Sheridan College Business Process Management Public Sector Case Study Case # 3 Greenlands Hospital Case Submitted on: 20th March 2014 Submitted to: Tim Dietrich Submitted by: Karanveer S. Mahal 991341063 Key issues Inadequate utilization of Porters: This means that the work was not being evenly divided among all the Porters. Those who were deployed in the afternoon shift have more pages than those in the evening shift. Uneven task assignment makes it even more difficult for the management to know how busy the Porters are. Another major reason was due to the hospital’s union environment, wherein the junior porters were allotted more the less desirable tasks. Lack of effective delivery of patients and services: Due to a negative impact on the Porter services of the hospital, delivery of patients and services on time has been affected significantly.
This often leaves nurses feeling powerless over their work life as well as their personal life. Mandatory overtime has generated much hostility and resentment between nursing facilities and their employees. But if mandatory overtime is so problematic, why is this practice so commonly used? THE REASONS BEHIND MANDATORY OVERTIME Numerous factors contribute to the increased use of mandatory overtime. Several of those issues began in the 1990s when changes in the health care system were implemented.
Recruiting from abroad also provided problems. Mainly the fact of time constraints and large costs involved. As you can see from the table above, TFS Healthcare can provided nurses from overseas, however when questioned further they were much happier only recruiting from the UK as it was very difficult for them to find accommodation for the workers and a very long process. The whole process can take up to 6 months and as a Care Home the recruitment needs to be quicker than this. (An RGN’s standard notice period is a month, which could leave up to 5 months without a full time RGN).
Using SwabCap® to Reduce the Number of Central Line Associated Blood Stream Infections (CLABSIs) Dawn E Bennett Joliet Junior College Nursing 260 Using SwabCap® to Reduce the Number of Central Line Associated Blood Stream Infections (CLABSIs) According to the Centers for Disease Control and Prevention (CDC), every year health care associated infections (HAIs) affect 5% of hospitalized patients in the United States. CLABSIs are a deadly HAI, with a mortality rate of 12%-25%. In 2009, the number of CLABSIs in an Intensive care unit (ICU) setting was estimated at 18,000, and for patients in an inpatient ward was an estimated 23,000. Patients receiving hemodialysis as an outpatient in 2008 had an higher rate of CLABSIs, with an estimated
Research has shown that hospitals are not following policies recommended by CMS in avoiding HACs. In a survey released in 2005, 1,256 hospitals found that 87 percent did not follow recommendations to prevent many of the common HACs. Using teamwork and collaboration is essential for helping to prevent SSIs in health care facilities. Strong and effective communication can be linked to successful collaboration in the surgical suite. Respect is also important; team members who respect each other will work harder for the patient and their team members, even when something goes wrong.
Medical assistants work every day with sick, tired and stressed people. Any person with a position in the medical field is prone to stress because of being surrounded by people who are dying or in distress. Stress may evolve into a mental breakdown, health or psychological problems, so medical assistants should have the ability to work through their stress and find ways to calm down after work. This can include exercise or relaxation techniques such as yoga and meditation. People with a history of mental illness should probably not become medical assistants, as they may have less ability to handle stressful
I have chosen the priority focus area of Infection Control to discuss regarding current compliance standards of our hospital. The focus will be on the standards which failed to meet 100% compliance with the Joint Commission Accreditation. With a proper infection control plan, the hospital will experience harm reduction, resulting in an increase in patient satisfaction. Areas to Monitor One area of focus will be to reduce the risk of health care associated infections through proper hand hygiene. Over the last 3 years, hand hygiene compliance has increased from 46% to 92%.
In an effort to realign the hospital staff; administration decided that it was costing the organization a lot of money to employ a high flux of Registered Nurses (RNs) at the Extended Care Facility (another 24-hour Skilled Nursing Services and Rehabilitation inpatient services provided by Hilo Medical Center). Leadership decided to weed out the number of RNs in the ECF and have more LPNs work in the ECF instead. LPNs were targeted due to what management thought as LPNs were limited in their scope of practice in the acute care setting, so the management decided that they would not be needed on the Acute Care Units any longer. All LPNs employed in the hospital would be transferred in doing duties in the ECD. The only downfall on leadership for the Medical Unit was getting backfill for the LPNs that were being transferred off the floor.
Change and Culture Case Study II Marjorie Romano HCS/514 September 9, 2013 Melissa Rodriguez Change and Culture: Case Study II The time that has elapsed since the merger has been six months. Due to the nature of the merger administration has also reduced the number of the workforce. The decision for this reduction was how the merged organization put together a plan on how to effectively administer patient care. The new plan required the employees to be able to do all operations from point of check in to check out and still maintain and uphold quality care. This system may not be sure proof so the administrative team was also considering alternatives in the process to keep the customer service level high when it comes to the patients along with the exceptional patient care.
They believe that it would be better if nurses only practice under the guidance and supervision of the doctor. They believe that allowing them to practice independently would be detrimental to their patients (Mills, 2009). They would be prone to some misdiagnosis, failure to attend to less obvious, but potentially life-threatening problems as well as prescriptive errors. In fact, they maintained that many deaths in the hospital would be realized due to errors made in prescriptions. According to them, nurses however much trained and experienced lack skills to manage and deal with complex living with multi-system diseases.