Download this step-by-step guide to work and role design changes to improve patient care
delivery and use hospital staff skills and time more effectively.
Step 1 IDENTIFY THE KEY CHALLENGE, FRAME THE PROJECT, AND SELECT THE TEAM
Project Team Profiles
Step 2 SET THE OBECTIVE
Thought Trigger Card
Tips for Setting Aims
Step 3 DIAGNOSE THE CURRENT PROBLEM
Problem Mapping Tool: The "Why" and "Who" Analysis
Problem Mapping Example: Waiting Time at The Purple Tomato Restaurant
Step 4 GENERATE POSSIBLE SOLUTIONS
Time Spent Journal and Example
Role Redesign – Four Ways to Reconsider Who Does What/Examples
Communications Worksheet
Step 5 INCREMENTALLY TEST SOLUTIONS, FOCUSING ON WORK/ROLE CHANGES
Testing Changes (Institute for Healthcare Improvement)
PDSA Worksheet for Testing Change (Institute for Healthcare Improvement)
The Clinician's Black Bag of Quality Improvement Tools (Dartmouth University)
Tips for Effective Measures (Institute for Healthcare Improvement)
Step 6 DESCRIBE REVISIONS TO THE ROLE(S) AND USES OF TIME
Job Description Checklist (ASHHRA)
The Job Description: A Blueprint for Success (ASHHRA)
Finding the Right Person Worksheet
Step 7 DETERMINE RELATED SYSTEM CHANGES
Checking the Systems Issues – Key Questions
Challenges to the New Role(s)
Step 8 DEVELOP A BUSINESS CASE
Making a Business Case – Key Elements
Step 9 MAKE IT HAPPEN
Overcoming Resistance to Change Worksheet
Barriers to Change – Success Factors for Change (PwC/MORI)
Transforming Organizations: Why Firms Fail (Kotter)
Factors Influencing Change Worksheet
Step 10 REVIEW AND SUSTAIN
Recipe for Success: Factors for Sustainability
Building the Capacity for Change: A Pathway to Success
