SCENARIO
You are a nursing consultant who has been assigned to analyze a healthcare organization in order to identify a change or improvement needed by the organization. In your analysis, you will use external measures such as HCAHPS scores, patient metrics, community needs, and comparisons to other facilities in area. After your analysis, you will write a consultative change recommendation to present to the executive board of the organization.

REQUIREMENTS
Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. An originality report is provided when you submit your task that can be used as a guide.

Professional Communications is a required aspect to pass this task. Completion of a spell check and grammar check prior to submitting your final work is strongly recommended.

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

A.  Write a consultative change recommendation paper (suggested length of 710 pages) by doing the following:

1.  Identify the purpose of the consultation and provide a summary of the consultation process.

2.  Describe the organization.

3.  Explain the primary needs of the population served by this organization.

4.  Describe the nurse leader’s role.

5.  Identify the characteristics of the organization.

6.  Recommend an organizational change based on your analysis.

a.  Justify how your recommended change addresses the organization’s weaknesses and the community’s needs.

b.  Identify a national benchmark of performance and describe a plan to measure the effectiveness of your recommended change.

Consultative Change Proposal Outline

Your 710 page paper should be written according to APA style guidelines and structured as follows:

I.  Introduction
a. Purpose of consultation
b. Overview of the consultation process
II. Organizational Analysis
a. Description of organization
Include as much of the following information as is available to you:
Type and location of organization
Number of employees and patient encounters (approximate)
Departmental map, organizational chart, or leadership structure
Service area (e.g., size, age, demographics)
Services provided
b. Primary needs of population served by this organization
Consider: What are the primary health risks impacting the community (e.g., smoking, drug addiction, communicable disease, homelessness, poverty)?
III. Nurse Leader Interview Summary
a. Nurse leader role
Consider: How does role align with role defined in The Essentials of Masters Education in Nursing? Also consider the domains of influence or actual authority the nurse leader has in the organization.
b. Characteristics of organization
Strengths
Weaknesses
Evidence-based practice activities
Quality improvement projects
IV. Recommendation for Organization Change    
a. Recommendation
b. Rationale
Consider: How does the change address the organization’s weaknesses? How does it address the community’s needs?
c. Measurement of effectiveness
Consider: Identify a national benchmark of performance and describe a clear plan to measure the effectiveness of your proposed change over time.
V.  Conclusion