This week, you are tasked with developing a 12- to 15-page healthcare service proposal plan that introduces a newly designed product service or an upgrade to an existing healthcare service. You may choose a real-world or fictional healthcare organization. For example, you may choose one of the following:


a hospital 

a long-term care facility

home healthcare

renal care organization


The Healthcare Service Proposal must contain the provided headers. Refer to the
APA Style Elements
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resource for guidance on formatting APA level headings.

Executive Summary

In your final paper,


Develop a brief summary of the intended healthcare service.

Refer to
Writing an Executive Summary
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for guidance.




Introduction

In your final paper,


State the objectives of the proposed healthcare service, including marginal and average productivity. 

Explain how your healthcare service will achieve its intended objectives.


Strategic Effect

In your final paper,


Analyze the role of public policy in your proposed service. 

What policies and processes should be in place to create an effective service?



Develop a microeconomic model responsive to your target population’s specific healthcare service demands. 

For example, you might consider the current trend of the medical home model, which allows for care coordination, better communication among service providers, and convenience for patients. 



Explain how your healthcare service will serve a need for your target population.


Market Analysis

In your final paper,


Identify the population demographics.

Who are your competitors?

Identify whether a real need for your proposed healthcare service exists in the community.



Describe any competitors and if they exist in the present climate. 

Note:
This requires an evaluation of the present socioeconomic and cultural trends influencing how people make decisions in healthcare.



Compare and contrast economic challenges and incentives among healthcare organization models. 

This comparison requires understanding past challenges and incentives that other organizations have implemented.




Financial Analysis:
This section includes the revenue, expenses, and net income.

In your final paper,


Compare and contrast economic challenges and incentives by finding and describing multiple sources of public and private funding (e.g., grants, donations, awards, special projects) for this project.

Describe the fixed and variable costs associated with short and long-term cost production for your healthcare service.

Explain the annual maintenance and operation costs for your proposed healthcare service.


Outlook:
This section examines future implications of your proposed healthcare service and how it will impact the community’s future health outcomes and the financial health of the services being provided.

In your final paper,


Analyze economies and diseconomies that are germane to the provision of your proposed healthcare service.

Describe adjustments you might need to make regarding the potential “unintended consequences.” 

Example: Baylor Hospital in Houston proposed and spent $250 million to create a brand-new hospital that currently stands empty because it was built during the U.S. economic downturn, the loan was no longer able to finance the construction, and the initial examination of its necessity did not play out as expected. 



Analyze social, legal, political, and technological issues that could affect your healthcare service proposal.


The Healthcare Production and Cost and the Workforce Market final paper


must be 12 to 15 double-spaced pages in length (not including title and references pages) and formatted according to
APA Style
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as outlined in the Writing Center’s
APA Formatting for Microsoft Word
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resource.

must include a separate title page with the following in title case:

title of paper in bold font

Space should appear between the title and the rest of the information on the title page.



student’s name

name of institution (The University of Arizona Global Campus)

course name and number

instructor’s name

due date



must utilize academic voice.

Review the
Academic Voice
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resource for additional guidance.



must include an introduction and conclusion paragraph.

Your introduction paragraph needs to end with a clear thesis statement that indicates the purpose of your paper.

For assistance in writing
Introductions & Conclusions
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and
Writing a Thesis Statement
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, refer to the Writing Center resources.



must use at least 6 scholarly sources that were published within the last 5 years in addition to the course text, including a minimum of three peer-reviewed sources from the University of Arizona Global Campus Library. 

The
Scholarly, Peer-Reviewed, and Other Credible Sources
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table offers additional guidance on appropriate source types. If you have questions about whether a specific source is appropriate for this assignment, please contact your instructor. Your instructor has the final say about the appropriateness of a specific source.

To assist you in completing the research required for this assignment, refer to this
Quick and Easy Library Research
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tutorial, which introduces the University of Arizona Global Campus Library and the research process, and provides some library search tips.

You may also refer to the
How to Use Library OneSearch
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tutorial, which explains keyword searching process in the library to find scholarly articles, or the
Advanced Internet Search Techniques
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tip sheet, which provides some tips and strategies to make finding credible online research in a search engine such as Google easier and more efficient.



must document any information used from sources in APA Style as outlined in the Writing Center’s
APA: Citing Within Your Paper
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guide.

must include a separate references page that is formatted according to APA Style as outlined in the Writing Center.

Refer to the
APA: Formatting Your References List
Links to an external site.
resource in the Writing Center for specifications.

Mobile Chronic Care Clinic: Expanding Access & Outcomes

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This proposal introduces a Mobile Chronic Care Clinic (MCCC) designed to provide preventive, diagnostic, and management services to underserved adults with diabetes, hypertension, and heart disease. As chronic disease rates rise, many vulnerable populations lack consistent access to primary care, transportation, and follow-up services. The MCCC aims to increase access, reduce avoidable emergency visits, and improve long-term health outcomes by bringing evidence-based care directly into communities. The service integrates telehealth, point-of-care diagnostics, and care coordination to maximize productivity and population reach.

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The primary objective of the Mobile Chronic Care Clinic is to reduce chronic disease disparities and improve population health by enhancing access to continuous, coordinated care. Marginal productivity is achieved by targeting high-risk patients, where each additional visit produces measurable gains in medication adherence and disease control. Average productivity improves through efficient care delivery models that reduce fixed site costs and operational waste.

The MCCC will achieve these objectives through nurse-led assessments, chronic disease screenings, personalized care plans, telehealth follow-up, and strong integration with local hospitals, pharmacies, and social service agencies.

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Role of Public Policy

The MCCC aligns with federal and state initiatives promoting access, equity, and care coordination. Policies such as the Affordable Care Act (ACA), CMS Chronic Care Management (CCM) program, and Medicaid expansion support mobile care delivery by reimbursing preventive services and chronic care telemonitoring. Compliance with HIPAA, OSHA, CMS Conditions of Participation, and state licensing requirements ensures operational safety and regulatory alignment.

Necessary Policies and Processes

• Standardized patient intake, documentation, and referral pathways

• HIPAA-compliant telehealth platforms

• Emergency response protocols

• Billing processes aligned with Medicare CCM and Remote Patient Monitoring (RPM) codes

Microeconomic Model

The MCCC responds to high demand in populations with limited access to primary care. A supply-and-demand model demonstrates that mobile services increase supply of care, lowering barriers and improving utilization among low-income and rural adults. Demand is price-sensitive; thus, sliding-scale fees and insurance coverage improve access.

Serving Target Population Needs

The MCCC addresses gaps in preventive services, reduces transportation costs, and provides culturally competent care. Studies show mobile clinics reduce emergency room utilization and improve disease control metrics such as HbA1c and blood pressure (Yu et al., 2022).

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Population Demographics

The target population includes adults ages 30–75 living in low-income neighborhoods with high incidence of diabetes (18%), hypertension (29%), and cardiovascular disease (22%). Many lack reliable transportation and regular primary care.

Competitors and Market Needs

Competitors include community health centers and hospital outpatient clinics; however, these providers often have long wait times, limited chronic care capacity, and poor geographic reach. Current socioeconomic trends—rising chronic illness, workforce shortages, and telehealth adoption—indicate a strong market need for accessible, mobile chronic care services.

Economic Challenges and Incentives

Traditional healthcare organizations face challenges such as high overhead costs, low reimbursement rates, and physician shortages. Incentives for mobile care include value-based reimbursement models, population health initiatives, and grants promoting rural access and digital health innovation.

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Funding Sources

Public funding:

• HRSA mobile health grants

• Medicaid supplemental payments

• CMS Chronic Care Management reimbursement

Private funding:

• Philanthropic foundations

• Corporate wellness partnerships

• Community health coalitions

• Nonprofit health equity grants

Fixed and Variable Costs

Fixed costs:

• Mobile clinic vehicle purchase or lease

• Medical equipment (ECG, ultrasound, glucometers)

• Telehealth systems

• Licensing, insurance, and staffing salaries

Variable costs:

• Fuel and maintenance

• Medical supplies

• Vaccines and testing kits

• Consumables, outreach campaigns

Annual Operating Costs

Estimated annual costs include:

• $350,000 staffing (APRN, RN, MA, driver)

• $40,000 maintenance and fuel

• $100,000 medical supplies

• $60,000 telehealth and administrative services

Total estimated annual cost: ~$550,000
Expected revenue includes CCM billing, RPM billing, grants, and community contracts.

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Economies and Diseconomies of Scale

Economies:

• Reduced per-patient cost as population served increases

• Shared telehealth infrastructure

• Efficient staffing through cross-trained personnel

Diseconomies:

• Expanding service area may increase travel costs

• Vehicle capacity limits daily volume

• Overextension may reduce service quality

Potential Unintended Consequences

• Overreliance on mobile services may reduce continuity if not integrated with primary care

• High demand may exceed staffing capacity

• Regulatory changes could affect reimbursement

To mitigate these risks, the MCCC will implement strong referral partnerships, flexible scheduling models, and ongoing evaluation.

Social, Legal, Political, and Technological Considerations

• Social: Addressing cultural barriers through multilingual staff and community outreach

• Legal: Compliance with HIPAA, scope-of-practice laws, and mobile clinic regulations

• Political: Dependent on policy support for telehealth and mobile care; changes could affect funding

• Technological: Requires reliable connectivity, cybersecurity, and interoperable electronic health record systems

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The Mobile Chronic Care Clinic represents a strategic, cost-effective solution to chronic disease disparities in underserved communities. Supported by federal policy, evidence-based practice, and a strong financial model, this service expands access, enhances care coordination, and improves long-term population health outcomes. With careful planning and evaluation, the MCCC can significantly reshape community health delivery and contribute to sustainable, equitable healthcare reform.

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Baker, S., Wilson, M., & Jones, T. (2022). Mobile clinics and chronic disease management. Journal of Community Health, 47(3), 550–558.

Centers for Medicare & Medicaid Services. (2023). Chronic care management services. https://www.cms.gov

Health Resources and Services Administration. (2022). Mobile health program funding. https://www.hrsa.gov

Kaufman, A., Alfero, C., & Baker, M. (2021). Primary care delivery innovations in underserved populations. American Journal of Public Health, 111(4), 635–642.

Meyer, D., Torres, S., & Lin, C. (2020). Technology-enabled chronic care. Telemedicine and e-Health, 26(7), 882–890.

National Academies of Medicine. (2023). Advancing health equity through mobile care models.

Schroeder, S., & Johnson, L. (2021). Economic evaluation of mobile healthcare services. Health Economics Review, 11(2), 1–12.

Singh, P., & Patel, R. (2020). Chronic disease burden and access barriers. Population Health Management, 23(5), 356–362.

Wang, Y., & Gupta, N. (2022). Mobile health interventions in underserved communities. Preventive Medicine Reports, 27, 101822.

Yu, J., Squires, A., & Jones, R. (2022). Impact of mobile clinics on emergency room utilization. BMC Health Services Research, 22(1), 1–10.