Change Management in Health and Social Care: Pisam Health Analysis

This report examines the factors influencing change within the Pisam Health organization, focusing on workforce shortages, employee motivation, and patient demographics. It explores change management theories, including Lewin's Change Management Theory and the ADKAR model, and their application in healthcare settings. The report also discusses approaches, tools, and techniques to support change, such as process maps, ADKAR analysis, and cultural mapping, while addressing barriers like inadequate staffing and communication gaps. Furthermore, it emphasizes the importance of effective change management for improving services, lowering communication gaps, and resolving issues. The report concludes by outlining a change management plan, including stakeholder analysis and strategies to manage resistance, evaluating the effectiveness of quality systems, policies, and procedures within the organization.

Leading Change In
Health And Social
Care

Table of Contents
INTRODUCTION...........................................................................................................................3
MAIN BODY...................................................................................................................................3
CONCLUSION................................................................................................................................3
REFERENCES................................................................................................................................4

INTRODUCTION
Studies considered that change management is an imperative, which is found to be in
every goal, mission and campaign which provide assurance to achieve positive outcomes
(Change Management in Healthcare – The Biggest Challenges and How to Overcome Them,
2020). The change management is beneficial to facilitate innovation and can foster new
interventions of working processes. As per the study of Harvard Business Review, suggests that
change in health care sectors can fails too, due to health care sectors have complicated
infrastructures and also dispersed group (Change Management in Healthcare – The Biggest
Challenges and How to Overcome Them, 2020). Change management is considered to be
challenging when healthcare organisations do not achieve considered goal for workflow
disruptions, long term staff engagements, considering bench-marks to optimise progress of an
organisation (Lawrence and Frater, 2017). This report, underpins factors that influence the
change in Pisam Health organisation and the theories of change management. Also, report
involves the approaches, tools and techniques which support the change process.
MAIN BODY
Factors which influence change in Pisam Health organization
As per the studies, it has been observed that there are varieties of factors which influence
the change (Change Management in Healthcare – The Biggest Challenges and How to
Overcome Them, 2020). Change is described as a process of transformation, that can facilitate
organization by improving services and increasing productivity. It has been found that various
factors that can motivate to prevail change in Pisam Health Organization are considered as
shortage of workforce, lack of motivation of employees, patient cooperation and Patient
sociology-demographic variable (Augustsson and et. al., 2019). According to the study, quality
is determined to be predominant part of individual's life nowadays and individuals may
constantly look for quality of services within health care sectors (Change Management in
Healthcare – The Biggest Challenges and How to Overcome Them, 2020).
External factors such as social, technical, economic, government policies, cost of
resources and technology that can also motivate change within health care sectors.(Augustsson
and et. al., 2019) In which, political factors are the factors which are governed by government
regulations and National Quality Standard (Augustsson and et. al., 2019). The government

introduced new advancements in policies which highly aims on the improvement in quality of
services and prevention of diseases. New advancement of policies influences changes in Pisam
Health organization positively (Augustsson and et. al., 2019).
Moreover, internal factors such as change in leadership, union action and other are
determined reasons which can derive change which sometime may impact negatively. In some
cases, due to cultural difference native languages of patients and health practitioners may differ
from each other. It can promote less understanding within patient and doctor relationship.
Studies concluded, sociology-cultural differences make difficult to achieve desired outcome for
individuals.
Theories of Change Management
According to the studies, many health care organizations implemented Kurt Lewin's
theory to understand human behavior as it relates to pattern of resistance and change (Applying
Lewin’s Change Management Theory to the Implementation of Bar-Coded Medication
Administration, 2021). It is also known as Lewin's Force Field Analysis, the model is surrounded
with three phases called as unfreezing, moving and refreezing. The implementation of Lewin's
model is to illustrate the process of change and to acknowledge factors which are being
hindering change from prevailing (Lawrence and Frater, 2017). The Forces which oppose change
called restraining forces. In first stage of model, which is unfreezing stage, it promotes
understanding of the barriers or problems for strategies are developed to reduce restraining
forces within health care sectors. As per the studies, unfreezing involves identification of key
stakeholders who are being affected by change and gathering other to know their ideas by
communicating each staff members for new innovation (Applying Lewin’s Change Management
Theory to the Implementation of Bar-Coded Medication Administration, 2021).
The seconds stage to equalize opposite forces in order to support change, so for that it is
important to communicate with staff members. Finally, the desired change has occurred, the
refreezing stage can be applied to describe steadiness of change (Augustsson and et. al., 2019).
For example, an evidence base study demonstrate the use of bar-coded medication. in order to
lower inappropriate medication or medication errors and to manage time of health practitioners.
Similarly, this model can be used in Pisma Healthcare Organization (Lawrence and Frater,
2017). Though this intervention, health care practitioners can manage their working hours.
Studies confirmed that the key component of this model is communicating with all stakeholders

includes administration, frontier nurses and administration that help to establish honesty and
transparency within organization (Applying Lewin’s Change Management Theory to the
Implementation of Bar-Coded Medication Administration, 2021).
Change management model: Lewin's Change Model
Another considered theory, is ADKAR change management theory, it is goal based
theory which is used to guide both staff members and organizational change (ADKAR Model of
Change, 2018). It majorly focuses on the individuals, as it has believed that change can be
prevailed within any organization when each members have mutual motive to prevail change
(Lawrence and Frater, 2017). ADKAR stands for awareness, desire, knowledge, ability and
reinforcements respectively (ADKAR Model of Change, 2018).

Change management model: ADKAR
For example, an evidence based study represents, the utilization of ADKAR model in
coordination, for better communication, motivating, explain and to train care team members at
the time of pandemic. In Pisam Healthcare organization, it can be used to motivate staff
members and can be useful tool for establishing effective communication within organization.
Approaches, Tools and Techniques to Support Change in Pisam Healthcare organization
The change can be supported through several ways in health care organization. Studies
concluded that two effective approaches that can be considered are “expect and accept the
change” and “being transparent, timely and frequent with communication approach” are
individuals that should be followed through all stakeholders in order to support organizational
change (How to Manage Change in a Health Care Organization, 2021). In Pisam, effective tools
which can be considered to support and process the change are Process Maps, ADKAR analysis
and cultural mapping. In which process maps can help authorities to track the progress of
change, ADKAR analysis can be beneficial to promote change. Whereas cultural map is an
effective tool which purpose is to analyses and visualize cultural of organization (How to
Manage Change in a Health Care Organization, 2021).

Tools for Change Management
In Pisam organization, the considered barriers are inadequate staffing, long working
hours of employees and communication gaps within employees (Augustsson and et. al., 2019).
These can be minimized by the use of these relevant tools such as communication tools. As a
techniques, formulation of Gantt chart and change management plan termed to efficient to
expand the efficiency of change within organization.
Importance of effective change management
The change management is essential for Pisma, due to many reasons. It can detail
external factors which are impacting negative influence (Ahmadi, Pishvaee and Torabi, 2018). It
lowers communication gaps within organization and can make easier to coordinate with each
other. By the implementation of change management models within to enables ideas which can
help them to succeed. As per studies, in health care sectors, it is beneficial to improve internal as
well as external services (Yanamandra, 2018). Change management also plays a vital role in
tracking and resolving issues of Pisam.

Plan, tools and techniques of change management in Pisam
The change management plan is developed to lower issues and it can beneficial to
enhance the growth of organization. It is five step process which includes identification,
determination of impacts of problem, determination of stakeholders those are getting affected by
problem, developing a strategy to minimize effects of problem and measures of progress of
change (Getele, Li and Arrive, 2020). It can help an organization to develop effective strategy for
root cause of problem. In the case of Pisam, as organization is dealing with issues such as lack of
motivation within employee shortage of workforce, communication gap within staff members
and long working hours. The change management plan focus on people and it promotes
productivity of employees. The considered tool in the management of change within Pisma
Healthcare organization can be Kotter's 8 step change model. It can provide a clear visualization
of problem and effective strategy that can developed.
Develop a plan to implement a change in an organization
With formulate and implement the change management an organization induce effective
and systematic approaches related with busines (Scavarda and et. al., 2019). In the present
scenario, healthcare conditions are too dynamic because of Covid-19 conditions so this is
important for Pisam organization to engage and induce effective changes that helps management
to deal with or overcome from barrier of organization. Some steps adopted by Pisam industry are
mention as follow:
 To generate sense of urgency- Successful transformation perform an important role that
basically start when leader examine the requirements for changes. This also generate
challenges for management to minimize the barrier of unpredictable illness through
organizing training for workforce that aids them to learn with urgent cases and changes.
 To form strategic vision and initiatives- With implementation of guiding coalition the
management of an organization craft or formulate clear vision. This aids management for
motivate the persons or engaged staff of Pisam to take appropriate actions related with
business.
Develop measures to monitor and evaluate progress of the change plan
Aim of the Pisam management for providing training and coaching to individuals is to
equip individuals with new skills and knowledge and this enable an organization for make

effective use of new business solutions (Polater and Demirdogen, 2018). Some measures which
are effective for Pisam healthcare are mention as follow:
 Track communication effectiveness- Changes or alternations are formulated within
internal environment of organisation. So the first factor which is used by Pisam is
internal communication metrics and this is used to track the number of individuals and it
helps to identify how many individuals reach towards expectation of changes.
 Engagement- Open rate is another important factor and according to the current market
techniques engagement of individuals within business is another factor for adoption of
appropriate changes among business.
Pisam management utilize both communication and engagement factors because it helps
to track all factors and subject such as requirements of changes, motivational level of workforce,
etc. for accept changes in minimum time-period.
Apply a stakeholder analysis to understand possible resistance to change
With formulation of changes in the organization it is complex for management to induce
all factors in an organized manner. This is because numerous individuals influence and control
the business operations and they are known as stakeholder of business. Staff or employees of
Pisam hospital generate challenges for organization because they work at ground level so
sometimes this is time-consuming and difficult for them to adopt changes with quick approach.
(Maheshwari, Gautam and Jaggi, 2021). This define that management determine all stakeholders
so it helps them to make eventual outcomes for complete of projects in a systematic manner.
Pisam industry conduct stakeholder analysis to understand both internal and external
stakeholders. It helps management to formulate effective enterprise strategy such as to overcome
from barrier of complex needs each stakeholder is categorize in a specific manner that aids for
learn how to manage stakeholders in a proper manner.
Critically appraise relevant strategies to manage resistance to change in organizations
The major challenges or resistance related with change is that internal staff generate is
not motivated for adoption of new methods. Therefore, this is crucial for management to adopt
right strategy specifically to learn the Kolb's reflective cycle. ((Maheshwari, Gautam and Jaggi,
2021). The reason to include the respective cycle among organizational strategy is that this aids
for identify and demonstrate importance of adopting changes with in Pisam operations with step

to step. It results that organization is able to minimize all changes that creates problems for
offering appropriate healthcare services.
Evaluate the effectiveness of quality systems, policies and procedures used in a Health and
Social Care setting
To achieve the purpose or goal of Pisam, this is important for authorities to bring
effectiveness in their quality system or standards. The quality system for Pisam care home is
recorded and demonstrates in the form of documents and this policy is used to convey all
information in a positive manner to the stakeholders. (Pinzone and et. al., 2019) Furthermore, it
is also important that management adopt healthcare approaches for complete task according to
company requirements.
Moreover, this also ensure that quality standards related with healthcare services and procedures
like, planning, coordinating, training, etc. are induced to protect all persons with decided care
systems. It governs quality system ensure that policies, procedures, etc. are considered for make
safe environment in internal environment of business.
Analyse factors that influence the achievement of quality in the Health and Social Care provision
This is difficult to achieve the purpose of delivering quality services among the health
and social care as they are numerous barriers restrict the management to complete their work
with high quality (Sumrit, 2021)(Yanamandra, 2018)Moreover, potential barrier faced by
organization is the lack of financial resources and other is less motivation among staff this are
the two major barrier that create difficulty for adopt techniques which influence and improve
quality of health and social care services.
It is identified among many cases that this is difficult for arrange the funds, equipments
and human resources in a proper manner(Rakovska and Stratieva, 2018) One of the major
concern related with home care is that limitation of resources formulates challenges in delivering
of quality services to customers. Also, Pisam health organization staff face problems because the
restricted use of resources work as a barrier for them to adopt the changes that are being
implemented among organisation to work in a proper manner.

Suggest ways in which the Health and Social Care service could improve quality of service
provision
With understand and analyses the development plan as well as policies related with
healthcare services this is understand that it is difficult for management of Pisam healthcare
organization to deliver the health and social care services in an organized manner because of less
engagement of staff(Ahmadi, Pishvaee and Torabi, 2018). Therefore, the first method or way for
improve quality provision is to collect the feedback from the workforce and than to make
appropriate plans to overcome from organization challenges. Along with follow up and engage
of online system are also recognized as other important factors for improve the healthcare and
quality provisions of organization.
Ways to Improve Quality
Studies state that the effective improvement that can be achieved in Pisam health care
organization by working in team, communicating with managers and formulating a quality chat
for analyses of progress can be utilized to improve quality of services.(Yanamandra, 2018) Also,
attaining feedback patients can help to improvise problematic areas. Pisma Health care
organization should expand their staff members by hiring new recruits and motivating existing
employees by providing them momentary and non- monetary rewards for their effective practice.
CONCLUSION
Overall it has been concluded that change management is mandatory of health care
sectors. Sometimes it has been seen it might not work but it can provide efficient result for short
time period.

REFERENCES
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