The Transcendental Nursing Home is working on decreasing its rates of catheter-associated urinary tract infections (UTIs) among its patients. The improvement team predicts that if they begin providing intensive training to staff on how to place the catheters, the infection rates will improve. They devise a plan to test this idea.
After three months of testing its improvement idea, the Transcendental team notices that infection rates on one unit are much higher than any other unit. Frustrated, leadership decides to replace all the providers on that unit except the three with the highest seniority. What is the likely outcome, and why?
(A) Infection rates will not change because the leaders have not changed the system of care.
(B) Infection rates will not change because the three caregivers with seniority are probably negligent, like their peers who were fired.
(C) Infection rates will get better because the leaders have fixed the system.
(D) Infection rates will get better because the leaders have removed the sources of variation.