Raymond, a 78-year old man living in a motel, is found lying on the floor of his room, semi-conscious, by a housekeeper. The motel manager calls 9-1-1, and Raymond is taken to the closest emergency department. There, he lies on a gurney in the hallway for 6 hours before he is examined by a physician. Because it is unclear what is wrong with him, and he cannot speak coherently, the physician admits him to the hospital for observation. Later, when it is determined that Raymond had a stroke, he is discharged to an inpatient rehabilitation facility on the same medical campus as your hospital. The rehabilitation facility had no knowledge of his medical history, including his current medications for hypertension and high cholesterol. Raymond died there several weeks later.
(Case excerpted / adapted from text)
1.As a manager at the hospital profiled in the case study, identify one (1) area for improvement that can be gleaned from Raymond’s health care experience at your 200-bed community hospital and the affiliated rehabilitation facility..
2.Develop a Quality Measurement Journey Paradigm for an initiative to address this area for improvement. Be sure to include the following components of the paradigm and briefly explain each:
◦Aim.
◦Key concepts.
◦At least 1 measurable outcome.
◦Operational definitions.
◦Data collection plan.
◦Data analysis plan.
◦Actions you plan to take based on the outcomes..
.3.Make your paradigm feasible. For example, do not come up with something that requires such large amounts of financing that the hospital, already near fiscal insolvency, could not adopt it..
4.In 1-2 paragraphs, critically evaluate the plan. How did you address the cost-benefit-quality balance? Are there any possible consequences to your plan? If so, what?.
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