Health Care Delivery Models and Nursing Practice

Health Care Delivery Models and Nursing Practice

Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,000-1,250 word paper, discuss action taken for reform and restructuring and the role of the nurse within this changing environment.

Include the following:

  1. Outline a current or emerging health care law or federal regulation introduced to reform or restructure some aspect of the health care delivery system. Describe the effect of this on nursing practice and the nurse’s role and responsibility.
  2. Discuss how quality measures and pay for performance affect patient outcomes. Explain how these affect nursing practice and describe the expectations and responsibilities of the nursing role in these situations.
  3. Discuss professional nursing leadership and management roles that have arisen and how they are important in responding to emerging trends and in the promotion of patient safety and quality care in diverse health care settings.
  4. Research emerging trends. Predict two ways in which the practice of nursing and nursing roles will grow or transform within the next five years to respond to upcoming trends or predicted issues in health care.

Note

You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

 

Supply Chain Management Plan

Supply Chain Management Plan

  • Prepare 10-12 PowerPoint slides to present a supply chain management plan, including your analysis and recommendations for a supply chain design and logistics, for a provided scenario or business of your choice.
  • Introduction
    This portfolio work project, a presentation of a supply chain management plan, will help you understand how supply chains and logistics create value for a company.
    Scenario
    For this assessment, choose either Option 1 or Option 2. You do not need to do both. Both options will be graded using the same scoring guide.
    Option 1
    Wild Dog Coffee Company, a locally owned company with a single coffee shop location, serves a wide selection of espresso products, small breakfast and lunch menu items, and a limited evening menu. The company is planning to expand the business by adding an additional location. While different menu items may be tested at the new location, the espresso beverage preparation process will remain exactly the same. You and your business partners need to make a decision about the supply chain before the move. The following information may help support your analysis for Wild Dog Coffee Company:

    • You have one espresso maker that brews the espresso and froths the milk at each location.
    • Each espresso beverage requires 1.5 minutes of the barista’s time.
    • Each espresso beverage requires some combination of espresso beans, milk, and flavoring.
    • Each espresso beverage is served in a paper cup with a lid and sleeve.
    • Monthly cleaning and maintenance of the espresso maker is outsourced to a services company.
    • You stock one type of espresso bean. If you run out of inventory, you have to close the business until the next shipment of beans arrives.
    • Espresso beans are received seven (7) days after placing the order.
    • Option 2
      If you chose Option 2 for Assessment 1 and 2, use the same business for this assessment, or select a different business. Note that it is recommended that you use the same business for each assessment in this course, using the following criteria for your selection:
    • The company fits the assessment requirements and you have access to the information needed to complete the assessment.
    • The business information is disclosed in the assessment for faculty’s reference.
    • You can distribute the business data without disclosing confidential information.
    • Contact faculty with questions.
      Your Role
      Option 1
      You are an owner of Wild Dog Coffee Company. You and your business partners are preparing for the opening of your second location. You need to analyze and make recommendations for supply chain management for the two locations.
      Option 2
      Your boss, a director, has tasked you with a supply chain management project. She is relying on you to prepare an analysis and recommendations for demand management that can be presented to the executive team of the company.
      Requirements
      Create a PowerPoint presentation of your supply chain management plan, which you will present to your business partners. Include the following:
    • Analyze supply chain designs.
      • Your analysis should detail two different supply chain scenarios for either Wild Dog Coffee Company or your selected business.
      • Use a flow chart to indicate all inputs and outputs for each supply chain and to clearly indicate areas in the supply chain designs that are different.
    • Analyze the points at which the supply chains intersect with logistics. What role does logistics play in each supply chain design?
    • Assess bottlenecks in the supply chain designs. How would you overcome each bottleneck in the two supply chain designs?
    • Analyze how supply chains and logistics create value for the selected business. Why is it important for Wild Dog Coffee Company or your selected business to focus on supply chains?
    • Recommend a supply chain design for the selected business.
      • Include your rationale for the most appropriate supply chain for Wild Dog Coffee Company or your selected business.
      • Be sure to include any assumptions you had to make to develop the supply chain designs that support your recommendations.
    • Deliverable Format
      Requirements:
    • Presentation is 10–12 slides (in addition to title, reference, and appendix slides).
    • Select a PowerPoint slide template appropriate for a professional presentation. Include the content of the slides as well as the supporting narrative. Do not overbuild your slides; information that supports what you will be saying should appear at the lower portion of each slide as notes.
    • Related company standards:
    • The PowerPoint is a professional document and should therefore follow the corresponding MBA Academic and Professional Document Guidelines (available in the MBA Program Resources).
    • Use 2–3 scholarly or academic sources, where applicable, one of which must come from the Wall Street Journal, Forbes, or MIT Sloan Management Review.
    • Use APA formatting for citations and references.
    • Evaluation
      By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies through corresponding scoring guide criteria:
    • Competency 1: Analyze how operations management theories and models effect the development and delivery of products or services to the marketplace.
      • Analyze how supply chains and logistics create value for the selected business.
    • Competency 2: Use logistics and supply chain management tools to manage the distribution of products and services.
      • Analyze the points at which the supply chains intersect with logistics.
      • Assess bottlenecks in the supply chain designs.
    • Competency 3: Use data to evaluate the effect of operations management decisions on organizational goals.
      • Analyze supply chain designs.
    • Competency 4: Evaluate the effectiveness of operations management strategies to achieve quality and customer service goals.
      • Recommend a supply chain design for the selected business.
    • Competency 5: Communicate business needs, opportunities, and strategies with multiple stakeholders.
      • Write coherently to support a central idea with correct grammar, usage, and mechanics as expected of a business professional.
    • Faculty will provide feedback as they were the recipient of your deliverable in the workplace, using the scoring guide. Refer to the scoring guide to ensure that you meet the grading criteria for this assessment before submission.
      ePortfolio
      This portfolio work project demonstrates your competency in applying knowledge and skills required of an MBA learner in the workplace. Save this activity to your ePortfolio for future reference in the workplace.

Data Analytic Terminology

Data-Analytics-For-Health-Care-Managers

As a health care manager, it is important that you understand data analytic terms as they are used in clinical and public health settings to help you when making strategic decisions. This assignment is intended to serve as a study guide and to help you understand some of the basic data analytic terms used and their purpose in health care.

Part A

Complete the table below by selecting 5 terms from List A to define.

List A: Clinical Terms

  • Health care associated infections (HAI)
  • Hospital-Acquired Conditions (HAC)
  • Morbidity
  • Mortality
  • Present on Admission (POA)
  • Complication
  • Surgical Site Infection (SSI)
  • Central Line Associated Blood Stream Infection (CLABSI)
Terms Define the term
1.
2.
3.
4.
5.

Complete the table below by selecting 5 terms from List B to define.

List B: Public Health Data

  • Vital statistics
  • Crude rate
  • Specific rate
  • Adjusted rate
  • Confounding variable
  • Abortion rate
  • Epidemiology
  • Incidence rate
  • Prevalence rate

 

 

Terms Define the term
1.
2.
3.
4.
5.

 

Part B

Select a term you defined in the tables above.

Research and read an article that uses the term you selected.

Note

Write a 260- to 350-word paper that summarizes the article and the term you selected. Include the following in your paper.

  • Summary of the article.
  • Describe how the term you selected was used in the article.
  • Explain who is impacted by the content presented in the article.
    • Consider the stakeholders in the health care industry and the community.

Note

Include the citation and link for the article used to complete this assignment. Instructions have been included for obtaining article links.

Save the completed worksheet (Part A and Part B) as a Microsoft® Word document with your name in the file name.

Submit your assignment.

Collaborative Learning Community

Evidence-Based Practice Project: Intervention Presentation On Diabetes

Assessment Description

This is a Collaborative Learning Community (CLC) assignment.

identify a research or evidence-based article published within the last 5 years that focuses comprehensively on a specific intervention or new treatment tool for the management of diabetes in adults or children. The article must be relevant to nursing practice.

Create a 10-15 slide PowerPoint presentation on the study’s findings and how they can be used by nurses as an intervention. Include speaker notes for each slide and additional slides for the title page and references.

Include the following:

  1. Describe the intervention or treatment tool and the specific patient population used in the study.
  2. Summarize the main idea of the research findings for a specific patient population. The research presented must include clinical findings that are current, thorough, and relevant to diabetes and nursing practice.
  3. Provide a descriptive and reflective discussion of how the new tool or intervention can be integrated into nursing practice. Provide evidence to support your discussion.
  4. Explain why psychological, cultural, and spiritual aspects are important to consider for a patient who has been diagnosed with diabetes. Describe how support can be offered in these respective areas as part of a plan of care for the patient. Provide examples.

Note

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

 

Organizations And Organizational Theory

 Introduction To Organizations And Organizational Theory

· Chapter 1:

Why is shared information so important in a learning organization in comparison to an efficient performance organization? Discuss how an organization’s approach to sharing information may be related to other elements of organization design such as: structure, tasks, strategy, and culture.

· Chapter 1: What are some differences that one might anticipate among the expectations of stakeholder for a nonprofit organization versus a for-profit business? Do you believe nonprofit managers have to pay more attention to stakeholders than business managers?

· Chapter 2: How might a company’s goals for employee development be related to its goals for innovation and change? How might a company’s goals for employee development be related to its goals for productivity? Explain the ways that these types of goals may conflict in an organization?

· Chapter 2: Suppose you have been asked to evaluate the effectiveness of the police department in a medium-sized community. Where would you begin? How would you proceed? What effectiveness approach would you prefer?

· Chapter 3: What types of organizational activities do you believe are most likely to be outsourced? What types are least likely?

· How can/should a biblical worldview be applied?

Note

Post one thread of at least 1,000-1,500 words. For each thread, students must support their assertions with scholarly citations in APA format. Any sources cited must have been published within the last five years.

Submit a thread in response to the following questions:

GRADING RUBRIC ATTACHED FOR GUIDANCE

Instrument assisted soft tissue mobilization

Instrument assisted soft tissue mobilization

What are the “absolute” and “relative” contraindications for the use of IASTM (’Instrument assisted soft tissue mobilization) and ART( Active Release Techniques )?

Note

Please also list the indications for each of these interventions. Reference please.

case analysis

 

Case Analysis

Current Situation

Step 1. The Facts
WHO is the decision maker?
WHAT is the task to be done (decision to make, problem to solve, opportunity to seize)?
WHY has the issue arisen now? What is its significance to the organization?
WHEN does the decision maker have to decide, resolve, act or dispose of the issue? What is the urgency to the situation?

 

Step 2. In Depth Analysis

Analyze the case situation in detail.  Start with a more formal definition of the problem and analysis of the situation. Consider the following sorts of questions (the exact questions will vary somewhat depending on the case).

  1. What business problem are we trying to solve?
  2. Why is that problem important to the business?
  3. How does the nature of the current IT contribute to or alleviate the problem?
  4. How does the current organization (structure, people, culture etc.) contribute to or alleviate the problem?
  5. How did we get here? Critically assess the factors that have contributed to our current situation?

Criteria

Use your analysis of the current situation to identify the relevant criteria.

Criteria

Meaning/Measurement

Why Selected?

 

Analysis of Alternatives

What options are given in the case?

Are there additional options you think need to be considered?

 

Performance Against Criteria
Options   1 2 3
1
2
3

Decision

  1. Which option do you think is best?  Why?
  2. How does this proposed solution address the business problem identified in your analysis of the current situation?

Implementation

How will you go about implementing your decision (who will do what, when, and how)?

 

Short Term (= ________ days/wks/mths/yrs) Medium Term (= _____ days/wks/mths/yrs) Long Term (= ________ days/wks/mths/yrs)

What are the major risks associated with your decision?

What steps will you take to avoid or mitigate those risks?

 

 Change Management

 Change Management Communication Plan And Continuity Strategies

Scenario

You are an HR consultant, contracted by the VP of an LLC in Wilmington, Delaware, to solve their internal challenges. This U.S. office is a branch of a larger Singaporean software solutions organization that has a total of 140 employees and generates $1M in revenue per year. The CEO of this organization, headquartered in Singapore, wants to explore new markets in the United States, gain access to new customers, diversify risk, leverage resources, and increase profits.

Unfortunately, the newly formed U.S. branch has been facing several problems from the beginning.

  • Employees at the call center and the sales and marketing division are disengaged and emotionally fatigued due to contradictory communication between the branch’s leadership and the leadership at the Singaporean headquarters.
  • The branch team members feel frustrated and undervalued as a result of conflicting feedback from their VP and management team.
  • Messages from leadership lack consistency, especially regarding policies and practices related to human resources.
  • There is no training for team members.
  • Communication problems between the Singaporean headquarters and U.S. branch are resulting in low employee morale.

Overall, the standard operating procedures (SOP) followed successfully at the headquarters in Singapore could not be replicated at the U.S. branch. As a result, the CEO’s vision of successfully furthering expansion into the U.S. market remains unfulfilled.

Your goal as an HR consultant is to create a change management toolkit that includes the following:

  • A needs assessment or change readiness audit
  • An organizational change management plan
  • A change management communication plan
  • A letter recommending strategies to ensure that the changes and their benefits are retained

To create the toolkit, you will compile your work from Milestones One and Two. So far, you have completed your change readiness audit and created a change management plan. Now, you will record and share a presentation to demonstrate your change management communication plan. This plan should include your recommendations for workforce development techniques and how you plan to communicate these to employees and leadership of the U.S. branch, as well as leadership at the Singaporean headquarters.

It is not enough to implement change successfully; efforts should also be made to sustain the change. You must also write an executive letter to the VP of the U.S. branch, recommending strategies and best practices to ensure that the changes are implemented and maintained.

Directions

Change Management Toolkit

Part One: Change Readiness/Needs Assessment Audit Report

Submit your change readiness report from Milestone One that was created according to the following criteria. Be sure to revise your report based on feedback you received on your milestone. In this report prepared for the VP, you will discuss the change readiness of the workforce and leadership, willingness and capabilities for change, and any historical barriers to change from past planned or unplanned change management experiences.

Use the Employee Engagement Survey, Leaders’ Self-Evaluations, Exit Interviews, and Forms of Resistance Grid from the Supporting Materials section to assess the change-readiness of employees of the U.S. branch.

Specifically, you must address the following rubric criteria:

  1. Based off the Employee Engagement Survey data, create visuals that illustrate areas in need of change, specifically in the U.S. branch. Your visuals must address the following:
    1. Appraisal, job-role stagnation, and promotion or recognition
    2. Apathy or disinterest regarding the vision, mission, and values of the organization (Singaporean headquarters and U.S. branch)
    3. Lack of trust in managers, especially senior leaders
    4. Impressions about the organization’s (Singaporean headquarters and U.S. branch) attitude to inclusion and diversity
    5. Justify your selection of data points from the Employee Engagement Survey results
  2. Discuss employees’ confidence in change management practices.
    1. Consider the information available through the Employee Engagement Survey and Leaders’ Self-Evaluations.
    2. Do employees have a high degree of confidence in the organization’s leadership? Explain your reasoning.
    3. Explain the urgency for change at the employee and leadership level.
    4. Analyze the middle managers’ (team leads’) role in creating an adoption mindset:
      • How could they serve as a bridge between the senior leaders and the frontline staff?
      • Are they ready to take ownership of the proposed change? Explain your reasoning.
    5. How do leadership styles and power distribution impact change readiness?
  3. Identify opportunities to increase change readiness/trust at the U.S. branch:
    1. Why are some employees more accepting of change while others might be more resistant?
    2. How does the Forms of Resistance Grid explain the common reasons for resistance to change?
      • Use the Exit Interviews and the Forms of Resistance Grid, to discuss any two forms of resistance from this list: ambivalence, peer-focused dissent, upward dissent, sabotage, and refusal/exit.
  4. Use Hofstede’s cultural dimension model and the Exit Interviews, Employee Engagement Survey, and Leaders’ Self-Evaluations to explain cultural considerations that may have created difficulties for the employees of the U.S. branch to adjust to the Singaporean headquarters’ SOPs.
    1. Summarize the importance of cultural considerations using Hofstede’s Cultural Dimensions Model in the context of the U.S. branch and the Singaporean headquarters.
      • Explain how Hofstede’s model helps analyze cultural differences based on specific evidence and not on pre-conceived notions about different cultures.
      • Discuss how differences in specific dimensions of Hofstede’s model may result in misunderstanding and change management frustration or failure.
    2. Discuss individualism and one other dimension from the list below that might impact the cross-cultural communication and business practice differences among the U.S. and the Singaporean employees:
      • Uncertainty avoidance
      • Power distance
      • Long-term orientation

Part Two: Change Management Plan

Submit your change management plan from Milestone Two that was created according to the following criteria. Be sure to revise your plan based on feedback that you received on your milestone. In this report prepared for the VP, you will detail the strategy to convince the workforce to implement the changes.

Refer to the Case for Change Guide and other company data, such as the Leaders’ Self-Evaluations, the Vision, Mission, and Strategic Goals document, and the Employee Engagement Survey (all linked below in Supporting Materials). Ensure that the report details the pre-implementation and implementation phases of the change management plan.

Specifically, you must address the following rubric criteria:

  1. Identify two key stakeholders or sponsor roles for the change process from the Singapore headquarters and the U.S. branch.
    1. Refer to the Leaders’ Self-Evaluations document for additional context.
  2. Discuss the significance of each stakeholder’s role in gaining buy-in, acceptance, and support for change across departments.
    1. How can each stakeholder improve the change initiatives’ likelihood of success (for example, by acting as opinion leaders, connectors, counselors, and journalists)?
  3. Identify strategic goals that align with the change management plan and provide rationale. Consider the following in your response:
    1. Refer to the Vision, Mission, and Strategic Goals document; U.S. Branch Overview; and Leaders’ Self-Evaluations.
    2. Ensure there is alignment of the change management plan with the strategic goals of the organization (Singaporean headquarters and U.S. branch).
    3. Research emerging trends that could influence employees of the U.S. branch.
  4. Explain how improvements to organizational systems can ensure successful and sustained behavioral change.
    1. Refer to the Exit Interviews to identify the areas of change.
    2. What are the processes, procedures, or policies that need improvement?
    3. How will these improvements impact behavioral change of employees at the U.S. branch?
  5. Recommend enhancement strategies for team collaboration.
    1. Refer to the Exit Interviews and the Leaders’ Self-Evaluations to identify the problems of team collaboration.
    2. What are the reasons for the lack of collaboration between team members across both locations of the organization?
    3. How can an individual performer become a team player to improve team collaboration?
    4. How should leadership behavior change to build trust?
  6. Determine a change management model that can be used at the U.S. branch and provide justification.
    1. Based on your evaluation of the challenges that the U.S. branch is currently facing, choose from the following change management models:
      • Kotter’s Change Management Model, Lewin’s Change Management Model, or the ADKAR Change Management Model
    2. How would you use the model you chose at the U.S. branch?
  7. Describe the steps needed to implement the change management model at the U.S. branch. Support your response with research.
    1. How would you mitigate and remove any roadblocks in the change management process?
    2. What are your plans to deal with the impact of planned and/or unplanned changes and any contingencies?
    3. What milestones need to be accomplished for change implementation to succeed?
    4. How would you measure success on your plan?

Part three: Change Management Communication Plan and Continuity Strategies

  1. Change Management Communication Plan Presentation.
  2. Submit a creative and polished PowerPoint presentation with narration to share your change management communication plan. The communication plan should include your recommendations for workforce development techniques and how you plan to communicate these to the U.S. branch employees.
    Specifically, you must address the following rubric criteria:

    1. Define the audience by performing a target audience analysis. (slides 1–2)
    2. Determine core and audience-specific communication objectives and messages, including appropriate tone. You may include the following information (slides 3–4):
      1. Discuss goals of the communications campaign. You may consider the following points:
        • Why is this communication campaign needed?
        • What are the essential topics to communicate to company leadership?
        • What do front-line employees need to know as they experience and deal with the impact of change?
        • How will you convey need and urgency for change? Discuss What’s in It for Me (WIIFM).
        • Use a story or a graphic to connect with the change vision for success to the communication plan.
      2. Define and communicate new performance expectations and what stakeholders need to do to prepare for change.
    3. Recommend two workforce development techniques to support employees’ adaptation to change and build on existing skills and strengths. Consider the following (slides 5–6):
      1. What do you want the employees of the U.S. branch to do differently?
      2. How should the organization’s leadership support employees during the change, through training and development programs to address the gaps?
    4. Determine and review the best delivery channels for each communication based on the target audience analysis. Select a minimum of three channels as part of a multi-prong communication strategy. You may include the following information (slides 7–8):
      1. What would be the communication timeline for delivery of all messages? Create an outline.
      2. How often will the branch’s change initiators communicate with this audience?
      3. Outline communication responsibilities and assignments. Who is responsible for leading communications with this audience?
    5. Include your plan for a feedback loop to monitor and manage the communication campaign. (slides 9–10)
      1. Determine metrics or key performance indicators (KPIs) to track the success of the communication campaign.
      2. Outline how the metrics will be implemented and tracked through a feedback loop.

Note

Submit a recorded PowerPoint presentation with 10–12 slides. Sources should be cited according to APA style.

Note: Remember to use both on-screen text and narration or speaker notes in your PowerPoint slides to convey your information effectively. For example, you can use brief, bulleted lists on the slide and include detailed explanations in your narration or speaker notes. A resource explaining how to add narration to your presentation can be found under “Supporting Materials” below.

Part three B. Executive Letter: Write an executive letter to the VP of the U.S. branch recommending a strategy and best practices for sustaining the change efforts. Specifically, you must address the following criteria:

  1. Recommend one strategy for evaluating the business impact of change.
    1. How can they sustain change efforts through performance management?
  2. Recommend two best practices for ensuring new skills are applied on the job.
    1. Include at least one reinforcement technique leadership can use to sustain change.

Executive Letter

Submit 2- to 3-page Word document with 12-point Times New Roman font, double spacing, and one-inch margins. Sources should be cited according to APA style.

Please see attached submitted milestones and other supporting documents.

 

Quick Strategies

How will a health care manager use data to prioritize strategies

How will you as a health care manager use data to prioritize strategies for your department?

Note

Provide an example.

Respond to the following in a minimum of 175 words:

addressing behavior change in a specific population

Behavior Change Report

Essay addressing behavior change in a specific population

Learning Outcomes

  1. critically analyze and deconstruct behavior change theory and its application within mental health contexts
  2. evaluate and critique, biological, psychological, social, neurophysiological and systematic factors that impact on behavior and behavior change in mental health contexts
  3. formulate effective individual and systemic responses to facilitate behavior change founded on theory, empirical research and recovery principles
  4. apply motivational interviewing knowledge and strategies to facilitate constructed constructive consumer behavior change

Task

Select a behavior that is relevant to a specific population of mental health service users / consumers and propose an evidenced based approach to successful behavior change. Consider and include in your discussion:-

  1. The rationale for focusing the behavior change intervention with the specific population;
  2. A critical review of theoretical perspectives that have been applied to supporting behavior change in the population;
  3. A discussion of potential barriers to behavior change at the neurophysiological, individual, interpersonal, organizational levels and how these barriers could be overcome.

Note

  • Word limit/length; 2000 words
  • Specific details of the proposed intervention are not required within this assignment. The focus should be on the justification, the theoretical approach to addressing the behavior and a sophisticated understanding of obstacles to behavior change.