Data Driven Decision Making

Data Driven Decision Making

Data-Driven Decision Making

Evidence-based decision making ensures high-quality effective care is given, improved outcome and minimize resources utilized by organizations to offer treatments.

• Evidence-based decision making is drawing conclusions on a project, practice or policy based on the best available evidence from experimental researches, expert experiences and recommendations taking into consideration client’s values and preferences, in this case, clients are patients.
• In the health care system, evidence-based decision making is highly trending. This is because little amount of funds are used to support care based on evidence while high quality and safe services are achieved. Ultimately the patients’ outcome is improved to the patients’ satisfaction.
• Evidence-based decision making is an effective problem-solving tactic (Hunink et al., 2014). In case of development programs, it enables the concerned members to implement the best system effectively in line with the funds allocated.
• With an increase of the population served by United General Hospital from 90,000 to 190,000 residents, relying exclusively on the emergency and intensive care services in the hospital, there is overstretching and delayed service delivery, hence need for expansion of the hospital ICU.
• There is need to include Electronic Medical records as a Healthcare Information System in the course of decision making to increase the care quality, efficiency, and safety in the anticipated changes.
  

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Expanding the ICU department is the best solution to the crisis the hospital is facing at the moment.

• Being the only hospital in the area offering emergency services, there is an increase in the ratio between the use of the hospital’s non-ICU facilities and its ICU facilities.
• On normal weeks, the ICU unit handles a capacity of 120% with 40% of patients experiencing a six- to eight-hour delay before accessing the ICU services. Unusually, many patients are forced to stay in the emergency department, overcrowding the department (Amarasingham et al., 2017). Other critical patients supposed to recover while in ICU overstay at the postoperative recovery room after surgery causing overcrowding and delays in the scheduled surgeries.
• This clearly shows that the low number of ICU beds is the major contributing factor to this mess. With only 10 ICU beds, the hospital is overstraining to serve a population of 190,000 residents.
• Research shows that most of the critical emergency cases will end up being admitted to the Intensive Care Unit. Delaying to receive emergent care will exacerbate their condition leading to the outcome of the care they receive even poorer. Hence expansion of the ICU will be the most convenient plan to solve the issue

Remote ICU services facilitate the services offered, improving quality and outcome.

• Remote monitoring is one of the technological advancements in the medical field ensuring more effective, high standard and safe care is achieved with minimal expenditure (Acheampong, &Vimarlund, 2017).
• Hence it will be prudent for the hospital team concerned with the expansion of the hospital ICU to consider the implementation of a modern system of ICU that incorporates remote monitoring.

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Recommendations and rationale.    

1. Expansion of the ICU to be managed by bedside teams

• Expansion of the ICU will ensure a number of patients are accommodated from the emergency department and post-operative rooms reducing overcrowding in those departments.
• This will increase demand for the hospital to hire more staff to serve the expected higher number of patients in the ICU unit.

2. Subscription to remote ICU monitoring services with a per usage model so as to pay for services as they are rendered.

• Remote monitoring services will improve the prevailing services in the facility.
• However, remote monitoring services only will not improve the accommodating capacity of the ICU hospital which is the major challenge. The services are available on subscription meaning the services will elapse once the allocated funds are overtaking the facility back to the current state.

3. Expansion of the ICU and subscribe to remote ICU monitoring for rooms that will serve patients with more critical conditions.
   

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Evidence evaluation

• Nurses and physicians fight the idea of remote ICU monitoring because they think they would lose their positions and autonomy to make decisions in managing the patients.
• The fact is the combination of intensivist care model with the addition of the remote ICU monitoring improves the care by enhancing their capabilities and decision making (Bell, Gachuhi, &Assefi, 2018).
• It reduces the mortality rate by 25% of the patients.

 

 

References.

Acheampong, F., &Vimarlund, V. (2017). Innovating Healthcare through Remote

Monitoring. Health Care Delivery and Clinical Science: Concepts,

Methodologies, Tools, and Applications: Concepts, Methodologies, Tools, and

Applications, 247.

Amarasingham, R., Swanson, T. S., Clark, C. A., Qian, Y., Nalla, S., Oliver, G. R., …& Ma, Y.

(2017). U.S. Patent No. 9,536,052. Washington, DC: U.S. Patent and Trademark Office.

Bell, D., Gachuhi, N., &Assefi, N. (2018). Dynamic Clinical Algorithms: Digital Technology

Can Transform Health Care Decision-Making. The American journal of tropical

            medicine and hygiene, 98(1), 9-14.

DeJesus, A., Athar, M. D., & Kamran, M. (2017). Commentary: Tele-ICU Development and

Application. JHN Journal, 12(1), 5.

Hunink, M. M., Weinstein, M. C., Wittenberg, E., Drummond, M. F., Pliskin, J. S., Wong, J. B.,

&Glasziou, P. P. (2014). Decision making in health and medicine: integrating evidence

            and values. Cambridge University Press