For the three problems, we will first employ motivational or educational interventions that can help us prepare for change. Then we will develop skill building interventions that will drive the new practice and finally use reinforcing combined with financing interventions that can lead to sustenance of the change as suggested by Green, Kreuter and Deeds (1980).
For the issue in the emergency room, we need to train new workers and develop a time table for each worker so that the queues are minimized. The strategy involved here will be that of minimizing environmental and personal constraints to achieving the organizational objectives. This will minimize the cost to the patients and the organization. Motivation is also needed as a strategy to minimize worker turnover.
The second case needs a turn-around strategy as suggested by Porter (1985) to avoid losing on the valuable scarce resources that we have. It will mean motivating the staff to act on the policies and procedures as required by the organization and maintain the codes of ethics. We also need a focus strategy to expand our competitive scope and be the leading healthcare provider in this region. Lastly, the issue of re-admission due to early discharges needs us to focus on the policies provided by the national health department. Our Hippocritic Oath as we all know does not allow us to let a patient suffer. The strategy to minimize the issue will be that of enforcing the standard codes of ethics as required by the law.
Thanks for your co-operation.