PLANNED CHANGE IN A DEPARTMENT 1
The healthcare environment ranks among the most rapidly transformingfields with numerous developments occurring in the sector during thepast decade. These developments have resulted in healthcareorganizations implementing change policies to ensure they remaincompetitive, while at the same time ensure high health standards.However, implementing change within an organization may presentvarious challenges, especially if the change is poorly planned andlacks organization. The use of a change framework, however, ensuresthere is coordination between the different levels of changetherefore, the realization of all set goals. This paper entails thedevelopment of a change strategy meant to address inefficiencies thatmay exist in the record keeping department of a health careorganization.
The present-day health care organization entails the use ofpaper-based technology to record the majority of the operations.However, the use of paper in healthcare facilities has occasionedvarious ineptitudes therefore, resulting in low- service quality topatients. Matters such as patient safety issues, wrong prescription,and human errors have been attributed to confusion, which may existdue to the use of paper-based approaches in the health organization.Such issues may result in negative consequences for both the patientand the health organization therefore, need to formulate aninnovative record taking and keeping approach that healthprofessionals can use to improve their competence.
The 21st century has been characterized by numerousinnovations in computer-based industries including the touch screen,cloud computing or voice to text programs. These technologies havereplaced paper-based approaches in different fields with educationbeing the most recent. Health care organizations have also beenintroducing computer-based technologies to aid in various processeswithin the hospital (Mickan, Tilson, Atherton, Roberts &Heneghan, 2013). However, these systems have not been fullyintegrated into all hospital operations, which has resulted indifferent errors. The use of computer-based technologies in takingpatient records will help in reducing the various errors that haveresulted from the use of paper records (Mickan, Tilson, Atherton,Roberts & Heneghan, 2013). The computer-based approach willinvolve the provision of a cloud like technology that will allowstorage of patient information including past illnesses, a medicationpreviously prescribed as well as family history. Computer-basedtechnologies will also allow the health facility to keep track ofbilling and prescription information, as well as assist healthprofessionals conduct research on the best medication to offer apatient in a certain condition. The use of cloud-computing technologyto link all patient information including daily records and familyrecords will assist in avoiding mistakes such as prescription errors.The exitance of the patient`s records in a single cloud will allowphysicians to make a more informed prescription. The computer-basedapproach will also help reduce instances of loss, which may resultdue to inefficiencies with the use of the paper-based approach.
Relationship of the Change with the Organizations Mission, Vision,and Values
The organization’s mission and vision statements put specificimportance to the delivery of superior quality healthcare at anindividual and societal level. The use of computer-based technologiesto manage daily operation records will aid in facilitating theorganization’s ability to realize its mission, and vision. Theorganization’s business structure is guided by two main valueswhich are the use of nursing practices that aim to promote patientsafety, and a belief in the effectiveness of the healthcareproviders. The use of a pen and paper approach, however, does notguarantee patient safety to 100%. The use of computer-basedstrategies may, however, ensure increased productivity and reducederrors therefore, assuring patients of their safety while in thehealth organization.
The proposed change will employ the Kurt Lewin’s changemanagement theory. Lewin’s model involves three main stages namelyfreezing, transition and unfreezing (Sutherland, 2011). The firststep to ensuring change is unfreezing. Unfreezing involves presentingthe problem to the organization to show people why change is needed.The transition stage of implementing change involves usingdevelopment techniques and making changes to the organizationstructure to develop new behaviors values and attitudes. The freezingstage is the last step in change implementation. The freezing phaseinvolves having to remove all the older methods and replacing themwith newer and more effective methods (Sutherland, 2011). The plannedchange will use Lewin’s change model due to various reasonsincluding the expected resistance from health practitioners due tothem being used to paper-based technology. Using the three-stepprocess will ensure computer-aided technologies ae accepted by allpersonnel within the organization.
Steps to facilitate change
The first step of introducing change in the organization willbe the development of strategies to manage the change. Petch (2009)explained change management strategies as crucial in combating thevarious problems that may arise during change implementation.Identification of the change mission, vision and goals is the secondstep in the change process. The change mission and vision statementsexplain the main reasons behind the change implementation. The thirdstage will involve the actual change implementation. Changeimplementation varies and can be operational, management, orstructurally oriented. The transformational stage follows the changeimplementation change. Change implementation is only complete afterthe establishment of strategies to ensure the organization does notcollapse during the transformational period, which may becharacterized by losses especially in situations where personneltakes too long to adjust.
People Involved in Change
The planned change will be systematic therefore, need toensure all healthcare staff are involved during the implementation.Such involvement will assist in dealing with challenges, which mayresult during the early stages of technology use in the healthorganization. Department managers are also key in ensuring asuccessful change process. These department managers will be usefulin motivating other personnel to accept the change.
Mickan, S., Tilson, J. K., Atherton, H., Roberts, N. W., &Heneghan, C. (2013). Evidence of effectiveness of health careprofessionals using handheld computers: a scoping review ofsystematic reviews. Journal of medical Internetresearch, 15(10), e212.
Petch, A. ( 2009). Managing transitions: support forindividuals at key points of change. New York: The PolicyPress.
Sutherland, K. (2011). Applying Lewin’s Change Management Theory tothe Implementation of Bar-Coded Medication Administration. CanadianJournal of Informatics, 8(1 & 2).