CASE The vice president for patient care services ( VP- PCS) and the vice presid
ID: 413061 • Letter: C
Question
CASE
The vice president for patient care services ( VP- PCS) and the vice president for medical affairs ( VP- MA) at Northeast Medical Center ( NMC) were very concerned about coordination between Medicine and Nursing in the inpatient medical/ surgical units. NMC was a large tertiary- care teaching hospital, affi liated with the Northeast Schools of Medicine ( NSOM) and Nursing ( NSON). NMC participated in a joint residency program with three other hospitals affi liated with NSOM. Most residents spent six weeks at NMC. The VPs had observed that coordination sharply decreased after restrictions on resident hours were implemented. The VP-PCS noted, "the residents rotate through our hospitals so quickly that the nurses ardly get to know their names, much less establish a working relationship.".....
1. is it consistent with organizationl theory to expect that coordination between nurses and residents would suffer as a result of the change in resident working hours?
2. would the addition of hospitalists improve coordination?
3. What other changes could improve coordination?
4. What are counterarguments to the position held by the cheif of medicine and chairman of medicine that the hospitalists would negatively affect the educational experience of residents?
Explanation / Answer
Answer 1: No, it is not acceptable with the organizational theory to expect that the coordination between nurses and residents would suffer as a result of the change in resident working hours because the organization has the executive rights to implement shift based mechanism within the patient care services with dedicated weekly roasters for the nurses which should be published in advance, so that the resident are well aware in advance and can plan their work accordingly.
Answer 2: Yes, the addition of hospitalists would only improve the coordination, when footfall of residents increases multiple folds within a short period of time; through his initiative patient care services will attain competitive advantages among its peers.
Answer 3: There are multiple factors which would improve coordination is by identifying the gaps of the organization and be able to re-align its supply chain, reviewing the organizational structure necessary to streamline the existing business operations.
Answer 4: The counterarguments to the position held by the chief of medicine and chairman of medicine that the hospitalists would negatively affect the educational experience of residents by rapidly rotation of the residents within the hospitals will affect the coordination among each other.
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