course material

1. Each question half-page one referance #1 Emergency room patients may
Each question half-page one referance#1Emergency room patients may increase at any
time. Events, accidents, minor and major illnesses trigger ER visits. However, some patients
visit emergency room because they do not have a primary care physician or what they
believe is a bad pain, does not warrant a visit to the emergency room. Possible hospital
challenges affecting ER issues may include decreased staff, miscommunication, and test
delays. They must strategize how overcrowding can be managed. A few options include
implementing tele type visits for patients to describe symptoms to a physician. Physician
will advise regarding diagnosis and next steps. From personal experience, tele med was a
successful experience. If I had gone to the emergency room, it would have been an all-day
situation. Another option is designating staff to be “bed czars”. Their role is to supervise
incoming ER patients. (Minemyer, 2017). These processes allow efficient movement to
ensure patient registration and required testing. Hospital leaders should observe ER
activities, wait times and overcrowding. #2 In healthcare the number of patients
requiring treatment at the same time can sometimes overwhelm the healthcare system and
patients are required to wait to be seen by a physician, especially in the ED or urgent care
facilities. This is because both arrivals and length of service time vary from patient to
patient. There are times when the ED is idle because there are very few patients or no
patients at all. Queuing system can be used to minimize costs. According to Ozcan,
(2017) the main queuing model characteristics are: 1) the population source, 2) the number
of services, 3) arrival patterns and services patterns, 4) queue discipline. Queue can grow
infinitely or be limited capacity. According to the Poission distribution more than four
patients in the ED would begin to overwhelm the emergency department because of the
time required to see each patient. The number of physicians treating the patients can
be increased to two physicians instead of one. As service capacity increases, so does its
costs; service capacity costs are shown as incremental. As capacity increases, the number of
patients waiting and the time they wait tends to decrease, so waiting costs decrease. (Ozcan,
2017). The goal is to determine the level of service capacity that will minimize cost. Hiring
another physician will increase costs but more patients will be seen and decreasing waiting
time which in turn decreases costs and increases profit. It’s important to remember in
healthcare quality should come before cost. It’s better to have too many staff members
working than not enough. The primary goal of every HCO should be to provide safe and
effective care to their patients