grand canyon hlt540 week 8 Stakeholder Scenario

| November 9, 2018

Details:1) Read and complete “Stakeholder Scenario.”2) Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.Stakeholder ScenarioGoal: To convince a group of people to use a specific, new type of
antibiotic for patients pre-operatively in order to decrease surgical wound
You are a healthcare administrator that is trying
to introduce a change in practice to a group of stakeholders. Your goal is to
help them understand the rationale and need for the change, and to get a sense
of the areas of resistance to the change. The change under discussion is to
implement a new antibiotic to be given one hour before surgery starts as a way
of reducing post-op wound infections. The Centers for Medicare and Medicaid
Studies (CMS) have indicated that timely pre-op application of specific
antibiotics is becoming a requirement and will be a publicly reported indicator
on the CMS Web site for your hospital. Thus, institution of this new procedure
is something you really need to pull off.As the administrator in this scenario, you
will hear the initial responses of each of the stakeholders. You will then be presented
with several options for your response. Select the option you think is most
effective. Review the stakeholders’ responses to the
option you selected. According to their own perspectives and prerogatives, the
stakeholders will respond in different ways to each choice. Your goal is to
achieve some level of buy-in to the change.Issues: ·
The antibiotic is new and
people aren’t familiar with it.·
Requires administration within one
hour of the actual surgery start time.·
Requires administration by IV.·
Adds a step to the busy pre-op
nurse’s work load.·
Saves the hospital $28,000 per
Research shows wound infections
down 47% with this new antibiotic if it is administered in a timely fashion.Players:·
Pharmacist: He’s learned about the new
antibiotic through his research studies, and is excited about using it.·
Pre-op Nurse: She is worried about
having one more thing added to the pre-op activities list she must complete
before the patient goes to surgery, but she’s very interested in doing the
right thing for her patients.·
Surgeon: He hates government mandates,
doesn’t like to be told what to do, generally has a pretty good track record
for his patients’ outcomes after surgery, but has no idea what his actual rates
of wound infection are.·
Finance Analyst: It’s all about the
money. Don’t make it harder by concentrating on anything other than the
Background ThinkingPharmacist: I really like this idea, because this antibiotic is better and
cheaper too. If we can standardize to this antibiotic, I can save money by
stocking only one antibiotic for surgery. It will save my staff time in
preparation also. This is a great idea for me and my department.Pre-op
Nurse: I am just worn out trying to keep up with
all the changes they keep hitting us with. It’s hard enough to do my job and
remember to do things differently and use different items. Why can’t they give
me a break? Now I’ll have to start an IV as well as give a drug, and they are
already pressuring me to get the patient ready for the OR faster. Sometimes I
just want to go home!! But I got into nursing to help people, and if this
really makes a difference, I guess I can suck it up.Physician: The government makes me crazy! Those bureaucrats think they know
how to practice medicine better than I do. The last thing I need is some ivory
tower academic telling me what antibiotics to give! I’ve been doing this for 30
years, and I know what works and what doesn’t. The stupid hospital better shut
up and let me do what I know is right and stop telling me how to be a doctor. My
patients like me and that is what counts. I’m sure voting Libertarian in the
next election!Financial
Analyst: I have been tasked to save this hospital
hundreds of thousands of dollars this year, and this one change will save us a
bundle. Why are they all arguing? This change could save their jobs! Don’t they
get that it’s all about the money? I wish they’d just shut up and approve the
change so we could go get lunch.First
Responses of Stakeholders·
Pharmacist: “This is really important. All
the research on this new antibiotic shows that it makes a big difference in
reducing wound infections. We could get our rate from 13% presently down to 2%.
We need to do this.”·
Pre-op Nurse: “This is going to take
much more time. We’ve always been able to give our patients pill antibiotics,
and now you want me to have to start an IV and administer the drug that way? What
happens if I give it and the surgery is delayed? There is already so much I
have to do to get the patient to the OR.”·
Surgeon: “What a bunch of horse hockey! I’ve
been using the same antibiotic for 25 years and its fine. No need to make silly
changes just to keep the government happy. What do they know about medicine
anyway? All they want to do is make us follow some stupid ‘cookbook’ and it’s
ridiculous. They should just leave all that up to the doctor.”·
Finance Analyst: “It saves money. Just
do it.”Administrator’s
Response Options Select
“Well, we have to do this
because it’s a government requirement.”2)
“You all raise valid points of
concern. The evidence shows a significant benefit to our patient care.”3)
“What could be done in the
implementation that would relieve some of your worries?”Responses
to Option 1Pharmacist: “We can make this switch as soon as you are ready.”Pre-Op
Nurse: “We’ll have to tell the patient to come in four
hours before the surgery to do this. What a pain.”Surgeon: “The heck with this. You can’t make me do it.”Finance
Analyst: “It saves money. Just do it.”Responses
to Option 2Pharmacist: “There is a real benefit. Surgical site infections drop like crazy.
It’s the right thing to do.”Pre-op
Nurse: “I want to do the right thing. If Pharmacy
can get the drugs up to the unit in the morning, maybe I can start the IVs
faster.”Surgeon: “I’m all about patient care, but why can’t I use what I’ve always
Analyst: “It saves money. Just do it.”Responses
to Option 3Pharmacist: “It would help me to know how many drug doses to stock in the OR
each morning so I can make sure they have what they need on hand.”Pre-op
Nurse: “That would sure help me. We can begin by
having the IVs pre-prepared so we just have to put the needle in the patient.”Surgeon: “Can I see the data about wound infections? How do I stack up
against other surgeons?”Financial
Analyst: “Great, you all see it. It saves money. Let’s
do it.”AssignmentAs is usually the case, it is possible to
achieve some measures of acceptance of changes. The way you respond will affect
your ability to do this. However, in real life, it rarely happens this quickly.
involved in negotiations, key elements to remember include:·
Pay close attention to the
reasons people give for their resistance. You will gain a better insight into
their thought processes and can tailor your responses to their perspectives. ·
You may have to ask questions
several times to dig into the real reasons why people may oppose something. The
opposition sometimes can be driven by fears and anxieties, but those are not
usually expressed initially. However, if you keep asking questions and
listening carefully, they will begin to emerge.·
Once you have a sense of the
perspectives of the various stakeholders about the change, you can begin to
address them and use them to overcome any objections to the change.·
Sometimes the best you can get
in the initial conversations is a willingness to move away from “I’m not gonna.”
to “Let me see the data.” That’s a big step toward willingness.Based
on this initial scenario, develop an implementation plan. It should include:·
The administrator’s initial
statement of what is being implemented and why.·
(Review the stakeholder’s
background thinking and first responses.) The administrator’s (your) response
option choice.·
How to communicate with the
stakeholders (especially if they need further convincing).·
What evaluation criteria are needed?·
Time frames.·
Other items you think would be
valuable to include.

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