The Vision Of The Bridgeport Hospital Discussion Paper

The Vision Of The Bridgeport Hospital Discussion Paper

Vision, Mission, And Values Of Bridgeport Hospital

Bridgeport Hospital is a not-for-profit, private acute care hospital which is located in Connecticut (Bridgeporthospital, 2022). It was incorporated in 15 March of 1878 by former mayor and showman P.T. Barnum. However, it was made famous by Dr. George Lewis, who with his aunt’s bequeath of $ 13,500 and a land of an acre set up the construction of the hospital. Starting at a meagre $ 120,000, the hospital has grown into $ 467 million valued regional healthcare organization that serves more than 277000 outpatients and 18000 inpatients in a year (Bridgeporthospital, 2022)The Vision Of The Bridgeport Hospital Discussion Paper.  It has been serving the people of New Haven counties and Fairfield. It is also member of the Yale New Haven Health. There are 501 licensed beds on the two campuses of the hospital along with 42 beds dedicated for the Yale New Haven Children’s Hospital (Bridgeporthospital, 2022). The hospital also employs more than 2600 people along with 1100 active physicians operating in 60 subspecialities as well as 230 surgical or medical residents and fellows who are affiliated with the Yale School of Medicine (Bridgeporthospital, 2022). The hospital also provides outpatient treatments annually to more than 350,000 along with 23,000 hospital admits every year (Bridgeporthospital, 2022). The management activities of the hospital are dispensed by a Board of Trustees comprising Anne Diamond who is the president of the hospital, Victor Morris as the Chief Medical Officer and Pamela Scagliarini as the Chief Operating Officer for providing effective care for the patients of the community (Bridgeporthospital, 2022). However, Stephen M. Jakab is the president of the foundation (Bridgeporthospital, 2022). The hospital is a leader in the medical field with accreditations from the American College of Surgeons as well as the American Burn Association. It is the only verified and accredited adult burn center in Connecticut

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The vision of the Bridgeport Hospital is to serve and enhance the lives of the people through providing of patient-centered care and high-quality access to healthcare service in collaboration with other who share the same values (Bridgeporthospital, 2022). However, the mission of the hospital is to commit to the excellence and innovation in teaching, service to communities, research and patient care. Additionally, the values of the hospital are integrated in the five tenets which are integrity, patient-centered, respect, accountability and compassion. The integrity refers to the right actions undertaken by the hospital, patient-centered means putting the patients, their interests and families first, respecting the values of all the people, accountable for the decisions and empathetically and compassionately provide the services (Bridgeporthospital, 2022)The Vision Of The Bridgeport Hospital Discussion Paper. In a nutshell, the Bridgeport hospital is committed to providing quality care to the patients through accountable and responsible decisions and actions respecting the diversity and compassionate service delivery with a patient-centered approach.

The primary aim of this project is to quantify the blood loss during childbirth in order to prevent the delay in treatment for postpartum haemorrhage. As stated by Katz & Farber (2021) opined that the blood loss during childbirth is a serious concern as it leads to other complications such as leading to shock and others. However, it is necessary to continually innovate and research to be conducted for better quality of service for the patients. As per the mission of the Bridgeport Hospital, the innovation and excellence in patient care can be achieved through the prevention of blood loss during childbirth and treat postpartum hemorrhage for added patient safety. The impact of this project can also be measured in quantification of the blood loss during childbirth that can hold the basis or formulating strategies to prevent certain blood loss and postpartum hemorrhage. It can significantly contribute to the development of patient safety protocols as well as offer the organization the opportunity to achieve the vision of providing patient centered and high-quality care accessibility to maternal care.

A Project To Quantify Blood Loss During Childbirth For Prevention Of Postpartum Hemorrhage

The target population for this project are all the women who are able to deal with child and get pregnant. The critical average age of the target population is between 18 to 51 years as it is the reproductive years for females. Hence, the primary target population for this project are the child bearing females between the ages of 18 years and 51 years of age in the vicinity of the hospital as well as other places.

The primary assumptions which are made for the quantification of the blood loss during childbirth for preventing delay in the treatment of postpartum haemorrhage are as follows:

1. The weighing scales are available for the measurement of the blood loss by measuring the blood-soaked items such as gauges and others. The accuracy of the weighing scales would determine the accuracy of the measurement of the blood loss as well. Hence, it is necessary for the hospital to have provisions for standard weighing scales to be available.
2. Information about the dry weight of the items is also regularly recorded before the childbirth and available for comparison and analysis. The blood-soaked items are measured and the dry weight of the items are subtracted in order to measure the actual blood loss for the patient during childbirth.
3. Spectrophotometer is available in the hospital for use during the childbirth procedures to effectively measure the blood loss. It passes a light beam through a sample and studies it. the dye dilution technique can also be used in this regard to monitor the blood loss during childbirth.
4. The other assumptions which are made is in relation to the availability of the additional workforce or personnel that would be needed for the recording and maintenance of the items such as weighing them, recording their weight and others which is necessary for the quantification of the blood loss.
5. Availability and accessibility of patient information and patient ailment history to find any possible link to other health issues that might be the reason for the blood loss. It improved the efficacy of the system and helps in measurement of blood loss The Vision Of The Bridgeport Hospital Discussion Paper.

The primary cost which is associated with the delivery of the project is in relation to the items and resources that would be necessary. As stated by Tayefeh Hashemi, Ebadati & Kaur (2020), the cost estimation is necessary for a project to determine its viability and feasibility for conduction the project tasks. On the other hand, the cost estimates also determine the viability of the financial resources that would be necessary for the project itself. The allocation of the financial resources for the various tasks also enables justified utilization of the financial resources. It is responsible for improving the efficiency of the business operations as well as project. The cost estimations for this project are as follows: The Vision Of The Bridgeport Hospital Discussion Paper

Table 1: Cost Estimates

(Source: Created by the author)

There are various activities that must be performed for the conduction of the project as well as the quantification of the blood loss during childbirth. According to Jaber et al. (2018), dispensing of the project activity is will determine the propagation and criticality of the impacts of the project deliverables as well as ensure timely conclusion of the project. The primary project activities that are necessary to be completed are as follows:

• Assigning the roles and responsibilities for the performance of the various tasks of the project
• Randomly select patients for observations and measurement of the blood loss during childbirth
• Design the process and methodology through which the quantification and measurement of the blood loss would be carried out
• Record the weights of the items before and after the delivery of the child for comparative purposes
• Maintain hygiene and safety protocols for ensuring the procedures are not endangering the safety of the patient
• Measuring the lost blood through the determined tools and resources for analysis and understanding the volume of blood lost
• Safely dispose the blood, placenta and tissues collected to ensure personal safety and security of the patient
• Conduct analysis of the ailments and illnesses that the patient may suffer from which may also be a potential reason for the blood loss The Vision Of The Bridgeport Hospital Discussion Paper

It is also necessary to understand that the alignment of the activities with the cost structure is also necessary in order to ensure that the efficacy of the measurement system is maintained as well as all the necessary information is collected (Khoshhal & Guraya (2016). The primary idea is that financial resources are justifiably allocated for performing various tasks which have sufficient impact on the outcomes of the quantification of the blood loss during childbirth. It is the imperative responsibility of the hospital to provide the necessary resources such as the financial resources, HR, tools, items and others that would be needed for the measurement. However, the feasibility of the measurement also depends upon the financial resources as eight determines the extent off the research conduction as well as have positive impact on the efficacy and accuracy of the outcomes (Burghate, 2018). LWW (2014) stated that obstetric haemorrhage may occur due to other medical complications as well other than childbirth. Hence, it is necessary for the medical professionals to conduct a detailed analysis of the element history of the patient in order to understand the possible causes that might cause the hammer is during childbirth. While the cost of the project is very less, the importance and impact of the outcomes have significant effect on the quality of care that are provided by the hospital to the expecting mothers. The determination of the cost estimates has been made with standard prices of the tools and resources and hence the cost is aligned with the need of the project and aligned with the best practices. Khurramov & Ganiev (2021) also opined that redundancies and miscellaneous costs may be associated with any project. Hence, miscellaneous cost has also been added in the estimate to avoid any risks for the project completion.

Impact And Target Population Of The Project

Table 2: Timeline of the project activities

(Source: Created by the author)

The project team structure would comprise multidisciplinary professionals who are involved in childbirth, obstetricians and gynecologists. According to Slootmans (2018), the structure of the team needs to determined and the roles and responsibilities attributed in accordance with the expertise and skills of the individuals. The hierarchical structure of the team will also determine the efficiency of the task completion as well as completion of the entire project within the stipulated time. For this project however, the nurse preceptor would act as the project manager and will handle all the responsibilities associated with it. Therefore, the planning, directing and organizing of these specific tasks required for the project as well as oversight and control will be maintained by the nurse preceptor to ensure that the project is delivered within the allocated budget and on time as well as it fulfills all the objectives and scope of the project has determined. The nurse educator would assume the role of process consultant and I would act as the delivery manager. There are other interdisciplinary members and roles that will be accrued to different people. The gynecologist would be the quality control manager while the obstetrician would assume the role of performing the tasks of measurement and analysis. Due to the expertise of the obstetrician in pregnancy related objectives, the measurement and analysis of the collected blood would be assigned which would enhance the efficacy of the quantification of the blood loss as well as determine its possible reasons. The gynecologist would conduct the overview and evaluate the accuracy of the system tasks and maintain quality control over the project The Vision Of The Bridgeport Hospital Discussion Paper.

According to Rajhans (2018), it is necessary for the different stakeholders about project to be communicated about the frog race for the project as well as any other information that needs to be disseminated. Continuous and effective communication management will lead to better development of stakeholder relationship as well as achievement of the objectives considering the various interests and inclinations of the stakeholders. The project manager needs to continuously communicate the effectiveness and progress of the project tasks to the board of trustees of the Bridgeport Hospital. Since the outcomes of the quantification of the blood loss during childbirth he is necessary for the innovation and excellence of the service delivery by the hospital, the change management perspectives that arises out of it needs to be continuously communicated to the hospital. In this regard, Harrison et al. (2021) stated that Kotter’s Model can be used which consists of 8 steps that are creating urgency, forming powerful coalition, vision for change, communication of the vision and others. Blosser, Smith & Poole (2021) suggests that around 33 % to 50 % women exhibit substantial blood loss after childbirth. Hence, this project is very essential for Bridgeport Hospital to implement change management framework and plan. The relatively high number of women losing blood after childbirth is a serious health and quality concern for the hospital. Hence, urgency would be created on the basis of it to align it with the vision and mission of the hospital to provide effective care. The change management plan would also be implemented with the help of the obstetrician and gynecologist along with the nurse preceptor to maintain relevancy of the outcomes that would inform the decision-making process of the management of the hospital The Vision Of The Bridgeport Hospital Discussion Paper.

Cost Estimation For The Required Items And Resources

The quality control is the primary responsibility of the gynecologist who would conduct a thorough observation of the project particulars as well as gain feedback from other team members as well. The quality would be managed and measured using tools such as Ishikawa diagram, stratification and others. Cahyana (2018) stated that Ishikawa diagram helps in the identification of the pertinent problems and propose solutions which has significant impact on the quality of the project. The quality control manager (gynecologist) would also measure the deliverables against the key performance indicators (KPIs) as well to maintain the quality of the project. Weekly audit procedures would also be conducted to ensure the progress of the project is as per the planned timelines. Baker (2018) stated that lack of time in the project completion often leads to compromises on the quality of the project deliverables. hence, effective control and analysis of the time management of the project deliverables would also mean quality is ensured by the project manager.

Lock (2020) stated that the integration of project control is necessary for ensuring project outcomes. It consists of informing, analyzing and monitoring the project deliverables for maintaining project control. It is the process through which professionals continuously generate information for awareness of the project managers for exercising control through the decisions. The primary project controls for this project are planning and scheduling which are the responsibilities of the project manager along with cost estimations and change management. The risk assessment is also the responsibility of the project manager in order to handle all the redundancy of the project deliverables and it shows more functioning. As stated by XX, the use of Work Breakdown Structure (WBS) and Gantt Chart can be used to continuously good monitor the construction of the tasks as well as maintain effective control over the entirety of the project. It is also beneficial for maintaining the baseline of the project and exercising effective control by making important decisions regarding the project delivery The Vision Of The Bridgeport Hospital Discussion Paper.

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The primary importance of the project for the quantification of the blood loss during childbirth to prevent delay in treatment for postpartum hemorrhage is informing practice-based interventions that are utilized by Bridgeport Hospital. To achieve the mission and vision statements of the hospital, it is necessary to continuously improve the implemented strategies and provide effective care to expecting mothers and enhance the safety of the child as well as the mother. The construction of this project will help in articulation of different strategies through the analysis of the blood loss during childbirth to inform practice. However, there are certain quality improvements that can be made such as the implementation of randomized control in contrast to the quantification of blood loss during childbirth which will provide greater context for the possible causes of blood loss as well as external factors that may also influence it. Bridgeport Hospital can achieve its desired goals of excellence and innovation through this project as the outcome is focused on gaining critical perspective on the quantification of the blood loss during childbirth and immediacy of the treatment for preventing postpartum hemorrhage. The Vision Of The Bridgeport Hospital Discussion Paper