DETERMIN SPECIFIC INTERNAL THAT ORGANIZATIONS LEADERS NEED TO CONSIDER IN PREPARING FOR THE FUTURE OF HEALTH CARE.

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DETERMINE SPECIFIC INTERNAL THAT ORGANIZATIONS LEADERS NEED TO CONSIDER IN PREPARING FOR THE FUTURE OF HEALTH CARE.

Due Week 4 and worth 300 points
For all assignments assume that you are the administrator of a fictitious organization of your choice.  The organization can be any type of health care organization such as a hospital, nursing home, rehabilitation center, clinic, etc. As the administrator, you are faced with the challenges of declining reimbursements from insurance providers and increasing demands for patient services due to dramatic changes in the external environment. Such changes include those imposed by the Patient Protection and Affordable Care Act.
Your first step in evaluating the position of your organization will be conducting an environmental analysis. The purpose of this is to determine your organization’s ability to continue to provide quality care and remain financially solvent in the face of these challenges.
Write a six to eight (6-8) page paper in which you:
Determine two (2) specific forces in the external environment that will have the most impact on your organization. Provide a rationale for your decision.
Determine two (2) specific internal factors that the organization’s leaders need to consider in preparing for the future of health care and the future of the organization. Provide a rationale for your decision.
Discuss the impact of both the identified internal and external forces on the organization’s ability to develop a competitive strategy.
Recommend one (1) strategy that involves the organization’s managers in implementing and maintaining the momentum of the strategic plan.
Use at least three (3) quality academic resources in this assignment. Note: Wikipedia and other Websites to not qualify as academic resources.
Your assignment must follow these formatting requirements:
Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.
The specific course learning outcomes associated with this assignment are:
Differentiate between strategic management, strategic thinking, strategic planning, and managing strategic momentum.
Analyze the significance of the external environment’s impact on health care organizations.
Examine the purpose and importance of service area competitor analysis.
Examine the role of internal environmental analysis in identifying the basis for sustained competitive advantage.
Use technology and information resources to research issues in the strategic management of health care organizations.
Write clearly and concisely about strategic management of health care organizations using proper writing mechanics

SUMMARIZE HOW INFORMATICS HAS ASSISTED IN IMPROVING HEALTH CARE SAFETY IN ORGANIZATION AND AREAS WHERE GROWTH IS STILL NEEDED.

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SUMMARIZE HOW INFORMATICS HAS ASSISTED IN IMPROVING HEALTH CARE SAFETY IN ORGANIZATION AND AREAS WHERE GROWTH IS STILL NEEDED.

The 1999 landmark study titled “To Err Is Human: Building a Safer Health System” highlighted the unacceptably high incidence of U.S. medical errors and put forth recommendations to improve patient safety. Since its publication, the recommendations in “To Err Is Human’ have guided significant changes in nursing practice in the United States.
In this Discussion, you will review these recommendations and consider the role of health information technology in helping address concerns presented in the report.
To prepare:
Review the summary of “To Err Is Human” presented in the Plawecki and Amrhein article found in this week’s Learning Resources.
Consider the following statement:
“The most significant barrier to improving patient safety identified in “To Err Is Human” is a “lack of awareness of the extent to which errors occur daily in all health care settings and organizations (Wakefield, 2008).”
Review “The Quality Chasm Series: Implications for Nursing” focusing on Table 3: “Simple Rules for the 21st Century Health Care System.” Consider your current organization or one with which you are familiar. Reflect on one of the rules where the “current rule” is still in operation in the organization and consider another instance in which the organization has effectively transitioned to the new rule.Post your thoughts on how the development of information technology has helped address the concerns about patient safety raised in the “To Err Is Human” report. Summarize how informatics has assisted in improving health care safety in your organization and areas where growth is still needed.

USE THE PDSA CYCLE TO ADDRESS THE ISSUE OF PRESSURE ULCERS.

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USE THE PDSA CYCLE TO ADDRESS THE ISSUE OF PRESSURE ULCERS.

Case
Frustrated with ongoing complaints from family members, Reba Sanders, the administrator of 100-bed Lakeview Skilled Care and Rehabilitation Facility, replaced the director of nursing (DON) after she had been on the job for less than 2 years. At the exit conference with Reba, the DON had remarked, “I don’t think pressure ulcers have been a problem in this facility the way it is made out to be by some families. Some patients develop the ulcers at the hospital before they come here; we try our best to take care of them, and I have explained to the families what we are doing. I think firing me is unfair, but it is your decision.” Before the new DON, James Osterwal, was hired for the job, Reba had mentioned to him that looking into the pressure ulcer problem would be his first priority. Reba arranged for James to attend meetings of the local chapter of a national quality improvement organization for nursing homes. Based on some of the information presented at the meetings, James quickly settled on making pressure ulcer elimination as his primary goal. James was quite familiar with the PDSA quality improvement cycle. He discussed it with the charge nurses, decided how data would be collected, and started a campaign asking all nursing staff to adopt the motto: “We will eliminate pressure ulcers at Lakeview.” The associates liked the motto because it gave them a specific goal to work toward. At James’ request, Reba approved hiring an RN nurse coordinator to float between the three shifts. The charge nurses asked their nursing assistants to report to them right away all cases of skin breakdown. James trained the nurses in best practice protocols to treat pressure ulcers. After 4 months, data showed little to no improvement in the prevalence (total number of cases) of pressure ulcers at Lakeview. Both Reba and James could not understand why.
Questions
1.  Based on what you have learned to this point in the course, evaluate the quality improvement program as it pertains to pressure ulcers at Lakeview. Provide a specific outline of weaknesses in the overall approach.
2.  Use the PDSA cycle to address the issue of pressure ulcers. Be specific. For example, how should data be collected? How would you go about identifying root causes of the problem? What interventions would you implement? What roles should the various personnel and the administrator have?

Evaluating Interdisciplinary Collaboration Skills

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EXPLORES THE MEANING OF INTERDISCIPLINARY COLLABORATION.

Evaluating Interdisciplinary Collaboration Skills
The achievements of an organization are the results of the combined effort of each individual.—Vince LombardiCollaboration is a critical component of quality improvement. It is also a central tenet of your endeavors as a scholar-practitioner in this Walden University Master’s program. To succeed in your role as a nurse leader-manager, it is important to engage in ongoing development of collaborative skills and to help foster a culture that values collaboration.In Weeks 1 and 2 of this course, you analyzed your strengths and considered how to leverage these strengths for effective leadership. In a similar vein, this week you evaluate your strengths and areas for growth with regard to interdisciplinary collaboration.
To prepare:Review the competencies described in the Interprofessional Education Collaborative report and in Chapter 9 of the Hickey and Brosnan text.
As you reflect on the competency statements outlined for each domain, think about which ones reflect your strengths. Which competency statements point to areas for growth?Consider the benefit of working with interdisciplinary teams for addressing quality improvement initiatives.Conduct a search of the literature and select at least one article that illustrates the benefits of interprofessional collaboration for nurse leader-managers as it relates to improving quality.
Required ReadingsHickey, J. V., & Brosnan, C. A. (2017). Evaluation  of health care quality in for DNPs (2nd  ed.). New York, NY: Springer Publishing Company.Chapter 11, “Health Care Teams” (pp. 227-264)This chapter focuses on the function of teams within health care with particular focus on methods of evaluation.Bainbridge, L., Nasmith, L., Orchard, C., & Wood, V. (2010). Competencies for interprofessional collaboration. Journal of Physical Therapy Education, 24(1), 6–11. Retrieved from the Walden Library databases. The authors of this article put forth a competency framework for interprofessional collaboration that can be used by various stakeholders. The framework consists of six competencies and the authors also provide detailed descriptions of the associated skills each competency requires.Braithwaite, J., Westbrook, M., Nugus, P., Greenfield, D., Travaglia, J.