simple presentation re

7/28/2019 Simple Presentation RE

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A Simple ChangeBy Noriza Ab Ghani

Matric number :770114035684001


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What is Change ? Making something different from

what it is ( Sullivan & Decker,1997)

In many instances The outcome remains the same

But The processes change


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Three types of change

Personal change

Professional change

Organization change


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Five steps of change

Assessment

Planning

Implementation

Evaluation

Stabilization


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Assessment

Identifying the problem oropportunity that necessitates change

Done by collecting and analyzing data

Data can come from the process or

outcome of the process or both


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Planning Establishing the who, how, what and whenof change.

Important for a change to be successful

Expected outcomes must be identified atthis stage


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Implementation of change

strategies

3 strategies

Power coercive approach

Normative-reductive approach

Rational-empirical approach


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Evaluation

Assess the effectiveness of thechanges

Identify the time interval for

evaluation Determine effectiveness of change

and change implementation

Decide on acceptance or anymodifications required in the change


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Stabilization of change

Sustain the objectiveoutcomes over a period oftime

May need another evaluationto know if change was

sustained


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Plastic Surgery Clinic ScheduleDay Morning Afternoon

Sunday Operation OperationDressing, Wound Inspection, Removal ofsutures

Monday Clinic for new cases,referral cases and

cleft surgery cases

Dressing, WoundInspection, Removal

of suturesTuesday Operation Operation

Dressing, Wound Inspection, Removal ofsutures

Wednesday Minor Surgery Clinic for

keloid caseDressing, Wound Inspection, Removal ofsutures

Thursday Clinic for Burns cases, operations for burns

Dressing, Wound Inspection, Removal of

sutures


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Clinic Set-up

Plastic clinic has two examinationrooms One is manned by the Surgeon

The other by the Medical Officers

Assisted by

MAs, Nurses, Attendant, AssistantNurse


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Assessment


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Attendance for minorprocedures

Removal of Sutures 4-5 patients /day

Wound dressing 4-5 patients/day

Monday, Wednesday and ThursdayMORNING Waiting time is longer as

Nurses are also assisting the doctor in runningthe follow-up clinic sessions.


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Planning

Solution Re-schedule patient requiring

removal of suture, dressing andwound inspection to non-clinichours

Monday, Wednesday & ThursdayAFTERNOON


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Clinic Schedule When ChangeImplemented

Day Morning AfternoonSunday Operation Operation

Dressing, Wound Inspection,Removal of sutures

Monday Clinic for new cases,

referral cases and cleftsurgery cases

Dressing, Wound Inspection,

Removal of sutures

Tuesday Operation Operation


Wednesday Minor Surgery Clinic for keloid case


Thursday Clinic for Burns cases,operations for burns



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Evaluation of changes Determine waiting time for Patients seeing the doctor and

Patients requiring the minor procedures

Assess staff number

May encounter some problems whennew arrangement is introduced


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Stabilization Especially when new process yieldspositive outcomes

The new work process for removal ofsutures, dressing and wound

inspection


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Discussion

Change has not been implemented In planning, must discuss with dept. staff

Once agreeable, the whole department will

be involved Will pilot for a few weeks

High possibility of acceptance of proposal

The new process does not involveadditional budget, staff or place


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Conclusion

Delay during clinic day with current system Pt to be given an appointment on clinic day

afternoon Result: pt do not need to wait for a long time

Staff may find it hard to accept thischange

With proper planning, discussion andevaluation the change in this work processshould be successful.


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Anyquestions?


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Thank you

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