· In 3–5 pages, analyze the current environment of a selected health care organization.

The essential reason for an environmental analysis is to develop the habit of scanning the environment to optimize organizational outcomes. An environmental analysis allows organizations to identify current challenges and opportunities in preparation for the future.

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.

1. Analyze the internal and external environment of a health care organization.

1. Identify key structural features of the health care industry that determine the forces governing competition.

1. Summarize findings related to the current challenges and opportunities facing a health care organization.

. Competency 4: Communicate in a manner that is scholarly, professional, and consistent with expectations for professionals in health care administration. Structural features of the health care industry that determine the forces governing competition

ORDER   A PLAGIARISM FREE PAPER   NOW

2. Write in a clear, concise, and well-organized manner, supporting conclusions with relevant evidence.

2. Follow current APA guidelines for format and style

Strategic management links strategic thinking and analysis to organizational action. Strategic management is a systems-based approach that simultaneously integrates external and internal environments, scanning for emerging issues and gaps, and provides leadership infrastructure.

Read the Assessment 1 Context document for more information about the following topics:

. Impact of Change.

. Analytical Techniques for Environmental Analyses.

. Specific Goals of an Environmental Analysis.

. Sustaining a Competitive Advantage.

Another key resource for examination of current issues in in health care environment is the American Hospital Association’s “Environmental Scan” documents. These documents are focused, concise scans of the current issues happening across the health care continuum and are updated regularly.

Reference

O’Dell, G. J. & Aspy, D. J. (2015). 2016 Environmental scan. American Hospital Association. Retrieved from http://www.hhnmag.com/ext/resources/inc-hhn/pdfs/2015/EnviroScan_2016.pdf

· 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.

· How does the analytical model of strategic management compare with the emergent learning model in health care?

· What are some examples of analytical strategies in a small health care organization? How do they differ from large organizations?

· What is the analytical strategy within your own health care organization? Structural features of the health care industry that determine the forces governing competition

· Toggle Drawer

Resources

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.

Capella Resources

· APA Paper Template.

· APA Paper Tutorial.

Capella Multimedia

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

· Balanced Scorecard |  Transcript.

· The Value Chain |  Transcript.

· The External Environment of a Health Care Organization |  Transcript.

Library Resources

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

· Dreachslin, J. L., Gilbert, M. J., & Malone, B. (2012). Diversity and cultural competence in health care: A Systems approach . San Francisco, CA: Jossey-Bass.

· Ginter, P. M., Duncan, W. J., & Swayne, L. E. (2013). Strategic management of health care organizations (7th ed.). San Francisco, CA: Jossey-Bass.

7. Chapter 1, “The Nature of Strategic Management,” pages 1–30.

7. Chapter 2, “Understanding and Analyzing the General Environment and the Health Care Environment,” pages 33–72.

7. Chapter 3, “Service Area Competitor Analysis,” pages 75–125.

7. Chapter 4, “Internal Environmental Analysis and Competitive Advantage,” pages 128–162.

7. Appendix A, “Analyzing Strategic Health Care Cases,” pages 411–421.

. Hegwer, L. R. (2014). Digging deeper into data. Healthcare Financial Management, 68(2), 80–84.

. Kaplan, R. S., & Norton, D. P. (1992). The balanced scorecard: Measures that drive performance. Harvard Business Review, 70(1), 71–79.

. Kaplan, R. S., & Norton, D. P. (1993). Putting the balanced scorecard to work. Harvard Business Review, 71(5), 134–147.

. Martin, R. L. (2014). The big lie of strategic planning. Harvard Business Review, 92(1/2), 78–84.

. Jaana, M., Teitelbaum, M., & Roffey, T. (2014). IT strategic planning in hospitals: From theory to practice . International Journal of Technology Assessment in Health Care, 30(3), 289–297.

. Sasse, C. M., Tocco, A. L., and Dockins, J. (2014). Specialty clinics: Surviving in a for-profit healthcare world. Journal of Case Studies, 32(2), 33–48. Structural features of the health care industry that determine the forces governing competition

. Yao, L., Mohd, W., & Wei, W. (2014). Role of environmental analysis in managing knowledge in small-and-medium sized enterprises. International Journal of Innovation, Management and Technology, 5(3), 160–163.

Course Library Guide

A Capella University library guide has been created specifically for your use in this course. You are encouraged to refer to the resources in the MHA–FP5010 – Strategic Health Care Planning Library Guide to help direct your research.

Internet Resources

Access the following resources by clicking the links provided. Please note that URLs change frequently. Permissions for the following links have been either granted or deemed appropriate for educational use at the time of course publication.

. Arthur, L. (n.d.). The implications of environmental analysis on strategic plan. Houston Chronicle. Retrieved from http://smallbusiness.chron.com/implications-environmental-analysis-strategic-plan-35303.html

. AHA, & ACHE. (2004). Diversity and cultural proficiency assessment tool for leaders: Does your hospital reflect the community it serves? Journal of Health Administration Education. Retrieved from http://www.aha.org/content/00-10/diversitytool.pdf

. O’Dell, G.J. & Aspy, D.J. (2015). 2016 environmental scan. American Hospital Association. Retrieved from http://www.hhnmag.com/ext/resources/inc-hhn/pdfs/2015/EnviroScan_2016.pdf

. Arline, K. (2014, December 11). PEST Analysis: Definition, examples & templates. Business News Daily. Retrieved from http://www.businessnewsdaily.com/5512-pest-analysis-definition-examples-templates.html

. Jurevicius, O. (2013). Porter’s five forces. Strategic Management Insight. Retrieved from https://www.strategicmanagementinsight.com/tools/porters-five-forces.html

. Barrett Values Centre. (2016). Mapping values. Retrieved from http://www.valuescentre.com/mapping-values

. Morrison, M. (2016). PEST/ PESTLE analysis Introduction. RapidBI. Retrieved from https://rapidbi.com/Introduction-to-the-PESTLE-analysis-tool/#PESTLEtemplete

. Notes Desk. (2009). Porter’s five forces model [Blog]. Retrieved from http://www.notesdesk.com/notes/strategy/porters-five-forces-model-porters-model/

. SmartDraw, Inc. (2016). Strategic planning examples. Retrieved from https://www.smartdraw.com/strategic-planning/examples/

· Assessment Instructions

·

· Note: The assessments in this course are presented in sequence and must be completed in order. You must complete this assessment before proceeding to Assessment 2.

ORDER   A PLAGIARISM FREE PAPER   NOW

Preparation

Choose a health care organization. This may be an organization where you currently work, where you desire to work, or one about which you would like to learn more. You may select one from any of these sectors (or select a sector not listed here that directly reflects your career plans).

· Long-term care.

· Mid-sized facility.

· Behavioral health hospital.

· Large urban hospital.

· Small rural hospital.

· Freestanding facility

· Telehealth organization.

· Government/military Integrated Delivery Network (IDN).

Conduct an Environmental Analysis

Analyze your health care organization’s current environment using tools included in the strategic management planning process. The purpose of this analysis is to scan the both the internal and external environments so that you can identify current challenges and opportunities in preparation for the future.

Note: You may use any contemporary environmental analysis tool to conduct your analysis (for example, PESTL Analysis, Michael Porter’s 5 Forces Model, Levels of Competition model, et cetera).

In order to complete the analysis you will need to examine both the internal and external environments. Your analysis must include the following:

· Identification of key structural features of the industry that determine the forces governing competition.

· A discussion of the goals and strategies of the respective competitive forces.

· Examine the organization’s directional strategy, including its vision, mission, and values

· Determine the organization’s positioning approach at this point in time.

· Summarize your insights and findings related to the current challenges and opportunities faced by your selected organization at the time of your analysis. Structural features of the health care industry that determine the forces governing competition

· Include references to peer reviewed sources that support your analysis. Examples of these sources could be accrediting body standards, industry standards, government agency reports (for example, National Academy of Medicine, et cetera) as well as organizational information.

· Cite your sources using current APA guidelines.

Additional Requirements

· Length: 3–5 double-spaced, typed pages. The goal is to focus upon application of the concepts and new insight. Keep it brief and substantive.

16. Note: Feel free to construct images/diagrams to summarize information where appropriate (for example, TOWS matrix…).

. APA formatting: Resources and citations must be formatted according to current APA style and formatting.

. Number of Resources: Use a minimum of 6 authoritative sources to support your analysis

Gloria is a 71-year-old retired married woman who would like to work part-time and remain active in her grandchildren’s lives, but she is constrained by pain in her lower back, knee, and foot. She sees herself as fortunate in many regards; she has maintained a healthy weight, has a comfortable home, and is financially stable. She also is very involved in her church and local community. She lives with her husband, who is a war veteran and retired police officer. Her two daughters and most of her grandchildren live in Florida. She enters the hospital for left hip replacement; the knee has bothered her for many years and its condition recently has worsened. She is reluctant to use traditional pain treatments, and believes that prayer is the more important source of her healing and pain relief. She now is willing to consider surgery and a combination of traditional and non-traditional treatments so she can return to her family roles, church volunteerism, teaching classes, and working at a local craft store. How the theoretical concepts and assumptions of the Theory of Power as Knowing Participation in Change applies

ORDER   A PLAGIARISM FREE PAPER   NOW

Discuss how the theoretical concepts and assumptions of the Theory of Power as Knowing Participation in Change apply to this specific case scenario. Identify one MSN Essential that most relates to the application of this theory in clinical practice.

**As a reminder, all questions must be answered to receive full credit for this discussion. please include your name in the title bar of the discussion. Also, make sure to use scholarly sources to support your discussion.**

0

Please read the assignment in full. If you cannot do it; don’t say you can and not deliver awesome work. I have already not had a good experience on this site so I am looking for graduate level work. The assignment is a Discussion Post, not a paper, but it should include and introduction and summary and ALL of what the assignment says to include. PLEASE READ CAREFULLY. Thanks.

Discussion 1: Cardiovascular Alterations

At least once a year, the media report on a seemingly healthy teenage athlete collapsing during a sports game and dying of heart complications. These incidents continue to outline the importance of physical exams and health screenings for teenagers, especially those who play sports. During these health screenings, examiners check for cardiovascular alterations such as heart murmurs because they can be a sign of an underlying heart disorder. Since many heart alterations rarely have symptoms, they are easy to miss if health professionals are not specifically looking for them. Once cardiovascular alterations are identified in patients, it is important to refer them to specialists who can further investigate the cause. Importance of physical exams and health screenings for teenagers

ORDER   A PLAGIARISM FREE PAPER   NOW

Consider the following scenario:

A 16-year-old male presents for a sports participation examination. He has no significant medical history and no family history suggestive of risk for premature cardiac death. The patient is examined while sitting slightly recumbent on the exam table and the advanced practice nurse appreciates a grade II/VI systolic murmur heard loudest at the apex of the heart. Other physical findings are within normal limits, the patient denies any cardiovascular symptoms, and a neuromuscular examination is within normal limits. He is cleared with no activity restriction. Later in the season he collapses on the field and dies.

To Prepare

• Review the scenario provided, as well as Chapter 25 in the Huether and McCance text. Consider how you would diagnose and prescribe treatment for the patient.
• Select one of the following patient factors: genetics, ethnicity, or behavior. Reflect on how the factor you selected might impact diagnosis and prescription of treatment for the patient in the scenario.

By Day 3

Post a description of how you would diagnose and prescribe treatment for the patient in the scenario. Then explain how the factor you selected might impact the diagnosis and prescription of treatment for that patient. Importance of physical exams and health screenings for teenagers

In your practice as a nurse, you may use procedures and methods that did not necessarily originate in evidence, but instead were derived from informal and unwritten conventions, traditions, and observations. While these techniques may have merit, practices are constantly being updated and contradicted by information from scholarly research studies and professional guidelines. This new information serves as “evidence” for revising practices to improve outcomes across health care.

Based on this evidence, you can formulate a question. In this Discussion, you consider the use of evidence-based practice in your own organization and formulate a question that you will need to answer for your portfolio project. This is called a PICOT question. You will also investigate strategies for overcoming barriers to implementing evidence-based practice (EBP).

To prepare:

• Consider a recent clinical experience in which you were providing care for a patient.
• Determine the extent to which the care that you provided was based on evidence and research findings or supported only by your organization’s standard procedures. How do you know if the tasks were based on research? Barriers that might inhibit the implementation of evidence-based practice in your clinical environment
• What questions have you thought about in a particular area of care such as a  procedure or policy? 
• Review Chapter 2, pages 36—39 on “Asking Well worded Clinical Questions” in Polit & Beck and consult the resource from the Walden Student Center for Success: Clinical Question Anatomy & examples of PICOT questions (found in this week’s Learning Resources). Formulate your background questions and PICOT question.
• Reflect on the barriers that might inhibit the implementation of evidence-based practice in your clinical environment.
• Review the article “Adopting Evidence-Based Practice in Clinical Decision Making” in this week’s Learning Resources. Select one of the barriers described that is evident in your organization and formulate a plan for overcoming this barrier.

  ORDER   A PLAGIARISM FREE PAPER   NOW

Post an evaluation of the use, or lack thereof, of EBP in a recent clinical experience. Identify which aspects of the care delivered, if any, were based on evidence and provide your rationale. List your background questions and PICOT question about this nursing topic. Critique how the policies, procedures, and culture in your organization may hinder or support the adoption of evidence-based practices. Identify the barrier you selected from the article and explain how this barrier could be overcome within your organization.

APA format, 2 PAGES.

please write it both in sentence format and as  PICOT format:

P=

I=

C=

O= 

T=

Required Resources

Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer.

• Chapter 1, “Introduction to Nursing Research in an Evidence-Based Practice Environment”This chapter provides an introduction to nursing research, its history, and the evolution of evidence-based practice. It includes an overview of credible sources of evidences and a description of the different paradigms used in nursing research.

• Chapter 2, “Evidence-Based Nursing: Translating Research Evidence into Practice”The focus of this chapter includes an overview of the key aspects of evidence-based practice, a review of how to identify credible research and appraise its value, and, finally, a discussion on how to take the identified evidence and convert it into a practice.
• Chapter 3, “Key Concepts and Steps in Qualitative and Quantitative Research”In this chapter, quantitative and qualitative research models are compared and the major steps in each approach are described. Information is also presented on the different sections of a research journal article and how you can identify the research model that was utilized. Barriers that might inhibit the implementation of evidence-based practice in your clinical environment

Adams, J. S. (2010). Utilizing evide nce-based research and practice to support the infusion alliance. Journal of Infusion Nursing, 33(5), 273–277.

Retrieved from the Walden Library databases.

This article examines how evidence-based research and practice supports infusion alliances. The text also specifies the increasing challenges that infusion nurses face.

Mallory, G. A. (2010). Professional nursing societies and evidence-based practice: Strategies to cross the quality chasm. Nursing Outlook, 58(6), 279–286.

Retrieved from the Walden Library databases.

This article describes strategies for reducing the gap between research knowledge and practice. The article also details how nursing societies could use these strategies to improve the quality of care.

Newhouse, R. P., & Spring, B. (2010). Interdisciplinary evidence-based practice: Moving from silos to synergy. Nursing Outlook, 58(6), 309–317.

Retrieved from the Walden Library databases.

In this article, the authors examine the state of interdisciplinary evidence-based practice (EBP). The authors detail efforts to promote interdisciplinary EBP, academic and clinical training regarding interdisciplinary EBP, and strategies that may facilitate EBP translation across disciplines.

Shaheen, M., Foo, S., Luyt, B., Zhang, X., Theng, Y-L., Chang, Y-K., & Mokhtar, I. A. (2011). Adopting evidence-based practice in clinical decision making: Nurses’ perceptions, knowledge, and barriers. Journal of the Medical Library Association, 99(3), 229–236.

Retrieved from the Walden Library databases.

This article reviews a study that sought to determine nurses’ awareness of, knowledge of, and attitude toward EBP. The article also describes factors likely to promote barriers to EBP adoption. Barriers that might inhibit the implementation of evidence-based practice in your clinical environment