Purpose of the Project
ABC Healthcare is a leading facility in this township. Due to its popularity, the hospital is experiencing an influx of patients, many of whom require admission services. Some instances that warrant the attention of the management of this hospital include cases that warrant immediate admission of the patient, failure to which the patient’s chances of survival critically diminish. This situation is worsened by a lack of sufficient admission beds that can cater for the critical patients who, in most cases, need stabilization before taking in any medication or medical procedures.
Delaying of the patients from taking up admission beds to undertake medical procedure has multiple effects on ABC Healthcare. First, if a patient dies or develops permanent health conditions that could have prevented through swift action, the hospital may suffer some repercussions. For instance, according to Kryworuk, Butler, and Otten (1995), the healthcare organization could get into legal suits, which can potentially cripple operations due to heavy fines associated with such cases. Along with that, the image of the hospital to the public gets tainted and from a marketing perspective, this could mark the beginning of the end for the hospital. To a forward-oriented mind, this catastrophe needs mitigation measures before disaster strikes.
The solution to this problem is a quick freeing up of in-patient beds faster to accommodate incoming transfers and admissions. To expedite a solution, there are two possible options. First, the hospital can expand its bed capacity, and second, the hospital can have a discharge lounge that patients who fit some given criteria can wait before they go home. The first option requires massive financial outlay as well as considerable implementation period. It is also a call for the hospital to add on its labor force to handle the extra ward. This option is not economically feasible. The second option involves the development of a waiting lounge that requires no specialized equipment. It requires comfortable seats and an entertainment system to keep the discharged patients waiting for ambulatory care or other means to take them home.
This proposal targets adult patients who have been discharged and are competent, alert, able to ambulate, stable, and non-infectious.
Benefits of the Project
This project is highly beneficial to this hospital. Not all patients are capable of leaving the hospital within the ninety-minute period allotted by the hospital. If allowed to continue staying in their beds, the discharged patients consume space that would otherwise be beneficial to some other patient who is critically in need of that bed. This forms the premise of the benefits of this project. To begin with, the project is capable of freeing up space in the in-patient beds section. As a result, there will be faster patient transfers and admissions.
Besides the direct benefit of fastened patient transfer and admission, the other indirect benefits that the hospital will accrue is the reduction of exposure to legal risks as explained above. There will also be a reduction in the possibilities of attracting bad press or publicity due to the perceived negligence emanating from extended admission times or transfers.
The project involves renovating one of the unused halls in the hospital and converting it into a lounge. The cost breakdown is as follows.
|Seats||20||$ 100.00||$ 2,000.00|
|Tables||4||$ 200.00||$ 800.00|
|Cupboards||5||$ 300.00||$ 1,500.00|
|TV||3||$ 700.00||$ 2,100.00|
|Music System||1||$ 600.00||$ 600.00|
|Flooring||1||$ 2,000.00||$ 2,000.00|
|Painting||1||$ 3,000.00||$ 3,000.00|
|Ceiling||1||$ 2,500.00||$ 2,500.00|
|Windows||4||$ 500.00||$ 2,000.00|
|Doors||2||$ 600.00||$ 1,200.00|
|Air Conditioner||1||$ 2,500.00||$ 2,500.00|
|Total Cost||$ 20,200.00|
The discharge lounge will be a temporary waiting area where discharged patients will be held before their pick-up comes, be it an ambulance or a regular car. In this case, they will need a safe room with simple entertainment amenities to keep them busy as they wait for whoever is supposed to pick them up. The floor and doors should be suitable for wheelchairs and easy access to a car or an ambulance. The room should adhere to Nightingale Environmental Theory, which means it should have sufficient light, well-drained, organized, and with fresh air, as described by Blais & Hayes (2015).
According to Archibald, Di Filippo, and Di Filippo (2012) project evaluation should encompass two data sets, pre-project data, and post-project data. In this particular project, it is important to consider the admission numbers in both data sets, the waiting time that lapses before a transfer is recommended and when it is actually executed. It is also important to consider the time taken before a doctor recommends and the time the patient is admitted. Along with that, it is important to reflect on the effect that the lounge is having on patient’s perspectives and perceptions of the hospital. Finally, the finances of the hospital will be evaluated based on whether there is any significant positive change in revenues and costs.
Kindly provide a feedback on the proposal by responding to the following two questions.
Archibald, R. D., Di Filippo, I., & Di Filippo, D. (2012). The six-phase comprehensive project life cycle model including the project incubation/feasibility phase and the post-project evaluation phase. PM World Journal, 1(5), 1-40.
Blais, K. & Hayes J.S (2015). Professional nursing practice: Concepts and perspectives. Prentice Hall. New Jersey.Kryworuk, P. W., Butler, B. T., & Otten, A. L. (1995). Potential legal liability in the allocation of scarce healthcare resources. Annals RCPSC, 28, 153-160.
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