NURS FPX 6218 Assessment 3 Planning for Community and Organizational Change
Phillip October 5, 2023 No Comments

NURS FPX 6218 Assessment 3 Planning for Community and Organizational Change

NURS FPX 6218 Assessment 3 Planning for Community and Organizational Change

Student Name

Capella University

NURS-FPX 6218 Leading the Future of Health Care

Prof. Name

Date

Planning for Community and Organizational Change

This assessment focuses on the health challenges that the community of Jordan has been facing for a long time. In our previous assessment, we scrutinized Jordan’s community health. Jordan is a small town located in Minnesota. Through an intricate health analysis, several health challenges were observed, such as mental health problems leading to suicide among adolescents, worsening health insurance situation, and ill management of chronic diseases due to financial constraints. Therefore, this draft of the change proposal provides several strategies and measures to address these health challenges that the community of Jordan has to endure consistently.

Summary

Benefits and Implications

To tackle the health challenges of the Jordan community, the proposed healthcare system changes can include the following strategies: 

Interaction-Based Mental Health Programs in Schools:

Establishing mental health programs within schools where counselors, psychologists, and social workers provide mental health support for students in collaboration with school authorities. In interaction-based interventions in mental health programs, adolescents and children can share their concerns, and mental health professionals can guide them to promote their emotional well-being. This change strategy aims to build resilience, coping skills, stress management, and emotional intelligence in young minds. This strategy will directly safeguard young students in school from suicidal thoughts, reducing suicide attempts (García-Carrión et al., 2019). Thus, overall health improvements will be evident as the young population of the community will have healthy minds and reduce parental stress due to these behaviors.

Health Insurance Improvement Plan:

Health insurance can be improved in the community of Jordan by collaborating with policymakers and advocacy teams to support policy changes in providing affordable health insurance to low-income populations. Moreover, advocating for Medicare and Medicaid expanded access in community individuals where health insurance is adequately granted to resource-deprived individuals. By expanding access to Medicaid and Medicare services in providing health insurance to deserving populations, the direct benefits will be on the population’s health as their health needs will be satisfied and fulfilled. Moreover, this will lead to a sustained healthy community where equitable care treatment is provided to low-income individuals (Martin et al., 2021).

NURS FPX 6218 Assessment 3 Planning for Community and Organizational Change

Managing Chronic Health Conditions:

Promoting knowledge among the older community in gaining eligibility for Affordable Care Act policy on providing full health coverage for people with chronic diseases so they do not suffer from chronic health conditions like diabetes and hypertension due to financial constraints. This will directly benefit the older population in the community as they can enroll in health insurance coverage for the treatment and management of chronic health problems. Moreover, reduced mortality and morbidity rates fortifying community health will positively affect overall health (Myerson & Crawford, 2020).

Through these proposed healthcare system changes, the health challenges can be adequately addressed, and improve the health condition of Jordan’s community members. These suggested strategies can potentially enhance the mental health of young kids at school, ameliorate health outcomes due to adequate health insurance, and better manage chronic health conditions in older groups leading to an overall improved and healthy community.

Potential Barriers to Change

Various potential barriers can prevail when the proposed healthcare system changes are employed in the community of Jordan. These barriers will hinder the successful accomplishment of proposed health strategies and must be considered while implementing these strategies. Some of these potential barriers are as follows:

Mental Health Program Barriers:

The social stigma on mental health and cultural attitudes and beliefs can impede the implementation of mental health programs. These mental health programs are considered inappropriate and cause resistance from parents, students, and school staff. This eventually refrains students to contact mental health specialists when there is a formal need for mental health support (Bracke et al., 2019). Moreover, the resource constraint can be a significant challenge to establishing mental health programs in schools requiring mental specialists’ expertise and equipment to convey mental health support through materials.

NURS FPX 6218 Assessment 3 Planning for Community and Organizational Change

Accessing Adequate Healthcare Insurance Barriers:

To promote advocacy for demanding expanded access to health insurance, the possible barriers can include insufficient understanding of the health insurance process due to language barriers and low access to the internet for digital information on health insurance. Another significant potential barrier to obtaining access to health insurance is the need for more financial and human resources to promote advocacy for demanding enhanced access through governmental policies. Time constraints and resistance to change can be significant barriers to collaborating with policymakers and change authorities. 

Chronic Health Management Barriers:

There is a considerable likelihood of a need for more awareness among community members on ameliorating their health conditions through provided health benefits from governmental health policies due to various factors. For instance, social stigma to take external assistance can be challenging in persuading the population to acquire healthcare access for free treatment of chronic diseases. Moreover, the community members may resist change due to a lack of motivation to change their lifestyle, personal beliefs, and understanding. Community members may feel overwhelmed and resist change strategies as they must take valuable moves toward changing their health (Repovš et al., 2019). 

Strategies for Changing Barriers into Opportunities and Resolving Conflict

Changing the barriers mentioned above into opportunities requires implementing specific strategies that promise resolved conflicts. For this purpose, it is essential to understand the barriers keenly and brainstorm to tackle them with innovative and radical ideas. Addressing the barriers mentioned above, some strategies that can help turn them into opportunities are as follows:

Educational Campaigns:

The community groups advocating for mental health programs must initiate educational campaigns to address stigma, cultural attitudes, and beliefs. This can enhance cognizance of the significance of mental health programs and promote mental and emotional well-being (Schroeder et al., 2020). 

Collaboration with External Organizations:

To overcome the resource constraint barrier, the community authorities must collaborate with external organizations to request funds from governmental and non-profit organizations working for a similar cause (AbouAssi et al., 2020). Community leaders can broach the subject of the progressive benefits of partnerships and flourishing healthy communities that may convince the relevant stakeholders to contribute towards Jordan’s society with financial assistance.

Communication for Enhanced Engagement with Community:

To reduce change resistance, open and two-way communication should be encouraged within the community to enhance their adequate buy-in for collaboration. This can be achieved by conducting public events where health improvements and relevant issues will be discussed, and the population’s concerns are addressed (Banner et al., 2019).

Incorporating these strategies that drive change can resolve conflicts through a culture of adaptability, continuous learning, and improvement. Moreover, implementing conflict resolution strategies where open and transparent communication is encouraged while actively listening and collaborative problem-solving ideology is the roadway to drivers of change.

Stakeholder Communications 

To successfully implement the proposed changes within healthcare organizations, there is a pressing need for a strategy that helps organizational stakeholders comprehend these proposed changes and estimate the recommended changes to an existing healthcare system. These stakeholders include healthcare practitioners, hospital administrators, policymakers, and change management advocates. The strategy consists of crafting a communication plan that outlines key messages, content to be discussed on the health needs of the community of Jordan, and a brief timeline of the whole agenda.

Moreover, the infographics and visual aids, along with PowerPoint presentations, can enhance their understanding of the change proposal. The informational needs of the decision-makers will comprise cost-benefit analysis, evidence-based implications of proposed changes, short- and long-term impact of proposed changes on the community and economy, facilitators and barriers to proposed changes, and strategies to overcome these barriers. Through this strategy, stakeholders can fathom and evaluate the proposed changes to the existing healthcare systems, such as improved mental health benefits, enhanced health insurance coverage, and its impact on managing chronic conditions. The stakeholders can collaboratively bring improvement in the Jordan community and improve the population’s health status.

NURS FPX 6218 Assessment 3 Planning for Community and Organizational Change

By implementing these changes in the Jordan community, organizations will be profoundly impacted regarding finances, workload, and market position. The organizations must diligently work for change management which may require financial resources and extensive work hours. Moreover, the changes they support and bring to the community can influence the organization’s competitive position. This leads the decision-makers to evaluate the effectiveness of the changes and how they can align with market trends and patients’ demands (Errida & Lotfi, 2021).

References

AbouAssi, K., Bowman, A. O’M., Johnston, J. M., Bauer, Z., & Tran, L. (2020). Relations, resources, and costs: Exploring cross-sectoral collaboration at the local level in a developing country. International Public Management Journal, 24(5), 646–672. https://doi.org/10.1080/10967494.2020.1853292 

Banner, D., Bains, M., Carroll, S., Kandola, D. K., Rolfe, D. E., Wong, C., & Graham, I. D. (2019). Patient and public engagement in integrated knowledge translation research: Are we there yet? Research Involvement and Engagement, 5(1). https://doi.org/10.1186/s40900-019-0139-1 

Bracke, P., Delaruelle, K., & Verhaeghe, M. (2019). Dominant cultural and personal stigma beliefs and the utilization of mental health services: A cross-national comparison. Frontiers in Sociology, 4(40). https://doi.org/10.3389/fsoc.2019.00040 

Errida, A., & Lotfi, B. (2021). The determinants of organizational change management success: Literature review and case study. International Journal of Engineering Business Management, 13(1), 1–15. https://doi.org/10.1177/18479790211016273 

García-Carrión, R., Villarejo-Carballido, B., & Villardón-Gallego, L. (2019). Children and adolescents mental health: A systematic review of interaction-based interventions in schools and communities. Frontiers in Psychology, 10(918). https://doi.org/10.3389/fpsyg.2019.00918

NURS FPX 6218 Assessment 3 Planning for Community and Organizational Change 

Martin, H., Kushner, S., Iles, K., & Montgomery, H. (2021). Advocating for expanded access to medical nutrition therapy in medicare. Journal of the Academy of Nutrition and Dietetics. https://doi.org/10.1016/j.jand.2021.02.024 

Myerson, R., & Crawford, S. (2020). Coverage for adults with chronic disease under the first 5 years of the affordable care act. Medical Care, Publish Ahead of Print. https://doi.org/10.1097/mlr.0000000000001370 

Repovš, E., Drnovšek, M., & Kaše, R. (2019). Change ready, resistant, or both? Exploring the concepts of individual change readiness and resistance to organizational change. Economic and Business Review, 21(2). https://doi.org/10.15458/85451.82 

Schroeder, S., Tan, C. M., Urlacher, B., & Heitkamp, T. (2020). The role of rural and urban geography and gender in community stigma around mental illness. Health Education & Behavior, 48(1), 109019812097496. https://doi.org/10.1177/1090198120974963 

Appendix A: Grant Proposal

Need Statement 

This change proposal addresses the community health issues of the City of Jordan, located in Minnesota. The population of Jordan is confronting various health issues in almost all age groups showing its broad scope, where young adolescents and adults face mental health issues in schools leading to suicide attempts. The worsening state of health insurance prevented various population groups from acquiring basic healthcare facilities with burgeoning financial constraints causing ill management of chronic diseases requiring extensive medications prescribed by physicians.

Considering the health state of the overall community, there was a pressing need for this change proposal as all age groups in the Jordan community are affected. Some barriers likely to occur during change implementation include scarcity of resources, lack of awareness and stigma towards mental health awareness, and resistance to change. Furthermore, information sources for defining the need for change include windshield analysis of environmental factors, communication with community members, school surveys and formal consultations with community leaders, and healthcare organizational dashboard metrics. 

Program Description

This change proposal comprises several initiatives that promote mental well-being in young kids, health insurance coverage programs, and advocacy for expanded Medicaid and Medicare services. These strategic plans will be conducted on intricate planning and adequate resource allocation and continuous evaluating progress. This plan will be executed with the participation of various stakeholders, including health professionals, school administrators, mental health specialists, community leaders, and governmental and non-profit organizational collaborators. This program will improve the health outcomes in the population of Jordan as their health is deteriorating due to poor condition of finances and mental health in the population.

The program will achieve its desired outcomes by conducting educational campaigns and mental health programs, expanding Medicaid and Medicare access to a community of Jordan, and empowering the population to equip themselves with ACA’s policy where patients with chronic diseases can get free care treatments. 

Goals and Objectives

This change proposal aims to ameliorate the health condition of the population of Jordan by acknowledging and providing mental health support to children and adolescents, expanding healthcare insurance coverage through Medicaid and Medicare programs, and enabling the population to acquire free care treatments through ACA policy who are under severe financial constraints. The objectives include lowering the suicide attempts among school-going children and adolescents, increasing rates of the population with maximum coverage of health insurance, and increasing the number of community members with adequate knowledge of ACA and its provision for chronic care treatment.

Program Evaluation

The change initiative will be consistently evaluated by an oversight party consisting of health professionals, school administrators, community leaders, and governmental stakeholders. The evaluation will be done bi-annually, measuring the progress made toward achieving benchmarks. The evaluation reports will be conveyed to all stakeholders, including the funding authorities. The stakeholders contribute widely in the evaluation process, from acquiring data reports to measuring progress and collecting feedback.

Summary

The devastating health conditions of the population of Jordan necessitate the initiatives described in this change proposal. The goals and objectives of this change initiative align with the funding organization where public health is prioritized; with commonly shared goals, these funding organizations can financially support this change proposal for successful implementation. The aligned goals of improved public health and reduced mortality and morbidity rates will enable funding organizations to contribute toward the common cause. Through collaborative effort for a similar cause, a feeling of promoting a meaningful change develop through empathy and power. We are greatly indebted to the funding agencies for warm-heartedly considering and supporting this initiative for the community of Jordan.

Appendix B: Project Budget

Categories

Startup ($)

1st Year ($)

Other Sources
of Revenue

Justification

Salary and Wages
  • Project Manager
0 60,000                     – The project manager is responsible for organizing and planning the whole change initiatives
  • Support Staff
0 80,000                     – Supporting staff helps in dealing with administrative procedures, identifying external funding resources and preparing evaluating reports for stakeholders. 
  • Mental Health Specialists
0 90,000                     – They will provide counseling sessions for school students to provide mental health support to promote their mental and emotional well-being.
  • Community members advocates for change
0 50,000                   – They will work to expand access to health insurance programs by negotiating with governmental policy makers.
  • Healthcare professional
0 90,000 They will provide care treatments for patients with chronic diseases.
Fringe Benefits
  • Health insurance coverage for staff
0 25,000                   – All the participating staff will acquire complete health insurance coverage.
Consultation or Contract Services
  • Healthcare professionals
4,000 30,000                 – They will provide expertise and education on health issues like chronic diseases and how to self-manage them
Equipment
  • Educational Material
5,000 20,000                 – This will include costs incurred to providing education to students on mental health and general population on ACA’s policy for chronic diseases
  • Other Equipment
8,000 30,000               – It will include costs for computers, printers and relevant required tools for project implementation
Travel
  • Commute expenses within and outside the Jordan community
2,000 30,000                 – This will cover costs for traveling to negotiate with external funding organizations and within community
Miscellaneous or Other
  • Contingency
5,000 15,000                 – For unfortunate or uncertain events arisin during project implementation
Total Expenses
24,000
520,000