Quality Improvement in a Medical Setting

 

 

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 Nash et al., 2019) 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 (Nash, et.al, 2019, page numbers).

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.

Analyze the Emergency Department HCAHPS Data and other resources in the Learning Resources.

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.

Sample Solution

Law, morality, and freedom were interpreted by Marx and Engels as invariably an instrument of class dominance. They begin by laying out the history of oppression starting with the “freeman and slave, patrician and plebian, lord and serf…oppressor and oppressed, stood in constant opposition to one another, carried on an uninterrupted, now hidden, now open fight, a fight that each time ended, either in a revolutionary re-constitution of society at large, or in the common ruin of the contending classes.” Marx and Engels are simply saying that throughout history, the rich have had power over the poor. In democratic societies, many people believe themselves to be equal and free under the law. Marx and Engels argue that this is not the way the world works. There is always a class higher than another class, an oppressor and an oppressed. Equality and freedom under law is only easily accessible and enjoyed by people with power.

The bourgeoisie’s “very ideas are but the outgrowth of the conditions of [their]… production and… property, just as [their] jurisprudence is but the will of [their] class made into a law for all, a will whose essential character and direction are determined by the [economic] conditions of existence of your class.” Marx contends that “law, morality, religion, are so many bourgeois prejudices, behind which lurk in ambush just as many bourgeois interests.” They continued to criticize the tradition of government under the rule of law as nothing more than a mere expression of bourgeois aspirations. Moreover, “the executive of the modern State is but a committee for managing the common affairs of the whole bourgeoisie,” meaning the government passes laws in favor of members of the bourgeoisie providing no representation for the proletariat.

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