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Case Study
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Topic:

How to Anchor Change on Organizational Culture and Processes

Case Study Instructions:

MHA570-M4 – Case-Instructions

Running head: IMPLEMENTING AND MONITORING STRATEGIC ACHIEVEMENT



Assignment Overview

Working as a health care professional, you will find that change is inevitable. Change often presents challenges and as a leader, you will need to effectively manage change strategically.

Case Assignment- PLEASE CITE AUTHORS WORK THROUGHOUT THE PAPER OR POINT WILL BE DEDUCTED - Introduction & conclusion

Part 1:

In a 2-page paper answer the following:

1. What makes change so difficult for many organizations?

2. Why must an organization prepare for each phase of change?

3. How can change be anchored in an organization’s culture and processes?

4. What would be the best way to incorporate diversity education for all staff in the organization to ensure inclusivity is an integral part of the business model?



Part 2:

Review the following source:

Cameron, K. S., & Quinn, R. E. (2011). Chapter 2: The organizational culture assessment instrument. In Diagnosing and changing organizational culture: Based on the competing values framework (3rd ed). [Books24x7 version].

Select an existing health care organization (e.g., a hospital, physician’s office, long-term care center, etc.).



Continue to use Inova Fairfax Hospital in Northern VA.



Using your selected organization, design a 30-question survey that explores preparedness for change among leaders, stakeholders, and the overall organization (10 questions for each group). Your survey questions should be geared toward change that deals with improving patient experience, improving the health of populations, and diversity, and lowering the cost of health care.

In your scholarly paper, you should include an introduction and conclusion paragraph.

Assignment Expectations

1. Conduct additional research to gather sufficient information to support your responses in your paper.

2. Support your paper with peer-reviewed articles, with at least 3 references. Use the following link for additional information on how to recognize peer-reviewed journals:

Case Study Sample Content Preview:

How to Anchor Change on Organizational Culture and Processes
Introduction
Health care professionals should recognize that change is inevitable in the workplace. Change presents many challenges that the nurse leader should manage strategically. Strategic leadership positions the health care organization to achieve its mission and vision, despite the challenges related to change adoption and implementation. Strategic change management includes periodically reinventing the organization and changing the services, processes, products, and stakeholder value to meet emergent demands in the health care delivery landscape. This paper explains why change is hard to implement for many facilities, the need to prepare for different change phases, how to anchor change on organizational culture and processes, and the best approach to include diversity awareness in the organization to enhance inclusivity. The report also incorporates a 30-question survey exploring change preparedness among health care leaders, stakeholders, and the entire organization.
Part 1 Response
Several factors make it increasingly challenging to implement change in health care organizations. First, change is difficult to implement due to a lack of shared understanding concerning its dynamics (Walston, 2018). For example, it becomes increasingly challenging to implement change when the organizational leaders fail to base it on environmental analysis, key stakeholders, and other sources to foster the need for such changes. Environmental pressures augment where structures lead to quality improvement expectations, reduced costs, and demands to meet the need of all the involved stakeholders. Second, stakeholder resistance is another crucial factor that makes change difficult to implement for health care organizations. However, staff resistance can be conceptualized as a normal reaction to strategic change (Walston, 2018). The organizational leaders should identify the source, the degree, and the depth of the resistance and eliminate other barriers to change.
According to Walston (2018), change entails three interrelated and sequential phases: (a) pre-change preparations, (b) implementation, and (c) maintenance or sustenance. Leaders should appropriately prepare their organization for strategic change in order to properly executive the change and embed such changes in the organizational culture and environmental context. Unfreezing enables the corporate members to recognize the need for change, share the vision and mission, create a sense of urgency, and cultivate enabling coalitions. Failure to prepare for the change implies that each stage will not be effectively completed, thus putting the strategic change efforts at risk (Walston, 2018). In addition, preparing for each changing phase ensure that the leaders identify and address resistance and obstacles to achieve short-term wins.
Change can be anchored on the facility’s processes and culture through communicating success milestones achieved. Demonstrating short-term wins motivates the organization to embrace the change and make it part and parcel of the overall culture and processes. It can also be embedded by making continuous efforts to ensure the benefits and anticipated outcomes of the change are visible and understood. It was also necessary to track the change initiative implementation periodically while considering staff feedback (Walston, 2018). This allows staff to make essential alterations to the change and achieve the desired processes and organizational culture. Other approaches suggested by Walston to anchor change and track the milestones of the change effort include using visual management techniques and audits or checklists to establish necessary actions and ensure accountability (2018).
The best way to include diversity awareness for all organizational staff to make inclusivity a central component of the business model is to base such efforts on Lewin’s change model. This includes recognizing the need for diversity education, communicating the program’s objective, instilling a sense of urgency, and forming solid coalitions for the change as part of the unfreezing stage. In implementing the diversity education program, the nurse administrator should establish resistance, eliminate the obstacles, and document the short-term wins. Lastly, the nurse leader should anchor the diversity awareness program on the facility’s processes and culture to make it a central component of its business model (Walston, 2018).
Part 2 Response
After reviewing the second chapter of Cameron and Quinn’s (2011) book, and based on Inova Fairfax Hospital in Northern Virginia, the following survey questions exploring change preparedness among the facility leaders, stakeholders, and the overall organization emerged. In addition to addressing diversity and inclusion needs in healthcare, the survey questions are tailored to meet the Triple Aim framework to enhance patient care experiences, improve population health outcomes, and reduce health care costs (Obucina et al., 2018).
Change Preparedness Survey Questions for Inova Fairfax Hospital
* How often have you led diversity education programs to enhance the patient experience in the organization?
(a) Never (b) Once (c) Twice (d) Three to four times (e) Many times.
* How often have you led community health education programs?
(a) Never (b) Once (c) Twice (d) Three to four times (e) Many times.
* How often have you moved closer to the clients to reduce their costs of accessing health care?
(a) Never (b) Once (c) Twice (d) Three t...
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