The Decision Making For Expansion Of The Emergency Room Dept

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Organizations, including large hospitals and medical facilities, face many internal challenges daily. The decision making tools employed to first identify and then address such challenges afford managers in the healthcare industry the opportunity to systematically evaluate a problem, find a solution, and review the effectiveness of the end result. The purpose of this paper is to elucidate the problem solving skills and steps that were involved in the decision making process utilized to determine the need for expansion of the Emergency Room Dept., inclusive of a Chest Pain Center at a major hospital. A brief background of the root cause of this particular challenge will be proffered. An explanation as to how the problem was resolved,…show more content…
The problem that had to be dealt with at a VA Hospital as AD of the ER, was to determine the need for a new chest pain center within the Emergency Room of a large, busy hospital. The reason this problem surfaced was because the visits to the ER tripled within a 6 month time span as more elderly individuals began to utilize this hospital’s services. It was also noted that many younger soldiers returning from deployment were utilizing the VA services more than ever before. This increased use of the ER resulted in much longer than usual wait times in the ER. The increased wait time affected the quality of care and disposition of many of the patients seen in the ER. This was particularly so with those patients presenting with chest pain as these patients were being subjected to extremely long wait times. These prolonged wait times for this category of patients were producing increased adverse outcomes as well as violating standardized goals for the organization. Problem solving steps as elucidated below were taken by this organization in the management of this issue. Analyzing the problem How could we reduce the wait times for patients being seen with cardiac related issues in the ER, as the morbidity and mortality associated with these diagnoses were much more significant than other illnesses or complaints elicited? It
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