As a health care leader you will be responsible for not only the acquisition planning and management of HIT

solutions but also for strategies to manage the different types of data acquired by these technologies. The aim for today’s health care leaders is to effectively plan making evidence-based decisions using data acquired through the use of HIT systems.

For this Assignment, you will evaluate the expansion of United General Hospital’s intensive care unit (ICU). You will create a detailed presentation with comprehensive presenter notes that explain each slide for United General’s CEO and board of directors.

To prepare:

Read the United General Hospital ICU Expansion Case Study in your Learning Resources and prepare a PowerPoint presentation (16 slides minimum, with no more than 20 slides excluding your references) that will guide the CEO and board of directors to follow the recommendation(s) presented to expand the hospital’s ICU unit. Keep in mind that this presentation would be delivered within a one hour time slot in a board of director’s meeting, whereby you want to allow approximately 2 minutes per slide for presentation delivery and allow time for questions. As you complete the assessment, remember the following:

• The presentation should include the elements necessary to effectively communicate the data used to develop the business case.
• A specific statement of the clinical and financial data types involved in the business case should be included.
• The presentation should provide a clear evidence-based, data-driven recommendation(s) regarding the expansion of the hospital’s ICU.
• The presentation should provide an opportunity statement that presents the problem, the recommendation presented to solve the problem, and the multiple options considered.
• The presentation should take into account the needs of the community, the patients, the hospital, and investors when researching and presenting your findings.
• The presentation should offer alternative methods of data management such as cloud-based storage and the possible use of Application Service Provider (ASP) HIT models.

Your presentation should include the following:

Introduction (5–6 slides)

Explain the importance of evidence-based decision making in health care. Discuss how this evidence applies to patient care outcomes, financial outcomes, competitive advantage, and organizational transparency. Your slides must include:

• A definition of evidence-based decision making.
• An explanation of the relevance of evidence-based decision making in the health care industry.
• A clearly defined the problem you intend to solve through the use of evidence-based decision making.
• A description of the types of HIT systems that recommend to support decision making.

Recommendation & Rationale (8–11 slides)

Using the data provided, analyze the current and future state of the ICU. Consider three scenarios for the future state, one without additional beds and two with additional beds. Based on your research and analysis, determine two viable scenarios for bed count and present these scenarios. Use graphics, text, and charts as required.

The slides and presenter notes should include:

• An overview of three options for the ICU that you analyzed. The presenter notes should provide a 2- to 3-paragraph analysis of the three options, using academic resources to support your options.
• A description of how each option will address the issues in the ICU. The presenter should provide 2- to 3-paragraph detailed explanation of how each option will address the issues in the ICU.
• A final recommendation for one of the options and an explanation of why it will maximize the benefits to the hospital, patients, and community.
• A detailed rationale justifying your recommendation.
• A graphic comparison between the current state of the ICU vs. the remote monitoring ICU implementation in 5 years. The presenter notes should include a detailed explanation of the graphic.
• An explanation of the impact of your recommendation on staffing, productivity, competitiveness, and finances, using appropriate qualitative and quantitative data to support your explanation. The presenter notes should include an explanation regarding how the data supports your explanation.

Evidence Evaluation

Knowing that United General’s leadership team focuses on evidence-based decision making, address the following, in 3–4 slides:

• Summarize the evidence used in developing the opportunity statement and recommendation.
• Describe why each piece of evidence is relevant to patients, the community, and the hospital.
• Summarize the analysis used to create the recommendation.
• Evaluate the validity and reliability of the data.
• Recommend methods to improve the validity and reliability of the data.

Note: The presentation should be a minimum of 16–20 slides, not including the title and reference slide. Your Assignment must be written in standard edited English. Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate. Your Assignment should show effective application of triangulation of content and resources to show your conclusion and recommendations. See the Week 6 Assignment Rubric for additional requirements related to research and professional writing.

 ATTACHMENT PREVIEW Download attachment

2014 Walden University OM008Case Study – United General Hospital ICU Expansion Case StudyOverviewUnited General Hospital is a 15-year-old, 220-bed hospital built to serve a suburban community of90,000 residents, 60 miles outside Des Moines, Iowa. Of the beds, 10 are in the intensive care unit (ICU).Over the last 15 years, the community has grown to over 190,000 residents, who are supported byUnited General and four urgent care facilities. With the urgent care facilities able to address many of thepopulation’s non-emergency issues, there is an increase in the ratio between the use of the hospital’snon-ICU facilities and its ICU facilities. In a typical week, the ICU operates at 120% capacity and 40% ofpatients experience a six- to eight-hour delay transferring to the ICU. The patients remain either in theemergency department, creating an overcrowded emergency department, or in post-op, causingovercrowding and delays in scheduled surgeries.The hospital has just received $15 million in funding and is considering expanding the ICU; however, theCEO is not convinced that expanding the ICU department is the right solution for the hospital. Theanalysis is to include options that combine expanding the ICU department with using remote ICUmonitoring.The ICU senior staff brought you, Raul Hemply, in as a consultant to build a business case to support thedecision to expand the ICU and use remote ICU monitoring. You will work with the ICU’s senior staff tobuild a business case and present it to the CEO and board of directors for final consideration. There willbe great emphasis placed on data and analyses that support your recommendation. Because of this, youneed to use data derived from informed or objective sources, or evidence-based data, to build therecommendation. The CEO will want to know the sources, validity, and reliability of the evidencepresented.As you create your business case, there are several options to consider:1.Subscribe to remote ICU monitoring services with a per usage model so that you only pay forservices as they are rendered.2.Expand the ICU with a combination of ICU beds and regular beds managed by a combination ofbedside and remote ICU monitoring.3.Expand the ICU with ICU rooms managed by bedside teams.4.Expand the ICU and subscribe to remote ICU monitoring for rooms that will serve patients withmore serious conditions.

View the Answer

2014 Walden University OM008Excerpts of a conversation with George Mallory, the senior staff representativeGeorge:Hello, Raul; it is good to meet you. We are looking forward to working with you on this businesscase to expand the ICU. We have already completed some research on the right size of the ICU, and wewill share that with you over the course of your investigation.Raul:Hi George, I appreciate you taking the time for this interview. This will help me in my research ofhow much to expand the ICU; I am also considering the use of remote ICU monitoring service as acomplement to expanding the ICU.George:Remote ICU monitoring services is a topic that will cause a lot of consternation here at UnitedGeneral. We have a number of staff members that fear that a remote service will put them out of a job,so I would touch lightly on that subject.Raul:Has your group done any research on remote ICU monitoring services in the area?George:We started to but realized that it was so controversial that it was not really an option. If you dolook into a remote service, please make sure to take the staff into account in the analysis.Raul:What caused the controversy with the idea of remote ICU monitoring?George: Physicians were reluctant to cede authority to a remote operation, and nurses were concernedabout a loss of autonomy. During a staff meeting, a couple of nurses voiced concerns because theircolleagues complained of a poorly executed implementation.Raul: Thank you George, I will. Can you tell me who on your staff has the research on the remote ICUmonitoring services?George:That would be Frank. Frank looked at the services from the standpoint of patient and staffbenefits and cost savings, as well as how the services help the patient. We suggested that he speak tostaff in hospitals that have implemented these services to get their reaction to the change, but he neverwent through with that because the staff here was so set against it. It will be a hard sell to the staff.Raul:Thank you for the heads up. Was there any other research completed about expanding the ICUthat I may be able to use?George:I cannot think of anything else. You may want to check with other hospitals that use theseservices, as part of your study.Raul:Thank you, George; I think I have enough to get started. I will check back with you if I need anyhelp.

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