Lambton College of Applied Arts & Technology

LHC-4053 Health Care Reform: Managing Effectively In a Changing Environment

Health Care Department

Course Number: Co-Requisites: Pre-Requisites:
LHC-4053 N/A N/A
Prepared by: Lynn McEwen, Course Author
Approved by: Sandy Boldt, Manager, CICE Program
Approval Date: Thursday, August 24, 2017
Approved for Academic Year: 2017-2018
Normative Hours: 45.00

Course Description
Health Care Reform: Managing Effectively in a Changing Environment Managing change is a challenge most
organizations face today. To be an effective leader, it is important to competently lead and manage continuous
simultaneous change initiative. With a focus on reform and improvement by the Provincial government, hospitals
need to enhance or develop processes to build capacity. Participants will explore leadership perspectives as they
learn to skills, tools and strategies to manage change processes.

Course Learning Outcomes/Course Objectives

1. Explore the history, politics and current state of health care reform by the Federal and Provincial
governments in Canada
1.1 Describe the current state of Canadian healthcare

1.2 Discuss the importance of health care reform in Canada

1.3 Explore the concept of change agents and change targets of individuals within an organization

1.4 Describe the process of cultivating an environment conducive to change within an organization

1.5 Explain the roles of the federal, provincial and territorial governments as they relate to health care in
Canada

1.6 Describe the broad range of health services Canada’s government provides

1.7 Identify and differentiate between primary, secondary and supplementary health services

2. Describe the demands on the health care professions, what types of services will be in demand and how this
will impact the workforce in health care
2.1 Explore and explain the challenges the Canadian health care system has faced in recent years

2.2 Discuss the ways in which the federal, provincial and territorial governments are working with health
care professionals, organizations and institutions to better understand and mitigate the risks

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 involved in the delivery of health care

2.3 Describe the impact of change management initiatives on health care delivery in terms of policies,
workforce and costs associated with health services

3. Discuss key roles and concepts of organizational change, models of change, change agents and change
targets
3.1 Explain the impact and needs of health services on the workforce for health care

3.2 Discuss the importance of and need for change management in health care

3.3 Describe models of change processes and the steps and plans for implementing change

3.4 Identify the factors affecting readiness and capacity for organizational change and change
processes

3.5 Explore the influences of key stakeholders and the effects of change on their roles

3.6 Discuss organizational resistance and opportunities to overcome resistance to change

3.7 Identify change management frameworks, models and elements of the change management
process

3.8 Discuss the approaches to planning, developing, implementing and evaluating change management
initiatives and the benefits to decision-makers

4. Identify the role of leadership in the effectiveness of the change process, andas a result identify desirable
characteristics of good leaders
4.1 Define the leadership role in change management

5. Develop leadership skills, tools and strategies to lead and manage both continuous and sustainable change
initiatives within an organization
5.1 Discuss the importance for leaders and managers in creating and communicating a vision for
change and the impact this has on the health care organization

5.2 Describe leadership skills and competencies required for change leaders and change targets

5.3 Describe tools and strategies used by leaders to manage, facilitate and sustain effective change
processes

6. Describe evidence informed practices to plan for change in healthcareorganizations

6.1 Discuss the role of Health Services Research Foundation Evidence-Informed Change Management
(CHSRF) in healthcare

6.2 Discuss evidence informed approaches for successful organizational change management and
transformation in healthcare organizations

Learning Resources
Resources and Supplies
Note: Resources listed below are used in other courses of the project management program and are not exclusive
to this course.

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 Required
• Text: The Change Leader's Roadmap: How to Navigate Your Organization's Transformation, 2010, 2nd
Edition Linda Ackerman Anderson, Dean Anderson
• Available on Internet: Evidence-Informed Change Management in Canadian
• Healthcare Organizations. 2012. Canadian Health Services Research
• Foundation (CHSRF). Dr. G. Dickson, Dr. R.Lindstrom, Dr. C. Black, D. Van der Gucht.
• Optional: Beyond Change Management: How to Achieve Breakthrough Results Through Conscious
Change Leadership Paperback Oct 12 2010 by Dean Anderson, Linda Ackerman Anderson

Supplemental
• Supplied by the Instructor

Student Evaluation
Tests - 50%
Test 1 - 20%
Test 2 - 30%
Assignments - 50%
• In Class Assignment - 1@30%
• Online Assignments @20%

Grade Scheme
The round off mathematical principle will be used. Percentages are converted to letter grades and grade points as
follows:

Mark (%) Grade Grade Point Mark (%) Grade Grade Point
94-100 A+ 4.0 67-69 C+ 2.3
87-93 A 3.7 63-66 C 2.0
80-86 A- 3.5 60-62 C- 1.7
77-79 B+ 3.2 50-59 D 1.0
73-76 B 3.0 0-49 F 0.0
70-72 B- 2.7

Prior Learning Assessment and Recognition

Students who wish to apply for prior learning assessment and recognition (PLAR) need to demonstrate
competency at a post-secondary level in all of the course learning requirements outlined above. Evidence of
learning achievement for PLAR candidates includes:
• Not Applicable: Students are not eligible for a Prior Learning Assessment.

Course Related Information

This course is delivered in the classroom environment using several approaches to learning including both
traditional instructor-led instruction and a flipped classroom model in which content is delivered online and
classroom time to dedicated to active learning including discussions, individual and group assignments, and

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 presentations. Evaluation and testing may be conducted both online and in the classroom setting. The student is
required to do reading, assignments, and study preparation for testing.

College Related Information

Academic Integrity
Lambton College is committed to high ethical standards in all academic activities within the College, including
research, reporting and learning assessment (e.g. tests, lab reports, essays).
The cornerstone of academic integrity and professional reputation is principled conduct. All scholastic and
academic activity must be free of all forms of academic dishonesty, including copying, plagiarism and cheating.

Lambton College will not tolerate any academic dishonesty, a position reflected in Lambton College policy.
Students should be familiar with the Students Rights and Responsibilities Policy, located on the MyLambton
website. The policy states details concerning academic dishonesty and the penalties for dishonesty and unethical
conduct.

Questions regarding this policy, or requests for additional clarification, should be directed to the Lambton College
Centre for Academic Integrity

Students with Disabilities

If you are a student with a disability please identify your needs to the professor and/or the Accessibility Centre so
that support services can be arranged for you. You can do this by making an appointment at the Accessibility
Centre or by arranging a personal interview with the professor to discuss your needs.

Student Rights and Responsibility Policy

Acceptable behaviour in class is established by the instructor and is expected of all students. Any form of
misbehaviour, harassment or violence will not be tolerated. Action will be taken as outlined in Lambton College
policy.

Date of Withdrawal without Academic Penalty

Please consult the Academic Regulations and Registrar's published dates.

Waiver of Responsibility
Every attempt has been made to ensure the accuracy of this information as of the date of publication. The content
may be modified, without notice, as deemed appropriate by the College.

Students should note policies may differ depending on the location of course offering. Please refer to campus
location specific policies:
• Lambton College - Sarnia Campus: https://www.mylambton.ca/Policies/
• Lambton College - Non-Sarnia Study Locations: https://www.mylambton.ca/Lambton_in_GTA/Student_Policies/
Note: It is the student’s responsibility to retain course outlines for possible future use to support applications for
transfer of credit to other educational institutions.

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