Final answer:
Developing a change management plan in healthcare involves setting goals to improve HEDIS scores, ORYX quality metrics, and patient satisfaction while complying with the ACA and regulations. Balancing costs, patient quality of life, and privacy with the introduction of EMRs is critical. Ensuring that policy development includes multifaceted intervention strategies is also key.
Step-by-step explanation:
Developing a Change Management Plan for Quality Improvement in Healthcare
When creating a change management plan to improve quality in an acute care hospital, identifying clear goals and objectives is fundamental. These goals and objectives are expected to address poor Healthcare Effectiveness Data and Information Set (HEDIS) scores, ORYX quality metrics, low patient satisfaction, and non-compliance with government regulations and Joint Commission accreditation standards. To avoid financial ruin, the plan should include strategies that balance several critical considerations.
Three priority questions that must be addressed when developing policies include:
- How can the hospital balance the cost of treatments and diagnoses while still improving patient quality of life?
- What strategies can be implemented to ensure the development of effective health records systems to support clinical decision-making while protecting individual privacy?
- How can the hospital align with the regulations introduced by the Affordable Care Act (ACA), such as the cap on administrative costs and the switch to electronic medical records (EMRs), to control healthcare costs?
Addressing these questions will require a multifaceted approach that incorporates the ACA's regulatory framework, ensures the effective use of EMRs to reduce administrative costs, and develops intervention strategies that promote healing, growth, and engagement—therapeutic, growth/change, and confrontational.