Respiratory Therapist staffing in

the
Pediatric Emergency Department
Business Plan

Cindy Faust
Siena Heights University
November 2015

EXECUTIVE SUMMARY
Staff a Respiratory Therapist in the Pediatric
Emergency Department at all times
Safer for patients
Allows Nursing and other staff to focus on other
aspects of
patient care
Respiratory Therapist is available immediately to
respond to
ventilator or other equipment
problems
Readily available to provide breathing treatments
without
having to wait
Patient continuity of care is enhanced
Position will easily fund itself

PROPOSAL
Provide a Respiratory Therapist at all
times in the University of Michigan
C.S. Mott Childrens Hospital
Emergency Services Department
The proposal fits the goals of:
Evolving, transforming and driving
the future of childrens medicine
We need to meet and exceed the
expectations of our patients and
families

MARKET ANALYSIS
The University of Michigan Health
System advertises the slogan The
Leaders and Best
Patients and their families expect the
best
Patients with ventilators, cystic
fibrosis, or asthma understand the role
Respiratory Therapists play in
their health and care

INTERNAL ASSESSMENT
The strategies of C.S. Mott Childrens Hospital
Creating the future of healthcare through
discovery
Change childrens lives in extraordinary ways
Advance the health status of children
Evolving, transforming and driving the future of
childrens medicine

INTERNAL ASSESSMENT
Not a new service idea
Increasing and enhancing our current
service
All Respiratory Therapists are presently
trained
to provide this service
Enhance Patient Safety
Making sure patients do not miss needed medications
Readily available to take care of ventilator patients
Provide a seamless transition from ER to another floor
Teach the patient about their home care regimen
All care providers are able to concentrate on their
specialty

INTERNAL ASSESSMENT
Possible consequences by not adding
this plan
Decreased or lack of payer
reimbursements
Safety
Quality
Readmission

Accreditation concerns
Quality
Safety

FINANCIAL ANALYSIS
New training programs are not necessary
All Respiratory Therapists are trained in the ER
as part of their orientation

New equipment expenditures are not

needed
Will only need the use of one computer that is
currently available in the Department
Due to perceived increase in use, more
respiratory supplies and equipment will need to
be stocked

FINANCIAL ANALYSIS
Expenditure salary for one Respiratory
Therapist
~ $45,000
Divided by 365 days per year = $123.29 per day

Revenue - in order to break even

need to bill for $125 in services or supplies every
day
significant seasonal variation

IMPLEMENTATION PLAN
Meeting Respiratory Care and
Childrens Emergency Services
Department Leadership
First Week Daily Phone Discussions
End of First Week Supervisor
Meeting
Monthly Leadership Team Meeting
Financial Analysis at this meeting
also

REFERENCES
Regents of the University of Michigan,
(2015). C.S. Mott Childrens Hospital, The
University of Michigan Health System,
About Us. Retrieved from
http://www.mottchildren.org/about-us
Regents of the University of Michigan,
(2015). The University of Michigan Health
System, About Us. Retrieved from
http://www.uofmhealth.org/about