HMGT 300 Managerial Report

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School

University of Maryland, College Park *

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Course

300

Subject

Health Science

Date

Apr 3, 2024

Type

docx

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Uploaded by kiyah1998

1 Managerial Report LaKiyah A. Seard Department of Health Services Management, University of Maryland Global Campus HMGT 300: Introduction to the U.S. Healthcare Sector Mr. Ronnie Ursin January 23, 2024

2 Managerial Report Manager’s Name and Role : LaKiyah Seard, Director of Risk Management Healthcare Setting: Emergency Department Managerial Issue : Inadequate Emergency Management and Preparedness in Healthcare Settings Impact & Details : During mass casualty incidents, inadequate emergency training directly impacts timely and adequate medical care. The result can be an increase in morbidity and mortality rates among victims. There is a possibility that such disasters may cause psychological harm to survivors, their families, first responders, and healthcare professionals, including trauma and PTSD. Hospital systems bear a heavy burden due to high healthcare costs from emergencies like the Station nightclub fire. Immediately necessary emergency care, ongoing medical treatment, rehabilitation, and potential legal settlements fall under this category. Severity & Details : The severity is exceptionally high due to the direct threat to human life and health. In events like the Station nightclub fire, the loss of life and the number of injuries underscore the critical nature of effective emergency preparedness. The economic impact of high healthcare costs in emergencies is severe. It can strain hospital budgets, increase insurance premiums, and financially burden patients and their families. Additionally, the consequences of insufficient training are grave, particularly in emergencies. Inadequate training can exacerbate the severity of a disaster's outcome, leading to higher casualty rates and more severe injuries, increasing healthcare costs.

3 Scope & Details : Operationally, it involves effectively managing resources and coordinating responses, which are crucial for sustaining healthcare services and controlling costs. In clinical terms, the goal is to provide comprehensive medical care, primarily influenced by the training healthcare professionals have received; this ensures both care quality and accessibility and patient safety in an emergency. In legal terms, this scope adheres to health and safety laws, which will have financial ramifications if not followed perfectly. It also surrounds patient care, addressing ethical and legal concerns regarding the overall patient experience. Two Healthcare Setting Issues : Healthcare Costs & Lack of Training 1. First Healthcare-Related Issue with Characteristics Defined : Health care costs In this case, healthcare costs are prominent. Immediately following the fire, a surge in patients required emergency medical attention. A mass casualty event strains healthcare resources, increasing emergency services, trauma care, surgery, and critical care costs (University of Rochester Medical Center, n.d.). As a result, hospitals and emergency services must mobilize extensive resources, including medical supplies, staff, and equipment, which increases healthcare costs. Many of these injuries require specialized and expensive medical treatment due to their severity and nature, such as burns, smoke inhalation, and trauma. According to Abrams and Tikkanen, patients and their families bear a financial burden, reflecting broader issues in the U.S. healthcare system where high spending doesn't always result in better outcomes (Abrams & Tikkanen, 2020). Healthcare costs are substantial immediately following an incident and over time. Costs continue to rise due to ongoing medical care,

4 rehabilitation, and mental health care. In cases of severe burn injuries and trauma, full recovery can be both resource-intensive and costly. 2. Second Healthcare-Related Issue with Characteristics Defined : Lack of Training Managing disaster resources, including medical supplies, equipment, and personnel, is vital. As revealed by the Station nightclub fire case study, there is often a lack of training in resource allocation in an emergency, resulting in chaotic situations and inefficient resource use. When disaster strikes, healthcare providers need to make critical decisions quickly (Hospital- Based Emergency Care, 2007). In these high-pressure situations, a lack of training can cause delays and errors that negatively affect patient health. A vital aspect of emergency preparedness is the ability to make decisions under pressure. Medical providers receive training on how to provide routine health care. Still, they may not be equipped to deal with disaster scenarios such as triage in a high-volume emergency, handling severe trauma cases, and providing psychological support. Deficits in preparedness and response impact immediate care and recovery. The fire emphasizes the importance of medical professionals receiving comprehensive emergency preparedness training. Healthcare facilities and emergency services must work seamlessly together to respond effectively to a disaster. A lack of training in this area contributes to disjointed and ineffective disaster responses.

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