Steps that a leader would need to take to implement a change in overall quality
Health facilities require leaders to ensure that the set objectives and goals are met within the timelines established. Moreover, today the world has changed into a dynamic global business where organizations, in this case, healthcare facilities, have to adjust with the frequent changes in the environment to ensure improvement in their growth (National Association for Healthcare Quality, 2018). Therefore, leaders in these organizations take certain steps to ensure that their subordinates adjust to the change in overall quality.
First, Khan & Khan, (2004) noted that the leader has to manage and support the change. When change is introduced into the healthcare facility, the employees become confident when they see that their leaders are involved in the process. The leaders have to analyze the process and make sure that the change is meant to make the company better. Moreover, the primary focus of the leaders is to ensure that the employees are happy which provides that they offer quality services to the customers. Secondly, the leader has to back up the change with good reasoning which will be accepted by the employees and patients alike. Khan & Khan, 2004 noted that the need for change could emerge from different sources. The healthcare facility aims to ensure that the patients are content with the services offered by the organization. The final step is for the leader to ensure that the employees and patients are satisfied with the effects brought about by the change. Therefore, after evaluation of the impact brought about by change, the expected results should be positive as this contributes to the growth of the facility. Negative results would mean that the leader failed in the attempt to bring about change.

Identification of poor quality and the improvement process
In the today’s world, there have been significant concerns about the quality of healthcare among the professionals and patients which has lead to an increment towards pressure quality improvement. In addition, poor healthcare services or quality diminishes the competitiveness of individual organizations in most countries. Most patients chose healthcare professionals or facilities that are more economical. Therefore, consultants and other professionals in the healthcare industry are forced to increase their skills due to the high level of competition and at the same time prove their competence (Institute for Healthcare Improvement, 2018).
Most governments are keen to ensure that their patients get the best healthcare from various facilities in the country. Therefore, multiple officers are deployed to ensure that poor health practitioners and institutions are not allowed to serve the public. In comparison to the traditional methods of providing healthcare, the techniques have changed due to technology and other alterations in the healthcare society all aimed at improving the services given to the customers (Chow-Chua, & Goh, 2000). Over the years, patient expectations have raised since they are in demand for better services. However, Khan & Khan, (2004) noted that healthcare facilities had increased the cost of medicine and other services which makes it difficult for some people to access them.
Healthcare improvement has been caused by a couple of reasons as depicted by Khan & Khan, (2004). First, professional initiatives have been improved such that there are higher standards set for the customers, improvement in education, and enhancement of better self-regulation among the trained personnel. Secondly, the government and other health institutions promote evidence-based medicine (EBM) which improve the quality of healthcare. Other reasons contributing to the improvement of healthcare include benchmarking, government regulations, enabling the patients to know their rights and additional valuable information, awarding professionals and overall quality management among others. According to Khan & Khan, (2004) organizations use total quality to improve the conditions of healthcare facilities. Total quality control is a system used to enhance quality development, maintenance and quality improvement efforts for various individuals and groups in the facilities to ensure that the customer gets the satisfaction of the services offered.
In the concepts of poor quality costing, Khan & Khan, (2004) acknowledged that there are two types of costs involved in healthcare. The first cost is known as the capital cost-land, fixtures, and equipment fitting while the second cost is referred to as recurring cost salaries, water electricity, drugs and dressing among others. However, the cost of quality in health care can be divided into the following categories; the first type known as the appraisal cost which involves various activities in the hospital which ensure that inspection and testing of products are done in the facility (Sanazaro, 1986). Moreover, this cost provides that the products offered by the hospital are available and acceptable. The second category is known as prevention cost which involves all the charges in the hospital to avoid defects. Finally, the failure costs include the internal and external costs incurred in the system (Sanazaro, 1986).
Sanazaro, (1986) viewed the cost of poor quality in the following ways. First, the healthcare facility has to the financial costs to ensure that they minimize errors or any lost work. Secondly, the hospital provides that the moral of workers is high all the time to prevent routine waste or delays and mistakes.
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References
Chow-Chua, C., & Goh, M. (2000). Quality improvement in the healthcare industry: some evidence from Singapore. International Journal of Health Care Quality Assurance, 13(5), 223-229.
Institute for Healthcare Improvement (2018). Institute for Healthcare Improvement. Retrieved from: http://www.ihi.org/Pages/default.aspx
Khan, F., & Khan, H. (2004). Quality Management in the Healthcare Industry. Decision (0304-0941), 31(2).
National Association for Healthcare Quality (2018). National Association for Healthcare Quality (NAHQ). Retrieved from: https://nahq.org/
Sanazaro, P.J. (1986). The principles of quality, assurance in healthcare. World Hospitals, 22(2):29.