Let It Pour

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Problem Statement

The problems at Faith Hospital seem to be many. While the hospital has a Mission Statement, it seems that everyone has their own interpretation of what the words in the Mission Statement mean. Medical services are not consistently administered. It does not seem that there are clear processes, guidelines, and policies in place to ensure that everyone is operating on the same page. In addition, the number of patients is down 7% and costs are rising. Last year, the cost per patient was $17. This year the cost is $40 per patient. About 8% of the operating costs are fixed costs that have nothing to do with the number of patients treated. With medical errors resulting in 100,000 hospital deaths each year, Faith needs to put together internal measures to ensure that this hospital is not contributing to these numbers.

Potential Solutions

While many solutions could be implemented, focus should be on those which will cost the least amount of money and give us the biggest bang

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• Establish policies and procedures and a Code of Ethics to support our Mission Statement

• Establish communication processes so that there is consistent communication across the organizations

• Develop and document organizational procedures and processes to ensure that everyone in each department understands their roles and responsibilities.

To implement these changes will require input from representation from various departments. Small cross-departmental project teams should be utilized to ensure the perspectives of each group is represented in decision making processes. While some of these changes will not be implemented quickly, individuals or teams may identify quick-wins that can be implemented easily. We should also implement metrics, not only to measure how well we are implementing our proposed solutions, but also as ongoing measurements of how well our processes, policies, and procedures are improving our organizational capability. Implementing new or tightening up existing internal processes should reduce our costs (particularly fixed costs), increase patient counts, and reduce the risk of Faith being included in the statistic for accidental hospital deaths.

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