Performance Enhancement|Course hero helper

Posted: February 21st, 2023

Scenario

You are the new project manager for the operations unit of Charleston General Hospital. The hospital is facing challenges of long wait times at the ED, resulting in a high number of patients leaving without being seen (LWBS) and long admission holds in the ED. Upon initial assessment, you determine that the two challenges are related and are caused by inefficiencies in the process flow.

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Instructions

Develop a process map to evaluate and suggest a redesign of the current challenges. Process maps are graphical depictions of a process. The process map (flow chart) shows the sequence of tasks, decisions, and all other related activities that results from inputs and outputs.

Your map should include a visual illustration of different processes that can be employed by Charleston General to improve the flow of operations in the ED. Attach a summary of the proposed changes reflected in the process map to explain how the changes can improve performance outcomes for the ED.

 

Rubric below:

A – 4 – Mastery

Process map thoroughly evaluated the selected health organization challenges with strong detail and supporting information and made connections between the identified challenges.

A – 4 – Mastery

Suggested a detailed redesign of the selected challenge with strong detail and supporting information.

A – 4 – Mastery

Process map was clearly organized, professional, and easy to read.

Who Am I? Project Manager for Operations @ Hospital

(Selected Health Organization) Facility: Hospital

CHALLENGES: A. Long wait times in the ED

B. LWBS C. Long Admission Holds In ED

 

CAUSES: BAD WORKFLOW (PROCESS) = INEFFICIENCIES = LONG WAIT TIMES IN THE ED

RESULTS/EFFECTS = LWBS + LONG ADMISSION HOLDS IN ED

 

YOUR TASK: REDESIGN OF CURRENT CHALLENGES (REDESIGN FLOW – ED Flow/ PROCESSES)

ADD PROCESSES TO EXPLAIN CHANGES THAT CAN IMPROVE PERFORMANCE OUTCOMES

SEARCH: (PROCESSES THAT IMPROVE PERFORMANCE OUTCOMES IN ED) + Long wait times + LWBS + Long Admission holds

SOLUTION

As the new project manager for Charleston General Hospital’s operations unit, I have identified long wait times at the Emergency Department (ED) as a significant challenge, leading to a high number of patients leaving without being seen (LWBS) and long admission holds in the ED. I have developed a process map to evaluate and suggest a redesign of the current challenges.

The process map starts with the patient’s arrival at the ED and includes the following steps:

  1. Triage: A nurse performs an initial assessment to determine the patient’s condition and priority level.
  2. Medical screening: A physician evaluates the patient’s medical condition and orders any necessary tests or procedures.
  3. Diagnostic tests: If required, diagnostic tests such as blood work or X-rays are ordered and performed.
  4. Treatment: The patient receives treatment based on their medical condition.
  5. Disposition decision: The physician decides whether to admit the patient or discharge them.
  6. Admission or discharge: If admitted, the patient is transferred to a hospital room. If discharged, the patient receives any necessary medication and follow-up instructions.

To improve the flow of operations in the ED and address the challenges of long wait times and LWBS, I propose the following changes:

  1. Reducing wait times: The hospital can implement a system where patients are assigned to a specific area based on their condition, such as a fast track area for patients with minor injuries or illnesses. This can help reduce wait times and ensure that patients receive timely care.
  2. Streamlining processes: The hospital can use technology to streamline processes, such as automating the triage process and using electronic medical records to reduce paperwork and improve communication between healthcare providers.
  3. Staffing adjustments: The hospital can adjust staffing levels to ensure that there are enough healthcare providers to meet patient demand. This can help reduce wait times and improve the quality of care.
  4. Discharge planning: The hospital can improve discharge planning by ensuring that patients receive all necessary follow-up instructions and medications before leaving the ED. This can help reduce readmissions and improve patient outcomes.

 

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