NURS-FPX6218 Assessment 1 Proposing Evidence Based Change Paper

NURS-FPX6218A1Instructions

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.

Introduction

Note: Complete the assessments in the order in which they are presented.

Health care systems around the world provide useful models for analysis. Familiarity with different models and approaches to health care enables leaders to identify what works and what does not, as the basis for proposing a change. As we continue to evaluate the complex and fragmented system in the United States, it is important for nurse leaders to become familiar with the programs and systems that provide evidence-based quality care that is affordable and focused on continual improvement.

This assessment provides an opportunity to examine a local or regional health care issue from a global perspective.

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 Guiding Questions: Proposing Evidence-Based Change [DOCX], which includes questions to consider and additional guidance on how to successfully complete the assessment.

Note: Remember that you can submit all or a portion of your draft report 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 24–48 hours for receiving feedback.

MSN PROGRAM JOURNEY

The following is a useful map that will guide you as you continue your MSN program. This map gives you an overview of all the steps required to prepare for your practicum and to complete your degree. It also outlines the support that will be available to you along the way.

MSN Program Journey.

TEMPLATES

Use this template for your summary report.

Summary Report Template [DOCX].

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.

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.

Document Format and Length

Use the Summary Report Template. This APA Style Paper Tutorial [DOCX] can help you in writing and formatting your assessment. If you would like to use a different worksheet for your community health assessment, obtain prior approval from faculty.
Your summary report should be 4–5 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 3–5 credible sources from peer-reviewed journals or professional industry publications to support your comparative analysis.

Additional Requirements

Be sure to delete all directions from the template before submitting your summary report. In addition, proofread your report 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 summary report to your ePortfolio.

Competencies Measured

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 an aspect of a local or regional health care system or program that should be a focus for change.
Competency 2: Compare the effects of different health care finance models and policy frameworks on resources and patient outcomes.
- 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.
Competency 3: Evaluate the positive and negative influences of leaders on health care processes and outcomes.
- Determine the financial and health implications of making—and not making—proposed changes to a health care system or program.
Competency 4: Develop proactive strategies to change the culture of the organization by incorporating evidence-based practices.
- Explain why specific changes will lead to improved outcomes.
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.

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.

Guiding Questions

Proposing Evidence-Based Change

This document is designed to give you questions to consider and additional guidance to help you successfully complete the Proposing Evidence-Based Change assignment. You may find it useful to use this document as a pre-writing exercise, an outlining tool, or as a final check to ensure that you have sufficiently addressed all the grading criteria for this assignment. This document is a resource to help you complete the assignment. Do not turn in this document as your assignment submission.

Executive Summary

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 different health care systems, focusing on the aspect of the system you are proposing to change, and summarize the results in a summary report.

Identify an aspect of a local or regional health care system or program that should be a focus for change.

Why did you decide on this particular change?
What improvements do you expect as a result of the change?
What evidence supports your position?

Define desirable outcomes, including who will pay for care and factors limiting achievement of those outcomes.

What is your rationale for this definition?
What sources can you cite that support your definition?
What are the two limiting factors?

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.

Select two systems at opposite ends of the scale in terms of desirable outcomes for the issue reflected in your proposed change or select two systems that both produce positive outcomes but take unique or innovative approaches to the problem. Then, compare the outcomes in each non-U.S. system with each other and with present outcomes in your community.
- How do the two health care systems or programs address the issue?
- What lessons are you able to draw from each example that you could apply in your system?

Explain why specific changes will lead to improved outcomes.

What are the expected improvements in outcomes?
What evidence can you use to justify your conclusions?
Are your expectations reasonable within the existing health care system?

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.
- What are the likely costs and benefits for individuals and the community at large?
- What are the potential short- and long-term effects?
- What evidence do you have that supports your conclusions?

Write clearly and concisely in a logically coherent and appropriate form and style.

Write with a specific purpose and audience in mind.
Adhere to scholarly and disciplinary writing standards and APA formatting requirements.

Support assertions, arguments, propositions, and conclusions with relevant and credible evidence.

Integrate relevant and credible evidence from 3–5 peer-reviewed journals or professional industry publications.
Is your supporting evidence clear and explicit?
- How or why does particular evidence support a claim?
- Will your reader see the connection?
Did you summarize, paraphrase, and quote your sources appropriately?

Submission Reminders

Have you identified an aspect of your local or regional health care system or program as the focus for change, with supporting evidence?
Have you clearly defined desirable outcomes and provided supporting evidence?
Have you completed your examination of two non-U.S. health care systems or programs with respect to the issue reflected in your proposed change?
Have you adequately explained why specific changes will lead to improved outcomes and provided supporting evidence?
Have you determined the financial and health implications both of making and not making your proposed changes and provided supporting evidence?
Is your report well supported by 3–5 sources of relevant and credible evidence?
Is your report 4–5 pages in length, not including the title page and references page?
Did you proofread your writing and delete all directions from the template?