Improvement Strategy Utilizing patient advisory councils are productive and cost effective ways at improving standards of care that are also seen as important to the patient and family. Patient advisory councils are designed to provide a unique perspective through an open forum discussion of general patient and family member needs and provide relevant feedback for improving the overall patient care experience. To increase patient centeredness, family participation, and quality improvement, a patient advisory council (PAC) will be developed by recruiting a diverse group of patients, family members, and providers. By developing a PAC that provides targeted information, patients and family members will be providing the missing link to developing quality improvement changes that positively affect patient care. System or Change Theory Kurt Lewin developed a change theory for undertaking organizational change that has become a keystone method of process change in health care facilities. Lewin’s three stage model of change known as Unfreeze – Change – Refreeze, helps organizational leaders identify and assess the factors that influence change (Udod and Wagner, 2018, Chapter 9). This three-step
ORGANIZATIONAL LEADERSHIP 8 approach assists nurse leaders in developing quality improvement changes through the development and initiation of patient advisory committees. The first step in Lewin’s theory on change is unfreezing. Nurse leaders need to assist staff in letting go of old thought patterns and facilitate overcoming the resistance to change. Change is the second stage and involves changing the thoughts, feelings and actions of those involved in the change. This stage is the most difficult as uncertainty and fears of change inhibit staff to embrace the possible benefits. The third stage, known as refreezing, establishes the change as actual and concrete (Udod and Wagner, 2018, Chapter 9). This last stage is essential for implementation and success of change. Within the health care system, nurse leaders utilize Lewin’s change model to simply reject prior knowledge and replace it with new information. Nursing and health care are dynamic and continually changing as evidence based information change practices. Patient and family centered care has developed from evidence that shows that patient and family autonomy leads to an overall increase in positive patient experience. Financial Implications The financial implications of patient advisory councils are two-fold for the health care organization. There is the initial cost of recruiting and developing the PAC and the financial benefits once a successful council is implemented and utilized. Patient advisory councils on a whole will be assembled mostly of volunteer patient and family members, supported by staff. Most of the financial cost will be incurred as a result of the recruitment process to find diverse patient and family members to assemble a cohesive council. The financial benefit and impact of the patient advisory council will outweigh the cost of the development and continued maintenance. Upon successful implementation of a PAC, the health care organization should see an increase in Medicare and Medicaid reimbursement as HCAHPS scores increase. With
You've reached the end of your free preview.
Want to read all 16 pages?
- Spring '16
- Nursing, Advisory council