Making the redesign work this time Essay Example | Topics and Well Written Essays - 1750 words

Making the redesign work this time - Essay Example All of these are dependent to a number of participators, namely: change-recipient, -implementer, -planner, and -administrator. Aside from the organizational sector, other sectors are also at play in the midst of change. They may include the social, economical and the political sectors per levels of community, public or private entities, and the regional and national authorities. Reacting to change was largely partitioned into two: through resistance or allegiance. The health care facility chooses the latter but is not ignoring the existence of the former. Rather, the facility wants to take these two into consideration in redesigning the existing patient care delivery, and understand better and evaluate the feasibility of applying the administration’s recommendation of employing universal workers. After Merge The merge had left the facility with a redundancy of several staff positions; thus, the consequent reduction of workforce. Existing issues had to override with the concern on coping with the loss of compartmentalized service providers. The primary issue involve is the fragmentation of patient care delivery which resulted to poor coordination between service providers within the facility. In a fragmented delivery system, inefficiencies include failure to assist the patients and their families in navigating through the facility’s health care system, lack of service provider-to-patient accountability, absence of feedback collection systems and feedback-based improvement schemes, not systematized clinical records, and higher emphasis on â€Å"high-cost, intensive medical intervention† against the â€Å"higher-value primary care† (Shih et al., 2008). Furthermore, the patients are well aware of these inefficiencies, having â€Å"frequently reported† the several instances of coordination breakdowns (How, Shih, Lau, & Schoen, 2008). Evidently, a fragmented system of delivery is not enough to achieve higher efficiency in delivering health care services. The assessment of the facility’s current system of patient care delivery