Hospital planning

[Michael Ferker]

Dr. Reddy,
   
  I agree with the majority of the points you made, with the exception of:
  
>>"Product ( Automation ) - Any job or process which a machine can perform
should not be performed by individual, should be automated. Automation could
be to a machine or outsourcing to external agency, with strict SLA and CTQ
measured."
   
  While I certainly feel that it would be prudent to automate as many processes as possible, there are still many processes that I feel would be best maintained if performed by trained and skilled housestaff, for instance, the preparation of various IV admixtures, supervision of the acquisition of imaging studies, record entry and maintenance, as well as the maintenance of crash carts and intubation kits. There are many entities currently available that could aid in the automation of the aforementioned subjects and tasks via more advanced devices or specialty outsourcing, but the removal of the creativity of the human element has the potential to create problems as well as wear away at attrition with available human resources having to work on issues or conflicts that may have been prevented or more efficiently addressed by the appropriate staff. Just my 2 cents on the matter.
   
  Best regards,
   
  -Mike F

"Dr.Vijay Kumar Reddy" <drvijaykumar at gmail.com> wrote:
  My way of looking is derived from my organisational model on 6Ps & 5 Rs. If
I take the management view as more clinicians in the forum can add on
clinical side. I would like to classify all points into -

Assets of ER

People - The emergency Phycians, Emergency Nurses all warriors of ER and
Hospitals should be adequate enough for the war, they should be skilled
enough, enough training should be planned for them, attrition should be
planned and foreseen.

Process - Every job done more that twice should be in a Process, each
process should be documented, each process should be tested and validated
preferably by external agency ( not on patients ), The procees once tested
should be in place and compliance should be ensured.

Product ( Automation ) - Any job or process which a machine can perform
should not be performed by individual, should be automated. Automation could
be to a machine or outsourcing to external agency, with strict SLA and CTQ
measured.

Proliferation - The best in the world should be identified and benchmarked
with, having done this the processes are to be copied meticulously.

Promotion - Internal and External awareness of processes and the inside
things which one should know within ER, Hospital and External Customer.
Everthing that has significance, if the significance is not known to the
user or ousider is waste, henc the promotion plays important role.

Patent ( Unique ness ) - Every activity done here should be unique enough to
deliver the best.

With these inputs and assests in place the outcomes are inherent and
measured based on following parameters


Outcomes

Better - How can we call the Hospital or ER room better, what makes it
better and Patient delight index, recovery period, are good to measure these
Faster - Are we able to start treatment to the Emergency victim in 180 sec,
how fast we diagnose compared to the general standards are good indicators
to measure this.
Cheaper - Ultimate aim is to ensure the same or better results are achieved
at lesser cost, it delights the stake holder and keeps us in bussiness
longer.

Larger - Scalability, flexible, to take up mass casualties, disasters

Steadier - Consistancy

I am from India associated with an EMS launched a year ago.

You can mail me on drvijaykumar at gmail.com for further support and advise.


Vijay


On 8/15/06, trauma-list-request at trauma.org 
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> Today's Topics:
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> 1. New hospital planning (Fosler, Laura S.)
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>
> ---------- Forwarded message ----------
> From: "Fosler, Laura S." 
> To: 
> Date: Mon, 14 Aug 2006 14:30:54 -0500
> Subject: New hospital planning
> We're planning the space for our new hospital's ED/transport/EMS areas,
> and we'd love some input. I've attached a list of specific questions
> that we came up with. We would appreciate any input that you can give
> us. My contact information is below.
>
>
>
> Laura Fosler RN, BSN
>
> Trauma Coordinator
>
> Children's Memorial Hospital
>
> 2300 Children's Plaza, Box 63
>
> Chicago, IL 60614-3394
>
> Phone 773-880-3146 or 773-880-6930 pager ID 3146
>
> Fax 773-880-4588
>
> lfosler at childrensmemorial.org
>
>
>
>
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-- 
Dr Vijay Kumar Reddy
--
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