Quality Improvement, Patient Safety, And Cost Containment

1820 Words8 Pages
Quality improvement, patient safety, and cost containment are some of the key focuses of the Patient Protection and Affordable Care Act (PPACA) in 2010. Therefore, many Healthcare Organizations (HCOs) were confronted with the challenge of changing their organization behavior, so that they can deliver a safe care without compromising on qualities and increasing on expenditures with each care delivery (KPMG Healthcare & Pharmaceutical Institute, 2011). The purpose of the paper is to discuss a HCO’s transformation challenge, its subsystem within a larger system, its culture and climate, its leadership style, its assessment based on Collin’s Good to Great, and its readiness for change in today’s complex environment. Challenges of Transformation The current healthcare system is no long a simple unit where a physician could singly make management decisions for the majority of the patients. Different specialties have the capacity to survive independently, but also influence each other in a way that is non-linear, holistic, unpredictable, and complex (Stacey, 1996). It is also known as a complex adaptive system (CAS) where a collection of subsystem forms a larger HCO (McNeill, 2007). Moreover, the patterns of behavior of several HCOs can interact and lead to tension and paradox that can never be completely resolved or can improve the collective performance of all HCOs (Plsek & Greenhalgh, 2001). As a result, the transformation of the CAS becomes a challenge. The collective
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