Proposal for a New Dental Department: Benefits, Risks, and Financial Information
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This proposal outlines the benefits, risks, and financial information of establishing a new dental department in a hospital. It includes a break-even analysis and details on resources, reporting, and outcomes.
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Running head: NEW DENTAL DEPARTMENT New Dental Department Name of the Student: Name of the University: Authors Note:
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1 NEW DENTAL DEPARTMENT Contents Executive Summary.......................................................................................................2 Outline............................................................................................................................3 Background....................................................................................................................3 The Proposal...................................................................................................................4 Aims...........................................................................................................................4 Benefits......................................................................................................................4 Risks...............................................................................................................................8 Process..........................................................................................................................11 Resources.....................................................................................................................12 Reporting of outcomes.................................................................................................12 The reports will be presented to the management of the hospital on weekly basis. ..............................................................................................................................12 Financial Information...................................................................................................12 References....................................................................................................................14 Attachment 1................................................................................................................17 Attachment 2................................................................................................................17
2 NEW DENTAL DEPARTMENT Executive Summary: The inhabitants of the area are in dire need of a dental facility within the vicinity of the locality engaged in providing the care at cheaper rates. The purpose of the report is to establish whether the proposed new department will yield value to the locals and the inhabitants of the locality in the long run. For the purpose of ensuring that detailed analysis of the prospect is being taken up the help of several tables has been taken up. Within the table details regarding the benefits, the risk that are involved and the revenue that is going to be incurred in respect of the company has been objectively analysed and listed out. In addition to that an objective break even analysis of the same has been taken up to ensure that clear picture is being presented in front of the management of the company to ensure that the target revenue that has to be achieved by it for the purpose of ensuring that the costs incurred by it is recovered entirely. After the analysis it was found that there are several capital as well as revenue expenditurethataregoingtobeincurredbytheentityforthepurposeof implementing and integrating the new department within the hospital.
3 NEW DENTAL DEPARTMENT Outline In the present report an effort will be made for the purpose of analysing the various costs and the revenue that are going to be incurred and generated by way of operating a dental clinic. Immense value will be created in respect of the Local Health District from this. The reason being that due to the unavailability of the dental services in the nearby area the inhabitants had to travel long distances for the purpose of getting the service in relation to this (Peterson et al., 2015). It is of utmost importance that the service is being introduced for the purpose of ensuring that the same is being received by them in the locality at a reasonable price. Background Under the present scenario the inhabitants of the area are facing immense problem in respect of availing dental facility. The reason being that the hospital of the area doesn’t have a dental department. This has forced the inhabitants to travel long distances for the purpose of availing the dental care that they are in need of. The cost that is being incurred by them in the present scenario is immense (O'Neill & Ensle, 2015). Due to the fact that in addition to the consultation fees to be paid to the private practitioners, the inhabitants have to incur huge travel costs. For the purpose of mitigation of this issue it is of utmost importance that a new and improved dental clinic is being opened up in the area. The same would be engaged in the process of delivering decent dental care to the inhabitants at a reasonable price (Wright 2015).
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4 NEW DENTAL DEPARTMENT The Proposal For the purpose of mitigation of the issues that have been raised in respect of the present situation, a proposal is being made that the hospital must ensure that a new department is being opened up for the purpose of addressing the issue fo the dental care of the patients (Stiglitz, J. E., & Rosengard, 2015). To ensure that the same is becomes fully operational and creates value in the long run the hospital will have to ensure that the costs that are being incurred in its respect will be recovered from the revenue that is being generated by it. Aims: The main aim of the proposal is ensuring specialisation of the care that is being given to the patients in respect of the dental problems. It is to be seen that a specific and new department is being opened up for the purpose of delivering quality care to the customer in this respect. The main purpose of is to maintain the cheap price that is offered by the hospital at present and ensure that specialisation is achieved. By adopting this approach the hospital will be able to break-even in a very short period of time (Aung et al., 2016). If the hospital opens up a new department that is directed towards the addressing of the issue only then the efficiency of the hospital’s services in this respect would increase. After the efficiency of the services that are being provided by the hospital improves the revenue that is being generated by the hospital from this source will increase rapidly. The same will be achieved by the entity after the services and the products are being offered to the patients at affordable prices without interfering with the quality.
5 NEW DENTAL DEPARTMENT Benefits ď‚·Efficiency gains: The improvement in the quality of the services that are being offered to the patients will increase many times. This is one of the most significant improvements in the efficiency of the hospital. The human resource that will be arranged bit eh hospital in this respect will be able to deliver better quality of service if an entire department is being dedicated for the same purpose. The services provided by the doctors that are being hired for this job will be transferred to the right department (Verguet et al., 2015). The costs that are being incurred in respect of the department will be allocated to the right department. This will improve the cost allocation processes of hospital. This in turn suggest that the overhead that is being incurred by the hospital in respect of providing quality service to the patients. ď‚·Potential savings/increased costs: The hospital was previously losing its revenue due to the unavailability of Location of the requisite facility in respect of providing Quality Services to the patients related to dental facilities. Hence huge portion of hospitals revenue was getting lost this loss is referred to as opportunity cost though the hospital will have to incur heavy capital expenditure at the beginning stage but the corresponding revenue that is being generated from utilising them will help pay recovery of their cost in a very short span of time (Millward, 2017). Location of the requisite facility in respect of providing Quality Services to the patients related to dental facilities. Hence huge portion of hospitals revenue was getting lost this loss is referred to as opportunity cost though the hospital will have to incur heavy capital expenditure at the beginning stage but the corresponding revenue that is being
6 NEW DENTAL DEPARTMENT generated from utilising them will help pay recovery of their cost in a very short span of time. the capital expenditure will include expenditure in relation to human resource equipment’s and other facilities like electric connection water connection waste disposal Location of the requisite facility in respect of providing Quality Services to the patients related to dental facilities (Chan, 2014). Hence huge portion of hospitals revenue was getting lost this loss is referred to as opportunity cost though the hospital will have to incur heavy capital expenditure at the beginning stage but the corresponding revenue that is being generated from utilising them will help pay recovery of their cost in a very short span of time the capitalexpenditurewillincludeexpenditureinrelationtohumanresource equipment’s and other facilities like electric connection water connection waste disposal. The reason for the speedy recovery of the expenditure that has been incurred by the hospital is that it will be able to increase the number of patients who will be availing the facility of Dental Care provided by it. The increase cost of hospital will also include some revenue expenditure by way of disinfecting products disposable gloves syringes and miscellaneous (Andrews et al., 2017). What are the expected benefits of this proposal? FactorBenefits PatientsThe most important benefits that will be received by the patients of the hospital is that they will be able to get specialised treatment in respect of dental care. As prior the patients were not able to consult an expert in the field of dental they were forced to remain unsatisfied with the care that was being received from the hospital even if their condition was very serious. The availability of an entire department solely
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7 NEW DENTAL DEPARTMENT dedicated to this purpose will enhance the satisfaction that is being received by the patient. FacilityWith the opening of a new department the hospital will have to ensure that the corresponding requirement of the equipment and the other elements like chair, electricity, expansion of the space that is present with the hospital etc. improves rapidly. This will ensure a face lift of the entire hospital by increasing the quality of the facility that is being offered by it to the patients. CliniciansThe advantage that the clinicians will receive is the streamlining of the duties that are being assigned to them. With the opening of the new department the hospital will allocate specific tasks to the clinicians that will improve their knowledge base and skills too. Risks Risk IssueSeverityImpactMitigation PlanNotes Financial riskThefinancial riskishigh. Thereason beingthatthe hospitalwill havetoincur hugecostsin Thiswill increasethe interestand theoverall financial burden of the hospitalin Thehospital must ensure that ittakesloan after considering allthesources. Inadditionto thatismust Thehospital mustaimfor lessfinancial burden.
8 NEW DENTAL DEPARTMENT Risk IssueSeverityImpactMitigation PlanNotes respectofthe equipmentto bepurchased andthe expansionof the space. the future.ensure that other sourcesshould besuedupfor the collection of thefundsother thantheloan likedonations etc. PatientsTherisk associated with thepatientsis moderate.The riskassociated with them is in respectofthe numberof patientsthat wouldturnup for the availing thedental services provided by the hospital. Therevenue earned by the hospitalhas adirect relationship withthe numberof patients. Decentquality care and facility mustbe providedtothe patientsto ensurethatthe hospitalisable toretainthe patients. Theincrease in the number ofpatientsof the hospital is necessaryfor ascertaining that the entity isableto successfully run the dental careservices in the future. InsurancesTheriskisThiswillCheaper,moreThe cost that is
9 NEW DENTAL DEPARTMENT Risk IssueSeverityImpactMitigation PlanNotes moderate.The riskismainly concerned with the amount that isbeing incurred by the companyin respectofthe insuranceof thenew equipmentthat havebeen acquiredand installed by the hospital. increasethe burdenon thehospital in respect of theamount that is being repayable by it. effectiveand efficient insurance product has to be selectedbythe company for the purposeof ensuring that the degreeof financialburden oftheentityis beingimproved significantly. associated withthe insurance amount that is repayableby the hospital is very high. Process ď‚·Action (insert as a flow chart as attachment 1) A team will be formed for the purpose of overlooking and monitoring of the various activities and the elements that are involved in the commissioning of the entre process. For the purpose of formation of the group the entire human resource that is available with the hospital will have to be reviewed and the qualification will have to
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10 NEW DENTAL DEPARTMENT be reviewed (Kaiser et al., 2016). The cost will be listed out that will be incurred in the process. Then the list of the sources of the financial funds of the company will have to be made. Some financial advisors will also have to be hired for ascertaining the success of the project. Resources: The resources that are going to be required for the purpose of development of the new project will consist of the following: a) Dentist: Only doctors specialising in the field will be employed for delivering specialised care to the patients. b) Dental assistant: The department is going to have to appoint assistants who are well trained for the purpose of carrying out the requisite jobs and the chores involved in the process of dental. c) Surgical clothing: The department will require clothing in respect of dental care the reason being that for the purpose of conducting surgery special clothing will be required by the surgeons of the company (NAGARIA, 2016). Reporting of outcomes: Experienced cost professionals will be hired for the purpose of ascertaining the costs that are going to be incurred and conducting its monitoring. They will be assigned with the duty of reporting the management with the information regarding the costs that are being incurred and the revenue that is being generated and other
11 NEW DENTAL DEPARTMENT details like the savings in the costs etc. to the management of the hospital (Nair et al., 2017). Financial Information: In respect of the financial information a break even analysis of the entire proposal has bene made. This will ensure that the entity that the management of the entity is assured of the fact and details of the level of revenue that is to be generated by it for meeting up with the costs that have been incurred by it for implementing the proposal. Within the breakeven analysis all the relevant items have been included like the costs incurred for the dentists, the surgical equipment and the requisite human resource.
12 NEW DENTAL DEPARTMENT References Andrews, R. J., Khan, T. M., & Crisp, N. (2017). Physicians, poverty, and profits: can Robin Hood finance health care in developing countries?.World neurosurgery,99, 786-789. Aung, T. W., Jain, G., Sethuraman, K., Baumgartner, J., Reynolds, C., Grieshop, A. P., ... & Brauer, M. (2016). Health and climate-relevant pollutant concentrations from a carbon-finance approved cookstove intervention in rural India.Environmental science & technology,50(13), 7228-7238. Chan, R. K. (2014). Policies and Politics: The Alternatives and Limitations of Health Finance Reform in Hong Kong. InContemporary Social Issues in East Asian Societies: Examining the Spectrum of Public and Private Spheres(pp. 209- 218). IGI Global. Chi, Y. L., Krishnakumar, J., Maurer, J., Loncar, D., & Flahault, A. (2016). Who should finance WHO's work on emergencies?.The Lancet,387(10038), 2584- 2585. Choonara, S., Goudge, J., Nxumalo, N., & Eyles, J. (2017). Significance of informal (on-the-job) learning and leadership development in health systems: lessons from a district finance team in South Africa.BMJ global health,2(1), e000138. Kaiser, K., Bredenkamp, C., & Iglesias, R. (2016). Sin Tax Reform in the Philippines: Transforming Public Finance, Health, and Governance for More Inclusive Development. Directions in Development—Countries and
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13 NEW DENTAL DEPARTMENT Regions.Washington, DC: World Bank. Available at: https://openknowledge. worldbank. org/handle/10986/24617. Millward, R. (2017). Urban government, finance and public health in Victorian Britain. InUrban Governance(pp. 47-68). Routledge. NAGARIA, M. S. (2016). Finance: A vehicle for enhancing Performance in Indian Micro, Small and Medium Enterprises (MSMEs).Journal of Finance,2395, 7492. Nair, S., Jagannathan, A., Kudumallige, S., Kumar, C. N., & Thirthalli, J. (2017). Need for micro finance self-help groups among women family caregivers of persons with mental disability in rural India.Mental Health and Social Inclusion, (just-accepted), 00-00. O'Neill, B., & Ensle, K. (2015). Personal Health and Finance Quiz&58; A Tool for Outreach, Research, and Evaluation.Journal of Human Sciences and Extension,3(1), 149-149. Peterson, L., Comfort, A., Omasanjuwa, E., Ambrose, K., & Hatt, L. (2015). Extending health insurance to informal sector workers in urban settings: findings from a micro insurance pilot in Lagos Nigeria. Stiglitz, J. E., & Rosengard, J. K. (2015).Economics of the Public Sector: Fourth International Student Edition. WW Norton & Company. Verguet, S., Olson, Z.D., Babigumira, J.B., Desalegn, D., Johansson, K.A., Kruk, M.E., Levin, C.E., Nugent, R.A., Pecenka, C., Shrime, M.G. and Memirie, S.T., 2015. Health gains and financial risk protection afforded by public financing of selected interventions in Ethiopia: an extended cost-effectiveness analysis.The Lancet Global Health,3(5), pp.e288-e296.
14 NEW DENTAL DEPARTMENT World Health Organization. (2015).Tracking universal health coverage: first global monitoring report. World Health Organization. Wright, J. (2015). Essential package of health services country snapshot: Indonesia. Xiao, J. J. (2016).Handbook of consumer finance research. Springer.
15 NEW DENTAL DEPARTMENT Attachment 1 Process flow chart for new service Attachment 2 Financial report – total life costs for the proposal A committee for the implementation and the commencement of the proposal has to be establishedIt will comprise of financial advisors and experts and a team of specialists doctors. The committee will ensure the success of the proposal. Recognition of the financial sources of the hospital will be done The financial advisors and the experts of the feild will ensure the implementation of the optimal capital structure for the hospital All the costs associated with the sources of funds will have to be taken into consideration. Ascertainment of the costs inolved The help of the experts will be taken in this repsThe experts are needed to consider all the relevant expenditure for the decsion making process.
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16 NEW DENTAL DEPARTMENT Break-Even Analysis Income CalculationExplanatory NotesCategoryProduct/ServiceFormulaCalculationExplanatory Notes 449,280.00$I need 2 Dentist to run my Dental clinicIncomeRegular Dental check-ups327600$327,600Generally most patient comes for regular checkup due to pain or infection so 124,800.00$2 Dental assistant are required to assist Doctor.doctorDental Fillings421200$421,200The average charge for dental filling starts from $ 150 and at beginning atleas 59,904.00$I need one lab tecnician to perform x-raysRoot Canal Treatment265200265,200.00$The average cost for root canal treatment is $170 and on starting 3-5 cases for 37,440.00$I need 1 hygienist to provide excellent health care and instructionDental Crown936000936,000.00$The average charge for dental crown starts from $1500 and 2-3 case might com 11,232.00$1 cleaner is needed to maintain cleaniness of clinic every 2 hours a dayX-ray182520182,520.00$The expoected charge for oral X-ray per film start from $45 and almost 50 % p Oral Hygiene Instruction109200109,200.00$The minimum charge for oral hygiene instruction can be charged $50 since the 102,398.40$TOTAL INCOME2241720 786,240.00$Surgical gowns can be washed, so expected use 20 per yearBreak Even Calculation 146,016.00$syringe is disposable, so on estimation 2 syringe is nedded per surgery for medication and anesthesiaTOTAL INCOME$2,241,720 199,680.00$cotton,gloves, caps, treatment covers are used in all patient and are disposed therfore used 1 time per patientminus TOTAL COSTS PER YEAR$2,241,690 168,480.00$Disinfectant, hand sanitizer, lotion must be used before and after treating every patient to practice hygiene so it is frequently used.Profit / Loss$300 23,400.00$X-ray and other dental instruments are used approximately in every patient so average 450 $ is spent on electricityIf the Profit/Loss row is NEGATIVE, your service is LOSING MONEY. Increase your income. 1,768.00$Maximum water bill expected to be 35 $ per week 2,652.00$Phone and electricity bill is expected to be 52 $ a week $41,600I need 1 receptionist 6 days a week and I can provide the software so the receptionist can handle the accounting of the clinic as well $46,800I need minimum 5 room building on an average location to run my dental clinic, which is expected to charge $900 per week on average 40,000.00$I need computer, x-ray, software, IT, furniture to startup a average dental clinic so average expense on equipments and supplies amounts to be 200000 at beginning of business 10% Changes in Break-Even Income Explanatory NotesCategoryProduct/ServiceFormulaCalculationExplanatory Notes IncomeRegular Dental check-ups374400$374,400Due to high salary/wages and based on market research, the fees has been Dental assistant is mostly needed during surgeries which can be maintained according to appointments so I need dental assistant 5 days per weekdoctorDental Fillings463320$463,320Due to increment of cost of dental filling products in the market, there has Root Canal Treatment265200265,200.00$ Patients usually don’t appoint for dental hygienist individually, but they prefer to get advice during their regular checkup so I can reduce the shift of dental hyginiest from 4 days to 3 days.Dental Crown936000936,000.00$ X-ray202800202,800.00$I purchased mordern equipments and supplies which can give good qualit Oral Hygiene Instruction109200109,200.00$ Flouride treatment5241652,416.00$Due to increasing demand of flouride treatment as per the costumers, we TOTAL INCOME2403336 Break Even Calculation Syringe are widely used in dental clinic and since its disposable and I can deal with better company where I can buy good quality syringes in a better price so I deducted my expense on syringe from $13 to $11.TOTAL INCOME$2,403,336 minus TOTAL COSTS PER YEAR$2,184,542 Profit / Loss$218,7940 If the Profit/Loss row is NEGATIVE, your service is LOSING MONEY. Increase your income. As per the result, dental clinic have achieved 10.015% growth in profit. Due to reducing unnecessary costs like redusing the days staff working which was no