The Science Journal of the American Association for Respiratory Care

1995 OPEN FORUM Abstracts

PEDIATRIC DEPARTMENT DEVELOPED METHOD TO ACHIEVE INTERNAL REDESIGN

Christine A. Tenaglia CRTT. Childrens Hospital of Wisconsin, Milw. WL

In March 1994 the RCS dept. at Childrens Hospital of Wisconsin anticipated hospital administration would be developing plans for restructuring. Our dept's management section felt it was our responsibility to take a proactive role in the redesign of our dept's structure. Method: In April we met with the staff and developed a task force of volunteers. The hospital's organizational specialist served as our group facilitator. We outlined our objectives. We developed an analysis of the dept's perceived strengths, opportunities, weaknesses and threats. We became familiar with literature on restructuring and redesign. 400 internal customer surveys were distributed and 9 external surveys were sent to childrens hospitals of relatively comparable capacity.

Results: 118 internal surveys and 9 external surveys were returned. Several alternative models were created based on survey results, dept/ hospital objectives and provision of value added service. We developed a final organizational model that was accepted by our medical director and hospital administrator. The model was presented to the RCS staff and everyone was required to reapply for positions. All staff were rehired along with approval to add three additional FTE's. internal customer requirements expected from respiratory care equipment setup and maintenance providing timely txs availability pt. and family education emergent intervention resource consultant expertise pt. assessment communication professionalism/attitude ventilator/airway management teamwork flexibility/other pt. cares instructing nursing external survey results number of dept's recently restructured who initiated dept. restructuring?

how are staff assigned?

are RCS staff crosstrained?

% does dept. meet? %

response yes no yes

15% 5216 76%

15% 5421 72%

11% 2326 47%

8% 32782%

8% 31197%

7% 27682%

7% 26487%

6% 20677%

5% 15963%

5% 1110 52%

4%90100%

4%6940%

4%9950%

1%1233%

78% yes 22% no

64% administration18% consultant

18% dept. director

30% fixed 30% rotate

20% rvu's/acuity 10% workload

10% tx/intervention form

78% yes 22% no

50% decreased 30% increased

20% no change

50% yes 50% no

any recent change in staff numbers?

are PRN/pool staff utilized?



Conclusions: Dept. redesign can be accomplished internally. Respiratory care practitioners should take a proactive role to insure they are members of a progressive, effective and quality dept.

OF-95-055

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