Draft a 3-5 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.

Assessment 3 Instructions: Planning for Community and Organizational Change

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Draft a 3-5 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.

Introduction

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.

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 Guiding Questions: Planning for Community and Organizational 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 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 24–48 hours for receiving feedback.

The following resource is required to complete the assessment.

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].

Requirements

Complete this assessment in two steps:

If you have not already done so, complete the Vila Health: Planning for Change simulation.
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. This APA Style Paper Tutorial [DOCX] can 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 3–5 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 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.

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 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.

Planning for Community and Organizational Change Scoring Guide

CRITERIA	NON-PERFORMANCE	BASIC	PROFICIENT	DISTINGUISHED
Identify the benefits of proposed health care system changes and its implications for a community.	Does not identify the benefits of proposed health care system changes and its implications for a community.	Identifies the benefits of proposed health care system changes, but the implications do not follow the logical order given the current and desired state of health care in the community.	Identifies the benefits of proposed health care system changes and its implications for a community.	Identifies the benefits of proposed health care system changes and its implications for a community. Articulates clear goals or outcomes for proposed changes that are well-supported by credible evidence.
Describe potential barriers to change in an organization or community.	Does not describe potential barriers to change in an organization or community.	Describes potential barriers to change, but the description is not grounded in applicable change theory.	Describes potential barriers to change in an organization or community.	Describes potential barriers to change in an organization or community. Identifies the causes of resistance and supports claims with credible evidence.
Develop strategies for changing barriers into opportunities and resolving conflict.	Does not develop strategies for changing barriers into opportunities and resolving conflict.	Develops strategies for changing barriers into opportunities and resolving conflict, but does not address a timeframe for change or lacks a coherent plan for communicating with stakeholders.	Develops strategies for changing barriers into opportunities and resolving conflict.	Develops strategies for changing barriers into opportunities and resolving conflict. Strategies reflect clear vision and drivers of change, including a viable approach for resolving conflict.
Develop a strategy for helping organizational stakeholders understand and evaluate the proposed changes to an existing health care system.	Does not develop a strategy for helping organizational stakeholders understand and evaluate the proposed changes to an existing health care system.	Develops a strategy that overlooks key stakeholders or that lacks insight into their influence on the proposed changes to an existing health care system.	Develops a strategy for helping organizational stakeholders understand and evaluate the proposed changes to an existing health care system.	Develops a strategy for helping organizational stakeholders understand and evaluate the proposed changes to an existing health care system. Describes the effects of these changes on the organization and identifies the specific information needs of the decision makers.
Develop a grant proposal and associated budget for a proposed change to an existing health care system.	Does not develop a grant proposal and associated budget for a proposed change to an existing health care system.	Develops a grant proposal and associated budget for a proposed change to an existing health care system that lacks clear and convincing justification or overlooks essential funding reflected in an incomplete list of necessary budget line items.	Develops a grant proposal and associated budget for a proposed change to an existing health care system.	Develops a grant proposal and associated budget for a proposed change to an existing health care system that presents a compelling argument for funding. Budget line items reflect clear and specific needs that are well-articulated and justified in the proposal.
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.

https://courserooma.capella.edu/webapps/blackboard/content/listContent.jsp?course_id=_360205_1&content_id=_11084240_1

Resources: Proposal to Executive Leaders to Support the Change in the Health Care System

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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 MSN Program Library Research Guidecan help direct your research.

Organizational Change and Population Health Management

Hallam, C., & Contreras, C. (2016). Integrating lean and green management.Management Decision, 54(9), 2157-2187.
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.
Steenkamer, B. M., Drewes, H. W., Van Vooren, N., Baan, C. A., Van Oers, H., & Putters, K. (2019). How executives’ expectations and experiences shape population health management strategies. BMC Health Services Research, 19(1), 1-15.
van den Oord, A., Elliott, K., van Witteloostuijn, A., Barlage, M., Polos, L., & Rogiest, S. (2017). A cognitive organization theory (COT) of organizational change: Measuring organizational texture, audience appeal, and leadership engagement. Journal of Organizational Change Management, 30(6), 903-922.

Grant Proposals and Budgeting

Lenawee Intermediate School District. (n.d.). Sample budget for grant proposals [PDF]. 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.1-4.
- Addresses the key elements of writing a successful grant proposal.
UC Riverside Research and Economic Development. (n.d.). General information for preparing proposal budgets. https://research.ucr.edu/spa/lifecycle/proposalpreparation/budgets/general
- 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.

Library Research

In addition to the MSN Program Library Research Guide, use the following resources to help with any required or self-directed research you do to support your coursework.

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