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MSN6218 Leading the Future of Health Care

Unit 3 Assignment

Proposing Evidence-Based Change

Professional Context

Health care systems around the world provide useful models for analysis. Familiarity with different models and approaches to health care enables leaders to identify what works and what does not, as the basis for proposing a change. As we continue to evaluate the complex and fragmented system in the United States, it is important for nurse leaders to become familiar with the programs and systems that provide evidence-based quality care that is affordable and focused on continual improvement.

This assignment provides an opportunity for you to examine a local or regional health care issue from a global perspective. By successfully completing this assignment, you will demonstrate your proficiency in the following course competencies and assignment criteria:

Competency 1: Identify the challenges and opportunities facing health care.

Identify an aspect of a local or regional health care system or program that should be a focus for change.

Competency 2: Compare the effects of different health care finance models and policy frameworks on resources and patient outcomes.

Define desirable outcomes, including who will pay for care and factors limiting achievement of those outcomes.

Analyze two non-U.S. health care systems or programs that offer insight into a proposed change for a health care system or program in the United States.

Competency 3: Evaluate the positive and negative influences of leaders on health care processes and outcomes.

Determine the financial and health implications of making—and not making—proposed changes to a health care system or program.

Competency 4: Develop proactive strategies to change the culture of the organization by incorporating evidence-based practices.

Explain why specific changes will lead to improved outcomes.

Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style consistent with applicable organizational, professional, and scholarly standards.

Write clearly and concisely in a logically coherent and appropriate form and style.

Support assertions, arguments, propositions, and conclusions with relevant and credible evidence.

Scenario

Your organization, in collaboration with key stakeholders from the community, is funding an initiative to investigate potential improvements in the local or regional health care system. As a nurse leader attuned to the effects of health care policy and finance on the provision of affordable, high-quality care, you have been asked to join the task force conducting the study.

You know that an examination of other countries’ health care systems can provide a solid, evidence-based foundation for evaluating outcomes and identifying benchmarks. Consequently, you have decided to undertake a comparative analysis of selected, non-U.S. health care systems and compare them to each other and to the current local or regional U.S. system to help inform decision making as the task force considers proposed changes.

Instructions

Complete this assignment in three steps:

Propose a change to one aspect of your local or regional health care system or program that would improve outcomes.

Conduct a comparative analysis of different health care systems, focusing on that one aspect of the system you are proposing to change.

Summarize your proposed change and the results of your comparative analysis in a report to executive leaders.

The summary report requirements outlined below, correspond to the grading criteria in the scoring guide for Proposing Evidence-Based Change, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed. The Guiding Questions: Proposing Evidence-Based Change document linked in the Resources provides additional considerations that may be helpful in completing your assignment. In addition, be sure to note the requirements below for document format and length and for citing supporting evidence.

Identify an aspect of a local or regional health care system or program that should be a focus for change.

Define desirable outcomes, including who will pay for care and factors limiting achievement of those outcomes.

Analyze two non-U.S. health care systems or programs that offer insight into a proposed change for a health care system or program in the United States.

Choose one of the following options for selecting the two systems or programs:

Option 1: Select two systems at opposite ends of the scale in terms of desirable outcomes for the issue reflected in your proposed change.

Option 2: Select two systems that both produce positive outcomes but take unique or innovative approaches to the problem.

Compare the outcomes in each non-U.S. system with each other and with present outcomes in your local or regional health care system.

Explain why specific changes will lead to improved outcomes.

Determine the financial and health implications associated with the proposed changes.

Address the implications of making the changes.

Address the implications of not making the changes.

Write clearly and concisely in a logically coherent and appropriate form and style.

Support assertions, arguments, propositions, and conclusions with relevant and credible evidence.

Document Format and Length

Use the Summary Report Template, linked in the Resources. An APA Style Paper Tutorial is also linked in the Resources to help you in writing and formatting your report. If you would like to use a different template or document format for your report, obtain prior approval from your instructor.

Your summary report should be 4–5 pages in length, not including the title page and references page.

Be sure to apply correct APA formatting to all source citations and references.

Supporting Evidence

Cite 3–5 credible sources from peer-reviewed journals or professional industry publications to support your comparative analysis.

Submission Requirements

Be sure to delete all directions from the template before submitting your summary report. In addition, proofread your report to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your analysis.

MSN6218 Leading the Future of Health Care

Unit 5 Assignment

Vila Health: Environmental Analysis and Windshield Survey

Professional Context

Health care must be evidence-based, effective, efficient, and affordable; it must provide resources that meet the needs of the community. Nurse leaders must understand and thoroughly evaluate the environment to enable the efficient and equitable allocation of resources. A useful tool for this type of assessment is commonly called a windshield survey. Windshield surveys are what you might expect from the name. They are a way of gathering information about specific aspects of a community while driving around, such as the condition of roads, buildings, and housing.

This assignment provides an opportunity for you to examine the prevailing health conditions and social determinants of health in a community by completing an environmental analysis and a virtual windshield survey.

Note: This assignment is based on communities within the Vila Health system. Although Vila Health is a virtual lab, the communities represented in this simulation are real, enabling you to conduct an actual community health assessment.

By successfully completing this assignment, you will demonstrate your proficiency in the following course competencies and assignment criteria:

Competency 1: Identify the challenges and opportunities facing health care.

Assess, via a windshield survey, the general condition and needs of a community from a public health perspective.

Analyze the environmental factors affecting population health in a community.

Identify the social determinants of health in a community.

Competency 4: Develop proactive strategies to change the culture of the organization by incorporating evidence-based practices.

Summarize windshield survey and environmental analysis findings for executive leaders.

Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style consistent with applicable organizational, professional, and scholarly standards.

Write clearly and concisely in a logically coherent and appropriate form and style.

Support assertions, arguments, propositions, and conclusions with relevant and credible evidence.

Scenario

Executive leaders at Vila Health have asked you to provide them with your assessment of the health conditions in one of the communities served by the Vila Health system. Knowing that a windshield survey is needed to validate any underlying assumptions about the needs of the community and inform evidence-based decision making and strategic planning, you have decided to conduct a first-hand exploration of the community, followed up by an environmental analysis. An environmental analysis examines the factors that can influence the performance of a health care organization, which is important in a rapidly changing health care environment.

Instructions

Complete this assignment in two steps:

If you have not already done so, complete the Vila Health: Environmental Analysis and Windshield Survey simulation. Use the Community Health Assessment Template, linked in the Resources, to document your results.

Write an executive summary of your community health assessment, based on your windshield survey and environmental analysis.

Note: You will use the Vila Health community you select for this assignment as the basis for your assignments in Units 7 and 9, as well.

The community health assessment requirements outlined below, correspond to the grading criteria in the scoring guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed. The Guiding Questions: Vila Health: Environmental Analysis and Windshield Survey document linked in the Resources provides additional considerations that may be helpful in completing your assignment. In addition, be sure to note the requirements below for document format and length and for citing supporting evidence.

Assess, via a windshield survey, the general condition and needs of a community from a public health perspective.

Analyze the environmental factors affecting population health in a community.

Identify the social determinants of health in a community.

Summarize windshield survey and environmental analysis findings for executive leaders.

Write clearly and concisely in a logically coherent and appropriate form and style.

Support findings and conclusions with relevant and credible evidence.

Document Format and Length

Use the Community Health Assessment Template, linked in the Resources. An APA Style Paper Tutorial is also linked in the Resources to help you in writing and formatting your assessment. If you would like to use a different worksheet for your community health assessment, obtain prior approval from your instructor.

The executive summary portion of your survey and analysis should be 2–3 pages in length.

Be sure to apply correct APA formatting to all source citations and references.

Supporting Evidence

Cite 3–5 credible sources from peer-reviewed journals or professional industry publications to support your executive summary.

Submission Requirements

Proofread your executive summary before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your assignment.

MSN6218 Leading the Future of Health Care

Unit 7 Assignment

Vila Health: Planning for Change

Professional Context

To improve health care outcomes within a community, leaders must understand the needs of specific populations. In addition, it is important that leaders are able to gather and present persuasive evidence to decision makers to obtain the necessary funding and establish these needs as priorities for budget and resource planning. Thus, proposed changes should support improved outcomes and align with the current or needed health care policy.

This assignment provides an opportunity for you to propose a community health care change that builds on your work in the previous assignment. By successfully completing this assignment, you will demonstrate your proficiency in the following course competencies and assignment criteria:

Competency 1: Identify the challenges and opportunities facing health care.

Identify the benefits of proposed health care system changes and its implications for a community.

Competency 2: Compare the effects of different health care finance models and policy frameworks on resources and patient outcomes.

Describe potential barriers to change in an organization or community.

Develop a grant proposal and associated budget for a proposed change to an existing health care system.

Competency 4: Develop proactive strategies to change the culture of the organization by incorporating evidence-based practices.

Develop a strategy for helping organizational stakeholders understand and evaluate the proposed changes to an existing health care system.

Develop strategies for changing barriers into opportunities and resolving conflict.

Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style consistent with applicable organizational, professional, and scholarly standards.

Write clearly and concisely in a logically coherent and appropriate form and style.

Support assertions, arguments, propositions, and conclusions with relevant and credible evidence.

Scenario

Your community health assessment was well received by the executives at Vila Health. Consequently, they have asked you to recommend a change in the community that will improve health outcomes. They have also asked you to submit your recommendation in a formal change proposal. You are confident that you can present a strong case for change, including a financial plan, that will ensure the success of this initiative.

Instructions

Complete this assignment in two steps:

If you have not already done so, complete the Vila Health: Planning for Change simulation.

Draft a change proposal to justify your recommendation for improving the health of the community and establish the change as a priority for the next budgetary cycle. Consider the feasibility of your proposed change, in terms of overall scope, funding, and time frame.

The change proposal requirements outlined below, correspond to the grading criteria in the scoring guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed. The Guiding Questions: Vila Health: Planning for Change document provides additional considerations that may be helpful in completing your assignment. In addition, be sure to note the requirements below for document format and length and for citing supporting evidence.

Identify the benefits of proposed health care system changes and its implications for a community.

Describe potential barriers to change in an organization or community.

Develop strategies for changing barriers into opportunities and resolving conflict.

Develop a strategy for helping organizational stakeholders understand and evaluate the proposed changes to an existing health care system.

Develop a grant proposal and associated budget for a proposed change to an existing health care system.

Write clearly and concisely in a logically coherent and appropriate form and style.

Support assertions, arguments, propositions, and conclusions with relevant and credible evidence.

Document Format and Length

Use the Change Proposal Template, linked in the Resources. An APA Style Paper Tutorial is also linked in the Resources to help you in writing and formatting your proposal. If you would like to use a different template or document format for your change proposal, obtain prior approval from your instructor.

Your change proposal should be 3–5 pages in length, not including the title page and references page.

Be sure to apply correct APA formatting to all source citations and references.

Supporting Evidence

Cite 3–5 credible sources from peer-reviewed journals or professional industry publications to support your change proposal.

Submission Requirements

Proofread your change proposal before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your analysis.

MSN6218 Leading the Future of Health Care

Unit 9 Assignment

Advocating for Lasting Change

Professional Context

Nurse leaders must be able to make effective financial and policy decisions. Equally important is the ability to communicate their vision for change to policymakers and provide objective, evidence-based support for their position with respect to the regulatory, political, social, ethical, legal, and financial aspects of systemic change.

This assignment provides an opportunity for you to develop a presentation aimed at soliciting resource and policy support for the community health care change you proposed in the previous assignment. By successfully completing this assignment, you will demonstrate your proficiency in the following course competencies and assignment criteria:

Competency 1: Identify the challenges and opportunities facing health care.

Explain why proposed changes to a health care system require policy and financial support to ensure positive, systemic change and to overcome present challenges.

Competency 2: Compare the effects of different health care finance models and policy frameworks on resources and patient outcomes.

Provide broad budget estimates to fund specific capital or human resource outlays that are important to the success of a proposed change.

Competency 3: Evaluate the positive and negative influences of leaders on health care processes and outcomes.

Assess the potential future for wellness, health, and improved overall care and the role of visionary leaders in achieving the desired goals.

Cultivate stakeholder interest in and support for the proposed changes to a community health care system.

Competency 4: Develop proactive strategies to change the culture of the organization by incorporating evidence-based practices.

Provide compelling evidence that proposed changes to a health care system will produce the intended outcomes.

Outline a plan for leading transformational, evidence-based change in an organization.

Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style consistent with applicable organizational, professional, and scholarly standards.

Develop slides that augment a multimedia presentation.

Argue persuasively to obtain policy and financial support from policymakers for a proposed community health care change.

Support assertions, arguments, propositions, and conclusions with relevant and credible evidence.

Scenario

The executive leaders at Vila Health accepted your change proposal and would like to move it forward. However, lasting change in a volatile regulatory and policy environment will require adequate funding and support from the applicable governing body or regulatory agency. Consequently, you have been asked to present the proposed change to policymakers to seek their support and funding for the change as an established policy for the organization and community.

Instructions

Develop and record a video presentation for policymakers from the appropriate governing body or regulatory agency requesting policy and financial support for your proposed change. Draw on your work in the previous assessments and consolidate lessons learned.

The presentation requirements outlined below correspond to the grading criteria in the scoring guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed. The Guiding Questions: Advocating for Lasting Change document provides additional considerations that may be helpful in completing your assignment. In addition, be sure to note the requirements below for the presentation format, length, and for citing supporting evidence.

Explain why proposed changes to a health care system require policy support to ensure positive, systemic change and to overcome present challenges.

Provide compelling evidence that proposed changes to a health care system will produce the intended outcomes.

Provide broad budget estimates to fund specific capital or human resource outlays that are important to the success of a proposed change.

Outline a plan for leading transformational, evidence-based change in an organization.

Assess the potential future for wellness, health, and improved overall care and the role of visionary leaders in achieving the desired goals.

As a guide, explore the website of HealthyPeople.gov, linked in the Resources.

Cultivate stakeholder interest in and support for the proposed changes to a community health care system.

Develop slides that augment a multimedia presentation.

Argue persuasively to obtain policy and financial support from policymakers for a proposed community health care change.

Support assertions, arguments, propositions, and conclusions with relevant and credible evidence.

Presentation Format and Length

Remember, you may use Microsoft PowerPoint or other suitable presentation software to create your slides. If you elect to use an application other than PowerPoint, check with your faculty to avoid potential file compatibility issues.

Your slide deck should consist of 10–15 slides, not including the title, questions, and references slides. Use the speaker’s notes section of each slide to develop your talking points and cite your sources, as appropriate.

Be sure that your slide deck includes the following slides:

Note: Your slide titles will depend on your choice of community and the specific content of your change proposal.

Title slide.

Title or name of your project (focus of your change proposal).

Subtitle (optional), which could include Jordan or Armitage, if not part of the title.

Your name.

Date.

Course number and title.

Introduction.

Identify the stakeholders to whom you are presenting.

Social determinants affecting health in the community (may need more than one slide).

Synopsis of the windshield survey and environmental analysis findings.

Identify the positive aspects of the community.

Identify opportunities for improvement. Although your change proposal addresses these opportunities, avoid phrasing them as negatives.

Your change proposal—briefly outlined (may need more than one slide).

Benefits of the change to the community and stakeholders.

Challenges or concerns.

Address the implications for the community and organizational stakeholders, if these opportunities are not addressed.

Funding (may need more than one slide).

Include the financial implications for the community and organizational stakeholders.

Specify your funding needs (how much and for what)?

Community health implications (may need more than one slide).

Explain how the proposed change will improve the health of the community.

Address both direct or indirect benefits, as applicable.

Conclusion.

Summarize key points.

Be sure to thank your audience for their time and consideration of your proposal.

Questions.

Add a slide to prompt questions from the audience.

References (at the end of your presentation).

Supporting Evidence

Cite 3–5 credible sources from peer-reviewed journals or professional industry publications to support your presentation.

Submission Requirements

Upload your video presentation and attach the presentation slides, with speaker notes. You may use Kaltura Media, Adobe Connect, or other technology of your choice for your video recording. See the Using Kaltura [PDF] for more information about uploading media. You may submit the assessment only once, so be sure that the assessment deliverables are included before submitting your assessment.