Change Resistance in Healthcare Free Essay Samples & Outline
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Sample Essay On Healthcare
1. Analyze three (3) quality initiatives for your organization
Quality assurance is very vital in the healthcare sector more so in one of the largest healthcare organizations as most of the country’s population depends on it to deliver when need arises. It is expected to have top class services in order to meet the population needs, and in order to meet a top-class rating, the following quality initiatives comes highly recommended.
The first one is an implementation of technological systems in the patient care support. Staffing the organization need to be furnished with the necessary equipment to ease the daily workload that is mostly caused by documentation, which brings about traffic in hospitals where patients stay in long queues waiting for their records to be retrieved. This may take ages given that the manual documentation system is in place, and in order to bring sanity in the healthcare system, the system has to be put in place.
The other most important quality initiative that needs to be adapted is the improvement of communication which affects both the staff and the patients. Communication inefficiency is a vice that is common not only in the organization, but affects the entire healthcare sector. In order to curb this vice, proper measures have to be put in place to improve communication, as most of the time is spent searching for necessary medical supplies for patients.
An equipment tracking system is efficient enough to improve communication, as it reconciles data from the laboratory with that in the clinical department making it totally effective to initialize good communication.
The Introduction of a Bar Code Medication Administration (BCMA). This has been widely proven to bring about improvement in the administration of the medication process. This system ensures that the prescribed drug is the correct one and is administered at the correct time to the right patient. Each patient is provided with a wrist band that has a bar code scanning to provide the patient’s details and the medication administered. This will drastically reduce the errors experienced in the organization. (Weston Marla, 2013)
2. Determine the supporting factors that would aid in the reduction of healthcare cost in your organization without reducing quality of care for the patients.
It has reached a point where the cost of operation is way greater than the initial investment in a given year. The organization spends a lot in maintenance and wages thus making its healthcare services slightly costly to the average population requiring its services. These are the areas that need to be addressed to realize cost reduction in the organization.
The doctors and nurses wages are high in the organization, as they are paid based on how much they do, rather on how well they render their services. This encourages the practitioners to over treat their patients with a mission to earn more. To improve this and cut cost on their wages, an integrated medical system that generates medical records electronically to streamline the wages.
Technology will also play a major part in cutting cost of healthcare in the organization, as manual labor increases cost and also inefficiency in the organization. For example, buying of new equipment needed to offer services to the patients may just take a one-time huge investment, but it will end up cutting cost and improving service delivery in the organization, in the long run. In implementing the highlighted cost cutting ways will bring along efficiency, and cheaper ways of service delivery in the healthcare sector of the organization, which will bring merit to both the organization’s management and the patients seeking our services.
3. Differentiate between quality in a free market healthcare system and a single payer government system with three (3) examples in each.
A single payer government system in the healthcare refers to a system where the organization sums up the bill and send it to the relevant entity for the services rendered. At the end of the month, quarter of a year, half a year or even annually depending on how the organization has agreed with the given entity will receive a lump-sum payment from them to cover the medical expense, which in this case it is the government.An example of countries embracing the single payer government system includes Germany, Denmark and the United States of America. All the developed countries have adopted this type of healthcare system by ensuring their citizens have free access to healthcare.(Kwon, 2003)
One the other hand, a free market healthcare system is where price is set by agreement between the healthcare providers, in this case, our organization, and the patient. In this system of healthcare system, patients are allowed to either pay for services themselves or choose a convenient medical insurance cover provider all by themselves. This is common in the developing countries as governments in such countries do not have the ability to provide medical cover for all their citizens, thus leaving the average and high income earners with the advantage of getting an insurance cover as it is not affordable to every citizen. Examples, in this case, include Uganda, India, and Brazil.
4. Specify three (3) common law quality initiatives that are still found in 21st century healthcare organizations.
Healthcare being a broad and vital sector of any given economy, and it being the main focus of our organization, quality initiatives prior to services offered are to be given close consideration and attention and the common law quality initiatives followed to the latter. The laws governing quality initiatives have undergone major reforms in recent years as technology continues to grow significantly, and thus it is embraced widely in the sector.
There are common laws quality initiatives that remain unaltered in all the years of technological advancements and reforms in the healthcare sector. One of them being: “Use of unnecessary or inappropriate care”. This tends to expound on the unnecessary or excessive of diagnosis tests by use of x-ray machines, over-prescription and under prescription of antibiotics and other drugs that may have a negative side effects on a patient. The organization on following this law can put the money and resources wasted into other meaningful and productive use.
The other common law is: “Underuse of needed, effective and appropriate care”. This law on quality initiatives on the other hand revolves around discrimination of patients based on their financial background and insurance health insurance cover. Most healthcare organizations focus on the patients who have been insured and become hesitant to properly diagnose, offer preventive or therapeutic services. This law also highlights those faced by geographical, communication, cultural and organizational barriers among other barriers but still have insurance covers. The organization can give proper staff training to raise awareness in order avoid discrimination of the patients who seek their services.
The next most important law in the healthcare sector is:“Shortcomings in technical and interpersonal aspects of care”.Here, the law elaborates on inferior care being given to patients due to negligence from the organization’s medical practitioners as a result of inadequate or lack of proper mastery in their field of career practice. Poor communication is experienced when the organization’s medical practitioners cannot adequately explain effectively the necessary information to their patients, where they prescribe the wrong dosage or carry out an unnecessary surgery, or for instance in other cases, wrongly analyzing laboratory results. This can is a very serious vice that can be eliminated or curbed in the organization by carrying out vigorous examinations and reviews of the organization’s medical practitioner’s education levels and qualifications, and also carry out ethics training on them.
5. Defend your position on the importance of healthcare quality for your organization. Provide support with at least three (3) examples that illustrate your position
Healthcare quality provides a check and balance in an organization, which consists of vigorous and systematic changes to bring about measurable and realistic improvements in an organization. Quality is automatically associated with the efficiency of an organization’s level of handling patients and the patient’s level of satisfaction; this is the main importance of healthcare quality review in an organization.
For example, in Chicago, America’s leading healthcare experts recommend several strategies to curb various treatments and surgeries that are often prescribed but are not necessary.(American Medical Association, 2012)
In Canada, Health experts advise on proper reviews of the quality initiatives in healthcare after at least five years to bring about sanity in the healthcare sector.
Another example is the United States of America; hospitals are ranked not of how many doctors they have or how big the hospital is but on the quality of the organization. This should paint a picture in our organization that quality matters a lot.
6. Assemble a plan to protect patient information that complies with all the legal requirements.
It is highly recommended that all patient records to be kept electronically to meet all the necessary merits of cost savings, speed, accuracy and safety. It is the organization’s mandate to keep the records of the patient’s safe and in which, they can be saved in many forms that include: computer flash disks, disks and tapes, prescription forms, patient forms, emails, lab reports, collection documents, conversations between patient and doctor, insurance statements, faxes, collection documents among other forms. This will help in not only keeping the records safe but to also enable fast access to patient’s information and records, and also helps the medical practitioner follow up on a patient’s progress.
In order for the necessary measures to be implemented, the organization should make sure that there are staff specifically assigned to deal with patient’s records and be held accountable for all records, the organization should also ensure that the records follow a specific Protected Health Information Safety procedure for security and privacy. An office for policy and quality assurance should be set up to give the organization a reality check and to inform the patients of their rights and to also limit access to patient information by unnecessary bodies.
American Medical Association. (2012). Proceedings from the National Summit on Overuse. National Summit on Overuse, 2-4.
Kwon, S. (2003). Health Policy . Baltimore: Elsevier Science Ireland Ltd.
Weston Marla, R. D. (2013). The Influence of Quality Improvements Efforts on Patient Outcomes and Nursing Work. The Online Journal of Issues in Nursing , 3.
Change resistance in health care organization
Among the key concerns of the healthcare environment and management is change management. In the healthcare setting, professionals have an obligation of maintaining and as well, acquiring expertise needed while undertaking their professional tasks. In addition, in a healthcare profession, professionals face another obligation of only taking those tasks that are within their competence skills (Swansburg, 1996). Similar with other professions, in a healthcare profession environment faces need for change. Change in any organization faces different responses from workers and as well different individuals. There are individuals who want to support the change, some appear indifferent, while others appear passive or participate in the change. Resistance to change is among the common response workers have to change within their organization. The paper is a discussion of resistance to change in health care organization.
Change management in health care organization is an important aspect of management. It deals with the complexity of the change process (transformation process). This process involves evaluation, planning and implementing strategies with the aim of making the change worthwhile and relevant in the health care organization (Borkowski, 2011). This process is complex, dynamic and sometimes incorporates challenging processes depending on the response of the workers to the anticipated change in the organization. Unlike other decisions made in health care organization, change decisions are never a choice between technological approach and people-oriented strategies but highly relies on the combination of the two aspects (Swansburg, 1996).
Effective change within the health care organization unfreezes old behaviors within the organization and introduces new behaviors. As a dynamic process, it involves unfreezing of existing behaviors and introducing new ones. There are different types of change. The most common change in health care organization refers to a predictable change. Under this change, workers have the opportunity and tome for preparation before its implementation. On the other hand, unpredictable change poses challenges during its implementation. In this change, workers do not have time for preparation and, therefore, this change faces much resistance from the change as they face some challenges while coping with changes introduced in the organization. In health care organization, unpredictable change is common since changes in these organizations occur so rapidly (Borkowski, 2011).
Change promotion is demanding. It requires managers to challenge their workers. More so, due to different responses faced after introduction of change in an organization, the manager has a crucial role of persevering against these responses. Change implementation takes time. Therefore, as a manager implementing change in health care organization, there is a need for commitment of time. Apparently, the manager needs to understand the values and the change. Focusing on the precedent during change management is an important aspect as it prevents managers from reacting at every requirement of change. Therefore, despite different responses experienced from workers, managers have to develop their strategies of coping with the responses (Borkowski, 2011).
Despite resistance originating being a common response of workers to change, it is, on the other hand, a subjective matter where managers have the role of observing the behaviors of their workers that resist the change. Change that does not face resistance is not change. This is because it does not affect workers. Similarly, managers should not assume that resistance does not have merit. In health care organization, resistance to change is a healthy response to long-term decision made by the management. It gives the management an opportunity of learning their worker’s points of views regarding decisions made (Swansburg, 1996).
Resistance to change in health care organization originates from different aspects. Some of the sources of resistance to change in health care organization include; insufficient ownership of decision making process, inadequate compensation of workers in the health care organization, norm’s conflicts between the management and workers, lack of management commitment to issues facing workers and lack of consultation before landing on decisions of implementing the change (Melnyk, 2011). On the other hand, in health care organization, resistance to change may arise when the change threatens to modify the existing patterns of working conditions and relationships between workers. Apparently, many workers resist changing when communication about the change under implementation had its time insufficient and they did not have time for preparing for the change (Swansburg, 1996).
Resistance to change has both negative and as well, some positive influences the management. Resistance to change leads to loss of time while the management is compromising with its worker’s behaviors. This may lead the organization to lose focus making the organization fall behind its goals. Despite the disadvantage of resistance in health care organization, it also plays an important role in the evaluation of the change under implementation where the management gets the opportunity of learning the worker’s ideas regarding other possible change approaches (Melnyk, 2011).
In conclusion, due to the global changes taking place, health care organizations face an obligation of changing aiming at proceeding ahead. In change management, establishment of a clear vision on the direction of change process is an important aspect of determining and assuring successful change implementation. Furthermore, monitoring the outcomes of the change process is essential in recognizing whether the change process fulfils the anticipated intentions. Lastly, since change is a dynamic and continuous process in any organization, it is important for the management and workers to record and focus on the emerging issues regarding the change. This aids the management in avoiding future problems while implementing the change and in a suitable manner.
Melnyk, B. M., & Fineout-Overholt, E. (2011). Evidence-based practice in nursing & healthcare: A guide to best practice. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins.
Borkowski, N. (2011). Organizational behavior in health care. Sudbury, Mass: Jones and Bartlett Publishers.
Swansburg, R. C. (1996). Management and leadership for nurse managers. Sudbury, Mass: Jones and Bartlett Publishers.