DB2-43

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respondingcommenting2.docx

 Emma Logsdon

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The six challenges for resigning health care organizations are each very crucial for the success of healthcare delivery. In my opinion, I believe that the six challenges rank by importance as follows: (1) redesigned care processes, (2) incorporating performance and outcome measurements for improvement and accountability, (3) managing clinical knowledge and skills, (4) making effective use of information technologies, (5) coordinating care across patient conditions, services, and settings over time, and (6) developing effective teams. Redesigning healthcare processes is the most important, in my opinion, because all the other challenges intertwine or rely on this in some way. This challenge focuses on simplifying, standardizing, reducing waste, and implementing continuous flow methods, which has a positive impact on every other challenge. This challenge also focuses on redesigning the process to meet the needs of evolving healthcare needs, which is significantly essential to ensure organizations care up-to-date and well equipped to meet the population's needs. Incorporating performance and outcome measurements is next, in my opinion, because it shows the leadership what works or does not work for an organization. This step assists in developing the basis of every other challenge. Managing clinical knowledge and skills follows this because healthcare professionals must be knowledgeable of current healthcare practices. As well, this step incorporates change within an organization, which falls onto the remaining challenges. Making effective use of information technologies is equally as important in my opinion as to the previous challenges. By implementing better use of IT, communication is done more efficiently, errors and the harm from mistakes can be reduced, and data can be narrowed down for more accessible use. Coordinating care across patient conditions is next on my list since many of the previous steps include work to implement this step. This challenge focuses on making sure different teams working on the same patient are all on the same page to increase efficiency. This step is done more easily with the implementation of IT. The last on my ranking is developing effective teams. Even though this step is significant, I believe that if all other challenges are met, this step will reap the benefits, and success will be found here. Many members of different backgrounds are required to fulfill team needs. If all these challenges are met, the success of a healthcare organization is endless. I believe that these qualities are necessary for a productive and effective healthcare organization. 

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Lydia Terry 

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After reading “Building Organizational Supports for Change”, and after much careful thought, I had a difficult time ranking these challenges in order of importance. There is no doubt that each challenge is vital in terms of redesigning our health care system. However, drawing upon my personal experience and observations, I have ranked the challenges in the order that I believe most pertinently affect patients in our health care system.

 

1. Redesigning care processes based on best practices – I ranked this challenge as most important because it has the most time-sensitive impact on quality of care for patients, which is our number one priority as healthcare providers. We must evaluate the best way to treat our patients and immediately put these processes into practice. I truly believe that ranking any other challenge above this does a disservice to our communities and the patients that need us in the here and now.

2. Coordinating care across patient conditions, services and settings over time, AND

3.  Developing effective teams – I have coordination of care and developing effective teams tied for #2/#3 because I feel that they go hand in hand. As a pharmacist, I have had the opportunity to work closely with healthcare professionals from other areas, such as MDs, nurses, social workers and physical therapists to make sure that patients receive well-rounded, totally encompassing healthcare solutions. As we discussed in the last module, chronic conditions is one of the biggest healthcare problems in the US, and most people that have one chronic condition also have more than one. Knowing this, we must use an interdisciplinary approach to treat these patients. This may mean different healthcare professionals in different settings such as inpatient, outpatient, home health, therapy, and follow up visits.

4. Making effective use of information technologies to improve access to clinical information and support clinical decision-making – As we all know, information technology is more important than ever in 2021. If we can implement better use of IT, we can reduce communication errors and access information that is significant to patient care in a more timely and organized manner.

5. Incorporating performance and outcome measurements for improvement and accountability – Evaluation of staff and processes and accountability for failures and shortcomings is an important part of redesigning our healthcare system. Having a streamlined system for improvement based upon inadequacies is vital for providing the best care for patients and running a successful healthcare institution.

6. Managing clinical knowledge and skills – I have ranked this last not because it isn’t important, but because I truly believe in the clinical knowledge and skills that are already possessed by the healthcare professionals in the US. The most common source of medical errors in the United States is not from lack of knowledge, but from lack of communication. If we can resolve this issue through other improvements as mentioned above, we can reduce medical errors and provide better care to our patients.

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