Three Core Process Model

This model is use to understand and defined a balanced set of outcomes, these are patient’s clinical outcomes, the patient’s functional status satisfaction and cost of services. This processes is interrelated and a failure of one despite the success of the others is still an inefficient system. Take for example in the facility where I am currently working, in their effort to cut the cost of services, most of the time we function in a maximized environment where our staff carry the load of seven patients. Management is saving on the cost of staffing where as we all know that it is the highest cost of expenditures in any setting. This in turn causes a lot of grumblings and complains that will often lead to call-ins the next day which in turn causes the management to hire PRNs or Agency staffing which cost more, and worse patients suffer from it all because they do not get the best care since their nurses are just too busy to attend to their other needs. Staff knows the importance of keeping cost low, and if there are any efforts to reduced cost it needs clinician involvement to increase the likelihood of success because it is necessary to have decision-making processes that actively engage clinicians in change initiatives (Kelly, 2011)

In the Concept to practice topic where managers try to assess and clarify their purpose, the question “what am I trying to accomplish?” is the first question and according to Kelly (2011), the answer sometimes leads to improvement. To focus on the purpose the next question, “what is this process, intervention or department designed to accomplish?”

The purpose principle is used to understand and define the problem in relation to a larger context. We have issue with call-ins and latecomers and we have a hard time trying to discipline staffs because most of the call ins and latecomers are PRNs or agency