The hospital administrators are examining the fiscal health of the organization. Which of the following assessments will most likely lead to a change in the services that are provided by the hospital?
1. The percentage of childbearing-aged women in the surrounding community has increased from 34% to 35%.
2. The nurse retention rate has decreased by 5% from 2 years ago.
3. The number of hip replacements that are being performed has increased 30% from 1 year ago.
4. The number of hysterectomies performed at the hospital has decreased by 3% over the last 3 years.
Answer: 3
Rationale: It is important for fiscally responsible organizations to assess the internal and external environment of the organization to help determine whether services need to be altered to better meet the needs of the community that the organization serves. Small increases or decreases in demographics or types of services that are needed do not often result in changes to services. The number of childbearing-age women who are present in the community has not increased dramatically enough to warrant changes to services provided. The nurse retention rate is important to assess, but will not usually result in a change to services provided. The number of hip replacements performed at the hospital has increased dramatically, and this would most likely lead to an expansion of existing services. The number of hysterectomies that are being performed has not likely decreased enough to warrant a change in services provided. In addition, the change in hysterectomy rates has been taking place gradually over an extended period of time.
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