The case study starts by saing: The team at Western States Hospital continued to

Question

The case study starts by saing: The team at Western States Hospital continued to work on the issue. During the ensuing months, the team elected a leader, found a facilitator and constructed its vision statement; "patient type is correctly identified in the electronic health record at all times," It tentatively identified process customers as nursing staff, patient accounting staff, admiting staff and patients. The tems decided early in the process that it did not have sufficientt data to make recommendation for process changes and decisions about system capabilities. The team developed data collection activities to get a handle on the realities of patient type within the electronic health record and then spent first four months collecting data. It collected data on the number of patients admitted to the emergency department with chest pain and transfered to the cath lab; examined the user procedure for entering and changing the admissions and transfers in the system; and finally summarizing the amountof admitting and transfering that each user performed. It did observational studies of the patient type transfer procedure, identifying how long the typical patient type transfer took from one patient type to another, the exact times of initiation and completion and the time of transfer input into the information system. It identified the number and type errors that occured concerning patient admission and transfer, and the effects those errors had on patient care and data integrity. At the end of the first four months of activity the quality council of Wester States Hospital began its annual review of the important aspects of the performance improvement program. The leader of the patient type transfer team was asked to summit a one page synopsis of the team's activities that include a brief description of team activities and a complete set of the data collected by the team.

Question: what recommendations would you make with reference to the team's future activities?

Explanation / Answer

- First of all, try to find out root cause of all the related things and dicuss those issues with the higher as well as lower officials as a standard practice to thoroughly get the feedback.

-Improvement in the coordination and communication among team members of concerned team and inter teams also should at the topmost priority.

-Knowledge transfer sessions are to be organized to improve coordination and to achieve expertise in their task within teams, it will be also helpful to modify and improve the processes set to gather data and decision making .

-Continuous and comprehensive assessment of task and role should be done on short term,mid term means weekly or monthly basis, it depends on feasiblity basis of the team.

-Accountablity and responsibility of each team members must be under observation to improve the performance.

-Processes related to data collection, patient admissions and transfer should be modified according to need and technology on the basis of best market practices.

-Patient care and data integrity should not be affected while transforming the processes and system as the transformation might affect the performance.

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