The role of ethics in healthcare

Ethics in Healthcare

In this assignment, you will study the role of ethics in healthcare.

Based on your research, respond to one of the following discussion questions.

Discussion Question 1

Read the following article:

Shelton, A., Freeman, B., Fish, A., Bachman, J., & Richardson, L. (2015). American Journal of Critical Care, 24(2), 148-155. doi: 10.4037/ajcc2015983

Ethics guidelines now require that individuals give informed consent to participate in research. Existing ethical guidelines do not help us decide how to seek consent and have allowed managerial experimentation to remain unchecked.

Based on your understanding of the topic and the article, answer the following question:

Do you think that alternative forms of community consent should be actively pursued? Why or why not? How would you feel if your medical records were examined and included in research without your consent based on an illness in the past?

Discussion Question 2

Scenario

Two nurse researchers are interested in studying whether a pain assessment tool for critical care patients is valid and reliable when applied to a group of patients who cannot communicate verbally due to mechanical ventilation. They design a validation study in which randomly selected patients will be assessed using the tool after a painful procedure (tracheal suctioning) and after a non-painful procedure (oral care). If patient responses result in higher scores after the painful procedure than after the non-painful one, then the researchers will conclude that the tool is effective for these patients in differentiating pain responses from responses to nursing procedures in general.

Using the checklist in the text, discuss and draw a conclusion as to whether this study will likely be exempt, expedited, or full review. Explain your rationale.

Evaluating Interdisciplinary Collaboration Skills

Discussion: Evaluating Interdisciplinary Collaboration Skills

The achievements of an organization are the results of the combined effort of each individual.

—Vince Lombardi

Collaboration is a critical component of quality improvement. It is also a central tenet of your endeavors as a scholar-practitioner in this Walden University Master’s program. To succeed in your role as a nurse leader-manager, it is important to engage in ongoing development of collaborative skills and to help foster a culture that values collaboration.

In Weeks 1 and 2 of this course, you analyzed your strengths and considered how to leverage these strengths for effective leadership. In a similar vein, this week you evaluate your strengths and areas for growth with regard to interdisciplinary collaboration.

To prepare:

Review the competencies described in the Interprofessional Education Collaborative report and in Chapter 9 of the Hickey and Brosnan text.

As you reflect on the competency statements outlined for each domain, think about which ones reflect your strengths. Which competency statements point to areas for growth?

Consider the benefit of working with interdisciplinary teams for addressing quality improvement initiatives.

Conduct a search of the literature and select at least one article that illustrates the benefits of interprofessional collaboration for nurse leader-managers as it relates to improving quality.

Note: Think about a potential connection between the concepts presented throughout this course (i.e. systems-level change, quality, etc.), and a Practicum Project that you might focus on in NURS 6600. Consider how you might use interprofessional collaboration in your practicum setting.

Post an analysis of your strengths and areas for growth related to interprofessional collaboration competencies. Explain the benefits of interprofessional collaboration for meeting quality improvement goals. Support your response with examples from current literature.

Read a selection of your colleagues’ responses.

Respond to at least two of your colleagues on two different days suggesting strategies for developing interprofessional competencies. Support your suggestions with evidence from current literature and personal experience.

Required Readings

Hickey, J. V., & Brosnan, C. A. (2017). Evaluation  of health care quality in for DNPs (2nd  ed.). New York, NY: Springer Publishing Company.

Chapter 11, “Health Care Teams” (pp. 227-264)

This chapter focuses on the function of teams within health care with particular focus on methods of evaluation.

Bainbridge, L., Nasmith, L., Orchard, C., & Wood, V. (2010). Competencies for interprofessional collaboration. Journal of Physical Therapy Education, 24(1), 6–11. 

Retrieved from the Walden Library databases.

The authors of this article put forth a competency framework for interprofessional collaboration that can be used by various stakeholders. The framework consists of six competencies and the authors also provide detailed descriptions of the associated skills each competency requires.

Braithwaite, J., Westbrook, M., Nugus, P., Greenfield, D., Travaglia, J. Runciman, W. … Westbrook, J. (2012). A four-year, systems-wide intervention promoting interprofessional collaboration. BMC Health Services Research, 12(1), 99–106.

Retrieved from the Walden Library databases.

This article examines strategies and challenges of working to improve interprofessional collaboration. The benefits of this type of teaming are also discussed.

Petri, L. (2010). Concept analysis of interdisciplinary collaboration. Nursing Forum, 45(2), 73–82.

Retrieved from the Walden Library databases.

This literature review explores the meaning of interdisciplinary collaboration and identifies important antecedents and attributes of the process.

Shor, R. (2010). Interdisciplinary collaboration between social workers and dieticians in nutrition education programs for children-at-risk. Social Work in Health Care, 49(4), 345–361.

Retrieved from the Walden Library databases.

The author of this article focuses on the importance of establishing interdisciplinary collaborative partnerships in order to meet community needs. The article addresses common issues that arise during the establishment of these relationships and outlines solutions.

 Interprofessional Education Collaborative Expert Panel. (2011). Core competencies for interprofessional collaborative practice: Report of an expert panel. Retrieved from http://www.aacn.nche.edu/education-resources/ipecreport.pdf

Numerous organizations in multiple disciplines worked together to develop these core competencies for interprofessional collaboration.

Intra- and Interdisciplinary Collaborative Practice

The Institute of Medicine (IOM) report The Future of Nursing: Leading Change, Advancing Health in this week’s Learning Resources indicates there are 3 million members of the nursing profession in the United States, composing the largest segment of health care workers. As the health care field continues to evolve, nurses with advanced degrees are likely to fulfill leadership roles and work collaboratively with other health care professionals to improve access to care and promote quality. The AACN and the IOM stress the importance of intra- and interprofessional collaboration.

In this week’s media presentation, “The Professional Role of the DNP Prepared Nurse,” Dr. Stanley, Dr. Stefan, and Dr. Beechinor discuss the value of intra- and interprofessional collaboration across the spectrum of health care delivery. Dr. Beechinor also speaks about the benefits of engaging in collaboration during a doctoral program, and how this can aid students as they prepare for new professional roles. The experts also discuss why collaboration is essential for nursing research.

To prepare:

  • With information from the Learning Resources in mind, consider the value of intra- and interprofessional collaborative practice in professional practice and as you engage in your doctoral studies. What opportunities do you see for engaging in intra- and interprofessional collaborative practice?

By Wednesday 6/14/17, post 550 words essay in APA format with 3 references from the list below, that include the level one headings as numbered below:

Post a cohesive response that addresses the following:

1)       Evaluate the value of intra- and interprofessional collaborative practice as a DNP prepared nurse and how it may impact your role.

2)       Provide at least two detailed examples to support your response.

Required Readings

Zaccagnini, M. E., & White, K. W. (2014). The doctor of nursing practice essentials: A new model for advanced practice nursing (2nd ed.). Sudbury, MA: Jones & Bartlett. [Vital Source e-reader]

[For DNP students ONLY]

Chapter 9, “Emerging Roles for the DNP”

 Multiple advanced nursing practice roles are discussed in this chapter, including nurse administrator, nurse entrepreneur, public and community health practitioner, and integrative health practitioner.

Institute of Medicine (IOM). (2010a). The future of nursing: Leading change, advancing health[Consensus report]. Washington, DC: National Academies Press. Retrieved from https://web.archive.org/web/20150211165201/http://iom.edu/Reports/2010/The-Future-of-Nursing-Leading-Change-Advancing-Health.aspx

 This link provides access to the complete IOM report (672 pages). You may read the report online or download a free PDF version.

 Institute of Medicine (IOM). (2010b). The future of nursing: Leading change, advancing health[Report brief]. Retrieved from https://web.archive.org/web/20150203150734/http://iom.edu/~/media/Files/Report%20Files/2010/The-Future-of-Nursing/Future%20of%20Nursing%202010%20Report%20Brief.pdf

 This IOM report highlights key messages regarding the future success of the nursing profession, with recommendations for practice, education and training, partnerships with other health care professionals, and workforce planning and policy making.

 Currey, J., Considine, J., & Khaw, D. (2011). Clinical nurse research consultant: A clinical and academic role to advance practice and the discipline of nursing. Journal of Advanced Nursing, 67(10), 2275–2283.

Note: You will access this article from the Walden Library databases.

Waxman, K. T., & Maxworthy, J. (2010). The doctorate of nursing practice degree and the nurse executive: The perfect combination. Nurse Leader, 8(2), 31–33.

Note: You will access this article from the Walden Library databases.

 This article provides a clear comparison of the DNP degree with PhD/DNS/DScN degrees and articulates the value of the DNP degree to nurse executives.

Required Media

Laureate Education (Producer). (2011d). The professional role of the DNP-prepared nurse [Video file]. Retrieved from https://class.waldenu.edu

 Note:  The approximate length of this media piece is 4 minutes.

In this media program, Dr. Joan Stanley, Dr. Linda Beechinor, and Dr. Susan Stefan discuss the professional roles available to DNP-prepared nurses and the importance of intra- and interprofessional collaboration in those roles.

Discussion: Developing a Philosophy, Goals, and Objectives

As addressed in this week’s Learning Resources, an organization’s philosophy statement derives from its mission and indicates the values and beliefs that steer decision making. An organization’s philosophy statement should be used to develop goals and objectives that lead to assured action.

As effective organizations recognize, “setting specific goals in a clear and compelling way—and insisting that people work together to achieve them—is the best way to get results” (Ashkenas, 2012, para. 9).

This Discussion builds on the Week 2 Discussion 2, as you create a philosophy statement, goals, and objectives for Mountain View Health Center, the organization featured in the case study introduced last week.

You will continue to work within the same small group. Note: You will develop an individual philosophy statement, goals, and objectives independently. Through the collegial exchange that follows, you will offer each other suggestions for refinement.

To prepare:

Review information on philosophy statements, goals, and objectives in Chapter 7 of the Marquis and Huston text and in the other Learning Resources.

Review the Mountain View Health Center case study presented in this week’s media, and reflect on the mission and vision statements you developed for Discussion 2 in Week 2.

Conduct additional research as necessary to strengthen your understanding of the process for creating a philosophy statement and developing goals and objectives and to deepen your thinking about the organization. For instance, you may research organizations with similarities to Mountain View and examine their philosophy statements, goals, and objectives.

Draft a philosophy statement for Mountain View Health Center.

Craft at least one goal and at least one related objective to operationalize the philosophy.

Consider what you have learned about the importance of the philosophy statement and the process of developing one, as well as the significance of and distinctions between goals and objectives.

Post a philosophy statement for Mountain View Health Center, at least one goal, and at least one related objective. Offer insights you have gained about the process of developing a philosophy statement, as well as the significance of and distinctions between organizational goals and objectives.

Read a selection of your colleagues’ responses. Consider the following:

Are the philosophy statements, goals, and objectives clearly written and easy to understand?

How well does the philosophy statement align with the mission and vision statements posted in Discussion 2 of Week 2? Does it reflect accepted values of the organization?

Are the goals and objectives specific, measureable, attainable, relevant, and time-bound?

How well do the philosophy statements, goals, and objectives reflect the stakeholders?

Respond to at least two of your colleagues on two different days by evaluating the strengths and weaknesses of their philosophy statements, goals, and objectives. Suggest opportunities for refinement.

Required Readings

Cara, C. M., Nyberg, J. J., & Brousseau, S. (2011). Fostering the coexistence of caring philosophy and economics in today’s health care system. Nursing Administration Quarterly, 35(1), 6–14.

Retrieved from the Walden Library databases.

The article addresses caring as a part of mission and philosophy and the benefits of this for nursing satisfaction and performance, patient satisfaction, quality of care, and cost reduction.

Lorenzi, N. M. (2011). AMIA’s realigned strategic plan. Journal of American Medical Informatics Association, 18(2), 203–208.

Retrieved from the Walden Library databases.

As you read this article, consider the process used to set goals and evaluate the extent to which the identified goals are specific, measureable, attainable, relevant, and time-bound.

Kenny, G. (2012). From the stakeholder viewpoint: Designing measurable objectives. Journal of Business Strategy, 33(6), 40–46.

Retrieved from the Walden Library databases.

Measurable objectives are an important part of the strategic planning process, yet many organizations struggle with formulating good objectives. In this article, the author suggests strategies for developing better objectives, which will then facilitate the planning process.

Urbanski, J., Baskel, M., & Martelli, M. (2011). Strategic planning—A plan for excellence for South Haven Health System. Nursing Administration Quarterly, 35(3), 227–234.

Retrieved from the Walden Library databases.

The article addresses stakeholder involvement as a key component of South Haven Health System’s success in strategic planning and describes how the system develops goals and objectives.

 Lloyd-Jones, D. M., Hong, Y., Labarthe, D., Mozaffarian, D., Appel, L. J., Van Horn, L., . . . Rosamond, W. D. (2010). Defining and setting national goals for cardiovascular health promotion and disease reduction: The American Heart Association’s strategic impact goal through 2020 and beyond. Retrieved from http://circ.ahajournals.org/content/121/4/586.full.pdf+html

As you read this report, consider the process used to set goals and evaluate the extent to which the identified goals are specific, measureable, attainable, relevant, and time-bound.

Required Media

 Laureate Education (Producer). (2013b). Case study: Mountain View Health Center [Interactive media]. Retrieved from CDN database. (NURS 6241)

This interactive multimedia piece presents a case study of an organization, with information about the types of activities performed there, organizational structure, strategic priorities, and financial allocations. You will use this as a resource for this week’s Discussion.

Optional Resources

Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

Chapter 7, “Strategic and Operational Planning” (pp. 138–161)

Review as needed.

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

Chapter 7, “The Three Key Elements of the Strategic Planning Process: A Vision That Guides Nursing’s Future Action” (pp. 117–143)

Review as needed, focusing on the information about goals and objectives.

Kramer, M., Schmalenberg, C., & Maguire, P. (2010). Nine structures and leadership practices essential for a magnetic (healthy) work environment. Nursing Administration Quarterly, 34(1), 4–17.

Retrieved from the Walden Library databases.

The authors discuss the clinical environment of nursing and the leadership practices needed to promote quality patient care outcomes.

How family systems theory can be applied to solicit changes in family members that, in turn, initiate positive changes to the overall family functions over time

 Details:

Understanding family structure and style is essential to patient and family care. Conducting a family interview and needs assessment gathers information to identify strengths, as well as potential barriers to health. This information ultimately helps develop family-centered strategies for support and guidance.

This family health assessment is a two-part assignment. The information you gather in this initial assignment will be utilized for the second assignment in Topic 3.

Develop an interview questionnaire to be used in a family-focused functional assessment. The questionnaire must include three open-ended, family-focused questions to assess functional health patterns for each of the following:

  1. Values/Health Perception
  2. Nutrition
  3. Sleep/Rest
  4. Elimination
  5. Activity/Exercise
  6. Cognitive
  7. Sensory-Perception
  8. Self-Perception
  9. Role Relationship
  10. Sexuality
  11. Coping

Select a family, other than your own, and seek permission from the family to conduct an interview. Utilize the interview questions complied in your interview questionnaire to conduct a family-focused functional assessment. Document the responses as you conduct the interview.

Upon completion of the interview, write a 750-1,000-word paper. Analyze your assessment findings. Submit your questionnaire as an appendix with your assignment.

Include the following in your paper:

  1. Describe the family structure. Include individuals and any relevant attributes defining the family composition, race/ethnicity, social class, spirituality, and environment.
  2. Summarize the overall health behaviors of the family. Describe the current health of the family.
  3. Based on your findings, describe at least two of the functional health pattern strengths noted in the findings. Discuss three areas in which health problems or barriers to health were identified.
  4. Describe how family systems theory can be applied to solicit changes in family members that, in turn, initiate positive changes to the overall family functions over time.

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

The importance of accurate workflow modeling and consider strategies for creating accurate workflow models for health care processes

Discussion: Workflow Modeling

Workflow modeling is widely used throughout many different types of businesses, including health care organizations, to visually summarize the steps of complex processes and systems. When constructing a workflow model, it is important to ensure that the model accurately reflects the actual steps in a process.

In this Discussion, you consider a case study of a health care clinic and its process for ordering medical supplies. You then examine a workflow model that is meant to reflect that process and analyze the model’s accuracy based on the information in the case study. You also analyze the importance of accurate workflow modeling and consider strategies for creating accurate workflow models for health care processes.

Case Study:

Deerborne Dialysis is a local dialysis clinic that is part of a larger health care network, Buckeye Health. Buckeye Health executives have recently been examining the processes by which organizations within the network manage their supplies. Deerborne Dialysis was identified as an exemplary model of efficient supply management, and Buckeye Health executives have requested a workflow model of how Deerborne Dialysis handles their supply management process.

Sharon is the nurse who oversees the process of ordering and stocking supplies for Deerborne Dialysis. She knows the process well and developed a description of the steps in the supply management process. First, Sharon conducts a daily check of the supplies in the storage room. If there is a supply that is running low, Sharon submits an order to the medical supplier. When the clinic receives the shipment, Sharon unpacks the shipment and cross-checks the supplies that were shipped with the supplies that were ordered. If there is a discrepancy, the entire shipment must be returned to the medical supplier, who then rushes a new shipment to the clinic to be received the next day. If there is no discrepancy, or once the new shipment is received, unpacked, and cross-checked, Sharon stocks the shelves in the storage room and gives the supply bill to the clinic’s accountant, who ensures that the medical supplier receives payment.

Sharon has created the following workflow model to reflect the steps she goes through to manage the clinic’s inventory of supplies:

Workflow Model: Deerborne Dialysis Supply Management

To prepare:

  • Review the case study above and examine the workflow model that is meant to reflect the process described in the case study.
  • Identify problems with the workflow model. How could the model be revised to be more accurate, clear, and effective?
  • Reflect on the importance of creating an accurate workflow model of health care processes. What are the challenges involved in workflow modeling? What are the consequences of inaccurate workflow models?
  • Consider strategies that you can use to ensure that workflow models are effective and accurate.

With these thoughts in mind:

Postby tomorrow 9/27/16 a minimum of 550 words essay in APA format with 3 references (References must come from the list provided in the instruction area), addressing the level one headings as numbered below:

1) A summary of at least three specific problems you identified in the workflow model.

2) Describe how the model could be revised to address those problems.

3) Analyze the importance of accuracy and clarity in workflow modeling, and describe at least one strategy you plan to use to ensure that the workflow models you create are accurate and clear.

Required Readings

Dennis, A., Wixom, B. H., & Roth, R. M. (2015). Systems analysis and design (6th ed.). Hoboken, NJ: Wiley.

  • Chapter 5, “Process Modeling” (pp. 153–186)

 This chapter introduces the most common process-modeling techniques. In particular, there is emphasis on the data flow diagram and how it is developed and used.

Helmers, S. (2011). Microsoft Visio 2010 step by step. Sebastopol, CA: O’Reilly.

  • Chapter 3, “Adding Sophistication to your Drawing” (pp. 69–110)

 This chapter focuses on creating a diagram that is both professional and accurate. Topics covered include adding and using text boxes, inserting fields, and grouping shapes.

  • Chapter 4, “Drawing the Real World: Flowcharts and Organization Charts” (pp. 111–142)

 The focus of this chapter is creating accurate flowcharts and organization charts. It explains how to create and use swimlanes. It also covers the development of organization charts and how they can be stylized.

  • Chapter 5, “Adding Style, Color, and Themes” (pp. 143–170)

 This chapter demonstrates how to change the color, types of lines, and over all format of a drawing. It also covers the use of Visio themes.

Benyoucef, M., Kuziemsky, C., Rad, A. A., & Elsabbahi, A. (2011). Modeling healthcare processes as service orchestrations and choreographies. Business Process Management Journal, 17(4), 568–597.

Retrieved from the Walden Library databases.

 Remodeling health IT systems for optimal health care delivery requires an assessment of both the health care organization and the usability of the available technology. This article evaluates ways of combining web-service-based health care processes to best suit the needs of service-specific health care organizations.

Unertl, K. M., Weigner, M. B., Johnson, K.B., & Lorenzi, N. M. (2009). Describing and modeling workflow and information flow in chronic disease care. Journal of American Medical Informatics Association, 16(6), 826–836.

Retrieved from the Walden Library databases.

 This article evaluates how workflow and work practices in chronic disease care can be improved through the use of informatics tools. It also focuses on studies that discern potential real-world benefits of health information technology (HIT).

Vankipuram, M., Kahol, K., Cohen, T., & Patel, V. L. (2011). Toward automated workflow analysis and visualization in clinical environments. Journal of Biomedical Informatics, 44(3), 432–440.

Retrieved from the Walden Library databases.

 In this article, the authors offer a framework for improving workflow analysis. It combines cognitive decision making, movement, and interaction and communication. The authors used a combination of qualitative and quantitative research practices to gather the data for analysis.

Required Media

Laureate Education, Inc. (Executive Producer). (2012d). A workflow diagram. Baltimore, MD: Author.

 This multimedia piece continues to build on the scenario introduced in Week 1. In this segment, the health care facility creates a workflow diagram with assessment that maps the current workflow.

Usefulness of applying a heritage assessment to evaluate the needs of families and develop plans for health maintenance, health protection, and health restoration

The learning activity and corresponding assignment in this topic requires students to perform a heritage assessment with families selected by students from their local communities.

Click on http://wps.prenhall.com/wps/media/objects/663/679611/box_6_1.pdf in order to access the “Heritage Assessment Tool.”

Interview three families from different cultures. One family should be from your own culture. Compare the differences in health traditions between these cultures.

Assess the three families using the “Heritage Assessment Tool.” In 1,000-1,500 words, discuss the usefulness of applying a heritage assessment to evaluate the needs of families and develop plans for health maintenance, health protection, and health restoration. Include the following:

  1. Perform a heritage assessment on three families. One of these families should be from your own culture.
  2. Complete the “Heritage Assessment Tool” for each of the three families interviewed and submit the three assessments to: RNBSNclientcare@gcu.edu. You are not required to include the tool in your LoudCloud submission.
  3. Identify common health traditions based on cultural heritage. Evaluate and discuss how the families subscribe to these traditions and practices. Address health maintenance, health protection, and health restoration as they relate to your assessment.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Indicators that allow an organization to measure success in implementing the strategy

 Create and record a 5–10-minute (10–12-slide) presentation of a balanced scorecard briefing for a CEO using Kaltura and PowerPoint.

Note: The assessments in this course are presented in sequence and must be completed in order. Organizations are required to demonstrate outcomes as a condition of participation for government and some private payers. The balanced scorecard is a methodology used to complete an implementation plan for the strategy and as a method measure results against predetermined benchmarks.

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

· Competency 2: Develop a strategic organizational plan that provides human and financial resources to support targeted organizational outcomes.

1. Present operational recommendations and strategic control mechanisms including goals, objectives, resources, and action steps.

1. Define critical success indicators that allow an organization to measure success in implementing the strategy.

. Competency 3: Recommend an organizational structure and design to optimize a strategic plan.

2. Propose a strategic plan to optimize outcomes and mitigate risks in an organization.

. Competency 4: Communicate in a manner that is scholarly, professional, and consistent with expectations for professionals in health care administration.

3. Create a visually pleasing professional presentation tailored to a specific audience that uses charts and/or images that support the content.

3. Communicate persuasively and clearly in a limited time frame.

·

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Context

Today, in health care management, there is an appropriate emphasis on outcomes and results. However, in the specific case of strategic management, we often say that the process of strategic thinking is more important than the product—the plan. In health care, the product is actually the service of care delivery.

Strategic thinking is a challenging and exciting task for healthcare leaders. It requires experienced health care executives to think creatively and reserve judgment of new ideas.

The Assessment 4 Context document contains important information about the following topics related to successful implementation of strategic plans:

. Decision making methodologies.

. Culture, structure, and value chain.

. Implementation strategies.

. Change strategies.

. Strategic control.

.

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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.

. What role does a TOWS analysis play when looking for some strategic alternatives?

. What is a value differentiation strategy?

8. How would you use it and why?

. If you were looking for a marketing strategy, how would you determine which market entry strategy would provide the quickest entry into the market?

9. What advantages might the slowest strategy offer?

. What changes first: Strategy or structure?

. What role does consumerism play in marketing a service?

. Does your health organization operate as a consumerism-driven service? If so, how does this affect the organization?

. What issues do hospital leaders face in responding to a disaster from the perspective of human resources, legal, and financial issues?.

13. What, if anything, is a local hospital required to do in response to a disaster?

. What are the primary differences in the human resources strategies needed for expansion, contraction, and maintenance of scope?

. Which type of adaptive strategy is the most difficult to implement from a human resources perspective? Why?

. What is the linkage between the internal environment and value-adding service delivery and support services.

16. What would be a good example of this in your own health care organization?

Required Resources

The following resources are required to complete the assessment.

Recording a Presentation

This assessment requires you to record your presentation using Kaltura (or a similar tool capable of recording presentations).

In preparation for your presentation, complete the following:

. If you have not already done so, set up and test your recording device (headset, webcam, computer, or tablet with an integrated microphone), using the installation instructions provided by the manufacturer.

. Practice using the recording device to ensure the audio and/or visual quality is sufficient.

. Refer to the Using Kaltura [PDF] tutorial for directions on recording and/or uploading your recording in the courseroom.

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

Click the links provided to view the following resources:

. Assessment 4 Context.

. APA Paper Template.

. APA Paper Tutorial.

Skillsoft Tutorials

Capella offers a wide range of interactive tutorials. If you feel you need help using PowerPoint the following page will help you identify the correct self-paced tutorials to help expand your skills.

. Search Capella Tutorials for PowerPoint tutorials.

Library Resources

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

. Burton, D. A. (2015). 6 predictions for health care and population health. Healthcare Financial Management, 69(4), 58–63.

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

25. Chapter 6, “Developing Strategic Alternatives,” pages 204–251.

25. Chapter 9, “Value-Adding Support Strategies,” pages 345–381.

25. Chapter 10, “Communicating the Strategy and Developing Action Plans,” pages 383–409.

. Kaplan, R. S., & Norton, D. P. (1996). Using the balanced scorecard as a strategic management system. Harvard Business Review,74(1), 75–85.

. Kaplan, R. S., & Norton, D. P. (2004). Measuring the strategic readiness of intangible assets. Harvard Business Review82(2), 52–63.

. Kun, K. E., Kassim, A., Howze, E., & MacDonald, G. (2013). Interviewing key informants: Strategic planning for a global public health management program. The Qualitative Report18(9), 1–17.

. Malof, L. C. (2013). The power of data—From data mining to consumer pricing and quality-of-care tools. Benefits Quarterly29(4), 20–23.

. Meyer, C. K., Clapham, S. E., & Lemke, A. (2014). Strategic planning at UnityTrust Hospital. Journal of Business and Behavioral Sciences, 26(3), 112–126.

. Rosenberg, L. (2012). Are healthcare leaders ready for the real revolution? Journal of Behavioral Health Services & Research39(3), 215–219.

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.

. Balanced Scorecard Institute. (n.d.) What is strategic planning? Retrieved from https://balancedscorecard.org/Resources/Strategic-Planning-Basics

. Balanced Scorecard Institute. (n.d.) Creating organizational strategic alignment. Retrieved from https://balancedscorecard.org/Resources/Cascading-Creating-Alignment

. Balanced Scorecard Institute. (n.d.) What is a key performance indicator? Retrieved from https://balancedscorecard.org/Resources/Performance-Measures-KPIs

. Kovner, K. (2013). 8 simple rules for stronger PowerPoint presentations. Clickz. Retrieved from http://www.clickz.com/clickz/column/2306763/8-simple-rules-for-stronger-powerpoint-presentations#

. Wang, C. (2015). 7 design tips for effective, beautiful PowerPoint presentations. The Shutterstock Blog. Retrieved from http://www.shutterstock.com/blog/7-design-tips-for-effective-beautiful-powerpoint-presentations

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· Assessment Instructions

Note: Assessment 3, TOWS Matrix must be completed before beginning this assessment.

Preparation

Organize your thoughts. Use the balanced scorecard methodology to complete an implementation plan for the strategy you recommended for your corporation in Assessment 3. You are encouraged to strive for flow of logic, substance, and brevity.

Step One: Create PowerPoint Presentation

When preparing the information for your presentation, focus on the conceptual level to make sure you are on target and aligned with strategic goals. Remember, CEOs expect presentations to be brief, substantive, and concise.

Design for your Audience: If your organization has “branding standards,” use them. You are expected to follow generally recognized guidelines for professional presentations. Spare your audience from a “death by PowerPoint” experience. Consult the suggested resources to remind yourself of the do’s and don’ts of effective presentations.

Address the following points in your briefing:

. Describe at least five objectives, with your corresponding metrics, targets, and initiatives, to help the organization achieve the strategic direction you have designed.

. Present your operational recommendations and strategic control mechanisms.

. Include the strategic goals, objectives, and action steps for reconfiguring and aligning the organization’s structure, systems, shared values, management style, staff, and skills.

. Include critical success indicators that the organization can use to measure its performance in implementing the strategy.

. Evaluate the effect of your strategy formulation, weighing factors of measurement against current measurement benchmarks in the organization.

Presentation Structure

In the real world, you can consider yourself lucky when you get 5–10 minutes of a CEOs time. You will need to limit your briefing to 10–12 slides or you will run out of time. Structure your briefing following the format below. Use the notes portion of each slide to write your script and practice your script to make sure you stay as close to the suggested time frames as possible.

. Slide 1: Cover (15 seconds).

. Slide 2: Vision/Mission/Values (30 seconds).

. Slide 3: External environment analysis tool applied (table) (1 min).

. Slide 4: Internal analysis tool applied (table or graphic) (1 minute).

. Slide 5: Gap analysis: desired position v. actual (1 min).

. Slide 6: Recommend directional strategy (1 minute).

. Slide 7: Develop 3–4 key goals/objectives (1 minutes).

. Slide 8: Visual: Balanced Scorecard table with 1–3 performance indicators and associated metrics (1 min).

. Slide 9: Analysis (1 min).

. Slide 10: Recommendations/Conclusions (1 min).

. Slide 11: References.

Step Two: Practice and Record Your Briefing

Use Kaltura to practice and record your briefing. When you are satisfied with your recorded presentation, submit it along with your PowerPoint presentation and any relevant addendums.

Additional Requirements

. Time length: 5–10 minute recorded presentation targeted to the CEO of your corporation.

. Number of slides: PowerPoint slide deck containing 10–12 slides.

. Addendum: Include all relevant supporting details, such as data, charts, and graphs as an addendum to the presentation. Indicate the slide associated with the relevant data set.

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

. Number of Resources: Use a minimum of six authoritative contemporary sources to support your presentation.

Balanced Scorecard Briefing Scoring Guide

Create and record a 5–10-minute (10–12-slide) presentation of a balanced scorecard briefing for a CEO using Kaltura and PowerPoint.

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· Assessment Submit

How measurement systems and measurement methods impact organizational goal

Measurement Systems and Methods

 The process of constructing a balanced scorecard for either financial goal setting or tracking of patient and employee satisfaction can be controversial. For example, a hospital’s financial scorecard provides a snapshot of gathered data for the hospital, but the data may be out of context, which makes it difficult to identify specific problems. It is evident that both scorecards and dashboards have a place in the health care setting; however, will all organizations and accrediting bodies agree on the aspects of implementation, data analysis, and levels of effectiveness?
 

To prepare:

  • Consider      the various uses of scorecards and dashboards presented in this week’s      Learning Resources and media presentation.
  • Reflect      on how these measurement systems and measurement methods impact      organizational goal setting in the areas of overall performance and      financial stability.
  • Explore      the key indicators involved with scorecards and dashboards as well as the      external quality standards to which they are compared.
  • Ask      yourself: What do the metrics used in the balanced scorecard and dashboard      mean to my organization and nursing practice? Has my organization      established goals for these metrics and are they currently being met?

By tomorrow Tuesday 12/19/17 12 pm, write a minimum of 550 words essay in APA format with 2 references from the list of required readings below. Include the level one as numbered below:

post a cohesive scholarly response that addresses the following:

1) Select any setting (Hospital) and describe the extent to which the patient’s experience of care is measured, tracked, and set for improvement goals. 

2) Evaluate whether goals at your organization are established for these metrics and whether or not they are currently being met.

3) Describe some of the provocative issues that have or will emerge. For example, what has been the impact of CAHPS or HCAHPS in the setting described (if applicable).

 

Required Readings

Joshi, M.S., Ransom, E.R., Nash, D.B., & Ransom, S.B., (Eds.). (2014). The Healthcare Quality Book, 3rd ed. Chicago, IL: Health Administration Press.

  • Chapter      9: “Measuring and Improving Patient Experiences of Care”

Frith, K. H., Anderson, F., & Sewell, J. P. (2010). Assessing and selecting data for a nursing services dashboard. Journal of Nursing Administration, 40(1), 10–16. doi:10.1097/NNA.0b013e3181c47d45 

This article highlights the benefits of nurses using dashboards to help with staffing issues. It considers the sharing of data that dashboard can facilitate from the perspectives of nurses, units, hospitals, and patients.

Grossmeier, J., Terry, P. E., Cipriotti, A., & Burtaine, J. E. (2010). Best practices in evaluating worksite health promotion programs. American Journal of Health Promotion, 24(3), TAHP 1–9. 

In this article, the authors discuss how to measure success when analyzing worksite health promotion (WHP). They then cover how to organize these measurements, assess WHP programs, and determine factors related to best-practice evaluation frameworks.

Stanley, R., Lillis, K. A., Zuspan, S. J., Lichenstein, R., Ruddy, R. M., Gerardi, M. J., & Dean, J. M. (2010). Development and implementation of a performance measure tool in an academic pediatric research network. Contemporary Clinical Trials, 31(5), 429–437. 

The details of this article focus on a multi-center research network that initiated an evaluation method using balanced scorecards. The first three years of the measurement tool’s implementation are covered, and the achievements and challenges are discussed.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Organizational and systems leadership for quality improvement: Benchmarking outcomes. Baltimore: Author.

Note: The approximate length of this media piece is 10 minutes.

In this program, Barbara Epke and Carrie Brady discuss methods that health care organizations use to gather data for measuring outcomes, and explain how data are used to measure key indicators of quality and safety.

The selection process that is used in a health care organization

The process involved with selecting the “right” employee will differ depending on the requirements of the job. In addition, the culture and expectations of an organization will have great impact on the structure of the selection process. Where one health care setting might require applicants to participate in group interviews, another might use personality tests. In addition, the qualities for which interviewers look might also vary, ranging from a personality focus to a skills focus.

In this Assignment, you investigate the selection process that is used in a health care organization with which you are familiar. You also identify the expectations of both human resources and the nurse manager in terms of selection.

To prepare

  • Review Chapter 6, “Selecting New Employees” in the course text, Human Resource Management: Functions, Applications, Skill Development, to examine the various selection processes health care settings and other organizations may employ. In addition, reflect upon the three types of “fit” nurse managers should take into consideration when selecting new employees.
  • Identify a position that is open or has recently been filled in your organization.
  • Using what you know about the position, the culture and expectations of the organization, your own hiring and selection experiences, and this week’s readings, investigate the following:
    • Identify the selection steps that have been or will be taken, as well as the members involved. For example, which steps did human resources complete? In which steps did the nursing manager engage?
    • Identify the skills, educational and work background, and “fit” required for this position. How do these align with the advertised job description?
    • Identify any problems or areas that could be improved in your organization’s current selection process. If you were the nurse manager, how would you modify this process?

Note:If possible, you may also choose to discuss these ideas with an HR professional or nurse manager in your organization.

To complete

By Day 7

Submit a 3- to 5-page paper in which you do the following:

  • Briefly describe the selection process used in your setting.
    • Identify the team members involved in conducting each step. For example, explain which steps HR performs and which steps managers perform.
      • Explain how effective you believe the current system is.
      • Briefly describe any problems (e.g., rushing, stereotyping, “like me” syndrome, halo and horn effect, premature selection) your setting has experienced with this current selection system (if applicable).
      • Explain how you would modify the process and why.
  • Identify the job title for the open or recently filled position.
    • Describe the skills and background a desirable applicant would have.
    • Describe the type of “fit” that would make this applicant the “right” person for this specific job.
  • Compare the job description with the expectations of the position.
    • Explain whether or not the job description aligns with the skills, background, and “fit” needed to excel in this position.
    • Explain the specific attributes or characteristics you, as the nurse manager responsible for selecting a candidate for the position, might seek that are not specifically outlined in the job description. Describe how you could you elicit this information during an interview.