Reference no: EM133445377
Real-World Case Questions
The cardiology department of Smithville Community Hospital wants to expand the cardiovascular lab to include additional procedure rooms and equipment. Several cardiologists have mentioned that there seems to be an increase in the number of patients and number of cardiac procedures performed. The hospital CIO was asked to evaluate the request and provide an initial report to the Board of Directors. The CIO worked with the VP of clinical operations to write the report. Using the physician and procedure indices within EHR, the CIO and VP completed a 10-year historical analysis of all cardiac patients and procedures. They identified inpatient and outpatient procedures, documented the number of outpatients who were also cardiac inpatients at some point, and reviewed wait times for scheduling of procedures. Four years of historical data was available in the current EHR for wait-time analysis. The previous system was not able to track wait times for scheduling.
The CIO and VP identified financial data, including cost analysis of each procedure, how reimbursement of procedure varied by type of insurance, average length of stay (if inpatient), profit margins of each procedure, and MS-DRG analysis performed on inpatient cases. They performed physician profiles to identify which and how many procedures were performed by each cardiologist. Using external data provided by the city government and local economic development council, the CIO and VP made population projections for the next 20 years and found an increase in the local population of the over-50 age group. They generated anticipated cardiac services and procedures using predictive statistical modeling.
Based on the information the CIO and VP collected, they projected how many additional staff members and physicians might be needed and made space allocations for the increased number of procedure rooms. They are currently investigating the cost of additional equipment needed and completing a renovation budget and timeline. They expect to present their findings to the board by the end of the first quarter, and a final decision should be reached by the end of July.
1. Identify and describe at least three new cardiac procedures that are projected to make a significant impact on the delivery of cardiac services in the next two decades.
2. Identify and explain projected growth patterns in the US population in the over-50 age groups.
3. Identify and elaborate on the various types of medical/physician specialists, nursing personnel, occupational/physical/cardiac therapists, cardiac surgical/technical staff needed for services to be provided - both inpatient and outpatient.
Real-World Case #2
Members of the executive staff of ABC Hospital are anticipating another pandemic, much like COVID-19, within the next 10 years. After discussions with local and state epidemiologists, it was determined that a comprehensive plan was essential to mitigate the impact of another outbreak, pandemic, or other disaster on their community.
With the help of the hospital's EIS, the hospital's executive staff are reviewing community population projections, economic and financial projections for the community and the hospital, technology growth and needs (both clinical and administrative), and personnel needs (again, both clinical and administrative). They have developed a task force with the community emergency management, local health department, and other elected officials. Each group is using their respective information systems to run statistical scenarios and prospective community plans. Subsequent meetings will address the various projections and determine priorities and budget restrictions.
At a future point in time, they will seek more community input from various civic, political, and religious groups so that there is more buy-in and support for this all-hazard mitigation plan from the community at large.
- Anticipate some of the changing population projections that could happen in a community that would need to be addressed.
- Identify the types of healthcare personnel and services that may be needed in the growing community.
- Identify where these additional healthcare workers will come from