Improvement in quality and safety should be considered a core organizational strategy. Leading that change is not always easy. A road map for change is helpful in managing organizational change. Kotter’s (1995, 1996; as cited in Joshi et al., 2014) model for change is a realistic framework to manage quality improvements. The eight steps of Kotter’s theory include 1) unfreezing the old culture; 2) forming a powerful guiding coalition; 3) developing a vision and strategy; 4) communicating a vision and strategy; 5) empowering employees to act on the vision and strategy; 6) generating short-term wins; 7) consolidating gains and producing more change; and 8) refreezing new approaches in the culture (Joshi, et.al, 2014, page numbers).
In this Assignment, you will analyze Emergency Department data and other resources to identify areas where the care and services provided are not up to state or national comparisons. You will also address how you would improve the substandard performance indicators.
he Assignment:
The HCAHPS data for the Emergency Department would indicate there are areas where the care and services are not up to par, as compared to state or national standards.
Using Kotter’s work as described in Chapter 16 of your text, and other change models from the reading, write a 3- to 4-page (excluding title page and references) analysis of the performance data for the Emergency Department, comparing the medical care and services to state and/or national standards. Provide recommendations for strategies to improve the Emergency Department substandard performance indicators.
Emergency Department HCAPHS Data
| Emergency Department | State
Average |
National Average | |
| Average time patients who came to the ED with broken bones had to wait to before getting medication
|
47 minutes | 46 minutes | 54 minutes |
| Average (median) time patients spent in the ED before they were admitted to the hospital as an inpatient
|
246 minutes | 218 minutes | 200 minutes |
| Average (median) time patient spent in the ED after the doctor decided to admit them as an inpatient before leaving the ED for their inpatient room
|
65 minutes | 60 minutes | 48 minutes |
| Average time patients spend in the ED
before leaving from the visit
|
140 minutes | 116 minutes | 116 minutes |
| Average time spent in the ED before they were seen by a health care professional
|
15 minutes | 18 minutes | 21 minutes |
Note: Your Assi
| EXCELLENT – above expectations | GOOD – met expectations | FAIR – below expectations | POOR – significantly below expectations or missing | |
|---|---|---|---|---|
| Analysis of the performance data for the Emergency Department. |
36 (36%) – 40 (40%) The analysis shows depth, breadth, triangulation and clarity in critical thinking. |
32 (32%) – 35 (35%) The analysis fully addresses the performance data for the Emergency Department. |
28 (28%) – 31 (31%) The analysis lacks depth, breadth, triangulation and clarity in critical thinking. |
0 (0%) – 27 (27%) The analysis does not address (zero points) or poorly addresses performance data for the Emergency Department. |
| Recommendations for strategies to improve the Emergency Department substandard performance indicators. |
36 (36%) – 40 (40%) The recommendations show depth, breadth, triangulation, and clarity in critical thinking. |
32 (32%) – 35 (35%) The recommendations fully address the performance indicators. |
28 (28%) – 31 (31%) The recommendations lack depth, breadth, triangulation, and clarity in critical thinking. |
0 (0%) – 27 (27%) The recommendations do not address (zero points) or poorly addresses the performance indicators. |
| Writing |
18 (18%) – 20 (20%) The analysis is well organized, uses professional tone, contains original writing and proper paraphrasing, contains very few or no writing and/or spelling errors, and is fully consistent with graduate level writing style. |
16 (16%) – 17 (17%) The analysis is mostly consistent with graduate level writing style and may have some spelling and writing errors. |
14 (14%) – 15 (15%) The analysis is somewhat consistent with graduate level writing style and may have some spelling, and writing errors. |
0 (0%) – 13 (13%) The analysis is well below graduate level writing style expectations for organization, professional tone and writing, or shows heavy reliance on quoting. |
gnment must be written in standard edited English. Be sure to support your work with at least five high-quality references, including two from peer-reviewed journals. Refer to the Essential Guide to APA Style for Walden Students to ensure that your in-text citations and reference list are correct. This Assignment will be graded using this rubric: Week 9 Assignment Rubric (PDF). Your Assignment should show effective application of triangulation of content and resources in your conclusion and recommendations.
