Evaluate the impact of facility layout on process efficiency and suggest changes to improve operational outcomes.
On July 9, 2016, the Lake County coroner’s jury determined that the death of Beatrice Vance, a woman who presented to the Vista Medical Center East Emergency Department (ED) with a complaint of chest pains, was victim of a homicide. The jury made this determination based on what was perceived to be a “…gross deviations from the standard of care that a reasonable person would have exercised in the situation.” The Board, upon the formal recommendation of the Chief Executive Officer (CEO) of Vista Medical Center East, has sought the services of outside consultants to help them address serious concerns within their ED and assist the organization in formulating and implementing a plan for damage control. Aside from significant public relations and legal issues associated with this case, the leadership team feels strongly that an objective, post mortem examination of the existing triage process needs to be undertaken and changes implemented.
Medical errors, in the U.S., are the third leading cause of death just behind cancer and heart disease (BMJ, 2016). This scenario illustrates one such example of a medical error that contributed, in part, to the death of a client. There is an increasing emphasis on quality in healthcare; a trend that is unlikely to wane with time. In fact, providers are being financially incentivized to meet quality standards; more scrutiny is being place on practices that result in quality outcomes; and reimbursement methodologies are being tied to the achievement of quality metrics. This heightened awareness of quality has made breaches of particular interest to stakeholders. When hearing of cases that resulted in the avoidable and senseless deaths of clients who had to wait too long for service bring to one’s mind the wait times issues associated with the Department of Veterans Affairs. Clearly this is not a comparison that any reputable organization wants to public to envision. Like Vista Medical Center East, many organizations taught that they consistently deliver high quality care; however, one must take pause when faced with the facts that 400,000 deaths a year result from avoidable medical errors that can be contributed to breakdowns in communication and internal process failures.
Source: BMJ 2016; 353 doi: http://dx.doi.org/10.1136/bmj.i2139 (Published 03 May 2016)
Unit Learning OutcomesULO #4: Utilize process mapping and value stream mapping as a mechanism of evaluating process improvement opportunities. (CLO 1, 2, 3, 4, and 5)
ULO #5: Evaluate the impact of facility layout on process efficiency and suggest changes to improve operational outcomes. (CLO 1, 2, 3, 4, 5, 6, and 7)
DirectionsInitial Posting
Students are to read the article “Death of Patient in Waiting Room Ruled a HomicidePreview the document”.
In addition to this one sources, it might be prudent to review a number of media sources on this particular case in order to gain a deeper and more well-rounder understanding the nuances associated with this case. Upon a careful review of the available literature and other media sources, the student, who will take the position of an external consultant brought in specifically to perform an objective, post mortem examination of the existing triage process utilized at the Vista Medical Center East’s ED, and then recommend a course of action that the facility’s leadership team should undertake to minimize the likelihood of similar instance occurring in the future. The student is to formulate a formal recommendation to the Medical Center’s CEO, Mr. Jones, which will be subsequently presented to members of the leadership team and the Board. The formal recommendation should be logically presented, well-supported, and thoroughly vetted.
Instruction Guidance: It would be prudent to consider content covered in chapters 4 through 8 of the textbook, with special emphasis being placed on the latter two chapters, when preparing to conduct the objective, post mortem examination and formulate a course of action for the leadership team to undertake to prevent a similar tragedy in the future.
This formal recommendation should be prepared as a Microsoft Word document, and then attached to the unit discussion thread. There is no minimum or maximum in terms of the word count; however, the response should explicitly address all required components of this discussion assignment. The document should be prepared consistent with the APA writing style (6th edition) and reflect higher level cognitive processing (analysis, synthesis, and or evaluation).
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