improving health care Case Study Case Study Please, use 5 references 2009-2013 scholarly and/or peer-reviewed Review the case study in Chapter 5 (pages 89-91) of (Nash, D. B., & Goldfarb, N. I. (2006). The quality solution: The stakeholders guide to improving health care. Sudbury, MA: Jones & Bartlett Publishers). Prepare an analysis of this hospitals initiatives and apply at least three quality and/or risk management concepts, measures, and tools in your paper. Your paper must be three to five double-spaced pages (excluding title and reference pages) and formatted according to APA style as outlined in the Ashford Writing Center. Utilize a minimum of two scholarly and/or peer-reviewed sources that were published within the last five years. All sources must be documented in APA style, as outlined in the Ashford Writing Center. Case Study A 26-year-old woman developed gradual onset of shortness of breath over the past three days. She had no cough, fever, wheezing, or other symptoms. Because the sensation of shortness of breath increased in intensity, she went to her local hospitals emergency department (ED). At the ED, she waited in the busy reception area until her name was called to registration. After providing her general and insurance information, she was told to wait. Twenty minutes later, a triage nurse obtained a brief history and took vital signs. She returned to the waiting room, where she waited for two and a half hours. During this time, she witnessed a steady flow of patients with various degrees of injury and distress pass through the emergency area; most appeared much sicker than she was. She was eventually led to a stretcher, where another nurse took a detailed history. A physician entered the room, took a more detailed history, performed a physical examination, and ordered blood tests, a chest X-ray, lung scan, and electrocardiogram. Over the next three hours the tests were evaluated, after which time the physician told her that he thought that she might have asthma, but no serious disease. She was instructed to follow up with her primary physician and was given a prescription for an inhaled bronchodilator. The afternoon previous to the patients visit, a hospital administrator, the physician director of the emergency department, and the director of hospital performance improvement met to review several disturbing trends. Patient satisfaction with the emergency department was falling, the proportion of elopements (patients leaving the emergency department without being fully evaluated) was increasing, and there had been at least one instance of a patient falling in the crowded waiting room. The administrator wanted the physician director to organize the department more efficiently to address the fundamental problem of excess wait time; the physician director believed that the wait time was to be expected given the severity of illness of the patient population, and the existing resources. The performance improvement director suggested that the wait times first be measured and benchmarked before embarking on a performance improvement plan that focused on wait time. Using the techniques described, with enthusiastic and substantive support from hospital administration and the medical staff, the emergency department embarked on a nine-month effort to measure, analyze, and improve the quality of care. They chose to focus on wait times; patient satisfaction with services delivered; timeliness of initiation of care for patients with time-sensitive diagnoses for cases such as stroke and chest pain; and return visits to the departments for the same complaint within 72 hours. Using tools from performance improvement organizations and ideas from staff within the hospital, they developed new policies and procedures, re-organized the functions of staff, hired additional staff, and instituted performance-based incentives. Some of the changes they initiated included:
Why Choose Us
Top quality papers
We always make sure that writers follow all your instructions precisely. You can choose your academic level: high school, college/university or professional, and we will assign a writer who has a respective degree.
Professional academic writers
We have hired a team of professional writers experienced in academic and business writing. Most of them are native speakers and PhD holders able to take care of any assignment you need help with.
If you feel that we missed something, send the order for a free revision. You will have 10 days to send the order for revision after you receive the final paper. You can either do it on your own after signing in to your personal account or by contacting our support.
All papers are always delivered on time. In case we need more time to master your paper, we may contact you regarding the deadline extension. In case you cannot provide us with more time, a 100% refund is guaranteed.
Original & confidential
We use several checkers to make sure that all papers you receive are plagiarism-free. Our editors carefully go through all in-text citations. We also promise full confidentiality in all our services.
24/7 Customer Support
Our support agents are available 24 hours a day 7 days a week and committed to providing you with the best customer experience. Get in touch whenever you need any assistance.
Try it now!
How it works?
Follow these simple steps to get your paper done
Place your order
Fill in the order form and provide all details of your assignment.
Proceed with the payment
Choose the payment system that suits you most.
Receive the final file
Once your paper is ready, we will email it to you.
No need to work on your paper at night. Sleep tight, we will cover your back. We offer all kinds of writing services.
You are welcome to choose your academic level and the type of your paper. Our academic experts will gladly help you with essays, case studies, research papers and other assignments.
Admission help & business writing
You can be positive that we will be here 24/7 to help you get accepted to the Master’s program at the TOP-universities or help you get a well-paid position.
Editing your paper
Our academic writers and editors will help you submit a well-structured and organized paper just on time. We will ensure that your final paper is of the highest quality and absolutely free of mistakes.
Revising your paper
Our academic writers and editors will help you with unlimited number of revisions in case you need any customization of your academic papers
Hello The Homework Helpers Support