As healthcare is ever-changing and patients are becoming sicker, the ability of healthcare organizations to care for these individuals is becoming increasingly challenging. In my institution and institutions everywhere, bed availability has been a challenge due to the building capacity. One assessment tool evaluated by the MEASURE Evaluation is “A Guide to M&E of Capacity-Building Interventions.” This evaluation tool is necessary because it helps planners understand the concepts of a building’s capacity and evaluate the strengths and limitations of the capacity, which directly relates to patient care (LaFond & Brown, 2003).  Some strengths illustrated include increased strength and training in delivering these systems, increasing hospital performance, and increased access. Some limitations include experience, focusing all efforts on one section of the institution or specialty, and decreased measurement tools (LaFond & Brown, 2003).  I find this assessment tool relevant to my institution because my institution has been expanding over the past couple of years.

We are a level 1 trauma center in a city. We care for all types of patient populations and have multiple specialties. We also have two campuses. On one campus, we are expanding our neuro program. We are building an entirely new neuro tower that will open in a few years. This will expand access to a neurovascular patient population that previously needed improvement. This is interesting because the neurovascular beds we have in our institution take much work to come by. By expanding our capacity, we can offer more services to a broader population range and increase access to individuals who may have had to travel further for their neurovascular care. The lack of access relates to standard 2 of the American Association for Nursing Informatics, which states that diagnostic problems and issue identification analyze and assess data and identify issues and opportunities for improvement (ANIA, 2024).  A lack of neurovascular beds can pose a problem, and we cannot adequately care for these patient populations. Increasing our capacity to build more beds can increase the care we provide for this vulnerable population. Two QSEN recommendations would include patient-centered care and quality improvement.  Patient-centered care evaluates how care is derived from the patient, thus allowing a focus based on the patient. QI examines the quality and cost-effectiveness of the healthcare institution while utilizing evidence-based practice to improve care (QSEN Institute, 2022). Both recommendations relate to the MEASURE evaluation by increasing access to quality and evidence-based patient care. Increasing the building’s capacity and employing more staff can improve community outreach and support for individuals seeking specialty care. Data I would use to evaluate the support from this standard would be based on both metrics to evaluate how many patients are receiving specialty care based on the expanded capacity versus prior to expansion. Evaluation of patient satisfaction surveys can also evaluate the patient-centered care that the institution is delivering and areas for improvement.

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