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A. Determine the feasibility of one of the proposed service lines. 1. Evaluate the demand for the new service line in the market area defined in the case study. Trinity Community Hospital is in need of a new orthopedic center. The need for an orthopedic unit is expect to increase to 46%, and spine procedures are expected to increase 30%. Outpatient spine and joint procedures are expected to go up by 350%. The five year projection plan for orthopedic unit is as follows: each orthopedic surgical gross charges is projected to be $25,000, physical therapy has a gross charge of $275 per unit. Collections are projected to be around 35%, and the ratio of cost to charges is 31% (Western Governors University, n.d.). The current research indicates the current area is in need of an orthopedic center. The other two hospitals that are close to Trinity represent the biggest competition and have a good orthopedic program. The other hospitals are private, and this increases the demand for Trinity developing a good orthopedic program. Trinity is centrally located within the community, and the population is expected to grow four percent a year, the need for a good orthopedic unit at Trinity will continue to grow. Trinity has performed a needs assessment, and determined Trinity could provide orthopedic services many people within the community. The current resources that Trinity has are not enough to keep up with the rising demand, and would benefit Trinity to develop an orthopedic unit now (Western Governors University, n.d.). 2. Analyze how current international healthcare trends could be incorporated into the development of the new service line. Trinity developing an orthopedic unit could also help the hospital incorporate some international trends while providing good healthcare and help the hospital cut back on expenses. Trinity will look at way to minimize

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