Implementing Change PPT and Staffing Models Paper Essay

Sample Answer for Implementing Change PPT and Staffing Models Paper Essay Included After Question

Implementing Change PPT and Staffing Models Paper Essay

The two areas of waste identified include admission, discharge and transfer activity, and the shift report. In most cases, the patients delayed receiving treatment or even go home after treatment due to time wastage at the admission and discharge desks. For example, patients would take too long before being given files and the hospital beds. By taking too long to get the file and an admission number, it meant that their treatment was also delayed. Furthermore, there was a lot of dissatisfaction as a result of delayed discharge processing. The time wasted at the discharge and admission stage is estimated at 2 hours per patient. Secondly, processing of the shift reports is essential for an efficient transition from one shift to another. The incoming staff depend on the prepared shift reports; therefore, delays in the preparation of the reports disrupt the workflow and may eventually lead to delayed treatment and management of the patients. These were the major areas of waste identified from the experience and need to be addressed to improve the quality of service delivery in the hospital. The time wasted at the shift report processing is about 1 hour.

Plan

Reducing time wastage at the admission, transfer, and the discharge of the patients will be achieved by implementing electronic health record systems, which will make it easier for the service providers to trace the required patients’ information. Most of the delays result from the technicalities involved in acquiring the patients’ data and compiling of their bills. HER systems will facilitate the coordination and integration of the hospital data and thus enhance the management process. The other plan involves encouraging the hospital staffs to fill in their reports within the shift instead of doing it after their shift elapses. The strategy will reduce time wastage significantly and promote efficiency. By engaging with the personnel and preparing them to adopt the change, the proposed plan can be implemented within three months.

Major Challenges

The major challenges in gaining support from the team and in the documentation of the value of this work to the team and patients may include lack of enough financial resources to facilitate the change (Hao & Yazdanifard, 2015). Additionally, the staff may not conceive the change as important because they may want to work within their status quo. Lastly, the other challenge may arise from delays or failure to get the appropriate vendors to supply the HER systems.

Plan to Communicate Challenges

Communication is important for effective change management. Therefore, using focus groups, the challenges associated with the wastes will be discussed. Focus groups create a conducive environment for brainstorming and developing a common goal that is supported by all the nursing staffs (Balfour et al., 2017). The approach will make it possible to communicate the importance of continuing to address the nurse work from a positive perspective since all people will be involved in the change development process (Li, Field, & Davis, 2017).

Lean Staffing Model

Lean staffing model aims at eliminating wastes and adding value to the organization’s operation process. The staffing model is relevant in this case because it would help in ensuring that only productive staffs are retained at the various stages of operation to minimize delays and time wastage (Rotter et al., 2018). The ultimate purpose of the staffing redesign is to improve the quality of service delivery and promote efficiency and quality care delivery to the patients.

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In a complex and fast-paced healthcare environment, change is inevitable and constant. The advanced practice nurse is required to

lead and adapt to the constant changing environment while working with multidisciplinary teams. Imagine you are assigned by your director to work with a multidisciplinary team that is assisting with transition from the current paper record-based system to an electronic health record (EHR).

Create a PowerPoint presentation (10-15 slides) in which you will assess the situation and the steps that should be taken to successfully implement the change. Be sure to include 100-250 word presenter\’s notes per slide. Your presentation should address the following:

Describe the driving forces that relate to the need for implementing electronic health records.
Identify the key interprofessional stakeholders (both internal and external) that should be involved in change efforts.
Outline how you would initiate the change and be a change advocate. Utilizing change theory and innovative models of care, explain how you would provide a structure for the planned change to achieve successful implementation of the EHR.
Demonstrate how the change will affect current workflows. What revised workflow would you implement?
Identify resources (human, time, material, etc.) required for implementation.
Identify risks within the implementation plan. What are the impacts of the poor planning on cost, quality, and safety?
Identify potential barriers when implementing the change and discuss how you will handle resistance.

Integrate 3-5 scholarly sources into your presentation.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite.

Staffing Models Scenario Paper

The purpose of this assignment is to consider factors that impact efficient staffing models and work practices within health care organizations. Select one of the two scenarios at the end of Chapter 5 in Leadership in Nursing Practice: Changing the Landscape of Health Care. In 500-750 words, address the questions in the scenario is specific detail. Additionally, comment on how lean staffing models could positively contribute to more efficient staffing and work practices.

Integrate 2-3 resources into your response.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.

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A Sample Answer For the Assignment: Implementing Change PPT and Staffing Models Paper Essay

Title: Implementing Change PPT and Staffing Models Paper Essay

DRIVING FORCES OF EHRS

In the current world, Electronic health records (EHRs) are the center for healthcare data collection, storage, and management in several hospitals around the world.
The driving forces for the development of EHRs are divided into two main categories: Compliance and User needs.
With compliance, the organization must observe all the legal and insurance requirements outlined for the development of HER (Krousel-Wood et al., 2017). Afterward, they can then consider the cost and practice need specifications to be able to adopt the best system.
The user needs, on the other hand, to emphasize making sure that the health care workers’ needs are considered when deciding on which EHR system to adopt.

Key Interprofessional Stakeholders

EHR Team Lead
Clinicians
EHR Implementation Manager
Office manager
Scheduler Lead
Billing team
Information Technology Lead
Board members
Marketing team

CHANGE INITIATIVE AND BEING A CHANGE ADVOCATE

Kotter’s change management principle can be used as a guide for initiating the change from paper to an electronic system. These principles entail three main steps (Noumair, 2016):
Step 1: Formulating a climate for change
Step 2: Engaging and enabling the organization
Step 3: Executing and maintaining the change

Step 1: Creating a climate for change

This is the first step of Kotter’s change management principle.
It is made up of three main steps: first, create a future state or vision, then identify the champion and lastly establish the project (Krousel-Wood et al., 2017).

CHANGE INITIATIVE AND BEING A CHANGE ADVOCATE

Step 2: Engaging and enabling the organization

All healthcare personnel who will be involved with the new system in their daily routine must be involved in the transformation process.
This step allows the change advocate to organize training of the staff and evaluate the usability of the new EHR system (Noumair, 2016).

Step 3: Implementing and sustaining the change

This is the most relevant step among the three, as it determines whether the implemented system will be applicable in the hospital setting.
In this step, the change advocate reviews the feedback and organizes for the system update.
The staff members are also rewarded.

IMPACT OF THE CHANGE ON CURRENT WORKFLOWS

The transformation from paper to EHR system will positively impact the existing healthcare facility workflow by increasing the work output and reducing time spent in the following areas (Krousel-Wood et al., 2017):

Booking patient appointments
Maintaining patient admission records
Conducting patient examination
Managing patient history records
Managing messages
Renewing and refilling patient medication
Clinicians consultations

Revised Workflow

Redesigning the workflow based on the newly implemented electronic healthcare records will impact the healthcare organizations in different ways such as (Barrett & Stephens, 2017):

Reducing healthcare wastages
Maximizing efficiency
Eliminating or reducing workflow chaos
Improving coordination of care
Enhancing the quality and safety of healthcare provided

Required Resources for Implementation

Hardware and software infrastructure
Equipment upgrade software and other Health IT software
Regional extension centers
Privacy or security training games
Certified Health IT Product List (CHPL)
Additional power and network infrastructure
Finance
Internal and external labor
Medical devices

Risks Within Implementation

Poor system design which does not align with the practice needs
Stakeholder hesitation as a result of inadequate education and training
Inappropriate launching of the new system that might prevent a smooth transition
Inappropriate investigation strategies which may delay ROI
Ineffectual privacy and security features

IMPACTS OF THE POOR PLANNING ON COST, QUALITY, AND SAFETY

Poor planning results in an unexpected financial burden.
It undermines the quality of healthcare provided.
It also compromises the safety of the patient hence putting their health at high risk (Kohli, & Tan, 2016).

Potential Barriers

Misalignment of cost and benefits
Healthcare personnel resistance to the new system
Breach of patient privacy
Standardization limits
Lawsuits and legal complications
Organizational constraints
Medical errors

Healthcare personnel resistance to EHR system can be avoided by (Krousel-Wood et al., 2017):

Properly communicating the benefits of HER
Proper training
Establishment of strong technical support

References

Noumair, D. A. (2016). Research in Organizational Change and Development. Emerald Group Publishing Limited.
Barrett, A. K., & Stephens, K. K. (January 01, 2017). Making Electronic Health Records (EHRs) Work: Informal Talk and Workarounds in Healthcare Organizations. Health Communication, 32, 8, 1004-1013.
Ben-Assuli, O. (January 01, 2015). Electronic health records, adoption, quality of care, legal and privacy issues and their implementation in emergency departments. Health Policy, 119, 3, 287-297.
Kohli, R., & Tan, S. S.-L. (January 01, 2016). Electronic Health Records: How Can IS Researchers Contribute to Transforming Healthcare?. Mis Quarterly, 40, 3, 553-574.
Krousel-Wood, M., McCoy, A. B., Ahia, C., Holt, E. W., Trapani, D. N., Luo, Q., Price-Haywood, E. G., … Milani, R. V. (2017). Implementing electronic health records (EHRs): health care provider perceptions before and after transition from a local basic EHR to a commercial comprehensive EHR. (Journal of the American Medical Informatics Association.)