Change Proposal
I have a budget paper that requires to Draft a 35-page change proposal to executive leaders, soliciting their support for a change to the health care system in the community you selected in the previous assessment
I will include the prior proposed change, the template that needs to be used, and the instructions for the assignment.
COMMUNITY HEALTH ASSESSMENT 4
Community Health Assessment
Todd Brandt-Dee
Capella University
MSN-FP6218 Leading the Future of Health Care
Assessing Community Health Care Needs
August 2020
Community Health Assessment
Jordan, Minnesota is a rural community with a population of 6,500. It is composed of various schools, churches, stores, parks, and hospital care. There are neighborhoods located downtown Jordan as well as communities just outside the main city center. It has low and middle income families are various levels. Major roadways connect Jordan to more populated parts of Minnesota.
Executive Summary
General Condition and Public Health Needs
The general conditions of Jordan, MN is that is has a stagnant growth rate. While it promotes itself for expansion, the council want to keep its small town charm. It has adequate schools and health care facilities for the size of its population. St. Francis Health services support 2 major health providers and they also have a senior living facility. It does seem that as Jordan expands or new business and industries move in, the need for better public health services will be necessary. There is a grocery store that has been updated and a shopping plaza that does have several vacancies. Additionally, neighborhoods that are located downtown tend to have lower socio-economic characteristics. Many rural communities are becoming appealing to the general market. When this trend increases, the likelihood of cities like Jordan can expect new growth potential which would impact the need for more public services and medical care facilities.
Environmental Analysis
There are several environmental factors that are at play for the city of Jordan. First, there appears to be limited growth currently. Without a community demand for more shopping, schools, hospitals and supporting infrastructure, there is a chance that this community will have a flat growth rate. Secondly, what are the anticipated growth in the next 4 to 10 years? This information could significantly impact decisions the city and the community will make now.
The social determinants of health tend to be in relation to activities residents are provided within the city. For example, Jordan has a 16-acre Lagoon Park that has walking paths and exercise options for its residents. Studies show that communities with these types of features tend to promote better health options which can be have long-lasting positive benefits for the society. This would mean less visits to their doctors and fewer hospitalizations. With this said, there is a lower income population that lives downtown. This could create a higher demand for doctor offices and more frequent hospital visits (typically due to lack of exercise, poor diet, limited financial resources).
Conclusions
In order to obtain a quick overview to understand its population and its primary health concerns, a useful tool is the windshield survey. This is a systematic observation to access and comprehend the community holistically. With the windshield survey, the nurse leader can simultaneously construct the community map as a way to easily understand and illustrate the community infrastructure and potential healthcare needs (Daemmrich, A. A. (2016). In Jordan, MN, this small, rural town has basic necessities such as shopping, schools, medical facility, parks and housing. The downtown area is more condensed, however, is low income neighborhood. Just outside downtown, near the schools, are the neighborhoods which are more affluent. This can create a health care dynamic which means that health care facilities (doctors, hospitals) would be largely used by the lower demographic group (education, diet, financial resources).
References
Artiga, S., Orgera, O., & Pham, O. (2020, March 4). Disparities in Health and Health Care: Five Key Questions and Answers. Disparities Policy. Retrieved from https://www.kff.org/disparities-policy/issue-brief/disparities-in-health-and-health-care-five-key-questions-and-answers/
Daemmrich, A. A. (2016). Using the SWOT Framework in the Healthcare Sector. Retrieved from https://www.hbsp.harvard.edu/product/W16448-PDF-ENG?Ntt=&itemFindingMethod=Recommendation&recommendedBy=H051OC-PDF-ENG
Soomar, S. M., Minaz, A., & Dayani, K. S. (2019, July 29). Reporting Dynamics of Community Health Nursing Process through a Case Study of an Urban Community. EC Clinical and Medical Reports. Retrieved from https://www.ecronicon.com/eccmc/pdf/ECCMC-02-00050.pdf
Running head: COMMUNITY HEALTH ASSESSMENT 1
COMMUNITY HEALTH ASSESSMENT 5
Appendix
Table 1: Windshield Survey and Environmental Analysis
Category
Questions
Observations and Impressions
SWOT Category
References
(See note 1.)
Community Size
6,500 is this growing
Small but poised for growth
Opportunity
Vila Health
Windshield Survey
Population
Male / Female percentage
Is there equal number of men/women how many kids
Strength
(Soomar, Minaz, & Dayani, 2019)
Age
What are the age groups
Seems to be spread out
Strength
(Artiga, Orgera, & Pham, 2020)
Ethnicity
Breakdown of Ethnicity
Prominently white
Opportunity
(Artiga, Orgera, & Pham, 2020)
Health Issues
Any significant issues related to this town
No evidence of health concerns out of the norm
Strength
(A.A. Daemrich, 2016)
Are health services growing
Health services relay on 2 main outside hospitals
Weakness
Vila Health
Windshield Survey
Churches
Variety of options, which is most prominent
No indication of synagogue or temples
Opportunity
Vila Health
Windshield Survey
Schools
Several Schools, are there daycare and elementary
Is the elementary nearby and does it offer after school care
Weakness
Vila Health
Windshield Survey
Businesses
What are the larger businesses in the city
What is the main industry and what businesses are they attracting
Opportunity
(A.A. Daemrich, 2016)
Buildings
Is there room to expand, are buildings newer/older
Buildings seem older versus new construction
Vacancies exist
Weakness
Vila Health
Windshield Survey
Restaurants
What other restaurants are considering moving into Jordan
What major chains would consider opening or small local owned
Opportunity
Vila Health
Windshield Survey
Other
. CHANGE PROPOSAL 7
CHANGE PROPOSAL 8
Change Proposal
Your Full Name (no credentials)
Capella University
MSN-FP6218 Leading the Future of Health Care
Planning for Community and Organizational Change
Month, Year
Title of Paper
Note: Delete this note and all instructions from the template before submitting your proposal. Use headings to organize your text, rather than bullets.
Summary
Benefits and Implications
Identify the benefits of proposed health care system changes and its implications for a community.
Consider the goals and potential outcomes of the proposed changes.
What are the direct benefits of your proposed changes?
How will improvements in overall health affect the community?
Potential Barriers to Change
Describe potential barriers to change in an organization or community.
What factors in an organization and community create or contribute to resistance to changes?
What other factors can create barriers to change?
Articulate strategies for changing barriers into opportunities and resolving conflict.
What are the drivers of change in organizations and communities?
How will you communicate with stakeholders and overcome resistance?
How will you resolve conflict among competing interests?
Stakeholder Communications
Articulate a strategy for helping organizational stakeholders understand and evaluate proposed changes to the existing health care system.
Who are the key stakeholders in the organization?
What influence do they have on your proposal?
Consider the effects of these changes on the organization and the specific information needs of decision makers.
References
List your APA-formatted references here.
Appendix A: Grant Proposal
Need Statement
Define the problem that this change is addressing.
Describe the scope of the problem.
Who is affected? How will you describe this population?
How many people does this problem affect?
Identify the barriers you are likely to encounter when implementing this change?
Identify the sources of information you used to define the need for change.
Identify any other change initiatives or studies that are addressing this problem.
Program Description
Describe the proposed change initiative and how you plan to implement it. Address the basic questions of who, what, when, where, why, and how.
Goals and Objectives
Describe the goals and objectives of the change initiative.
Program Evaluation
Explain how this change initiative will be evaluated.
Who will have oversight responsibilities?
How and how often, will this initiative be evaluated?
Who is the recipient of the evaluation reports?
What is the extent of stakeholder involvement in evaluation?
Summary
Explain why this change is important to the community.
Explain how the goals and objectives of this change initiative align with those of the funding organization and why their financial support is vital to the success of this initiative.
Be sure to thank the funding agency for considering and supporting this initiative.
Running head: CHANGE PROPOSAL 1
CHANGE PROPOSAL 6
Appendix B: Project Budget
Table directions:
Add table rows, as needed, for each budget category.
Enter the information (startup, first-year budget figures, other sources of revenue, and justification) for each budget category line item in columns 25.
Categories
Startup
1st Year
Other Sources
of Revenue
Justification
Salary and Wages
Project Manager
Support Staff
Other
Fringe Benefits
Consultation or Contract Services
Equipment
Materials
Travel
Miscellaneous or Other
Total Expenses 8/20/2020 Assessment 3 MSN-FP6218 – Summer 2020 – Section 01
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Assessment 3
Planning for Community and Organizational Change
Overview
Draft a 35-page change proposal to executive leaders, soliciting their support for a change to the health care
system in the community you selected in the previous assessment.
Note: This assessment builds upon the work you completed in the previous assessment. Therefore, complete the
assessments in the order in which they are presented.
To improve health care outcomes within a community, leaders must understand the needs of specific
populations. In addition, it is important that leaders are able to gather and present persuasive evidence to
decision makers to obtain the necessary funding and establish these needs as priorities for budget and resource
planning. Thus, proposed changes should support improved outcomes and align with the current or needed
health care policy.
This assessment provides an opportunity to propose a community health care change that is based on the
community health assessment you completed in Assessment 2. By successfully completing this assessment, you
will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 1: Identify the challenges and opportunities facing health care.
Identify the benefits of proposed health care system changes and its implications for a community.
Competency 2: Compare the effects of different health care finance models and policy frameworks on
resources and patient outcomes.
Describe potential barriers to change in an organization or community.
Develop a grant proposal and associated budget for a proposed change to an existing health care
system.
Competency 4: Develop proactive strategies to change the culture of the organization by incorporating
evidence-based practices.
Develop a strategy for helping organizational stakeholders understand and evaluate the proposed
changes to an existing health care system.
Develop strategies for changing barriers into opportunities and resolving conflict.
Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style
consistent with applicable organizational, professional, and scholarly standards.
Write clearly and concisely in a logically coherent and appropriate form and style.
Support assertions, arguments, propositions, and conclusions with relevant and credible evidence.
Competency Map
Use this online tool to track your performance and
progress through your course.
CHECK YOUR
PROGRESS
Details Attempt 1 Available Attempt 2 Attempt 3
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Resources
Required Resources
The following resource is required to complete the assessment.
Vila Health: Planning for Change.
Vila Health is a virtual environment that simulates a real-world health care system. In the various Vila Health
scenarios, you will apply professional strategies, practice skills, and build competencies that you can apply to
your coursework and in your career. The information you gather in this scenario will help you to complete the
assessment.
Templates
Use this template for your change proposal.
Change Proposal Template [DOCX].
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. The MSN6218
Leading the Future of Health Care Library Guide can help direct your research, and the Supplemental Resources
and Research Resources, both linked from the left navigation menu in your courseroom, provide additional
resources to help support you.
Organizational Change and Population Health Management
Al-Haddad, S., & Kotnour, T. (2015). Integrating the organizational change literature: A model for
successful change. Journal of Organizational Change Management, 28(2), 234262.
Useful in understanding your organizational change situation, selecting an approach for
implementing change, and managing change.
Batras, D., Duff, C., & Smith, B. J. (2016). Organizational change theory: Implications for health promotion
practice. Health Promotion International, 31(1), 231241.
Addresses the utility of change theory in designing and implementing organizational health
promotion initiatives.
Gelinas, L. (2015). Why is nursing’s voice absent from population health management strategy? American
Nurse Today, 10(8), 29.
A brief editorial on the role of nurses in strategic population health management.
Johnston, B., Coole, C., Feakes, R., Whitworth, G., Tyrell, T., & Hardy, B. (2016). Exploring the barriers to
and facilitators of implementing research into practice. British Journal of Community Nursing, 21(8), 392
398.
A qualitative study of the factors that help or hinder in applying research to practice by the
community nurses.
Grant Proposals and Budgeting
Chabotar, K. J. (2016). 7 Tips for strategic planning, budgeting, and management [Blog post]. Retrieved
from https://www.agb.org/blog/2016/01/26/7-tips-for-strategic-planning-budgeting-and-management
Lenawee Intermediate School District. (n.d.). Sample budget for grant proposals. Available from
http://www.lisd.us
Patil, S. G. (2017). How to plan and write a budget for research grant proposal. Journal of Ayurveda and
Integrative Medicine. 14.
Addresses the key elements of writing a successful grant proposal.
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UCI Office of Research. (n.d.). General information for preparing proposal budgets. Retrieved from
https://research.uci.edu/sponsored-projects/contracts-grants-admin/proposal-prep/budget-general-
info.html
Highlights the key factors to be considered when developing a proposal budget.
Scholarly Writing and APA Style
Use the following resources to improve your writing skills and for finding answers to specific questions.
Academic Honesty & APA Style and Formatting.
APA Style Paper Tutorial [DOCX].
APA Module.
Introduction to the Writing Center.
Library Research
Use the following resources to help with any required or self-directed research you do to support your
coursework.
Capella University Library.
Library Research and Information Literacy Skills.
Nursing Masters (MSN) Research Guide.
Guiding Questions and ePortfolio
Guiding Questions: Planning for Community and Organizational Change [DOCX].
This document includes questions to consider and additional guidance for successfully completing
the assessment.
ePortfolio.
Online ePortfolio Guidelines [PDF].
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Assessment Instructions
Note: The work you complete in this assessment is based on the work you completed in Assessment 2 and
serves as the basis for Assessment 4. Therefore, complete Assessments 2, 3, and 4 in the order in which they
are presented.
Preparation
Your community health assessment was well received by the executives at Vila Health. Consequently, they
have asked you to recommend a change in the community that will improve health outcomes. They have also
asked you to submit your recommendation in a formal change proposal. You are confident that you can
present a strong case for change, including a financial plan, that will ensure the success of this initiative.
In this assessment, you will draft a change proposal to executive leaders to solicit support for a change to the
current community health care system. To prepare for the assessment, you are encouraged to begin thinking
about your justification for establishing the recommended change as a priority, a strategy for leading change,
and how the change will be funded. 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: Planning for Community and Organizational Change document linked
in the Resources of this assessment, which includes questions to consider and additional guidance on
how to successfully complete the assessment.
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Note: Remember that you can submit all or a portion of your draft change proposal to Smarthinking Tutoring
for feedback before you submit the final version for this assessment. If you plan on using this free service, be
mindful of the turnaround time of 2448 hours for receiving feedback.
Requirements
Complete this assessment in two steps:
1. If you have not already done so, complete the Vila Health: Planning for Change simulation.
1. Draft a change proposal to justify your recommendation for improving the health of the community
and establish the change as a priority for the next budget cycle. Consider the feasibility of your
proposed change, in terms of overall scope, funding, and timeframe.
The change proposal requirements outlined below, correspond to the grading criteria in the scoring guide, so
be sure to address each point. Read the performance-level descriptions for each criterion to see how your
work will be assessed. The Guiding Questions: Planning for Community and Organizational 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.
Identify the benefits of proposed health care system changes and its implications for a community.
Describe potential barriers to change in an organization or community.
Develop strategies for changing barriers into opportunities and resolving conflict.
Develop a strategy for helping organizational stakeholders understand and evaluate the proposed
changes to an existing health care system.
Develop a grant proposal and associated budget for a proposed change to an existing health care
system.
Write clearly and concisely in a logically coherent and appropriate form and style.
Support assertions, arguments, propositions, and conclusions with relevant and credible evidence.
Document Format and Length
Use the Change Proposal Template, linked in the Resources of this assessment. An APA Style Paper
Tutorial is also provided to help you in writing and formatting your assessment. If you would like to use
a different template or document format for your change proposal, obtain prior approval from faculty.
Your change proposal should be 35 pages in length, not including the title page and references page.
Be sure to apply correct APA formatting to all source citations and references.
Supporting Evidence
Cite 35 credible sources from peer-reviewed journals or professional industry publications to support your
change proposal.
Additional Requirements
Proofread your change proposal before you submit it, to minimize errors that could distract readers and make
it more difficult for them to focus on the substance of your analysis.
Portfolio Prompt: You may choose to save your change proposal to your ePortfolio.
How to use the scoring guide
Planning for Community and Organizational Change Scoring Guide
Use the scoring guide to enhance your learning.
VIEW SCORING
GUIDE
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[u03a1] Planning for Community and Organizational Change
Draft a 35-page change proposal to executive leaders, soliciting their support for a change to the health care
system in the community you selected in the previous assessment.
This button will take you to the next available assessment
attempt tab, where you will be able to submit your assessment.
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