HCA 827 Assignment Papers

Describe a situation that could have benefitted from the application of the processes of a learning organization. What would have been different had these processes been applied? Explain. How might this application of processes have produced a different outcome? Support your reasoning with current research.

The practical use of theories may be overlooked in routine, daily management and operations as a tool for creating sustainable organizations. Is it reasonable to incorporate Diffusion of Innovation Theory into a health care organization in order to enhance daily operations and promote sustainability? Why or why not?

Health care leaders need to understand community demographics in order to plan for population health including changing demographics across a continuum. On which aspects of the demographic continuum should healthcare leaders focus? Why is this focus important?

Find the U.S. Census Bureau data for the last three surveys for your state. Which changes in demographics (i.e., age, race, income) have exuded the greatest influence on health care services in your state? Why? How might understanding a demographic continuum assist with the planning of future community health services for your state? Why?

The Health Insurance Portability and Accountability Act (HIPAA) governs and influences compliance policy at all health care organizations including policy that drives patient data protection workflows. What do you believe is the most significant way that HIPAA influences the use of technology in the patient data communication workflow? Why?

Regulatory changes often prompt workflow changes or the addition of bureaucratic levels to manage the implementation of the regulation. How can leaders encourage workflow innovation that creatively mobilizes existing organizational resources to meet the challenges of regulatory guidance? Explain. When is it acceptable to expand an organization to meet new regulatory requirements? Explain.

Health care innovation and change, while seemingly slow, often move faster than people in health care organizations are reasonably and pragmatically willing and able to adjust. What are two people-related barriers that health care leaders need to mitigate in order to facilitate innovation and change? How can those barriers best be mitigated? Why?

Impending changes in reimbursement structures commonly find health care leaders working to balance the budget of the current month while simultaneously adjusting practice in order to meet upcoming requirements. How can health care leaders most effectively facilitate quick innovative change, while navigating bureaucracy? Support your position.

Recessions commonly have a negative effect on the budgets of health care organizations as well as the personal finances of individuals. How has the most recent recession changed health care in your community? Have these changes been entirely negative, or are there positive results as well? Explain. What do you believe are the best strategies for your community to enact to support any positive changes and to offset the negative changes? Why?

Economic downturn commonly means less time in the hospital and greater demand for other services. How might health care leaders best create steady revenue streams amidst changing service requirements created by fluctuating economic conditions? Why? Can steady and sustainable revenue ever be fully achieved? Why or why not? To what extent does the notion of universal health care coverage influence the stability and sustainability of revenue streams for health care organizations? Why?

Stakeholder feedback comes from a variety of sources in the contemporary, connected world including patient and employee perspectives as well as the views of community and government. As a health care leader, what research-based approach would you take to reduce staff anxiety and improve staff opinions with regard to the use of patient satisfaction questions as a tool for organizational decision making? Why would you take this approach?

There is a trend toward including patients on committees and boards of health care organizations as a means of gathering stakeholder feedback and creating a structure of shared governance with stakeholders. Is this a valid means of gathering stakeholder feedback? Why or why not? Should health care organizations continue the trend toward creating shared governance with stakeholders? Why or why not?

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Quality safe care is the ethically responsible thing to do and, as such, it requires an ethically responsible budget. However, quality safe care typically costs more at the time of service. As a health care leader facing economically driven funding cuts, what strategy might you employ to steer the organization to the creation and maintenance of an ethically responsible budget that assures quality safe care? Why would you choose this strategy?

Quality safe care tends to cost more initially, but many believe that it ultimately reduces costs because it allows for more money to be spent on care than on lawsuits, relapses, infections, and other unwanted consequences. To what extent is the delivery of quality safe care a factor of the work environment? Explain. Does ethics education play a role in the creation of a work environment dedicated to quality safe care? Why or why not?

A positive culture that includes shared leadership creates buy-in and fuels the sustainability of the organization. In addition, research notes that a satisfied staff leads to better patient outcomes. Is the promotion of a positive culture primarily the role of management in a health care organization? Why or why not? How can members of a health care organization cooperate to ensure an organizational culture that promotes the sustainability of quality safe care? Explain.

The courses that comprise the health care emphasis of your doctoral program have addressed areas such as organizational structures, governance, health care regulation, professional development, leadership, community, and sustainability. Take a few moments to reflect back over the key themes of the emphasis courses. Which of these resonates with you most strongly? Why? How will this influence your dissertation research now that your topic is largely solidified?

HCA 827 Full Course Assignments GCU

HCA 827 Topic 2 Change and the Learning Organization

Health care leaders must embrace a lifestyle of change in order to create the culture of a learning organization that is amenable to and supportive of innovation, adaptation, and change. Rogers’ diffusion of innovation theory can be used to create a significant conceptual framework for change. In this assignment, you will describe how health care leaders can use Rogers’ theory to create the culture of a learning organization.

General Requirements:

Use the following information to ensure successful completion of the assignment:

• This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
• Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
• This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.
• You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Directions:

Write a paper (1,000-1,250 words) that describes how Rogers’ diffusion of innovation theory can be applied to a health care organization to create within it the culture of a learning organization. Include the following in your paper:

1. An overview of Rogers’ diffusion of innovation theory.
2. A discussion of one other theory that could be used to guide an organization toward becoming a learning organization.
3. A description of the characteristics and attitudes required for a health care organization to be considered a learning organization. What attitude should a learning organization take toward change?
4. A discussion of which of the two theories discussed above may best guide the creation of the culture of a learning organization in a health care organization.

HCA 827 Topic 3 Benchmark – A Changing Community

A small, rural community has had, since its founding nearly a century ago, a stable population, including a steady median age and a relatively homogenous ethnicity. However, in the last 5 years, the area’s natural beauty and its suitability for outdoor activities have transformed the community into a tourist and recreational destination. This has created a fluctuating seasonal population of recreational visitors. As a result, the integrated health care system in the community is experiencing a rise in demand for emergency and urgent care. This is placing economic pressure on the health care system because of government regulation surrounding the delivery of emergency care regardless of the patients’ ability to pay. In this assignment, you will create a presentation for the board of the community health care system that outlines necessary changes and possible innovations to respond to the economic pressure of the demographic changes to this community.

General Requirements:

Use the following information to ensure successful completion of the assignment:

• This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
• Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
• This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.
• You are not required to submit this assignment to LopesWrite.

Directions:

Create a presentation (10-15 slides with speaker notes for each slide) that outlines for the board of the community health care system described above a significant change or innovation that you believe is necessary to provide adequate services and impriove quality of care for this changing community. The presentation must include the following:

1. A description of the change or innovation
2. A rationale for the change or innovation. What demographic and/or other changes within the community have precipitated the need for your proposed change or innovation? What practical need will this meet?
3. An analysis of the steps you will take to evaluate the change or innovation. When will these steps be performed? What are the strengths, weaknesses, opportunities, and threats (SWOT) of the change or innovation?
4. A description of the impact of the change or innovation on the governance and structure of the existing health care system. (Benchmarks 12.1: Analyze the governance and structure of health care institutions.)
5. A description of the governmental regulations that influence the implementation of this change or innovation. How will quality of care be affected by the interaction of these regulations and the proposed change or innovation? (Benchmarks 12.2: Evaluate the influence of governmental regulations on quality of care.)

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HCA 827 Assignment Papers Topic 5 Benchmark – Economic Change and Staff Development

Changing economic conditions are commonplace in the current global marketplace. With these changing economic conditions come changes in the services needed. This leads, in turn, to a need for staff development to adequately provide these new services. This staff development must be fiscally sound in order for the organization to remain viable while preparing staff members to provide these services. In this assignment, you will interview a health care executive to determine how to navigate this uncertain terrain of economics and staff development.

General Requirements:

Use the following information to ensure successful completion of the assignment:

• You will need to set an appointment of approximately 30 minutes with a health care executive. Plan well ahead to ensure that you can secure an appointment and have adequate time to complete the assignment.
• This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
• Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
• This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.
• You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Directions:

Interview a health care executive at any type of health care organization. This should be done in person, by phone, or by video conferencing and not via email exchange. During the interview, ask the executive the following questions:

• What was the greatest economic challenge you faced in your position over the last 5 years?
• What changes were necessary as a result of that challenge?
• What staff development strategies were used to equip staff to adapt to the required changes?
• How was the staff development funded?
• How did staff react to the change? What were the positives and negatives seen by the staff?

Write a paper of (1,000-1,250 words) that synthesizes the findings of your interview. Do the following in your paper:

1. Identify the individual who was interviewed. Provide the individual’s name, company, title, and e-mail address.
2. Summarize the challenge discussed in the interview.
3. Summarize the changes that resulted from the challenge.
4. Summarize the reaction of the staff to the changes.
5. Provide a research-based evaluation of the changes that were made. Were they necessary and appropriate? Why or why not? Did the changes meaningfully contribute to the organization’s sustainability? Why or why not?
6. Provide a research-based evaluation of the staff development that was conducted as a result of the changes. What staff development strategies were used? Were these appropriate? Why or why not? Was the staff development appropriately funded? Why or why not? (Benchmarks 12.3: Analyze strategies of fiscally sound staff development.)

HCA 827 Topic 5 Benchmark – Economic Changes and Staff Development Perspective at MedStar Washington Hospital Example Essay

A phone interview was conducted with a Health Care Administrator staff from MedStar Washington Hospital in Washington, DC. MedStar Washington Hospital Center (MWHC) is the largest not for profit healthcare organization in the District of Columbia, and is a valued member of Medstar. It is the flagship hospital of Columbia, Maryland based MedStar Health. It is nationally recognized for their diagnosis and treatment of cardiovascular diseases. Also, its mission statement is to deliver exceptional patient-first health care, and the vision statement states they want to be a trusted leader caring for patients and advancing health. This paper will document the results of an inclusive interview that was conducted with MWHC President with several thoughtful answeres to multiple questions such as the most significant economic challenge, changes resulting from the problem, and the staff reactions to the challenges.

Challenge Facing Washington Hospital Center

MWHC confronted numerous financial challenges during the tenure of President John Sullivan. He came aboard during the worst economic stresses, monetary crisis facing the hospital center, and in addition, laid off approximately 1000 associates from numerous departments between the years of 2011-2017 due to budgetary restraints. He indicated that MWHC is still facing new challenges daily.

Also, President Sullivan was willing to conduct a face-to-face interview to speak about the significant challenges facing the hospital center in 2017-2018.  His email address is [email protected].  He indicated that there were over 50,000 women, men, and children who depend on MedStar Family Choice for healthcare services through Medicaid. The District of Columbia Department of Healthcare Finance excluded MWHC from the managed care contract award after five years of service to District residents. The healthcare plan was the choice of district residents which provided them access to high-quality healthcare inspite of the their financial situation. Enrollment in the program has grown dramatically compared to the other two Medicaid health care plans.

MWHC serves thirty-five percent of the residents in Washington, DC. The latest financial setback damaged the 2018 fiscal budget significantly, and currently there are over 120 positions which are in the over budget category. There is a four percent drop in admissions and an eight percent drop in inpatient surgeries. Also, there is Medicaid reductions, a new Medicare rule which reclassifies higher paying inpatient admissions and the implementation of a new medical record keeping system which is needed.  Obama Care Shuttering Hospitals and Free Clinics (2015), indicated that smaller hospitals in poorer areas, which have a high concentration of Medicaid patients, are already beginning to shut their doors. In a December 14 article for WND, Paul Bremmer reported that in 2013, 18 acute-care hospitals in the United States closed, and “at least 12 more hospitals have closed this year in rural areas alone,” with more to come.

Interventional changes

In the current healthcare environment, there are growing partnerships between physician groups and hospital. Approximately six established prominent radiation oncology groups have partnered with MedStar. There will be training offered for other clinical employees due to a new policy being put in place because interventional radiology oncology employees are not credentialed to register new patients.

Another area of change is the MedStar Health contribution to employee’s 403 (b) plan. The hospital will no longer contribute six dollars to every dollar when an employee invests in the program. Also, former employees cannot withdraw any funds on their plans due to the hospital’s financial strains. The employee can contact Fidelity Investments and have their payments transferred to a Roth accounts if desired.

The third are of change is that employees will get pay raises of one percent until the hospital solidfy a plan to escape financial difficulty. Executive managers, front-line managers, and hourly associates are affected by this decision, and there is currently a hiring freeze on vacant positions. This mean everyone will have to double up on shift work and make the best of a difficult situation.

Employee Reactions

President Sullivan indicated that a large proportion of change initiatives is extremely unsuccessful in organizations. A recent town hall meeting was held about the newest changes at the center. The leading cause of change is employee resistance and acceptance. The recent town hall meeting addressed the upcoming changes and was attended by almost every employee.  Employees morale and disappointment were heard loud and clear. Younger employees are aggravated, and overheard conversations that some staff have already started searching for other jobs in other health care facilities which consisted in state and out of state. Older employees feel helpless but confident that the recent changes will help the organization overcome their financial hurdle, and will attempt to ride it out until retirement.

Evaluation of changes made at WHC

Today’s organizations are increasingly implementing assessment tools for instance as staff development plans (Beausaert et al., 2011). The power of this tool lies in supporting

employees continuing professional development (CPD), and includes all training and education undertaken by an employer to improve the occupational knowledge, skills, and abilities of employment. Also, there is a process consisting of orientation, in-service education and continuing education for employees. There is a process consisting of orientation, in-service education and continuing education for employees.  Below in Figure 1 displays a development plan that can be utilized for each staff to assist with the change transition,

MWHC staff plans to center their developmental plan around computer training which will be funded by their parent company known as MedStar Health, and issued by all Human Resources Departments throughout the organization. Mkoka, Mahiti,  Kiwara, Mwangu, Goicolea, & Hurtig (2015) stated, “Other researchers have commented on the need to establish a positive working environment, keep communication open, provide opportunities for career advancement and recognize and reward hard-working health workers, (p. 2)”.

Conclusion

There are many health care organizations in the process of implementing change due to budget constraints, and unfortunately, organizational change will affect some staff negatively, and staff will have to try and work with their organization and keep the lines of communication open with their supervisors.  Healthcare facilities are still not where they should be in processes and financially, but they are much better than they were a few decades ago.  With technology on the rise, and advancement in systems, processes and medicine are still climbing slowly.  Some healthcare organizations are in better shape than others, but the politicians need to focus more of U.S. Healthcare while eliminating some of the other concerns that are not so important if healthcare financially is to be improved.  One day eventually, healthcare will get to where they need to be, and delivering quality services to the communities with highly skilled professional staff will improve drastically eventually.

References

Beausaert, S. A., Segers, M. S. R., Gijselaers, W. H. (2017). Vocations and Learning,

4(3), 231-252.HCA 827 Assignment Papers

Mkoka, D. A., Mahiti, G. R., Kiwara, A., Mwangu, M., Goicolea, I., & Hurtig, A. (2015).HCA 827 Assignment Papers

“Once the government employs you, it forgets you”: Health workers’ and managers’ perspectives on factors influencing working conditions for provision of maternal health care services in a rural district of Tanzania. Human Resources For Health, 13(1), 1-13. doi:10.1186/s12960-015-0076-5

ObamaCare Shuttering Hospitals and Free Clinics. (2015). New American (08856540), 31(2), 7.HCA 827 Assignment Papers

HCA 827 Topic 7 Benchmark – Stakeholders and Sustainable Quality Care

Stakeholder feedback comes from a variety of sources in the contemporary, connected world including patient and employee perspectives as well as the views of community and government. There is a trend toward including patients on committees and boards, and the garnering of positive feedback is a primary component in pay-for-performance programs that utilize patient satisfaction data to distribute incentives to employees. In this assignment, you will describe what you believe the current academic research indicates is the ideal feedback group for a health care organization.

General Requirements:

Use the following information to ensure successful completion of the assignment:

• This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
• Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
• This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.
• You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Directions:

Write a paper (1,000-1,250 words) that describes what you believe the research indicates is the ideal stakeholder feedback group for a health care organization. Include the following in your paper:

1. A brief description of the organizational setting and leadership structure.
2. A description of the group’s size, structure, and composition. How many members will be in the group? How will the group be structured? To whom will the group report? What types of members will be sought?
3. A rationale for the composition of the group. Why is each type of member included? How do inter-professional teaming and collaboration contribute to the composition of the group? (Benchmarks 12.4: Evaluate approaches to inter-professional teaming and collaboration.)
4. A discussion of how the group will promote sustainability and quality care in the organization. (Benchmarks 12.5: Integrate sustainability with the requirements for quality care.)

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HCA 827 Topic 8 Literature Review Resources

Successful completion of a doctoral dissertation requires significant amounts of independent reading on the research topic. By this point in the program, this reading should have allowed the doctoral learner/researcher to become familiar with the scope of the topic and to identify gaps or tensions within the existing literature on the topic. These gaps and tensions are now the focus of the dissertation research. In this assignment, you will read and annotate potential sources on your dissertation topic. Those demonstrating the most merit should be added to your electronic (e.g., RefWorks) list for potential inclusion in the literature review section of your dissertation.

General Requirements:

Use the following information to ensure successful completion of the assignment:

• It is recommended that you engage in this activity throughout the duration of this course.
• Instructors will be scoring your submission based on the number of unique sources identified in the list submitted.
• Download the resource Literature Review Resources Tool and use it to complete the assignment.
• Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
• Refer to the resource, “Preparing Annotated Bibliographies,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.
• You are not required to submit this assignment to LopesWrite.

Directions:

Read at least 10 empirical or scholarly professional articles on your dissertation topic.

In the “Literature Review Resources” document, provide the following for each source:

1. The APA formatted citation.
2. A brief annotation of the key points of the source.
3. An indication of whether the source has been added to (Y) or excluded from (N) your electronic (e.g., RefWorks) list. HCA 827 Assignment Papers