Question

Week One Assignment Case Study Attached Fil 2015 National University Research Paper Template.docx (25.596 KB) Case Study: Selection of a Patient Safety Strategy Major Themes: Strategic Planning and IT Alignment Background Information Langley Mason Health (LMH) is located in North Reno County, the largest public health care district in the state of Nevada, serving an 850 square mile area encompassing seven distinctly different communities. The health district was founded in 1937 by a registered nurse and dietician who opened a small medical facility on a former poultry farm. Today the health system comprises Langley Medical Center, a 317-bed tertiary medical center and level Il trauma center; Mason Hospital, a 107-bed community hospital; and Mason Continuing Care Center and Villa Langley, two part-skilled nursing facilities (SNFs), a home care division; an ambulatory surgery center; and an outpatient behavioral medicine center. In anticipation of expected population growth in North Reno County and to meet the state-mandated seismic requirements, LMG developed an aggressive facilities master plan (FMP) that includes plans to build a state-of-the-art 453- bed replacement hospital for its Langley Medical Center campus, double the size of its Mason Hospital, and build satellite clinics in four of its outlying communities. The cost associated with actualizing this FMP is estimated to be $1 billion. Several years ago, LMH undertook and successfully passed the largest health care bond measure in the state's history and in so doing, secure $496 million in general obligation bonds to help fund its massive facilities expansion project. The remaining funds must come from revenue bonds, growth strategies, philanthropic efforts, and strong operational performance over the next ten years. Additionally, $5 million of routine capital funds will be diverted every fiscal year for the next five years to help offset the huge capita outlay that will be necessary to equip the new facilities. That leaves LMH with only $10 million per year to spend on routine maintenance, equipment, and technology for all its facilities. LMH is committed to patient safety and is building what the leadership team hopes will be one of the safest hospital-of- the-future facilities. The challenge is to provide for patient safety and safe medication practices given the minimal capital dollars available to spend today.

Answer 1

1. In the present scenario, the LMG developed aggressive facilities masterplan that includes plans to build a state of the art 453-bed replacement hospital for its Langley Medical center campus, double the size of its Mason Hospital, and build satellite clinics in four of its outlying communities. After several years ago LMH undertook and successfully passed the project.

The major issues they are facing with the project are the issues with the fund for the effective implementation of the project.

Issues with the maximum utilization of information technology.

2. Pros and cons

Pros:

• Reduce the workload of the respective nurses
• Good strategic planning
• Improves medication safety
• Reduction in medication error

Cons:

• It cannot be used in isolation
• High cost
• Delay in implementation of process
• Questions in the innovation of technology

3. In the present scenario, Langley Manson Health (LMH) developed aggressive facilities to implement a bed replacement hospital for the Langley Medical center. They tried for the implementation of the goals such as empowerment of the physicians and the nurses and as well as tried for the quality improvement measures. They tried the wide development of health information technology through the implementation of the EHR system. During the implementation of the process, they suggested the CPOE (Computerized Provider Order Entry) with decision support capabilities. The project is developed with a fully automated pharmacy information system and as well as innovations in the technology thus replacing the older technology and as well as computerized discharge prescriptions. Through the project they implemented the selection of the smart IV pumps to replace the ageing pumps thus reduce the workload for the nurses and thus helps in the reduction of the medication errors.

The main issues faced by the project is the problem with the funding and the cost and as well as delay in the implementation of the project and the issues with the implementation of the health information technology and the empowerment of the staff.

This can be solved by planning a meeting with the chief members of the committee and take an adequate decision and as well as the effective implementation of the health IT and manage the cost in the next fiscal year.