You are a change manager at a large, urban hospital. The hospital recently acquired a 25-physician multispecialty practice. The goal of this acquisition was to improve preadmission and postdischarge primary care for patients. The acquisition was also intended to better meet the population health needs, which require the hospital to be increasingly measured and reimbursed. The practice was previously owned by the 10 physicians who started the practice over 25 years ago. Because of its origins, the practice has a very hierarchical culture that is reflected in its organizational structure. Owner physicians are at the top of the hierarchy, followed by employed physicians, then other clinical staff (nurses, medical assistants), and finally nonclinical front-office staff. You have been tasked with implementing a new team-based model of care delivery that more fully engages all members of the practice and puts patients at the center or “top” of the hierarchy.
Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. An originality report is provided when you submit your task that can be used as a guide.
You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.
Note: Proposed strategies should include consideration of organizational culture and patient-first (consumer centered) strategies.