Prog Design, Plan, & Eval Decision - Module Two Activity

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Nikkia A Bates Southern New Hampshire University IHP-670-Q2487 Program Design Plan & Eval Prof. Cynthia Vanek December 15, 2023

Decision-Making Issue or Problem The issue at hand that requires a decision is whether the Anesthesia department at a Children’s Medical Center should “block off” a set timeframe/day of the week on their operating room schedule to accommodate off-site procedure request. To accommodate this request a committee of medical providers, administrative assistants, and surgical coordinators must decide if the number of off-site procedures requested call for a set timeframe/day of the week. Analysis of an Issue or Problem While we agree that off-site procedure requests should be accommodated, we must analyze and determine the number of requests received weekly. This must be analyzed to ensure that operating rooms block utilization time is not affected as well as avoiding burn out of anesthesiologist after they have completed their “call shift.” It is key to consider block utilization while contemplating giving away set times to accommodate external cases and procedures. Block utilization assists in maximum revenue for healthcare organizations; “ For peri-operative areas, a block of time is assigned to a specific surgeon or surgical group and no other surgeon can schedule cases in that particular operating room during that particular time and day” (Allen, 2020). Avoiding burn out of anesthesiologist was also a factor when analyzing this issue, often to accommodate these requests the “night call” anesthesiologist is scheduled to stay longer the next day instead of going home after working all night. To speak to the volume of case requests received in week; there are weeks where off-site procedure request is not sent to the hospital which will support the stance of the set “block” time being wasted. Decision Traps

While I do agree with our final decision of the issue at hand, I will say we fell into the decision trap of “plunging in;” which is the act of beginning to gather information and reach conclusions without first taking a few minutes to think about the issue. When the issue of accommodating off-site procedure request became known, our chief of Anesthesia went to several meetings with off-site providers and shut down the solution of offering set timeframe/day of the week. I would consider this “plunging in” as he did not consult with me his administration assistant who coordinates with surgical coordinators to schedule the off-site procedures. To avoid “plunging in” decision traps, in the future discussion and analysis of issue at hand will be smart. Synopsis of Learning Critical analysis and evidence-based decision-making principles influenced our decision-making in serval ways. As stated, several times, averaging the number of off-site requests received weekly was the biggest factor that contributed to critical analysis. Program planning consists of many decision-making occurrences and tons of discussions amongst stakeholders. It is important to notate when adding innovative programs, the pros, and cons to the program, and discussing thoroughly among all involved to find the best workable solutions. IHP 670 Module Two Decision Analysis Worksheet Decision Analysis Questions Experience/Observation Describe the issue or problem that requires a decision. The issue at hand that requires a decision is whether the Anesthesia department I work for should block off a set timeframe/day of the week for our anesthesiologist to accommodate off-site procedure request. What bias could be put on the question? In other words, what aspects of the situation can be ignored or assumed? The aspects of the situation that can be ignored or assumed would be that the anesthesiologist has enough time/staff to accommodate off-site procedure request while still participating in day-to-day surgical procedures.

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What criteria can be used to measure success? The criteria that can be used to measure success would be the number of off-site procedures requested we are given within a week. i.e., there are weeks where off-site procedure requests are not sent to the hospital – which will support the worry of the set “block” time being wasted. What experiences can be used in thinking about this issue? Experiences that can be used in thinking about the issue would be blocking time off in the past to accommodate other off-site providers and the “block” time not being utilized. What metaphors, if any, can be used in thinking about this issue? For example: “Don’t throw the baby out with the bathwater.” “Time is money” Why might you or your group think about this issue or problem the way you do? We think this way due to not wanting to “burn out” anesthesiologist by having them stay past their “call” shift to accommodate the off-site procedure request. We also do not want to have to tell the OR staff to start surgical procedures later due to the anesthesiologist being off-site. What does your frame/perspective of the issue emphasize? My perspective emphasizes the point of wasting surgical block time that can be utilized for in-house surgical cases. What does your frame minimize? My perspective minimizes the need of off-site procedure request to accommodate patient treatment. How might others in a similar setting or industry think differently about this question from the way you do? I do not think others in the same position as me at similar industries will think differently about this issue at hand. The reason being is block utilization provides insight into how the operating room can run. If time is blocked off to accommodate requests that we may not receive (requests come in waves, are not consistent) we are wasting “block” time and staff that can be used to accommodate in-house surgical requests. What slogan might best summarize your frame/perspective? For example: First come, first served. “When push comes to shove” What decision-making format did you use? (Committee? The decision-making format used is a committee of medical providers, administrative assistants, and surgical

Survey? Something else?) coordinators. References Allen, J. B. J. (2020, October 25). Operating room block scheduling versus open scheduling . What I’ve Learned as A Hospital Medical Director. https://hospitalmedicaldirector.com/operating-room-block-scheduling-versus-open- scheduling/#:~:text=In%20simplistic%20form%2C%20there%20are,that%20particular %20time%20and% 20day .

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