PRE FI LEC 2: MANAGING CHANGE Flashcards

1
Q

CHANGE of becoming something different
- is the systematic approach and application of knowledge, tools and resources to deal with change

A

CHANGE MANAGEMENT

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2
Q

CHANGE IS INEVITABLE

TRUE OR FALSE?

A

TRUE

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3
Q
  • anticipated changes
  • intended and thought out
  • carefully implemented and have usually been studied and examined to ensure a successful outcome
A

PLANNED CHANGES

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4
Q
  • not anticipated
A

UNPLANNED CHANGES

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5
Q

THREE TIMING LEVELS OF CHANGE
- is made when a PRESSING or important issue dictates the need.
- frequently UNPLANNED, and patient safety or quality issues are often dictators of urgent changes.
- are deemed absolutely necessary to resolve an issue.

A. EMERGENT CHANGE
B. OPPORTUNITY CHANGE
C. EVOLUTIONARY CHANGE

A

EMERGENT CHANGE

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6
Q

THREE TIMING LEVELS OF CHANGE
- often result when OPPORTUNITY ARISES
- can be PLANNED OR UNPLANNED
- arise from changes other areas have made, improvements in equipment, or newly acquired skill sets of individuals.

A. EMERGENT CHANGE
B. OPPORTUNITY CHANGE
C. EVOLUTIONARY CHANGE

A

OPPORTUNITY CHANGE

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7
Q

THREE TIMING LEVELS OF CHANGE
- happens OVER TIME
- gradual adaptation or responsiveness to change
- it can be planned but is OFTEN UNPLANNED

A. EMERGENT CHANGE
B. OPPORTUNITY CHANGE
C. EVOLUTIONARY CHANGE

A

EVOLUTIONARY CHANGE

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8
Q

REASONS FOR CHANGE
- market situation or market place
- technology
- government laws and regulations
- economics

A

EXTERNAL REASONS

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9
Q

REASONS FOR CHANGE
- corporate strategy
- workforce
- technology and equipment
- employee attitudes

A

INTERNAL REASONS

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10
Q

TYPES OF CHANGE
- To carry on or conduct something to a conclusion or settlement
- referred to as DEVELOPMENTAL CHANGE
- occurs when an organization makes improvements to STAY COMPETITIVE
- a continual process, and it should require little effort to implement this type of change.
- most common type of change and is usually based on the improvement of an existing skill, method, performance standard, or condition.
- usually ENCOUNTER LITTLE RESISTANCE because most often they are logical adjustments to current operations and strengthen what you already have.
EX: implementing additional training to improve a process already in place, e.g., training certified phlebotomists to perform point-of-care testing so as to allow medical technologists and medical laboratory technicians additional time to work on more technical or complex testing.

A

TRANSACTIONAL CHANGE

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11
Q

TYPES OF CHANGE
- relating to a period which something is changing from one state to form into another
- is a MORE COMPLEX type of change in that it REPLACES processes or procedures with new concepts and procedures.
- designed to increase efficiency by replacing an old process with an entirely new one.
- often referred to as a PROJECT IMPLEMENTATION
- You may incorporate new products or services and establish appropriate start and end dates for the project’s timeline.
EX: implementation of new automation when the previous process was manual, e.g., implementation of automated cross-match when all cross-matches were previously performed by hand in the blood bank.

A

TRANSITIONAL CHANGE

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12
Q

TYPES OF CHANGE
- to CHANGE COMPLETELY the appearance or character of something or someone , especially so that thing or person is improved
- MOST COMPLICATED and most difficult type of change to achieve is transformational change.
- SHIFT in the entire business culture of the organization.
- most complex type of change because it INVOLVES THE HUMAN SIDE OF CHANGE and encounters the most resistance.
- results from a change in strategy and results over a period of time.
EX: the merger of two different hospitals or incorporation of a college or medical school into your facility to establish an academic medical center.

A

TRANSFORMATIONAL CHANGE

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13
Q

TYPES OF CHANGE
Perspective: one-time decision
Time: short -term
Orientation: cost - benefit
Nature: bargaining
Metric: decision
Psychology: economical

A

TRANSACTIONAL CHANGE

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14
Q

TYPES OF CHANGE
Perspective: durational - approach
Time: defined-term
Orientation: goal
Nature: achievement
Metric: milestone
Psychology: motivational

A

TRANSITION CHANGE

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15
Q

TYPES OF CHANGE
Perspective: paradigm shifts
Time: timeless
Orientation: identify development
Nature: directional
Metric: personality traits
Psychology: spiritual

A

TRANSFORMATIONAL CHANGE

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16
Q

FACTORS AFFECTING CHANGE

A
  • KNOWLEDGE
  • SKILL
  • MOTIVATION
17
Q

FACTORS AFFECTING CHANGE
the _________ of the individual expected to implement the change refers to the person’s job specifications, selection criteria, performance review, and training needs.

A

SKILL

18
Q

FACTORS AFFECTING CHANGE
- refers to the individual’s understanding of the mission or strategy of the change. Are they knowledgeable about the processes or procedures, and what is their personal development?

A

KNOWLEDGE

19
Q

FACTORS AFFECTING CHANGE
- plays a significant role.
- When a person is motivated, he or she tends to make sure that the task is accomplished on time. What motivates each person? Are your people strategically aligned, socially

A

MOTIVATION

20
Q

PERSONAL CHANGE CURVE
- Employees IGNORE or DO NOT RESPOND to the information or awareness of change. It doesn’t sink in right away that the change is occurring and that it will affect them.
- A typical response might be, “They can’t be merging our laboratory with that reference clinical laboratory across town.”
- they are in withdrawal, tend to focus on the past, and avoid the topic as much as possible.

A

DENIAL

21
Q

PERSONAL CHANGE CURVE
- Here STRONG FEELINGS about the change emerge, such as anger, blame, depression, anxiety, uncertainty, frustration, and self-doubt.
- Change is frequently resisted, just because it is change.
- Often change is resisted because people are FEARFUL OF THE UNKNOWN

A

RESISTANCE

22
Q

PERSONAL CHANGE CURVE
- people ACKNOWLEDGE THE CHANGE and accept that the change is necessary
- They draw upon internal resources and creativity to figure out new responsibilities and to visualize our future.
- This can be an exciting time if they take on change as a new adventure and a new opportunity.
- In this stage they have concern about details, confusion, new ideas, and lack of focus.

A

EXPLORATION

23
Q

PERSONAL CHANGE CURVE
- people acknowledge that the change is the NORM, are motivated, and are capable of achieving success.
- They are able to set new goals and make plans to reach new goals.
- Here they are cooperative, are focused, and feel confident and in control.

A

COMMITMENT

24
Q

REASONS FOR RESISTING CHANGE

A
  • FEAR
  • LACK OF TRUST
  • COMFORT
  • PERCEPTION OF NEEDS
  • LACK OF KNOWLEDGE OR COMPETENCE
  • POOR COMMUNICATION
  • EXHAUSTION OR SATURATION
25
Q

REASONS FOR RESISTING CHANGE
- People often fear the unknown. Employees may simply resist change because it is unfamiliar. They fear that the new way will not work, they may not be able to handle the new conditions competently, and they will not do well following the modified process

A

FEAR

26
Q

REASONS FOR RESISTING CHANGE
- When employees DOUBT THEIR LEADER and question their motives, they tend to resist change

A

LACK OF TRUST

27
Q

REASONS FOR RESISTING CHANGE
- People are creatures of habit and DO NOT LIKE A CHANGE IN ROUTINE. Many employees feel connected to the old way or have a personal preference and a certain way of doing things

A

COMFORT

28
Q

REASONS FOR RESISTING CHANGE
- Some employees feel that the old/current way is good or is working fine. They may not understand the need for change or see any benefits of the change

A

PERCEPTION OF NEED

29
Q

REASONS FOR RESISTING CHANGE
- Employees may be concerned that they DO NOT HAVE THE SKILLS or KNOWLEDGE to implement the changes. They may doubt their ability to handle the change and may feel they may lose something they once had. They may have to start over, do not like the idea of being retrained, and feel less competent than they did with the previous way

A

LACK OF KNOWLEDGE/COMPETENCE

30
Q

REASONS FOR RESISTING CHANGE
- Employees may feel that they were
NOT INFORMED or consulted about the change. They may feel as though their opinion doesn’t matter or that their opinions are insignificant

A

POOR COMMUNICATION

31
Q

REASONS FOR RESISTING CHANGE
- Employees may resist change because they are OVERWHELMED by continuous change

A

EXHAUSTION/SATURATION

32
Q

STEPS TO MANAGING CHANGE

A
  1. PREPARE
  2. IMPLEMENT
  3. MONITOR
  4. SUSTAIN
  5. REEVALUATE
33
Q
  • Establish and maintain open lines of communication (COMMUNICATE)
  • Make staff aware of the current state
  • Staff is more likely to be receptive when they are informed of the purpose of the change
  • Knowing the expected positives and negatives associated with the change
  • MOTIVATE the staff to become excited about the change
  • DESIGN/DEVELOP a plan of action and create a sense of urgency.
  • UTILIZE GLOBAL THINKING nd envision strategic partnering
A

PREPARE

34
Q
  • execute plan
  • establish time frame
  • delegate duties
  • hold individual accountable
  • make the vision a reality
A

IMPLEMENT

35
Q
  • review key metrics
  • follow up
  • expedite design
  • develop a FEEDBACK PROCESS
A

MONITOR

36
Q
  • reinforce the change
  • ensure compliance
  • recognize/reward
A

SUSTAIN

37
Q
  • asses change (review and analyze)
  • brainstorm
  • ask question
A

REEVALUATE