University of Southern Indiana
Indiana University (IU) Health Paoli Hospital is a Critical Access Hospital in southern Indiana. IU Health Paoli serves a rural population and offers obstetrical (OB) services. The OB department offers an individualized family centered birthing setting. The hospital delivers around 130 babies annually. The mission of the OB department is to offer a personalized compassionate delivery of care and provide a quality outcome for mother and newborn. The staff on OB is all registered nurses (RN), certified in in-patient obstetrics and electronic fetal monitoring. All 14 staff members are neonatal resuscitation and advanced cardiac life support providers. 2 of the 14 RN’s are internationally board certified lactation consultants and have an 83% breastfeeding rate at discharge. Labor support offered is hydrotherapy, birthing ball, epidural and they also offer vaginal birth after cesarean. Six family practice physicians offer obstetrical services at the hospital and three of the physicians offer cesarean section services. The 2012 Annual statistics for the OB department reflected a primary cesarean rate of only 13% and no early elective deliveries prior to 39 weeks gestation. All RN’s and physicians are focused on quality, compassionate care and outcomes. All standards of care and core measures for OB care of followed and implemented to the fullest degree. The OB Nurse Director is very passionate about quality outcomes and staying patient centered with the delivery of care, decisions and policies. A special quality that all nurse’s and physicians possess on this unit is each patient, birth is a miracle. The opportunity to be present at this memorable time in each patient’s life is an honor not a job. The patient satisfaction scores and comments from NRCPicker® reflect this passion and commitment. In the analysis of the OB department, a focus on strengths, weaknesses, opportunities and threats were utilized (SWOT). The SWOT analysis reflects opinions from staff and physicians not official data (Hillestad & Berkowitz, 2013). Methods to collect this data involved self-observation, in person interviews with some staff and physicians, email surveys and Indiana Hospital and Health Association (IHHA) market share data and NRCPicker® patient satisfaction scores. Overall participation from staff and physicians for this SWOT analysis was 97%. From email surveys, findings revealed; the average length of employment for nursing was 10 years and nursing staff and physicians all felt that the core values of the hospital were hard wired and displayed professionally and personally. The core values are TEAM: trust, excellence, accountability and mutual respect. Nursing staff completes annual competencies and evaluations to measure their skills clinically and customer service focused. Patient or customer service evaluations are based on the Quint Studor principals of AIDET (acknowledged, introduce, duration, explanation and thank you), purposeful hourly rounding, bedside shift reporting and patient room white board use. These principals help along with patient satisfaction scores and are reflected by scenario competencies and shadowing plus the results of the NRCPicker® scores. IHHA quarterly releases market share data to hospitals. This data runs somewhat behind rather than current but is helpful in trending, looking at growth areas or potentials for growth or where lost to. The two main competing hospitals offering OB services are St. Vincent Dunn Hospital in Bedford, IN approximately 25 miles away and Jasper Memorial Hospital in Jasper, IN approximately 50 miles away. St. Vincent Dunn deliveries approximately 300 babies annually and Jasper Memorial does about 1000 birth per year. The two main differences that both competitors have over IU Health Paoli is they have OB/GYN board certified physicians and pediatricians...
References: Garvey, M. (2012, June 25). Proportion of Midwife-attended births reaches all-time high in US. American College of Nurse-midwives. Retrieved from www.midwife.org
Hillestad, S. G., & Berkowitz, E. N. (2013). Health care market strategy from planning to action (4th ed.). Burlington, MA: Jones & Bartlett.
Indiana Hospital and Health Association. (2008). Bloomington Hospital of Orange County 2008 3rd Quarter Market Share Data. Indianapolis, IN: Author.
Pearce, C. (2007). Ten steps to carrying out a SWOT analysis. Nursing management-UK, 14(2), 25.
Please join StudyMode to read the full document