BSU Leadership Performance & Change Initiatives in Admission for Hospitals Essay

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Health Medical

Bowie State University

Description

Evaluate the performance of your organization or department. Identify an area that would significantly benefit from initiating a change. Write a paper (1,750 words) in which you describe the particular area you propose to address through a change initiative. Include the following for your company:

Write a paper in (1,750 words) on a Propose Change initiative on how the rate of READMISSION can be reduced in the Hospital. Include all below topic in your propose change:

  1. Discuss the issues in this area and the current outcomes as a result of the issues.
  2. Describe the external and/or internal driving forces, contributing issues, and the people affected.
  3. Evaluate the stakeholders involved and discuss how they will be affected by your change initiative.
  4. Clarify your role and responsibility as a change leader. Discuss the leadership theory (or theories) you will use to guide the change process.
  5. Discuss the change agents you need to recruit in order to successfully implement your change. Describe the roles of these change agents.
  6. Utilize your change model to develop strategies: (a) Explain the relevance of this model to your organization; and (b) Present the strategic aspects using your model. Be sure to clearly define the purpose of each aspect, the people involved, and the actions that need to be taken.
  7. Identify, or predict, the potential barriers to change. Discuss possible ways to overcome these obstacles, including methods for dealing with emerging or unforeseen circumstances that could impede implementation.
  8. Describe the evaluation methods you will use to determine the level of success of your change initiative. Discuss what metrics or measureable determinates you will use.
  9. Propose strategies to anchor change or support continuous change.
  10. Establish how your change plan supports the organizational mission/goal, genuinely addresses stakeholder concerns, and will serve as an equitable contribution for the community or society overall.

Prepare this assignment according to the APA Style guide and using 3 APA citation reference within the last 5years with nursing content.

Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.


Unformatted Attachment Preview

Course Code LDR-615 Class Code LDR-615-O502 Criteria Content Percentage 80.0% The Need for Change 10.0% Driving Forces 5.0% Stakeholder Evaluation 5.0% The Role of the Leader in the Change Initiative 10.0% Change Agents and Roles 10.0% Application of the Change Model to Develop Strategies (Competency 3.5) 10.0% Overcoming Barriers to Change (Competency 1.5) 10.0% Evaluation Methods 10.0% Strategies for Sustaining Change 5.0% Overall Effectiveness of Change Plan 5.0% Organization and Effectiveness 13.0% Thesis Development and Purpose 3.0% Argument Logic and Construction 5.0% Mechanics of Writing (includes spelling, punctuation, grammar, and language use) 5.0% Format 7.0% Paper Format (use of appropriate style for the major and assignment) 2.0% Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 5.0% Total Weightage 100% Assignment Title Benchmark - Change Initiative: Implementation, Evaluation, and Sustainability Unsatisfactory (0.00%) The need for change including specifying the issue and the current outcomes resulting from the issue is not discussed. Description of internal and/or external driving forces, contributing issues, and people affected is not included. Evaluation of stakeholders and how they will be affected by the change initiative is not included. The role of the leader in the change initiative is not addressed. Discussion of necessary change agents and their respective roles in implementing change is not included. The change model is not applied to develop strategies. Overcoming barriers to change is not addressed. Evaluation methods for determining the success of the change initiative are not included. Strategies for sustaining change are not addressed. Discussion of how the change plan supports the organizational mission and goals, addresses stakeholder concerns, and contributes to the community of society is not included. Paper lacks any discernible overall purpose or organizing claim. Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is employed. Template is not used appropriately or documentation format is rarely followed correctly. Sources are not documented. Total Points 250.0 Less than Satisfactory (74.00%) The need for change including specifying the issue and the current outcomes resulting from the issue is discussed, but discussion is incomplete or inaccurate. Description of internal and/or external driving forces, contributing issues, and people affected is incomplete or inaccurate. Evaluation of stakeholders and how they will be affected by the change initiative is incomplete or inaccurate. The role of the leader in the change initiative is present, but it is incomplete or inaccurate. Discussion of necessary change agents and their respective roles in implementing change is incomplete or inaccurate. The change model is applied, but the resulting strategies are incomplete or inaccurate. Overcoming barriers to change is presented, but it is incomplete or inaccurate. Evaluation methods for determining the success of the change initiative are incomplete or inaccurate. Strategies for sustaining change are incomplete or inaccurate. Discussion of how the change plan supports the organizational mission and goals, addresses stakeholder concerns, and contributes to the community of society is incomplete or inaccurate. Thesis is insufficiently developed or vague. Purpose is not clear. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied. Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Satisfactory (79.00%) The need for change including specifying the issue and the current outcomes resulting from the issue is included, but discussion is cursory and lacking in depth. Description of internal and/or external driving forces, contributing issues, and people affected is included, but discussion is cursory and lacking in depth. Evaluation of stakeholders and how they will be affected by the change initiative is included, but discussion is cursory and lacking in depth. The role of the leader in the change initiative is presented, but it is cursory and lacking in depth. Discussion of necessary change agents and their respective roles in implementing change is included, but discussion is cursory and lacking in depth. The change model is applied, but the resulting strategies are cursory and lacking in depth. Overcoming barriers to change is presented, but it is cursory and lacking in depth. Evaluation methods for determining the success of the change initiative are included but lack specific metrics or measurable determinants and relevant details. Strategies for sustaining change are presented, but discussion is cursory and lacking in depth. Discussion of how the change plan supports the organizational mission and goals, addresses stakeholder concerns, and contributes to the community of society is cursory and lacking in depth. Thesis is apparent and appropriate to purpose. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed. Appropriate template is used. Formatting is correct, although some minor errors may be present. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Good (87.00%) The need for change including specifying the issue and the current outcomes resulting from the issue is discussed, including all necessary elements. Description of internal and/or external driving forces, contributing issues, and people affected is discussed, including all necessary elements. Evaluation of stakeholders and how they will be affected by the change initiative is discussed, including all necessary elements. The role of the leader in the change initiative is presented and includes discussion of all necessary elements. Discussion of necessary change agents and their respective roles in implementing change is discussed, including all necessary elements. The change model is thoroughly applied and the resulting strategies include all necessary elements. Overcoming barriers to change is presented and includes discussion of all necessary elements. Evaluation methods for determining the success of the change initiative are complete and include specific metrics or measurable determinants and relevant details. Strategies for sustaining change are complete and include discussion of all necessary elements. Discussion of how the change plan supports the organizational mission and goals, addresses stakeholder concerns, and contributes to the community of society is presented and includes discussion of all necessary elements. Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech. Appropriate template is fully used. There are virtually no errors in formatting style. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Excellent (100.00%) The need for change including specifying the issue and the current outcomes resulting from the issue is thoroughly discussed with rich detail, including all necessary elements. Description of internal and/or external driving forces, contributing issues, and people affected is thoroughly discussed with rich detail, including all necessary elements. Evaluation of stakeholders and how they will be affected by the change initiative is thoroughly discussed with rich detail, including all necessary elements. The role of the leader in the change initiative is thoroughly presented with rich detail and includes discussion of all necessary elements. Discussion of necessary change agents and their respective roles in implementing change is thoroughly discussed with rich detail, including all necessary elements. The change model is thoroughly applied with rich detail and the resulting strategies include all necessary elements. Comments Overcoming barriers to change is thoroughly presented with rich detail and includes discussion of all necessary elements. Evaluation methods for determining the success of the change initiative are extremely thorough with specific metrics or measurable determinants clearly defined and numerous relevant details. Strategies for sustaining change are thoroughly presented with rich detail and include discussion of all necessary elements. Discussion of how the change plan supports the organizational mission and goals, addresses stakeholder concerns, and contributes to the community of society is thoroughly presented with rich detail and includes discussion of all necessary elements. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. The writer is clearly in command of standard, written, academic English. All format elements are correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. Points Earned
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Attached.

Running head: ORGANIZATIONAL PERFORMANCE AND CHANGE INITIATIVES

Organizational Performance and Change Initiatives
Institution Affiliation
Date

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ORGANIZATIONAL PERFORMANCE AND CHANGE INITIATIVES

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Introduction
Hospital readmission is a significant challenge that almost every hospital across the
nation has to deal with. The reduction of hospital readmission rates is a major healthcare policy
goal since it provides an opportunity to improve healthcare quality, reduce healthcare costs, and
increase patient satisfaction. Although some cases of hospital readmissions may be necessary,
most of them can be prevented. It is important for hospitals to adopt change initiatives that can
help them to reduce the rate of readmissions. The proposed change initiative focuses on engaging
and educating patients before discharging them, identifying the causes of readmissions and
understanding patients' population at high risk, enhancing transitional care, and scheduling
follow-ups before discharge.
The issues around hospital readmissions and the current outcomes as a result of the issues
Readmission applies to patients who have been readmitted to the same hospital or another
healthcare facility within a period of 30 days after the first hospital stay. It is estimated that
among the elderly patients, one in five of them is readmitted after being discharged within 30
days. The costs associated with hospital readmission are significantly high, making it essential
for hospitals to address the issue by improving their processes. Medicare spends about $26
billion annually in hospital readmissions with about $17 billion being spent on readmissions that
can be avoided (Warchol, Monestime, Mayer, & Chien, 2019). Reducing preventable
readmissions rates is also an important factor that is considered in rating the quality of healthcare
provided by a hospital. Since there are known factors contributing to readmission, hospitals are
expected to utilize this knowledge to minimize readmissions. As a result of the high costs of high
readmission rates, especially in Medicaid-covered patients, the Affordable Care Act imposed

ORGANIZATIONAL PERFORMANCE AND CHANGE INITIATIVES

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penalties on hospitals that have excessive readmission rates. These penalties affect the hospital’s
financial health.
The external and internal forces, contributing issues, and the people affected by hospital
readmissions
Both external and internal forces contribute the issue of hospital readmission. Among the
factors that contribute to preventable readmissions include lack of patient compliance with the
instructions given after discharge. Some patients don’t take the discharge instructions seriously
and ignore their follow-up appointments. Readmission is also contributed by several health
conditions that have a higher risk of leading to readmission. Some conditions have high
complication rates that increase the risk of readmission. Among these conditions include chronic
kidney disease, pneumonia, heart diseases, among others (Joo, & Liu, 2017). Inadequate
transition to care whereby a patient may not be aware of what to do next or signs of potential
issues also contribute to readmission. Discharging a patient too early before being adequately
stable also contribute to readmission. Some people are at high risk of being affected by
readmission than others. The elderly people are at a high risk of being affected by hospital
readmission. People of low socioeconomic status are...


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