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Managing the Human Side of Change

In: Other Topics

Submitted By Cloudydell
Words 1140
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Introduction
In an effort to cut rising costs and attempt to recover from declining revenues, the board of directors’ for a community hospital located in a predominately large East Coast city made the decision to merge the obstetrics and pediatrics units of the hospital. Unfortunately, the board of directors face several obstacles pertaining to the combination of the two services, such as the current situation that many of the obstetricians left the hospital to become employed at the nearby medical center which has large labor and delivery rooms in addition to utilizing the latest technology and equipment. In order to combine the two services the hospital needs to update the existing obstetrics equipment with state-of- the-art equipment that will enable the hospital to be competitive, and increase the size and efficiency of the labor and delivery unit rooms in collaboration with the pediatric unit.
Currently, the hospital is well known for their pediatric trauma services in addition to the specialized pediatric oncology service who admits hundreds of patients to the facility each year. The pediatric physicians’ group was recognized nationwide and handles referrals from pediatricians throughout a four-state area. Thus, by combining the pediatrics services with the obstetrics service, and in addition to changing their obstetrics’ focus from routine deliveries to high risk pregnancy deliveries, the hospital will have the ability to overcome the current competitive disadvantage the hospital faces when compared with the nearby medical center. The consolidation of these two services will be not only be patient centric, but also cost effective by the merge of both areas, but also saving the hospital millions of dollars by closing the obsolete out dated obstetrics unit and avoiding renovation expenses.
The combining of the two units will require fundamental changes due to the current management of these two units are entirely different. Other areas of concern and differences are that the obstetrics unit primarily treated only adults, while the pediatric until treated infants and children. Obstetrics usually only treats their adult woman patients for a day or two at the most, whereas the pediatric unit treats infants, children and adolescents for conditions that require complex treatment plans and long hospital durations.

Analysis
An analysis of the hospital’s current information systems was done to determine if any of the current systems are working efficiently and effectively with one another. The lab and radiology information systems were both implemented within the last 5 years so the technology is relatively new; however they have been set up to operate independently, apart from the other systems. Historically, it was common practice to have lab and radiology information systems function as stand-alone systems (McCoy, Bomentre&Cous, 2006). In current times, it necessary to have the clinical data maintained within these systems shared among other systems for easy accessibility. To link these systems with the other information systems, an interface process could be developed to transfer clinical data from one location to another. This interface system could also be configured with the nursing information system as well as the financial information system to help the flow and sharing of information between all systems. Using the hospital information system as the main data repository would be a good centralized location of all information. Newly implemented hospital information systems have the ability to manage data related to the clinic, finance department, laboratory, nursing, and pharmacy as well as radiology and pathology departments (Emr consultant, 2009). However, Bayside’s current hospital information system was implemented ten years ago and may be in need of some system upgrades and software improvements.
To ensure that the objectives are met, it’s crucial that the hospital information system is enhanced and upgraded to accommodate any recent medical technology advancement or improvements. To provide accurate reporting of all information systems, it’s important to proceed with the implementation of the decision support system in 6 months. This will allow enough time for staff to identify, manage and analyze all of the data from all systems and get them set up to report appropriately.
To keep up with other competitors, Bayside must also invest in purchasing a knowledge-based system which has the capability of maintaining an enormous amount of information that can be shared among different parties. In the medical field, you can use a knowledge-based system to maintain medical journals, articles, literature as well as information related to insurance billing which would allow for more accurate medical coding and billing of medical services. It’s also pertinent for Bayside to consider purchasing an order entry/results reporting system that can either be incorporated into the current hospital information system or function as an outside system with an interface sending date to the main data repository. Having an efficient order entry/results reporting system will allow for better access to test results and timely communication back to the patient.
Lastly, Bayside should invest in designating a floor or unit of the hospital as an intensive care unit. Having an intensive care unit would allow the local trauma hospital to transfer patients to Bayside for continued medical treatment. This influx of patients would create a steady downstream effect of increased revenue from return patient visits as well as increase in referrals from outside community hospitals. Outside medical providers would view Bayside as a reliable medical center to send critically ill patients to.

Conclusion
Overall, based on the analysis and data provided above, the implementation of new technology is vital to Bayside General Hospital if they want to maintain their endurance within the community and improve the quality of care with their patients. It’s unnecessary to replace any of their current systems but it’s highly recommended to obtain any and all upgrades that will improve their work flow and keep them up-to-date with innovations that other competitors are using in their practices. Using technology can help keep you aligned with new medical advancements that are being used and performed by other practices which can help you identify specialty areas within your own hospital that need to establish a new line of services that they can start providing to patients. Also, using a knowledge-based tool can inform you of what services insurance companies are paying for and what services that they are denying which can keep you ahead of the game.
Technology is constantly evolving in every career field out there. The goal is to stay informed of all of the new technology that is released and be prepared for any upcoming changes that are inevitably going to happen with it.

References
McCoy, M. J., Bomentre, B. J., &Cous, K. (2006, April).Speaking of ehrs: Parsing ehr systems and the start of it projects. Retrieved from http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_030968.hcsp?dDocName=bok1_030968
Emr consultant. (2009). Retrieved from http://www.emrconsultant.com/education/hospital-information-systems…...

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