1. Jahmela Pech
California State University, Dominguez Hills
School of Nursing
MSN 560
Nurse Administrator I
Cheryl Ann Keel, RN, BSN, MSN
March 30, 2013
2.
Implementation of daily family-centered
interdisciplinary rounds (FCIR) in a 116-bed general
pediatrics unit.
Daily “walking rounds” will be conducted at bedside
by attending physicians, medical residents, staff
nurses, and nurse case managers
Medical and nursing staff are to discuss daily plan of
care with parent(s) and will be considered as part of
the health care team when making decisions
Organizational Change Plan
3.
Chief Medical Officer (CMO)
Nursing Director, General Pediatrics
Medical Director
Medical Chief Residents
Clinical Educator
Nurse Director, Case Managers
Staff registered nurses
Project Team Members
4.
Project team members seek real-time knowledge on
operational performance
Determine which process will complement already
existing workflow
In order to implement a practice change; an
organizations need to assess client’s clinical needs
and staff’s willingness to adopt new approaches
Systematic Assessment
Lehman, Simpson, Knight, Flynn, 2012
6.
Time constraints
Change in day-to-day workflow
Nursing and medical staff’s resistance to change
Adaptability to new process
Growing Pains
7.
Top Down
Goals identified early in
the process
Inflexibility
Processes imposed by
management
Lack of employee input
Bottom Up
Flexibility
Teamwork
Lack of long-term
vision
Employees feel valued
Strategic Approaches
8. "It is not the strongest of the species that survives, nor the most intelligent, but the
one most responsive to change." - Charles Darwin
9. Lehman, W., Simpson, D., Knight, D., & Flynn, P. (2011). Integration of treatment innovation
planning and implementation: Strategic process models and organizational
challenges. Psychology Of Addictive Behaviors, 25(2), 252-261. doi:http://0-
dx.doi.org.torofind.csudh.edu/10.1037/a0022682
Leibler, J. G., & McConnell, C. R. (2012). Management Principles for health professionals (7th Ed.).
Sudbury, MA: Jones & Bartlett Learning.
Operational Assessment in Strategic Planning. (2012). H&HN: Hospitals & Health
Networks, 86(11), 39-41.
References