Introduction: 219-703-1226Numerous factors, such as increased demand for healthcare services, emerging technologies, 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 require the hospital to be increasingly measured and reimbursed. 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 organizational structure. Owner physicians are at the top of the hierarchy, followed by employed 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 that more fully engages all members of the practice and puts patients at the center or “top” of the hierarchy.Requirements:

Assess the current patient care delivery situation by doing the following:

Identify five key stakeholders in the scenario. These stakeholder are ones that are directly affected by the integration (physician owners, employed physicians, clinical staff, non- clinical staff, and hospital administration).

Discuss the impacts of the acquisition on the key stakeholders identified in A1.

Identify three barriers for change. What will prevent the transition from being successful?

Discuss the criteria you would use to prioritize the barriers identified in A2. Determine the single, most important criteria you will use to prioritize the barriers (patient outcomes, financial success, employee retention are examples).

Prioritize the identified barriers according to your criteria in A2a.

Explain three key leverage points for initiating change. Leverage points help you successfully implement the transition. What currently exists in the practice that you could leverage to help? (Good communication, open and transparent decision making, longevity of staff)

Develop a change management strategy (suggested length of 3–5 pages) to improve patient care by doing the following:

Describe two theoretical approaches for implementing the new team-based model of care delivery. The approaches should be parallel. (Recommended models are Lewin’s Change Model vs. Kotter’s Change Process) You will discuss the mechanism of how you would

use the two models to implement a team-based model of care.Note: Proposed strategies should include consideration of organizational culture and patient-first (consumer centered) strategies.

Discuss the strengths of both approaches described in B1.Discuss the weaknesses of both approaches described in B1.Recommend one of the two approaches in part B1 based on the strengths and weaknesses of each one.

Justify the approach recommended in B1c.

Propose an implementation (suggested length of 3–5 pages) for the change management strategy from part B by doing the following:

Describe the sequence of steps you would take to implement the strategy.Describe an approach for measuring whether the intended change is occurring.Discuss the challenges to sustaining the change once the strategy is initiated.

a. Describe two approaches for overcoming these challenges and sustaining the change.

When you use sources, include all in-text citations and references in APA format.

Note: For definitions of terms commonly used in the rubric, see the Rubric Terms web link included in the Evaluation Procedures section.Note: When using sources to support ideas and elements in an assessment, the submission MUST include 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: No more than a combined total of 30% of a submission can be directly quoted or closely paraphrased 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.