HCM FPX 5312 Assessment 2 Using Market Data to Understand the Healthcare Environment HCM-FPX5312 Analyzing the Health Care Environment PESTEL Analysis Continued

In the healthcare system, patients are the primary customers seeking diverse forms of care, including emergency care, inpatient care, routine medical care, surgery, and participation in research. The range of care sought contributes to a complex patient population, impacting decisions related to external supply chains. For example, the supply chain for outpatient clinics offering routine appointments differs from that of hospital locations providing emergency and intensive care. Moreover, the socioeconomic status of the population served significantly affects revenue models. Facilities in lower socioeconomic areas often handle Medicaid and government assistance, whereas those in higher socioeconomic areas serve private payers or have direct contracts with KP through employers.

Despite Kaiser Permanente’s unique healthcare model, competition remains from other healthcare systems attempting to replicate a managed healthcare approach similar to KP’s. Competitors such as Sharp Medical Center of San Diego and Med Impact present challenges, necessitating that Kaiser adapt to maintain its competitive advantage.

Kaiser Permanente’s core competency is delivering comprehensive healthcare services through a multidisciplinary managed care system. However, the potential introduction of a government-led universal healthcare system presents a challenge. In response, the organization is considering expanding its member base to include government-supplemented healthcare, potentially becoming a contracted healthcare provider under new regulations. While this strategic shift is necessary for adaptation, it risks undermining Kaiser’s competitive edge.

Market Data Analysis

Market data plays a critical role in guiding decision-making processes, forecasting member growth, evaluating healthcare costs, and shaping clinical and financial models. Enrollment and membership data, collected internally and by government agencies, are pivotal for adapting to market conditions. Kaiser’s evidence-based approach, including the acceptance of government programs when private contracts are unavailable, highlights its strategy to remain competitive.

Although historical clinical and population-based data have been instrumental in gaining insights into healthcare, the collection and use of such data are still vital for Kaiser. Analyzing market data involves understanding competitors, assessing market strategies, and comparing services with other medical facilities such as Sharp Memorial Medical Center of San Diego. By examining financial statistics, case mix indices, and revenue data, Kaiser can evaluate its competitive position, adapt to market fluctuations, and potentially benefit from government-led healthcare reforms.

References

American Hospital Directory. (2018). Retrieved from https://www.ahd.com/