Hospital Management Running Head: HOSPITAL MANAGEMANT

Hospital Management and CABG Surgery Case

Hospital Management

Answer 1. Payoff There are various payoffs or benefits those one could expect from the implementation of care path method in the hospital. Execution of Care Path could help to improve the quality of operating processes of all the departments of Massachusetts General Hospital (MGH) (Wheelwright & Weber, 2004). The implementation of care path or critical path method could help to provide standard, modified, and better care to all the patients before and after the coronary artery bypass graft (CABG) surgery. Reduction in operating cost and average length of stay could be also expected to result from the implementation of the care path approach in the hospital. The operating room cost that is determined by the amount of surgery performed could be expected to decline in the future due to the improvement in operating processes. Similarly, it could also help to reduce SICU staff cost per day due to the effective communication of information regarding the patients, current medications, and conceptual information and reduce delay to provide X-ray (Wheelwright & Weber, 2004). Some of the other benefits could be expected from this method that includes shorter length of stay, less extensive tests, proper management of permanent medical record of each patient, availability of beds, reduced medical complications etc. The revenue of MGH could be increased in the form of improvement in the heath care processes and benefits of care path method. Answer 2. Beneficiary

Hospital Management

Several parties would be the beneficiary of improvements in health care process at MGH that includes stakeholders of the hospital like, management of the hospital, surgeons, physicians, staff members, and all the patients. The implementation of care path method could be helpful to reduce the hospitals cost that includes operating room cost and SICU cost per day and increase the hospitals revenues that would be beneficial for the stakeholders of the hospital. Similarly, this approach could help to reduce the average length of patient stay for the coronary artery bypass graft (CABG) area in hospital and medical complaints that would be beneficial for the patients and patients family (Wheelwright & Weber, 2004). The care path method would help nurses to effectively maintain patients permanent medical record through the care path check sheet. Such improvements in maintaining the patients medical records would be helpful for nurses and other accounting administrative staff to maintain the record of each patient. The implementation of care path methods would be helpful to improve the communication between the MGHs management and referring physicians, and smooth process of patients flow. Such improvements would be beneficial for the surgeons and physicians of the hospital, because of effective communication with hospitals management. Answer 3. Approach, Resources and Timeline Bohmer and Torchiana should select small pilot program to implement the care path method for coronary artery bypass graft (CABG) surgery at Massachusetts General Hospital (MGH) to reduce the overall cost of hospital (Wheelwright & Weber, 2004). The small pilot program would start in January to quickly implement the care path method by all the surgeons simultaneously at MGH. The implementation of care path surgery method through this approach might help the management to more quickly convert the benefits of care path method in other

Hospital Management departments of MGH. Several resources would be used to implement the care path method that includes human resources, hospital funds, machinery & equipments etc. The human resources include all surgeons, doctors, nurses, physicians, and other hospital staffs. Bohmer and Torchiana would expect effective performance in all the departments of MGH in terms of quality and standardization of processes. The implementation of care path approach would help to reform the whole system of health care process of hospital through significant changes. Creation of a critical pathway through care path approach would helpful to take initial benefits and build an effective framework for the continuous improvement in the future (Wheelwright & Weber, 2004). The performance of the hospital would improve in terms reduction in length of patient stay that would be dropped about 20% to 30%. This approach will help the administration of the hospital to reduce the cost throughout the hospital. The implementation of care path method would help to maintain the cooperative environment in the hospital and develop a better way to treat patients and improve quality. The timeline that is expected to execute this approach in the hospital is as follows Month January, 2011 March, 2011 June, 2011 Procedure Implementation of program Assessment of program Evaluation and control of program

Hospital Management

References Wheelwright, S & Weber, J. (2004). Massachusetts General Hospital: CABG Surgery (A). Harvard Business School, pp.1-21.