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Restacking the nursing units at Allegheny General Hospital to achieve geographic patient placement

Lewellen, Peter (2018) Restacking the nursing units at Allegheny General Hospital to achieve geographic patient placement. Master Essay, University of Pittsburgh.

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Allegheny General Hospital’s Snyder Pavilion houses inpatient nursing units. The sixth through ninth floors lacked service line cohesion, leading to poor care coordination. Physicians and unit managers were spread over multiple floors, reducing their ability to build effective teams. Staff turnover was high. An initiative to restack the nursing units was created to achieve geographic alignment. A new Complex Medical Care Unit replaced the fractured medical telemetry and stepdown units. Several groups met formally throughout the process; however, communication with physicians was difficult due to lack of direct involvement. The project included efforts by many departments in the hospital as well as external contractors. A sequential implementation plan was created to incrementally move patients and staff to their new locations. Several floors underwent reconstruction as part of the project. Delays occurred partially due to these construction efforts, but in March 2018, the final unit moved. As of the time of writing, renovations continue for one unit which will be used for patient overflow in the interim. Once the units impacted by the restacking project stabilize, key performance metrics will be assessed, focusing on length-of-stay and staff retention. The project had public health relevance by augmenting the focus on patient-centered care, improving the communication between cohesive care teams with patients and their families, and creating a better patient experience.


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Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Lewellen, Peterpgl4@pitt.edupgl4
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairFriede, Samfriede@pitt.eduUNSPECIFIEDUNSPECIFIED
Committee MemberWisniewski, Stevewisniew@edc.pitt.eduUNSPECIFIEDUNSPECIFIED
Committee MemberBauer, Mattmatt.bauer@ahn.orgUNSPECIFIEDUNSPECIFIED
Date: 5 April 2018
Date Type: Submission
Number of Pages: 47
Institution: University of Pittsburgh
Schools and Programs: School of Public Health > Health Policy & Management
Degree: MHA - Master of Health Administration
Thesis Type: Master Essay
Refereed: Yes
Date Deposited: 11 Oct 2018 13:56
Last Modified: 11 Oct 2018 13:56


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