C157v4-Paper Consultative Change Recommendation.docx - Running head CONSULTATIVE CHANGE RECOMMENDATIONS Consultative Change Recommendation Cynthia

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Running head: CONSULTATIVE CHANGE RECOMMENDATIONS Consultative Change Recommendation Cynthia Upshaw Western Governors University College of Health Professions Course C157 Date 01/06/2020
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CONSULTATIVE CHANGE RECOMMENDATIONS 2 Consultative Change Recommendations Changes that improve safety and quality or save money are always welcome in a healthcare practice setting. Effective change has been characterized as unfreezing old behaviors, introducing new ones, and refreezing them (Al-Abri, 2007). While not all change leads to improvement, all improvement requires change. An organization and those who work within that organization who want to improve need the ability to develop, test, and implement change (Institute for Healthcare Improvement, 2018). Change is necessary for healthcare to continually improve patient outcomes and satisfaction. A1. Purpose of Consultation and Overview of the Consultation Process The purpose of this consultation is to interview a nurse leader of a birthing center and to identify the strengths and weaknesses within that unit and come up with a quality improvement plan that addresses patient safety and satisfaction. The data for this consultation was obtained through a face-to-face interview and information collected from the healthcare system’s website. I also included information from the websites of Medicare and Medicaid to identify patient safety goals and measurements. In conducting a thorough investigation, I also reviewed current scholarly journals and the Joint Commission’s recommendations for standard practice. With tools provided by the Institute of Healthcare Improvement a systematic approach is used to identify and pursue opportunities to improve services and resolve identified problems. Organizational Analysis A2. Description of Organization
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CONSULTATIVE CHANGE RECOMMENDATIONS 3 The healthcare facility that I chose for this consultative change recommendation is a family birth center located inside Legacy Good Samaritan Hospital, which is one of five hospitals in the Portland metropolitan area belonging to Legacy Health Systems. This unit has 20 beds and provides gynecologic and obstetric care to women of all ages. It employs 60 nurses, has 5 operating room techs, a unit secretary, a birth clerk, a manager, and an assistant manager. The rooms are designed as labor and delivery, recovery, and postpartum (LDRP), allowing the patients to stay in the same room for their entire stay. The unit also hosts two operating rooms and one post anesthesia recovery room. Healthy moms and babies stay together unless the infant requires assisted medical treatment for which there is a level II nursery for short-term stabilization; if babies require a higher level of medical care, they are transferred to Randall’s Children’s Hospital which is one of the five sister hospitals located in the Portland area. The average number of births per month in this hospital is 80-100. Other auxiliary services provided in this unit are lactation specialists, social services, and chaplain services upon request.
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