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Internal and external forces that drive organizational change in healthcare
Legislation in the health care setting
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Inside a healthcare organization, there are little changes that are made in there and there is a process that I would use to introduce this miniscule change in the organization. There are a large number of different types of changes that can be done in the organization which includes mission & strategy, organizational structure, people, culture, knowledge, policies & legal agreements, processes, technology, products, marketing & customer relationships, and integration. Based on the different types of changes that can be done we can figure out one typical change that could happen. This change could be a change in policies due to problems that have been solved by using the decision-making process and in order for the same problem not to be done again, they created a little add-on …show more content…
into the policy to prevent it from happening again. This may pertain to how people are treated in each department such as what gender they are and how they identify and what is an acceptable form of punishment or discipline inside each department, which goes along with not having a project done in time, if they misbehave during a very important meeting and also if they conduct an excessive personal telephone calls during working hours. Now let’s delve into the process of changing the said policy.
The first event required is that a person break the policy or if the said person finds a loophole in the policy, such as with the amount of personal calls during working hours policy. One loophole for this is that the managers specified the amount of calls, but not the amount of time per call. When a person finds this loophole and uses it to their advantage there would be a few eyes turned toward them and this goes into the next step in the process is realizing that the policy needs to be changed in order to combat this loophole. After this step there needs to be a group of people gathering together and discuss this problem and they need to figure out different ways to combat it, whether it be docking of pay for going over a certain time per call or putting a time limit on the calls. The next step is the implementation of said policy which could start by ordering an entire employee assembly from all of the departments to explain to them the new rules and regulations of the personal call policy and other changes in the policy if they have been made and answer any questions that the people who have attended this important
assembly. The final step for this process is follow up to determine if the problem has been solved and if it needs other extremes to fix the same problem that they were trying to fix weeks, months, or even years before. And thus the same process is used all over again to solve the same problem again this could mean that there is something else at play here and may be the root of the problem.
The NHS change model has been selected for this quality improvement. The NHS change model consists of eight dimensions, which are described as a useful tool to enhance change. This model has been identified as being effective in health care organisations, encouraging the use of teamwork to implement systematic improvements.
The team needs to establish a policy and procedure which would be a step toward an organizational structure. This process will be a framework that defines formal reporting relationships between the different levels of management. For example, the guidelines can be used as a protocol of the process managers needs to follow to assist their employees through the change process. The team also needs to provide in house trainings for all departments so employees can be aware and implement the new changes. The training will increase skill level and improve staff productivity.
In order for a health care organization to maintain optimal function, the promotion of change is continuously necessary. Within the health care delivery system, there are a number of different techniques that nurses can use to determine where changes need to be made. One technique is called a SWOT analysis, which involves an evaluation of an organization’s strengths, weaknesses, opportunities and threats (Harrison, 2010).
..., Watson, and Westley Planned Change Model consists of seven phases which the change is planned, implemented, and the evaluated (Yoder-Wise, 2011). The outcome of this issue is an ongoing process; the need has been submitted to the nurse practice council which has submitted the issue to the hospital policy board for implementation into policy (T. personal communication, April 2, 2014).
...mplications that allow for opportunities of change. One of the presumptions is for training and staffing (Shi & Singh, 2012). With the utilization of health care improvements, the staff will need additional instructions on the performance of equipment and how to efficiently achieve the desired results. Managers or supervisors recognize the need for supplemental staffing and training to optimize patient satisfaction and quality of care. The health care administrator must also focus on changes in insurance policies and rules governing the provision of medical assistance (Shi & Singh, 2012).
Organizational change is a very big risk for organizations. The process of change can be very difficult for employees as well as the leaders implementing the changes. The changes are usually planned to improve the company. However, sometimes change can destroy a company when things don’t go as planned. From a change in management to a change in the company structure, or way of doing daily task, organizations must carefully execute the process of change and use change strategies that will ensure success.
Why now? Why are we focusing on transformational leadership? Healthcare costs are continuing to rise. Some of the critical problems and active debates prevalent in many hospital organizations include the rapidly intensifying healthcare costs, funding and reimbursement cutbacks, and concern regarding the overall quality and safety of health care. “Healthcare systems have come under pressure to improve performance and manage productivity” (Botting, 2011). To be successful in the 21st century, there is a demand on healthcare systems to have a vision and executive and clinical leadership to inspire the change process and make the difference between success and failure in change.
Managing Change: Who Moved my Cheese? Darrin Ruble National University Managing Change: Who Moved my Cheese? Rashid-Al-Abri (2007) claims that change in the healthcare industry has been a dramatic phenomenon that requires the personnel to accept changes or they will be surpassed by them. Therefore, there is the need to follow the steps of change: evaluation, planning, implementation, and management. The characters are different, but the individual control that these characters display plays a fundamental role in the acceptance and the administration of change.
PURPOSE This written work should serve as an article summary critique on the article, “Transformational Leadership in Health Care Today” written by Beverly Robbins, RN, BSN and Ruth Davidhizar, RN, DNS, ARNP, BC, FAAN for “The Health Care Manager” Volume 26, Number 3, pp. 234 – 239. The article was written with todays’ nursing leadership style in mind but, focused on the future as well. The intended audience for this article is nurses, leaders and those in or interested in management. The purpose of this article was to document the current change processes in nursing leadership and management.
Organizational Change "The effectiveness of organizational change is greatest when a firm’s strategy is consistent with environmental conditions and there is internal consistency." (D A Nadler, 2003:204) The only thing that is constant in this world is change and this is widely acknowledged by many in the world, may it be a corporation or a social forum or a governmental body. What comes in this world has to experience change in the light of environmental elements and pressures and influences, internal or external. The study of organizational behavior gives that environmental factors are the political, legal, economic, demographic, technological, social and societal. While these are the external environmental factors that are and cannot be counted among the controllable factors for an organization, they do in fact influence organizational structure, policies and strategies. In turn, the internal environment of the organization, that is very much controlled by the management of the organization and comprises of the top to bottom managerial levels, the staff, the employees, the board of directors, the owners etc. this internal environment, is to a great extent the result of external environmental factors, the change of which results in the direct impact on the internal environment of the organization. As such in lieu of external environmental factors; change agents with in the organization tend to accept the change in their external factors and tries to bring about a compatible change within the internal environment of the organization. The effectiveness of the change that is being brought about with in the organization as a result of the changing external environmental forces is best when, as described by Nadler, the internal facto...
Change categorised by scale has four main characteristics: fine-tuning, incremental adjustment, modular transformation, and corporate transformation (Dunphy and Stace, 1993). If organisational changes described as an ongoing process to match its structure, people, strategy, and processes, it is called fine-tuning (senior, 2002). Generally, fine-tuning shows up at a departmental or divisional level of the organisation. According to Dunphy and Stace (1993), the purpose of fine-tuning is to develop personnel fit for the present organisational strategy, link mechanism, create specialist units, and refine policies and procedures (Todnem, 2005).
Why do organizations change? With time goes by, rapid development of science and technology had led us to a world full of competitions. Change and stay alert to keep up with the current trend is essential asset to survive in this aggressive global economy. As the framework indicated by Pettigrew, there are two key context factors makes a great deal of effects on the reason for companies to change. Those are outer context and Inner context. Outer context could refer to the surrounding environment around the firm and the global economics status, etc. Inner context could be downsizing, restructuring the Gestalt, or the problem with coherent design archetype. Under the stress of the outer and inner context, forces or triggers will bring out the revolution. Change can be seen in a short term way and also in a long term way. Short term change could be a sudden, discontinuous and frame-breaking rupture which has an impact on the whole organisation, or new forms of management ad structure of the firm itself, or the breakthrough created by the major innovations or even can refers to the impact of new product and new market opportunities. Normally, financial crisis will be an initiative as a trigger to revolution. At first of the revolution, there would probably already has small changes in normal management and structure. As a long term way to apply the change, change agents are needed to do an ongoing, continuous and gradual progression or give some simpler initiatives such as improvements to existing products and product range.
The most important factor critical to the success of organizational changes especially with mergers, reengineering, and downsizing is communication. Management must be open and changes must be communicated with everyone within an organization to avoid criticism. Communication should be well-thought out and the intended audience must be taken into separate considerations. This will lessen frustration caused by feelings of not being in control. All members in the organization would want to be a part of organizational change rather than feeling like a bystander or even worse, a victim. Other factors that can affect communication are the language used as well as the gender and emotions of the individuals as well as existing power structures.
The world is constantly changing in many different ways. Whether it is technological or cultural change is present and inevitable. Organizations are not exempt from change. As a matter of fact, organizations have to change with the world and society in order to be successful. Organizations have to constantly incorporate change in order to have a competitive advantage and satisfy their customers. Organizations use change in order to learn and grow. However, change is not something that can happen in an organization overnight. It has to be thought through and planned. The General Model of Planned Change focuses on what processes are used by the organization to implement change. In the General Model of Planned Change, four steps are used in order to complete the process of change. Entering and Contracting, Diagnosing, Planning and Implementing, and Evaluating and Institutionalizing are the four steps used in order to complete the process of change in an organization. The diagnostic process is one of the most important activities in OD(Cummings, 2009, p. 30).
Combinations of different experiences and education have developed a variety of assumptions about how an organisation works. The use of metaphors when describing organisation movements and change is an important way in which we express these assumptions (Cameron and Green, 2012). Gareth Morgan’s (1986) work on organizational metaphors is good for understanding the different assumptions and beliefs about change that exists. He identifies eight organizational metaphors; machines, organisms, brains, cultures, political systems, psychic prisons and flux and transformation (Morgan, 1986).