Presentation: Interest Groups  The goal of this assignment is to familiarize students with interest groups. Please follow the steps below to complete your assignment. Select an interest group (AARP, AHIP, Coalition for Health Services Research, Emergency Nurses Association, Pharma) Discuss how they are pushing their agenda (i.e., mechanisms used to influence policy makers), key obstacles, and spending (consult the Center for Responsible Politics, www.opensecrets.org) Investigate the interest group’s website and review their position statements, testimony, and consult media reports to obtain more information on the group’s lobbying efforts.

Please respond to the discussion and also respond to the peers discussionDQ1Stakeholder support is necessary for a successful change proposal project implementation. Consider your internal stakeholders, such as the facility, unit or health care setting where the change process is situated, and your external stakeholders, like an individual or group outside the health care setting. Why is their support necessary to the success of your project, and how you will go about securing that support?DQ 2Stakeholder support is necessary for a successful change proposal project implementation. Consider your internal stakeholders, such as the facility, unit or health care setting where the change process is situated, and your external stakeholders, like an individual or group outside the health care setting. Why is their support necessary to the success of your project, and how you will go about securing that support?Peer DQ1 According to (Noland & Phillips, 2015), s takeholders are the groups and individuals who will be influential in the success of your change plans. It is important to identify or map stakeholders who can affect your quality improvement project at an early stage when these relationships can be managed, including supporters and resistors of change. Stakeholders should be involved during each stage of the prooject to build support for it, provide suggestions for its design, and participate in evaluation and continuous quality improvement activities. It is often the skill with which you communicate, consult and involve these people which will determine the success of your change initiative. Developing and implementing projects can be a complex and difficult process. When the stakeholders are insufficiently engaged (Noland & Phillips, 2015), the problem of getting them to support the project and use its outputs is even more difficult, and the likelihood of project success diminishes quickly. Stakeholders are often defined or thought of as only the senior leadership of the organization because they are the ones who are providing resources (money, people, etc.), or who expect to see a benefit in their area of responsibility (Noland & Phillips, 2015). How you will go about securing that support? Building great relationships isn’t about the amount of time you spend with someone, but about the quality of that time. I will make sure at all meetings I will keep them engaged on the project. I will come prepared and let them know that the purpose of the meeting is to uncover anything that can help the project be successful including how you will be working together. Send out weekly or bi-monthly status reports with an executive summary, an overview of which milestones have been delivered and which ones are still outstanding. Include the project’s top five risks and issues with actions and owners. Talk about the real status of the project and what support you need from the committee members, if any, to overcome roadblocks and move the project forward. Reference: Noland, J., & Phillips, R. (2015). From Stakeholder Management to Stakeholder Accountability International Journal of Management Reviews , 39-49. https://link.springer.com/article/10.1007/s10551-0...Peer DQ2Stakeholder Support Internal and external stakeholders The change expected to improve the care administration program. The external stakeholders will include consumers, who will enable the administrators to rate the effectiveness of the interventions developed and hence, provide the ability to develop a better program in general (Agency for Healthcare Research and Quality, 2014). Patients are also external stakeholders, as they will enable the staff to comprehend the impact of the program on the behaviour of the consumers and determine fields that require change. The internal stakeholders include the physicians, physician assistants, the Board of Directors, and suppliers. The suppliers of care management will assist in supporting the intervention theories with the patients and determining the expected intervention approaches to be used by the patients. Therefore, they will be the representatives of the program to the patients. Importance of stakeholder support The support of the stakeholder is crucial as it enables the administrator in actualizing the benefits involving them in the hospital programs. This ensures that the changes in the program benefit the affected people. Establishing connections with agency leadership and senior Medicaid will be important in ensuring the success of the care administration program (Agency for Healthcare Research and Quality, 2014). Their support ensures that there is dedicated planning that facilitates different options available for designing the program. Additionally, the support ensures that internal capacity and resources are analyzed and the needs of the members of Medicaid are understood fully. Securing stakeholder support To secure the support, the stakeholders should be involved in the early planning stages of the project so that the expectations of the program are developed. Continuous and routine communication is important in maintaining the support, for instance, they can be provided with questions that concern the design and management of the program (Agency for Healthcare Research and Quality, 2014). References Agency for Healthcare Research and Quality (2014). Section 1: Planning a Care Management Program. Retrieved October 13, 2018, from https://www.ahrq.gov/professionals/systems/long-te...Peer DQ3A strategic leader takes the knowledge and skills and translates them into action while influencing the stakeholder to commit to the desired goals and objectives. When building a vision and leading changes within the system, strategic leadership process allows the leaders to foresight, envision, partner and motivate in the various organizations and contact with stakeholders by setting clear goals, predict possible risks associated with various objectives, calculate the future plans for the organization and demonstrate the complete understanding of the vision and mission of the vision for the outreach program. Identification of human and financial resources can be used to predict the potential for success or failure of the program (Milstead, 2016). A strategic leader analyzes the current situation in the healthcare organization and evaluates the need for changes, then translates those needs into action and programs. Strategic planning is a broad concept but it consists of small processes of decision making that also has to be flexible enough to adjust to various dynamic changes (economic, political, technological, and social) that can affect the organization (Burke, 2013). The steps of strategic leadership planning include: defining the purpose of the organization, setting goals and objectives, identifying the stakeholders, communicating the need for change, creating a strategic plan, assigning appropriate resources, initiating/implementing/monitoring and controlling the project. SWOT analysis and dashboard scorecards are the two most common tools that are used by the leaders in strategic planning. SWOT analysis is used to identify organizational strengths, weaknesses, opportunities and threats which points to a community outreach program can benefit the healthcare organization (Dickson & Tholl, 2014). Strategic leadership is the essence for leading change because it allows the leader to manage, motivate and persuade staff to share the vision of the organization, analyze the need for change and implement the change to improve the organizational performance (IHI, 2017). What makes a leader effective and engaging? An individual who is energized possesses excellent communication skills, works hard to accomplish set objectives, and leads stakeholders toward the mission and vision of the organization. According to Delgado and Mitchell (2016), an effective leader can engage stakeholders through teamwork, personal influence, and management of performance expectations. DeRenzo (2015) stated that a leader has to be fully aware of their leadership style and learn various techniques to motivate other team members. Self-evaluations and being critical about various areas of self-improvement are a part of effective leadership. Working in today’s healthcare environment can be hectic and demanding; therefore it is even more significant that everyone working in healthcare sustain a positive attitude and encourage one another. Leaders have to continually remind themselves of the profession’s core values and behaviors. DavidBurke, J. (2013). Health analytics: Gaining the insights to transform health care. New Jersey: John Wiley & Sons, Inc.Delgado, C., & Mitchell, M. M. (2016). A survey of current valued academic leadership qualities in nursing. Nursing Education Perspectives (National League for Nursing), 37(1), 10-15. doi:10.5480/14-1496 DeRenzo, E. G. (2015). Encouraging Others to Speak Up: Physician Leadership in the 21st Century. Journal of Hospital Ethics, 4(1), 22-26.Dickson, G., & Tholl, B. (2014). Bringing leadership to life in health: LEADS in a caring environment. London: Springer.Institute for Healthcare Improvement. (2017). IHI triple aim initiative. Retrieved from http://www.ihi.org/Engage/Initiatives/TripleAim/Pa...Milstead, J. A. (2016). Health policy and politics: A nurses guide (5th Ed.), Burlington, MA: Jones & Bartlett.Peer DQ4The role of stakeholders defines whether the health care will succeed in implementing its project or not. The internal stakeholders have a direct influence in the success of the project. Thus, their support cannot be ignored. Stakeholder Support!!! The internal stakeholders such as the employees and the investors play a significant role in delivering the goals and the objectives of the project. For example, the employees form the larger team responsible for executing the project. When the employees are in support of the project, they will do all they can to deliver project results. On the other hand, the investors play a critical role increasing the finances allocated to the project. In a case where the investor offer limited resources, this will affect the overall execution of the project. Moreover, the project management on their side comes up all the master plans to ensure that the project is completed on time and the final product is delivered. In order to secure the support of these stakeholders, first and foremost, there is need to create open communications. This approach shall build a strong confidence that the project is actually headed on the right direction. Another thing is involving these stakeholders in every decision made. This is another element that ensures that the stakeholders honor the project. Reference Vidaver-Cohen, D., & Brønn, P. S. (2015). Reputation, responsibility, and stakeholder support in Scandinavian firms: A comparative analysis. Journal of Business Ethics, 127(1), 49-64.Peer DQ5The term stakeholder refers to, any group or individual who can affect or is affected by the achievement of the organization’s objectives. In other words, almost any individual or group of individuals with an interest or stake in a consensus-building process thereby the outcome of the project and/or an ability to exert a positive or negative influence by the execution or completion of a project or being affected by the work or its deliverables, outputs, or results. The process of identifying, engaging stakeholders must begin well in advance so that dialog is seen to play an important part of project implementation; no decisions should be already made before commencing stakeholder engagement on project-related issues (Pandi- Perumal et al., 2015).Stakeholder engagement and management is pivotal to the development and deployment of health care settings. The ultimate purpose of such engagement is the efficient use of time, money, and resources thereby positively impact existing and/or emerging healthcare challenges. Stakeholders should be involved during each stage of the program to build support for it, provide suggestions for its design, and participate in evaluation and continuous quality improvement activities. And we can secure that help from stakeholders by presenting the importance of project and by providing a summary of the resources required e.g. staff time and the commitment needed from the stakeholders.Reference,Pandi-Perumal, S. R., Akhter, S., Zizi, F., Jean-Louis, G., Ramasubramanian, C., Edward Freeman, R., & Narasimhan, M. (2015). Project stakeholder management in the clinical research environment: how to do it right. Frontiers in psychiatry, 6, 71. Retrieved from https://www.frontiersin.org/articles/10.3389/fpsyt...Peer DQ 6It goes without saying that if any change initiative to be implemented and established, key stakeholders in the work environment have to be carried along. There are two main types of stakeholders, they are internal stakeholders, and external stakeholders. Stakeholders can be defined as people who have a ‘stake’ in a situation. Internal stakeholders are the health care professionals, facility operations personnel, and the management board. External stakeholders can be suppliers, clients (and their families), and the government (through legislation and regulations) (Health Knowledge, 2017). I am embedded in the psych unit of the the health care facility that my mentor works in. I undoubtedly require the cooperation of management, and the input of my mentor, if my change project is to be successful. I maintain open channels of communication with my mentor and abide by the rules of engagement with the organization. As regards the use of external stakeholders, I have familiarized myself with the existing legal framework and government policies with regards to my change initiative. I have also consulted with interest groups (such as church forums, county mental health initiatives and community youth organizations), to gauge whether the changes I propose are likely to make an impact in the event that they become applicable. ReferencesHealth Knowledge. (2017). Understanding Organizations: Identifying and managing internal and external stakeholder interests. Retrieved October 2018 from https://www.healthknowledge.org.uk/public-health-t...