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Health Services Manager

You have recently been promoted to Health Services Manager at Three Mountains Regional Hospital, a small hospital located in a mid-size city in the Midwest. Three Mountains is a general medical and surgical facility with 400 beds. Last year there were approximately 62,000 emergency visits and 15,000 admissions. More than 6,000 outpatient and 10,000 inpatient surgeries were performed.

An important aspect of the provider/patient relationship pertains to open communication and trust. Patients want to know that their doctors and the support staff associated with their care understand their wishes and will abide by them. Ideally, these conversations happen well before an emergency or procedure takes place; however, often times this information is missing from a patient’s file. As part of Three Mountains’ initiative to build trust with their patients, an increased emphasis has been placed on obtaining living wills from the patient as part of the intake process to ensure that the healthcare team has written directives of the patient’s wishes in case of incapacitation.

You will be creating a living will for a patient and provide educational information as to why the patient should fill it out during the admission process before a procedure.
Introduction: Explain the definition of a living will and its key components. This section will provide an educational overview of the document for the patient.
Living Will Template: Create a living will that can serve as a template to the patients. This should cover the basic treatment issues such as resuscitation, feeding tubes, ventilation, organ and tissue donations, etc. Provide instructions in the template that can be easily altered, depending on each patient’s wishes.
Summary: In this section, you will discuss the importance of this document and encourage patients to complete it. Address how this document ensures that a patient’s wishes are known and followed by the healthcare team.

Sample Solution

from SCRUM perspective means an iterative and incremental approach to optimize predictability and control risk” (Tomanek and Juricek, 2012:385) By using Agile, risk is minimized as there are short iterations and clearly defined deliverables (Azanha et al., 2017) This is seen as the solution to going over budgets, missing deadlines, and low-quality outputs in projects. An example of this comes from a study administered by Augustine et al. (2005) showcased a project failing and behind schedule using traditional PM methodology such as Prince2. Called in to recover the project, Augustine and Payne used Agile to rescue and sustain the project. As a result, the project was completed within 5 months, within the timeframe and budget and with increased customer satisfaction and business value. Communication with Stakeholders Unlike traditional methodologies which use extensive documentation, to develop the project Agile offers direct communication with stakeholders (Azanha et al., 2017) Agile decreases waste deeply rooted in redundant project meetings as well as repetitive planning and excessive documentation (Rigby, Sutherland and Takeuchi, 2016) The underpinned principles of Agile project management gives more authority to project team members as Agile encourages self-managing teams (Mahalakshmi and Sundararajan, 2013; Agile practice guide, 2017) The involvement and commitment from the project team leads to an increase in motivated (Azanha et al., 2017) However, this could also viewed as a weakness. As in Agile approaches such as SCRUM, the dedication from team members is important and team work is deeply essential. Agile Alliance (2001) state that for a flat and autonomous management structure agile project management teams should contain more individuals. Due to this, if there’s a lack of cooperation, the project will face failure (Mahalakshmi and Sundararajan, 2013) Despite these strengths, Agile mustn’t be used for all projects as it is most suitable for projects that are dynamic with complex problems and unclear solutions (Rigby, Sutherland and Takeuchi, 2016) Understanding the depth of the project before deciding on the project management methodology used is important (Priyanka, 2016) The projects have uncertainty and constant change as traditional methods such as Prince2 don’t have the flexibility to adapt to change within the project (Azanha et al., 2017; Rigby, Sutherland and Noble, 2018)
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