Specific problems in the hospital:

The shift from prescribing antibiotics:

The shift from prescribing antibiotics in the recommended ways to use the local prescribing patterns. The shift in prescribing antibiotics was caused to cut the costs which resulted in saving $200.000 annually. Management should have considered their cost-cutting plans without ignoring patients safety and outcomes. This problem caused in delaying patients from receiving their prescribed antibiotics for days. It is concerning because of the lack of quality was shown from the hospital in delivering their services focusing on cutting the costs and not considering the patients conditions.

Not involving fathers in the birth process:

This problem showed a weak part of the hospitals system is not making their system to be designed as patient-center care. Instead, the system was built based on rules that they had to follow. The system should have been built to be based on the customers needs and should have targeted their satisfaction. It is concerning because the healthcare delivery system should be delivered as patient-centered.

Labor Delivery Recovery Postpartum implementation:

The hospitals management implemented the LDRP concept too fast. The nursing management did not like the idea of the implementation. However, the hospital kept the process going which resulted in retainment and resignation over the staff. The LDRP caused an unclear charging structure and duplicated and missing charges. It is concerning because the hospitals management did not take the necessary steps by evaluating the structure before implementing the concept

1. Based on the specific problems identified, identify and explain your SMART goals and objectives that you wish to achieve through a quality improvement plan.