Ask Question, Ask an Expert

+1-415-315-9853

info@mywordsolution.com

Ask Business Management Expert

s a new director of ambulatory care at HCMC, Dr. Davis, started to review issues in the hospital and it was clear that something was wrong. Everyday patients and families waited for hours to see a doctor in the emergency department. Although the department seems to be running smoothly the hospital was typically diverting ambulances to other hospitals stating that they did not have any beds and staff to accept more patients just because the emergency room could not handle anymore patients. This was unacceptable for the new director because the hospital was loosing potential revenue every time an ambulance was diverted to another hospital. The nurse manager of the emergency department has been with the hospital for 25 years and Dr. Davis brought the issue to her. The nurse manager stated that the situation was no worse than usual and actually did better than most hospitals in the area. This was an unacceptable reply for Dr. Davis and she wanted the situation "fixed" setting a goal of having 90 percent of the emergency department outpatients in and out within four hours and for ambulances not to be diverted anymore than once a month. Dr. Davis was unaware what the current percentage was, but given her previous experience at other hospitals she aimed to accomplish this objective in six months. With the problem identified and clear objectives set, Dr. Davis set out to implement a new strategy, which involved (1) teaching the staff about root cause analysis, (2) reengineering the triage work flow to speed access to o the clinician, and (3) making what she viewed as a minor fix to the current electronic registration system to improve team communication. This approach had worked well in her former hospital, reducing wait times by more than 30 percent within six months. After much planning Dr. Davis held a staff meeting of the nurse manager and the three emergency department supervisors who reported to her to discuss the new strategy. Dr. Davis described the new processes, which were suppose to smooth out redundancies and save time. The staff seemed to like the reengineering process ideas best, so Dr. Davis decided to start with those. Dr. Davis suggested that they could begin the new work flow in two weeks after staff education and training. The staff meeting was friendly, and no one said much. The nurse manger had to leave early but the supervisors said the training should be no problem and that two weeks gave them plenty of time. They agreed as a group to start new process in two weeks. Come "go live" day Dr. Davis had morning meetings and was not present at the hospital but she knew that the nurse manager was there to implement the process. In the meantime there were several staff members out for the go live day and the charge nurse for the day was late coming in also. When Dr. Davis got to the hospital the nurse manager was waiting in her office and upset. The nurse manager stated that the new work flow process had fallen apart and that the emergency department wait time was even longer now. She was mad and raised her voice stating that Dr. Davis had not fixed anything but made it worse and we need to go back to the way we use to do it. Dr. Davis also noted that emergency department was full and that the medical director was already suggesting to divert ambulances to other hospitals and it was only noon. Dr. Davis went back to her office and wondered what she should do now and what went wrong.

(1) What problems does Dr. Davis face? (2) Consider individual-level, team-level, and system-level problems. For each, set an objective that is SMART. (3) Could Dr. Davis have avoided the current situation? How? (4) What concepts of leadership and management should Dr. Davis use to go forward?

Business Management, Management Studies

  • Category:- Business Management
  • Reference No.:- M923925

Have any Question? 


Related Questions in Business Management

Differentiate the strategic and financial objectives of

Differentiate the Strategic and Financial objectives of JetBlue Airways?

Discussion questions for managing performance and

Discussion questions for Managing Performance and developing teams & Human Resource Management. 1. List the four broad categories of development methods, and explain what benefits may or may not come from combining all o ...

Multiple choice questions1 the executive summary should

Multiple Choice Questions 1. The executive summary should contain which of the following information? a. a short description of potential buyers b. a complete description of your business c. a brief statement of the fina ...

Managing organizational changethink of an organization that

MANAGING ORGANIZATIONAL CHANGE Think of an organization that has been in existence for as long as you can remember. A Fortune 500 company for example. Why and how has the company managed to survive all the years despite ...

What is the drawback or challenge of using unstructured

What is the drawback or challenge of using unstructured data approach? Why is that challenge a problem for someone who may want to use this technique?

Add a new field named loan payment using the expression

Add a new field named Loan Payment using the Expression Builder. Insert the PMT function to determine the monthly payment for a 2-year loan, paid monthly, with a 5% yearly interest rate. The present value is 25000 minus ...

5 to 7 pages excluding cover and reference pages i do read

5 to 7 pages excluding cover and reference pages. I DO READ THE PAPERS, I WILL REPORT PLAGERISM, AND I DO TIP (BUT ONLY TO A WELL WRITTEN PAPER.) I RUN ALL PAPERS THROUGH A SOFTWARE TO SHOW HOW MUCH OF THE PAPER WAS CITE ...

Go to the website of the joie de vivre one of the largest

Go to the website of the Joie de Vivre, one of the largest boutique hotel chains in the world. Explore their hotels and find one that you think you would like. Find another that you think you would not like. Discuss the ...

Wat is a business continuity plan and why is it important

What is a business continuity plan, and why is it important? What is a business impact analysis, and what is it used for? Why should continuity plans be tested and rehearsed? Which types of organizations might use a unif ...

Assignment integrationin this assignment integrate all the

Assignment: Integration In this assignment, integrate all the pieces of work you have drafted and formally turn it into the capstone strategy audit. In previous assignments, you performed multiple, specified analyses of ...

  • 4,153,160 Questions Asked
  • 13,132 Experts
  • 2,558,936 Questions Answered

Ask Experts for help!!

Looking for Assignment Help?

Start excelling in your Courses, Get help with Assignment

Write us your full requirement for evaluation and you will receive response within 20 minutes turnaround time.

Ask Now Help with Problems, Get a Best Answer

WalMart Identification of theory and critical discussion

Drawing on the prescribed text and/or relevant academic literature, produce a paper which discusses the nature of group

Section onea in an atwood machine suppose two objects of

SECTION ONE (a) In an Atwood Machine, suppose two objects of unequal mass are hung vertically over a frictionless

Part 1you work in hr for a company that operates a factory

Part 1: You work in HR for a company that operates a factory manufacturing fiberglass. There are several hundred empl

Details on advanced accounting paperthis paper is intended

DETAILS ON ADVANCED ACCOUNTING PAPER This paper is intended for students to apply the theoretical knowledge around ac

Create a provider database and related reports and queries

Create a provider database and related reports and queries to capture contact information for potential PC component pro