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Positive deviance

To prepare
Review the information in this week’s Learning Resources, including the first chapter in Pascale, Sternin, and Sternin book and the Bradley, Curry, Ramanadhan, Rowe, Nembhard, and Krumholz article. (Which are uploaded)
Reflect on health care quality problems or issues that warrant systems-level change. Consider the significance of each problem/issue

o    How would you apply the principles of positive deviance to address this problem/issue? What specific steps would you take to move from identification of the problem/issue through evaluation of outliers to implementation of a larger scale change to improve quality?
o    What examples of positive deviance, if any, are you aware of related to this problem/issue? Conduct research as necessary to see if you can locate one or more instances of positive deviance.

The Assignment
Write a description of the health care quality problem or issue you selected (decreased nurse/patient ratio and its impact on nursing care) and explain how it could be addressed using the principles of positive deviance

Pascale, R. T., Sternin, J., & Sternin, M. (2010). The power of positive deviance: How unlikely innovators solve the world’s toughest problems. Boston, MA: Harvard Business Press.
Chapter 1, “Introduction: Against All Odds” (pp. 1–18)

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Front Cover

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The Power of Positive Deviance: How Unlikely Innovators Solve the …, Volume 1
By Richard T. Pascale, Jerry Sternin, Monique Sternin

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Harvard Business Press
Pages displayed by permission of Harvard Business Press. Copyright.

Page i

HOSPITAL QUALITY: INGREDIENTS FOR SUCCESS—
OVERVIEW AND LESSONS LEARNED
Jack A. Meyer, Sharon Si
low-Carroll, Todd Kutyla,
Larry S. Stepnick, and Lise S. Rybowski
July 2004
ABSTRACT:
Hospitals across the country are searching
for ways to improve quality of care and
promote effective quality improvement strategies
. This research study,
by members of the
economic and social research instit
ute, identifies and describes the key factors that contributed to
the success of four high-performing hospitals across
the country. Essential elements of a successful
strategy, according to the study, include developing the right culture, attracting and retaining the
right people, devising and updating
the right in-house processes, and
giving staff the right tools to
do the job. External influences, such as local market competition, and public or private health
quality initiatives and standards al
so have an impact. Th
rough information gleaned from site visits
and in-depth interviews with th
ese high-performing hospitals, the
study assesses quality drivers,
internal processes, and challenges, and offers guidance and actions steps to help hospitals move in
the right direction.
Support for this research was provide
d by The Commonwealth Fund. The views
presented here are those of the
authors and should not be attr
ibuted to The Commonwealth
Fund or its directors, officers, or staff.
Additional copies or this (#761) and other
Commonwealth Fund publications are available
online at
www.cwmf.org
. To learn more about new Fund publications when they appear,
visit the Fund’s website and
register to receive e-mail alerts

Sample Answer

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Concerning specific contextual analysis, two significant correspondence standards, correspondence channel determination and commotion are self-evident. This course presents the standards of correspondence, the act of general correspondence, and different speculations to all the more likely comprehend the correspondence exchanges experienced in regular daily existence. The standards and practices that you learn in this course give the premise to additionally learning and correspondence.

This course starts with an outline of the correspondence cycle, the method of reasoning and hypothesis. In resulting modules of the course, we will look at explicit use of relational connections in close to home and expert life. These incorporate relational correspondence, bunch correspondence and dynamic, authoritative correspondence in the work environment or relational correspondence. Rule of Business Communication In request to make correspondence viable, it is important to follow a few rules and standards. Seven of them are fundamental and applicable, and these are clear, finished, brief, obliging, right, thought to be, concrete. These standards are frequently called 7C for business correspondence. The subtleties of these correspondence standards are examined underneath: Politeness Principle: When conveying, we should build up a cordial relationship with every individual who sends data to us.

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It is a unique cycle that oversees force, closeness and limits, cohesiveness and flexibility of route frameworks, and makes pictures, topics, stories, ceremonies, rules, jobs, making implications, making a feeling of family life An intelligent cycle that makes a model. This model has passed ages. Notwithstanding the view as a family and family automatic framework, one of the greatest exploration establishments in between family correspondence centers around a family correspondence model. Family correspondence model (FCP) hypothesis clarifies why families impart in their own specific manner dependent on one another ‘s psychological direction. Early FCP research established in media research is keen on how families handle broad communications data. Family correspondence was perceived as an exceptional scholastic exploration field by the National Communications Association in 1989. Family correspondence researchers were at first impacted by family research, social brain science, and relational hypothesis, before long built up the hypothesis and began research in a family framework zeroed in on a significant job. Until 2001, the primary issue of the Family Communication Research Journal, Family Communication Magazine, was given. Family correspondence is more than the field of correspondence analysts in the family. Examination on family correspondence is normally done by individuals in brain science, humanism, and family research, to give some examples models. However, as the popular family correspondence researcher Leslie Baxter stated, it is the focal point of this intelligent semantic creation measure making the grant of family correspondence special. In the field of in-home correspondence, correspondence is normally not founded on autonomous messages from one sender to one beneficiary, yet dependent on the dynamic interdependency of data shared among families It is conceptualized. The focal point of this methodology is on the shared trait of semantic development inside family frameworks. As such, producing doesn’t happen in vacuum, however it happens in a wide scope of ages and social exchange.

Standards are rules end up being followed when performing work to agree to a given objective. Hierarchical achievement relies significantly upon compelling correspondence. So as to successfully impart, it is important to follow a few standards and rules. Coming up next are rules to guarantee powerful correspondence: clearness: lucidity of data is a significant guideline of correspondence. For beneficiaries to know the message plainly, the messages ought to be sorted out in a basic language. To guarantee that beneficiaries can without much of a stretch comprehend the importance of the message, the sender needs to impart unmistakably and unhesitatingly so the beneficiary can plainly and unquestionably comprehend the data.>

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