Week II Assignment CS Case: Shouldice Hospital- A cut Above Essay

References must be within 5 years and has to be in APA format. Please see attached file.

“Shouldice Hospital, ihe house that hernias built, is a converted country estate which gives the hospital ‘a country club’ appeal.
A quote from American Medical News
Shouldice Hospital in Canada is widely known for one thing-hemia repair! In fact, that is the only operation it performs, and it performs a great many of them. Over the past two decades this small 90-bed hospital has averaged 7,000 operations annually. Last vcar, it had a record year and performed nearly 7,500 operations. Patients’ ties to Shouldice do not end when they leave the hospital. Every year the gala Hernia Reunion dinner (with complimentary hernia inspection) draws in excess of 1,000 former patients, some of whom have been attending the event for over 30 years.
A number of notable features in Shouldice’s service delivery system contribute to its success. (1) Shouldice accepts only patients with the uncomplicated external hernias, and it uses a superior technique developed for this type of hemia by Dr. Shouldice during World War II. (2) Patients are subject to early ambulation, which promotes healing. (Patients literally walk off the operating table and engage in light exercise throughout their stay, which lasts only three days.) (3) Its country club atmosphere, gregarious nursing staff, and built-in socializing make a surprisingly pleasant experience out of an inherently unpleasant medical problem. Regular times are set aside for tea. cookies, and socializing. All patients are paired up with a roommate with similar background and interests.
The Production System
The medical facilities at Shouldice consist of five operating rooms, a patient recovery room, a laboratory, and six examinauon rooms. Shouldice performs, on average. 150 operations per week, with patients generally staying at the hospital for three days. Although operations are performed only five days a week, the remainder ofthe hospital is in operation continuously to attend to recovering
PaUAn operation at Shouldice Hospital is performed by one of the 12 full-time surgeons assisted by one of seven part-time assistant surgeons. Surgeons generally take about one hour to prepare for and perform each hemia operation, and they operate on four patients per day. The surgeons’ day ends at 4 p.m.. although they can expect to be on call every 14th night and every 10th weekend.
The Shouldice Experience
Each patient undergoes a screening exam prior to setting a date for his or her operation. Patients in the Toronto area arc encouraged to walk in for the diagnosis. Examinations are done between 9 a.m. and 3:30 p.m. Monday through Friday, and between 10 a.m. and 2 p.m. on Saturday. Out-of-town patients are mailed a medical information questionnaire (also available over the Internet), which is used for the diagnosis. A small percentage of the ^tients who are overweight or otherwise represent an undue medical risk are refused treatment. The remaining patients receive confirmation cards with the scheduled dates for their operations. A patient s folder is transferred to the reception desk once an arrival date is
confirmed. _ . -
Patients arrive at the clinic between 1 and 3 P.M. the day before their surgery. After a short wait, they receive a brief preoperative examination. They are then sent to an admissions clerk to complete any necessary paperwork. Patients are next directed to one of the two nurses’ stations for blood and urine tests and then are shown to their rooms. They spend the remaining time before orientation getting settled and acquainting themselves with their roommates.
Orientation begins at 5 P.M., followed by dinner in the common dining room. Later in the evening, at 9 p.m.. patients gather in the lounge area for tea and cookies. Here new patients can talk with