COM502-Analytical Writing for Management Students

Date of Submission: 10th March, 2024

Submitted to: Prof. Sudhir Pandey

Submitted By:

Name Enrollment No.

Prachi Savjani AU2314070
Nishi Mishra AU2314106

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 Letter Of Transmittal
Nishi Mishra & Prachi Savjani
MBA Student 2025
Ahmedabad University

Mr. Dr. Vimohan

Chief Intensivist
Prashant Hospital

Subject: Recommendation to Implement Cloud physician’s Tele-ICU Solution

Dear Dr. Vimohan,
We are writing to formally present the recommendation for the implementation of Cloud
physician’s Tele-ICU solution at Prashant Hospital, particularly targeting the challenges
faced by our Intensive Care Unit (ICU). After thorough analysis and consideration of
various options, it is evident that this strategic initiative offers a comprehensive approach
to address the pressing issues of high rates of patients leaving against medical advice
(LAMA) and staff burnout.
The ICU at Prashant Hospital has been grappling with significant challenges despite being
a pioneer in providing intense care services since 2006. The persistent occupancy rate of
80% underscores the strong demand for critical care services. However, the high LAMA
rate of 15% coupled with unfavorable patient-to-staff ratios has resulted in compromised
patient care and staff morale.
We believe that the implementation of Cloud physician’s Tele-ICU solution aligns with
Prashant Hospital's objectives to improve patient care standards while ensuring the well-
being of its staff members. We are confident that our recommendations will contribute to
the sustainable enhancement of ICU capabilities at Prashant Hospital.
Your feedback and insights on the provided analysis are highly appreciated. Please feel free
to reach out to me at nishi.m2@ahduni.edu.in or Prachi.s2@ahduni.edu.in for any further
discussions or clarifications regarding the report.
Thank you once again for entrusting us with this analysis. We look forward to hearing from
you soon.
Sincerely,
Nishi Mishra & Prachi Savjani

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Table Of Contents:

Sr No. Content Page No.

1. Executive Summary 4

2. Situation Analysis 5

3. Problem Statement 5

4. Options 6

5. Criteria 6

6. Recommendation 7

7. Action Plan 7

8. Conclusion 8

9. Calculations 9

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Executive Summary:

The intensive care unit (ICU) of Prashant Hospital in Muzaffarpur, Bihar, has been facing
several difficulties, including a high percentage of patients departing against medical
advice (LAMA) and staff burnout from excessive workloads. Even while the occupancy
rate has remained steady at 80%, these problems have raised questions about the calibre of
patient treatment and staff morale.

The use of a Tele-ICU system from Cloud Physician and hiring more nurses and intensivists
have been examined as two viable possibilities. It is advised to use Cloud Physician's Tele-
ICU service after assessing its financial feasibility, patient results, and staff well-being.
Based on its ability to improve staff well-being and patient care through digital data
management, remote help, and expert consultations, this recommendation has been made.
The action plan calls for incorporating hospital management, implementing the technology,
educating personnel about it, digitising patient data, and regularly evaluating the results.

Prashant Hospital may lessen employee fatigue, lower LAMA rates, increase patient care,
and improve overall ICU capabilities by putting the Tele-ICU solution into practice. The
hospital's objectives of providing high-quality treatment while guaranteeing employee
satisfaction and operational effectiveness are in line with this strategic approach.

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Situation Analysis:

Patients have been receiving care at Muzaffarpur, Bihar's Prashant Hospital since 2006.
The intensive care unit (ICU) faces many obstacles even though it was the first to offer
intense care services. A significant number of patients are departing without medical advice
(LAMA), and a high prevalence of staff burnout as a result of excessive workloads.

1. ICU Occupancy: As a sign of the strong demand for critical care services, the ICU
consistently maintains an occupancy rate of 80%.

2. LAMA Rate: Fifteen percent of patients are discharged from the hospital against
medical recommendations, which can result in higher readmission rates and worsening
health outcomes.

3. Percentages of Staff: The existing ratios of patients to intensivists (12:1) and patients
to nursing staff (7:1) are higher than those recommended by the WHO. These ratios have a
negative impact on patient care quality and lead to worker burnout.

Problem Statement:

The ICU at Prashant Hospital is dealing with two major issues: a high occurrence of
LAMAs and staff fatigue. These problems affect the standard of patient care and staff
morale, which makes targeted initiatives to improve ICU skills necessary.

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Options:

1. Use the Tele-ICU Solution from Cloud physician:

Advantages: By using data management and teleconsultation, remote ICU assistance can
enhance clinical results, digitize patient records, and address personnel shortages.

Price: An extra INR 1,000 is needed for each ICU patient every day of operation, bringing
the total anticipated installation expenses to INR 650,000.

2. Recruit More Nurses and Intensivists:

Advantages: Directly address personnel shortages by hiring more nurses and intensivists
to satisfy patient demand and ease workload demands.

Price: A one-time recruiting expense of INR 75,000 is estimated.

Criteria:

1. Economic viability: Examine each option's financial ramifications, taking into account
both the initial outlay and continuing operating expenses. Estimate future cost savings and
return on investment.

2. Results for Patients: Examine the effects on clinical outcomes, death rates, and the
quality of patient treatment. Lower LAMA rates and raise patient satisfaction levels are the
goals.

3. Well-being of Staff: For sustainable ICU operations, take into account the effects on
staff morale, workload, and work-life balance. Reduce burnout rates as much as possible,
and raise job satisfaction.

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Recommendation:

Using Cloud physician’s Tele-ICU solution is advised in light of the case analysis and
criteria. With the use of digital data management, remote assistance, and expert
consultations, this strategy provides a holistic solution to solve issues related to both staff
and patient care, ultimately improving ICU capabilities.

Action Plan:

1. Involve Hospital Administration: Provide a thorough plan that outlines the

advantages, such as better patient outcomes, staff assistance, and monetary gains. To show
possible return on investment, present a cost-benefit analysis.

2. Integration and Staff Training: Offer thorough instruction on the use of the
technology, highlighting its advantages and integration with workflows. Set aside funds for
training sessions to guarantee competence.

3. Data Digitization: Work with Cloud physician to expedite data management by

digitizing patient records. Establish goals for data accuracy and completeness, then
routinely assess your progress.

4. Observe and Assess: Constantly assess the effects on the standard of patient care,
employee happiness, and operational effectiveness. To evaluate the efficacy, keep an eye
on important performance metrics including staff turnover and LAMA rates.

Prashant Hospital may overcome obstacles and improve ICU capacities by putting Cloud
physician’s Tele-ICU solution into practice. This will ultimately improve patient care and
staff well-being.

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Conclusion:

To sum up, the deployment of Cloud physician’s Tele-ICU solution at Prashant Hospital
offers a tactical chance to tackle the issues encountered by the ICU, such as elevated rates
of loss of air movement and employee burnout. This technology offers a cost-effective way
to improve staff well-being and patient care, with an estimated installation cost of INR
650,000 and additional operational costs of INR 1,000 per ICU patient each day. Prashant
Hospital might anticipate gains in clinical outcomes, such as a decrease in LAMA rates and
an increase in patient satisfaction scores, by utilizing digital data management, expert
consultations, and remote support. With an anticipated one-time hiring cost of INR 75,000
for additional intensivists and nurses, the option also offers a chance to relieve stresses
associated with staff workload. Prashant Hospital is expected to experience improvements
in staff morale, operational efficiency, and, eventually, better healthcare delivery in the
ICU setting with proper planning, training, and monitoring.

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Calculations:

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