Question One: Decision on Expanding Medical Surgical General Unit

Situation Definition

In general medical care service provision, patients who need specialized and sensitive treatment and operation are held in a separate wing for extra care before being discharged completely. This implies that the patients for instance from the Intensive care Unit (ICU), need to extra care at the healthcare facility in a specialized wing referred to as Medical Surgical General Unit. It is important that the short duration of time is facilitated for monitoring and specialized care. The current situation is that there are more patients in need of neuro-intensive medical care than before. On the other hand, there are more medical conditions arising from failure of the intensive care treatment sooner after patients’ discharge. Failure has directly been linked to, little or lack of extra care after intensive medical services. It is a concern that urgent measures be taken to avoid intensive treatment failure.

Available Options

There are a few intervention options that can be used to correct the challenge. Due to the significance of healthcare services to the society and the nature of complications observed in neurological operations, it is important that extra caution is taken while handling the challenge. Due to the magnitude of healthcare in the society, various alternatives must be explored despite the implementation difficulties. Firstly, patients can be discharged as the current program does with an improvement in patent follow-ups instead of expanding the Medical Surgical General Unit. Alternatively, patients can be discharged with special transportation to and from their homes for specialized care. Discharge can also be followed by referral to a nearby facility that can handle Medical Surgical General Unit services better than at our current capacity. Lastly, expansion of our Medical Surgical General Unit can also be explored for possibilities.

Choice and Action

The best choice for the inadequacy in light of the circumstances is expansion of the specialized facility. This implies the current capacity in the facility needs to be enhanced to handle the increased cases. Action in form of constructing extra facility segment and space maximization will necessitate construction and procurement of extra facility equipment. This will be better than other alternatives due to the efficiency improvement in terms of cost and benefit analysis. Healthcare will also be well handled at the facility before discharge, which increases chances of recovery. However, this is on the assumption that long term costs and benefits are factored in, instead of short term analysis.

Evaluation

The expansion project must deliver the projected targets in line with healthcare objectives. This will be ensured by a comparison of current inadequate capacity with new operations under expansion. Continued failure will necessitate exploration of other options.

Question Two: Roadblocks and Overcome

There are different challenges that will act as challenges and roadblocks towards the implementation. In light of the current inadequacy at the facility, it illustrates how vulnerable the project will be to further challenges which must be confronted once and for all. The improvement plan which has adopted the expansion project will begin by highlighting the specific challenges and coming up with tenable solutions. Among the challenges, the following are perhaps the most potent and that are likely to act like roadblocks to the implementation will include the following.

Finances

Constructing a modern medical facility to take care of the medical needs of patients from intensive medication will need funding that can withstand all financial constraints in an economy faced by the current constraints. It follows that funding from the internal sources must be sought first to ascertain how far the facility is capable of facilitating the entire project. External sources will also need to be sought for purposes of ensuring internal constraints do not completely disable the project. Specialized construction attention will be ensured for neurological medical attention that the project seeks to enhance, bearing in mind that it is one of the most expensive elements of medical care.

Equipment

Besides the construction elements of the project, other costs such as equipping the facility will also be considered, posing as a challenge due to the specialized nature of neurological healthcare needs. Modern equipment might not only be difficult to find but will also be difficult to procure due to financial consideration involved. Outsourcing for best quality will be sought within fund limits.

Staffing

Staffing challenges for modern neurology facilities will find a challenge in necessary manpower and the costs of sustaining the staff needs. Current capacity will be enhanced by making additions and training within reasonable limits.

Maintenance

The initial phase of maintenance of the equipment might be easy to be factored in the installation program, but future operation issues will be uncertain until extra planning is ensured.

Technology

There will be a special necessity of specialized equipment and technology for the specialized care to capture the missing link between treatment and full recovery. Extra technology costs will be factored in the budget to cater for the gap in terms searching for the best