Renewing primary care Identify and describe an outpatient setting to include the services provided, key personnel within the department, and how this department supports or is supported by other departments. Identify and describe at least two trends that have an impact on the setting you selected. These can be trends related to supply and demand, political climate, regulatory, demographic changes, or patient care. Evaluate the impact of these trends on the outpatient setting. Analyze the trends, and thinking as a healthcare administrator, how do you capitalize on these trends to improve operation and bottom line performance? How can you mitigate the negative impact of the trends? REQUIRED READING: Borkan, J., Eaton, C., Novillo-Ortiz, D., Corte, P., Jadad, A. (2010). Renewing primary care: Lessons learned from the Spanish healthcare system. Health Affairs, 29(8), 1432-1433. Carr, R. (2010, December 30). Outpatient clinic. Retrieved from http://www.wbdg.org/design/outpatient.php Ferrante, J., Balasubramanian, B., Hudson, S., and Crabtree, B. (2010). Principles of the patient-centered medical home and preventive service delivery. Annals of Family Medicine, 8(2), 108- 16. Retrieved from Annals of Family Medicine. Rebholz, J. (2007). Outpatient odyssey. Health Facilities Management, 20(11), 27-31. Retrieved from Health Facilities Management Article Supplemental Reading A guide to ambulatory payment classification systems. (n.d). Retrieved from http://www.hospitalnetwork.com Becker, S. & Fields. R. (2011, January 12). 6 key legal issues facing ambulatory surgery centers. Retrieved from http://www.beckersasc.com/stark-act-and-fraud-abuse-issues/6-key-legal-issues-facing-ambulatory-surgery-centers.html Donabedian, A. (1980). Explorations in quality assessment and monitoring, vol. 1: The definition of quality and approaches to its assessment. Chicago: Health Administration Press. Edell, E. (2000, January 1). Strategic performance management: Development of a performance measurement system at the Mayo Clinic. Retrieved from Proquest, April 22, 2014 Olsen, K. (n.d). Outpatient outlook. Retrieved from http://www.healthleadersmedia.com Study shows alarming trends in outpatient care. (2009, April 21). Retrieved from http://www.surgistrategies.com Shortell, S. M. & Kaluzny, A. D. (2006). Health Care Management: Organizational Design and Behavior (5th ed.). Clifton, NY: Delmar, p. 428. FOR THE SECOND HALF OF THE PAPER ( 4 PAGES) Prepare and submit a paper responding to the following items: Provide an overview of the outpatient setting you have chosen. Conduct an interview with a member of the leadership team responsible for the department/unit. In your interview be sure to address, at a minimum, the following: Provide background information on the interviewee (title/position, summary of academic and professional background, etc.). Identify trends (e.g., supply and demand, political climate, regulatory, demographic changes, or patient care) that are impacting this particular outpatient setting and how these are being leveraged or mitigated by the leadership. Identify the challenges (micro or macro level) this department is experiencing. How are they addressing these challenges? Based on your interview and the research you have conducted , create a table that illustrates the similarities and differences in trends between the research conducted for the Case Assignment and the feedback in the interview. Analyze and discuss the findings shown in the table. This analysis should include both quantitative and qualitative approaches to analyzing the data.