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Hospital-Based Emergency Care Discussion Paper
Hospital-Based Emergency Care Discussion Paper
Order ID 53003233773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages to Order 5-10 Pages Description/Paper Instructions
Hospital-Based Emergency Care Discussion Paper
As you learned from Chapter 4 of Hospital-Based Emergency Care and from this week’s articles, emergency departments face serious challenges that impact, and are impacted by, conditions throughout the hospital. Experts emphasize the need to making patient flow more efficient. As noted in the IOM Committee’s report:
Patient flow, defined as the movement of patients through this system, is an important indicator of the timeliness, safety, and quality of the care received. Efficient patient flow ensures maximum throughput (the number of patients treated and discharged from the ED per day), minimizing delays at each point of the delivery process with no decrement in the quality of care. Impaired patient flow, on the other hand, results in bottlenecks that prolong delays for patients already in the system, as well as those awaiting entry (p. 133).
For this Application, you will interview at least one administrator or manager working in a local emergency department to learn how his or her ED has identified and addressed challenges involving patient flow. On the basis of this interview, you will select one of these challenges and do further research about best practices to address this problem.
Setting Up the Interview
Read through the entire Application to gain an overview of this assignment.
As soon as possible, contact the emergency department at a local hospital and ask to set up an interview with an administrator or manager in this ED. This must be someone who can discuss process improvement efforts in this ED related to patient flow.
The interviewee should hold one of the following (or comparable) positions for this ED:
Administrative director of the ED (usually non-physician)
Chief of Emergency Services or Emergency Department (physician)
Nurse Manager for ED
Lab Manager or Imaging Manager responsible for supporting ED
When contacting the department, identify yourself as a student in the Walden University MHA program and briefly describe your objective in interviewing the administrator or manager. Let your interviewee know that you will keep all identifying details (such as his/her name and the name of the hospital) confidential, if desired.
Preparing for and Conducting the Interview
Review the “Input/throughput/output Model” of a patient flow through the ED, on page 134 in Hospital-Based Emergency Care (http://books.nap.edu/openbook.php?record_id=11621&page=134# ). Consider why this is the typical model, and what the pros and cons of this process flow are. Make sure you understand how it represents patient flow.
Make a list of various issues related to patient flow, as identified in Chapter 4 of Hospital-Based Emergency Care and your other Learning Resources. Note when and why bottlenecks typically occur, and identify other problems in efficient processing of ED patients. Also list strategies used to address these challenges.
With these thoughts in mind, develop a list of questions about the patient flow process (covering input, throughput, and/or output phases) to ask your interviewee. Through these questions, you should find out about challenges they have encountered regarding patient flow, and ways they have addressed it. Phrase these questions in your own words. At minimum, your questions should encompass the following:
What are crucial challenges this ED has faced in recent years related to patient flow?
On what basis were these challenges identified? Were quantitative data used to identify and confirm the existence of problems, and if so, which types of data?
Focusing on one of these challenges, what process improvement or reengineering efforts has this ED taken to address the challenge? Did the department follow Lean and/or Six Sigma or other comparable approaches in addressing this?
Did the ED use any internal or external best practices to make these changes? If so, which ones?
Did the organization or ED establish any metrics to determine if expected outcomes are being met? If so, what were the metrics?
Did the implemented changes achieve expected outcomes?
Conduct your interview with at least one of the administrators or managers of a local hospital’s Emergency Department (see list of possible interviewees by title above). Ideally, conduct this interview in person in the hospital. If this is not feasible, however, you may complete this interview by phone. If follow-up questions are needed, these may be conducted by phone and/or email.
If possible, arrange for a tour of your selected ED, so that you may observe firsthand the layout and other notable features of the ED that may impact patient flow.
Completing the Application
Do further research through Walden Library and/or the web to learn more about the patient flow challenge identified by your interviewee. According to your research, what are best practices for this process improvement issue?
Write a 3- to 4-page paper in which you address the following:
Identify the name and organization of your interviewee (unless that person has requested anonymity).
Summarize the responses from your interviewee to your questions.
Based on the interview and additional research you conducted, what is the industry best practice for this performance improvement issue?
Which key stakeholders are likely to be affected by the performance improvement effort, and how?
Provide with any further conclusions about the ED’s operations or layout, and best practices as they relate to the challenges facing this ED.
The following exercises are required and cover topics in this week’s required reading. Review the instructions carefully before completing and submitting the exercises. For the exercises this week and in following weeks, please use the Excel templates provided. For several of the exercises you will use automated templates (that is, Excel templates that automatically perform calculations) to arrive at your answers.
Quantitative Methods in Health Care Management
Complete Exercise 2.1 on page 45 in Quantitative Methods in Health Care Management. In the Excel document below, you may use Sheet 1 (“Moving Averages Template”), which includes an automated Excel table, for your calculations, or do these manually. Use Sheet 2 to record your answers to a, b, c, and this additional question (2.1d): “In 1–2 sentences, explain which of the three results you have the most confidence in projecting accurately and why that is.”
Complete Exercise 14.1 on page 386 in Quantitative Methods in Health Care Management. In the Excel document below, use Sheet 3 (“Single Channel Template”), which includes an automated Excel table, for your calculations, and use Sheet 4 to record your answers. For an explanation of the automated table for Exercise 14.1, refer to Quantitative Methods, p. 379.
Excel template for Exercise 2.1 and 14.1
Note on using the Excel templates: Save the template to your desktop before using. Make sure macros are enabled so that you can use the automated Excel template. Any existing numbers in green cells in the automated table are for examples, and show where you should enter the data. You must delete or overwrite these numbers to do your calculations. The yellow cells are protected to prevent users from accidentally deleting or overwriting the formulas. There is no need to unprotect the template
Each week students are required to submit reflective writing that will serve to integrate the concepts from each topic into memory and professional practice.
Answer the following questions:
What are the key points in the readings for this module?
Based on your experience, how can you apply content from these readings to your work as a counselor?
What insight did the readings provide into this week’s topic?
How has class discussion influenced your thinking on this topic?
Your weekly entry should be 150-250 words.
APA format is not required, but solid academic writing is expected.
Hospital-Based Emergency Care Discussion Paper
RUBRIC
QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points: Student failed to submit the final paper. 20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. 40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. 50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. Grammar (worth maximum of 20% of total points) Zero points: Student failed to submit the final paper. 5 points out of 20: The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors 10 points out 20: The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors 15 points out of 20: The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. 20 points: The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. Structure of the Paper (worth 10% of total points) Zero points: Student failed to submit the final paper. 3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. 5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. They can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements. The student also significantly writes too large or too short of and paper 7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. 10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally, the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper.
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