Building on the analysis of a problem in your organisation (used in assignment 1), analyse what changes are needed. What processes will you use to implement changes?
The issue I discussed in assignment 1 involved the implementation of a project that, although the clear aim was never articulated, could be assumed to be an attempt to streamline the operational processes.1
Solutions to this problem were multifaceted, …………clear goals, communication
However creating a structure and framework with which practically to implement change is more difficult because of the differing agendas of the protagonists. The approach of all concerned nonetheless should be to continue to develop and maintain quality health care services …show more content…
The problem was not clearly defined. Whilst it may have been to the systems administrators, it was not communicated to the rest of the people(?) involved. The staff it affected the most had no idea what the issues with the current model of care were and why changes were necessary. Without a clear definition of the problem there was no understanding of why the current model of care needed to change. Assuming from the health care administrators view the problem was that the time patients on our ward were spending in hospital was consistently longer than expected for the relevant DRGs.
Underlying the implementation of this project was the streamlining of the process of treatment. The process is a complicated one with many opportunities to change management. In order to develop implement a plan for organisational change, evaluation of the current process of care is essential. These can be broken down into inputs, processes and outputs.
Inputs include:
1. Patients - members of the community that have active health care requirements
2. Labour - Medical, Nursing and Ancillary staff, including …show more content…
At this hospital it was well known for having and older population as it was the old repatriation hospital. In this case the ward generally catered for patients with respiratory illnesses. This experiment was trialled during winter which is usually a busier time for a respiratory ward. However like any ward, there were often patients who were known as “outliers”. Patients with non respiratory illnesses and there fore not the specialty of the nursing staff and often the medical staff tending to them were based on other wards. This meant they were not around and had to be paged, answer and come to deal with their patients when they had time.
After assessing what services are required and what are delivered, the quality of the services and the problems encountered with the current model it would be possible to identify the deficits between the current model and that required.
Strategies and activities
People and communication and consultation
Key