Rapid City Regional Hospital Hand-Hygiene Program Assignment

Assignment Task

Rapid City Regional Hospital implemented a multidimensional hand-hygiene program to improve hand-hygiene adherence in accordance with The Joint Commission (TJC) Patient Safety Goal #7: Reduce the risk of healthcare-associated infections (HAI). Root cause analysis uncovered three primary reasons for non-compliance: takes too much time; dry, cracked hands from too much washing and use of soap; and a non-supportive culture. Solutions included making alcohol hand rubs and hospital-approved lotion more available, providing education and encouragement, establishing an infection control hotline to report non-compliance, and holding physicians accountable. Hand-washing compliance increased from 57% to 91%, resulting in a 21% reduction in HAI and dollar savings of $291,450

Questions

1. How do the characteristics of a healthcare organization and system influence performance? 

2. Outline key methods to improve performance in a healthcare setting.

3. List some of the important Key Performance Indices (KPIs) that influence patient outcome and the growth of a healthcare organization.

Scenario

A not-for-profit healthcare system found that adherence to clinical quality observed metrics for inpatient heart failure discharge instruction was consistently below national standards. Working toward a goal of increasing the observed rate of compliance from 45.3% to at least 90% by January 2008, the improvement team used the Six Sigma DMAIC (define, measure, analyze, improve, control) approach and Pareto analysis to identify potential failures and the vital factors contributing to the problem. Strategies developed to counter the vital signs and improve the process included standardizing the discharge process across all nursing units, standardizing the most effective type of discharge instruction, improving the knowledge level of heart failure discharge instruction elements unit-by-unit with one-on-one training, and standardizing and simplifying the heart failure discharge instruction process. Based on a three-month pilot, the project succeeded in reaching its goal of a 90% compliance rate with heart failure discharge instruction.

• What are the tools techniques used in operations management to improve quality? illustrate with at least three examples.
• Analyze how lean management tools will be beneficial to the hospital to enhance the hospital discharge policy? You may use the diagram to discuss the patient flow from admission to discharge. Discuss key factors that hinder smooth and effective patient discharges in any healthcare setting.
• How can Lean and Six Sigma be applied to improve healthcare operations, considering the differences in concept and approaches of each of them.

Choose your own healthcare facility or any department at chosen healthcare facility, critically reflect on weaknesses/challenges that need to be changed for better efficient and effective performance.

• To fulfil the above given criteria, introduce your organization, show the organizational structure chart of your chosen organization, and bring out the major cultural values your organization follows.
• Reflect on Change Management and how to apply effectively to your organization development. Align with strategic management practices by doing a SWOT analysis of your chosen organization; based on weaknesses, opportunities and threats envisaged. Bring out certain major changes you would like to bring about in the chosen organization. Review how you will manage these changes, as well as resistance to change, to eventually achieve competitive advantage in the market environment.
• While bringing about the changes in your chosen organization, highlight on how you will monitor and control the changes being sought by your chosen organization, what will be the performance indicators you would like to benchmark upon, techniques to implement the changes, as well as the process and resources to manage the changes.

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