Sustainable operational processes that create opportunities

Develop sustainable operational processes that create opportunities to utilize best practices in patient care and functions.

Scenario
Health organizations continue to face challenges relative to costs and revenue. Changes in reimbursement structure is most often cited as one of the biggest challenges for providers. As a result, leaders are developing new approaches aimed at creating additional revenue streams.
Traditionally, hospitals have operated on profit margins that are often described as challenging. As a result of increased labor costs and a shift in payer mix, hospitals are being forced to do more with fewer resources. Consequently, hospitals are seeking new ways to improve their margins. Increasing patient volume is no longer effective in improving margins given the focus on value-driven care. As the CEO of XYZ hospital, you are asked to make a presentation to the board regarding ways to identify new streams of revenue.
Your hospital operates in a low-income community with a significantly large population of residents enrolled in Medicare and Medicaid coverage. Critical issues such as length of stay (LOS) requirements and other financial threats are creating an urgent need for your organization to consider new revenue sources. After conducting research into the development of alternate revenue streams implemented by hospitals, you propose a new state of the art wellness center. Your task is to gain support for the wellness center.

Instructions
Create a PowerPoint presentation in which you highlight the following:
Describe, in detail, the service offerings that you would include in your new wellness center.
Discuss any potential barriers to implementing the wellness center.
Explain how the new wellness center can potentially affect overall costs.
Explain how the new wellness center can potentially affect overall quality of care.
Describe the potential impact of the new wellness center on the underserved.
Discuss the potential implications of the proposed revenue stream on payers, patients, and providers.

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Sample Answer

 

  • Identify the best practices. What are the best practices in patient care and functions? This could involve benchmarking against other healthcare organizations, reviewing the literature, or conducting surveys of patients and staff.
  • Assess the current state. What are the current operational processes? How do they compare to the best practices? This will help to identify areas where improvement is needed.

Full Answer Section

 

  • Develop a plan for improvement. What changes need to be made to the operational processes to improve patient care and functions? This plan should be specific, measurable, achievable, relevant, and time-bound.
  • Implement the plan. This will involve making changes to the operational processes and monitoring the results.
  • Sustain the improvements. Once the improvements have been made, it is important to put in place processes to ensure that they are sustained. This could involve training staff, developing documentation, or creating a culture of continuous improvement.

Here are some specific examples of how these ideas could be applied in healthcare:

  • To improve the patient registration process, an organization could benchmark against other healthcare organizations, review the literature, and conduct surveys of patients and staff. This would help to identify areas where improvement is needed, such as reducing the wait time for registration or making the process more user-friendly. The organization could then develop a plan for improvement, such as creating a single point of registration or using self-service kiosks. Once the plan has been implemented, the organization would need to monitor the results to ensure that the improvements are sustained.
  • To improve the medication administration process, an organization could use Lean principles to identify and eliminate waste. This could involve reducing the number of steps in the process, eliminating unnecessary paperwork, or making sure that medications are always available when needed. The organization could also use Six Sigma principles to reduce variation in the process. This could involve using statistical tools to identify and eliminate the sources of variation.
  • To improve the patient satisfaction with care, an organization could implement a patient experience improvement program. This program would focus on identifying and addressing the factors that contribute to patient satisfaction, such as the quality of care, the timeliness of care, and the communication between patients and staff. The organization could also use surveys and focus groups to collect feedback from patients.

By following these ideas, healthcare organizations can develop sustainable operational processes that create opportunities to utilize best practices in patient care and functions. This will lead to improved quality of care, reduced costs, and greater patient satisfaction.

In addition to the above, here are some other tips for developing sustainable operational processes:

  • Involve all stakeholders in the process. This includes patients, staff, and management.
  • Make sure the changes are feasible and realistic. Don’t try to change too much at once.
  • Communicate the changes to everyone involved. This will help to ensure that everyone is on the same page and understands the changes.
  • Monitor the results of the changes. This will help to ensure that the changes are having the desired effect.
  • Make adjustments as needed. The changes may need to be adjusted as the organization learns more about them.

By following these tips, healthcare organizations can develop sustainable operational processes that will benefit patients, staff, and the organization as a whole.

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