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Learning Healthcare Organizations

What were the problems/issues that lead to the change or the needs for change?

This is a time when healthcare is changing due to standards placed on institutions

for best practice. The Joint Commission, the Centers for Medicare and Medicaid and

other regulating bodies have set standards that must be followed. It is difficult to rise to

the standards in some cases and organizations are competing for consumers for outpatient

and inpatient services. Organizations that are leaders in their

fields are getting the best consumers. One area of the hospital that is constantly seeing

change is the operating room. This area of the hospital brings in a lot of revenue into the

organization and must change to meet the standards of best practice. Each time a

department or hospital puts research into action there is a learning curve. Staff must

constantly stay current with knowledge of new surgical procedures to function in their

roles in the OR.

Who were the various stakeholders involved in the change?

We are no longer in a time when the local hospital served a specific population.

Clients now have choices and they look for the best available physicians and service

areas for their particular problems. The stakeholders for OR services are many. Surgeons

go where staff has an organized department and quick turn around times. They cannot let

there patient wait in there offices while staff is having difficulty getting the operating

rooms ready for the next patient. Stakeholders also include administrators of the

organization. Today’s hospitals are no longer one structure. They are hospitals, clinics

and physicians who are under one umbrella and need to make sure they are bringing

revenue into the system. The hospital that is our trial center is St. Vincent’s

 What time frame was involved in the change process?

The manager at St. Vincent’s Surgery...