This study mainly focuses on analyzing various issues currently seen in the Guelph General Hospital situated in a small town in Southwestern Ontario, Canada. The main objective of this study is to analyze all of the issues of the hospital and, based on this, make the best possible solution to increase both the patients’ and the healthcare staffs’ satisfaction level and increase the quality of the environment of the hospital. Jennifer Williams, the executive administrator of Skilled Nursing facilities at Guelph General Hospital (GGH), arrived at her workplace in November 2010 and commented on the GGH Systems Integration Project’s outcomes. She was perplexed about whether to overcome a slew of concerns unless those would be addressed that might also jeopardize the endeavor. The Regional Medical System and GGH’s senior executive director had picked Williams to execute the Guelph General Hospital Process Improvement Program, shortly known as GGHPIP (Quan et al., 2020). Williams launched the program in October 2009 as part of a provincial capital pilot study funded by the Ontario Ministry of Health and Lengthy Administration. The program was having trailed at GGH, as directed by the CEO, in the aftermath of a worsening corporate environment and negative employee appraisal. The administration and state deployment would have just concluded, and early performance would be encouraging, but the plan was centered on a “lean” technique, a quality and production approach that must have not previously been properly tried in a Canadian medical system. Guelph is regarded as among the greatest locations in Canada, with continuously lower violence statistics, a pleasant atmosphere, and a relatively good level of life. The municipality, situated in Southwestern Ontario, was residence to approximately 121,000 people, with an average age of 37.7 and a demographic development percentage of 2% every year. GGH’s finances had previously been severely constricted as that of the sole facility serving Guelph and its neighboring 90,000 population (Viljoen, Cochrane & Jonnson, 2018). There were no stand facilities inside the region, and expansion in demographic and ageing had doubled the demographic of clients seen by GGH’s Emergency Service (ED) by 10% each year, implying potential capacity challenges.
Therefore based on the current crisis, the management team have to make the following key decisions to solve the issue and save all of their stakeholders. At first, the customer values must be identified. To do that, the GGH have to identify what kinds of services the customers want and, based on this, doing the proper changes. After that, the value stream must be managed properly by developing a value stream map to help. The main objective of this map is to help the emergency services of the organizations. The next key decision must be to develop a new flow of production. This evaluation and the proper planning of the flow of the production must be done properly to identify the flow of a patient in the various services of the hospital properly. And finally, the organization have to continuously analyze all of the services and find a way to modify the services to increase the overall satisfaction level of the patients, their family and the overall healthcare staff.
Macro environmental PESTLE analysis
Political Factor
This hospital is not connected with any group of people who are politically active or connected with the government of Canada.
Economic Factor
Current issues made this Economic Factor very dismal. Acute and ambulatory clients receiving were frequently viewed as separate procedures, which hampered cooperation and practical completion. The situation was exacerbated by a lack of information among operating people and management.
Social Factor
Socially this organization is very rigid in nature. It was hard to get through to the bottom of the problem due to a protective organizational culture.
Technological Factor
The technology which is used in this organization is very old and could not work properly. This is leading to wrong treatment and customer dissatisfaction.
Legal Factor
Throughout many cases, the emergency department might accuse the acute hospital personnel, and inversely.
Environmental Factor
They manage all of their chemical wastages properly to fight world pollution.
Internal factors SWOT analysis
Strengths
This is one of the largest and most trusted hospitals in Canada. The management is good and analyzing their current situation and doing their best to modify their internal issues.
Weaknesses
The median duration of treatment for hospitalized individuals in the top third increased at nearly 28 hours. Additionally, owing to the excessive wait periods, 10.56 per cent of participants were unable to be examined (Wijeratne et al., 2018). The clinic’s efficiency indicators were dismal.
Opportunities
Many attempts have been made to enhance nursing experience and productivity; however, many of the answers remained provisional and so proven ineffectual in the big scheme of things.
Threats
The growing percentage of customers, along with inefficiency inside the service, had resulted in disgruntled sick people, leading to incredibly low employee retention.
The GGH ED had been in trouble in October 2009. Individuals with fractured limbs and injuries bored of waiting and returning home became typical. However, a straightforward answer seemed difficult. Discontent and dissatisfaction on both frontiers had eventually stymied further development and brought the situation to a halt. The clinic’s employees’ mindset regarding operational processes before implementing GGHPIP muddled the situation much further. Approximately 50% of the employees were unsatisfied with the overall burden, interagency collaboration, acknowledgement and reward procedures, and the level of influence they now have over the positions. These overall satisfaction statistics made a significant contribution to finding a general lack of confidence and a greater standard of tension. Team representatives felt they couldn’t adequately provide after the clients (Patlas, 2019). As a result of their dissatisfaction, several caregivers resigned. They were definitely in a bad spot several years ago, said Becky Jackson, a nurse practitioner serving in the emergency department. They would be at a loss for words. These are all the macro environment and the internal factors affected by the current issues. Therefore these are the factors that Williams needs to take into consideration in making her decision to modify the current issues of the organization.
The current mentioned situation of GGH is affecting a large number of stakeholders. So Williams should have to pay attention to all of the stakeholders who are being affected and make a proper decision to solve their current issues. The stakeholders who are being affected by this situation are all types of patients of the hospitals, including admitted patients, non-admitted patients, high acuity patients, ED patients, Left without Being Seen patients who are registered as LWBS patients and all staff members, including the doctors, registered nurses and the other supporting healthcare staffs. Other than the current issues, some staff are also not supporting the new proposed “lean” methodology proposed by the hospital to solve the current issues (Neilson, 2020). The main reason for their opposition is that they think that this methodology is not proper to use in healthcare settings.
So for this reason, many other staffs are also thinking to leave this hospital. According to Smith-Bindman et al., 2019 for every healthcare organization, these two stakeholders are the most important. More importantly, this hospital faces a lack of proper quality staff to admit and cure all kinds of patients mentioned above. So, for this reason, it is even more important for this hospital to increase the overall amount of staff. And for that, the organization have to employ more staff and increase the satisfaction level of the older experienced staff so that they do not leave the hospital. So Williams should have paid attention to the cause of their un-satisfaction and, based on their current issues, have to make changes in the overall working process to change the organizational culture to increase the overall satisfaction level of both the staff and the clients of GGH.
Every year, well over 12 million people visit urgent care in Ontario. Since 2005, increased client desire has resulted in long waiting periods and ineffective procedures, bringing the credibility of emergency rooms into doubt. Individuals who had to wait were more likely to have unpleasant occurrences and poor consequences. The Canada Department of Health and Extended Care launched the Emergency Department Process Improvement Program, shortly known as EDPIP (de Jong, 2019). In four Ontario hospital urgent situation rooms in April 2008 as a component of a scheme to bring down prices, implement improvements, and regarding effects for sick people receiving Unconventional Quality of Treatment. This EDPIP could very well handle the existing issues as an element of the objective by implementing operational development procedures utilized in the lean approach, an approach most typically used throughout the industrial field. The EDPIP deployment at GGH became dubbed the GGHPIP. The lean concept was a wasted practice that examined the use of materials for just about any purpose besides the production of worth for the final customer. Its main goal was to keep value while doing less effort. Lean concept, which originated in Japanese manufacturing enterprises, provided a mechanism for improving the efficiency of manufacturing operations (Aeenparast et al., 2019). Its purpose was to reduce excessive procedures and inefficiencies to maximize the value produced by each action.
Therefore based on the above analysis, it can be stated that there are very few options Williams has to solve the current issue in the hospital. The first option she has is to stop the implementation of the lean methodology as most of the employees are opposed to incorporating such a concept of industrial work in the healthcare service as the risk factors of the patients can be increased by this. The other option is to incorporate this methodology and look after it for a time to find the results and, based on this, make the future decision. Now, based on the current analysis of the hospital’s situation, it can be recommended Williams that should have incorporated the lean methodology and looked for a practical outcome of the incorporation of the new technique to change the environment of the hospital. In the last few years, statistical analysis of the satisfaction levels of both the clients and the healthcare staff has been very poor. The healthcare staff cannot admit all of the emergency patients in time and give the proper treatment, and also the overall morale of the majority of the workers have decreased very much. So to increase the overall service and the satisfaction level of the patients and the mental health of the healthcare staff of this hospital, it is very important to incorporate a whole new kind of modifications or changes as the previous issues of GGH will not change without any new modifications, so the organization needs to incorporate a changing policy as soon as possible. Also, there are many other factors like an outbreak of H1N1 flu. This flu has increased so many new emergency cases, while this organization’s poor emergency department management creates huge issues and decreases the satisfaction of both the client and the healthcare staff. Other than this flu, the implementation process of the GGHPIP of this hospital is also very poor. In every kind of new policies, there is, various amounts of risk factors are observed but still, based on the opportunities, it is recommended to make a change to increase the opportunity.
References
Aeenparast, A., Farzadi, F., Maftoon, F., & Yahyazadeh, H. (2019). Patient flow analysis in general hospitals: how clinical disciplines affect outpatient wait times. Hospital Practices and Research, 4(4), 128-133.
de Jong, A. (2019). Registered Nurses’ Perceptions of the Electronic Canadian Triage and Acuity Scale in a Community Hospital.
Neilson, S. (2020). Why I won’t see you on the barricades: Disability and COVID-19. Canadian Family Physician, 66(6), 449-450.
Patlas, M. N. (2019). CARJ: New Chapter. Canadian Association of Radiologists Journal, 70(4), 327-328.
Quan, M. L., Olivotto, I. A., Baxter, N. N., Friedenreich, C. M., Metcalfe, K., Warner, E., … & Narod, S. (2020). A pan-Canadian prospective study of young women with breast cancer: the rationale and protocol design for the RUBY study. Current Oncology, 27(5), 516-523.
Smith-Bindman, R., Kwan, M. L., Marlow, E. C., Theis, M. K., Bolch, W., Cheng, S. Y., … & Miglioretti, D. L. (2019). Trends in use of medical imaging in US health care systems and in Ontario, Canada, 2000-2016. Jama, 322(9), 843-856.
Viljoen, J. L., Cochrane, D. M., & Jonnson, M. R. (2018). Do risk assessment tools help manage and reduce risk of violence and reoffending? a systematic review. Law and Human Behavior, 42(3), 181.
Wijeratne, D. T., Lajkosz, K., Brogly, S. B., Lougheed, M. D., Jiang, L., Housin, A., … & Archer, S. L. (2018). Increasing incidence and prevalence of World Health Organization groups 1 to 4 pulmonary hypertension: a population-based cohort study in Ontario, Canada. Circulation: Cardiovascular Quality and Outcomes, 11(2), e003973.
Essay Writing Service Features
Our Experience
No matter how complex your assignment is, we can find the right professional for your specific task. Contact Essay is an essay writing company that hires only the smartest minds to help you with your projects. Our expertise allows us to provide students with high-quality academic writing, editing & proofreading services.
Free Features
Free revision policy
$10Free bibliography & reference
$8Free title page
$8Free formatting
$8How Our Essay Writing Service Works
First, you will need to complete an order form. It's not difficult but, in case there is anything you find not to be clear, you may always call us so that we can guide you through it. On the order form, you will need to include some basic information concerning your order: subject, topic, number of pages, etc. We also encourage our clients to upload any relevant information or sources that will help.
Complete the order form
Once we have all the information and instructions that we need, we select the most suitable writer for your assignment. While everything seems to be clear, the writer, who has complete knowledge of the subject, may need clarification from you. It is at that point that you would receive a call or email from us.
Writer’s assignment
As soon as the writer has finished, it will be delivered both to the website and to your email address so that you will not miss it. If your deadline is close at hand, we will place a call to you to make sure that you receive the paper on time.
Completing the order and download