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The HQP role is to evaluate the effectiveness of various structures, paying close attention to...
✔Correct Answer-alignment, coordination, and communication
The NAHQ and IHI cosponsored research that found the focus of quality departments ranges
from ✔Correct Answer-simple identification and reduction of defects to adding value to the
org.
The quality department includes: ✔Correct Answer-Facilitators to educate and mentor staff to
reduce variation, standardize workflow, and decrease defects in their everyday work.
6 basic elements with great influence on quality when designing the infrastructure (Evans and
Dean) ✔Correct Answer-1. Focus on processes - Departmentation/how jobs are grouped
together
2. Reduction in Hierarchy - flattening/no silos/empowerment of teams and people
3. Create a team-based organization -The linchpin for "I" is frontline employees with regular
communication and contact that allows them to coordinate and problem-solve
4. Use steering committees - an advisory committee of key stakeholders who provide guidance
on strategic objectives
5. Develop an Agile org. - Adapt quickly/more flexibility/ROBUST DATA MANAGEMENT SYSTEMS
Change is... ✔Correct Answer-inevitable and an essential ingredient for growth. (CONSTANT)
Without change systems would... ✔Correct Answer-stagnate
Each level of change requires different strategies depending on... ✔Correct Answer-type of
change, people involved, the magnitude of the behavior to be modified
Healthcare Quality Professionals can us ___ ___ to help leadership facilitate successful change
in their organizations ✔Correct Answer-Change Models
6 foundational change models ✔Correct Answer-1. Lewin's Change Model
2. Palmer's Change Model
3. DeWeaver and Gillespie's Change Model
4. Galpin's Human side of Change Model
5. Kotter's Heart of Change Model
6. Prochaska's Theoretical Change Model
, Similarities between change models ✔Correct Answer-description of movement from current
state to future state.
Impetus for transition ✔Correct Answer-dissatisfaction with the current state; readiness for
change; communication of the change; leadership for implementing change; characteristics of
the change itself; views of how these characteristics make it likely to be readily accepted by
'users'; common factors increasing the speed of change within an org.
What approach provides the best results for a successful change ✔Correct Answer-one in
which change is PLANNED
Primary difference between the change models ✔Correct Answer-Scope and level of
change // Some are focused on individual B changes// some are more complex
HQP often serve as ✔Correct Answer-change agents (a person who helps memebers of an org
adapts to org. change or creates org. change
Lewin's Change Model ✔Correct Answer-Unfreeze (from old state/comfort zone), transition,
Refreeze
- learn and unlearn
- motivation
- people make or break
- resistance
- reinforce
unfreezing: create motivation to change, convincing reason, replace old attitudes and behaviors
changing: new information, models, and procedures
refreezing: support and reinforce the change, integrate into normal ways
This model is useful in approaching change in behaviors and identifying strategies to accelerate
change and sustain new desired behaviors ✔Correct Answer-Lewin's Change Model
Lewin's Change Model -- Impetus of Change ✔Correct Answer-a force field of driving and
restraining forces // could be affected more by REMOVING restraining forces, than adding
driving force
In which change model do effective change managers use the dissatisfaction with the status quo
to begin the movement to change? ✔Correct Answer-Lewin's change model
Tools to identify driving and restraining forces ✔Correct Answer-Brainstorming & Brain writing
Driving forces ✔Correct Answer-Incentives; competition > Push change in a direction and
keep it going