Health Medical Homework Help

Peer# 1

• A written business plan is a detailed description of the goals and objectives of a business and how the entrepreneur plans on achieving those goals and objectives. It outlines the internal and external elements that are involved in the venture and integrates plans for many different aspects including marketing, financial, sales, human resources and production plans (Hisrich et al., 2017). In the most fundamental way, business plans are important because banks and investors require them in order to provide loans or funding. A business plan paints the picture and outlines projected costs and potential consequences of business decisions. A business plan should be a living document to be changed and modified as the business grows and changes, or to take the business in a different directed if needed (Hayes, 2021). I think a business plan is also important to keep an entrepreneur focused and realistic. If you are really enthusiastic about a business idea, the enthusiasm may overshadow the reality that perhaps there is no market for the product or service that it is not viable, or marketable.

If a business plan is written without research or investigation in to an established need for the product or service, an entrepreneur would be moving forward with a venture in which there is no customer demand or perhaps already too much competition. Not a great strategy for success. This is type of market analysis is part of the feasibility study and the information is gathered using national and local trends, local competition, market position and market objectives (Hisrich et al., 2017). Clear goals and objective cannot be made if you don’t understand your customer, your market or your competition.

Peer# 2

  Planning is an essential and never ending part of any business. Having a written business plan is even more vital in early stages of entrepreneurship. Business plan is an outline of all essential internal and external components and strategies of establishing a new business journey (Hisrich et. al., 2017). It may include such elements as manufacturing, workforce, financials, sales, marketing, among  others. Not only is a business plan important to the entrepreneur, but also his/her investors, teammates, customers, suppliers, etc. Business plan is an important reference piece for all the stakeholders as it describes the mission, goals of a project, helps determine the actuality and reliability of the venture, provides detailed guidance for the entrepreneur, helps to make sound decisions and obtain financing from banks or other lenders (Hisrich et. al., 2017).

         In the absence of a business plan, the venture may not have a structure, direction, guidance, clear priorities, and may face a failure due to insufficient communication among the stakeholders. Business plan includes research on the market, its size, competitors, customer niche and their behavioral specifics, helps determine acceptable pricing. Without all this information, an entrepreneur is simply guessing and hoping for the best, but is not prepared for the real situations of the market being oversaturated or on regression or any other possible roadblocks (Weedmark, 2020). This type of disorganized start may lead to overspending, making rushed decisions, and inadvertently lead to a failure.

Peer# 3

Hi everyone!

           Midwest University Medical Center (MUMC) is a highly specialized tertiary referral and trauma center, the main hospital is a 600-bed acute care facility that receives roughly 45,000 patient admissions each year, with more than half coming through the emergency department (Kovner & McAlearney, 2013). Improper handoffs are a huge concern for many organizations, especially MUMC. The handoff signifies the transfer of responsibility for the patient from the emergency department to the inpatient service (Kovner & McAlearney, 2013).

Multiple factors contributed to the problem in this case. Identify as many distinct factors as you can. Using your list, develop some strategies to reduce the likelihood of a recurrence.

Some factors that contributed to the problems with handoffs at MUMC include the lack of coordination and communication between various departments, there is no proper tracking of patient records, MUMC lacks standardized approaches, patients in the “boarding” process are out of sight and wait up to six hours to be transported after handoff. The electronic medical record (EMR) system at the hospital is typically not filled out or updated properly, so patient information is often lost in translation between handoffs.

To avoid recurrence, I would first institute a standardized approach. The first would be to ensure that all staff is completely the patient EMR correctly and updating information within the system. Even if the handoff process was not perfect, the MR would contain all pertinent care information for the physician. A standardized approach needs to be in place to fix the “boarding process”. Patients in boarding should not be waiting out of sight in hallways for up to six hours. These patients need to be waiting in a designated area so that they cannot be forgotten about. MUMC should hold training for staff on interprofessional relationships to address the lack of coordination between departments. All staff should be working together to provide the best possible care for the patients, instead of focusing on personal needs. Positive relationships between the incoming and outgoing nurses have led to higher ratings of handover quality (Raeisi et al., 2019).

Why do you think hospitals permit handoff problems to continue?

In my opinion, I do not think hospitals willingly permit handoff problems to continue. I think the root of the problems with handoff is centered around how physicians and nurses interact with one another. Even if a hospital steps in to correct handoff problems, communication between staff can still cause problems to occur. Every hospital has different processes on how handoff is handled, so it can be extremely difficult to control how staff communicates with one another and what information is included during handoff. Lack of communication among the incoming and outgoing nurses in the handover process is one of the main causes of reduced safety and quality of services and patient dissatisfaction (Raeisi et al., 2019).

Peer# 4

In the our text this week, we are analyzing case involving patient handoffs. Fortunately, the patient involved did ultimately receive the care that he needed (Kovner & McAlearney, 2013). However, the manner in which the case was handled was unprofessional and disorganized.

The patient presented to the emergency department (ED) with shortness of breath and an irregular heartbeat. The ED ran traditional tests and determined that the patient needed to be admitted for additional care. However, when the ED provider attempted to hand the patient off to the internal teams, the teams did not want to receive the patient. From there a series of factors came into play that prevented a smooth transition for this patient. Some of the factors were:

-ED crowding

-ED staffing

-ED Transfer process of boarding patients in hallways

1. -Handoffs being refused or passed to another department

-Failure to adequately document in the EHR

-Failed follow through of attending and admitting

-EMR admitting limitations that request a physician’s name prior to starting the admittance process.

1. -Verbal orders

There are several opportunities for scenarios such as these to be improvised. If I were the administrator of the hospital, I would create a focus group with the sole intention of creating policies and procedures surrounding hand offs. It is imperative for the overall safety of the patient that clean communication and accountability for the patient occur (Lee et al., 2016). The team that would come together would write the guidelines to ensure that all providers hold one another accountable. There have to be clean expectations for the hand-offs.

Additionally, I would work with another group in order to determine how we can safely board patients so that they can still receive the care that they need. The patients cannot be boarded in the hallway while they wait for additional care. However, the ED still needs to be able to see patient’s rapidly and address their volume. One solution can be to look at staff transport team expansions, unit expansion, holding rooms with appropriate staffing / oversight or potentially a new workflow within the ED.

Finally, I think that as the administrator that a conversation with the physicians involved needs to occur. I believe that there needs to be a transparency with the team that allows for an open conversation. I also would engage these particular providers in the focus group. They have a viable viewpoint that needs to be heard, but they also have a recent exposure with the scenario. They will have a viable and applicable viewpoint that they can bring into the scenario.

I would also work to ensure that the teams understand the true depth of the complication. That by looking the other way or allowing the poor handoffs, we are compromising patient care. I could readily assume that it is easier to brush these scenarios away than contend with them. The problem can be complex and convoluted. It seems simple on the surface, but there is a mass of complications that come when you start to untangle the process. Some would justify the process by stating that there are not the finances needed to progress accordingly. However, the norm needs to be challenged and changed. The change must occur for the sake of patient care and safety.