being used in Unit B that were not used in Unit A What is th

being used in Unit B that were not used in Unit A. What is the nature care units in the \"tale of two units 1. In the tale of two units, Unit 8 funchoned no the VISN directors seemed to have contributed to a substantial improvement in organization performance. What ans negative aspects of the eorganizing this integrated delivery system into regional networks (VISNs) and decentralizing reorganized structure and decentralization? 2. Idenbily the 3. In the VA case micio-level coordination mechanisms used in Unit 8 that were not used in Unit A 4. Describe al altematives for a service line structure internal to each VISN in the VA case. S. Why is the hierarchical structure limited in its capabity to facilitate coordination in health care organizations? CASE services (VP PCS) and the vice president for medical affairs (VP-MA) at Northeast Med teaching hospital, afhliated with the Northeast Schools of Medicine (NSOM) and Nurei The vice president for patient care l Center (NMC) were very concerned about coordination between Medicine and Nursing in the inpatient medicalsurgical NMC was a large tertiary care s spent (NSON) NMC participated in a joint residency program with three other hospitals affliated with NSOM. Most residents six weeks at NMC The VPs had observed that coordination sharply decreased after restrictions on resident hours were implemented. The Vp. PCS noted. \"The residents rotate through our hospital so quickly that the nurses hardly get to know their names, much less establish a working relationship.\" The VPs also observed that handoffs of patients from one resident team to another were problematic and had become more so, they believed, as a result of the shorter shifts worked by the residents The VP-MA hospitalists by residents. However, suggested expanding NMC\'s hospitalist program to address the coordination problems. He argued that would provide a consistent medical coverage that would compensate for what he called \"fragmented coverage the chief of medicine was opposed to this proposal. He argued that it would negatively affect the responsibilities. He was backed in this argument by the chairman of was common in academic centers, the chief of medicine reported to the VP-MA at NMC and also to the educational experience of residents by reducing their medicine at NSOM. As chairman of medicine at NSOM Questions i. Is it consistent with organizational theory to expect that coordination between nurses and residents would suffer as a result of the change in resident working hours? 2. Would the addition of hospitalists improve coordination? . What other changes could improve coordination? What are counterarguments to the position held by the chief of medicine and chairman of medicine that the hospitalists would negatively affect the educational experience of residents?

Solution

Answer-1) Yes, we can expect the result according to the organizational theory, but it can\'t be consistent and may fail sometimes. But we can also not attain that result if we change the working hours of the residents and changing in shifts or working hours will lead to have not good coordination between them. But if the program demands the changes in shifts as in case if there is less number of patients the working shifts changes the coordination will not be distirbed, as the ultimate aim is to look after the patients.

Answer-2) As far my knowledge, addition of hospitalists will increase the involvement with the nurses and residents and with their coordination more patients will be treated well by them. And obviously the coordination will be increased as they will provide the medical coverage with the smooth flow. More hospitals more nurses more residents will give the good result.

Answer-3) As the VP-MA suggested expanding NMC\'s hospitalists program, I would also agree with this suggestion as because patient will get proper treatment under the guidance of nurses and residents. If there will be more hospitals then numbers of patients will be get treated easily with good coordination among the nurses as well as residents. The increase in the working shifts hours or expanding the program would also improve the coordination beacuse, more time, more interaction, more working relationships, and will ultimately well treated patients.