Business Plan to Nursing Proposal - Essay Example

College Executive summary For a long time, the Hospital of Miami was able to effectively use Health as an effective system to be used. The system has always been divided into two main parts and all the parts have been known to function well. However, due to advancing technology the university hospital needs a new system that can easily adapt to the new changes that are always in the increase. It is for this reason that this proposal was written to look at the advantages that the proposed system will have over the current system and how it can be effectively implemented. The proposed new system which is Metavision for critical care is expected to be purchased at a local software shop and then after that it is to be put into place. The proposed new system is also expected to come with good maintenance responsibility. System analysis and design is needed for this particular project to ensure that the entire proposed project is viable and that it can be economically viable. In this paper, the disadvantages of the current system I am looked into and how the proposed system will be effective in solving these failures of the current system. The economic impact is also included in this proposal with tables and graphs that show how the costs and benefits of Metavision for critical care will have an effect on the company Introduction The university of Miami hospital located in Miami, Florida ,has drastically changed the face of south Florida into an ultra modern health center ,the hospital acquired the cedars medical center to expand on its facilities in the year 2007,the hospital with a facility to accommodate 560 beds hence emerged to become the first university in the region to have acute care, multi-specialty ,owned hospital and facility flagship of UHEALTH- University of Miami health system. This system that is currently in use at the hospital has a lot of disadvantages key of them being that it is not user friendly. This means that it needs a lot of experience to control it. To top it all, there are cases where the system has been proved to be insecure and hence led to the compromise of patient information. Due to this, the hospital needs a new system that can be used in the intensive care unit. The UHEALTH system is distinguished in 2 distinct parts, which are namely: university of Miami hospital and clinics and Sylvester comprehensive care center. The hospital comprises of 5 ICU. ICU overflow (10beds), surgical ICU (25beds), medical ICU (20 beds), neurologic ICU (12 beds), cardiac ICU (30 beds). Due to the high number of patients admitted at university of Miami hospital, there are several drawbacks that hinder efficiency, quality, management and performance of the hospital. They include: Lack of continuity of data across continuum care Patients information is restricted only on the specific ICU he/she is admitted hence when it comes to updating the patient details they cannot be accessed from another ICU where the patient was previously admitted. The previous patient details are required by the clinician in order to diagnose the treatment plan for the patient in order to be accurate on what care is needed to be addressed, instead of repetitively performing treatment which had already been given before. This repetitive activities add up to be costly to the hospital and as a result they end up to slow down the efficiency of the university of Miami hospital in performing their services in time, thus a lot of redundant work is exercised at the expense of the hospital ,leading to wastage of resources. This challenge subsequently hinders efficiency in the clinical department as a result quality of service is affected. Poor report analysis and generation The University of Miami hospital lacks efficient tools to analyze and generate reports on the day to day activates of the clinical department such as clinical trends, cost analysis and quality of measurement. This hereby results to poor management for the accuracy of the information produced is not in accordance with the actual information. In a situation whereby figures of purchasing medical devices and operation cost are understated or overstated this leads to a financial crisis whereby the hospital is not able to budget for its expenditures yet they are not bankrupt. This challenge hinders the hospital to effectively manage its resources wisely. Report generated should be accurate for they are critical to the management during decision making. Reports and analysis reflect the true image of any organization, thus should be accurate in order to facilitate efficiency and effectiveness in achieving the hospital’s core objective which is success. However with a good new system, the system is able to analyze the reports correctly and give it in a good manner. Lack integration with health care technology infrastructure The current system at university of Miami hospital lacks drivers that are compatible with the medical devices and operations in the clinical department, thus does not effectively meet the requirements of the hospital. In order for a system to be effective it has to integrate the operations and facilities of the system, thus if a system fails to meet requirements of the user it becomes a liability instead of being an asset. Clinicians should be able to use a system which integrates their day to day information in order for them to be efficient in providing quality services. This challenge tentatively hinders quality of the operations and performance of the hospital hence efficiency is neglected. Lack of effective decision making on clinical support Due to the several ICU at university of Miami hospital it becomes hectic to manage all of them at a central point for each of them exist on its own. During management of the ICU in segments chances are high that the error margin are increased, figures may be understated/overstated hence add up to an ambiguous error. Embedding a central place for management enables the management on making effective decisions on clinical support at the university of Miami hospital. By managing each ICU on its own redundant work is exercised and also decisions made by the management are not accurate, by this the performance, quality and efficiency of the hospital deteriorates as a result of poor management (McKeever, 2002). Lack of adaptability to work flow The university of Miami hospital lacks adaptability to work flow of activities taking place in the clinical department. Clinicians are not able to embed new processes on the system on how they would want to operate it with during their activities. The current system is not flexible to changes and is limited to only a few activities in the department. This challenge deters clinicians from performing effectively in accomplishing their work effectively and also the hospital performance is neglected due to under utilizing of resources. A lot of time is wasted as much work is done manually and redundant. This results to be very costly to the hospital and hence hinders growth, performance, quality and efficiency of the hospital. PROPOSAL OF METAVISION FOR CRITICAL CARE Legal structure Since this system (Metavision for critical care) is to be used in a public sector, there are a lot of legal factors that are supposed to be considered. First of all, this system has to comply with the privacy rules of the health accord. With this, the system is able to uphold the privacy issues and ensure that the system is secure enough and that patient information does not leak out to unwanted people. In order to ensure that the legal issues are dealt with, the system has to be taken to the government specialists who have to test it and ensure that it complies with the given rules. This system however has been proven to contain no illegal work and therefore is considered to be fit for use in the hospital. Location Metavision for critical care is to be installed at the Miami University hospital and is expected to serve the ICU department without having to have the nurses monitor the patients. The system is to help check the progress of the patient and to sound an alarm in case of any emergency. This system has the power to know the amount of food that the patient needs and to determine when the patients takes his/her medication without any error. Compared to the human nurse, this system is far much advanced. Personnel For any system to be successful, effective personnel is required to ensure its success. In our new ICU system, there are various important personnel who must be there for the system to function properly. First is the system administrator that is needed to ensure that the system is working in the correct manner. The other personnel that are needed are the nurses w ho are required to monitor the patients with the help of the system. This ensures that the system is effective and that any chances of error are minimized both by the system and the nurse. Methods of record keeping There are various w ayes that will be used to effectively monitor the functionalities of the system. First of all, the system will be tested to ensure that it can effectively store information without any error. The information that is recoded is checked to ensure that it is correct and that it is secure. If any of this is not realized then corrections are made. Security Metavision for critical care is secure and can easily be used to store patient information without fear of access from unauthorized personnel. To ensure more security, data encryption is available and it is almost impossible to read the encrypted data without the exact authentication. Target market The main target market for this system is the ICU patients who are admitted to the hospital. With this system in place the hospital can easily serve its ICU patients effectively. This is good to ensure that the hospital fights its competitors in the region who have more advanced systems. Once the system has been put in place, the hospital is expected to team up and educate the people on how to effectively use the system. The interface of the system is also designed in a way to ensure that it is user friendly and that it does not give the user a lot of work in using it. Metavision for critical care will focus on university of Miami hospital’s clinical department; it will capture the activities which take place in the department in order to provide a suitable working environment which is efficient to faceplate sound decisions in the management of the hospital hence enable the university of Miami hospital to have quality services which are cost effective. The university of Miami hospital information system will enable capturing and display of medical information required in the day to day operations of the clinical department hence generating a medical record of the various activities which take place in the clinical department including patient and treatment information. The university of Miami hospital information system interoperates with the medical devices and other hospital systems both manual and electronic, thus the university of Miami hospital information system denotes uniquely over other hospital information systems. Due to its efficiency in decision making it promotes delivery in protocol, best practices and regulatory requirements. Efficiency of the hospital information system is a major asset to the hospital for it enhances a positive measure on university of Miami hospital financial impact hence the hospital is able to cut cost and diverse resources to other departments The university of Miami hospital information system uniquely distinguishes itself positively from other hospital information systems by: It can adapt to any work flow- Compared to majority legacy systems, the proposed university of Miami hospital information system will adapt uniquely to workflow of activities taking place in the clinical department. Clinicians will be able to embed the hospital information system in a particular way they would want it to incorporate new processes at any given point. A clinician will be able to administer changes on the hospital information systems in order to accommodate the day to day operations of the department. The proposed new system will also be able to bring with it several advantages that allow minimum supervision by the hospital staff. Convenience in analyzing the reports- Metavision for critical care which is the proposed university of Miami hospital information system provides clinicians with superior tools used to query and generate reports. Without programming knowledge clinicians can comfortably run queries on the system and generate reports on various topics, including trends in clinical, quality of measurements and cost analysis, hence the university of Miami hospital information system is user friendly and convenient. The analyzed reports can also be stored in a logically understandable manner. It therefore makes it easier for the staff to analyze the reports digitally without having to manually look for the information and analyze it. This is one of the reasons why the proposed system is expected to be more effective. Sound decisions on clinical support Metavision for critical care information system will support tools which enable the hospital to enforce protocols in administrative and clinical workflows; it also identifies quality, convenience and efficiency. These tools can be enhanced effectively to suit the requirements needed in any ICU. Due to the several ICU in university of Miami hospital it may become hectic to monitor operations in all of them hence the system will confidently of great use to manage them (Finch, 2010). It can be integrated with other healthcare technology infrastructure- The university of Miami hospital information system is tailored to suit the requirements and specifications of the medical devices and operations incorporated in the hospital, hence will enhance compatibility with other medical devices by containing their respective drivers. The proposed hospital information system is suitable during upgrades for its compatible s with the current system. Continuity of data across continuum care The university of Miami hospital information system a particular patients information all through the several icus, general floor, pre ops-units, recovery units bad ORs in the hospital. This enables one to manage the patient’s information from all the sectors in the hospital. While the details are embedded on the system the clinician is able diagnose medical plans for the patient during his/her stay in the hospital. Financial impact Due to the many failures of the current system, the new system would come with a lot of benefits. The new system is to be build to be correct in all the functionalities that it is meant for. This means that if the system is designed to record data, then it has to do the recording in the exact design that it was designed for. The other thing to be put into place in the new system is robustness. We have to ensure that the system is able to respond viably to unexpected conditions such as wrong inputs. This can be achieved by displaying the error message to the person who is performing this kind of data entry (Hebda, 2009). The system should also be user friendly. This means that all the users both the patients and the entire nursing staff who have access to the system have to be able to use it effectively. This is unlike the current system that requires one to be an expert in order to understand some information. Since the system is meant for use in the ICU sector, it is expected to be able to show the progress of the patient and incase the patient’s condition gets worse, the system is supposed to sound an alarm (Abrams, 2003). Since the current ICU system is not able to properly adapt to different changes and conditions, the new system is to be built in a way that it is able to adapt to various changes that can be made to the system. For example, the system should be able to adapt to changes of management of the hospital or the changes of the programs that were not in place. Since we are purchasing this system at a very high cost, it has to be reusable. This means that many of its parts can easily be reused to build other software’s. And lastly this system is very efficient to all its users both the staff and the other patients who maybe computer literate or not. This new system has to be able to make complete good use of all its recourses. The table below is a summary of how the system will be used Financial impact System administrator 4 Staff users Range between 1000 and above Patients Range between 1000 and above No of positions to be lost with incorporation of the new system 10 positions that are currently existing will be lost once the new system is in place Salaries to be paid during the purchasing of the system $20000 is to be paid for the bargain, testing and installation of the new system Salaries to be paid for the maintenance of the system over time Once the system is in place, the maintenance is expected to range from $1000 to $1500 per month. The actual price of the whole system from the market $20000 The total cost that is to be seen by the hospital during the transition from the current to the new system During the transition, $4000 has to be used in order to ensure that all the information in the current system is transferred to the new system The total number of assets that this system is expected to bring to the organization After the installation, the new system is expected to add value to the organization there by making it $50000 more of its assets Benefits of this economic impact There are a lot of economic benefits that this system will bring to the hospital. First of all, it will reduce the number of nurses that are needed by the hospital to monitor the patients in ICU. This ensures that the salaries of more nurses can be used somewhere else or that the number of nursed can be reduced from this location and transferred to other locations. This will save the hospital more than $20000 per month in salaries for both the nurses and the many system administrators who are in the current system (Thiele, 2002). In general, the economic impact is very effective in ensuring that we know what to expect from the system. Costs Compared to the old system, Metavision for critical care also comes with some extra costs. The main cost that it omens with is its purchase. However it is important to note that its maintenance is very cheap compared to the maintenance o f the previous system. This means that the system does not come with so much costs as it is expensive to purchase but cheap to maintain. Therefore it has a long term advantage to the hospital management economically. Additional costs that come with the purchase of the new system Costs of purchasing the system $20000 Cost of maintaining the system $1000 to $1500 per month Cost of migrating to the new system The cost of migration varies Cost of educating users $3000 and more depending on the number of users that are to be educated Costs of testing the new system $5000 this may vary with the number of tests The graph below is a summary of how the costs relate Net benefit To effectively calculate and know the net benefit, we have to get the difference between the revenues that are added to the hospital and the costs that are added to the hospital to get the net benefit. If this results in a positive figure, then there is a benefit. However if this results in a negative figure, then there is no benefit rather it is costly to have the system. Conclusion In conclusion, Metavision for critical care the proposed new system for Miami university Hospital is expected to benefit the entire hospital in so many ways. Its ability to store patient information without having to jeopardize its privacy is very important. The advantages are so many and the best part of it all is that it comes with the ability to be able to record and check the progress of the patient without having to rely on the nurse. The system is also able to minimize cases of information lacing through its secure nature. It is for this reason that the system is proposed to be used in the University hospital. References Hebda, T., & Czar, P. (2009) Handbook of informatics for nurses & health care professionals (4th ed.). Upper Saddle River, N.J.: Practice Hall. ISBN: 9780135043943 Thiele, J. E. (2002). The implications of information technology for research. In S.P. Englebardt & R. Nelson, (Eds.) Health care informatics: An interdisciplinary approach (pp.347- 358). St. Louis, MO: Mosby. Harriman, J. H. P. (2008). Creating your library's business plan: A how-to-do-it manual with samples on CD-ROM. New York: Neal-Schuman Publishers. (Harriman, 2008) British Computer Society. (2008). Information technology in nursing: Journal of the Nursing Specialist Group of the British Computer Society. Chichester, Sussex, UK: Media Medica. Australian Health Informatics Association., & Nursing Informatics Australia. (2002).Informatics in healthcare, Australia: Use of computers and information technology. Melbourne: Secretariat, Informatics in Healthcare--Australia. On-line journal of nursing informatics. (n.d.). United States: On-Line Journal of Nursing Informatics. Read More