| Assessment Domains |  | ||
---|---|---|---|---|
 | Organizational Readiness | Predictive of successful implementation | Capacity to manage change | Mean |
Change stage one: organizational goals & architecture | Â | Â | Â | Â |
Please tell us to what extent your organizational leadership and/or organizational staff are concerned about ED-GIM (emergency department – general medicine) flow issues in your hospital: | 7.7 | 6.7 | 5.4 | 6.6 |
ED-GIM flow issues in my hospital represent a critical challenge to our mission: | 7.6 | 7.3 | 5.7 | 6.6 |
How high on your priority list would you place an initiative dealing with ED-GIM flow? | 7.9 | 7.5 | 5.8 | 7.1 |
Is general internal medicine (GIM)/general medicine a core clinical priority for your hospital? | 6.7 | 6 | 5.2 | 6.0 |
Change stage 2a: organizational readiness for change | Â | Â | Â | Â |
Please tell us your previous experience with organizational change initiatives: How many MAJOR organizational change initiatives have taken place or have been planned in the past year (2008/2009). | 6.1 | 5.8 | 5.2 | 5.7 |
Thinking about your hospital, what is the significance of: Staff burn-out from past change initiatives, as a potential barrier to improvements in ED flow and efficiency? | 6.5 | 6.6 | 5.5 | 6.2 |
Thinking about your hospital, what is the significance of: Physician resistance to change, as a potential barrier to improvements in ED flow and efficiency? | 7.3 | 7.7 | 6.6 | 7.2 |
Change stage 2b: situational analysis and redesign of organizational systems | Â | Â | Â | Â |
Thinking about your hospital, what is the significance of: Current communication practices between physician leadership and front-line nursing management, as a potential barrier to improvements in ED flow and efficiency? | 6.4 | 6.8 | 5.4 | 6.2 |
Thinking about your hospital, what is the significance of: Current lack of coordination between ER and internal medicine on bed management issues, as a potential barrier to improvements in ED flow and efficiency? | 6.9 | 7.2 | 5.7 | 6.6 |
Thinking about your hospital, what is the significance of: Current lack of physician coverage in the ED, as a potential barrier to improvements in ED flow and efficiency? | 6.5 | 6.3 | 5.5 | 6.1 |
Change stage 3: capacity to build coalitions, broaden support and align systems | Â | Â | Â | Â |
Considering previous change initiatives your hospital has undertaken, were you able to develop effective communication methods, systems and strategies within and between medical/clinical services and sub-specialists within your hospital? | 6.3 | 6.5 | 5.9 | 6.2 |
Thinking about your hospital, what is the significance of: misalignment between physician incentives and goal of patient flow improvement, as a potential barrier to improvements in ED flow and efficiency? | 6.8 | 7.4 | 6.5 | 6.9 |