***200 word per discussion with 1 reference 1). The story of Mrs. Mary McClinton walks us through a pivotal moment in the change of culture for Virginia Mason. The tragedy of Mrs. McClinton’s case highlights a system error. Too often, individuals are blamed, and mistakes are left to happen again. Virginia Mason recognized a system error and went about creating a culture of safety. Discuss the evolution of the PSA System and its importance. 2). Chapter 5 of Transforming Health Care talks about Virginia Mason’s journey in revamping ambulatory care. In their previous life, the Kirkland facility experienced frustrated patients who complained about long wait times and expressed extreme dissatisfaction with their physician. There is even the case of a fatal mistake due to missed information. Discuss the major, and minor changes, instituted which turned care around for ambulatory care at the Kirkland Facility. 3). Chapter Six in Transforming Health Care, talks about two separate departments, the Ambulatory Surgery Center and the Center for Hyperbaric Medicine. Each undergo a transformation in this chapter. Choose one and talk about the journey that was taken to revitalize the center. What were some of the challenges they faced? What were some of the problem solving methods they used? Which stakeholder input seemed to be the most important and why? What was the outcome? 4). As we come to the end of our journey with Virginia Mason, discuss your main take-aways from this story of transformation. Where have you seen these methods implemented since Virginia Mason put them into play? Where would you like to see them implemented? 5). Discuss the importance of the following concepts in healthcare leaders, and how one can demonstrate the following: * Change Management * Commitment 6). Talk about a team that you were part of that worked really well together. What elements were present that made it an effective team? Share information about a team that you were part of that didnt work well together. What elements were missing? What suggestions can you make that would have enabled it to be more effective?

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