Purpose of assignment is for the student to analyze a change initiative either witnessed personally or observed.    This is not to be an analysis of an episode of change found in the literature. 

Directions

Select an “episode” of a change related to a quality and/or a patient safety initiative at the macro level in a health care or an educational organization that you have participated in or witnessed.   Develop a descriptive analytical narrative of the change and a critical analysis of key components necessary to understand the change episode:  evidence for the change (document major sources; strategy used to effect the change; relationship between the proposed change and the culture of the setting; process used to engage participants; who led the change; leadership behaviors; and outcomes.  Other points that should be addressed are: how was the change implemented at all levels of the organization (the micro, meso, or macro system levels)?  Did each micro and meso system have the authority to individualize the implementation.  If so how?  What went well and why?  What did not go well and why? What might have been done differently or improved?  Consider the key concepts from your required readings.

Do not exceed 4 pages total