Heart Challenge
This worksheet will help you to stay organized as you complete your individual research and analysis. Content from this document will be shared with your teams and be used to help formulate your teams Executive Summary.
Background: Spaulding Network
Spaulding Rehabilitation Hospital Boston is a 132 bed Inpatient Rehabilitation Facility located in Charlestown, MA and has 2200 discharges per year. A large portion of these discharging patients require durable medical equipment (DME) to transition home. Examples of DME include rolling walkers, axillary crutches, straight canes, commodes, and tub seats. Recent changes in DME reimbursement have Spaulding resulted in fewer companies providing these services and staff spend several hours calling companies and completing documentation for each discharging patient who requires DME.
Spaulding is trying to ascertain if DME should be provided by Spaulding to patients prior to discharge. Or, should Spaulding provide patients with instructions on how to obtain DME, on their own? Spaulding would like teams to research the costs, patient safety, liability, regulatory/policy, and stakeholder involvement considerations associated with these two options.
Challenge Statement:
In this challenge, students will assume the role of consultants, working in teams to evaluate two options related to theprovision of DME. Teams will examine both options in terms of costs, patient safety, regulatory guidelines, liability issuesand stakeholder involvement.Based on the team’s findings, teams will identify one category of the five possible that raises the highest concern of creating organizational conflict.
Option One: Spaulding will continue to obtain DME as its current practice and will provide the equipment and education to patient prior to discharge. This approach requires Spaulding’s employees to spend extra time in contacting companies and completing documentation, all in order to obtain the necessary DME.
Option Two: Spaulding will provide a written prescription to the patient concerning the necessary DME for use at home. It will be the patient’s responsibility to obtain the DME with staff offering minimal support as pertains to the patient’s DME.
Students will evaluateboth of the aboveoptions in terms of cost, patient safety, regulatory guidelines, liability issues,and stakeholder involvement that are associated with each.
Worksheet:
| Component | Proceed in filling out the various sections of this executive summary worksheet. |
| Introduction:Explain theemployer issue | Enter the issue here for the employer |
| Company Information:
Describe what you learned about the employer |
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| Research:
Review data provided by the organization related to provision of DME to patients
Research readings and resources found in the challenge
Research cost, patient safety, regulatory guidelines and liability issues and stakeholder involvement for the rehabilitation facilityin providing DME to patients
Research cost, patient safety, regulatory guidelines, liability issues, and stakeholder involvement for the rehabilitation facility in offering written instructions to patients for obtaining their own DME
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| Analysis:
1) Financial (Cost) Impact:
Analyze the monetary and non-monetary effects of providing DME
Analyze the monetary and non-monetary effects of providing written instructions
2) Patient Safety:
Analyze patient safety issues associated with providing DME
Analyze patient safety issues associated with providing written instructions
3) Regulatory Guidelines:
Analyze the regulatory guidelines associated with providing DME
Analyze the regulatory guidelines associated with providing written instructions
4) Liability Issues:
Analyze the influence of legal risks and malpractice issues associated with providing DME
Analyze the influence of legal risks and malpractice issues when providing written instructions.
5) Stakeholder Involvement:
Analyze how stakeholders and interest groups influence decision making to assure effective implementation of health policy.
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| Key Findings:
Teams will present their findings from the five analysis areas; these are cost, patient safety, regulatory guidelines, liability issues, and stakeholder involvement on both options. |
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| Recommendation & Rationale:
Based on the team’s findings, identify one category of the five possible that raises the highest concern of creating organizational conflict. What is your rationale?
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| References: |
