1. TULARE REGIONAL MEDICAL CENTER: CASE STUDY ANALYSIS HCE COLLEGE BOWL 2012

2.   INTRUDUCTION TO THE FACILITY  MISSION  VISION  VALUES  DEMOGRAPHICS OF THE AREA  POPULATION  GROWTH RATE  AGE DISTRIBUTION  PAYOR MIX  MEDICAL AND MEDICARE CASE OVERVIEW

3.   HEALTHCARE REFORM AND RURAL, NEW FACILITIES  FHQC STATUS TO ALL CLINICS  HORIZONTAL INTEGRATION  THE NEED FOR HOSPITAL-PHYSICIANS ALIGHNMENT  IMPLEMENTATION OF EMR SYSTEM  CONTRACTING WITH LOCAL HMO’S/ IPA’S  CURRENT MARKET POSITION  FOCUS ON MARKETING MIX  IMAGE BUILDING RECOMMENDATION OVERVIEW

4.  TRMC FQHCFHQC OBTAIN FQHC LICENSING TO ALL THE CLINICS FHQC FQHC 20 MILE RADIUS NEWLY INSURED MEDICARE AND MEDICAL POPULATON PCPs KAWEAH DELTA DISTRICT HOSPITAL

5.   PROVIDE ECONOMIES OF SCALE  BARGAIN EFFECTIVELY WITH HMO’S, MEDICAL EQUIPMENT COMPANIES, SUPPLIERS AND PHYSICIANS  WILL CREATE HIGH MARKET SHARE AND HIGH MARKET POWER HORIZONTAL INTEGRATION

6.   BETTER CORDINATED HIGH QUALITY PATIENT CARE  AUTOMATING THE PATIENTS ADMISSION AND ACCOUNTING PROCESSES  TRANPARENCY OF PATIENT DATA AMONG HOSPITALS AND PHYSICANS  FASTER REIMBURSEMENT  OPPORTUNITY TO ATTRACT PHYSICIANS EMR IMPLEMENTATION PATIENT/ PROVIDER PROCESSESTECHNOLOGY EMR SYNERGY

7.  MARKETING MIX LOCATIONS THAT ATTRACT THE PHYSICIANS VISIT IPA’s/ HMO’s, BILLBOARDS REHABILITATIO N, BEHAVIORAL HEALTH PAYOR CONTRACTS, SLIDING FEES, FQHC

8.  STEP 1 HIRE A FULL-TIME “SERVICE EXCELENCE DIRETOR” ACCOUNTABLE FOR HCAHPS SURVEYS ( DATA COLLECTION METHODOLOGY FOR MEASURING PATIENT’S PERSPECTIVE ON HOSPITAL CARE) STEP 2 INCLUDE HCAHPS IN THE STRATEGIC PLAN AND GET THE CEO’S SUPPORT FOR THAT STEP 3 HAVE QUARTELY “ SERVICE EXCELLENCE AWARD CEREMONIES” TO APPRECIATE PHYSICIANS, STAFF AND VOLUNTEERS INCLUDE PATIENT TESTERMONIALSS IN PROMOTIONAL ITEMS IMAGE BUILDING

9.  FUTURE OF TRMC IT’S OUR EARNEST BELIEF THAT THE IMPLMENTATION OF THESE PROPOSED STRATEGIES WILL BRIGHTEN THE FUTURE OF THIS FACILITY AND THE COMMUNITY.