Florida National University Proposing Evidence Based Change in Healthcare Paper

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Florida National University

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Assessment 1 Instructions: Proposing EvidenceBased 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, nonU.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: • 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 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 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. o 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. o Address the implications of making the changes. o 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 peerreviewed 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. o 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. o Define desirable outcomes, including who will pay for care and factors limiting achievement of those outcomes. o 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. o 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 evidencebased practices. o 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. o Write clearly and concisely in a logically coherent and appropriate form and style. o Support assertions, arguments, propositions, and conclusions with relevant and credible evidence. Running head: SUMMARY REPORT 1 Change Proposal Summary Report Your Full Name (no credentials) Capella University NURS-FPX6218 Leading the Future of Health Care Proposing Evidence-Based Change Month, Year SUMMARY REPORT 2 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: o Option 1: Select two systems at opposite ends of the scale in terms of desirable outcomes for the issue reflected in your proposed change. o 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. SUMMARY REPORT 3 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. SUMMARY REPORT 4 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. Outcomes [Health Care System 1] [Health Care System 2] List outcome 1 here. List outcome 2 here. List outcome 3 here. Place in-text citations here, along with any other information not included in the table itself. [U.S. Health Care System] Running head: SUMMARY REPORT 5 References List your APA-formatted references here. NURS-FPX6218 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. o How do the two health care systems or programs address the issue? o 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? 1 NURS-FPX6218 • 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. o What are the likely costs and benefits for individuals and the community at large? o What are the potential short- and long-term effects? o 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? • o How or why does particular evidence support a claim? o 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? 2
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Outline Proposing Evidence-Based Change
I.Introduction



Chronic diseases have become a shocking health threat in the United States and other
countries in the world, causing adverse economic consequences.
Most governments and global health institutions, and development agencies are
constantly investing and using resources to reduce the burden of chronic diseases and
cardiovascular or related diseases.

II. Thesis


The executive summary covers or discusses intervention measures and programs that
will reduce this burden compared to those of other countries for appropriate action.

III. Proposed Change


Chronic diseases are causes of high mortality and morbidity in the United States,
resulting in complex conditions including diabetes, depression, cardiovascular
diseases, dementia, and other related diseases.

IV. Desired Outcomes




The study indicates that chronic diseases are preventable diseases based on basic
mechanisms, including improved diet and nutrition, advanced technology, and
medical treatment.
The primary prevention approach needs to remain cost-effective, affordable, and
sustainable in coping with these diseases worldwide.

V. Barriers or Limiting Factors



Wireless health includes common limitations that have delayed outcomes regarding
the health care system.
For instance, networks are ubiquitous as they can transmit more information via wired
or wireless networks.

VI. Health Care System in Australia




The Australian healthcare system is based on a mixed model of public and private
services.
It includes Medicare and general hospital services.
This system operates under the principle of universal access allowing all citizens to
access medical services equally.

VII. Health Care System in the United Kingdom




The differences between the United States and U.K. healthcare systems are based on
various models, including the analytical model, the entrepreneur model, and the NHS
model.
The U.S. utilizes an entrepreneur healthcare model that is privatized and relies on the
purchase of private health insurance while the U.K. uses the NHS model.

VIII. Specific Changes and Improved Outcomes




The adoption of technology provides effective intervention programs that yield
positive outcomes and quality services for good health.
Technological innovations are responsible for out-spacing policy innovation for
changing healthcare patterns.
Besides, adopti...


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