Organizational Planning and Change in Health Administration


Institution Affiliation

The PatientProtection and Affordable Care Act (PPACA) is a federal statute thatwas enacted in 2010 by the President of the United States, BarrackObama. The legislation, also known as Obamacare or Affordable CareAct (ACA) was aimed at transforming the health sector in order toimprove service delivery. Under the PPACA, health institutions andthe primary physicians were given the task of improving the deliveryof healthcare services to the patients by reducing the rate ofadmissions and facilitating the coordination of care. This law alsocreated a new value-based reimbursement model unlike in the pastwhere the fee for services was used.

Question 1

In everyorganization, there is a possibility of the employees rejectingchanges to the operational framework. This can be attributed to fearof unknown created by uncertainty. In the report to be submitted tothe Executive Committee of the Medical Staff, the Beckhard-Harrischange model will be utilized (VanBalkom &amp Qasimi, 2009). Themodel is based on four necessary conditions that must be met forchanges to occur. These include dissatisfaction, vision, and futureroadmap. Additionally, the product of the conditions must exceed theresistance that the proposition is likely to face from the employeesand management team (VanBalkom &amp Qasimi, 2009).


This is the firstsituation that can necessitate change. In this case, the universityhospital must operate under the provisions of the law. Therefore,following the enactment of the Patient Protection and Affordable CareAct (PPACA), the hospital has no alternative but to adhere to thelegislation. This is to avoid legal implications that may arise.


The hospital isfocused on ensuring quality health care service provision to thepatients while ensuring job satisfaction among the medical staff. Incompliance with the Affordable Care Act, the hospital has embarked onthe development of strategies to minimize the rate of admission byintroducing a health navigator program that connects the patientswith social support services. Additionally, case managers have beenstationed in the emergency department to connect the high utilizerswith community services. The discharge process has been enhancedfurther to avoid associating readmissions with failure.

Acceptable First Steps

The new changesare to be integrated into the organizational practices over time. Itis important to note that the new reimbursement model will not have asignificant impact on the physicians whose payment of service isstill based on fee for services. Additionally, the nurses’ jobs arenot under any threat. The hospital is developing strategies that willensure that fundamental alterations are made to the current frameworkof operations. The product of the conditions that have made itnecessary to alter the model of services must exceed the resistancethat is likely to arise from the employees and other healthcarestakeholders.

Question 2

Theimplementation of the act is likely to lead to various leadershipchallenges that must be addressed to ensure quality serviceprovision. To begin, the management must make certain that there areno legal loopholes to be exploited by the patients. Additionally, theleader will have to identify sources of motivation for the employeesthat believe that their jobs are under a threat. Developing anappropriate framework remains one of the biggest challenges that theleadership of the hospital is likely to face. Moreover, all thestakeholders should be allowed to air their opinions about the changemodel to be used in the organization. The implementation of theprovisions of the legislation is also likely to improve the qualityof healthcare services by the medical staff.


VanBalkom, W. &amp Qasimi, F. (2009). Leading Organizational Change.Retrieved from -DVF.pdf