Discussion: RENOVATING AN AMBULATORY SURGERY CENTER

Discussion: RENOVATING AN AMBULATORY SURGERY CENTER ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Discussion: RENOVATING AN AMBULATORY SURGERY CENTER Just need to provde feed back to the presenation that is attached…. I also attached the form for the feedback renovating_an_ambulatory_surgical_center_review_classmates.pptx feedback_form.docx RENOVATING AN AMBULATORY SURGERY CENTER AMBULATORY SURGERY CENTER ? Same day surgical procedures ? Not to exceed 24 hours ? Treatment renders patient unable to self preserve ? Market ? Surgeons to perform procedures ? Healthcare system to provide patients INVESTMENT TO IMPLEMENTATION ? Gantt Chart Investment ? Manage deadlines Implementation Zoning and Standards Permits Collaborative Design Approvals ? Provide accountability GUIDING PRINCIPLES ? Safety ? Patient ? Staff ? Balance the needs of stakeholders ? Flexible spaces ? Waste reduction ? Space ? Supplies & materials ? LEED/Green STAKEHOLDERS ? Patients/Families ? Physicians ? Staff ? Executive Leadership ? Vendors PLANNING GOALS Profitable Efficient Flexible ASC Attractive Adaptable DESIGN Core Design Team Architect General Contractor/Subcontractors Frontline staff Administrators PLANNING: LEAN 3P ? Cross functional teams ? Patient centered service model ? Prioritize efficiency HIGH LEVEL CHANGES Renovate Space Functional Use Attractive to patients and providers BUDGET PLANNING ? Partner with an established healthcare organization ? Financing options ? Plan for budget overages Misc. Budget overages Bonds Loans Capital Development Fund PROJECTED OR EXPENSES Item Quantity Budget Unit Price Total Cost Anesthesia Workstation 4 $40,000 $10,000 $40,000 Ventilators Medication Dispensing System 4 $24,000 $6,000 $24,000 4 $50,000 $15,000 $60,000 Surgeon Workstation Circulating Nurse Workstation 4 $40,000 $10,000 $40,000 4 $40,000 $7,500 $30,000 Equipment – Surgical Table 4 $20,000 $5,000 $20,000 12 $24,000 $2,000 $24,000 8 $6,500 $800 $6,400 IV pumps 10 $15,000 $2,000 $20,000 Monitors 8 $20,000 $2,500 $20,000 Soiled Linen Cart 8 $3,000 $400 $3,200 Misc. equipment 4 $15,000 $3,500 $14,000 Equipment – Lights Supply cart LESSONS LEARNED ? Frontline staff to map workflow necessary for layout. ? Engage a Project Manager with design experience. ? Determine specific procedures to engage surgeons and anesthesiologists sooner. REFERENCES Alvaro, C., Wilkinson, A. J., Gallant, S. N., Kostovski, D., & Gardner, P. (2016). Evaluating intention and effect. HERD: Health Environments Research & Design Journal, 9(2), 82-104. Bayramzadeh, S., Joseph, A., San, D., Khoshkenar, A., Taaffe, K., Jafarifiroozabadi, R., . . . RIPCHD.OR Study Group. (2018). The impact of operating room layout on circulating nurse’s work patterns and flow disruptions: A behavioral mapping study. Herd, , 1937586717751124. Centers for Medicare and Medicaid Services (2018). Retrieved from https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/CertificationandComplianc/ASCs.html REFERENCES Hicks, C., McGovern, T., Prior, G., Smith, I., et al (2015). Applying lean principles to the design of healthcare facilities. International Journal of Production Economics, 170(Part B), 677-686. Reijula, J., Reijula, E., & Reijula, K. (2016). Insight into healthcare design: Lessons learned in two university hospitals. Journal of Facilities Management, 14(3), 266-282. Constructive Feedback on Presentation and Design When designing facilities, there are many stakeholders who will be affected by the design of the facility. It is important to understand that each of the stakeholders will have a unique perspective of the facility based on their role. Imagine you are a stakeholder who will use the facility that was presented by your selected learning team member (i.e., nurse, physician, and patient, family member of patient, or janitorial staff). While you are reviewing this facility, you will need to consider how the stakeholder’s perspective you select may be different from another stakeholder such as a physician versus a patient. It is important to consider the stakeholder’s role and use of the facility such as who they interact with, functions they perform, and departments they interact with. Discussion: RENOVATING AN AMBULATORY SURGERY CENTER Review the voice-over presentation and the SmartDraw® design of the team member you have selected. If you have questions regarding the presentation and design, contact the team member, using email or the discussion area, to discuss it with them. Keep detailed notes of the questions you asked your team member and their responses to include in your submission this week. During your review, complete the tables provided. • Identify the stakeholder’s role you have selected to use during your review. • Table 1 will provide your team member with constructive feedback regarding the perspective of the stakeholder you selected to use as you review the facility. • Table 2 will organize your constructive feedback on the organization and mechanics of their presentation. The team member will review and use your feedback in their Week Six assignment. Consider the following as you complete this assignment. • When providing feedback, make sure to inform your team member why you are providing this type of feedback. Whether it is positive or negative feedback, the why is always important. o See the examples provided on the worksheet. • Several cells have been provided for your feedback, but feel free to add more cells if necessary. • An area for notes has also been provided under the tables. Use this area to record questions you asked the team member or additional thoughts you have during your review. Table 1: Stakeholder’s Role Feedback Identify Stakeholder’s Role: _____________________________________ Identified Feedback Example: Placement of nurse workstation does not allow nurses to see patients adequately. Slide in Microsoft® Powerpoint® or Area in SmartDraw® Nurse Station placement in SmartDraw® Explanation for Feedback Nurse workstation should be placed in the middle of the facility to ensure nurses can see all patients. Table 2: Organization and Mechanics Feedback Note: Organization is related to providing an introduction that uses sufficient background about the topics covered, provided major points, and includes a conclusion on the topic that is logical, flows, and reviews the major points. Mechanics refer to the correct use of grammar, word usage, punctuation, and spelling. Mechanics can also include the correct use APA guidelines as well as slide layout and design. Identified Feedback Example: Font on slide 6 is too small and your images are too large. Notes: Slide in Microsoft® Powerpoint® or Area in SmartDraw® Slide 6 Explanation for Feedback It would be helpful to increase your font size and decrease your image size. As I was reviewing your slide, I was too focused on your images and lost sight of your content. … Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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Discussion: RENOVATING AN AMBULATORY SURGERY CENTER

Discussion: RENOVATING AN AMBULATORY SURGERY CENTER ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Discussion: RENOVATING AN AMBULATORY SURGERY CENTER Just need to provde feed back to the presenation that is attached…. I also attached the form for the feedback renovating_an_ambulatory_surgical_center_review_classmates.pptx feedback_form.docx RENOVATING AN AMBULATORY SURGERY CENTER AMBULATORY SURGERY CENTER ? Same day surgical procedures ? Not to exceed 24 hours ? Treatment renders patient unable to self preserve ? Market ? Surgeons to perform procedures ? Healthcare system to provide patients INVESTMENT TO IMPLEMENTATION ? Gantt Chart Investment ? Manage deadlines Implementation Zoning and Standards Permits Collaborative Design Approvals ? Provide accountability GUIDING PRINCIPLES ? Safety ? Patient ? Staff ? Balance the needs of stakeholders ? Flexible spaces ? Waste reduction ? Space ? Supplies & materials ? LEED/Green STAKEHOLDERS ? Patients/Families ? Physicians ? Staff ? Executive Leadership ? Vendors PLANNING GOALS Profitable Efficient Flexible ASC Attractive Adaptable DESIGN Core Design Team Architect General Contractor/Subcontractors Frontline staff Administrators PLANNING: LEAN 3P ? Cross functional teams ? Patient centered service model ? Prioritize efficiency HIGH LEVEL CHANGES Renovate Space Functional Use Attractive to patients and providers BUDGET PLANNING ? Partner with an established healthcare organization ? Financing options ? Plan for budget overages Misc. Budget overages Bonds Loans Capital Development Fund PROJECTED OR EXPENSES Item Quantity Budget Unit Price Total Cost Anesthesia Workstation 4 $40,000 $10,000 $40,000 Ventilators Medication Dispensing System 4 $24,000 $6,000 $24,000 4 $50,000 $15,000 $60,000 Surgeon Workstation Circulating Nurse Workstation 4 $40,000 $10,000 $40,000 4 $40,000 $7,500 $30,000 Equipment – Surgical Table 4 $20,000 $5,000 $20,000 12 $24,000 $2,000 $24,000 8 $6,500 $800 $6,400 IV pumps 10 $15,000 $2,000 $20,000 Monitors 8 $20,000 $2,500 $20,000 Soiled Linen Cart 8 $3,000 $400 $3,200 Misc. equipment 4 $15,000 $3,500 $14,000 Equipment – Lights Supply cart LESSONS LEARNED ? Frontline staff to map workflow necessary for layout. ? Engage a Project Manager with design experience. ? Determine specific procedures to engage surgeons and anesthesiologists sooner. REFERENCES Alvaro, C., Wilkinson, A. J., Gallant, S. N., Kostovski, D., & Gardner, P. (2016). Evaluating intention and effect. HERD: Health Environments Research & Design Journal, 9(2), 82-104. Bayramzadeh, S., Joseph, A., San, D., Khoshkenar, A., Taaffe, K., Jafarifiroozabadi, R., . . . RIPCHD.OR Study Group. (2018). The impact of operating room layout on circulating nurse’s work patterns and flow disruptions: A behavioral mapping study. Herd, , 1937586717751124. Centers for Medicare and Medicaid Services (2018). Retrieved from https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/CertificationandComplianc/ASCs.html REFERENCES Hicks, C., McGovern, T., Prior, G., Smith, I., et al (2015). Applying lean principles to the design of healthcare facilities. International Journal of Production Economics, 170(Part B), 677-686. Reijula, J., Reijula, E., & Reijula, K. (2016). Insight into healthcare design: Lessons learned in two university hospitals. Journal of Facilities Management, 14(3), 266-282. Constructive Feedback on Presentation and Design When designing facilities, there are many stakeholders who will be affected by the design of the facility. It is important to understand that each of the stakeholders will have a unique perspective of the facility based on their role. Imagine you are a stakeholder who will use the facility that was presented by your selected learning team member (i.e., nurse, physician, and patient, family member of patient, or janitorial staff). While you are reviewing this facility, you will need to consider how the stakeholder’s perspective you select may be different from another stakeholder such as a physician versus a patient. It is important to consider the stakeholder’s role and use of the facility such as who they interact with, functions they perform, and departments they interact with. Discussion: RENOVATING AN AMBULATORY SURGERY CENTER Review the voice-over presentation and the SmartDraw® design of the team member you have selected. If you have questions regarding the presentation and design, contact the team member, using email or the discussion area, to discuss it with them. Keep detailed notes of the questions you asked your team member and their responses to include in your submission this week. During your review, complete the tables provided. • Identify the stakeholder’s role you have selected to use during your review. • Table 1 will provide your team member with constructive feedback regarding the perspective of the stakeholder you selected to use as you review the facility. • Table 2 will organize your constructive feedback on the organization and mechanics of their presentation. The team member will review and use your feedback in their Week Six assignment. Consider the following as you complete this assignment. • When providing feedback, make sure to inform your team member why you are providing this type of feedback. Whether it is positive or negative feedback, the why is always important. o See the examples provided on the worksheet. • Several cells have been provided for your feedback, but feel free to add more cells if necessary. • An area for notes has also been provided under the tables. Use this area to record questions you asked the team member or additional thoughts you have during your review. Table 1: Stakeholder’s Role Feedback Identify Stakeholder’s Role: _____________________________________ Identified Feedback Example: Placement of nurse workstation does not allow nurses to see patients adequately. Slide in Microsoft® Powerpoint® or Area in SmartDraw® Nurse Station placement in SmartDraw® Explanation for Feedback Nurse workstation should be placed in the middle of the facility to ensure nurses can see all patients. Table 2: Organization and Mechanics Feedback Note: Organization is related to providing an introduction that uses sufficient background about the topics covered, provided major points, and includes a conclusion on the topic that is logical, flows, and reviews the major points. Mechanics refer to the correct use of grammar, word usage, punctuation, and spelling. Mechanics can also include the correct use APA guidelines as well as slide layout and design. Identified Feedback Example: Font on slide 6 is too small and your images are too large. Notes: Slide in Microsoft® Powerpoint® or Area in SmartDraw® Slide 6 Explanation for Feedback It would be helpful to increase your font size and decrease your image size. As I was reviewing your slide, I was too focused on your images and lost sight of your content. … Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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