Explain at least three factors that might inhibit the implementation of your decreased wait time program.

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Assignment 1: LASA 2: Implementing Six Sigma at Wishmewell Hospital
Emergency departments (ED) at many hospitals have been overwhelmed in the past year, as more patients without health insurance use the ED as a primary care solution. Wait times in the ED are increasing as more and more Americans are using the Emergency Department for their general health concerns. Across the country, the average ED wait time is now 222 minutes (approximately 3 hours, 42 minutes).
Wishmewell Hospital’s average wait time in the ED is more than five hours, and the board of directors is concerned about this long wait time. The danger is that a patient’s condition may escalate during his/her waiting time in Wishmewell’s ED.
The board has tasked you to take on a new quality improvement initiative to decrease wait time in the ED using the Six Sigma approach.
Develop a quality improvement program using the Six Sigma approach to decrease waiting time in Wishmewell’s emergency department.
The quality improvement program must include the following elements in an approximately 10-page MS Word document:
• Describe the goals and objectives of your plan to decrease ER wait times at Wishmewell.
• Describe each step of the Six Sigma (DMAIC) process:
o Define the problem
o Measure the process; what Six Sigma tools will you use?
o Analyze the data; what tools will you use to analyze the data?
o Improve the process; explain your improvement plan
o Control; how will you continue to monitor the results and adjust as necessary?
• Describe the key players (stakeholders) who should be members of your implementation team and explain why teamwork is an important factor in implementing a quality improvement program.
• Explain at least three factors that might inhibit the implementation of your decreased wait time program.

Psychology Research; Explain three limitations of Kohlberg’s theory.

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Evaluate Lawrence Kohlberg’s theory in a  600 word paper. Address the following:
Explain three limitations of Kohlberg’s theory.
Include at least three references from professional peer-reviewed journals. cite your work using citation
Format your paper consistent with APA guidelines.
Include: APA Title/Reference Pages

Which type of adaptive strategy is the most difficult to implement from a human resources perspective? Why? (IN HEALTHCARE)

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APA FORMAT AND MAKE SURE WORK IS CITED 475 words w/3 references Use citations
DQ:What are the primary differences in the human resources strategies needed for expansion, contraction, and maintenance of scope? Which type of adaptive strategy is the most difficult to implement from a human resources perspective? Why? (IN HEALTHCARE)

Identify and list all core problems causing childhood blindness.

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A// problem tree analysis:
Develop a problem tree to understand the various causes (mainly the non-clinical causes) causing increased childhood blindness in developing and under developed countries.
The main steps are:
1-Identify and list all core problems causing childhood blindness.
2-Identify related problems/constraints.
3-Arrange them in a logical sequence, e.g.: Low literacy rates among the women leading to lack of awareness which leads to lack of access to eye care facilities etc.
4-Draft the problem tree diagram. e.g.: Looks like a flow chart, in flow start we start from the first step and add further steps down to complete the sequence. Whereas in problem tree, start from placing all the core problems down and add more layers upwards showing the various sequence of issues causing final the effect on increased childhood blindness in the community.
B// Log Frame development:
1-For Childhood Blindness; list out the goal, purpose, component objectives, outputs, activities,
Means of verification, assumptions & indicators.
2-Finally, construct a Log Frame Analysis (LFA) matrix.
-some useful terminologies used in the matrix:
• Goal
– Refers to broad objectives to which the project is designed to contribute in a sustainable way.
– Eg. Improved nutritional status, reduced crime etc.
• Purpose
– The project is expected to achieve in terms of sustainable development outcome at the end or soon after the project life.
– Eg. Increased agricultural production, higher immunization coverage, Increased institution delivery etc.
– Only one purpose
• Component objectives
– Useful to give each component an objective statement
– Provide logical link between the outputs of that component and the project purpose
• Outputs
– Refers to the specific results and tangible products (goods and services)
– Eg. Irrigation system or water supplies constructed, children immunized, staff effectively trained, surgeries performed etc.
– Largely dependent on the project management’s control
• Activities
– Refer to the specific tasks undertaken to achieve the required outputs including duration, responsible person etc.
• Means of verification
– Should specify the expected source of information to be collected.
– How (methods), who, frequency and information details & formats etc.
• Assumptions
– Conditions that could affect the progress or success of the project. Eg. Price changes, rainfall etc.
• Indicators
– How the achievement of project objectives will be measured and verified.
– Basis for monitoring project progress.
– Evaluating the achievement of outcomes
Examples for Indicators
– How do we know that more teachers have been trained this year?
– What would tell us that the training had had an impact on classroom performance?
– How do we measure progress towards the objective of strengthening community management capacity?
– How do we know if these benefits are likely to be sustainable?