Implementing a Patient-Centered, Team-Based Care Model in a Newly Acquired Multispecialty Practice: A Change Management Strategy

Numerousfactors,suchasincreaseddemandforhealthcareservices,emergingtechnologies,and complex and ever-changing policies, have created a rapidly evolving environment in healthcare. Such an environment requires organizations to undertake change initiatives to remain competitive. As a healthcare administrator, you will be expected to initiate, manage, and sustain change within your organization. For this task, you will apply change management skills in a real-world scenario.Scenario:You are a change manager at a large, urban hospital. The hospital recently acquired a 25- physician multispecialty practice. The goal of this acquisition was to improve preadmission and post-discharge primary care for patients. The acquisition was also intended to better meet the population health needs, which requirethe hospital to beincreasingly measuredandreimbursed. The practice was previously owned by the 10 physicians who started the practice over 25 years ago. Because of its origins, the practice has a very hierarchical culture that is reflected in its organizationalstructure.Ownerphysiciansareatthetopofthehierarchy,followedbyemployed physicians, then other clinical staff (nurses, medical assistants), and finally nonclinical front- office staff. You have been tasked with implementing a new team-based model of care delivery thatmorefullyengagesallmembersofthepracticeandputspatientsatthecenteror“top”ofthe hierarchy.Requirements:Assessthecurrentpatientcaredeliverysituationbydoing thefollowing:Identifyfivekeystakeholdersinthescenario.Thesestakeholderareonesthataredirectly affected by the integration (physician owners, employed physicians, clinical staff, non- clinical staff, and hospital administration).Discusstheimpactsof theacquisitiononthekeystakeholdersidentified inA1.Identifythreebarriersforchange.Whatwillpreventthetransitionfrom beingsuccessful?DiscussthecriteriayouwouldusetoprioritizethebarriersidentifiedinA2.Determine the single, most important criteria you will use to prioritize the barriers (patient outcomes, financial success, employee retention are examples).PrioritizetheidentifiedbarriersaccordingtoyourcriteriainA2a.Explain three key leverage points for initiating change. Leverage points help you successfully implement the transition. What currently exists in the practice that you couldleveragetohelp?(Goodcommunication,openandtransparentdecisionmaking, longevity of staff)Developachangemanagementstrategy(suggestedlengthof3–5pages)toimprovepatient care by doing the following:Describe two theoretical approaches forimplementing the new team-based model of care delivery.Theapproachesshouldbeparallel.(RecommendedmodelsareLewin’sChange Model vs. Kotter’s Change Process) You will discuss the mechanism of how you wouldusethetwomodelstoimplementateam-basedmodelofcare.Note:Proposedstrategiesshouldincludeconsiderationoforganizationalcultureandpatient-first (consumer centered) strategies.DiscussthestrengthsofbothapproachesdescribedinB1.DiscusstheweaknessesofbothapproachesdescribedinB1.RecommendoneofthetwoapproachesinpartB1basedonthestrengthsand weaknesses of each one.JustifytheapproachrecommendedinB1c.Proposeanimplementation(suggestedlengthof3–5pages)forthechangemanagement strategy from part B by doing the following:Describethesequenceofstepsyouwouldtaketoimplementthestrategy.Describeanapproach formeasuringwhethertheintendedchangeisoccurring.Discussthechallengestosustainingthechangeoncethestrategyisinitiated.a.Describetwo approachesforovercomingthesechallengesandsustainingthechange.Whenyouusesources,includeallin-textcitationsandreferencesinAPAformat.Note:Fordefinitionsoftermscommonlyusedintherubric,seetheRubricTermsweblinkincluded in the Evaluation Procedures section.Note:Whenusingsourcestosupportideasandelementsinanassessment,thesubmissionMUSTinclude APA formatted in-text citations with a corresponding reference list for any direct quotes or paraphrasing. It is not necessary to list sources that were consulted if they have not been quoted or paraphrased in the text of the assessment.Note:Nomorethanacombinedtotalof30%ofasubmissioncanbedirectlyquotedorcloselyparaphrased from outside sources, even if cited correctly. For tips on using APA style, please refer to the APA Handout web link included in the APA Guidelines section.