Develop and record a 10-15 slide, asynchronous, audiovisual presentation for policymakers, soliciting resource and policy support for the community health care system change you proposed in the previous assessment.
Introduction
Nurse leaders must be able to make effective financial and policy decisions. Equally important is the ability to communicate their vision for change to policymakers and provide objective, evidence-based support for their position with respect to the regulatory, political, social, ethical, legal, and financial aspects of systemic change.- DETAILED SPEAKER NOTE
This assessment provides an opportunity to develop a presentation aimed at soliciting resource and policy support for the community health care change you proposed in Assessment 3.
Preparation
The executive leaders at Vila Health accepted your change proposal and would like to move it forward. However, lasting change in a volatile regulatory and policy environment will require adequate funding and support from the applicable governing body or regulatory agency. Consequently, you have been asked to present the proposed change to policymakers to seek their support and funding for the change as an established policy for the organization and community.
To prepare for this assessment, you are encouraged to begin thinking about funding and securing policy support for lasting change. 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: Advocating for Lasting Change [DOCX], which includes questions to consider and additional guidance on how to successfully complete the assessment.
- Be sure that your audiovisual equipment works and that you know how to record and upload your presentation.
MSN PROGRAM JOURNEY
Please review this guide for your degree program. It can help you stay on track for your practice immersion experience, so you may wish to bookmark it for later reference.
- MSN Program Journey.
AUDIOVISUAL EQUIPMENT SETUP AND TESTING
It is a good idea to check that your recording hardware and software is working properly and that you are familiar with its use as you will make a video recording of your presentation. You may use Kaltura Media or other technology of your choice for your video recording.
- If using Kaltura Media, refer to the Using Kaltura tutorial for directions on recording and uploading your video in the courseroom.
You may use Microsoft PowerPoint or other suitable presentation software to create your slides. If you elect to use an application other than PowerPoint, check with your faculty to avoid potential file compatibility issues.
Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact
DisabilityServices@Capella.edu
to request accommodations.
Requirements
Develop and record a video presentation for policymakers from the appropriate governing body or regulatory agency requesting policy and financial support for your proposed change. Draw on your work in the previous assessments and consolidate lessons learned.
The presentation 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: Advocating for Lasting Change document provides additional considerations that may be helpful in completing your assessment. In addition, be sure to note the requirements below for the presentation format, length, and for citing supporting evidence.
- Explain why proposed changes to a health care system require policy and financial support to ensure positive, systemic change and to overcome present challenges.
- Provide compelling evidence that proposed changes to a health care system will produce the intended outcomes.
- Provide broad budget estimates to fund specific capital or human resource outlays that are important to the success of a proposed change.
- Outline a plan for leading transformational, evidence-based change in an organization.
- Assess the potential future for wellness, health, and improved overall care and the role of visionary leaders in achieving the desired goals.
As a guide, explore the website of Healthy People 2030.
- Cultivate stakeholder interest in and support for the proposed changes to a community health care system.
- Develop slides that augment a multimedia presentation.
- Argue persuasively to obtain policy and financial support from policymakers for a proposed community health care change.
- Support assertions, arguments, propositions, and conclusions with relevant and credible evidence.
Presentation Format and Length
Remember, you may use Microsoft PowerPoint or other suitable presentation software to create your slides. If you elect to use an application other than PowerPoint, check with your faculty to avoid potential file compatibility issues.
Your slide deck should consist of 10–15 slides, not including the title, questions, and references slides. Use the speaker’s notes section of each slide to develop your talking points and cite your sources, as appropriate.
Be sure that your slide deck includes the following slides:
Note: Your slide titles will depend on your choice of community and the specific content of your change proposal.
- Title slide.
Title or name of your project (main focus of your change proposal).
Subtitle (optional), which could include Jordan or Armitage, if not part of the title.
Your name.
Date.
Course number and title. - Introduction.
Identify the stakeholders to whom you are presenting.
- Social determinants affecting health in the community (may need more than one slide).
- Synopsis of the windshield survey and environmental analysis findings.
Identify the positive aspects of the community.
Identify opportunities for improvement. Although your change proposal addresses these opportunities, avoid phrasing them as negatives. - Your change proposal—briefly outlined (may need more than one slide).
- Benefits of the change to the community and stakeholders.
- Challenges or concerns.
Address the implications for the community and organizational stakeholders, if these opportunities are not addressed.
- Funding (may need more than one slide).
Include the financial implications for the community and organizational stakeholders.
Specify your funding needs (how much and for what)? - Community health implications (may need more than one slide).
Explain how the proposed change will improve the health of the community.
Address both direct or indirect benefits, as applicable. - Conclusion.
Summarize key points.
Be sure to thank your audience for their time and consideration of your proposal. - Questions.
Add a slide to prompt questions from the audience.
- References (at the end of your presentation).
Supporting Evidence
Cite 3–5 credible sources from peer-reviewed journals or professional industry publications to support your presentation.
Additional Requirements
Upload your video presentation and attach the presentation slides, with speaker notes. See Using Kaltura for more information about uploading media. You may submit the assessment only once, so be sure that the assessment deliverables are included before submitting your assessment.
Proofread your slides to minimize errors that could distract the audience and make it more difficult to focus on the substance of your presentation.
Portfolio Prompt: You may choose to save your presentation 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.
Explain why proposed changes to a health care system require policy and financial support to ensure positive, systemic change and to overcome present challenges.
- Competency 2: Compare the effects of different health care finance models and policy frameworks on resources and patient outcomes.
Provide broad budget estimates to fund specific capital or human resource outlays that are important to the success of a proposed change.
- Competency 3: Evaluate the positive and negative influences of leaders on health care processes and outcomes.
Assess the potential future for wellness, health, and improved overall care and the role of visionary leaders in achieving the desired goals.
Cultivate stakeholder interest in and support for the proposed changes to a community health care system. - Competency 4: Develop proactive strategies to change the culture of the organization by incorporating evidence-based practices.
Provide compelling evidence that proposed changes to a health care system will produce the intended outcomes.
Outline a plan for leading transformational, evidence-based change in an organization. - Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style consistent with applicable organizational, professional, and scholarly standards.
Develop slides that augment a multimedia presentation.
Argue persuasively to obtain policy and financial support from policymakers for a proposed community health care change.
Support assertions, arguments, propositions, and conclusions with rel
CHANGE PROPOSAL IN THE HEALTHCARE
SYSTEM
Jordan City Health care system
Nicole Salami
Capella University
NURS-FPX6218 Leading the Future of Health Care
Dr. Donna Ryan
June, 2021
Social determinants affecting health in Jordan City
Windshield Survey and
Defining the change proposal
Benefits of the change proposal
Challenges facing execution of the proposal
Significance of Funding the program
Community health implications.
Social Determinants affecting Health in
Jordan Town
Ethnic inequalities.
Racial background
Small town with a large population.
Technology
Windshield Survey and
Environmental Analysis of
Jordan City The recent census records nearly 6500 residents living in the town (Fuerst, 2020).
Education sector provides vast opportunities for parochial and public schools.
Residents enjoy recreational facilities, such as the Lagoon Park, which provides a
conducive environment to engage in sports and other recreational activities.
Environmental Analysis of Jordan City
Availability of several schools and churches creates an opportunity to organize events that
will help create awareness of the importance of maintaining a good public health.
The town is vulnerable to air pollution from businesses and industries due to a concentrated
population (Kiper & Geist, 2020) .
Providing a crucial phase of planning and implementing appropriate programs that enhance
perfect public health.
Community-Clinical linkage program is a connection between health care
institutions and
the entire community.
The bond is meant to ease and broaden health care service provision throughout
the entire community.
Why Proposed Changes to a Health Care System Require Policy and
Financial Support
The proposed change requires policy
and financial support
The policy is supported by the
Affordable Care Act (ACA)
The policy requires hospitals to perform
community health needs assessments
(Community-Clinical Linkages, 2019)
Funding is needed to cover salaries and
wages, consultation, equipment, and
travel
Assumptions
The proposed change is
affordable
The stakeholders will support
the change
The proposed change will
improve community outcomes
Compelling evidence that proposed changes to a health care
system will produce the intended outcomes
The community clinical linkage program will produce the
following positive outcomes.
Identifying unmet social and health needs
Ensure data sharing between different healthcare providers
Ensuring sustainable financing and resources
Build long-term partnerships with community
Improved access to care
(Strengthening Community-Clinical Linkages, 2019)
Government and public sectors play an integral part in supporting the program
Approximately $ 750,000 required for startup of the program.
The funds will cover these elements
Salary and wages
Fringe benefits
Materials
Equipment
Consultation
Policy support for the program is fundamental.
Funding the project helps to foster successful implementation to improve the status of
public health in the community.
Plan for Leading Transformational, Evidence-based Change in an
Organization
Vision and Goal
Enhance linkage between community and healthcare providers.
Lewin’s Change Theory
The change plan will be implemented following Lewin’s change theory.
Unfreezing- understanding change is needed
Moving- the process of initiating change
Refreezing (establishing a new status quo)
The proposed change will lead to improved community outcomes.
Visionary leaders will ensure this by:
Identifying areas for further improvements
Allocating sufficient resources to quality improvement projects
Assembling a change team
This analysis is based on the assumption that the change will be led by a
transformational leader
Such leader motivate team members towards a common goal (Saravo et al., 2017)
Cultivate Stakeholder Interest in and
Support for the Proposed Changes
Stakeholders interest will be cultivated by:
Grouping the stakeholders
Communicating clearly the need for change
Meeting up and addressing resistance to change
Collaborating with stakeholders to address resistance to change
(Norris et al., 2017)
From the brief presentation, we learn that:
The change proposal will help to improve the quality of health care services
Community-clinical linkage extends health care service provision.
The proposal is susceptible to challenges, thus necessitating for financial and
policy support.
You may feel free to raise any concern regarding the topic that you feel is not
elaborated clearly.
Barrow, J. M., Annamaraju, P., & Toney-Butler, T. J. (2017). Change management. https://www.ncbi.nlm.nih.gov/books/NBK459380/
Espinoza, C., Martha Ochoa, C. H. W., Wilkinson-Lee, A., Lohr, A., Coulter, K., Islava, E., … & Carvajal, S. (2019). community-clinical
linkages for the prevention and control of chronic diseases. CDC. https://www.cdc.gov/dhdsp/pubs/docs/ccl-practitioners-guide
Fuerst, N. (2021). Economic development. The city of Jordan. https://jordanmn.gov/city-departments/economic-development/.
Johnson, K., Allen, K. E., West, W., Williams-Kirkwood, W., Wasilewski-Masker, K., Escoffery, C., & Brock, K. E. (2020). Strengths,
Gaps, and Opportunities: Results of a Statewide Community Needs Assessment of Pediatric Palliative Care and Hospice Resources.
Journal of Pain and Symptom Management, 60(3), 512–521.e7. https://doi.org/10.1016/j.jpainsymman.2020.04.009
Kiper, V., & Geist, R. (2020). Nurses on the frontline: Improving community health. Nursing Made Incredibly Easy, 18(3), 22-26.
https://journals.lww.com/nursingmadeincrediblyeasy/Abstract/2020/05000/Nurses_on_the_frontline__Improving_community.6.aspx
Lohr, A. M., Ingram, M., Nuñez, A. V., Reinschmidt, K. M., & Carvajal, S. C. (2018). Community-clinical linkages with community
health workers in the united states: A scoping review. Health Promotion Practice, 19(3), 349–360.
https://doi.org/10.1177/1524839918754868
Norris, J. M., White, D. E., Nowell, L., Mrklas, K., & Stelfox, H. T. (2017). How do stakeholders from multiple
hierarchical levels of a large provincial health system define engagement? A qualitative study. Implementation
Science : IS, 12(1), 98. https://doi.org/10.1186/s13012-017-0625-5
Saravo, B., Netzel, J., & Kiesewetter, J. (2017). The need for strong clinical leaders – Transformational and transactional leadership as a
framework for resident leadership training. PloS One, 12(8), e0183019. https://doi.org/10.1371/journal.pone.0183019
https://www.ncbi.nlm.nih.gov/books/NBK459380/
https://www.cdc.gov/dhdsp/pubs/docs/ccl-practitioners-guide
https://doi.org/10.1016/j.jpainsymman.2020.04.009
https://journals.lww.com/nursingmadeincrediblyeasy/Abstract/2020/05000/Nurses_on_the_frontline__Improving_community.6.aspx
https://doi.org/10.1177/1524839918754868
https://doi.org/10.1186/s13012-017-0625-5
https://doi.org/10.1371/journal.pone.0183019
- Slide 1
- Social Determinants affecting Health in Jordan Town
- Windshield Survey and Environmental Analysis of Jordan City
- Slide 7
- Slide 8
- Slide 10
- Slide 12
Introduction
Environmental Analysis of Jordan City
Defining the Change Proposal
Budget Estimates
Potential Future for Wellness
Conclusion
Questions Prompt from Audience
References
MSN-FP6218
ADVOCATING FOR
LASTING CHANGE
ROSALIND D PERSON
CAPELLA UNIVERSITY
MSN-FP6218 LEADING THE FUTURE OF HEALTH CARE
MSN-FP6218 ADVOCATING FOR LASTING CHANGE
JUNE 2020
OUTLINE
• Who Is Present and Why You are Important
• Who We Are in Jordan City
• Socio-Economic Factors
• Analysis of Windshield Survey
• What We See
• What We Need
• Proposed Change
• How & Who it Benefits
• Concerns and Barriers
• Where the Money Comes from & Why We
Need Your Support
• What the Budget Looks Like
• Partners and Donors
• Implications, Future Outcomes, Wrap Up
• References
WHO IS PRESENT AND WHY YOU ARE
IMPORTANT
• Stake Holders
• Community Outreach Organizers
• Community Members
• Nursing Leadership
• Health Care Providers
• Government Officials
WHO WE ARE IN JORDAN CITY
• 6000+ In Number
• Continued Growth
• Young, Diverse, Capable of Success
• Limited Resource
• Occupying An Area of Underserved Residents for
Healthcare Services
SOCIO-ECONOMIC FACTORS
• Race/Ethnicity
• Community Housing
Infrastructure
• Income
• Transportation
• Education Level
WINDSHIELD ANALYSIS
• What We See
• What We Don’t See
• What We Need
PROPOSED CHANGE
• Access to Healthcare
• Heath Literacy
• Increase Health and Wellness
• Prevention to Promote Partnerships
for change in a community to reduce
disparities and negative statistics
HOW AND WHO IT BENEFITS
• Empowering a Community
• Early Detection/Prevention
• Building Relationships with
Communities
• Increase Economic Growth
CONCERNS FOR CHANGE
• Funding
• Cultural Risk
• Mistrust of the Community
Towards Government
• Change is Hard
SHOWING YOU THE MONEY
• Where The Money Will Come
From
• Why We Need Your Support
• Connections to Resources and
Economic Growth
• Stakeholder Input
• Government Grants
• Community Contributions
WHAT THE FISCAL BUDGET LOOKS
LIKE
• Budget Break Down
• Rest of the Year
• Next Years and Ongoing
• Community
Commitment
IN CONCLUSION
• Implications
• Future outcomes
• Wrap up
REFERENCES
• Barajas, C. B., Jones, S. C., Milam, A. J., Thorpe, R. J., Gaskin, D. J., LaVeist, T. A., & Furr-Holden, C. D. M.
(2019). Coping, Discrimination, and Physical Health Conditions Among Predominantly Poor, Urban
African Americans: Implications for Community-Level Health Services. Journal of community health,
44(5), 954-962. .https://link.springer.com/article/10.1186/s13063-018-2848-4
• Barrett, E., Gillespie, P., Newell, J., & Casey, D. (2018). Feasibility of a physical activity
phttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6708452/ rogramme embedded into the daily lives of
older adults living in nursing homes: protocol for a randomised controlled pilot feasibility
study. Trials, 19(1), 461
• Capella University (n.d.). Environmental Analysis and Windshield Survey. Retrieved from
http://media.capella.edu/CourseMedia/MSN6218/vilaHealthEnvironmentalAnalysisWindshieldSurvey/w
rapper.asp
https://link.springer.com/article/10.1186/s13063-018-2848-4
http://media.capella.edu/CourseMedia/MSN6218/vilaHealthEnvironmentalAnalysisWindshieldSurvey/wrapper.asp
http://media.capella.edu/CourseMedia/MSN6218/vilaHealthEnvironmentalAnalysisWindshieldSurvey/wrapper.asp
REFERENCES CONT….
• Loria, K. (2017). The regulatory challenges of population health management. For the Record
(Great Valley Publishing Company, Inc.), 29(1), 18–21.
• Niedderer, K., Ludden, G., Clune, S., Lockton, D., Mackrill, J., Morris, A., … & Hekkert, P.
(2016). Design for behaviour change as a driver for sustainable innovation: Challenges
and opportunities for implementation in the private and public sectors.
https://wlv.openrepository.com/bitstream/handle/2436/613210/6996301 ?sequence=6
• Powell, B. J., Mandell, D. S., Hadley, T. R., Rubin, R. M., Evans, A. C., Hurford, M. O., &
Beidas, R. S. (2017). Are general and strategic measures of organizational context and
leadership associated with knowledge and attitudes toward evidence-based practices in
public behavioral health settings? A cross-sectional observational study. Implementation
Science, 12(1), 64.
https://implementationscience.biomedcentral.com/articles/10.1186/s13012-017-0593-9
http://ezproxy.library.capella.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=120636774&site=ehost-live&scope=site
https://wlv.openrepository.com/bitstream/handle/2436/613210/6996301 ?sequence=6
- Slide 1
- outline
- Who is present and why you are important
- Who we are in Jordan city
- Socio-economic factors
- Windshield analysis
- Proposed change
- How and who it benefits
- Concerns for change
- Showing you the money
- What the fiscal budget looks like
- In conclusion
- references
- References cont….
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