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Essentials of Advanced Nursing Practice Task 1 - Consultative Change Recommendation Melanie Troxell, BSN, BA, RN-BC Western Governors University February 25, 2019
Essentials of Advanced Nursing PracticeConsultative Change Recommendation The Purpose of The Consultation and Summary of the Consultation Process This Organization* has requested the services of Troxell Consulting Services, Inc., to aid in identifying it’s strengths and weaknesses. In collaboration with a nurse leader who was chosen for her ability to potentially be a powerful change agent, Troxell Consulting has proposed the following change recommendation to ensure that This Organization progresses to be the most relevant, competitive and effective community servant possible. For the consultation process Troxell Consulting did extensive research into the organizational mission, vision and values of This Organization along with it’s statistics, annual goals and reports, marketing materials, published organizational performance documents such as HCAHPS reports and county health rankings, comparisons to other healthcare organizations, press attention and even conversations with stakeholders such as employees and patients. Data collection procedures included interviews with the above mentioned stakeholders, direct conversation with a representative from the human resources department and publicly available websites, such as countyhealthrankings.org and medicare.gov and hospital social media pages. This information was then used to make informed recommended change based on the areas of potential improvement that were discovered. —————————————————— *This Organization acts as a proper noun and refers to the anonymous acute care hospital discussed in this paper. *Troxell Consulting Services, Inc., or Troxell Consulting refers to this author’s fictional healthcare consulting services company. Page 2
Essentials of Advanced Nursing PracticeDescription of the Organization This Organization is a 230 bed acute care hospital in a town with a population of just over 35,000 people, that serves a large two-state mostly rural region in the Southeast. With nearly 250 physicians and more than 1,300 staff members, patient encounters include 42,000 emergency room visits and nearly 12,000 hospital admissions annually. It also has a varied and extensive out patient clinic presence in three local counties. It is a nationally recognized top cardiac care center, certified in chest pain interventional treatment and has eight Joint Commission disease certifications including spinal, vascular and orthopedic surgery, cardiology and stroke. This Organization is a part of a larger parent company that is more than 50 years old, with 106 hospitals listed as top performers with Joint Commision, and well equipped to help in the growth and support as well as accountability.