Planning for Community and Organizational Change

            One of the most significant objectives that all healthcare providers would want to record is a positive change. Planning the community on any intervention to solve the identified problem is important in meeting the desired outcome. Nurses have a core role in ensuring that individuals and populations have positive healthcare outcomes and improved patient outcomes (Mathieson et al., 2019). The implication is that nurses have to engage in activities designed to foster positive patient outcomes and enhance organizational processes. This implies that nurses have to appropriately identify the problems and plan to use the most effective intervention for better outcomes. Therefore, the purpose of this assignment is to draft a change proposal to justify a recommendation for improving the health of the community and establish the change as a priority for the next budget cycle.

Benefits of Proposed Health Care System Changes and its Implications for a Community.

            Over the years, new approaches have been introduced in the healthcare system to heighten disease prevention, better treatment, and adopt effective management of diseases. One of the most important approaches that have shaped healthcare recently is adopting modern technology (Mathieson et al., 2019). It has played a huge role in enhancing diabetic treatment. In the assessment of the Jordan community in Minnesota, diabetes has been discussed as the major problem affecting a wide range of patients in the healthcare system.

            The technological strategy will be one of the most effective measures that can aid in reducing the number of diabetic cases in the community. The change would require all the nurses and the patient to adapt to the effect of the technological culture that will be adopted to solve the diabetic problem among the population (Fernandez et al., 2019). This will ensure that all patients have an equal chance to interact with the modern technology used to manage diabetes in the community.

            Another benefit of the proposed healthcare changes is the reduced cost of treatment. The diabetic patient spends more funds on managing the disease and visiting the clinics more often for an injection which would be important in managing the disease for a few days. However, with the new technology, patients would have an automated system to control their insulin levels without visiting healthcare organizations. Diabetes is a condition where the body is incapable of producing enough insulin as required or fails to utilize the produced insulin as appropriate (Fernandez et al., 2019). Poorly controlled diabetes is one of the most chronic conditions. The identified population health problem relevant to the practice is poorly controlled diabetes among most patients receiving diabetes care. Diabetes is a condition where the body is incapable of producing enough insulin as required or fails to utilize the produced insulin as appropriate.

            Currently, patients cater for the cost, such as insulin pumps provided by other organizations. If the clinic could procure these tools at a lower price and introduce them to diabetic patients after training on their use would improve the safety of diabetic patients (Fernandez et al., 2019). The current finances at the clinic do not allow it to apply better interventions that can significantly reduce the severity of diabetes in the increasing number of patients.

Assessment 3 Instructions

Draft a 3-5 page change proposal to executive leaders, soliciting their support for a change to the health care system in the community you selected in the previous assessment.

Introduction

To improve health care outcomes within a community, leaders must understand the needs of specific populations. In addition, it is important that leaders are able to gather and present persuasive evidence to decision makers to obtain the necessary funding and establish these needs as priorities for budget and resource planning. Thus, proposed changes should support improved outcomes and align with the current or needed health care policy.

This assessment provides an opportunity to propose a community health care change that is based on the community health assessment you completed in Assessment 2.

Preparation

Your community health assessment was well received by the executives at Vila Health. Consequently, they have asked you to recommend a change in the community that will improve health outcomes. They have also asked you to submit your recommendation in a formal change proposal. You are confident that you can present a strong case for change, including a financial plan, that will ensure the success of this initiative.

In this assessment, you will draft a change proposal to executive leaders to solicit support for a change to the current community health care system. To prepare for the assessment, you are encouraged to begin thinking about your justification for establishing the recommended change as a priority, a strategy for leading change, and how the change will be funded. 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: Planning for Community and Organizational Change [DOCX], which includes questions to consider and additional guidance on how to successfully complete the assessment.

Note: As you revise your writing, check out the resources listed on the Writing Center’s Writing Support page. 

The following resource is required to complete the assessment.

• Vila Health: Planning for Change.

Vila Health is a virtual environment that simulates a real-world health care system. In the various Vila Health scenarios, you will apply professional strategies, practice skills, and build competencies that you can apply to your coursework and in your career. The information you gather in this scenario will help you to complete the assessment.

Templates

Use this template for your change proposal.

• Change Proposal Template [DOCX].

Requirements

Complete this assessment in two steps:

1. If you have not already done so, complete the Vila Health: Planning for Change simulation.
2. Draft a change proposal to justify your recommendation for improving the health of the community and establish the change as a priority for the next budget cycle. Consider the feasibility of your proposed change, in terms of overall scope, funding, and timeframe.

The change proposal requirements outlined below, correspond to the grading criteria in the scoring guide, 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: Planning for Community and Organizational 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 the benefits of proposed health care system changes and its implications for a community.
• Describe potential barriers to change in an organization or community.
• Develop strategies for changing barriers into opportunities and resolving conflict.
• Develop a strategy for helping organizational stakeholders understand and evaluate the proposed changes to an existing health care system.
• Develop a grant proposal and associated budget for a proposed change to an existing health care system.
• 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 Change Proposal Template. This APA Style Paper Tutorial [DOCX] can help you in writing and formatting your assessment. If you would like to use a different template or document format for your change proposal, obtain prior approval from faculty.
• Your change proposal should be 3–5 pages in length, not includingthe 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 change proposal.

Additional Requirements

Proofread your change proposal before you submit it, 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 change proposal 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 the benefits of proposed health care system changes and its implications for a community.
• Competency 2: Compare the effects of different health care finance models and policy frameworks on resources and patient outcomes.
  • Describe potential barriers to change in an organization or community.
  • Develop a grant proposal and associated budget for a proposed change to an existing health care system.
• Competency 4: Develop proactive strategies to change the culture of the organization by incorporating evidence-based practices.
  • Develop a strategy for helping organizational stakeholders understand and evaluate the proposed changes to an existing health care system.
  • Develop strategies for changing barriers into opportunities and resolving conflict.
• 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.

Planning for Community and Organizational Change Scoring Guide

Criteria	Non-performance	Basic	Proficient	Distinguished
Identify the benefits of proposed health care system changes and its implications for a community.	Does not identify the benefits of proposed health care system changes and its implications for a community.	Identifies the benefits of proposed health care system changes, but the implications do not follow the logical order given the current and desired state of health care in the community.	Identifies the benefits of proposed health care system changes and its implications for a community.	Identifies the benefits of proposed health care system changes and its implications for a community. Articulates clear goals or outcomes for proposed changes that are well-supported by credible evidence.
Describe potential barriers to change in an organization or community.	Does not describe potential barriers to change in an organization or community.	Describes potential barriers to change, but the description is not grounded in applicable change theory.	Describes potential barriers to change in an organization or community.	Describes potential barriers to change in an organization or community. Identifies the causes of resistance and supports claims with credible evidence.
Develop strategies for changing barriers into opportunities and resolving conflict.	Does not develop strategies for changing barriers into opportunities and resolving conflict.	Develops strategies for changing barriers into opportunities and resolving conflict, but does not address a timeframe for change or lacks a coherent plan for communicating with stakeholders.	Develops strategies for changing barriers into opportunities and resolving conflict.	Develops strategies for changing barriers into opportunities and resolving conflict. Strategies reflect clear vision and drivers of change, including a viable approach for resolving conflict.
Develop a strategy for helping organizational stakeholders understand and evaluate the proposed changes to an existing health care system.	Does not develop a strategy for helping organizational stakeholders understand and evaluate the proposed changes to an existing health care system.	Develops a strategy that overlooks key stakeholders or that lacks insight into their influence on the proposed changes to an existing health care system.	Develops a strategy for helping organizational stakeholders understand and evaluate the proposed changes to an existing health care system.	Develops a strategy for helping organizational stakeholders understand and evaluate the proposed changes to an existing health care system. Describes the effects of these changes on the organization and identifies the specific information needs of the decision makers.
Develop a grant proposal and associated budget for a proposed change to an existing health care system.	Does not develop a grant proposal and associated budget for a proposed change to an existing health care system.	Develops a grant proposal and associated budget for a proposed change to an existing health care system that lacks clear and convincing justification or overlooks essential funding reflected in an incomplete list of necessary budget line items.	Develops a grant proposal and associated budget for a proposed change to an existing health care system.	Develops a grant proposal and associated budget for a proposed change to an existing health care system that presents a compelling argument for funding. Budget line items reflect clear and specific needs that are well-articulated and justified in the proposal.
Write clearly and concisely in a logically coherent and appropriate form and style.	Does not write clearly and concisely in a logically coherent and appropriate form and style.	Writing lacks clarity or conciseness, is loosely structured, or includes errors in grammar, mechanics, or APA formatting that inhibit effective communication or detract from good scholarship.	Writes clearly and concisely in a logically coherent and appropriate form and style.	Writes clearly and concisely in a logically coherent and appropriate form and style. Main points, ideas, arguments, or propositions are well-developed and engaging. Adheres to all applicable disciplinary and scholarly writing standards and conventions.
Support assertions, arguments, propositions, and conclusions with relevant and credible evidence.	Does not support assertions, arguments, propositions, and conclusions with relevant and credible evidence.	Sources lack relevance or credibility, or the evidence is not persuasive or explicitly supportive of assertions, arguments, propositions or conclusions.	Supports assertions, arguments, propositions, and conclusions with relevant and credible evidence.	Supports assertions, arguments, propositions, and conclusions with relevant, credible, and convincing evidence. Skillfully combines error-free source citations with a perceptive and accurate synthesis of the evidence.