NURS 6218 Change Proposal Summary

NURS 6218 Change Proposal Summary

NURS 6218 Change Proposal Summary

NURS-FPX6218-Assessment 1 Instructions: Proposing Evidence-Based Change

Propose a change to one aspect of your local or regional health care system or program that would improve outcomes. Then, conduct a comparative analysis of other, non-U.S. health care systems, focusing on the proposed change. Summarize the proposed change and your comparative analysis in a 4-5 page report.

Introduction

Note: Complete the assessments in the order in which they are presented.

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 assessment provides an opportunity to examine a local or regional health care issue from a global perspective.

Preparation

Your organization, in collaboration with the 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 an analysis of selected, non-U.S. health care systems and compare them to each other and to the existing local or regional U.S. system to help inform decision making as the task force considers proposed changes.

In this assessment, you will propose a change to one aspect of your local or regional health care system or program. Conduct a comparative analysis of different health care systems and summarize your proposed change and findings from your analysis in a report to executive leaders. To prepare for your assessment, you are encouraged to begin thinking about the non-U.S. health care systems you might like to examine. In addition, you may wish to:

• Review the assessment requirements and scoring guide to ensure that you understand the work you will be asked to complete.
• Review Guiding Questions: Proposing Evidence-Based Change [DOCX], which includes questions to consider and additional guidance on how to successfully complete the assessment.

Note: Remember that you can submit all or a portion of your draft report to Smarthinking Tutoring for feedback before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.

MSN PROGRAM JOURNEY

The following is a useful map that will guide you as you continue your MSN program. This map gives you an overview of all the steps required to prepare for your practicum and to complete your degree. It also outlines the support that will be available to you along the way.

• MSN Program Journey.

TEMPLATES

Use this template for your summary report.

• Summary Report Template [DOCX].

Requirements

Complete this assessment in three steps:

1. Propose a change to one aspect of your local or regional health care system or program that would improve outcomes.
2. Conduct a comparative analysis of different health care systems, focusing on one aspect of the system you are proposing to change.
3. 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 provides additional considerations that may be helpful in completing your assessment. 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. This APA Style Paper Tutorial [DOCX]can 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 faculty.
• 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.

Additional 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.

Portfolio Prompt: You may choose to save your summary report to your ePortfolio.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment 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.

Change Proposal Summary Report

Your Full Name (no credentials)

School of Nursing and Health Sciences, Capella University

NURS-FPX6218 Leading the Future of Health Care

Proposing Evidence-Based Change

Instructor’s Name

Month, Year

Change Proposal Summary Report

Note: Delete this note and all instructions from the template before submitting your report. Use headings to organize your text, rather than bullets.

Executive Summary

Proposed Change

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

Desired Outcomes

Define each desirable outcome you wish to examine, including who will pay for care and factors limiting achievement of those outcomes.

Health Care System Comparative Analysis

Use Table 1, in the appendix, for your comparative analysis of the specific outcomes you wish to examine.

Analyze outcomes in two non-U.S. health care systems that offer insight into your proposed change.

• Choose one of the following options for selecting the two systems:
• 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.

Rationale for the Proposed Change

Explain why specific changes will lead to improved outcomes.

Financial and Health Implications

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.

Conclusion

Summarize your analysis and provide your rationale for the proposed change.

Appendix

Table 1: Health Care System Comparative Analysis

Table directions:

1. Add the names of the two non-U.S. health care systems and the local or regional U.S. health care system to the applicable column headings.
2. In the first column, list each outcome. Add rows to your table, as needed.
3. Add the relevant information pertaining to each outcome for each health care system in the second, third, and fourth columns.

Place in-text citations here, along with any other information not included in the table itself.

References

List your APA-formatted references here.

Guiding Questions for Assessment 1

Proposing Evidence-Based Change

This document is designed to give you questions to consider and additional guidance to help you successfully complete the Proposing Evidence-Based Change assignment. You may find it useful to use this document as a pre-writing exercise, an outlining tool, or as a final check to ensure that you have sufficiently addressed all the grading criteria for this assignment. This document is a resource to help you complete the assignment. Do not turn in this document as your assignment submission.

Executive Summary

Propose a change to one aspect of your local or regional health care system or program that would improve outcomes. Then, conduct a comparative analysis of different health care systems, focusing on the aspect of the system you are proposing to change, and summarize the results in a summary report.

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

• Why did you decide on this particular change?
• What improvements do you expect as a result of the change?
• What evidence supports your position?

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

• What is your rationale for this definition?
• What sources can you cite that support your definition?
• What are the two limiting factors?

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.

• Select two systems at opposite ends of the scale in terms of desirable outcomes for the issue reflected in your proposed change or select two systems that both produce positive outcomes but take unique or innovative approaches to the problem. Then, compare the outcomes in each non-U.S. system with each other and with present outcomes in your community.
  • How do the two health care systems or programs address the issue?
  • What lessons are you able to draw from each example that you could apply in your system?

Explain why specific changes will lead to improved outcomes.

• What are the expected improvements in outcomes?
• What evidence can you use to justify your conclusions?
• Are your expectations reasonable within the existing health care system?

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.
  • What are the likely costs and benefits for individuals and the community at large?
  • What are the potential short- and long-term effects?
  • What evidence do you have that supports your conclusions?

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

• Write with a specific purpose and audience in mind.
• Adhere to scholarly and disciplinary writing standards and APA formatting requirements.

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

• Integrate relevant and credible evidence from 3–5 peer-reviewed journals or professional industry publications.
• Is your supporting evidence clear and explicit?
  • How or why does particular evidence support a claim?
  • Will your reader see the connection?
• Did you summarize, paraphrase, and quote your sources appropriately?

Submission Reminders

• Have you identified an aspect of your local or regional health care system or program as the focus for change, with supporting evidence?
• Have you clearly defined desirable outcomes and provided supporting evidence?
• Have you completed your examination of two non-U.S. health care systems or programs with respect to the issue reflected in your proposed change?
• Have you adequately explained why specific changes will lead to improved outcomes and provided supporting evidence?
• Have you determined the financial and health implications both of making and not making your proposed changes and provided supporting evidence?
• Is your report well supported by 3–5 sources of relevant and credible evidence?
• Is your report 4–5 pages in length, not including the title page and references page?
• Did you proofread your writing and delete all directions from the template?

ADDITIONAL INSTRUCTIONS FOR THE CLASS

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• Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses. NURS 6218 Change Proposal Summary

• Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

• APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

• Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source. NURS 6218 Change Proposal Summary

• LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score. NURS 6218 Change Proposal Summary

• Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

• Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours. NURS 6218 Change Proposal Summary

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