A health care organization is using the quality concepts of lean ...

[CBme]

A health care organization is using the quality concepts of lean thinking and decentralization as part of their redesign efforts.
 
  Which initiatives would this organization undertake? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Any changes to processes in the facility will be approved at the vice president level.
  2. Nurses who have made over five medication errors in the last 12 months will be terminated.
  3. Outcome data will be analyzed to identify successful interventions.
  4. The primary focus will be on a few major initiatives.
  5. Previous quality improvement efforts may or may not be discarded.

Question 2

An emergency department (ED) manager has an interview scheduled for 8:00 the next morning. The manager's usual hours are 8:00 a.m. to 4:00 p.m. This manager has been working as staff due to an increased volume of clients.
 
  What action should the manager take to prepare for this interview? 1. Reschedule the interview to a later time.
  2. Arrive to work early in the morning to prepare for the interview.
  3. Arrive at the usual time and conduct the interview.
  4. Have a human resources representative conduct the interview.

[zoeyesther]

Answer to Question 1

3,5
Rationale 1: Decentralization empowers staff to implement process improvements.
Rationale 2: Lean thinking focuses on the system rather than on individuals.
Rationale 3: In lean thinking, the concentration is on interventions that improve outcomes.
Rationale 4: This redesign strategy is called big-dot focus and may or may not reflect lean thinking.
Rationale 5: Decentralization provides a quality improvement infrastructure that disregards only previous efforts that have not proven effective.
Global Rationale:

Answer to Question 2

2
Rationale 1: As the interview is in the morning, there is insufficient time to reschedule.
Rationale 2: Arriving to work early will allow the manager to review the rsum and focus on the questions to ask the candidate. Arriving at the usual time may result in an inadequate interview.
Rationale 3: Arriving at the usual time may result in an inadequate interview.
Rationale 4: A human resources representative will not be able to assess the candidate as well as the nurse manager. The interview will likely not be useful and may have to be repeated, which is a waste of everyone's time.
Global Rationale:

[CBme]

YES! Correct, THANKS for helping me on my review

[31809pancho]

Great answer, keep it coming