Change Management for Quality Improvement. A Case Study of the Mid Staffordshire Hospital Scandal

Guaranteeing that the National Health Service Organisations and the affiliated human resources deliver high quality and equitable care is one of the major priorities in the contemporary health services. Yet, the metrics necessary to evaluate the quality and assurance of the healthcare is a matter subject to continuous debate. In the recent past, the concerns associated with the quality of care has attracted wide-ranging interests, particularly by the Mid Staffordshire Hospital scandal. An inquiry report into the Mid Staffordshire NHS Foundation Trust, the Francis Report, released on February 2013 paints a grim picture of the events that transpired during fermentation of the scandal. Unfortunately, these events led to the loss of lives, due to issues which could have been managed or addressed better. Briefly, the Stafford and Cannock Chase hospitals decided to pursue the Foundation Trust in 2005, which was subsequently granted in 2008. However, abnormally high death rates raised eyebrows from various quarters, triggering the formulation of the taskforce to look into the matter. It is largely believed that the scandal was triggered by the quest of the managers to cut down the operational costs and accomplish the minimum labour requirements in attempts to achieve the foundation status and qualify for the NHS trust funds. This indicates that the scandal was as a result of catastrophic organisational challenges that were triggered by poor change management.

Inhaltsverzeichnis (Table of Contents)

• Introduction
• The Kotter's Analytical Framework
  • Establish a Sense of Urgency
  • Create a Guiding Coalition
  • Develop a Clear Shared Vision
  • Communicate the Vision
  • Empower People to Act on the Vision
  • Create Short Term Wins
• Leadership Approaches for Change Management
• Justification and Conclusions

Zielsetzung und Themenschwerpunkte (Objectives and Key Themes)

This text aims to analyze the changes undertaken by the County Hospital, Stafford, following the Mid Staffordshire NHS Foundation Trust scandal. It utilizes John P. Kotter's eight-step analytical framework to evaluate the effectiveness of these changes in terms of quality improvement and change management.

• The impact of the Mid Staffordshire Hospital scandal on healthcare quality and patient safety.
• The application of Kotter's eight-step framework for change management in a healthcare setting.
• The importance of establishing a sense of urgency, creating a guiding coalition, and developing a clear shared vision for successful change implementation.
• The role of communication, empowerment, and short-term wins in sustaining change within an organization.
• The challenges and opportunities associated with managing change in a complex healthcare system.

Zusammenfassung der Kapitel (Chapter Summaries)

• Introduction: This chapter introduces the context of the Mid Staffordshire Hospital scandal and its impact on the National Health Service (NHS). The scandal serves as a case study for understanding the importance of effective change management in healthcare.
• The Kotter's Analytical Framework: This chapter outlines John P. Kotter's eight-step framework for managing organizational change, highlighting its application to the case of the County Hospital, Stafford. The framework emphasizes the need for urgency, coalition building, vision development, communication, empowerment, and short-term wins to drive successful change.
• Establish a Sense of Urgency: This chapter examines the initial steps taken by the County Hospital, Stafford, to establish a sense of urgency following the scandal. The chapter explores how the hospital's new management, the UHNM NHS Trust, focused on creating a safer and more efficient healthcare environment.
• Create a Guiding Coalition: This chapter discusses the formation of a guiding coalition comprised of various stakeholders, including the UHNM NHS Trust, Keele University Faculty of Health, and Staffordshire University, to support the change process. The chapter highlights the importance of collaborative partnerships in managing change effectively.
• Develop a Clear Shared Vision: This chapter examines the development of a clear shared vision for the County Hospital, Stafford, under the leadership of the UHNM NHS Trust. The chapter focuses on the vision's key elements, including patient care enhancement, innovation promotion, and a positive work environment.
• Communicate the Vision: This chapter analyzes the efforts of the UHNM NHS Trust in communicating its vision to stakeholders through various channels, including social media, website platforms, and internal communication channels. The chapter emphasizes the critical role of effective communication in driving and sustaining change.
• Empower People to Act on the Vision: This chapter explores the measures taken by the County Hospital, Stafford, to empower staff and stakeholders to participate in the change process. The chapter highlights the importance of training, feedback mechanisms, and addressing resistance to achieve successful change implementation.
• Create Short Term Wins: This chapter showcases the initiatives taken by the County Hospital, Stafford, to create short-term wins that demonstrate progress and motivate stakeholders. The chapter highlights the opening of new wards, improved safety and quality reporting, and other initiatives aimed at enhancing patient care.

Schlüsselwörter (Keywords)

This text focuses on the key themes of change management, quality improvement, and healthcare safety in the context of the Mid Staffordshire Hospital scandal. It explores Kotter's eight-step framework, emphasizing the importance of establishing urgency, building coalitions, developing clear visions, communicating effectively, empowering stakeholders, and achieving short-term wins to drive successful change. The analysis examines the challenges and opportunities faced by the County Hospital, Stafford, in managing change within a complex healthcare system.

Details

• Note: 70.00
• Autor: Leonard Kahungu (Autor:in)
• Erscheinungsjahr: 2018
• Seiten: 12
• Katalognummer: V428627
• ISBN (eBook): 9783668745070
• ISBN (Buch): 9783668745087
• Sprache: Englisch
• Schlagworte: Healthcare Administration