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Discussion: Write an analysis of the systems and structures of the organization you selected, sharing specific examples. Explain insights that you gained by comparing the two frameworks, and how each can be used to assess an organization, identify a need for improvement, and, ultimately, enhance the performance of an organization.

PROJECT Complete instructions are provided in Learning Resources.

In this course, you develop a comprehensive Course Project: Promoting Health Care Quality. To initiate this project, this week you examine the systems and structures of an organization with which you are familiar. This analysis will serve as a foundation for developing a plan to address a quality improvement issue.

Section 1: Organizational Systems and Structures Evaluation

When a problem related to health care quality and patient safety arises, there can be an inclination to focus on a specific event rather than to examine the larger context surrounding it. Analyzing the systems and structures within an organization provides a foundation for generating a fuller understanding of how and why the event occurred and for developing strategies to address the underlying issues. Perhaps more importantly, such an analysis can be used to proactively identify potential challenges and improve organizational systems and structures in order to promote positive outcomes.

In the first section of your Course Project, you analyze the systems and structures of a health care organization with which you are familiar.

To prepare:

· Identify a health care organization with which you are familiar; one that you will be able to sufficiently analyze to complete the full scope of the Course Project. (Refer to the Course Project Overview as needed.) This may be the same organization that you addressed in Discussion.

· Select two or more of the following frameworks:

o Learning organizations

o Complex adaptive systems (CAS)

o Clinical microsystems

o Good to great

o The 5 Ps

You may use the same frameworks that you addressed in this week's Discussion.

· With these frameworks in mind, analyze the systems and structures of the organization. Be sure to research and consider:

o Mission, vision, and values

o Strategic plan, goals, and objectives, if possible

o Key operational processes and patterns

o Information technology use

o Organizational priorities and investments, as indicated by financial data

You will receive instructions for integrating an analysis of organizational culture into development of Section 1 of your Course Project. Once you have completed your evaluation, you will write a 3- to 5-page paper.

· Review the information on organizational culture in this week's Learning Resources.

· Reflect on the culture of an organization with which you are familiar. Consider the following:

o What elements of the organization's culture seem most prominent or significant to you?

o What beliefs, dispositions, and/or actions seem to be most valued? Why do you think so?

o What do you notice about the expectations, assumptions, and more demonstrated among people within the organization?

o What artifacts provide clues about the culture?

o How do these cultural elements contribute to or detract from the organization's ability to meet prominent goals and objectives?

· Consider how you, as a nurse leader-manager, could apply your knowledge of this culture to facilitate quality improvement initiatives within this organization. How would you leverage the strengths of the culture, and address limitations or obstacles that may arise within it?

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