ATale of Two Units
Thebusiness issues presented in the case study revolve around themanagement of the healthcare system. You realize that although thehealthcare system may be perceived as an area that is concerned onlywith improving the lives of the patients there also happens to be itsbusiness side as a whole. Healthcare management is also involved withthe building of sustainable relationships, practices, and hospitals.This paper analyzes two units A and B and the different methods thatare placed in each of them.
ATale of Two Units
Barnard(2009) compared the present health care industry to a business. Thecomparison was based on the fact that it has been designed to deliversome monetary value. There are those factors that contribute to thesuccess and efficiency in the healthcare such factors include:having in place experienced leaders, ensuring that the teams areempowered and eventually what we will have is an adamant position asthe healthcare industry. The business concern that is presented inthe case study revolves around these issues.
Statementof the Problem
Whilein unit A we have poor coordination, poor communication, poorcustomer service and poor employee relations, in Unit B there isexcellent coordination, good communication, and excellent customerservice. The nurses and physicians from unit B do conductinterdisciplinary rounds on a daily basis while in Unit A they don`tthe patients admitted in unit B have been assigned to the care pathswhich is also reviewed in the processes of interdisciplinary rounds.In unit B the nurse manager and the chief resident do meet regularlyto discuss the unit performance measures. The performance measuresthat are used include: the level of patient satisfaction, thehospital acquired infections as well as pressure ulcers. It is afterconducting performance measures that action plans to improve thehealthcare are generated.
UnitB`s care system is wanting. Besides the fact that the protocols inplace are specifying the sequence as well as the timing of the tasksfor its patients being in place, the nurses fail to follow them. UnitA staffs do not hold interdisciplinary rounds, actually for severalyears interdisciplinary rounds have not been conducted. The reasonbehind this is that the interdisciplinary rounds and meetings consumea lot of time which could be utilized in other important tasks by thestaff. The result of all this is that the coordination between thenurses and the residents tend to suffer.
Itis inconsistent with the organizational theory to expect thecoordination between the nurses and the resident to suffer simplybecause of the changes in the resident working hours (Kenner &Lott, 2013). Therefore, the first step towards resolving thesituation is coming up with adequate solutions. There are severalalternatives and factors that need to be considered. First, there isa need to ensure there exist any connections between the challengesthat we have observed and the financial resources available as wellas the clinical delivery facilities. It will also be important toconsider the re-introduction of the interdisciplinary rounds whichhave proved to be efficient in unit B. The other alternative will beto rethink the creation of time for the line managers to meet andwork on improving the healthcare, customer complaints and so forth(Leebov & Ersoz, 2003).
Thedecision selection criteria in this case at all costs should becentered on the following: improved coordination, patient focus, theimproved continuity of the healthcare, shared goals, and vision,improved healthcare quality, customer satisfaction and enhancedaccountability (Barnard, 2009).
Analyzingand Evaluating Alternatives
UnitA staffs, do not hold interdisciplinary rounds, actually for severalyears interdisciplinary rounds have not been conducted. The reasonbehind this is that the interdisciplinary rounds and meetings consumea lot of time that ought to be used in other important ways by thestaff. The result of all this is that the coordination between thenurses and the residents tend to suffer. Therefore the alternativesthat we would like to have in place should work in improving thecare.
Interdisciplinaryrounds focus on the patients. As such, the facilitation of teamworkshould be one of the alternatives best suited for the case.
To efficiently work on the presented issues, positively building theattitudes of the nurses is of great significance (Barnard, 2009). Itis also imperative that the shift is focused on the patients becauseas we have established patients are the customers in the healthcareindustry. The managers must be willing to incorporate these changesfor the betterment of the whole system (Leebov & Ersoz, 2003).
Barnard,C. (2009). Performanceimprovement basics: A resource guide for healthcare managers.Marblehead, MA: HCPro.
Kenner,C., & Lott, J. (2013). ComprehensiveNeonatal Nursing Care.New York: Springer Publishing Company.
Leebov,W., & Ersoz, C. J. (2003). Thehealth care manager`s guide to continuous quality improvement.New York: Authors Choice Press.