Healthcare Case Study

Key outputs in this phase are the Projects Requirements definition, the capability and capacity assessment, project delivery strategy and the Project Management plan. The role of the construction/ project manager in this phase is, once project authorized, it is the project manager’s responsibility to implement the project. In terms of the Project Requirements Definition the, the project manager refines and details the project authorization and details what the project is required to accomplish in terms of the products/services the project will deliver and the scope of work that needs to be done. The project manager must provide project team members, corporate sponsors, and other stakeholders with a common understanding of what the project is all about, and is the authoritative reference document that defines the project.

Healthcare acquired infections (HAI) not only contribute to exorbitant amounts of financial burden on the healthcare system but also attribute to staggering numbers of

Healthcare is an ever-growing, booming industry and as medical technology advances so should our standards of care. Once known as hospital acquired “nosocomial” infections, Healthcare Associated Infections (HAIs) are still afflicting the very patients we are to be treating. These patients could be our loved ones, friends, and family so to say that, “1 in 25 hospital patients have at least one HAI in a U.S. acute care hospital” (CDC, 2015), is still one too many.

Hospital-acquired infections (HAI) affect 1.7 million Americans each year with as many as 98,000 dying annually as a result of hospital-acquired conditions (HAC) (Kavanagh, 2007). In 2008, the Centers for Medicare and Medicaid Services (CMS) implemented policy to include non-payment for HAC in order to improve quality patient care and contain costs. This non-payment disincentive refuses to pay for complications of care that are considered preventable. Two other paradigms of this policy used to promote quality include pay-for-performance initiatives and public disclosure of HAC.

As the CEO of a hospital with the highest Central-Line Associated Blood Stream Infections (CLABSI), I am approaching the problem from an evidence-based standpoint. My first step is to engage each team member, especially senior leadership, and ensure that everyone is on board to reduce CLABSI occurrences. In a formal, mandatory meeting, I am giving all staff members a detailed overview of the plan as well as an achievable goal for the upcoming fiscal year. While outlining my expectations, I will welcome the infection control team to discuss successful evidence-based strategies and practices.

(Douglas Scott II, R. March 2009. The Direct Medical Costs of Healthcare-Associated Infections in U.S. Hospitals and the Benefits of Prevention. Date Retrieved: December 30, 2015, http://www.cdc.gov/HAI/pdfs/hai/Scott_CostPaper.pdf)

The key to a successful project is in the planning. Creating a project plan is the first thing we should do when undertaking any kind of project. A project plan can allow a Project Manager to complete a project within a specified timeline and a specified budget.Reaching these important goals, will make the project customer happy and help the organization to build a good relationship with the customer for future projects. Project planning is fundamental in order to avoid failure and disappointment. In project management, effective planning is absolutely required if the individual or group wishes to deliver a finished project on time and on budget. From a Project Management article (http://www.brighthub.com/office/project-management/articles/40904.aspx) I read that during the project planning phase, plans are developed in the form of project baselines for schedule, cost, scope, quality and risks, all of which are components of the overall project plan. This gives the Project Manager basis for monitoring project progress and upon which to base decisions necessary for managing changes needed to help get the project back on track.

Continuing to study these issues and re-implement processes and procedure as needed is important in reducing these infections not only for patient safety but also for health care costs. As Wheeler et al., (2011) states “BSI’s are common, preventable adverse events in hospitalized patients and are associated with substantial morbidity, cost, and mortality” (p.1001). Adverse events are often considered to be preventable and often insurance companies will not pay for these types of events. For instance, Medicare and Medicaid stopped reimbursing health care institutions for these type of events such as BSI’s (Abad & Safdar, 2011). Due to the impact that Medicare and Medicaid reimbursements make in healthcare organizations, it is becoming increasingly important that measures be taken to prevent this type of adverse event. The advantages to preventing CABSI’s, solutions for preventing, and quality improvement models and methods for change will be discussed in the following paragraphs.

The first step will be to look at the goals of the project, and align them with the mission of the company. Systematically, the project will be broken into phases: Planning, Organizing, Staffing, Directing, Coordinating, Budgeting, Evaluating, and Reporting. Each phase will be further broken down into tasks and placed into a work breakdown structure. From this view, one is able to see the entire project duration, critical path, and milestones. The Planning phase is integral in any project. This phase of the project defines project objectives, mission, goals, and approach. In addition, outlining key elements of the project is critical: performance expectations, risks analysis, and contingency plans. However, after completion

All the reasons discussed above and many more demand for a well-trained and versatile IP. It is apparent, healthcare organizations ought to consider infection prevention as a priority for patient safety efforts, as the burden of HAIs increase and to respond to the globalization phenomenon (Bubb, et al., 2016). Hence, an advance education with IPC speciality, would allow nurses to pursue career advancement possibilities and also significantly improve the quality and safety of patient care through research and EBP.

Healthcare acquired infections (HAI) or nosocomial infections are defined as an infection that a patient acquires while being treated in a medical facility. Nosocomial infections contribute to significant loss of life and cost the health care system millions of dollars each year. The purpose of this paper is review the policy proposed by the Illinois Department of Health (IDPH) to Prevent Health Care Associated Infections and Antimicrobial Resistance. This paper will also discuss the current relevance to health care, the strengths and weaknesses of the policy as evidenced by current literature and public health data. Recommendations for additions to or changes in the policy will also

Healthcare-associated infection has been an issue in many facilities throughout the years. It is a health risk to patients and very costly to the facilities. In order to improve and make changes to the amount of infections that the facilities have you must first change the staff and facilities view of preventing healthcare-associated infection.

The Baldrige Performance Excellence Program is a current model using certain criteria for purposes of improving quality and risk management. Health care organizations and risk managers around the country utilize this model to boost safety processes and outcomes. At the other end, a final goal is sought to reduce cost and get positive results for the organization. Criteria within the Baldrige model focuses on the successful operation of health care organizations that corroborate between units and departments, including leadership and performance, while also considering Joint Commission accreditation, Magnet status, and the Institute for Healthcare Improvement initiatives (The National Institute of Standards and Technology, 2014). The goal of the Baldrige model is to lead all components of the organization to be unified and productive as a whole, manage change, and examine and analyze data in order to be competitive and successful in the healthcare market.

Being the present manager and being appointed by the government at the feasibility stage I am asked to write a report in order to outline the activities required to successfully manage this major project and to ensure that it is completed on time and within budget.

Fixing problems that face health care in many health facilities demand a system wide set of solutions. The systems used in these facilities must be assessed and redesigned to identify factors that will aid in the achievement of the set goals. The enormous task of achieving the goals should be undertaken collaboratively by all the key stakeholders, who include, health care professionals, planners and policy makers, administrators, payers, and patients and their families. These partnerships must begin with a common understanding of the problems together with a shared commitment to cooperate and work together to eliminate the problems. With this knowledge, therefore, an action plan for redesigning the health care system can be developed and later implemented. For a successful health care service to be realized, there are various factors which should be employed and which are not found in the traditional business setting. These include unique economic processes, proper regulatory requirements and the perfect quality indicators. This creates a need for every leader within the healthcare industry to create or develop unique skill sets that will harmonize both organizational leadership and the inter-professional team development. It is, therefore, important to understand the comprehensive approach to the management of patient care and also how the concepts of team development and organizational leadership support healthcare leaders in creation of a patient-centric