Capella University Change Proposal Summary Report Paper
Propose a change to one aspect of your local or regional health care system or program that would improve outcomes. Then, conduct a comparative analysis of other, non-U. S. health care systems, focusing on the proposed change. Capella University Change Proposal Summary Report Paper
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Propose a change to one aspect of your local or regional health care system or program that would improve outcomes. Then, conduct a comparative analysis of other, non-U. S. health care systems, focusing on the proposed change. Summarize the proposed change and your comparative analysis in a 4–5-page report.
Preparation
Your organization, in collaboration with the key stakeholders from the community, is funding an initiative to investigate potential improvements in the local or regional health care system. As a nurse leader attuned to the effects of health care policy and finance on the provision of affordable, high-quality care, you have been asked to join the task force conducting the study.
You know that an examination of other countries’ health care systems can provide a solid, evidence-based foundation for evaluating outcomes and identifying benchmarks. Consequently, you have decided to undertake an analysis of selected, non-U.S. health care systems and compare them to each other and to the existing local or regional U.S. system to help inform decision making as the task force considers proposed changes.
In this assessment, you will propose a change to one aspect of your local or regional health care system or program. Conduct a comparative analysis of different health care systems and summarize your proposed change and findings from your analysis in a report to executive leaders. To prepare for your assessment, you are encouraged to begin thinking about the non-U.S. health care systems you might like to examine. In addition, you may wish to:
- Review the assessment requirements and scoring guide to ensure that you understand the work you will be asked to complete.
- Review the Guiding Questions: Proposing Evidence-Based Change document linked in the Resources of this assessment, which includes questions to consider and additional guidance on how to successfully complete the assessment.
Requirements
Complete this assessment in three steps:
- Propose a change to one aspect of your local or regional health care system or program that would improve outcomes.
- Conduct a comparative analysis of different health care systems, focusing on one aspect of the system you are proposing to change.
- Summarize your proposed change and the results of your comparative analysis in a report to executive leaders.
The summary report requirements outlined below, correspond to the grading criteria in the scoring guide for Proposing Evidence-Based Change, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed. The Guiding Questions: Proposing Evidence-Based Change document provides additional considerations that may be helpful in completing your assessment. In addition, be sure to note the requirements below for document format and length and for citing supporting evidence. Capella University Change Proposal Summary Report Paper
- Identify an aspect of a local or regional health care system or program that should be a focus for change.
- Define desirable outcomes, including who will pay for care and factors limiting achievement of those outcomes.
- Analyze two non-U.S. health care systems or programs that offer insight into a proposed change for a health care system or program in the United States.
- Choose one of the following options for selecting the two systems or programs:
- Option 1: Select two systems at opposite ends of the scale in terms of desirable outcomes for the issue reflected in your proposed change.
- Option 2: Select two systems that both produce positive outcomes but take unique or innovative approaches to the problem.
- Compare the outcomes in each non-U.S. system with each other and with present outcomes in your local or regional health care system.
- Explain why specific changes will lead to improved outcomes.
- Determine the financial and health implications associated with the proposed changes.
- Address the implications of making the changes.
- Address the implications of not making the changes.
- Write clearly and concisely in a logically coherent and appropriate form and style.
- Support assertions, arguments, propositions, and conclusions with relevant and credible evidence.
United Nations
- United Nations. (n.d.). UN E-government knowledge database. Retrieved from https://publicadministration.un.org/egovkb/Data-Center
- United Nations. (n.d.). Health. Retrieved from http://www.un.org/en/sections/issues-depth/health/index.html
- United Nations. (n.d.). Millennium development goals and beyond 2015. Retrieved from http://www.un.org/millenniumgoals/
World Health Organization
- World Health Organization. (n.d.). Global Health Observatory (GHO) data: Country statistics. Retrieved from http://www.who.int/gho/countries/en/
- World Health Organization. (n.d.). Global Health Observatory (GHO) data. Retrieved from http://www.who.int/gho/en/
- World Health Organization. (n.d.). The Global Health Observatory: Universal health coverage. Retrieved from http://apps.who.int/gho/cabinet/uhc.jsp?lang=en
Improving Care
The following articles provide various perspectives on improving care.
- Gluyas, H. (2015). Patient-centered care: Improving healthcare outcomes. Nursing Standard, 30(4), 50–57.
- Addresses barriers to the provision of care and strategies to overcome them.
- Melnyk, B. M., & Newhouse, R. (2014). Evidence-based practice versus evidence-informed practice: A debate that could stall forward momentum in improving healthcare quality, safety, patient outcomes, and costs. Worldviews on Evidence-Based Nursing, 11(6), 347–349.
- Addresses the debate about changes in terminology and the implications of such a change in the momentum for evidence-based practice.
- Mohammed, K., Nolan, M. B., Rajjo, T., Shah, N. D., Prokop, L. J., Varkey, P., & Murad, M. H. (2016). Creating a patient-centered health care delivery system: A systematic review of health care quality from the patient perspective. American Journal of Medical Quality, 31(1), 12–21.
- Examines a variety of studies on quality from the perspective of the patient.
- Robbins, R. A. (2017). Is quality of healthcare improving in the US? Southwest Journal of Pulmonary & Critical Care, 14(1), 29–36.
- Addresses the issue of meaningful outcomes. Provides data indicating that the rate of improvement is slowing and that many quality gains cited by politicians and administrators are not associated with improved outcomes.
Proposing Evidence-Based Change Scoring Guide
CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED Identify an aspect of a local or regional health care system or program that should be a focus for change. Does not identify an aspect of a local or regional health care system or program that should be a focus for change. Identifies an aspect of a local or regional health care system or program that should be a focus for change, but the rationale for the choice is unclear. Identifies an aspect of a local or regional health care system or program that should be a focus for change. Identifies an aspect of a local or regional health care system or program that should be a focus for change. Provides clear expectations for improvements substantiated by credible evidence. Define desirable outcomes, including who will pay for care and factors limiting achievement of those outcomes. Does not define desirable outcomes. Defines desirable outcomes, without including responsible payer or limiting factors. Defines desirable outcomes, including who will pay for care and factors limiting achievement of those outcomes. Defines desirable outcomes, including who will pay for care and factors limiting achievement of those outcomes. Provides well-reasoned justification for the definition and exhibits insight into optimal health care solutions. Explain why specific changes will lead to improved outcomes. Does not describe expected improvements in outcomes. Describes expected improvements in outcomes, or provides no rationale for expectations of improved outcomes. Explains why specific changes will lead to improved outcomes. Explains why specific changes will lead to improved outcomes. Draws well-substantiated conclusions that are in line with reasonable expectations. Analyze two non-U.S. health care systems or programs that offer insight into a proposed change for a health care system or program in the United States. Does not analyze two non-U.S. health care systems or programs that offer insight into a proposed change for a health care system or program in the United States. Analyzes two non-U.S. health care systems or programs, but relevant connections to the U.S. system are tenuous. Analyzes two non-U.S. health care systems or programs that offer insight into a proposed change for a health care system or program in the United States. Analyzes two non-U.S. health care systems or programs that offer insight into a proposed change for a health care system or program in the United States. Articulates insightful lessons learned from the analysis that have clear implications for U.S. health care. Determine the financial and health implications of making—and not making—proposed changes to a health care system or program. Does not determine the financial and health implications of making—and not making—proposed changes to a health care system or program. Determines the effects of proposed changes, but overlooks key financial and health implications. Determines the financial and health implications of making—and not making—proposed changes to a health care system or program. Determines the financial and health implications of making—and not making—proposed changes to a health care system or program. Draws insightful, well-reasoned conclusions based on credible evidence. Write clearly and concisely in a logically coherent and appropriate form and style. Does not write clearly and concisely in a logically coherent and appropriate form and style. Writing lacks clarity or conciseness, is loosely structured, or includes errors in grammar, mechanics, or APA formatting that inhibit effective communication or detract from good scholarship. Writes clearly and concisely in a logically coherent and appropriate form and style. Writes clearly and concisely in a logically coherent and appropriate form and style. Main points, ideas, arguments, or propositions are well-developed and engaging. Adheres to all applicable disciplinary and scholarly writing standards and conventions. Support assertions, arguments, propositions, and conclusions with relevant and credible evidence. Does not support assertions, arguments, propositions, and conclusions with relevant and credible evidence. Sources lack relevance or credibility, or the evidence is not persuasive or explicitly supportive of assertions, arguments, propositions or conclusions. Supports assertions, arguments, propositions, and conclusions with relevant and credible evidence. Supports assertions, arguments, propositions, and conclusions with relevant, credible, and convincing evidence. Skillfully combines error-free source citations with a perceptive and accurate synthesis of the evidence. -
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Change Proposal Summary Report
Change Proposal Summary Report
Note: Delete this note and all instructions from the template before submitting your report. Use headings to organize your text, rather than bullets.
Executive Summary
Proposed Change
Identify an aspect of a local or regional health care system or program that should be a focus for change.
Desired Outcomes
Define each desirable outcome you wish to examine, including who will pay for care and factors limiting achievement of those outcomes.
Health Care System Comparative Analysis
Use Table 1, in the appendix, for your comparative analysis of the specific outcomes you wish to examine.
Analyze outcomes in two non-U.S. health care systems that offer insight into your proposed change.
- Choose one of the following options for selecting the two systems:
- Option 1: Select two systems at opposite ends of the scale in terms of desirable outcomes for the issue reflected in your proposed change.
- Option 2: Select two systems that both produce positive outcomes but take unique or innovative approaches to the problem.
- Compare the outcomes in each non-U.S. system with each other and with present outcomes in your local or regional health care system.
Rationale for the Proposed Change
Explain why specific changes will lead to improved outcomes.
Financial and Health Implications
Determine the financial and health implications associated with the proposed changes.
- Address the implications of making the changes.
- Address the implications of not making the changes.
Conclusion
Summarize your analysis and provide your rationale for the proposed change.
Appendix
Table 1: Health Care System Comparative Analysis
Table directions:
- Add the names of the two non-U.S. health care systems and the local or regional U.S. health care system to the applicable column headings.
- In the first column, list each outcome. Add rows to your table, as needed.
- Add the relevant information pertaining to each outcome for each health care system in the second, third, and fourth columns.
Outcomes [Health Care System 1] [Health Care System 2] [U.S. Health Care System] List outcome 1 here. List outcome 2 here. List outcome 3 here. Place in-text citations here, along with any other information not included in the table itself.
References
List your APA-formatted references here.