Unit 4 Assignment - Strategic Plan ProposalSubmit AssignmentDue Sunday by 11:59pm Points 100 Submitting a text entry box, a website url, a media recording, or a file uploadIt is important to consider organizational outcomes in the development of a strategic plan to ensure that changes are beneficial to the employees and the organization as a whole. In this assessment, practice creating a strategic plan proposal that aligns with organizational outcomes.For this assessment, assume the following organizational outcomes apply to the organization described in the professional experience from Units 1-3.Outcome #1: Increasing quality metrics as related to patient care and health outcomes.Currently, patient satisfaction scores are at a historic low and patients are not feeling that their care is high quality and effective.Outcome #2: Decreasing financial abuse and misuse to maintain strong profit levels.Recent financial analyses showed that the organization is losing money and reimbursement levels are lower than average.Outcome #3: Strengthening the cultural competency of the organization as related to patients and employees/staff/medical staff.The new influx of patients introduced a new demographic section to the organization which has not previously been treated in the office.InstructionsCreate a strategic plan proposal that aligns with the outcomes of the healthcare organization.Using the steps covered in previous units, this strategic plan proposal will be the beginning of the actual process, so the plan needs to include the following:Statement of the problem or issueRationale for the proposed planAnalysis of the organizational outcomes (are they positive outcomes, do they align with the overall expectations of the organization, can they actually be met?)Strategic plan is outlined with steps and expected timelinesPotential hurdles or negative aspects are outlined with plans to mitigateOrganizational outcomes are discussed and applied to the strategic planComplete additional research on this topic as necessary. Include at least 2 references, formatted APA style.Estimated time to complete: 5 hoursRubricHC466 - Unit 4 Assignment - Strategic Plan ProposalHC466 - Unit 4 Assignment - Strategic Plan ProposalCriteriaRatingsPtsThis criterion is linked to a Learning OutcomeContent45.0 ptsLevel 5Demonstrates the ability to construct a clear and insightful problem statement/thesis statement/topic statement with evidence of all relevant contextual factors.40.5 ptsLevel 4Demonstrates the ability to construct a problem statement, thesis statement/topic statement with evidence of most relevant contextual factors, and problem statement is adequately detailed.36.0 ptsLevel 3Begins to demonstrate the ability to construct a problem statement/thesis statement/topic statement with evidence of most relevant contextual factors, but problem statement is superficial.31.5 ptsLevel 2Demonstrates a limited ability in identifying a problem statement/thesis statement/topic statement or related contextual factors.27.0 ptsLevel 1Demonstrates the ability to explain contextual factors but does not provide a defined statement.0.0 ptsLevel 0There is no evidence of a defined statement.45.0 ptsThis criterion is linked to a Learning OutcomeAnalysisPRICE-P45.0 ptsLevel 5Organizes and compares evidence to reveal insightful patterns, differences, or similarities related to focus.40.5 ptsLevel 4Organizes and interprets evidence to reveal patterns, differences, or similarities related to focus.36.0 ptsLevel 3Organizes and describes evidence according to patterns, differences, or similarities related to focus.31.5 ptsLevel 2Organizes evidence, but the organization is not effective in revealing patterns, differences, or similarities.27.0 ptsLevel 1Describes evidence, but it is not organized and/or is unrelated to focus.0.0 ptsLevel 0Lists evidence, but it is not organized and/or is unrelated to focus.45.0 ptsThis criterion is linked to a Learning OutcomeWriting5.0 ptsLevel 5The paper exhibits an excellent command of written English language conventions. The paper has no errors in mechanics, grammar, or spelling.4.5 ptsLevel 4The paper exhibits a good command of written English language conventions. The paper has no errors in mechanics or spelling with minor grammatical errors that impair the flow of communication.4.0 ptsLevel 3The paper exhibits a basic command of written English language conventions. The paper has minor errors in mechanics, grammar, or spelling that impact the flow of communication.3.5 ptsLevel 2The paper exhibits a limited command of written English language conventions. The paper has frequent errors in mechanics, grammar, or spelling that impede the flow of communication.3.0 ptsLevel 1The paper exhibits little command of written English language conventions. The paper has errors in mechanics, grammar, or spelling that cause the reader to stop and reread parts of the writing to discern meaning.0.0 ptsLevel 0The paper does not demonstrate command of written English language conventions. The paper has multiple errors in mechanics, grammar, or spelling that cause the reader difficulty in discerning the meaning.5.0 ptsThis criterion is linked to a Learning OutcomeAPAPRICE-I5.0 ptsLevel 5The required APA elements are all included with correct formatting, including in-text citations and references.4.5 ptsLevel 4The required APA elements are all included with minor formatting errors, including in-text citations and references.4.0 ptsLevel 3The required APA elements are all included with multiple formatting errors, including in-text citations and references.3.5 ptsLevel 2The required APA elements are not all included and/or there are major formatting errors, including in-text citations and references.3.0 ptsLevel 1Several APA elements are missing. The errors in formatting demonstrate a limited understanding of APA guidelines, in-text-citations, and references.0.0 ptsLevel 0There is little to no evidence of APA formatting and/or there are no in-text citations and/or references.5.0 ptsTotal Points: 100.0

Directions: Complete the Problem “Reverse Referral Fees” as a two to three page paper. For a general description of Marcus Welby Hospital see page 369 of the text (provided in attachment).You are outside counsel to the Marcus Welby Healthcare Corporation (MWHC), which is concerned that expenses in some of its ancillary departments are causing it to lose money under Medicare and HMO insurance. It would like to start charging its hospital-based physicians for some of the costs of running their departments. Its current relationship with these physicians is one in which they have exclusive contracts to work in these departments, but no money changes hands between them. The hospital handles all billing, staffing, and overhead, but it bills separately for facility charges versus professional fees, and the physicians keep all the professional fees the hospital collects on their behalf. This is the standard practice in the industry. MWHC has the following suggestions for changing this arrangement:• Have the radiology group pay for services, supplies, personnel, utilities, maintenance, and billing services furnished by the hospital. In a non-hospital, office-based setting, this package would normally cost about $100,000 to $150,000 per year. The hospital will charge the radiology group only $25,000 at first, but increase the charges to $100,000 over four years. Payments are due only if the hospital's gross revenue derived from radiology services exceeds $1,000,000 in the previous year.• The hospital's clinical laboratory, under the direction of the pathology group, would pay the hospital a 20 percent fee for “specimen collection and handling services” when a physician on the MWHC medical staff orders a test from the clinical lab.What advice would you give?

How does the community health nurse recognize bias, stereotypes, and implicit bias within the community? How should the nurse address these concepts to ensure health promotion activities are culturally competent? Propose strategies that you can employ to reduce cultural dissonance and bias to deliver culturally competent care. Include an evidence-based article that address the cultural issue. Cite and reference the article in APA format.