Hcs/581 Organizational Change Plan
Organizational Change Plan Part I
Creating Change Within Organizations/ HCS/587
August 26, 2013
Introduction The proposed organizational change is designed for Cincinnati Children’s Hospital Medical Center (CCHMC) in Cincinnati, Ohio. CCHMC’s vision statement states that it “will be a leader in improving child health (Cincinnati Children’s, 2013).” Therefore, to provide and advance excellence of care, it is necessary to improve constantly. The Centers for Medicaid and Medicare Services (CMS) passed regulations commencing on October 1, 2008 that denies reimbursement for selected conditions occurring during the hospital stay and are not present on admission (Stone, Glied, McNair, Matthes, Cohen, Landers, & Larson, 2010). Catheter-associated …show more content…
To ensure that the desired change is accepted and maintained into the future, certain internal and external resources must take place. First it is crucial that organization provides the resources and rationale for the change. The staff need the education that this change is important and can ultimately affect patient mortality. The organization needs to impress upon the staff that revue is affected and that they are on the front line to stop the monetary waste. External resources such as vendor’s consultants provide knowledge and skill necessary for the change. The consultants can make site visits and demonstrate the products, provide their company’s research, and proof of organizational savings to the staff. Training workshops are also another important resource to ensure positive change. Outcome data that may be collected are rates of bloodstream infections among patients in the critical care area. In addition, adverse events to CHG bathing should be collected to evaluate any negative impact of the practice change. Documentation of the daily bath using CHG in the electronic medical record will allow for communication among nursing staff that the daily bath was given and could be used as a process …show more content…
The Lancet, 381, 1099-1106
Morrison, M. (2010). Kurt Lewin three step model and theory change. Retrieved from http://repidbi.com/management/kurt-lewin-three-step-change-theory
National Institute for Health and Clinical Excellence. (2007). Retrieved from http://www.nice.org.uk/media/af1/73/howtoguidechangepractice.pdf
Powers, J., Peed, J., Burns, L, & Ziemba-Davis, M. (2012). Chlorhexidine bathing and microcial contamination in patients’ bath basins. American Journal of Critical Care, 21(5), 338-342
Rampur, S. (2010). Barriers to change. Retrieved from http://www.buzzle.com/articles/barriers-to-change.html
Rello, J. and Sabanes, E. (2009). Evaluation of outcome of intravenous catheter-related Infections in critically ill patients. American Journal of Respiratory Critical Care, 162(3 Pt 1), 1027-1030
Spector, B. (2010). Implementing organizational change: Theory in practice (2nd ed). Upper Saddle River, NJ: Pearson Prentice Hall
Stone, P., Glied, S., McNair, P., Matthes, N., Cohen, B., Landers, T., and Larson, E. (May, 2010). CMS changes in reimbursement for HAIs: Setting a research agenda. Medcare, 48(5), 433-439. doi:
Creating Change Within Organizations/ HCS/587
August 26, 2013
Introduction The proposed organizational change is designed for Cincinnati Children’s Hospital Medical Center (CCHMC) in Cincinnati, Ohio. CCHMC’s vision statement states that it “will be a leader in improving child health (Cincinnati Children’s, 2013).” Therefore, to provide and advance excellence of care, it is necessary to improve constantly. The Centers for Medicaid and Medicare Services (CMS) passed regulations commencing on October 1, 2008 that denies reimbursement for selected conditions occurring during the hospital stay and are not present on admission (Stone, Glied, McNair, Matthes, Cohen, Landers, & Larson, 2010). Catheter-associated …show more content…
To ensure that the desired change is accepted and maintained into the future, certain internal and external resources must take place. First it is crucial that organization provides the resources and rationale for the change. The staff need the education that this change is important and can ultimately affect patient mortality. The organization needs to impress upon the staff that revue is affected and that they are on the front line to stop the monetary waste. External resources such as vendor’s consultants provide knowledge and skill necessary for the change. The consultants can make site visits and demonstrate the products, provide their company’s research, and proof of organizational savings to the staff. Training workshops are also another important resource to ensure positive change. Outcome data that may be collected are rates of bloodstream infections among patients in the critical care area. In addition, adverse events to CHG bathing should be collected to evaluate any negative impact of the practice change. Documentation of the daily bath using CHG in the electronic medical record will allow for communication among nursing staff that the daily bath was given and could be used as a process …show more content…
The Lancet, 381, 1099-1106
Morrison, M. (2010). Kurt Lewin three step model and theory change. Retrieved from http://repidbi.com/management/kurt-lewin-three-step-change-theory
National Institute for Health and Clinical Excellence. (2007). Retrieved from http://www.nice.org.uk/media/af1/73/howtoguidechangepractice.pdf
Powers, J., Peed, J., Burns, L, & Ziemba-Davis, M. (2012). Chlorhexidine bathing and microcial contamination in patients’ bath basins. American Journal of Critical Care, 21(5), 338-342
Rampur, S. (2010). Barriers to change. Retrieved from http://www.buzzle.com/articles/barriers-to-change.html
Rello, J. and Sabanes, E. (2009). Evaluation of outcome of intravenous catheter-related Infections in critically ill patients. American Journal of Respiratory Critical Care, 162(3 Pt 1), 1027-1030
Spector, B. (2010). Implementing organizational change: Theory in practice (2nd ed). Upper Saddle River, NJ: Pearson Prentice Hall
Stone, P., Glied, S., McNair, P., Matthes, N., Cohen, B., Landers, T., and Larson, E. (May, 2010). CMS changes in reimbursement for HAIs: Setting a research agenda. Medcare, 48(5), 433-439. doi: