Strategic plan for your selected organization using a TOWS matrix and portfolio analysis

/in /by

Overview

Create a 3–5-page draft for a strategic plan for your selected organization using a TOWS matrix and portfolio analysis in addition to any other appropriate tool of your choosing.

Note: The assessments in this course are presented in sequence and must be completed in order.

The TOWS Matrix is a decision-making process for developing strategic alternatives. You will be able to better develop a more effective strategic plan based upon an in-depth understand of the current environment.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

•Competency 1: Analyze organizational structure, design, culture, and climate in relation to environmental forces. ◦Apply methodologies from the knowledge-economy management approach appropriately to the organization.

◦Integrate recent research into a strategic management plan.

•Competency 2: Develop a strategic organizational plan that provides human and financial resources to support targeted organizational outcomes. ◦Synthesize operational and financial components into a strategic planning process.

◦Analyze strategy in relation to achieving competitive advantage.

•Competency 3: Recommend an organizational structure and design to optimize a strategic plan. ◦Recommend an alternative organizational structure model that aligns with organizational goals.

Context

Development of strategies involves awareness of the environment, intellectual curiosity, and a willingness to be open to creative ideas and solutions.

The Assessment 2 Context document contains important information about the following topics related to Adaptive and Market Entry strategies:

•The TOWS Matrix.

•Service/Product Life Cycle.

•Product (or service) Development Process.

•Strategy Implementation & Organizational Culture.

•When Cultures Need Changing.

Questions to Consider

To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of the business community.

Required Resources (Attached)

The following resources are required to complete the assessment.

Click the links provided below to view the following multimedia pieces:

•Riverbend City: Ruby Lake Evacuation Mission | Transcript.

•TOWS Matrix.

Suggested Resources

The following optional resources are provided to support you in completing the assessment or to provide a helpful context. For additional resources, refer to the Research Resources and Supplemental Resources in the left navigation menu of your courseroom.

Library Resources

The following e-books or articles from the Capella University Library are linked directly in this course:

•Ginter, P. M., Duncan, W. J., & Swayne, L. E. (2013). Strategic management of health care organizations (7th ed.). San Francisco, CA: Jossey-Bass. ◦Chapter 7, “Evaluation of Alternatives and Strategic Choice,” pages 255–304.

◦Chapter 8, “Value-Adding Service Delivery Strategies,” pages 307–341.

•Littlejohns, P., Sharma, T., & Jeong, K. (2012). Social values and health priority setting in England: “Values”-based decision making. Journal of Health Organization and Management, 26(3), 363–373.

Assessment Instructions

Note: Assessment 1, Current Environmental Analysis, must be completed before beginning this assessment. You will be revisiting and revising strategies throughout each of the assessments in this course. Each assessment builds on your previous work.

Step One: Critical Thinking Skills Practice

The TOWS Matrix is a decision-making process for developing strategic alternatives. Your ability to think critically is key to organizing your thoughts throughout the strategic planning process.

In preparation for this assessment, you are required to view the Riverbend City: Ruby Lake Evacuation Mission simulation (linked in the Resources). This activity is an ideal setting to practice thoughtful application of critical thinking skills. This media piece addresses multiple competencies, some of which are difficult to practice and assess without a real world or a simulated setting. As you begin your TOWS matrix, keep the following categories of critical thought in mind as you consider the threats, opportunities, strengths, and weaknesses of the Ruby Lake Evacuation scenario.

•Assumptions: What assumptions are being taking for granted by the people in this simulation? What alternative assumptions could be useful in this situation?

•Information: What information did people have and what kind of information were they missing?

•Fairness: How was intellectual and intercultural fairness demonstrated?

•Criteria for Evaluation: What criteria would you use to evaluate the quality of the information, implementation and/or effectiveness?

Complete a practice TOWS Matrix for this scenario before proceeding to Step Two. This practice matrix does not need to be submitted.

Step Two: Complete a TOWS Matrix

Apply the same critical thought process to a real world setting that is relevant for your selected health care organization’s future success. In addition to completing a TOWS matrix, you may use any other appropriate analysis tools to determine alternative strategies.

Include the following as you develop alternative strategies:

•Incorporate the use of new methodologies from the knowledge-economy management approach that might be appropriate for this organization.

•Correlate recent research findings regarding strategy management into your approach.

•Synthesize operational and financial components in your strategic planning process.

•Incorporate your findings from your current environment analysis.

•Determine the organizational structure that best facilitates the strategy—functional, divisional, or matrix.

Step Three: Draft Strategic Plan

Re-examine your work from Assessment 1 and create a high level draft of a strategic plan that incorporates insights from your environmental analysis and the TOWS matrix exercise.The goal is to focus upon application of the concepts and new insight. Keep it brief and substantive.

Preface your draft with the core assumptions regarding environmental opportunities and threats, organizational strengths and weaknesses, and organizational behavior dynamics that are foundational to the strategy.

Include a brief description of the proposed strategy that reflects the choices made regarding:

•Service/product domain.

•Market domain.

•Level of investment in the respective service/product and market domains.

•Positioning approach for achieving competitive advantage.

•Maneuvers that will be used to implement the positioning approach.

•Distinctive competencies or assets that will be relied on to gain and sustain competitive advantage.

Additional Requirements

Submit your selected health organization’s TOWS Matrix from Step Two, with the high-level components of a strategic plan, as an attachment to this assessment.

•Length: 3–5 double-spaced, typed pages. Note: Feel free to construct images/diagrams to summarize information where appropriate (for example, TOWS matrix…).

•APA formatting: Resources and citations are formatted according to current APA style and formatting.

•Resources: Use evidence from the literature to support your recommendations.

Preschool Language Development of Early Syntax

/in /by

SPA 340 Project 1

SPA 340 – Language Development

Project 1: Preschool Language: Development of Early Syntax

Due Date: See Syllabus

Guidelines for answers:

For this assignment you do not need to describe context.

Please use quotes or highlights when you refer to something a child has said within your text. For example, a child may omit a word; you must transcribe sentences exactly as it was said.

Your assignment should be typed. Put your answers in list form, not essay.

· Please underline the portion of a sentence that answers the question.

i.e. Find a contractible auxiliary. ‘I am going to the store later.’

· Please use table format provided for your answers.

· A transcription of Ella and Molly’s conversations will be available for you to use during your analysis.

Children you will be observing on video:

Ella: 21 months

Molly: 2;10

Questions

Child 1: Ella 21 months

1. Find one example where Ella clearly imitates her mother’s 3-word utterance. (3 points)

2. Find an utterance where Ella omits a pronoun. What pronoun did Ella omit? (3 points)

3. Find 1 example where Ella produces an utterance with contractible copula. (3 points)

4. Find an utterance that contains a Brown’s Semantic Relation. Write the utterance and state which semantic relation it is. (3 points)

5. Find an utterance that contains an infinitive (not semi-infinitive). (3 points)

6. Find an utterance that contains an uncontractible copula. (3 points)

7. Use the handouts of Brown’s Stages provided to you. Which stage characterizes Ella’s language? Provide at least three points why her language is appropriately characterized by that stage. (6 points)

Child 2: Molly 2;10

8. Find 1 utterance where Molly produces negation. (3 points)

9. Find 1 other utterance where Molly produces negation with irregular third person. (3 points) (This utterance should be different than the example in #8)

10. Molly produces an utterance in which she omits an obligatory ‘to be’ form. Provide the utterance and the name of the form (Brown’s grammatical morpheme). (3 points)

11. Listen for the following morphological structures in Molly’s language. Provide the number of examples requested for each. Give the entire utterance but specify which aspect represents the target utterance. (12 points). 2 examples each of: regular third person, irregular past tense, present progressive tense,

12. Find 2 utterances in which Molly produces subject-auxiliary inversion. One is with a modal (write the modal in italics). (5 points)

13. Find one example in which Molly produces a conjoining sentence (a coordinate conjunction). (5 points)

14. Give an example of Semantics, Morphology, Phonology, Syntax, and Pragmatics in Molly’s conversation. Keep your answers short, but include an example. EXAMPLE of how to write answers: Semantics: use of pronoun “I” (5 points).

Name:

#QuestionAnswer
Child 1: Ella 21 months
1Find one example where Ellaclearly imitates her mother’s3-word utterance. (3 points)Vans are on.
2Find an utterance where Ellaomits a pronoun.What pronoun did Ella omit?(3 points)(Uh, I/’ll open), I’ll open.(Uh, I/’ll open it), I’ll open it.
3Find 1 example where Ellaproduces an utterance withcontractible copula. (3 points)That/’s [concop] a song man.
4Find an utterance thatcontains a Brown’s Semantic Relation. Write the utterance.State which semantic relation it is. (3 points)
5Find an utterance thatcontains an infinitive (not semi-infinitive). (3 points)I want to see that monkey.
6Find an utterance thatcontains an uncontractible copula. (3 points)Those are[unconcop]Ruthie/’z wipe/s.
7Use the handouts of Brown’sStages provided to you. Which stage characterizes Ella’s language?Provide at least three points why her language is appropriately characterized by that stage. (6 points)Stage:1.2.3.
Child 2: Molly 2;10
8Find 1 utterance where Mollyproduces negation. (3 points)No, ribbit.
9Find 1 other utterance whereMolly produces negation with irregular third person. (3 points) This utterance should be different than the example in #8(He doesn’t) This part doesn’t work.
10Molly produces an utterancein which she omits an obligatory ‘to be’ form. Provide the utterance and the name of the form (Brown’s grammatical morpheme). (3 points)Utterance:Brown’s grammatical morpheme code:
11Listen for the followingmorphological structures in Molly’s language. Provide the number of examples requested for each. Give the entire utterance but specify which word represents the target utterance. (12 points)Regular Third Person1. He wants another flavor.2. He says he likes, he likes orange.Irregular Past Tense1. I gave this one to Duky, monkey gets his and I gave that one to the horsey.2. He fell.Present Progressive –ing1. The baby’s going to eat.2.Hey, it keeps moving
12Find 2 utterances in whichMolly produces subject-auxiliary inversion. One is with a modal (write modal in italics). (5 points)1.2.
13Find one example in whichMolly produces a conjoining sentence (a coordinate conjunction). (5 points)1.2.

Preparing for Emergencies, Preventing Work Place Violence, Handling Collective Bargaining Issues

/in /by

Unit 13 – Preparing for Emergencies, Preventing Work Place Violence, Handling Collective Bargaining Issues

Reading Assignment: Chapter 22, 23 and 24 in Sullivan

Assignment 1: Evaluate your current workplace or clinical site. See if you can find potential opportunities that would allow violence to occur. Describe them.

Assignment 2: Are you aware of specific action that your school, workplace, or clinical site has done to protect people from violence? What more could you suggest?

Assignment 3: Have you ever participated in disaster drills? How well did you follow your training? How well did the organization handle the drill? Did you see areas for improvement?

Assignment 4: Please read the New York Times article “Supreme Court Rules Against Retirees in Union Health Benefits Case by Adam Liptak, January 26, 2015.

Assignment 5: Please read the New York Times article “Amid Cuomo’s Medicaid Cuts, a Health Care Workers’ Union Shapes a Victory” by Nicholas Confessore, February 28, 2011.

Assignment 6: Please read the New York Times article “Violence on the Oncology Ward: by Theresa Brown, March 17, 2010.

Assignment 7: Please read the New York Times article “Feeling Strain When Violent Patients Need Care” by Theresa Brown, January 30, 2012.

UNIT 14 – Health Care Ethics and the Near Future

Reading Assignment: Chapter 10 Assignments – page 283

Assignment 1: Review Question K

Assignment 2: Review Question M

Assignment 3: In the News, Page 265

Assignment 4: Please read the New York Times article, “Fears, Not Facts, Support G.M.O. – Free Food” by Jane Brody, June 8, 2015.

Assignment 5: Please read the New York Times article, “I had my DNA Picture Taken, With Varying Results, by Kira Peikoff, December30, 2013.

Assignment 6: Please read the New York Times article, “1 Patient, 7 Tumors and 100 Billion Cells Equal 1 Striking Recovery”, by Denise Grady, December 7, 2016.

PAGE

Health care delivery plan for one component of a heart failure clinic

/in /by

Overview

Write a 3-4 page evidence-based health care delivery plan for one component of a heart failure clinic.

Nursing within an organization is a critical component of health care delivery and is an essential ingredient in patient outcomes (Kelly & Tazbir, 2014). The concern for quality care that flows from evidence-based practice generates a desired outcome. Without these factors, a nurse cannot be an effective leader. It is important to lead not only from this position but from knowledge and expertise.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

· Competency 2: Explain the accountability of the nurse leader for decisions that affect health care delivery and patient outcomes. 

. Describe accountability tools and procedures used to measure effectiveness.

· Competency 3: Apply management strategies and best practices for health care finance, human resources, and materials allocation decisions to improve health care delivery and patient outcomes. 

. Develop an evidence-based plan for health care delivery.

· Competency 4: Apply professional standards of moral, ethical, and legal conduct in professional practice. 

. Apply professional and legal standards in support of a care plan.

· Competency 5: Communicate in manner that is consistent with the expectations of a nursing professional. 

. Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.

. Correctly format citations and references using current APA style.

Assessment Instructions

Preparation

Refer to the Capella library and the Internet for supplemental resources to help you complete this assessment.

Instructions

Deliverable: Develop an evidence-based plan for health care delivery.

Scenario:

The hospital where you work has an issue with increased readmissions within 30 days of discharge. After examining the core measures, it was found that heart failure was the most common core measure disease process experiencing the highest rate of readmissions. The leadership team has given your team the charge of developing a nurse-run outpatient heart failure clinic. The purpose of this clinic is to ensure that discharge education is presented to the patient in an orderly, consistent manner and complies with evidence-based practice protocols. Since these patients may be discharged from a variety of areas in the facility, having the heart failure clinic staff take ownership of the process will improve both consistency and compliance. There are cardiologists that interact with the staff and patients, but the day-to-day operations of the clinic are designed and supported by the nurses as they interact with appropriate members of the other health care team disciplines promoting the best care for the heart failure patients.

As a member of the nurse team, you have been asked to develop one component of the clinic.

The hospital leadership established these objectives for the clinic services:

· Evaluate and maximize proper medication therapy.

· Conduct regular diet, exercise, and stress management classes for the patients.

· Monitor physiological indicators for the patients (lab work, weights, vital signs, ECGs).

· Provide a case management system for patients in the program post-discharge.

The overall goals for the heart failure clinic are to:

· Enroll greater than 90 percent of the patients with a primary or secondary diagnosis of HF prior to discharge.

· Facilitate discharge planning to achieve 100 percent compliance with patient education prior to discharge (discharge planning).

· Decrease readmission rates in this population by 5 percent over the next year.

The leadership team has asked you to provide them with an evidence-based plan for one of the components of the clinic. You may use any combination of documents (for example, a spreadsheet or a table) in addition to explanatory information to convey information clearly and succinctly.

Develop one: an Orientation Course Plan, a Discharge Education Plan, or a Care Coordination Plan.

An Orientation Course Plan:

· Develop an evidence-based plan for health care delivery.

· Include a comprehensive schedule of topics, objectives, key points, and patient resources for the orientation course. 

. What are the components of an evidence-based education plan?

. How will you know that patients will understand what to do?

. What modalities will you use to deliver information?

. How will you adapt the plan to meet the needs of patients from diverse cultural and language backgrounds?

. Identify specialized and supplementary material needs.

· Apply professional and legal standards in support of a care plan. 

. Explain the alignment to the most recent Heart Failure Guidelines and specific professional standards.

. Describe the accountability tools and procedures used to measure effectiveness.

. How will you know if the patient education plan is successful?

. What are the indicators of success or effectiveness?

A Discharge Education Plan:

· Develop an evidence-based plan for health care delivery. 

. Develop a discharge plan with objectives and resources, and tools for patients to monitor their progress.

. How will you know that patients understand what to do?

. What modalities will you use to deliver information?

. How will you adapt the plan to meet the needs of patients from diverse cultural and language backgrounds?

· Apply professional and legal standards in support of a care plan. 

. Explain the alignment to the most recent Heart Failure Guidelines and specific professional standards.

. Describe accountability tools and procedures used to measure effectiveness.

. How will you know if the discharge plan is successful?

. What are the indicators of success or effectiveness?

Care Coordination Plan:

· Develop an evidence-based plan for health care delivery. 

. Develop a procedure for coordinating services. 

. Consider the needs of “outliers.” For example, someone with lung disease may need extra resources.

. Who should be on the team?

. When would the team be activated?

. How would it be activated?

. What is the time frame required to coordinate services?

. How would the intervention plan be monitored for effectiveness?

· Apply professional standards in support of a care plan. 

· Explain the alignment to the most recent heart failure guidelines and specific professional standards.

· Describe accountability tools and procedures used to measure effectiveness. 

. How will you know if the care coordination plan is successful?

. What are the indicators of success or effectiveness?

. How will information be collected or communicated?

Additional Requirements

· Written communication: Written communication should be free of errors that detract from the overall message.

· APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.

· Length: The report should be 3-4 pages in content length, double-spaced.

· Font and font size: Times New Roman, 12 point.

· Number of resources: Support your plan with a minimum of three peer-reviewed resources, in addition to professional standards.

Current health care problem or issue faced by a health care organization

/in /by

Overview

Create a 4-6 page annotated bibliography and summary based on your research related to best practices addressing a current health care problem or issue of interest to you.

For this assessment, you will select and research a current health care problem or issue faced by a health care organization. Read each portion of the assessment carefully and use the Suggested Resources to help you complete the assessment. This assessment provides an opportunity to apply research skills to a current health care problem or issue.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care.

· Identify academic peer-reviewed journal articles relevant to a health care problem or issue and describe the criteria used for the literature search.

· Summarize what was learned from developing an annotated bibliography.

Competency 2: Apply scholarly information through critical thinking to solve problems in the field of health care.

· Assess the credibility and relevance of information sources.

· Analyze academic peer-reviewed journal articles using the annotated bibliography organizational format.

Competency 4: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others, and that is consistent with expectations for health care professionals.

· Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.

· Write following APA style for in-text citations, quotes, and references.

Assessment Instructions

Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance level descriptions for each criterion to see how your work will be assessed.

For this assessment, you will research best practices related to a current health care problem. Your selected problem or issue will be utilized again in Assessment 3. To explore your chosen topic, you should use the first two steps of the Socratic Problem-Solving Approach as described on Campus to aid your critical thinking.

1. View the Assessment Topic Areas media piece linked in the Resources and select one of the health care problems or issues in the media piece to research. Write a brief overview of the selected topic. In your overview: 

. Describe the health care problem or issue.

. Describe your interest in the topic.

. Describe any professional experience you have with this topic.

· Conduct a search for scholarly or academic peer-reviewed literature related to the topic and describe the criteria you used to search for articles, including the names of the databases you used. 

. You will want to access the applicable Undergraduate Library Research Guide related to your degree (found at the NHS Learner Success Lab) for tips to help you in your search.

. Use keywords related to the health care problem or issue you are researching to select relevant articles.

· Assess the credibility of the information sources you find. 

. Determine if the source is from an academic peer-reviewed journal.

. Determine if the publication is current.

. Determine if information in the academic peer-reviewed journal article is still relevant.

· Select four current scholarly or academic peer-reviewed journal articles published during the past three to five years that relate to your topic.

· Explain the relevance of the information sources. 

. Describe how the health care problem or issue is addressed in each source.

. Discuss what kind of contribution each source provides on your selected topic.

· Analyze the scholarly literature or academic peer-reviewed journal articles using the annotated bibliography organizational format. 

. The purpose of an annotated bibliography is to document a list of references along with key information about each one. The detail about the reference is the annotation. Developing this annotated bibliography will create a foundation of knowledge about the selected topic.

. List the full reference for the source in APA format (author, date, title, publisher, et cetera) and use APA format for the annotated bibliography.

. Make sure the references are listed in alphabetical order, are double-spaced, and use hanging indents.

. Follow the reference with the annotation.

· In your annotation: 

. Identify the purpose of the article.

. Summarize the source: 

. What are the main arguments?

. What topics are covered?

· Include the conclusions and findings of the article.

· Write your annotation in a paragraph form. The annotation should be approximately 150 words (1 to 3 paragraphs) in length.

· In a separate paragraph or two at the end of the paper, summarize what you learned from your research. 

· List the main points you learned about.

· Summarize the main contributions of the sources you chose and how they enhanced your knowledge about the topic.

Example Assessment: You may use the assessment example, linked in the Assessment Example section of the Resources, to give you an idea of what a Proficient or higher rating on the scoring guide would look like.

Additional Requirements

1. Length: At least 4 typed, double-spaced pages, not including the title page and reference page.

2. Font and font size: Times New Roman, 12 point.

3. APA Template: Use the APA Style Paper Template as the paper format and the APA Style Paper Tutorial for guidance. See the Resources for these documents.

4. Written communication: Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.

5. Content: Provide a title page and reference page following APA style.

6. References: Use at least four scholarly or academic peer-reviewed journal articles.

7. APA format: Follow current APA guidelines for in-text citation of outside sources in the body of your paper and also on the reference page.

8. Turnitin: Submit your assessment to Turnitin prior to grading. Then, only submit your final assessment to faculty for grading.

Note: Review the Applying Research Skills Scoring Guide for the grading criteria applied to this assessment.

If you would like assistance in organizing your assessment, or if you simply have a question about your assessment, please do not hesitate to ask your courseroom instructor or the teaching assistants in the NHS Learner Success Lab for guidance and suggestions.

Improving the efficiency, quality, cost-effectiveness, and safety of medical care delivery in our nation's health care system

/in /by

Prepare a spreadsheet of cost savings data showing efficiency gains attributable to care coordination, and report your key findings in an executive summary, 3–4 pages in length.

The use of health information technology (HIT) has been upheld as having remarkable promise in improving the efficiency, quality, cost-effectiveness, and safety of medical care delivery in our nation’s health care system.

This assessment provides an opportunity for you to examine how utilizing HIT can positively affect the financial health of an organization, improve patient health, and create better health outcomes.

CONTEXT

Information plays a fundamental role in health care. Providers such as physicians and hospitals create and process information as they deliver care to patients. However, managing that information and using it productively poses an ongoing challenge, particularly in light of the complexity of the U.S. health care sector, with its many diverse settings for care and types of providers and services. HIT has the potential to considerably increase the productivity of the health sector by assisting providers in managing information. Furthermore, HIT can improve the quality of health care and, ultimately, the outcomes of that care for patients.

Questions to Consider

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

· What is the main focus of information-gathering in health care?

· How can care coordination efforts enhance the collection of evidence-based data and improve quality?

· What governmental entities are leading care coordination practices?

· What influence does data analysis have on the development and advancement of health care policy?

Suggested Resources

The resources provided here are optional. You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid.

HIT and Care Coordination

Note: The following articles address HIT and care coordination from different perspectives and in different situations. Select from this list the articles that are most interesting or relevant for you.

· Bates, D. W. (2015). Health information technology and care coordination: The next big opportunity for informatics? Yearbook of Medical Informatics, 10(1), 11–14.

. Identifies specific gaps in care coordination today, presents a framework for better coordinating care using HIT, then describes how specific technologies can be leveraged. Also discussed are the need to build and test specific interventions to improve HIT-related care coordination tools, and the key policy steps needed to accomplish this.

· Kravitz, R. L. (2015). Caring for the complex patient: The next hurdle for information technology is care coordination. Journal of General Internal Medicine, 30(8), 1043–1044.

. Asks whether technology is the answer to delivering care at the highest quality at the lowest cost.

· NewsEx. (2014). Patents; “method and system for automated healthcare care coordination and care transitions” in patent application approval process. (2014). Information Technology Newsweekly, 670.

. A news release containing information about a patent application for a method, computer-readable medium, and system for coordinating health care services.

· Piscotty, R. J., .Kalisch, B., & Gracey, T. A. (2015). Impact of healthcare information technology on nursing practice. Journal of Nursing Scholarship, 47(4), 287–293.

. Examines whether nurses’ perceptions of the impact of health care information technology on their practice mediates the relationship between electronic nursing care reminder use and missed nursing care.

· Richardson, J. E., Vest, J. R., Green, C. M., Kem, L. M., Kaushal, R., and the HITEC Investigators. (2015). A needs assessment of health information technology for improving care coordination in three leading patient-centered medical homes. Journal of the American Medical Informatics Association, 22(4), 815–820. Retrieved from https://academic.oup.com/jamia/article-lookup/doi/10.1093/jamia/ocu039

. An investigation of ways that patient-centered medical homes (PCMHs) are currently using health information technology (IT) for care coordination and what types of health IT are needed to improve care coordination.

· Rigby, M., Georgiou, A., Hyppönen, H., Ammenwerth, E., de Keizer, N., Magrabi, F., & Scott, P. (2015). Patient portals as a means of information and communication technology support to patient-centric care coordination – the missing evidence and the challenges of evaluation: A joint contribution of IMIA WG EVAL and EFMI WG EVAL. Yearbook of Medical Informatics, 10(1), 148–159.

. Discusses the potential contribution of Information and Communication Technology (ICT) to enable patient-centric and coordinated care. Explores the role of patient portals as a developing ICT tool, assesses the available evidence, and describes the evaluation challenges.

· Saillour-Glenisson, F., Duhamel, S., Fourneyron, E., Huiart, L., Jean, P. J., Langlois, E., . . . Salmi, L. R. (2017). Protocole of a controlled before-after evaluation of a national health information technology-based program to improve healthcare coordination and access to information. BMC Health Services Research, 17, 1–11.

. Examines the role of HIT in improving health care coordination and access to information for health care providers, patients, and the population.

· Wodarski, J. S., & Green, P. D. (2015). Health information technology: An expanded care coordination in rural Tennessee. Social Work In Public Health, 30(5), 431–442.

. Examines the efficacy of HIT in a substance abuse treatment program.

Preparation

As the senior care coordinator in your organization, your manager has asked you to examine and report on how care coordination can generate cost savings, improve outcomes, enhance the collection of evidence-based data, and improve health care quality. She would like you to compile cost savings data in a well-organized spreadsheet and present your key findings in an executive summary.

Note: Remember that you can submit all, or a portion of, your draft spreadsheet and executive summary to Smarthinking for feedback, before you submit the final version for this assessment. However, be mindful of the turnaround time of 24–48 hours for receiving feedback, if you plan on using this free service.

Requirements

Determine how care coordination can reduce costs. Compile your cost savings data in a spreadsheet, using Microsoft Excel or suitable application of your choice. Your spreadsheet should contain at least four cost-saving elements that you will discuss in your executive summary. Identify the cost saving element, current costs, and anticipated savings.

If you elect to use an application other than Excel, check with your instructor to avoid potential file compatibility issues. Report key findings from your analysis in an executive summary.

Executive Summary Format and Length

Format your executive summary using APA style.

· Use the APA Style Paper Template, linked in the Required Resources. An APA Style Paper Tutorial is also provided (linked in the Suggested Resources) to help you in writing and formatting your executive summary. Be sure to include:

. A title page and reference page. An abstract is not required.

. A running head on all pages.

. Appropriate section headings.

· Your summary should be 4–5 pages in length, not including the title page and references page.

Supporting Evidence

Cite 4–5 sources of credible scholarly or professional evidence to support your cost savings analysis.

Analyzing Cost Savings

Note: The requirements outlined below correspond to the grading criteria in the scoring guide. Be sure that your analysis addresses each point, at a minimum. You may also want to read the Cost Savings Analysis Scoring Guide to better understand how each criterion will be assessed.

· Describe ways in which care coordination can generate cost savings.

. What are your primary sources of information?

. Are your conclusions substantiated by the data?

. What assumptions, if any, underlie your analysis?

· Explain how care coordination can promote improved health consumerism and effect positive health outcomes.

. What evidence do you have to substantiate your claims?

· Describe at least five ways in which care coordination efforts can enhance the collection of evidence-based data and improve quality through the application of an emerging health care model.

. Choose any emerging health care model.

· Present cost savings data and information clearly and accurately.

· Support main points, claims, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.

Healthcare information systems technology

/in /by

a. TURNITIN similarity index will not pickup inadvertent self‐plagiarism from another team member’s submission  b. Course faculty will have only one submission to review and grade.  4. Use Microsoft PowerPoint 2007, 2010 or higher for systems’ compatibility.  a. Follow the best practices for PowerPoint construction & presentation  

Preparing the Presentation    1. Prepare a PowerPoint presentation with speaker notes between 25‐30 slides, NOT including the title and reference slides.  a. Speaker Notes   i. Outline and “script” the presentation for online students.   ii. Online students’ speaker notes should include the name of the student who researched and presented the slide information.  iii. Campus students follow the guidelines of your course instructor.  b. Scholarly writing and APA 6th Edition guidelines should be followed as applicable to  PowerPoint slides.  c. Cite sources in APA format in the applicable slides and include the APA formatted reference in your reference list slide(s) ‐ Minimum 6 references  d. Spelling, grammar, and punctuation apply even in bullet points and speaker slides (e.g., quotation marks, italics, verb tense, etc.)  e. Copyright and plagiarism rules apply  2. Each team will be assigned a healthcare information systems technology (e.g., Computerized Physician Order Entry, Electronic Health Record, Electronic Medical Record, etc.) by the course instructor. For that technology, include the following discussions in the presentation:  a. Introduce the technology & the team  i. Title slide should identify the assigned technology and introduce team members  ii. Provide an introduction  1. Describe the technology  2. Purpose for the technology in healthcare.   3. Establish the professional tone for the presentation.  b. History & Current Use  i. Describe significant findings that prompted the development of the technology  ii. Discuss the history and current use of the technology in healthcare  iii. Describe three goals of this technology’s implementation.  c. Impact on healthcare and nursing  i. Impact on professional nursing practice.   ii. Patient safety impact (including statistical justification)  iii. Impact on patient care delivery, quality care measures/monitoring, and risk management (privacy, confidentiality, and security) as applicable.  1. Ethical & legal considerations.   2. Infrastructure/operational consequences (e.g., budget, costs, etc.)  3. Impact on a population and/or geographic region    4. Provide examples & statically significant data to support examples.  

NR360 Technology Presentation Guidelines V1.docx              Revised for SEP17 tz/css/slp  3   

d. Three advantages and disadvantages  i. Patient’s vantage point or perspective (e.g., patient outcomes, safety, patient/family satisfaction).  ii. Nurse’s vantage point (improves/hinders job efficiency/safety)   iii. Healthcare organization’s vantage point (regulatory compliance, financial, etc.)   e. Controversy/Issues/Challenges/Regulatory implications   i. How might issues surrounding the chosen technology be addressed/solved?  ii. Provide statically significant data or evidence to support your findings.  f. Summary  i. Key points  ii. Discoveries/surprises iii. Lessons learned by the team  3. Team Project Evaluation (40 points)  a. Place & discuss the following questions and responses in the slides(s) following the summary slide and prior to the reference slide(s).   i. How did the team function well?  (e.g., team strengths, team balance, etc.)  ii. What problems did you have interacting as a team? (e.g., team weaknesses, outside challenges, technology, etc.)  iii. What specific actions would you recommend to future teams to help them interact, function, and collaborate successfully?

Please Note: All the under listed  below points/ requirements have been stated above. 

1. It is a Power point Slide Presentation

2. It must be 25 to 30 Power point slides

3. Must include 6 references, at least

4. APA format

5. Speaker’s note must be include down the slides

6. Citations must be included.

7. Please, watch out for plagiarism or plagiarized works as this assignment will be placed on TurnItIn.

The impact of incivility on individuals, microsystem work environments, and the profession of nursing

/in /by

Reflect on the issue of incivility. Think of an experience in which you were directly involved or witnessed incivility in the workplace. Analyze scholarly literature related to the issue of incivility and strategies for cultivating healthful environments.

1. In a four- to six-page written paper, address the following.

1. Define and explain the issue of incivility. Use scholarly nursing literature.

2. Discuss the importance of this issue to nursing. Address the impact of incivility on individuals, microsystem work environments, and the profession of nursing. In this section, use at least three (3) different scholarly nursing literature in-text citations with matching references.

3. Provide a scenario (real or fictitious) of incivility in a practice setting. What was the impact on the individuals involved? How was the work environment affected?

4. Describe three strategies for creating a healthful environment. Use scholarly nursing literature to support each strategy.

5. Identify your selected specialty track (education, executive, family nurse practitioner, healthcare policy, or nursing informatics). Provide two examples of strategies you will implement in your master’s-prepared advanced practice role to cultivate a healthful work environment.

6. Provide a conclusion. Include a summary on the issue of incivility, strategies to create healthful environments, specialty track, and how you will contribute to cultivating healthful environments in your future professional practice. Include a self-reflection.

Preparing the paper

Submission Requirements

1. Application: Use Microsoft Word 2013™. 

2. Length: The paper (excluding the title page and reference page) is at minimum four (4) pages and at maximum six (6) pages.

3. A minimum of four (4) scholarly nursing literature references must be used.

4. Submission: Submit your files: Last name_First initial_Assessment 5_Cultivating Healthful Environments.

Best Practices in Preparing the Project

The following are best practices in preparing this project.

1. Review directions thoroughly.

2. Follow submission requirements.

3. Make sure all elements on the grading rubric are included.

4. Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal, scientific writing.

5. Title page, running head, body of paper, and reference page must follow APA guidelines as found in the 6th edition of the manual. This includes the use of headings for each section of the paper except for the introduction where no heading is used.

6. Ideas and information that come from scholarly nursing literature must be cited and referenced correctly.

7. A minimum of four (4) scholarly nursing literature references must be used.

8. Abide by CCN academic integrity policy.

Grading Criteria

CategoryPoints%Description
Introduction105%Introduction includes general statements on incivility and how this issue affects nursing work environments. Identify sections of the paper. Provide support from scholarly literature.  
Issue of Incivility2010%Define and explain the issue of incivility. Provide citations from scholarly nursing literature that support the definition and explanation of incivility. A dictionary may be used for ONLY for this section in addition to scholarly nursing literature.
Importance to Nursing4020%Discuss the importance of incivility related to nursing. Address the impact of incivility on individuals, microsystem work environments, and the profession of nursing. Provide support from at least three (3) different scholarly nursing literature sources.  
Storytelling  2010%Provide a scenario (real or fictitious) of incivility in a practice setting. What was the impact on the individuals involved? How was the work environment affected?
Creating a Healthful Environment3015%Describe three strategies for creating a healthful environment. Use scholarly nursing literature to support each strategy.
Practice Application4020%Identify your selected specialty track (education, executive, family nurse practitioner, healthcare policy, or nursing informatics). Provide two examples of strategies you will implement in your master’s prepared-advanced practice role to cultivate a healthful work environment. Use scholarly nursing literature to support each example.
Conclusion2010%Provide a conclusion. Include a summary on incivility and the issues this creates; strategies to create healthful environments, specialty track, and how you will contribute to cultivating healthful environments in your future professional practice. Include a self-reflection. Self-reflection is written in first person.
APA Format105%Title page, running head, body of paper, and reference page must follow APA guidelines as found in the 6th edition of the manual. This includes the use of headings for each section or topic of the paper (one deduction for each type of APA style error). Ideas and information that come from scholarly nursing sources must be cited and referenced correctly. A minimum of four (4) scholarly nursing references with matching in-text citations are used.
Writing Mechanics105%Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal written work as found in the 6th edition of the APA manual.
Total200100A quality assessment will meet or exceed all the above requirements.

STRATEGIC PLANNING IN HEALTH CARE ORGANIZATIONS

/in /by

Discussion: Developing a Balanced Scorecard

How does a group gauge whether the strategic changes they implement are creating sound business results?

The effective use of a balanced scorecard can facilitate alignment between strategic initiatives and day-to-day operations. The balanced scorecard may serve as a valuable tool for monitoring progress and assessing the outcomes of a strategic plan and provide a practical means of communication.

In this Discussion, you examine the use of a balanced scorecard to measure performance related to finances, customer/client satisfaction, internal processes, and learning and growth.

To prepare:

Review the information in the Learning Resources, including this week’s media presentation, focusing on the development of performance metrics for a strategic plan. See Figure 8-6: Design your Balanced Scorecard in the Sare and Ogilvie course text.

With your Course Project in mind, think about how you would develop a balanced scorecard to measure performance, including the processes you would use to gather appropriate data.

Consider how the use of a balanced scorecard reflects the importance of being able to evaluate progress, assess the impact of planned change on performance, and determine if the costs are justified in terms of the outcomes.

Post an explanation of your plan for creating a balanced scorecard as part of your Course Project, including the processes you would use to gather data to measure performance. Explain how the use of this balanced scorecard would enable you to evaluate progress, assess the impact of your proposed change, and determine if the costs are justified in terms of the outcomes.

Read a selection of your colleagues’ responses. (I will send the peer responses on the handshake private message)

Respond to at least two of your colleagues on two different days by offering suggestions for further developing their balanced scorecards. Ask questions to peer responses at the end of every response. Cite your responses.

Required Readings

Sare, M. V., & Ogilvie, L. (2010). Strategic planning for nurses: Change management in health care. Sudbury, MA: Jones and Bartlett.

Chapter 8, “Overview of Strategic Planning Theories: Strategic Planning Architecture” (pp. 147–166)

 Fields, S. A., & Cohen, D. (2011). Performance enhancement using a balanced scorecard in a patient-centered medical home. Family Medicine, 43(10), 735–739.

Copyright 2011 by Society of Teachers of Family Medicine. Reprinted by permission of Society of Teachers of Family Medicine via the Copyright Clearance Center.

The authors discuss using a balanced scorecard for quality improvement in patient-centered medical homes.

 Groene, O., Brandt, E., Schmidt, W., & Moeller, J. (Aug 2009). The balanced scorecard of acute settings: Development process, definition of 20 strategic objectives and implementation.International Journal for Quality in Health Care, 21(4), 259–271.

Copyright 2009 by Oxford University Press – Journals. Reprinted by permission of Oxford University Press – Journals via the Copyright Clearance Center.

In this article, the authors discuss the use of a balanced scorecard as a tool for strategic planning in hospitals. The article includes an example of a strategy map, timeline, and balanced scorecard.

 Jeffs, L., Merkley, J., Richardson, S., Eli, J., & McAllister, M. (2011). Using a nursing balanced scorecard approach to measure and optimize nursing performance. Nursing Leadership, 24(1), 47–58.

Copyright 2011 by Longwoods Publishing Corporation. Reprinted by permission of Longwoods Publishing Corporation via the Copyright Clearance Center.

 Kollberg, B., & Elg, M. (2011). The practice of the balanced scorecard in health care services.International Journal of Productivity and Performance Management, 60(5), 427–445.

Retrieved from the Walden Library databases.

The authors look at the use of a balanced scorecard for health care performance management in Sweden.

Lupi, S., Verzola, A., Carandina, G., Salani, M., Antonioli, P., & Gregorio, P. (2011). Multidimensional evaluation of performance with experimental application of balanced scorecard: A two year experience. Cost Effectiveness and Resource Allocation, 9(1), 7.

Retrieved from the Walden Library databases.

This article examines the application of a balanced scorecard within a unit in a hospital to compare performance results and goal achievement.

 Balanced Scorecard Institute. (2013). Balanced scorecard basics. Retrieved fromhttp://www.balancedscorecard.org/BSCResources/AbouttheBalancedScorecard/tabid/55/Default.aspx

View the information on this website to learn about balanced scorecards.

 Mountain State Group. (n.d.) Balanced scorecards for small rural hospitals: Concept overview and implementation guidance. Retrieved March 13, 2013, fromhttp://www.ruralcenter.org/sites/default/files/Final%20BSC%20Manual%2010.18F.pdf

 The Scarborough Hospital. (2013). Balanced scorecard. Retrieved fromhttp://tsh.to/pages/Balanced-Score-Card

This website provides an example of a balanced scorecard.

 Sunnybrook Health Sciences Centre. (2013). Balanced scorecard. Retrieved fromhttp://sunnybrook.ca/scorecard/index.asp#sr

This website provides an example of a balanced scorecard.

Required Media

Laureate Education (Producer). (2013a). The balanced scorecard approach [Video file]. Retrieved from the https://class.waldenu.edu

Note:  The approximate length of this media piece is 3 minutes.

Dr. Carol Huston discusses the elements and use of a balanced scorecard as a strategic planning evaluation tool.

The roles and responsibilities of a Nursing Information Expert

/in /by

Guidelines and Grading Rubric

Purpose

The purpose of this assignment is to

·       communicate your understanding of the importance of quality information in everyday nursing practice;

·       discuss the roles and responsibilities of a Nursing Information Expert; and

·       articulate how the professional nurse uses information/data in every day practice to improve outcomes.

Course Outcomes

This assignment enables the student to meet the following Course Outcomes.

CO#1: Describe patient-care technologies as appropriate to address the needs of a diverse patient population. (PO#1)

CO#4: Investigate safeguards and decision-making support tools embedded in patient care technologies and information systems to support a safe practice environment for both patients and healthcare workers.

CO#8: Discuss the value of best evidence as a driving force to institute change in delivery of nursing care. (PO#8)

Points

This assignment is worth a total of 225 points.

Due Date

This assignment, Interview with a Nursing Information Expert, is due at the end of Week 6. Submit your completed Interview, using the Interview Form, to the basket in the Dropbox by Sunday, 11:59 p.m. MT. Post questions to the weekly Q & A Forum. Contact your instructor if you need additional assistance. See the Course Policies regarding late assignments. Failure to submit your paper to the Dropbox on time will result in a deduction of points.

Directions

1.     Download the NR361 Interview Form from Course Resources. It is found under the Week 6 Interview link.

2.     Select your interviewee and schedule an interview. This individual must be a Registered Nurse. Job titles of RNs who may be considered include, but are not limited to, Nursing Clinical Information Manager; Super User, Director/Manger Clinical Education; Chief Information Officer; Quality Assurance or Performance Improvement Nurse; Nurse Informaticist; Telenursing Specialist; Nurse Abstractor; Case Manager; Compliance Nurse. If you have any concerns about whether the RN is suitable for this assignment, contact your instructor BEFORE you schedule the interview.

3.     Review all questions (areas of inquiry) on the Interview Form located in Course Resources PRIOR to conducting the interview. You may print the form and take it with you to the interview.

4.     Note there are five required questions to ask the RN.

5.     Note there are four optional questions. You need to select only one of these to ask the RN.

6.     Note there are two follow-up questions that must be answered by you.

Prior to conducting your interview, review two scholarly resources. These resources should guide your understanding of the RN’s role and responsibilities or make you more knowledgeable about GIGO, Interprofessional Communication, or other key concepts in the questions that you may not fully understand. For example, if your interviewee is a telenurse, you would want to review information on this specialty. If you do not know what GIGO means, look it up.

7.     Conduct your interview. The length of your interview will vary but should not exceed one hour.

8.     Submit the form to the Dropbox prior to the deadline outlined above.

Grading Criteria