Reference no: EM132238677

Midtown Hospital’s Surgery Center’s Admission Process Judy Lynn, a recent graduate of the local university’s Health Care Management program, was recently hired to work in the business office of Midtown Hospital. During her interview, Mike Wilson, now Judy’s supervisor, had been impressed with Judy’s critical thinking capabilities and ability to examine and map out processes. After she was hired, Judy’s responsibilities for the first week on the job were to quietly observe the scheduling/admissions operations of the facility’s surgery center, to take notes of the processes and any problems and issues she observed, as well as map the process out. At the end of the week, Judy was to meet with Mike to discuss what she had learned. Mike thought having Judy observe the operations would kill two birds with one stone. Judy would have time to become acquainted with the hospital’s operations, but at the same time, she might be able to see some problems and inefficiencies that might be more apparent to fresh eyes seeing the processes for the first time. It is now Friday afternoon and Judy is waiting for her appointment with Mike. “Thank you for meeting with me today, Judy. I hope you have had a good week at the hospital and the week of observation has been eye opening. I want you to tell me what you observed… both the good and the bad. Be honest with me. I’m very interested in finding out what you learned this week.“ “It’s been a great week and I’ve learned a lot,” Judy noted. “The hospital has a lot of good people working here and some good processes in place, but I’m wondering if you might be able to do things a little better. Let me go over my notes with you. It all starts with one of the schedulers calling a patient to schedule their surgery and preoperation (pre-op) appointment. The pre-op appointments are usually scheduled a week before the surgery in order to go over the pre-surgery instructions and to answer the patients’ questions. Patients usually wait 15 minutes up to an hour after their scheduled appointment time to see the doctor. Another appointment is then scheduled at the pre-op appointment for the patient to come in and complete pre-surgery hospital paperwork. This is usually done the day before surgery and normally takes about one hour for the admissions representative to complete the pre-admissions visit. A patient may wait 15 minutes to a half an hour beyond his/her scheduled appointment time to see one of the admissions counselors. While the patient is waiting, he/she is asked to complete pre-admissions paperwork. During the pre-admissions meeting, the patient is told the time to arrive at the hospital the next day as well as told the expected time of the surgery. When the patient arrives the day of the surgery, he she will go over the paperwork a second time with one of the admissions counselors and then be led back to the pre-surgery waiting room. Once the patient is called for surgery, the patient goes to a pre-op room to change into a hospital gown and await the surgery. Visitors are allowed to stay with the patient until the time of the surgery. At that time, the visitors are given a band with their patient’s number and led to the surgery waiting room. The patient’s movement from pre-op, to surgery and finally to post-operation (post-op) is recorded in the system which is visible at the nurses’ stations as well as on a board in the surgery waiting room. Over the course of the patient’s surgical procedure, the patient’s family is called two or three times to inform them of the patients’ progress in surgery based upon the length and type of surgery. After the patient is finished with surgery, the family is notified and meets with the primary surgeon for information about their patient and an estimated time to see their loved one. After the patient is settled in a post-op room and given time to recover, the patient’s family are notified that they can send some visitors back to stay with the patient. Once the patient has recovered from the procedure and has been determined to be well enough to go home, the information regarding the patient’s release is entered into the system, the patient prepares to leave the facility and a transporter will take the patient to the vehicle in which he/she is to leave the hospital. If the doctor determines that the patient is not well enough to go home, the patient is assigned a room and transferred to the hospital room.” “It sounds like you have a pretty good idea about how our in-take and surgery process works,” Mike observed. “ I’m interested in seeing your process maps and finding out where you see some inefficiencies.”

Team Deliverables Your team should assume the role of Judy.

1. Create a Data Flow Diagram (DFD) in Lucid Charts for the current admissions process up to preop. a. Describe any inefficiencies you see and explain why they are problems. 2. Create a DFD in Lucid Charts for what you think the process should look like to be more efficient. a. Explain the new process and how the new process is more efficient. 3. Create an Entity Relationship Diagram Lucid Charts for the registration process. a. Explain your diagram.