Final Capstone Paper

Technical survey

Customer feedback

Feedback (Financial analysis

Determining change impact-Project design

Business intelligence

Overcome the potential barriers

Expected outcomes –project implementation

Efficient project design & implementation

resource

· space request

· space survey

resource

· resource determination

· organizational resource allocation

strategy

· stakeholder identification

· communication process

Process1 week 1 process 2 week3 process4 week6

The change plan is divided into three processes, namely resource allocation stage, project evaluation stage, and implementation stage.

Process one: Resource allocation week one

Identify the organizational resources needed to implement and maintain the change plan

During the change implementation, there are necessary requirements to ensure there is a smooth process in establishing the change process. Implementation and innovating a sustainable change would require external grant funding, faculty staff and time, leadership involvement. For change, therefore, to continue in its existence, senior officials must maintain their involvement in the redistribution of duties (Hughe, 2016). Faculty staff and time helps in relieving certain stress levels in those impacted by the change level. Taking time on the required change would help reduce stress by reducing the unknown factors. External grant funding is key in the management and funding cycle. Funding plays a significant role in making those implementing the process understand the financial audit arrangements of the company, thus reducing project frustrations. Comment by Melissa McCollum: Check punctuations here. Comment by Melissa McCollum: Check spelling.

Identify the change stakeholders to help support the change project Comment by Melissa McCollum: This subheading is a little confusing.

Stakeholders are individuals or groups that are influential in ensuring there is a smooth transition in change plans (Mayfield, 2014). The change stakeholders include; employees, communities, shareholders, creditors, investors, owners, customers, and government. Stakeholders will be required to develop a strategic communication plan. Therefore, they ensure there is a comfortable environment for the change initiative. Also, the stakeholders will determine the resistors and champions of the change project. The following are some functions of specific stakeholders during change management; Comment by Melissa McCollum: Check punctuations here. Comment by Melissa McCollum: Check punctuation here.

Employees: they have to remain competitive all through and thus become vision and objective oriented. Comment by Melissa McCollum: Remember to put bullet points in paragraph form. You may want to combine this with section on “Role of Stakeholders.”

Communities: give a positive outlook of the organization through creating solutions and standard ideas on the employees.

Shareholders, Creditors, Investors, Owners; analyses the consequence of the change process

Customers: gives feedback on the process

Government: puts out rules associated with guiding the business.

Lay down special communication strategies

Some of the effective communication strategies include a focus on the issue and not the individuals in the organization. The strategies must be genuine rather than manipulative. A manipulative communication strategy would reduce the change plan's effectiveness by lowering its flexibility. Finally, use the resources established in this stage to ensure an effective communication process (Bull, & Brown, 2012). Comment by Melissa McCollum: The space after this paragraph seems to be too large.

Feedback processes

Analyze the technical survey and give a feedback process to the team Comment by Melissa McCollum: You should think of combining communication and feedback paragraphs in some way.

A successful survey will help establish the change participants, enroll insights on how well or bad employees will be affected by the change process. The feedback process as a tool for change creates new spaces and their preferred communication model. Different stages in the change plan require feedback to ensure there is a complete understanding of the change process based on the technical aspects of the organization.

Financial analysis of the change plan project

The financial analysis is a feedback process that helps in cost benefiting the change management, which includes financial factors such as ROI (return on investment), cost avoidance, risk mitigation, benefits realization, and the probability of meeting the set objectives. These factors, especially the ROI factors, help create a higher adoption plan and also checks for the proficiency of the change management plan. Financial analysis checks for instances of poor mitigation and also poor management.

Engage customer feedback

Engaging customer feedback helps establish the change value. Exploring new customer requirements will help discover the smart investment plan for the change process. For example, getting the feedback process from the customers through the online process will help ensure there is a tracked action for the employees, and also action can be taken based on their feedback. Also, acclaiming what the employees are doing right is quite a smart thought and thus shows how customers can be engaged listening to customer feedback makes them feel part and parcel of the organization process. Seeking the opinion of the customers will feel significant and thus, providing feedback to the organization makes them believe that their opinion is highly valued. Comment by Melissa McCollum: Again some of this can be a part of the communication process.

Process two: project evaluation stage Week three

Establish the impact the change plan will have on the organization

Establishing how change leads to a positive or negative impacts on the organization is quite a competitive sense of change (Hekkert et al., 2007). Verifying the change will ensure the relevance in innovation, skill development, staff morality, and opportunity identification. Staff morality could include their ethical impacts based on their emotional intelligence. Defining clear roles, reward acceptance, and proper training explains the significance of the change process in an organization. Through training, there will be improved, innovative skills, and opportunity identification all through the process. Comment by Melissa McCollum: Check for spelling error. Comment by Melissa McCollum: Check for spelling error?

Establish the expected outcome for initiating the change plan

Checking for the outcome of the process is a great need to ensure the results easily shifts all through the organization. The expected outcome should be controlling management costs, reduce employee stress and anxiety, and also ensure the organizational objectives and values are in line with the operations. Other effects such as job reductions and salary cuts would also impact the employee's morale, thus very significant in the analysis. Factors such as stress can be attributed to the activities, thus become necessary in ensuring there are ways of averting the process. Comment by Melissa McCollum: Look at changing wording here.

Identify the steps for overcoming the potential barriers

Identifying the process of overcoming the barriers to change will help in the smooth transition of the change plan project. There are barriers to change, such as fear, the "what if" game, labels, and lack of focus (Fullan, 2011). Fear and the blame game would always be a dragging concept in ensuring the change process is delayed. As initially spelled out in the communication strategy segment, the ruthless focus is so much important in ensuring change in any organization; therefore lack of focus would mean the process would be stringent. Comment by Melissa McCollum: Check wording here. Comment by Melissa McCollum: May need comma here.

The following are the steps involved in identifying the potential barriers and overcoming them; check on the organizational reality and accept it's the current position. Also, develop your own organizational story to help build a stimulus and response through the organizational space. Always strive to make an inch forward and further enlist various support. Comment by Melissa McCollum: Check spelling here.

Other factors, such as communication barriers, can be solved by ensuring there is a proper employee orientation. Therefore, improving interpersonal relations will result in the proper judgment of the process. Communication through actions will ensure a smooth process, thus a good feedback process. Better communication will ensure there's a proper goal setting and thus will call for effective participation and reward in the system. Consistency, courage, and being ready for the future will help overcome future change barriers. Therefore, overcoming a problem will make you feel you have a great deal in success. Comment by Melissa McCollum: Are these paragraphs supposed to be combined?

Process three: implementation stage Week six

Perform a business intelligence

The business intelligence process helps in developing strategies and technologies used in analyzing current and historical data within the organizational objective (Negash, S., & Gray, 2008). Business intelligence helps provide a competitive advantage through the strategic decision making and competitive advantage. Therefore, developing the tools necessary to create value from big data. Business intelligence herein helps the organization make a better decision by showing the current and former data within the business context. The shift required better business intelligence to help provide performance and competitor benchmarks to make the organization run smoother and more efficiently. Comment by Melissa McCollum: Check author spelling here.

Establish an efficient project design and implementation strategy

The implementation strategy will help to define how to bring the strategic plan to life. Executing the objectives outlined in the strategic plan, one must begin by defining how the organization will implement each aspect stage, from funding and personnel to organization and deliverables. Implementing project success will require realistic measures and expectations. The process of evaluating the requirements must be placed down just before the project demands. Therefore defining a realistic budget from the analysis will help the team to accept change and further maintain the management commitment and also participate in the executive-level discourse. The stage must, therefore, align proper funds and also align the financial resources of the project to ensure its success. Comment by Melissa McCollum: A comma may be needed here. These two paragraphs may need to be combined in some way.

Part III Evaluation and Dissemination plan

Healthcare, as one of the pillars of the world economies in the global arena, is categorized by several barriers and concerns, thus reducing its efficiency. Access to healthcare is becoming increasingly more costly and thus hindering clinical intervention for the people. Finance being the key issue in healthcare administration, has become a current fundamental issue. Different healthcare organizations have attempted to moderate their prices despite the ever-increasing prices within the healthcare sector. Most of the rising segments of healthcare include insurance premiums, pharmaceuticals, and healthcare expenditures. According to Teel, 2017, healthcare is a huge topic that presents huge challenges. President Trump, throughout his administration, thus far, has been working to implement affordable healthcare by covering millions of uninsured Americans (Wood, 2011).

A plethora of challenges should, however, be expected on the rise for the possible next five to ten years. Therefore healthcare administrators should include a policy change, technological improvements, and medicinal advancement. These issues can be mitigated by a change in the healthcare plan and also include proper funding, education, and ethical issues. In as much as the cost of operation would be costly, healthcare administrators should suggest technological advancements to increase medical efficiency and access. Operational training, therefore, is required in the long run. Comment by Melissa McCollum: A comma is needed here.

The introduction of telehealth medicine will be the most appropriate solution to the situations we are facing today in regards to the lack of access to healthcare for many Americans. Technology is analytically put into focus to help give diverse opportunities for change; therefore the improving the health care design would ensure more safety and efficiency. Technology plays a huge role in healthcare communication, and therefore through its implementation and change, then it will promote patient-centered healthcare, employee education, patient training, and improved quality care. This paper provides an insight into how the healthcare issue can be mitigated, the change plan implemented and evaluated by the healthcare administrators. Comment by Melissa McCollum: Think of changing wording here. Comment by Melissa McCollum: Add comma here. Comment by Melissa McCollum: Look at the wording of this sentence.

Problem Defined

The clinical challenge in healthcare is massively affecting the healthcare section through its desirability and efficiency. Different patients seek to have a positive impact on their treatment and medication in the long run. There would be low utilization of healthcare if in case there were low insurance covers. Most patients also have problems with expressing themselves using a specific language. Also, Medicaid care, as most recently projected, has become a tremendous health issue globally (Dranove,2017). Finance, on a similar note, has claimed a lot of negotiating plans in healthcare. Finance has to do with how much the services cost and how easy the locals can afford. Among those employed in the United States, their increasing care cost is estimated to be higher than their expenditure planning. Individuals cannot access healthcare because of the financial burden in the United States healthcare. Considering the financial plan in healthcare, most individuals might still be uncovered due to the fact that they are uninsured. Comment by Melissa McCollum: May need to do a better definition here if you are explaining the dissemination plan.

Change Plan Evaluation

The change plan is the formative step of evaluating the implementation plan (lee et al., 2017). The stage ensures the program or rather the action plan feasible enough and is acceptable before its implementation. The change plan valuation is usually done whenever a new program is set out or is being developed when an existing one is being modified or adopted. For example, the government plays a huge role in ensuring primary caregiving is established. It is, however, noted that they are a silent party in healthcare service delivery. That is because they find it feasible to engage in the process. The government, as a silent stakeholder in healthcare, helps determine how easy healthcare can be in terms of cost and accessibility. By virtue of care and human rights requirements, the government plays an essential role in ensuring there is proper service delivery in healthcare. The evaluation process, therefore, allows for modifications on the plan and thereby maximizes the likelihood that the program will succeed. Comment by Melissa McCollum: Should this be capitalized the author Lee?

The change plan evaluation usually takes place at different intervals. Therefore, the project build-up requires a clear picture of the process and the expected impact of the program. The program, in this case, affects timing, and therefore progress is evaluated after a long term like two years. Change plan evaluation, therefore, requires the person to clarify and reevaluate the process. It is needful to check on the alignment of the company training objective after the change. After the reevaluation, it is needful that one has to check at the company metrics and also get the healthcare professional's inputs into the task. In the end, it is necessary to hire an outsourcing partner to help analyze the training process. Comment by Melissa McCollum: Good information here, check for some sentence rephrasing in both paragraphs.

Inputs (resource implementation)

Healthcare reform requires an established resource to ensure success and productivity. In that context, resource implementation refers to accessing multiple categories of communication within or outside the healthcare IT system, the integration of different attributes with one another, and its interactions not only with technology but also with the humans for a better culture of an organization. Through the support of hospital leadership, resources such as funds can be used to implement the desired change strategies in healthcare.

Something significant to mention is that besides the leadership, human resource, and funding, there should be five concepts within the aforementioned resources. These resources include vision, skill, incentives, resources, and an action plan (Hughes, 2016). According to Allen, 2016, the latter resources are indispensable. That is to say, they are user-specific and thus illustrate that we need to focus on managing the change process. Snee also suggests change is inevitable, and therefore, it will always exist and thus need for improvement (2010). Therefore he suggests the lean sigma of the change process to help determine the change process. These factors include; strong leadership, which will provide direction, a clear motif, and objectives for a vision for the future, the need to communicate the change, resistance management, and culture modification. Comment by Melissa McCollum: Check here for spelling error and look at wording within the sentence. Comment by Melissa McCollum: May need comma here. Comment by Melissa McCollum: Check correct punctuation here.

The resources will play a role in turning plans into actions to accomplish special plans in health care. After funding in healthcare is achieved, human resources are key in ensuring change implementation in healthcare. The humans form essential reforms to help establish efficiency and productivity in healthcare. Also, physicians play a huge role as a resource in healthcare. The nurses and physicians justify the services cost in any healthcare institution. That is to say, they offer the healthcare cost convenience for every patient. Nurses and physicians also are key participants in Comment by Melissa McCollum: It seems that this is an incomplete sentence.

Projected Outcome Evaluation

The outcome evaluation measures the program's effects on the target population. The assessment of the progress in the impact will much be dependent on the objectives that the program has rolled out. Process evaluation, therefore, helps determine the program activities that may have been implemented and resulted in various levels of outputs. Comment by Melissa McCollum: The content of these three partial paragraphs should be combined.

Major clinical consequences have been noted most recently, and the broader population suffers the challenge of high morbidity and mortality. Different individuals have access to healthcare based on different factors that have they are also barred by other challenges such as pay structure, training, and educational challenges, ethical challenges, healthcare regulatory policies, and shortage of healthcare professionals. The posed issues engage a significant challenge to healthcare administration. With regard to the positive well-being of the healthcare clients, different clinical settings have solely been overwhelmed and thus need proper assistance to keep them going. In that matter, the decision-making process of different management in healthcare will define the concept of countering the barrier.

The decision-making process will be dependent on questions such as where they receive intensive and proper care, how effective was the plan to the target population, was there any adversities in the process, and what would justify the process.

Dissemination plan (who, what, where, how, and when)

Who

Stakeholders in healthcare are your driving force for projects and financial support. Therefore, several role positions in healthcare administration have a greater effect on the stakeholder sector. Stakeholders in healthcare are the primary determinants of success in healthcare facilities. These stakeholders include insurance companies, pharmaceutical firms, employees, government, and employees. The efficiency that needs to be established in these areas requires a strategic collaboration among professionals and stakeholders in general. The collaboration helps execute healthcare plans successfully without any barring challenges. Comment by Melissa McCollum: Employees named twice.

Different patients have limited capacity for sustenance; therefore, there is a high likelihood that they might not reach the therapeutic requirements. In that case, there will be a failed service delivery due to the high cost of care; acknowledging this fact and acting through the government to help issue incentives on the same will be much helpful. Minimizing the patient gap with the care supply should be the ultimate goal. Therefore essentially reducing the panic on these gaps such as financial issues and even language would have greater power on changing the healthcare position. Comment by Melissa McCollum: May need a comma here.

What

Generally, the interoperability of the healthcare system requires a strategic form of leadership, holistic individual health, and delivery system transformation. The patients should be aware of the ability to access virtual care and also engage collaborative platforms for the telehealth provisions. In that context, different organizations put up different strategies to ensure the information is well disseminated through its objectivity. Getting serious about ensuring the healthcare costs are subsidized and thus emphasize primary care would be a championing effect that significantly will help creates a cohesive concept of healthcare service delivery. Comment by Melissa McCollum: Find a way to combine these paragraphs and check sentence wording of the two (what and where).

Where

Based on a clinical care setting, the change implementation process should begin with the special identification of the problems in the healthcare facilities. The pattern should follow a framework that ensures every participatory method is done within a healthcare setting. The dissemination action plan will be useful in government facilities, hospital care facilities.

How

Sustainability in healthcare illustrates how the system delivers high-quality care through improved public health without necessarily exhausting the provided natural resources or even causing damage to the ecological system. Sustainable change in an organization helps an organization move from making efforts to change consciously and establishing a new and acceptable way of doing business. Sustainable change helps create certain levels of improvement in healthcare, which is every organization's objective.

It is easy to imagine what a sustainable healthcare system is; it depends heavily on the financial limits of social and environmental resources. The barriers to change project lie within the lines of a sustainable healthcare system. Sustainable healthcare requires three constructs, which are: social, environmental, and economic resources. The paper effortlessly focuses on the change plan by giving its efficiency mechanism, which ensures broader healthcare sustainability through health promotion, ensuring the healthcare needs are well covered through the constructs of technology. The impact of technology will help eliminate non-emergent visits within the emergency department, ensure total safety of the staff, ensure total safety of the patient, and also ensure there is a safe provision of critical healthcare. Healthcare sustainability is therefore developed through managing short term impacts such as consistency in the use of telehealth, patients utilizing the health platform by posting their health care concerns, and also consider responses given by the physicians. Also, improving on follow up concerns of the patients is one major requirement.

Most healthcare challenges are being introduced by healthcare professional shortages, advancing healthcare technology, cybersecurity payment processing and invoicing healthcare regulatory changes, and pressure on pharmaceutical pricing. Ensuring there is well-established training for both the professionals and the patient will helps give a wider audience for the implementation plan. Also, the creation of a virtual website will give the nurses a platform for consultations. Therefore the success, availability, and sustainability of the practice will be dependent on three primary concepts, which are posters, presentations, and papers. Therefore ensuring there is a well-established channel for communication will help save the day. Comment by Melissa McCollum: Add comma here. Comment by Melissa McCollum: Add comma here.

The communication process also counters resisters. Therefore Resisters In change implementation should be approached immediately and in person and hear them out to ensure you get them involved in the process. The ultimate goal is usually better communication and culture enforcement, not leaving behind the concept of feedback. The feedback process ensures there are positive feedback and positive reinforcement on special or weird behaviors within the system. Therefore the plan is to sustain change and give better communication channels. Comment by Melissa McCollum: Add comma here. Comment by Melissa McCollum: Add comma here.

When

The dissemination action plan is needful during healthcare campaigns for the general population nurses, Physicians will be useful in this context since they will be able to post helpful information on the telemedicine plan either through leaflets or through pamphlets. Also, the use of a website can be utilized.

It is easy to note that the major barrier to healthcare is the high cost of care. Insurance companies provide easier mechanisms of ensuring there is quicker facilitation of cost payment within hospital care. Insurance plans make the loudest impact on healthcare since it ensures affordability within the healthcare institution. Therefore, in conclusion, factors such as Insurance and technologies should collaborate well enough to accommodate the change process. Other human resources and stakeholders ensure there is a strategic concept of accepting change and living through it.

In conclusion, the basic concept of change in healthcare is to improve the organizational culture to help improve client satisfaction. Changing the status quo is like fire in the belly, however with physicians being at the center of the game, they must help set tone for practice in healthcare. Whenever they are not ready, or on board with the changes, the healthcare change implementation might not take place. It is appropriate and helpful to seek advice from the physicians to help assess the needed changes before setting forth with the desired implementation of the change. Also, benchmarking different organizations will help seek a comparison of practice performance on key healthcare indicators. Other set information usually encourages change the more. Comment by Melissa McCollum: Consider changing the wording of the conclusion from (in conclusion) It would work with (the basic concept).

References Comment by Melissa McCollum: Spelling error.

Allen, B. (2016). Effective design, implementation, and management of change in healthcare. Nursing Standard, 31(3).

Bull, M., & Brown, T. (2012). Change communication: the impact on satisfaction with alternative workplace strategies. Facilities.

Dranove, D., Gartwaite, C., & Ody, C. (2017). The impact of the ACA's Medicaid expansion on hospitals' uncompensated care burden and the potential effects of repeal. Issue brief (Commonwealth Fund), 12, 1-9. Comment by Melissa McCollum: Spelling errors.

Fullan, M. (2011). The six secrets of change: What the best leaders do to help their organizations survive and thrive. John Wiley & Sons.

Hekkert, M. P., Suurs, R. A., Negro, S. O., Kuhlmann, S., & Smits, R. E. (2007). Functions of innovation systems: A new approach for analyzing technological change. Technological forecasting and social change, 74(4), 413-432. Comment by Melissa McCollum: Spelling errors.

Houghton, C., Meskell, P., Delaney, H., Smalle, M., Glenton, C., Booth, A., ... & Biesty, L. M. (2020). Barriers and facilitators to healthcare workers’ adherence with infection prevention and control (IPC) guidelines for respiratory infectious diseases: a rapid qualitative evidence synthesis. Cochrane Database of Systematic Reviews, (4). Comment by Melissa McCollum: Spelling errors.

Hughes , H. (2016, April 1). Identify Resources Needed for Change. Institutional Change. https://serc.carleton.edu/liberalarts/change/develop.html.

Lee, J., Walker, E., Burleson, W., Kay, M., Buman, M., & Hekler, E. B. (2017, May). Self-experimentation for behavior change: Design and formative evaluation of two approaches. In Proceedings of the 2017 CHI conference on human factors in computing systems (pp. 6837-6849). Comment by Melissa McCollum: Spelling errors.

Mayfield, P. (2014). Engaging with stakeholders is critical when leading change. Industrial and Commercial Training.

McGlynn, N., Browne, K., Sherriff, N., Zeeman, L., Mirandola, M., Gios, L., ... & Niedźwiedzka-Stadnik, M. (2020). Healthcare professionals’ assumptions as barriers to LGBTI healthcare. Culture, health & sexuality, 22(8), 954-970. Comment by Melissa McCollum: Spelling errors.

Moore, L., Britten, N., Lydahl, D., Naldemirci, Ö., Elam, M., & Wolf, A. (2017). Barriers and facilitators to the implementation of person‐centred care in different healthcare contexts. Scandinavian journal of caring sciences, 31(4), 662-673. Comment by Melissa McCollum: Spelling errors.

Negash, S., & Gray, P. (2008). Business intelligence. In Handbook on decision support systems 2 (pp. 175-193). Springer, Berlin, Heidelberg. Comment by Melissa McCollum: Spelling errors.

Snee, R. D. (2010). Lean Six Sigma–getting better all the time. International Journal of Lean Six Sigma. Comment by Melissa McCollum: Spelling error.

Teel, P. (2017). Five top challenges affecting healthcare leaders in the future: Healthcare is a big topic which presents even bigger challenges for healthcare leaders. Becker's Hospital Review. https://www.beckershospitalreview.com/hospital-management-administration/five-top-challenges-affecting-healthcare-leaders-in-the-future.html.