Clinic Expansion Project

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Clinic Expansion Project

• By Patagonia High School Seniors
• Business Law/Economics Class
• Emily Cooper, Jennifer du Toit, Clay Koweek, Hado
  Lorta, Jessica Ogle, Laura Vines
• Project Advisor-Ms. Bowlsbey

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presentation
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Why project was selected

• We selected this project because we wanted to
  improve the options in health care for Patagonia.

3
Who were our sources?

• Dr. Gonzales/ Family Physician at Family Health
  Center
• Fred Sang/ Licensed contractor
• Jim Maloney/ Firefighter with Fry Fire Department
  
• Kathy Barney/ Radiologist at St. Josephs
  Hospital
• EMTs Jim Coleman, Denise Wales, and Dianne
  Isakson from the Patagonia Volunteer Fire
  Department.
• School nurse Cornelia OConner

4
Comments and opinions

• Dr. Gonzales thought that it would of help to the
  clinic to bring in another doctor, an X-ray
  machine, a Medical Records Clerk, an RN, and more
  space to work with.
• The students thought it would be a good idea to
  have an ambulance on call 24 hours a day in
  Patagonia. However, after a thorough analysis,
  the class abandoned this aspect of the project
  because the cost exceeded the potential benefits.
  

5
Fred Sang

• Mr. Sang provided us with a quote on the cost of
  additions to the building.

6
Jim Maloney

• Mr. Maloney gave information on costs of the
  ambulance and other medical supplies that the
  ambulance carries, as well as the price charged
  per patient per call.

7
Kathy Barney

• Ms. Barney gave us information on the process of
  taking X-rays and the various costs involved. She
  also estimated how many people from this area go
  to Nogales to get X-rays.

8
Denise Wales

• Ms. Wales gave us information on the number of
  ambulance calls per month in the Patagonia area
  and recommended that we provide ambulance service
  in Patagonia.

9
Jim Coleman

• Mr. Coleman gave us very important information
  when our Business Law class first presented our
  project. He reminded us that the town has First
  Responders that have a healthy response time and
  that the money spent on ambulance services could
  be better used else where.

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Project Components

• Purchase of X-ray machine and hiring of X-ray
  technician to provide X-ray services in Patagonia
  to refer patients.
• The hiring of a Medical Records Clerk, a
  Registered Nurse, and Nurse Practitioner. The
  objective of hiring more staff is to expand the
  clinic hours and enable the clinic to be open at
  lunch time to increase appointment availability
  and reduce waiting time.

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Cost of Expansion

• Changes to building 18,000
• Cost of X-ray machine 20,000
• Cost of additional personnel including benefits
  for one year 207,485
• Costs exclude office supplies, medical supplies,
  furniture, and additional insurance.

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Ethnic Diversity of Santa Cruz County
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Ethnic Diversity of Arizona
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Age Distribution
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Age Distribution
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Disabilities and Poverty in Santa Cruz County
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Disabilities and Poverty for Arizona
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Income Levels for Santa Cruz County
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Income Levels for Arizona
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Grants

• Net income assuming clinic receives grant for
  start up costs is 31,368.00
• A grant of 40,000 would be necessary to proceed
  with this project. Without this grant, the
  clinic would not have the upfront money to
  purchase new equipment and make modifications to
  the building.

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Conclusion

• In our opinion we think that this would be a
  great addition for the community, but without a
  grant, we would not be able to begin making
  profits because of the initial cost of the
  equipment. If we could get a grant for
  approximately 40,000, then the expansion would
  be well worth pursuing.

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Results of Latest Meeting with Dr. Gonzales

• He suggested we revise the following assumptions
• Number of X-rays
• Number of office visits
• Use of building expansion
• New staff hours
• Billing
• We feel that when we re-run the model with the
  new data then the project may no longer be
  viable.

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A Greater Concern

• Due to the fact that insurance companies
  reimburse the clinic at such a low rate, it is
  hard for the clinic to survive.
• Currently, government medical care program pays
  more than private insurance companies.
• Only the working poor pay full cost.