The increase in the number of patients who are treated in health facilities

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Introduction
Due to the universal advocacy, several countries have made a progression in increasing
the number of patients who are treated in health facilities. The increase in the number of these

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patients in health facilities is caused by the inadequacy in the quality of care that is provided by
the health facilities. Based on definitions, the world health organization describes eminent care
as the extent to which health care services are offered to the individuals and patient populations
to improve the desired outcomes. For quality care to be achieved, healthcare is supposed to be
safe, effective, timely, and people-centered.
Health facilities, in most cases, strive to offer rapid emergency care that is required in the
management of complications and care for the sick people (Murray, et al., 2014, p. 45). The
common causes of reduced quality care include the lack of motivation in the staff, unhygienic
infrastructure, lack of competence in staff, lack of motivation, and the availability of poor
medicines, poor compliance with the law and to the evidence-based clinical interventions, poor
documentation and utilization of the documented info.it is therefore essential to improve quality
care to the patients (Sherwood & Barnsteiner, 2017, p. 50). Quality care is also an integral
component of the right to good health as defined by the WHO. It is necessary to offer health
services that are essential and that meet the quality criteria. WHO published the standards that
could be used in improving the quality of care. The standards place individuals as the central
focus through the improvements the experience of the patient in healthcare. The latter is a vital
part of strengthening health systems (Taylor, McNicholas, Nicolay, Darzi, Bell, & Reed,
2014, p. 56).
Quality and Change Implementation

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Most of the institutions approve that active leadership is a great contributor to general
organizational performance and change. The intellectual leaders are the ones who have several
skills and knowledge that they acquired from involvement, which permits them to carry out
effective management to their daily life task (Sharma, Crowl, Sorge, & Sorensen, 2015, p.
59). Operational leadership is necessary to bring about effective change. The study from
Brookfield addresses the need for culture while addressing the issue to do with the change in an
organization. The author mentions roadblocks that are bound to influence the change
management efforts, which comprise; secrecy and silence in culture. Competence in leadership is
essential in handling and managing any opportunistic problems and also in the management of
other skills and capabilities (De Bono, Heling, & Borg, 2014, p. 59).
There are leadership competencies that have been considered mandatory for there to be
active and successful leadership. There exist different skills that are influential for leaders who
are also affiliated with a successful organizational change (Groves, Kayyali, Knott, & Kuiken,
2016, p. 62).

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Research shows that there are some competencies of leaders that relate them to a successful
change in an organization.
(Groves, Kayyali, Knott, & Kuiken, 2016, p. 67).