase community awareness of the organization’s outpatient health services. As the new business development manager of hearing health services, Jack Andrews is responsible for evaluating the feasibility of marketing activities for the hearing service line and must allocate resources to promotional activities that forecast positive return on investment. One option under consideration is to sponsor the health and wellness pavilion at the Spokane County Fair. Research from comparable markets has shown
that wellness fairs are not only effective at educating communities about potential risk factors for health problems, including hearing loss, but also increasing consumer awareness of new or existing health services provided by local health organizations. These activities are essential to Timberline Health’s mission within the community.
Since little is known about the hearing status of residents in the market area, Jack enlists the services of his organization’s epidemiologist, Dr. Ruth Litchfield, to help him evaluate the potential return on investment for this marketing campaign. Dr. Litchfield incorporates several factors into her analysis. She reviews public health data on hearing loss, occupational and age distribution data for local residents, as well as a query of Timberline Health’s patient databases. Based on this research, she estimates the prevalence of hearing loss in the five-county service area at 18 percent, slightly higher than the national average (NIH, 2010). Jack receives information from the fair’s sales and marketing department to help in his calculations. Specifically, sponsorship consists of an investment of $50,000 for the design and production of promotional materials and rental of pavilion space for the duration of the twelve day fair. Data from the previous three years shows on average 250,000 people attend the fair, of which 1% visit the wellness pavilion and participate in health screening services.
If Timberline Health is to offer mobile hearing screening, the organization must invest in new portable audiology equipment. Jack receives a quotation from his supplier and estimates the total investment in new audiometers and audiometric booths at $16,000. Timberline Health will use existing diagnostic equipment to test people who have failed the initial screening (i.e. test positive for hearing loss), so it is unnecessary to invest in additional equipment for the hearing centers. Vendor specifications for the screening and diagnostic equipment are indicated in Table 1.
Table 1
Vendor equipment specifications
Equipment
Sensitivity
Specificity
Portable audiology equipment for free screening
88%
95%
Clinic-based audiology equipment for follow-up diagnostic testing
99%
99%
Furthermore, Jack calculates that he must provide coverage for three 6-hour shifts per day and each shift must have three audiologists to meet the demand for screening tests. He anticipates hiring nine people to provide coverage for the duration of the fair. The hourly rate for audiologists is
$37.50.
People who fail the initial screening at the fair are referred to an audiologist for a diagnostic test. Jack assumes in his calculations that all people who are referred for diagnostic testing follow up with an audiologist in one of Timberline Health’s hearing centers. Initial screening tests at the fair are free; however, Timberline Health charges $57.00 for a diagnostic hearing test, which costs the organization $24.00. Using past sales data and industry metrics, Jack forecasts that of
the total number of people diagnosed with hearing loss at hearing centers only 20% will purchase hearing aids (NIH, 2010). He reviews sales and margin data from the prior year to identify the product mix for his calculations as indicated in Table 2.
Table 2
Sales and margin data
Hearing Aids
Unit Price
2015 Sales
Margin
Low-end
$1,000
$400,000
24%
Mid-range
$2,500
$1,250,000
46%
High-end
$4,000
$400,000
60%
Reference
National Institutes of Health (NIH) (2010, October 1). Fact Sheet: Hearing aids. Retrieved from
U.S. Department of Health and Human Services: National Institutes of Health:
https://www.nidcd.nih.gov/health/hearing-aids
Write a Memorandum directed to your faculty answering the questions below.
Based on the 2-by-2 contingency table to determine the total number of people who fail the diagnostic test, which represents the target market for hearing aid sales from Assignment 2 and the information from the case study, calculate:
How many people will buy the hearing aids?
How much the clinic will make on hearing aid sales to those people based on the
Hearing aid sales mix Hearing Aids
Unit Price
Sales (show the calculations)
Mix
Low-end
$1,000
40%
Mid-range
$2,500
50%
High-end
$4,000
10%
Total
100%
Calculate how much the clinic will expense on the staffing (HINT: you need to calculate the number of employees and the time worked first).
Discuss if it might be a good idea to conduct the Fair and follow up appointments considering the amount of money made and the expense for staffing.
What other potential considerations could influence the marketing department final recommendation?
**When appropriate, refer to credible resources following APA format
Part 2.
Pick a real healthcare organization or create your own. Think about the reimbursement types that organization is basing the financial sustainability on. List the organization type (e.g., for profit, not-for-profit etc., a hospital, a minute clinic etc.). List the income streams appropriate (e.g., out of pocket, capitation, fee-for-service etc.). Discuss how we can use epidemiology to assess servedpopulation healthcare risks that will affect cost of care and financial sustainability of your organization. Give an example. HINT: all the concepts you need to know are presented in week 1-7 of the course. HINT: use module 2 to help you.
Rubrics

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