High Risk Pregnancy Solutions at Hospital Case Study

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Great Western Hospital Case AnalysisRisks Facing the FacilityAt the Great Western Hospital (GWH), a major concern is the high percentage of high-risk pregnancies. More than 40% of all pregnancies at GWH fall into this category, which is higher than the national average (Porter et al., 2013). These high-risk pregnancies result from issues like multiple gestations, diabetes, and other conditions. To help, Dr. Narayan launched a new delivery model tailored for high-risk pregnancies, but the application of model is still in its early stages and acceptance and workability of the model is still uncertain.Dr. Narayan is also considering expanding the new model to other maternity units across England. However, this could result in resistance as well as logistical challenges, due to the diverse nature of healthcare facilities and their varying ability to adapt to new models of care (Porter et al., 2013).Another risk is the economic stability of the National Health Service (NHS). Even with its substantial budget, the NHS's financial stability has come under scrutiny, especially with the introduction of a four-year cap on its spending increases. This financial strain is further compounded by the 2011 legislative proposal aiming to fundamentally restructure the NHS. Such a transformation could have direct implications for the operations and funding mechanisms of hospitals, including GWH.Plus, there is the risk of the rising rate of multiple pregnancies. This increase is attributed to factors like the growing reliance on assisted reproductive techniques. Multiple pregnancies inherently carry a unique set of risks and challenges that need specialized attention. Another alarming statistic is the rate of premature births in England, with about 8.3% of births being premature. These premature births can lead to a myriad of complications, escalating the care costs and demanding more intensive medical attention.Management of Three Important RisksHigh-Risk PregnanciesOne big risk at GWH is all the high-risk pregnancies and how best to manage them. To address this risk, the proposed management strategy is to implement specialized care programs. These programs would be tailored to address conditions like multiple gestations and diabetes.

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Along with regular monitoring and other early interventions (i.e., educating expectant mothers), the hospital can better manage the different complications associated with these high-risk pregnancies.New Delivery ModelAnother challenge is the acceptance and application of Dr. Narayan's new delivery model for high-risk pregnancies. For the model to work, it needs to be embraced…

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…decision-making process.Culture AssessmentCulture matters. It is the life blood of an organization’s ability to adapt and to demonstrate resilience in the face of challenges. GWH's decision to merge with Wiltshire Community Health Services suggests that it has a culture that values innovation, collaboration and growth. It wants to be one of the largest maternity providers in the UK, so that it can deliver quality care that is needed to the most number of patients. This is a good ambition on the part of GWH and emanates from a good culture.The new delivery model for high-risk pregnancies also reveals GWH's culture of innovation. GWH has a culture that wants new ideas to flourish if they can work. This willingness to innovate in the face of challenges speaks to the organization’s excellent culture. It is a culture that encourages fresh ideas and creative solutions.Thus, it is very likely that GWH’s culture will work going forward. It is a culture that likes to see adaptation, which is necessary at times. Its culture would is open to new management strategies and it wants to see them implemented well. It is willing to do what needs to be done to help….....

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