NHS 8040 NHS8040 21st-Century Health Care Leadership All Assignment Tasks

Unit 3 Assignment

When determining what evidence to use in practice, I hold the opinion that clinical significance is more important. This is because you will find that statistical significance may be prone to biases. Statistical significance basically indicates that the outcomes did not happen by chance. However, when a researcher fails to account for outliers and confounding variables, then this is bound to bring about questions on the significance of the relationship established by the research (Frank et al., 2021). It is therefore imperative that when deciding on a treatment or intervention that there is evidence of its clinical significance. This is because clinical significance will be evidence that the intervention will bear positive implications on the intended populations.

Interview and Leadership Analysis

Overview

While it is still early in your doctoral education process, it is important to start thinking about where you might complete your doctoral capstone project and who could be your preceptor. This assignment provides an opportunity for you to evaluate a potential leader to serve as preceptor at your proposed capstone site. Your interviewee should be in a health care leadership position with a graduate degree in a health care-related field. Ideally he or she should have a doctorate, but a master’s degree is acceptable.

This assignment has two parts:

Interview a health care leader who could serve as your preceptor for your capstone.

Summarize the interview in a 3–5 page paper.

With guidance from the health care leader you interview, determine a gap, need, or opportunity that will serve as the basis for the remaining assignments in this course. It should align with a strategic priority of the organization or health care system.

Keep in mind this could also serve as a capstone topic. Explore the feasibility and fidelity of this with the leader, including alignment with the capstone process and timeline.

Instructions

The following corresponds to the grading criteria in the scoring guide, so be sure to address each listed point. Consider reviewing the performance-level descriptions for each criterion to see how your work will be assessed.

Evaluate the primary leadership style of a chosen leader in a health care management position.

What are the leader’s credentials and what is his or her formal position in the organization?

What role does the leader play in the organization, system, or public health arena?

Is he or she a mentor to others?

How visible is the leader outside the organization?

How would you characterize his or her leadership style?

What is his or her role in communication?

Is he or she viewed as a change agent?

Assess a leader’s organizational role as it relates to quality, safety, and evidence-based standards.

How is the leader’s role interdisciplinary?

What is one example of how this leader facilitates, participates, or fosters interprofessional or interdisciplinary collaboration?

What is an example of how this leader champions quality and safety in the organization or public health system?

Explain the rationale behind the selection of a leader to serve as a preceptor.

Describe why this leader is qualified to be a doctoral preceptor.

Is this person trusted and respected in the organization and community?

Identify the connections he or she has to formal and informal power and how might these be leveraged to assist you in a quality improvement project or evidence-based practice change.

For example, could you get help with navigating policy, recruiting team members, enlisting buy-in?

Identify a gap, problem, or opportunity for a capstone project.

Can this be connected to an organizational, systemic, or public health strategic priority?

What are the implications for patient outcomes and safety?

In the context of the health care system identified, how will you include the voice of the patient?

Summarize a leader’s ability to provide ethical stewardship and oversight when accessing sensitive organizational information.

What is within the leader’s capacity to protect?

What challenges has the leader encountered with regard to the ethical use of the organization’s private data?

How does a leader provide oversight with communications related to organizational information?

Write coherently to support a central idea, using correct grammar, mechanics, and APA formatting.

NHS8040 21st-Century Health Care Leadership

Unit 5 Assignment

Project Charter Part 1

Overview

The project charter provides an overview of the proposed project and is a working plan for how it will be executed. It contains key information including the who, what, when, and where of the project and how it will be conducted. For this assignment, you will use information from the interview you conducted and the template linked in Resources to develop the first part of the project charter for your project.

Instructions

Drawing from the gap, need, or opportunity for improvement identified in the leadership interview, begin to develop a project charter for the topic. Although this project should address a relevant gap, data or contextual evidence may not be available. In that case, you may use fictitious information for this assignment or obtain data from the general literature (make sure to cite the source).

Using the Project Charter Template provided, complete Part 1 for this assignment. Write in the narrative where indicated. Be succinct but be sure to include all required information. Use citations as needed and include the reference list on the last page.

The following instructions correspond to the criteria in the assignment scoring guide, so be sure to address each point:

Create an acronym to identify the project name.

Get creative! A good acronym is memorable and distinct.

Justify the selection of departmental and executive sponsors.

Describe briefly why you chose these sponsors (fiscal, political, other support?).

Describe the overarching aim of the project, including the impact on a process or systems change.

Include a specific goal you hope to achieve by the end of the project.

Summarize the specific project strategy or intervention that will be used to accomplish the goal or aim.

Identify and provide a brief description of project team members and reasons for your choices.

Describe the impact the project will have on stakeholders, including patient safety and quality.

Be sure to note how you will include the voice of the patient or consumer.

Write coherently to support a central idea, using correct grammar, mechanics, and APA formatting.

Example assignment: You may use the assignment example, linked in the Resources, to give you an idea of what a Proficient or higher rating on the scoring guide would look like.

Project Charter

Part 1
General Project Information
Project Name		MPAROSA [Monitoring Patients at Risk of Substance Abuse]
Executive Sponsors		N.R.G.- Chosen for political support and individual influence. K.B.M.- crucial for marketing the project and fiscal support. L.T.B.- Chosen for political support.
Department Sponsors		K.R.- leading the pathology unit. Chosen for excellence in pathology and related roles. L.E.- the head of the pharmacy department. He was chosen for his excellent role in drug administration, knowledge, and critical pharmaceutical roles.
Project Aim		The DNP project’s primary role investigating medical and nursing practitioners’ capabilities of reviewing and monitoring patients’ history of controlled substance prescriptions. It looks forward to strengthening the effectiveness of Prescription Drug Monitoring Programs (PDMP), decreasing controlled substance misuse rates.
Focus		The main approach is to study different programs and methods of monitoring the history of drug prescriptions to ensure that appropriate interventions are used, and areas of underperformance addressed. Rosen et al. (2018) posited that knowledge gaps among healthcare teams are among the leading causes of decreased output in healthcare organizations. Ensuring that monitoring programs reach the desired level of effectiveness will help to enhance output.
Project Team
	Title		Department		Credentials	Role
Project Manager	Psychiatric nurse		Psychiatric unit.		MSN in Psychiatric Nursing	The project manager is adequately qualified on matters to do with substance use disorders and psychiatric care. In agreement with Asif et al. (2019), the quality of healthcare systems depends hugely on leadership. As a leader in mental health provision, the project manager understands the connection between opioids and mental health and the need for monitoring patients’ history of controlled substance prescriptions.
Team Members	Physician assistant		Psychiatric unit.		BSN holder	Deals with diagnosis and treatment of patients. Excellence in reviewing patients’ medical history will be critical to the project’s success.
	Pharmacy technician		Pharmacy		BSN holder	Deals with drug administration. Knowledge of prescription will be critical to the project’s success.
	Nursing assistant		Inpatient service		BSN holder	Deals with the examination of common patient problems. Data on patient needs will be critical in assessing the intensity of the project.
	Therapist		Rehabilitation		BSN holder	Deals with everyday assessment of patients with substance use disorders. Knowledge of the connection between prescription and abuse is critical to the project’s success.
	Counselor		Specialist trauma		BSN holder	Highly involved in patient education and team support. Experience in substance abuse care is critically essential.
Stakeholders
Stakeholder			Stakeholders influence a project’s success profoundly. They provide knowledge, skills, and resources vital in successful project implementation (Shalowitz, 2019; Hassmiller & Pulcini, 2020). They are directly affected by the project’s outcomes. Shah and Godambe (2021) described their role as critical since they influence opinions. Below is a list of the project’s stakeholders.
Nurse Practitioner/ Senior Physician			The physician/nurse practitioner will provide knowledge regarding prescribing practices and identify the overall needs in the primary care setting and offer knowledge concerning monitoring patients at risk of abuse.
Senior Therapist			The therapist will guide the best strategy to be adopted for the treatment of opioid addiction, demystify the causes for addiction, and preventive strategies.
Senior Pharmacist			To show data concerning the opioids supply chain and the dispensing data.
Patient/consumer representative			To provide knowledge on causes of opioids’ abuse.
Senior Nurse Manager			To provide knowledge regarding the role of nurses in monitoring the abuse of opioids in patients.
Prescript drug monitoring data plan representative			To provide knowledge on prescriptions and leakages that lead to abuse.
Medication assisted therapy clinic program manager			To provide knowledge on identification of patients with substance abuse problems and their handling in primary care and rehabilitation centers.
Information technology consultant expert.			To provide knowledge on data and systems assessment.
Part 2
Project Overview
Project Description
Include concise descriptions of who, what, when, where, and how long. Include a budget estimate if applicable. Describe the problem, how it was diagnosed, and how its solution aligns to strategic priorities. Include a timeline and required resources for the project: staff time, administrative resources, activity sites, and so on.
Evidence to Support Need
Provide empirical and contextual evidence to support the gap, need, or improvement. Consider primary and secondary data sources, regulatory requirements, clinical practice guidelines, and benchmarking data. Be sure to include proper citations and descriptions of integrity and reliability of any data you provide.
Project Purpose/Business Case
Describe the business or clinical need this project addresses. What will the change or improvement accomplish and how will it impact consumers, staff, and health care system as a whole?
SMART Objectives (Specific, Measurable, Attainable, Relevant, Time-Sensitive)
Provide a concise list of objectives using the SMART model.
Project Scope
Specify clearly what the project will and will not address. Include all relevant people and processes; this is an opportunity to address alignment to strategic organizational goals. Be sure to include a brief discussion of the project’s limitations.
Project Deliverables and Milestones
Describe specific deliverables for each project phase. For the development and planning stage, team member recruitment from each involved department might be a deliverable, for example. If using PDCA, interim milestones may correspond to completion of different PDCA cycles. Indicate timeframes in terms of number of days, weeks, or months. Identify those responsible for each deliverable.
Part 3
SWOT Analysis
Strengths
Project strengths could include things such as executive support or financial resources.
Weaknesses
Identify at least three potential obstacles to a successful project outcome.
Opportunities
Note current opportunities to facilitate project success, such as leveraging existing EMP to implement a clinical decision support system.
Threats
Identify and rank (low, medium, high) at least three current or future threats to the project’s success, such as increased competition or high staff turnover in the affected department or service line.
Risk Level (Low, Medium, High)				Risk









Communication Strategy
Indicate how the project manager will communicate to sponsors, project team, and stakeholders. Describe the means and frequency of communication, including meetings, processes, and tools such as charts, wikis, and dashboards.
Constraints
List any limits to personnel, funding, scheduling, or other options, such as a predetermined budget, limited staff, or deadlines, ethical use of data, et cetera.
External Dependencies Analysis
If the project’s success may depend on external relationships or resources such as personnel, funding, communication channels, or community resources, describe them here. If there are no external dependencies, describe internal support.
Project Outcome Success Measures
Describe measures that will be used to determine project success.
Metric		Outcome Measure					Process Measure
What is being measured to determine project success		Answers specifically final outcome (“So what?”), such as [X] percent patient satisfaction rate increase					Measures supporting final outcome such as compliance, time motion, competency








Data Collection and Management Plan
Describe in detail the data you will collect and analyze to determine project success, including how and when it will be collected per the project milestones described above. Identify those who will collect, analyze, and store the data and address the integrity of the process (will it be done by team members or staff). Explain the integrity of the data sources: will data be collected from the EMR, online survey, or an internally created tool? Describe your plan to handle missing data and where you will securely store the data.

Ethical Considerations

Create guidelines to assure the ethical stewardship of patient data that take into account PHI, HIPPA, human subject considerations, equitable care, and IRB oversight, discuss any potential for human rights violations. Note any vulnerable populations involved and plans for equitable subject treatment. Describe data security factors: how data will be accessed and stored, including team members who will have access to personal health data and how it will be safeguarded (such as “Only [X] people will access the EMR”).

References

Asif, M., Jameel, A., Hussain, A., Hwang, J., & Sahito, N. (2019). Linking transformational leadership with nurse-assessed adverse patient outcomes and the quality of care: assessing the role of job satisfaction and structural empowerment. International Journal of Environmental Research and Public Health, 16(13), 2381. https://doi.org/10.3390/ijerph16132381

Hassmiller, S. B., & Pulcini, J. (2020). Advanced practice nursing leadership: A Global perspective. Springer.

Rosen, M. A., DiazGranados, D., Dietz, A. S., Benishek, L. E., Thompson, D., Pronovost, P. J., & Weaver, S. J. (2018). Teamwork in healthcare: Key discoveries enabling safer, high-quality care. The American Psychologist, 73(4), 433–450. https://doi.org/10.1037/amp0000298

Shah, R. K., & Godambe, S. A. (2021). Patient safety and quality improvement in healthcare: A case-based approach. Springer.

Shalowitz, J. I. (2019). The US Healthcare system: Origins, organization and opportunities. John Wiley & Sons.

NHS8040 21st-Century Health Care Leadership

Unit 7 Assignment

Project Charter Part 2

Overview

Continuing to draw from the gap, need, or opportunity for improvement identified in the leadership interview, complete Part 2 of the Project Charter Template begun in Unit 5.

Instructions

The following instructions correspond to the assignment scoring guide criteria. Part 2 of the project charter should:

Summarize the proposed project.

Describe who, what, when, and where in a concise manner.

Include the estimated project duration and budget if applicable.

Align the project purpose with at least one strategic priority identified in the leadership interview, including rationale for change.

Justify the business case for the project.

Speculate as to the impact on people, processes, or systems.

Explain the objective evidence to support the need for the proposed project.

Provide contextual information identified during the leadership interview.

Include available local, regional, and national data as empirical evidence of the need for change and cite sources appropriately in APA format.

Justify choice of three SMART objectives related to the proposed project.

Summarize what the project will and will not address (project scope).

Summarize the project deliverables, including milestones.

Identify the high-level “products” to be created, such as an improved process, employee manual, or formal policy.

Include a timetable with daily, weekly, and monthly milestones.

Write coherently to support a central idea, using correct grammar, mechanics, and APA formatting.

Example assignment: You may use the assignment example, linked in the Resources, to give you an idea of what a Proficient or higher rating on the scoring guide would look like.

NHS8040 21st-Century Health Care Leadership

Unit 9 Assignment

Final Project Charter

Continue to draw from the gap, need, or opportunity for improvement identified in the leadership interview to complete Part 3 of the Project Charter Template.

In addition to completing Part 3, remember to revise Parts 1 and 2 based on instructor feedback from the previous assignments. You are also required to create and submit a data collection tool in Excel and submit as an appendix to your project charter. Refer to the helpful links in Resources as you complete your assignment.

The following requirements correspond to the criteria in the assignment scoring guide, so be sure to address each point:

Analyze organizational or system strengths, weaknesses, opportunities, and threats (SWOT) in relation to the selected project aim.

Support the SWOT analysis with contextual information specific to the organization or health care system.

Identify and rate major known risks (low, medium, high risk) that could be barriers to the project.

Explain major assumptions for the project, including a description of logistical constraints that may affect the fidelity of the project.

Summarize pertinent ethical considerations that may be encountered during the project.

Address protected health information, HIPAA, human subject considerations, equitable care, and appropriate use of data.

Describe the communication strategies that will be used during the project.

Specify how the project manager will communicate to the executive sponsor, project team members, and stakeholders, including frequency of status updates, project team meetings, and so on.

Include descriptions of any visual tools or processes that will be used in communication such as Gemba walks, Gantt charts, dashboards, or safety cross.

List proposed outcomes and corresponding metrics to measure the outcomes.

Operationally define outcome measures.

Operationally define process measures.

Describe the purpose and use of the data collection plan.

Include a description of primary or secondary data, source, data integrity, and data security plan.

Attach a data collection tool in Excel appropriate for the data source and time frame for the project; include this as an appendix.