Health Care Management for Strategic Plan - MyAssignmenthelp

Question: Discuss about theHealth Care Management for Strategic Plan. Answer: Introduction: In relation to the organization goal of providing high quality and safe patient care, the main objective is reduce hospital acquired infection (HAI) by 10% by June 2018, increase hand hygiene by 10% by November 2017, reduce medication error in hospital by 10% by January 2018 and reduce the number of fall in the hospital by 2.5% by November 2019. The purpose of the report is to develop implementation plan for change. Steps to Operationalize the Strategic Plan: To operationalize the above mentioned goal of the health care organization, the plan is to work on reducing the rate of HAI, medication error and reported number of falls. This will be done by implementing policies and guidelines for following appropriate hand hygiene technique to reduce HAI. As HAI is the major cause of mortality and morbidity, evidence-based guideline of infection control by staffs and patient will be implemented. It will involve providing efficient hand sanitizers and giving appropriate hand hygiene message so that staffs regard it as a major priority to conduct hand hygiene before contacting patient (Thoa et al., 2015). Secondly, in order to reduce medical error, the plan is to maintain adequate staffing levels so that no health care staff is overburdened by task (Vincent, Burnett, Carthey, 2014). Hence, reducing burnout and fatigue in work will reduce medical error too. To achieve the goal of reducing fall rate at the hospital, the plan is to implement fall ris k assessment process at the hospital and provide appropriate tool to make the environment of the hospital safe for patient (DuPree et al., 2014). Change Management Model Approach: The changes planned at the health care organization will be based on the Lewins change model approach. According to this theory, change is implemented in the organization in three phases- unfreeze, change and freeze stage. The unfreezing stage is the stage in which need for changes and the preparation for change is made. In case of health care organization, the need for change arose after many quality and safety related issues came up in the hospital such as increase in number of incidence of fall, medical error and HAI cases. With this, prioritizing quality and safety at the hospital became important. The second stage of Lewins change model is the change stage in which transition is made from an unsafe environment to a safer environment (Cummings, Bridgman, Brown, 2016). Hence, the implication of this stage in the context of the health care organization is that in this stage, range of evidence based strategies and policies will be implemented to ensure that staffs follow appropriat e hand hygiene and infection control at the hospital. Appropriate training will be given to staffs to create a safety culture at hospital. True patient safety culture will be promoted by means of patient safety indicators, continuous learning of staffs and commitment to reduce adverse events at the hospital (Sorra et al., 2014). This stage will also involve investment in the area of appropriate fall risk assessment tool so that staffs identify fall risk in patients and give them necessary support to prevent fall. Effective implementation of this approach will help the hospital to change from a situation of high medication error, patient injury cares to a clinical setting where safe, and high quality care is provided. This stage is associated with instability as many challenges and issues are faced during implementing the change. The last stage is the freezing stage in which appropriate stability will be achieved when people accept the change and adopt new norms (Cummings, Bridgman, Brown, 2016). Implementation Schedule for: Objective 1.1: Reducing HAI by 10% by June 2018 Activities: Assessment of infection control and compliance to hand hygiene at the hospital Implementing education programmes and posters to educate health staffs about the importance of hand hygiene Leveraging existing resources to promote HAI prevention initiative Introducing infection control services to prevent infection (Loveday et al., 2014). Time frame- Achieve the objective of reducing HAI rate by June 2018 Stakeholders- Nurses, physician, infection control suppliers and agents Evaluation- In relation to the activities implemented, the success will depend on the rate of compliance to infection control practices by staff. Objective 1.2: Increase hand hygiene by 10% by November 2017 Activities: Research on effective hand hygiene resource for health care environment Providing training to staffs regarding the steps of hand washing before medical procedure by means of visual aid. Maintaining supply of anti-microbial soap and antiseptics for each medical staffs Time frame- The outcome of increase in hand hygiene needs to be achieved by November 2017. Stakeholders- Nurses, clinicians and hand hygiene resource suppliers Evaluation- Observation and assessment regarding use of sanitizers and hand hygiene by staffs will help to evaluate success of the programme. Objective 1.3. reduce medication error in hospital by 10% by January 2018. Activities: To keep appropriate number of staff according to workload at hospital Address issues of burnout at the hospital Implement safety culture practice at hospital and report adverse event. Timeframe- Achieve by January 2018 Stakeholders- Patient, clinician and hospital administrative staff Evaluation- To evaluate the success of the activity, change in adverse event rate will be evaluated Objective 1.4. reduce the number of falls occurred in hospital by 2.5% by November 2019. Activity: Implement fall management program at hospital Provide training on fall risk assessment and fall management to staff Provide tools for fall risk assessment and management Time frame: By November 2019 Stakeholder: Health care staffs Evaluation- Feedback from patients and record on fall management after the program will help to evaluate success of the program. Barriers in the Process and Ways to Address it Poor attitude and lack of motivation among health care staffs to promote safety might act as risk factor behind non-compliance with hand hygiene practices. Forgetfulness, ignorance of guidelines, high workload, priority o f patient needs, interference with patient-staff relationship and inaccessible supply of resource might act as barrier to improved hand hygiene practice. The solution to this include visual message at place of work so that staffs do not forget hand hygiene routine. Secondly, patient must also be encouraged to ensure that staffs conduct hand hygiene before contacting them (Gould et al., 2017). Monitoring and Evaluation Process The monitoring and evaluation process will assess the compliance rate of staffs to hand hygiene practice, maintaining safety culture at the hospital and fall management guidelines. This evaluation will help to identify shortfalls in the process and take active steps to reduce it. Budget/Sponsorship The achievement of above objective is dependent on many tools and educational resources like tool for fall risk assessment, fall management resources for patients, visual tools to promote hand hygiene and education resources to train staffs regarding infection control and fall management. Investment is required in these area and budget plan must incorporate cost of these resource to achieve the set objective in the set time frame. Reference Cummings, S., Bridgman, T., Brown, K. G. (2016). 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