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Case study analysis - Report - Essay Example

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David Torchiana, a cardiac surgeon and Dr. Richard Bohmer, quality improvement administrator at Massachusetts General Hospital (MGH), planned the implementation of newly developed coronary artery bypass graft (CABG) surgery (Wheelwright and Weber 1). Through care path…
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Consequently, the Doctors focused on the reduction of costs and shortening of stays of various patients in the hospitals, after surgery operations as shown in exhibit 1 in the appendix. However, they faced problems with increased cost pressures throughout healthcare industry increasingly affecting prestigious and expensive academic hospitals such as MGH. Additionally, care path did not dictate the medical treatment of patients. Consistent treatment procedures embodied significant philosophical shifts of physicians generated in making independent medical decisions based on cases.

Therefore, the implementation of CABG for surgeries by the doctors incorporated several problems that affected costs on medicines, medical treatment, philosophical shifts, and decision-making processes that delayed processes of operations for coronary artery bypass graft. Bohmer, as the care path facilitator, believed in the success of care path through the corporation and accepted assistance of hospital staff to enable the development of pathways since it hastens the ongoing reduction of hospital bed count.

Moreover, it leads to loss of jobs because of more efficient practices (Wheelwright and Weber 2). Torchiana, the team leaders, instrument the creation of care path and continued implementation. Moreover, emphasis on the need for controlling costs and care path merits develops from ideas that Torchiana put across at MGH, despite the problems that they face. Moreover, total quality management (TQM) implementation becomes difficult since the cost of implementing and developing CABG becomes difficult to allow for surgery operations.

TQM presents a management approach in an organization that focuses on quality and participation of all members of the organization (Chartered Quality Institute 1). The approach applies to the entire organization. The care path developed at MGH did not introduce new treatment technologies. It attempted to

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