How will you work with relevant stakeholders to ensure that your economic initiative is implemented successfully and sustained?

Implementation Plan

Overview

Develop a 6–7-page implementation plan for the initiative you proposed in Assessment 1. Include a budget for material, staffing, and capital costs over the first five years of the initiative, as well as projected earnings. In addition, include a timeline, an organizational impact analysis, and an explanation of the effects of environmental changes on the initiative.

Note: Each assessment in this course builds upon the work you have completed in previous assessments. Therefore, you must complete the assessments in the order in which they are presented.

ASSESSMENT INSTRUCTIONS

Develop a thorough implementation plan for the economic initiative you proposed in Assessment 1. Your plan must include a budget for material, staffing, and capital costs over the first five years of the initiative, as well as projected earnings. In addition, include:

• A plan and timeline for rolling out the initiative.
• An analysis of how the initiative may impact other aspects of the organization or care setting.
• An explanation how the initiative can remain viable in the face of environmental changes.
• Sufficient relevant and credible supporting evidence.

REQUIREMENTS

The requirements for your implementation plan, outlined below, correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, be sure to note the requirements for document format and length and for supporting evidence.

• Create a budget for expected costs and earnings over the first five years of your proposed initiative.
  • What are the expected material, staffing, and capital costs of your proposed initiative over its first five years?
  • What are the projected earnings for your organization or care setting over the first five years of your economic initiative?
  • How does this budget take into account the findings and feedback you received on your business case?
  • What assumptions are you basing your budget on?
• Create an implementation plan for your proposed initiative that enables achievement of quality or service improvements in an ethical and culturally equitable way.
  • Did you create a timeline for the rollout?
  • How will you work with relevant stakeholders to ensure that your economic initiative is implemented successfully and sustained?
  • How will you ensure that the rollout is conducted in an ethical and culturally equitable manner?
  • How will you ensure that the desired quality or service improvements your economic initiative will achieve are on track during and after implementation?
• Analyze the impact of your proposed initiative, once implemented, on other aspects of your organization or care setting and ways in which negative impacts could be mitigated.
  • What other aspects of your organization or care setting may be positively or negatively impacted by the implementation of your proposed initiative?
  • How will these other aspects of your organization or care setting be affected? (For example, increased workload on a testing department, borrowing of staff hours from another part of the care setting, or better communication with the community.)
  • How could you mitigate at least some of the negative effects on other aspects of your organization or care setting?
• Explain your strategies for ensuring that your proposed initiative can remain a viable asset to the organization or care setting in the face of dynamic environmental forces.
  • What are the environmental risks to your economic initiative?
  • How could your initiative, or aspects of it, still be a viable benefit to your organization or care setting if the environment shifts in unpredictable ways?
  • What strategies would you propose implementing to keep all, or a portion of, your initiative a viable net benefit to your organization or care setting?
• Justify the relevance and significance of the quantitative and qualitative economic, financial, and scholarly evidence you used throughout your plan to support your recommendations.
  • How is the evidence relevant to your organization or care setting?
  • How is the evidence relevant to your proposed economic initiative?
  • How does the evidence illustrate a solution that has been successful in the past?
  • How does the evidence illustrate that a recommendation is the best course of action for your situation and organization or care setting?
• Write concisely and directly, using active voice.
  • Proofread your document 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 implementation plan.
• Adhere to the rules of grammar, usage, and mechanics.

Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

• Assessment 3 Example [PDF].

ADDITIONAL REQUIREMENTS

Your assessment should also meet the following requirements:

• Format: Format your implementation plan using current APA style.
  • A title page and references page. An abstract is not required.
  • A running head on all pages.
  • Appropriate section headings.
• Length: Your implementation plan should be 6–7 pages in length, not including the title page and references page.
• Supporting evidence: Cite 3–5 authoritative and scholarly resources to support your implementation plan. Be sure that your sources include specific economic data.

RESOURCES

BUDGET DEVELOPMENT

The following articles may be helpful in helping you to create a budget.

• Danna, D. (n.d.). Learning and mastering the operating budget. Retrieved from http://www.strategiesfornursemanagers.com/ce_detail/213520.cfm
• Pritchard, G. (n.d.). How to develop an operating budget for a nursing unit. Retrieved from https://smallbusiness.chron.com/develop-operating-budget-nursing-unit-79824.html

STRATEGY DEVELOPMENT AND IMPLEMENTATION

The following example implementation plan illustrates a strategy to expedite the care of a subset of the population.

• Agency for Healthcare Quality and Research. (n.d.). Improving patient flow and reducing emergency department crowding: A guide for hospitals – Appendix C: Example implementation plan. Retrieved from https://www.ahrq.gov/research/findings/final-reports/ptflow/appendix-c.html

COST EFFECTIVENESS

The following article provides insight into the concept of valued-based purchasing concept in health care, why it is important, and what type of strategies can be effective for meeting the challenges of this current environment.

• Durvasula, R., Kelly, J., Schleyer, A., Anawalt, B. D., Somani, S., & Dellit, T. H. (2018). Standardized review and approval process for high-cost medication use promotes value-based care in a large academic medical system. American Health & Drug Benefits, 11(2), 65–73.

The following two articles illustrate analyses, in different settings, of what is cost effective and what is not. The theme of social and fiscal responsibility is paramount in these examples.

• Ford, D. C., Schroeder, M. C., Ince, D., & Ernst, E. J. (2018). Cost-effectiveness analysis of initial treatment strategies for mild-to-moderate Clostridium difficile infection in hospitalized patients. American Journal of Health-System Pharmacy, 75(15), 1110–1121.
• Lee, Y., Mozaffarian, D., Sy, S., Huang, Y., Liu, J., Wilde, P. E., . . . Micha, R. (2019). Cost-effectiveness of financial incentives for improving diet and health through Medicare and Medicaid: A microsimulation study. PLoS Medicine, 16(3), 1–20.

ECONOMIC EVALUATION

The following article provides a systematic review of nursing-related studies and examines the methodological criteria for economic evaluations.

• Cook, W. A., Morrison, M. L., Eaton, L. H., Theodore, B. R., & Doorenboz, A. Z. (2017). Quantity and quality of economic evaluations in U.S. nursing research, 1997–2015: A systematic review. Nursing Research, 66(1), 28–39.

The following web page provides a step-by-step guide to conducting economic reviews of interventions.

• The Community Guide. (n.d.). Economic reviews. Retrieved from https://www.thecommunityguide.org/about/economicre…

Subject: Masters Nursin

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