How might I determine if the overarching organizational structure supports shared governance?

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You are the supervisor of a surgical services department in a nonunion hospital. The staff on your unit have become increasingly frustrated with hospital policies regarding staffing ratios, on-call pay, and verbal medical orders but feel that they have limited opportunities for providing feedback to change the current system. You would like to explore the possibility of moving toward a shared governance model of decision making to resolve the issue and others like it but are not quite sure where to start.
Instructions:
Review Learning Exercise 12.6 – Problem Solving: Working Toward Shared Governance (located in Chapter 12 of the textbook) Answer the following questions: Who do I need to involve in the discussion and at what point? How might I determine if the overarching organizational structure supports shared governance? How would I determine if external stakeholders would be impacted? How would I determine if organizational culture and subculture would support a shared governance model? What types of nursing councils might be created to provide a framework for operation? Who would be the members on these nursing councils? What support mechanisms would need to be in place to ensure success of this project? What would be my role as a supervisor in identifying and resolving employee concerns in a shared governance model?

Identification of potential barriers to plan implementation, and a discussion of how these could be overcome

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In this assignment, students will pull together the change proposal project components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course.
At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.
Students will develop a 1,250-1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:
1. Background
2. Problem statement
3. Purpose of the change proposal
4. PICOT
5. Literature search strategy employed
6. Evaluation of the literature
7. Applicable change or nursing theory utilized
8. Proposed implementation plan with outcome measures
9. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome
10. Appendix section, if tables, graphs, surveys, educational materials, etc. are created

What level(s) of government does reducing healthcare cost involve (local, state, federal)?

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REQUIREMENTS
Assignment Criteria for Presentation:
1. Provide an introduction to reducing healthcare cost issue.
2. Articulate key points under each of the , using the headings in your paper.
A- Describe reducing healthcare cost. Why is this issue of particular interest/importance to you and to the profession of nursing
B-. What is the specific problem, including background, surrounding this issue? Is there a need for a new law or campaign related to this issue? Is there a need for change to an existing law? Is there need for a change in regulatory issues? What specific supportive evidence do you have for this issue, including evidence and references? You will need to include this in your message/ask/recommendation(s).
C- Review thoughts regarding reducing healthcare cost. It is important to analyze your issue thoroughly. Be sure you address the following with evidence and research:
• Context
• Goals/options
• Evaluation of options
• Recommended solutions
D. How can you find out the current status of reducing healthcare cost? Is there a website (professional organization such as the American Nurses Association or local, state, or federal government) that provides status updates or alerts? Please describe.
E. What level(s) of government does reducing healthcare cost involve (local, state, federal)? What level of government is your immediate target? Please describe.
3. Provide a critique of empirical evidence that supports reducing healthcare cost and analysis.
4. Demonstrate the importance and impact of reducing healthcare cost to nursing.
5. Provide concluding statements summarizing the content.
Please use APA 6th edition.

Research the role of regulation and accreditation, and discuss the role that each plays in holding health care professionals and organizations accountable.

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Research the role of regulation and accreditation, and discuss the role that each plays in holding health care professionals and organizations accountable.
# 1
Primary Discussion Response is due by Friday (11:59:59pm Central), Peer Responses are due by Tuesday (11:59:59pm Central). This can be late
Primary Task Response: Within the Discussion Board area, write 300 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.
Complete the following for this assignment:
Research the role of regulation and accreditation, and discuss the role that each plays in holding health care professionals and organizations accountable.
Choose 2 of the following types of health care organizations:
Acute care hospital
Nursing home
Home health care
Ambulatory care
Discuss accreditation as it relates to those organizations.
Describe the role that accrediting agencies have in clinical quality improvement and improving health care outcomes.
Note: Use APA style to cite at least 2 scholarly sources from the last 5 years.
#2
Phase 5 IP
Type: Individual Project
Unit: Accreditation and Quality Improvement Plans
Due Date: Wed, 5/10/17
Deliverable Length: 5 to 6 written pages, excluding cover page, abstract page, and reference page
View objectives for this assignment
For this project, you are tasked with developing a change management plan that will be designed to improve quality in an acute care hospital in your community. This hospital has a poor Healthcare Effectiveness Data and Information Set (HEDIS) and ORYX quality metrics, and low patient satisfaction. Further, government regulations and Joint Commission accreditation standards are not being met. Financial ruin seems imminent. When constructing your plan, conduct research using peer-reviewed sources to determine the following:
Identify goals and objectives that are expected to be met.
Provide an overview of HEDIS and ORYX measures, and describe the importance of those measures to the hospital and how the hospital can improve metrics in both measures.
Discuss the role that patient satisfaction plays in reimbursement and how you propose to improve patient satisfaction in the hospital.
Determine communication approaches for change management among clinicians and nonclinicians throughout the organization.
Identify and explain the quality improvement and evaluation method(s) that will be utilized to determine the progress of the change management plan.
Use the U.S. Department of Health and Human Services module to develop a quality improvement plan as a guide for your assignment.