The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system.

Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time.

In this module’s Discussion, you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected.

To Prepare:

• Review the national healthcare issues/stressors      presented in the Resources and reflect on the national healthcare      issue/stressor you selected for study.
• Reflect on the feedback you received from your      colleagues on your Discussion post for the national healthcare      issue/stressor you selected.
• Identify and review two additional scholarly resources      (not included in the Resources for this module) that focus on change      strategies implemented by healthcare organizations to address your      selected national healthcare issue/stressor.

The Assignment (4-5Pages):

Analysis of a Pertinent Healthcare Issue

Develop a 4- to 5page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:

• Describe the national healthcare issue/stressor you      selected and its impact on your organization. Use organizational data to      quantify the impact (if necessary, seek assistance from leadership or      appropriate stakeholders in your organization).
• Provide a brief summary of the two articles you      reviewed from outside resources on the national healthcare issue/stressor.      Explain how the healthcare issue/stressor is being addressed in other      organizations.
• Summarize the strategies used to address the      organizational impact of national healthcare issues/stressors presented in      the scholarly resources you selected. Explain how they may impact your      organization both positively and negatively. Be specific and provide      examples.

Broome, M., & Marshall, E. S. (2021). Transformational leadership in nursing: From expert clinician to influential leader (3rd ed.). New York, NY: Springer.

• Chapter 2, “Transformational Leadership: Complexity, Change,      and Strategic Planning” (pp. 34–62)
• Chapter 3, “Current Challenges in Complex Health Care      Organizations and the Quadruple Aim” (pp. 66–97)

Read any TWO of the following (plus TWO additional readings on your selected issue):

Auerbach, D. I., Staiger, D. O., & Buerhaus, P. I. (2018). Growing ranks of advanced practice clinicians—Implications for the physician workforce. New England Journal of Medicine, 378(25), 2358–2360. doi:10.1056/NEJMp1801869

Gerardi, T., Farmer, P., & Hoffman, B. (2018). Moving closer to the 2020 BSN-prepared workforce goal. American Journal of Nursing, 118(2), 43–45.

Jacobs, B., McGovern, J., Heinmiller, J., & Drenkard, K. (2018). Engaging employees in well-being: Moving from the Triple Aim to the Quadruple Aim. Nursing Administration Quarterly, 42(3), 231–245.

Norful, A. A., de Jacq, K., Carlino, R., & Poghosyan, L. (2018). Nurse practitioner–physician comanagement: A theoretical model to alleviate primary care strain. Annals of Family Medicine, 16(3), 250–256.

Palumbo, M., Rambur, B., & Hart, V. (2017). Is health care payment reform impacting nurses’ work settings, roles, and education preparation? Journal of Professional Nursing, 33(6), 400–404.

Park, B., Gold, S. B., Bazemore, A., & Liaw, W. (2018). How evolving United States payment models influence primary care and its impact on the Quadruple Aim. Journal of the American Board of Family Medicine, 31(4), 588–604.

Pittman, P., & Scully-Russ, E. (2016). Workforce planning and development in times of delivery system transformation. Human Resources for Health, 14(56), 1–15. doi:10.1186/s12960-016-0154-3. Retrieved from 

https://human-resources-health.biomedcentral.com/track/pdf/10.1186/s12960-016-0154-3 

Poghosyan, L., Norful, A., & Laugesen, M. (2018). Removing restrictions on nurse practitioners’ scope of practice in New York state: Physicians’ and nurse practitioners’ perspectives. Journal of the American Association of Nurse Practitioners, 30(6), 354–360.

Ricketts, T., & Fraher, E. (2013). Reconfiguring health workforce policy so that education, training, and actual delivery of care are closely connected. Health Affairs, 32(11), 1874–1880.

Required Media

Laureate Education (Producer). (2015). Leading in Healthcare Organizations of the Future [Video file]. Baltimore, MD: Author.

 

In a written paper of 1,250-1,500 words, evaluate the current forces driving change in your field or industry. As a leader, or considering the role of a leader, assess your organization and evaluate how well it is responding to the forces, and identify where there is a need for change. Develop a vision to inspire this change. Include the following:

1. Describe your organization, include the organization’s mission, and identify the various stakeholders.
2. Identify the external and internal forces that drive organizational change in your field or industry. Explain the origin or reason for these internal or external driving forces. Explain how these forces directly affect the viability of your organization.
3. Choose one of the driving forces. Describe the specific issues this driving force creates, or will potentially create, for your organization or department.
4. Propose the steps needed for your organization or department to respond to this driving force.
5. Predict how employees at various levels in the organization will respond to your proposed change initiative.
6. Develop a vision for change. Describe how this vision correlates with the organization’s mission, and how you will present this vision to internal stakeholders.
7. Predict how you think your vision will assist internal stakeholders in supporting the change initiative. Identify potential considerations posed by stakeholders, and discuss how you will respond.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

 Research and organize literature  

 

Incorporate health outcomes of the health promotion, detection of disease and disease prevention.  Organize an interdisciplinary paper for your client and the delivery of safe and effective care. Choose a disease process and apply standards that are evidenced based which help support for the protection of your client.

 Incorporate concepts from Care of the Aging from the book-Gerontological Nursing and Healthy Aging (Toughy & Jett, 2018).

Paper should be 3 pages not including title and reference page. 

Paper should follow APA guidelines with a minimum of 5 references within 5 year span.

 

I have chosen an article about  immunizations and health disparities as our final ethical discussion  board.  This is the link to the article:  http://www.historyofvaccines.org/content/articles/ethical-issues-and-vaccines

   This is full of ethical concerns, and I do not want to limit you, so  please choose something from the article to discuss, identify an  appropriate provision from the nursing code of ethics, and what you  think should or could be done to address it.  I think this topic has  many personal opinions to it, and you can mention these because the  public can have the same and naming helps us figure out how to address  those concerns.  Please remember to cite both the article and the book. 

   

The basic story of Florence Nightingale is familiar to most nurses.  This week we learned more about Nightingale’s life and work. Select one  area of Nightingale’s leadership that was new to you and tell us how this changed your understanding of this important woman and her contributions to nursing.

Grading:

To view the grading criteria/rubric, please click on the 3 dots in  the box at the end of the solid gray bar above the discussion board  title and then Show Rubric. See Syllabus for Grading Rubric Definitions.

 

Directions

• Discussions are designed to promote dialogue between faculty and  students, and students and their peers. In discussions students: 
  • Demonstrate understanding of concepts for the week
  • Integrate outside scholarly sources when required
  • Engage in meaningful dialogue with classmates and/or instructor
  • Express opinions clearly and logically, in a professional manner
• Use the rubric on this page as you compose your answers.
• Best Practices include: 
  • Participation early in the week is encouraged to stimulate meaningful discussion among classmates and instructor.
  • Enter the discussion often during the week to read and learn from posts.
  • Select different classmates for your reply each week.