Change Management Case Study Paper
Part 1
Eric is a nurse practitioner at one of 10 primary care clinics within a large multi-specialty organization. He has been with the organization for 8 years. Currently, the organization’s culture is focused on the function of care delivery specifically, the volume of daily patient visits. Patients are scheduled every 10 minutes with a no-show rate of around 20%. The current practice is to schedule based on the no-show rate and expected number of daily patient visits to meet profit goals. Overbooking the schedule based on the average number of patients who are no shows for their appointments each week is the norm. On a good day, the overbookings and scheduled patients would equal enough patients to meet the profit goal while the no-show time slots would allow time for Eric and his colleagues to catch up. On most days, despite numerous efforts to maximize scheduling, the overbooked patients tend to arrive in clusters which results in lengthened patient cycle times (check-in to check-out). All patients for the day are eventually seen meeting the expected number of patient visits; however, the workday is often extended. The providers, nursing, clerical staff, and patients leave the clinic frustrated. Patient and employee satisfaction scores have begun to decrease over the past three (3) quarters while the number of patient visits and profits remain unchanged. Eric has also noticed turnover among the providers and nursing team members.
Part 1 Instructions:
Using Lewin’s theory of change, discuss the actions the APRN may employ for unfreezing based on the scenario (refer to the table below).
Provide a rationale for each action discussed based on the information provided in the scenario.
Suggest strategies the APRN might use for each action discussed.
Stages of Change and Responsibilities of the Change Agent
(adapted from Marquis & Huston, 2012, p. 166)
Stage 1: Unfreezing
Discussion of what type of data and how the APRN would gather the data.
How would the APRN accurately diagnose the problem?
How would the APRN determine if the change is needed?
Develop a compelling message for the APRN to demonstrate why the existing way of doing things cannot continue.
Identify the greatest barriers to this change.
Identify the strongest driving forces for the change.
How would the ARPN determine if there is support from the executive leadership team?
Rubric
Change Management Case Study Paper Part 1 Rubric
Change Management Case Study Paper Part 1 Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeDiscussion of what type of data and how the APRN would gather the data.
20 pts
Full Marks
0 pts
No Marks
20 pts
This criterion is linked to a Learning OutcomeHow would the APRN accurately diagnose the problem?
10 pts
Full Marks
0 pts
No Marks
10 pts
This criterion is linked to a Learning OutcomeHow would the APRN determine if the change is needed?
10 pts
Full Marks
0 pts
No Marks
10 pts
This criterion is linked to a Learning OutcomeDevelop a compelling message for the APRN to demonstrate why the existing way of doing things cannot continue.
10 pts
Full Marks
0 pts
No Marks
10 pts
This criterion is linked to a Learning OutcomeIdentify the greatest barriers to this change.
15 pts
Full Marks
0 pts
No Marks
15 pts
This criterion is linked to a Learning OutcomeIdentify the strongest driving forces for the change.
15 pts
Full Marks
0 pts
No Marks
15 pts
This criterion is linked to a Learning OutcomeHow would the ARPN determine if there is support from the executive leadership team?
10 pts
Full Marks
0 pts
No Marks
10 pts
This criterion is linked to a Learning OutcomeCurrent APA formatting, no grammatical or spelling errors, within page limit, current references including course textbook.
10 pts
Full Marks
0 pts
No Marks
10 pts
Total Points: 100
