Nursing homework help
Week 5
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Leading Quality Improvement Change Efforts in Healthcare Organizations and Facilities As healthcare administrators and managers continue to work to improve the quality of organizations and facilities served, you are often faced with an array of guidelines, best practices, and new tools that need to be incorporated into your setting to improve quality. These guidelines and best practices are often driven by accreditation, licensure, and certification standards from government agencies, not-for- profit agencies, and professional associations. At other times, the required change is driven internally by findings that emerged from the continuous quality improvement processes and measures engineered by healthcare organizations themselves. To successfully implement these changes, healthcare administrators and managers must develop change management skills that are essential for planning and implementing change in healthcare settings. This week will focus on understanding change in healthcare settings and learning about key strategies to help drive change.
By reviewing notes on an important health behavioral model, diffusion of innovation (Kaminski, 2011), you will garner a deeper understanding of how innovation or change efforts are adopted in healthcare facilities.
Figure 6: Diffusion of Innovation
As shown in figure 6, about 15% of your target audience will be your early adopters of change—with 2.5% as innovators and 13.5% as early adopters. The bulk of your target audience will be in the early majority and late majority phase of the model, while 16% will be the last to adopt the change being introduced.
Through this framework, you will begin to appreciate why some change efforts fail and others succeed—and why uptake of certain change efforts occur faster than others. You’ll also examine the three key themes common to most change efforts:
1. Perception and attributes of change. 2. Characteristics and behavior of adopters.
Books and Resources for this Week
3. The context or environment in which change was presented.
This week, you will have the opportunity to garner best practices—such as understanding the driving and restraining forces, otherwise called the force field analysis—when implementing change efforts in healthcare organizations. Specifically, you will get insight into strategies that employ the use of continuous education as incentives, those that use printed materials in dissemination, and those that are delivered live.
In addition, you will learn about the role of opinion leaders (for example, respected physicians) as well as learn about strategies such as academic detailing, the use of reminders, and those that provide feedback to clinicians. More so, important strategies that involve the use of checklists, disease, and population management systems; decision support; and those that consider the use of financial incentives will be discussed.
References:
Kaminski, J. (2011). Theory in Nursing Informatics Column. Diffusion of innovation theory. Canadian Journal of Nursing Informatics, 6(2). Retrieved from
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Accreditation Commission for Health Care. (2018). Empowering providers to enhance patient care.
Link
Healthcare Facilities Accreditation Program. (2018). Overview.
Link
Weber, V., and Sidorrov, J. (2014). Implementing healthcare quality improvement. In M. S. Joshi, E. R. Ransom, D. B. Nash, & S. B. Ransom (Eds.)…
Link
Week 5 – Assignment: Apply Performance Improvement Model
Assignment
Due May 26 at 11:59 PM
As an administrator of a healthcare facility that prides itself on providing quality healthcare service, you have just been briefed by the Quality Director in your organization about the state of fall injuries (building upon previous assignments). From the data collected within the past year,
it appears that fall injuries have increased by 15%. This increase came with a significant negative impact to your organization: cost and reputation. To address this concern, you meet with your management team and decide that the FOCUS PDCA model will be used to address this immediate concern. Using this acronym, discuss the steps you will take in planning and implementing for quality improvement.
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