• 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.
    RUBRIC
  • 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.

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Assessment 1: Proposing Evidence-Based Change

Kathy Ergle

Capella University

NURS-FPX 6218: Leading the Future of Health Care

Prof. Donna Ryan

November 09, 2022

Proposing Evidence-Based Change

A healthcare system is crucial to improve health, enhance the quality of life, and prevent

diseases. A good health system ensures timely access to effective care delivery. It integrates

clarity in roles, better information transfer, and best care collaboration for better health outcomes

(Kruk et al., 2018). In this assessment, I will propose a change in the local healthcare system to

improve care quality for people struggling with mental health issues. Moreover, the change will

be compared with two non-U.S. healthcare systems.

Executive Summary

Proposed Change

After heart and cancer problems, medication errors are the most common cause of high

death rates in the United States. Most errors occur due to faulty or ineffective processes in a

healthcare system (Carver & Hipskind, 2019). For example, the local health facility where I

work depends on paper records for patient medical information, rising the chances of medical

errors. Two other challenges that the healthcare system is facing due to paper records are related

to the security of the medical records, poor decision-making, and ineffective information storage

(Honavar, 2020). All these challenges make up care process for patients unsafe. According to the

World Health Organization (WHO), unsafe care is one of the ten worldwide leading causes of

disability and mortality (World Health Organization, 2019). Therefore, the aspect of the local

healthcare system related to paper records should be changed. The focus for change in the local

and regional healthcare system is the utilization of an electronic medical record (EMR) system

instead of paper records.

The expectation from the EMR system is to reduce medication errors, reduce time spent

on data recording, and improve information storage, decision-making, and security of medical

records through effective methods of data management (Vaidotas et al., 2019). According to the

expectations, the EMR system will reduce medical errors occurring due to manual medical

records. Also, the system will help providers store information in one place, and access the

complete medical history of patients without dual tests and waste of time, leading to effective

information and decision-making (Honavar, 2020). Moreover, the EMR system is encrypted and

provides access to only authorized stakeholders like relevant health providers and patients which

results in a secure

Running head: SUMMARY REPORT 5

Change Proposal Summary Report

Your Full Name (no credentials)

School of Nursing and Health Sciences, Capella University

NURS-FPX6218 Leading the Future of Health Care

Proposing Evidence-Based Change

Instructor’s Name

Month, Year

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.

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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.

INSTRUCTION

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: As you revise your writing, check out the resources listed on the Writing Cente

Outcomes


[Health Care System 1]

[Health Care System 2]

[U.S. Health Care System]