...Organizational Change Plan Part 1 HCS/587 March 24, 2014 Organizational Change Plan Part 1 Information technology (IT) has a great impact on today’s business with the high usage of and accessibility of the internet Borkowski (2002). It has the potential to improve safety and efficiency in the ever changing healthcare system. The administrators of Brokovitz General Hospital are introducing Information technology as an organization wide change process. IT enhance productivity, improve security of patient information and reduce cost, this allows the HS to be more competitive with their counterparts. Information Technology will replace doing things manually, save time, reduces errors, and decrease cost as well as improves safety and quality of care of clients. This paper will explore the need for development, organizational and individual barriers, factors that might influence the proposed development, summarize organizational readiness for change, the theoretical models that relates to the change, and internal and external resources that are available to support the development. The change will be piloted in the emergency room and if successful it will be implemented throughout the institution. Need for Proposed Organizational Change According to Borkowski (2002), there is a great need for information technology in healthcare. The external forces have had a significant impact on the changes within the healthcare industry. For example, clients are knowledgeable consumers...
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...someone to produce or create something. “Collaborative Care in healthcare occurs when multiple health providers from different professions provide comprehensive services by working with people, their families, care providers, and communities to deliver the highest quality of care across settings. Practice includes both clinical and non-clinical health-related work, such as diagnosis, treatment, surveillance, health communications, management, and support services” (Winnipeg Regional Health Authority, n.d.). Collaboration between interdisciplinary personnel is essential to excellence in patient care delivery. Currently there is a growing trend that “the basic education for all clinical professionals should include the knowledge, skills, and attitudes required to effectively participate in interdisciplinary teams, and that health care organizations should continue this education in the practice setting” (Ponte, Gross, Milliman-Richard,& Lacey, 2009). Although teamwork and interdisciplinary collaboration are ideal for healthcare, unfortunately these needs cannot or will not always be met by healthcare professionals. Collaboration and teamwork goals may not be met and for various reasons. There may be organizational barriers, barriers at the team level or within individual team members. A few of the most notable organizational barriers include lack of knowledge and/or appreciation of the roles of fellow healthcare professionals, lack of outcomes research on collaboration, legal...
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...Prevent Work Related Musculoskeletal Disorders” the risk of musculoskeletal injury because of manual lifting techniques affects nurses working in any specialty area (ANA 2003). The ANA conducted it's own Health and Safety Survey of nurses in 2011, in which 62% of the more than 4.600 respondents indicated that suffering a disabling musculoskeletal injury was one of their top three safety concerns. The survey also showed that 8 of 10 nurses worked despite experiencing frequent musculoskeletal pain and that 13% were injured three or more times on the job within a year (ANA 2011). This proposal of implementing a Safe Patient and Handling Mobility program will explore the organizational and individual barriers to implementation and identify factors that might influence implementation. Factors influencing organizational readiness will be addressed for this proposed change as well as internal and external resources available to support this initiative. A theoretical model will be discussed, and how it relates to the proposal of a SPHM at Doctor’s Hospital. Patient-handling tasks historically have been recognized as the primary cause of musculoskeletal disorders among the nursing workforce. When comparing nursing to other occupations, nursing personnel and nursing assistants are among those at the highest risk of musculoskeletal disorders. In 2005, the Bureau of Labor Statistics of the U.S. Department of Labor identified nursing as the...
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...process. 2. Understand the importance of feedback in the communication process. 3. Understand various verbal and nonverbal methods of communication. 4. Understand the common barriers to communication. 5. Utilize various methods to overcome communication barriers. Kristina L. Guo is an Assistant Professor of Health Services Administration in the Stempel School of Public Health at Florida International University in Miami, Florida. Professor Guo graduated from Florida International University with a PhD in Public Administration in 1999, and she holds a Masters in Public Health from the University of Miami. Prior to joining the Florida International University faculty, Dr. Guo accumulated extensive experience in the healthcare field. She was the Assistant Director of the University of Miami’s intellectual property division, where she conducted market and patent research and analyses. As the manager of several physician practices, she was responsible for formulating and implementing strategies to increase the organization’s viability and growth potential. She teaches health services management, organizational behavior, and health policy. Her primary areas of research are healthcare policy and management, where she has developed a managerial roles and skills assessment tool. Her current research focuses on the healthcare needs of elders. Yesenia Sanchez is a contracting specialist for Neighborhood Health Partnership, a five-star health maintenance organization in Florida. Ms. Sanchez holds...
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...Organizational Change Process: The EMR in Health Care Settings In the past decade, new advances in technology have changed health care. Experts continue to speculate that information technology has and will play a key role in efficiency, costs, and quality of patient care (Mehlman, 2010). With these changes comes the demand for hospitals to keep up with the times. In January 2009 President Barack Obama spoke about the government’s recent stimulus package and drive to have Americans’ health records electronic “within the next five years in order to save both dollars and lives” (Childs, Chang, & Grayson, 2009, para. 2).The “meaningful” use of electronic medical records promises to improve processes, decrease errors, and extend far beyond cost savings for the hospital, physicians, nurses, and the patients. Transforming a paper-based system into an electronic health- record application will allow real-time patient information to pass through multiple sources faster, enhance communication throughout the hospital into the community, and provide fiscally responsible care with the click of a mouse. Updating to an electronic form of medical records storage has been proven to be more economical and efficient. However, organizations are often met with resistance when moving forward with plans to transition without adequately preparing the employees of the organization. Whenever a breakdown in the communication between the administrators and staff members has occurred, a barrier to...
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...technology, many healthcare organizations have embraced the use of healthcare information technologies. As such, the information technology department has various staffs that perform fundamental roles in the information technology-related activities. It ranges from activities of customizing a software to implementing and maintaining a network to ensure effective system backups. In addition, these healthcare information technologies bring about other activities, for example, managing information, managing technology among many others. Similarly, there are many personnel assigned different IT-related tasks, for example, the chief information officer and the chief technology officer (Tan, Payton, & Tan, 2010). Roles of CIO and CTO Chief Information Officer The CIO is the overall manager of the healthcare organization’s department. Apart from being the head, the CIO is an executive who can lead the organization in efforts of acquiring and implementing healthcare information technologies to advance organizational strategies. As such, the CIO fully manages the information and telecommunication technology functions by ensuring proper execution and support for medical and clinical systems. When the organization aims at advancing strategic planning in relation to information technology, the CIO takes part in such seminars to ensure he or she coordinates departmental technology planning activities. Clearly, in the event that, a healthcare organization adopts a healthcare information...
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...UNIVERSIty OF GHANA BUISINESS SCHOOL Write a Case Study report on the use of web-based information systems by an organization in Ghana UNIVERSIty OF GHANA BUISINESS SCHOOL Write a Case Study report on the use of web-based information systems by an organization in Ghana Index No: 10508454 Table of Contents Background 2 Information Systems 2 Web-based Information Systems 3 Health Information Systems 3 Types of Health Information System 5 Components and Functions of Health Information System 6 Brief Overview of the Health Care System in Ghana 7 Context of Study 8 Vision and Mission 9 Core Objectives 9 Benefits of web – based health information system 9 Barriers to web – based Health Information System 11 References 13 Background For the thriving nature of every business setting, whether for-profit or not-for-profit, but also for long term survival, there is a need for the adoption of proper information dissemination and sharing systems in real time to the benefit of all stakeholders in the organization. In times past, most businesses operated with less or no importance attached to how data and information about their businesses are handled, oblivious of its subsequent consequences to the organization. Currently, in the midst of a swiftly moving landscape in technology, coupled with transient business innovations that seek to maximize both short-term and long-term profits as well as benefits; that means...
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...Crystal Robinson HCS/587 Organizational Change Introduction Every organization or company will experience change on a large scale at some point in time. Change occurs everyday in personal lives and in businesses, like the time of day changing or the way task are completed are not exactly done the same each time. In a business or organization it is important for the staff to understand the need for the change. Understanding the need for the change is not just for the betterment of the organization but also for the employee to understand the importance of their role in change for the business or organization. Providing better access and resources to health care in Maryland State Correctional Institutions has become a major focus for management. There is a huge lack of services and resources especially in the pretrial division of Maryland State Correctional Institutions. The concern is not just inmate or patient satisfaction but a concern for the safety and health of those responsible for detaining these inmates. This paper will examine the need in Maryland State Correctional Institutions for a change in inmate access to healthcare and healthcare resources especially in the pretrial division. It will also identify factors that will influence changing inmate access to healthcare and summarize those factors that can prepare the organization to this change. A theoretical model that is relative to changing inmate access to healthcare and resources will be identified...
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...American’s have been introduced to the Affordable Care Act this year, there have been many changes to overcome. As healthcare employees, change affects us internally throughout the healthcare industry. It also affects us externally as the cost of healthcare rises, and the patient count lowers because Americans cannot afford the cost of care. No matter the changes experienced in healthcare, employees must adapt as soon as possible to maintain the highest quality of care for the patient. Stakeholder Questions & Concerns During the organizational change there will be many questions and concerns from employees, society, and many others. Employees may ask questions such as “will there always be a promised job position for myself”, “will I still receive the same benefit package, short term leave, long term disability, and will by salary be stable”. Employees sort of “freeze” when there is change in a healthcare facility in fright that they are going to lost their current position. Society may ask questions such as “will I receive the same care as I did in the past after the change”, and “will the cost of service or copays increase during or after the change either”? Questions such as this are very important to patients because it is mandatory to know if they can afford the care without going into debt before stepping foot in the building. Organizational & Individual Barriers to Change “The knowledge base regarding successful change in health care organizations can be summarized...
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...Case Example: Falls James Brown Measuring Performance Standards/HCS/588 July 10, 2013 Professor Mean Jeans Case Example Falls Patient falls during inpatient hospitalization has become a top safety issue for long term care facilities and hospitals. Inpatient falls have a major impact of length of stay (LOS) especially when fall-related injuries require additional tests (head trauma), surgical interventions (hip fractures), and therapy (physical and rehabilitation therapy). Reducing falls among inpatient (hospitalized patients) is a growing patient safety concern for health care organization. Today, health care organizations are being more proactive in reviewing, evaluating and implementing fall prevention program and strategies. Collecting and analyzing data are vital components for measuring, monitoring, and revising quality and improvement programs. The purpose of this paper is to analyze the case example Falls and examine the data collection methods used to monitor and revise quality improvement programs. Measures to Monitor and Revise Quality Program Implementation According to the Center for Disease Control and Prevention (CDC, 2010), falls are the leading cause of injury among individuals 65 years and older. Falls can result in severe injuries such as hip fractures and head trauma. The economic impact for medically treating and managing fall and fall-related injuries are astronomical. In 200, the U. S health care system spent over $23 billion dollars on falls...
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...Organizational Change Plan - Part I Michelle Santana, RN University of Phoenix Creating Change Within Organizations HCS 587 Laura Rainey September 22, 2014 Organizational Change Plan - Part I In today's fast-moving environment any business looking for the pace of change to slow down is likely to be deeply disillusioned. In fact, businesses should embrace change. Change is imperative for any organization because it prevents business from losing their competitive edge and meets the needs of what most hope to be a growing base of loyal customers. Changes however, are unavoidable and are a significant part of every organization. They are implemented to improve the company, or as a response to a problem or a predicament. This paper will examine the need for the implementation of electronic medical records (EMR), assess organizational and individual barriers to EMR implementation, identify factors that might influence the change, summarize factors influencing organizational readiness for EMR implementation, identify the theoretical model that relates to the proposed change, and identify internal and external resources available to support the change initiative. Electronic Medical Records (EMR) Electronic Medical Records (EMR) are patients electronic medical health records. In the past, patient’s health records were kept in a physician’s office locked away in a filing cabinet collecting dust. However, the advancements in technology and Medicare’s and Medicaid...
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...Organizational Change Plan Part 1 Tonya Will HCS/587 February 10, 2014 Laura Rainey Organizational Change Plan Part 1 The healthcare industry has to be up to date in the most technologically advanced way possible in order to provide the best care to the patients. Even though most people expect their health information to be recorded during their doctor or hospital visit, they do not realize that using the old pen and paper method is outdated, and not the best possible way to record information. In this paper, the author will discuss a hospital based cardiac catheterization department currently utilizing paper charting, the possible benefits of changing to electronic medical records (EMR), the need for the change, along with the barriers and organizational readiness regarding the change. The theoretical model of Kurt Lewin will be examined as it relates to the change. According to Brisson-Banks, an understanding of the need to change is the start of the change process (2009). Bringing change to an institution is just like the beginning of any nurse-patient relationship, a complete assessment must be performed before implementing care or change within the organization . Current methods of care and documentation must be assessed at the facility to determine what changes need to be made. The current standard of care is very high in all areas except for the paper documentation at the facility which will be called Hospital A. The staff is bright, cheerful and knowledgeable...
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...Abstract The population of mental illness who seek treatment solely through a primary care physician raises question for concern. Many healthcare facilities and organizations are working on a plan to integrate diverse professions into one comprehensive medical model home to optimize effective patient-centered care outcomes. The goal is to reduce costs, expand the healthcare teams knowledge base while improving patient outcomes. How can the core competency of teamwork and collaboration impact the healthcare delivery system? How can we treat older adults that are more likely to seek and accept psychological services in primary care verses specialty mental health care settings? What are the challenges healthcare providers are facing that impede collaboration? There are many obstacles to face and barriers to cross before health care providers can work together more efficiently to achieve a higher level of teamwork and collaboration. Teamwork & Collaboration in Health Care Teamwork and collaboration among health care providers allows each profession to function competently within their own scope of practice as part of the interdisciplinary team to collaborate on shared goals, respect different views, communicate measureable processes for a positive effective outcome, and expand our knowledge base while providing patient-centered care. The IOM stated that: “An inter-disciplinary /inter-professional team is composed of members from different professions...
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...Organizational Change Plan Part I Tericka Small HCS/587 Laura Rainey Organizational Change Plan Part I The proposed organizational change plan is designed for One Core Health. In a way to advance the facility, health care information must improve. Understanding the need for change is essential to the success of change. Electronic Medical Record Implementation (EMR) has become necessary at One Core Health. Having patients checked in and ready to see their providers at the scheduled appointment time not only allows the providers the time they need to assess and care for the patient, but also leads to patient satisfaction (Anderson, Commacho & Balkrishnan, 2007). This organizational change plan will examine the need in One Core Health for EMR implementation; identify factors that will influence the change. A theoretical model that is relative to EMR implementation and resources will be identified as well as internal and external resources to assist in the change will be explained. The Affordable Care Act includes mandates for electronic medical records (EMRs) and the ability to e-prescribe. In an effort to support this transition, the government has allocated $20 billion to enable healthcare institutions to develop and implement health information systems (Moreland, et.al. 2012). One Core Health still use the old fashioned method of the patient having to fill out tons of paperwork before each scheduled appointment. Each patient is supposed to arrive 15 minutes before their...
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...Running Head: JAMES REASON'S SWISS CHEESE THEORY James Reason's Swiss Cheese Theory [Name of the Writer] [Name of the Institution] James Reason's Swiss Cheese Theory Introduction The model of Swiss cheese is a model of accident causation which is used risk management and its analysis in system of healthcare, aviation, and engineering. Swiss Cheeses Model compares human system to Swiss cheese slices. The slices are piled together with one another. Basically it was founded in 1990, by James T. Reason, a British psychologist of University of Manchester. The model gained wide acceptance and has been used by healthcare industry, emergency services organizations, aviation industry, and safety industry since it was developed. It is also known as cumulative act effect. According to a survey, in most of the cases, there can be four levels of failure for an accident: unsafe supervision, unsafe act of themselves, organizational influence, and preconditions for unsafe acts. James T. Reason, in his Swiss Cheese Model developed defenses of organization against the failure and represented barriers as slices of Swiss cheese. And individual weaknesses are shown by the holes in the slices as part of the system, and all holes are different in position and sizes in those slices. The failure of the system occurs when holes in slices simultaneously align in aggregate, giving permission, as James Reason's said “a trajectory of accident opportunity", so that in...
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