Emergency Department (AD) Stroke Protocol Process for Administering Activase (Tissue Plasminogen Activator TPA)

INSTRUCTIONS

This is a team project in which you will develop an analysis of an operational challenge in healthcare services using the six sigma methodology. The team would typically select one of their employers or a company in the industry of their choice where they have access to relevant information. Any data shared within the team for the sake of the project should be HIPAA/IRB compliant. Alternatively, publicly available data such as from CMS, or dummy/synthetic data that is similar to the real-world, may be used for analysis.

1. REPORT: A written report needs to be submitted as per the syllabus. This team report would be a minimum of 2500 words excluding tables, figures, references, and title page. It is important for the report to be complete. Please see below for the sections that must be included.
2. PRESENTATION: The team will present online per schedule. Please adopt necessary confidentiality precautions in the presentations. The purpose of the presentation is to share a summary of the project and insights gained with the class. So use a 6-12 slides = 1 title + content slides (problem, what data was used, process diagram, pareto and control charts, root cause analysis, recommendations, challenges to implementation). Each team should plan for a 15 minute presentation. Any one team member can do the video presentation. It is not necessary for everyone to talk on the presentation.

The report should be structured as follows:

1. Introduction: What is the industry and company/organization context for the problem?
2. Problem Definition: What exactly is the scope of the problem that is being analyzed in this consulting project?
3. Measurement and Six Sigma Analysis: What are the measures and what is the data being used? How was the data collected? What tools are used in the analysis? Do the analysis and discuss results (DMAIC).
4. Recommendations: What do you recommend based on your analysis?
5. Implementation Challenges: What challenges do you expect when implementing your recommendations in the context of the organization in which the based?
6. References: Include any references you cited in the report.

I AM RESPONSIBLE FOR 1 (Introduction), 2(Problem Definition), AND 4 (Recommendations) ONLY!!

Ignore instructions for powerpoint. I only need the report from you guys

Don’t forget references!!!!!!!!!!!!!!

SOME RECENT (anonymous) PROJECTS:

Improving the Member Communication Cycle with XYZ Long Term Care Plan’s Care Coordinators: The aim of this project is to improve the communication protocols, pathways and frequency used currently at XYZ between a member and their long term care coordinator.
Improving Chemotherapy Turnaround Time at XYZ Facility: The average inpatient chemotherapy turnaround time at XYZ Facility was P minutes with a median of Q minutes and a range of A – B minutes. Delays in chemotherapy administration results in increased length of stay, patient safety concerns and decreased patient and family, provider, and staff satisfaction. The objective of this study is to improve turnaround times.
Emergency Department Intake Process at XYZ Hospital: The current time of patient arrival in Emergency Department to Patient placed in designated area/ triage complete time is too long. This results in overcrowding in the waiting room, leads to delays in patient care, decreased patient satisfaction, and increased length of stay. Therefore, the study aims to improve the ED intake processes, and thereby decrease ED total patient flow time, length of stay in the ED, and to reduce delays in patient care.
XYZ Hospital Disaster Staffing Protocol: On September 10, 2017, Hurricane Irma illuminated staffing and communication failures within the XYZ Hospital. These failures resulted in systemic breakdowns greatly impacting patients and emergency room personnel. With no emergency staffing protocols in place, administrators at XYZ Hospital were unable to proactively schedule shifts during and following the storm. The insufficient number of staff members who arrived for shift duty during the hurricane were unable to handle patient loads, which led to a dramatic increase in wait time and resulted in patients leaving before being seen. This study aims to improve disaster response staffing protocols.
Nurse Staffing at XYZ Hospital: This study analyzes the adequacy of nurse staffing levels, associated with facility and services expansion, to improve efficient operations and reduce nurse burnout.
XYZ Revenue Management Services: XYZ Services is a third party revenue cycle management company whose core service is the quick resolution of complex hospital medical denials. While simultaneously improving hospital cash flow, they reduce aging accounts receivables and administrative bad debt write-offs. This project is to improve service consistency and align it with the goals of each client so as to reduce failures to comply with client contracts.