Reference no: EM133362063
Evolving Case Study
Just outside of Toronto, Mountain View General Hospital serves one of the fastest-growing communities in the province. Its emergency department visits are growing despite a provincial and regional focus on preventive strategies and community alternatives to acute care. The medical unit, 5A, has 30 beds and focuses on patients experiencing primarily cardiac and respiratory illnesses along with some neurological disorders associated with strokes. Total patient care is the model of care delivery and has been in place for several years. The staff mix includes RNs, RPNs and a small number of PSWs.
Rajesh is the new nurse manager for 5A although has previous experience as a nurse manager at another institution. Provincial revenues are not growing fast enough to keep pace with the demand for health care services. Consequently, Rajesh needs to find ways to improve efficiency for 5A, reduce less value-added expenditures (such as overtime), and meet the demand for medical services while still staying on budget.
PART 1
1 - Healthcare system
Rajesh meets with his Director and Vice President to discuss funding strategies. What level of government would be appropriate for advocacy activities to secure more funding for services provided on his unit? Provide rationale.
Use the PESTLE framework to identify 3 trends and issues that impact the solutions Rajesh might need to consider as he brainstorms ideas to improve efficiencies in patient care delivery. Provide references to support your answers regarding the identified trends/issues.
2 - Care Delivery Models
One strategy being considered is to revise the model of care delivery. If you were Rajesh, what steps would you take to improve efficiency and reduce costs associated with the model of care delivery?
How would you evaluate the current model? (appropriate care delivery model evaluation strategy )
How could the current model be improved? (realistic improvement for current model )
What other models could be considered and provide your rationale? (appropriate alternate model suggested and rationale )
3 - Resource Management
During the budget preparation process for the upcoming fiscal year, the health care system senior leadership mandated 5% cost reductions from the previous fiscal year budget. Rajesh needs thoroughly evaluate all costs for potential savings. Rajesh feels strongly that eliminating nursing positions is not appropriate in this budget reduction initiative.
How can Rajesh argue persuasively that the current nurse staffing is appropriate to ensure cost-effective, high-quality care for her patients? (min. of 2 persuasive reasons for current staffing )
How can Rajesh meet the budget reduction mandate without cutting nursing staff? (min. of 2 budget cutting ideas that are realistic, used correct terminology )