Executive Summary

Click on these two links AGH Website: American General Hospital AGH Data Spreadsheet

American General Hospital (AGH) American General Hospital (AGH) is a 180-bed acute care (Level 2) facility in a busy community “somewhere” in the state of New Hampshire. AGH’s mission is to provide exceptional, compassionate, clinical care and to collaborate with patients and families to meet the health care needs of the community. They offer outpatient services for laboratory, pharmacy, radiology, and therapies (PT, OT, Speech, Behavior), as well as primary care for pediatrics and adults cardiology, neurology, orthopedics, psychiatry, EENT, and general surgery. The PACU has 12 bays; the OR has 8 suites. In-patient services include those above as well as specialty MD consults and a part-time play therapist for the pediatric unit. Details of the patient units are described below. There are 8 patient units.

1. The non-trauma, 16-bay emergency room is equipped with one triage space, 3 pediatric bays, 3 closed isolation rooms, and 10 exam/treatment spaces.

2. Intensive Care Unit - This 12-bed unit cares for all critical patients 3. Maternity, Labor & Delivery - This 15-bed unit includes mother-child care throughout labor,

delivery, and postpartum. 4. Step Down Unit - This 25-bed unit receives patients transferred from the ICU. They may take

overflow of patients from the M/S units who require multiple or complex treatment. 5. Medical/Surgical Unit (West) - This 40-bed unit receives medical admissions and admissions

from surgeries related to orthopedics and a variety of surgical procedures. 6. Medical/Surgical Unit (East) - This 40-bed unit receives medical admissions and surgical

admissions mostly related to pulmonary and cardiac procedures that do not require ICU. Extended stays for patients waiting for Rehab placement often occurs.

7. Pediatrics - This 20-bed unit cares for patients aged 1 month – 21 years for a variety of non- critical medical/surgical conditions.

8. Neuro/Mental Health Unit - This 12-bed unit cares for patients having neurological and/or psychiatric issues requiring hospitalization.

There are also several supportive services including a cafeteria and kitchen, gift shop, laundry, supplies, maintenance, housekeeping, pharmacy, Human Resources, IT, and other administrative and patient/staff support. During 2020 and currently, operations at AGH have been impacted by COVID-19. Elective surgery has been put on hold until further notice. Census spiked October 2020 through January 2021 with patients diagnosed with COVID. It is anticipated that COVID prevalence and hospitalizations will decrease through the vaccination programs. The Board of Directors at AGH want to consider post- pandemic operations and would like to make strategic planning decisions soon. Two challenges have been put forth: (1) Should the DME policies and practices be updated? (Weeks 1 – 5 of MSN Capstone); (2) Should some of the beds (25) be converted to rehabilitation beds? (Weeks 6-10 of MSN Capstone).

Floor Plans – Unit Layouts

Listen

We do not have a floor plan. We came up with an outline of areas. You can assume that there are no “empty” blocks of spaces.

Each of the inpatient units contain a visitor’s lounge and bathroom, small unit kitchen, a nurses’ station with computers, break room, and reception, spaces for pharmacy med carts and supplies, and any other routine spaces I may have missed. Each of the outpatient areas has patient waiting and check in areas. There are three elevator accesses: (1) Visitors & Staff; (2) Patient-transport; (3) Executive & Staff only. Stairwells located next to elevators. There are designated locked storage areas on each floor for housekeeping supplies.

First Level (Floor) Welcome Desk (Greet and direct) Admissions Emergency Room /Triage Radiology OR/PACU (8 OR suites /12 PACU bays) OPD clinics and offices Cafeteria Gift Shop Public, accessible bathrooms (x6) HR Laundry Loading Doc

Second Level M/S West M/S East Pediatrics (with Play area) Maternity, L&D Therapy office suit DON and other administrative offices Laboratory Operations (Offices and supplies) Housekeeping Pharmacy

Third Level ICU Step Down Neuro/Psych (with locked spaces) On-call room IT offices and storage (backups) Executive office suites Conference rooms