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SUBJECT: Observations of Mr. Cohen

INTRODUCTION

The purpose of this paper is to address the problems brought to light by a memo prepared by Mr. Elias Cohen after a stay in our hospital. In his memo he pointed out many discrepancies in our procedures, staff, and facilities. I will address three of these issues and offer solutions to the problems.

IDENTIFICATION OF PROBLEMS

This report is in response to a memorandum forwarded to the hospital by a former patient Mr. Cohen. Mr. Cohen expressed his concerns and observations involving several aspects of the hospital’s operations. I will address three of his concerns and offer potential solutions for the problems presented. The problems I will address are:
• Admissions
• Room Design
• Medical Surveillance
ADMISSIONS PROBLEMS
Mr. Cohen addressed three concerns relating to the admission process. These concerns were: (1) the stated and actual admission time, (2) inadequate preparation by hospital staff, and (3) the lack of information concerning hospital procedures.

(1) The stated and actual admission time - Mr. Cohen was instructed to be at the hospital for admission at 10:30 am. Upon his arrival he was surprised to find out that admissions were scheduled for 11:00 am. Mr. Cohen waited in the lounge for an hour before being called by the admitting clerk. After getting his pertinent information, the clerk then informed him that it would be quite a while before his room was ready and he should go to the snack bar and have a cup of coffee. Forty five minutes to an hour the patient was escorted to his room.

(2) Inadequate preparation by hospital staff - After waiting for hours Mr. Cohen was shown to his room only to find the bed not made, floor not swept, and the room in a generally untidy state. He was then informed that he should return to the lounge and wait some more. Upon his return to the room he found that the bed had been made but the room was still dirty.

(3) The lack of...