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COMPETENCIES 3054.1.3 : Strategy Implementation The graduate analyzes strategic

COMPETENCIES
3054.1.3 : Strategy Implementation
The graduate analyzes strategic leadership and proposes strategies to manage organizational change in a healthcare setting.
INTRODUCTION
Numerous factors, such as increased demand for healthcare services, emerging technologies, and complex and ever-changing policies, have created a rapidly evolving environment in healthcare. Such an environment requires organizations to undertake change initiatives to remain competitive. As a healthcare administrator, you will be expected to initiate, manage, and sustain change within your organization. For this task, you will apply change management skills in a real-world scenario.
SCENARIO
You are a change manager at a large, urban hospital. The hospital recently acquired a 25-physician multispecialty practice. The goal of this acquisition was to improve preadmission and postdischarge primary care for patients. The acquisition was also intended to better meet the population health needs, which require the hospital to be increasingly measured and reimbursed. The practice was previously owned by the 10 physicians who started the practice over 25 years ago. Because of its origins, the practice has a very hierarchical culture that is reflected in its organizational structure. Owner physicians are at the top of the hierarchy, followed by employed physicians, then other clinical staff (nurses, medical assistants), and finally nonclinical front-office staff. You have been tasked with implementing a new team-based model of care delivery that more fully engages all members of the practice and puts patients at the center or “top” of the hierarchy.
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.
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. Assess the current patient care delivery situation by doing the following:
1. Identify five key stakeholders in the scenario.
a. Discuss the impacts of the acquisition on the key stakeholders identified in A1.
2. Identify three barriers for change.
a. Discuss the criteria you would use to prioritize the barriers identified in A2.
i. Prioritize the identified barriers according to your criteria in A2a.
b. Explain three key leverage points for initiating change.
B. Develop a change management strategy (suggested length of 3–5 pages) to improve patient care by doing the following:
1. Describe two approaches for implementing the new team-based model of care delivery.
Note: Proposed strategies should include consideration of organizational culture and patient-first (consumer centered) strategies.
a. Discuss the strengths of both approaches described in B1.
b. Discuss the weaknesses of both approaches described in B1.
c. Recommend one of the two approaches in part B1 based on the strengths and weaknesses of each one.
i. Justify the approach recommended in B1c.
C. Propose an implementation (suggested length of 3–5 pages) for the change management strategy from part B by doing the following:
1. Describe the sequence of steps you would take to implement the strategy.
2. Describe an approach for measuring whether the intended change is occurring.
3. Discuss the challenges to sustaining the change once the strategy is initiated.
a. Describe two approaches for overcoming these challenges and sustaining the change.
D. When you use sources, include all in-text citations and references in APA format.
File Restrictions
File name may contain only letters, numbers, spaces, and these symbols: ! – _ . * ‘ ( )
File size limit: 200 MB
File types allowed: doc, docx, rtf, xls, xlsx, ppt, pptx, odt, pdf, txt, qt, mov, mpg, avi, mp3, wav, mp4, wma, flv, asf, mpeg, wmv, m4v, svg, tif, tiff, jpeg, jpg, gif, png, zip, rar, tar, 7z
RUBRIC
ARTICULATION OF RESPONSE (CLARITY, ORGANIZATION, MECHANICS):
NOT EVIDENT
The candidate provides unsatisfactory articulation of response.
APPROACHING COMPETENCE
The candidate provides weak articulation of response.
COMPETENT
The candidate provides adequate articulation of response.
A1:IDENTIFICATION OF KEY STAKEHOLDERS
NOT EVIDENT
The candidate does not identify any key stakeholders.
APPROACHING COMPETENCE
The candidate identifies 1–4 key stakeholders.
COMPETENT
The candidate identifies 5 key stakeholders.
A1A:IMPACTS ON STAKEHOLDERS
NOT EVIDENT
The candidate does not discuss the impacts of the acquisition on the key stakeholders identified in A1.
APPROACHING COMPETENCE
The candidate provides a logical discussion, with insufficient detail, of the impacts of the acquisition on the key stakeholders identified in A1.
COMPETENT
The candidate provides a logical discussion, with sufficient detail, of the impacts of the acquisition on the key stakeholders identified in A1.
A2:BARRIERS FOR CHANGE
NOT EVIDENT
The candidate does not identify any barriers for change.
APPROACHING COMPETENCE
The candidate identifies 1–2 barriers for change.
COMPETENT
The candidate identifies 3 barriers for change.
A2A:CRITERIA FOR PRIORITIZING BARRIERS
NOT EVIDENT
The candidate does not provide a logical discussion of the criteria the candidate would use to prioritize the barriers identified in A2.
APPROACHING COMPETENCE
The candidate provides a logical discussion, with insufficient detail, of the criteria the candidate would use to prioritize the barriers identified in A2.
COMPETENT
The candidate provides a logical discussion, with sufficient detail, of the criteria the candidate would use to prioritize the barriers identified in A2.
A2AI:PRIORITIZED BARRIERS
NOT EVIDENT
The candidate does not appropriately prioritize the identified barriers according to the criteria in A2a.
APPROACHING COMPETENCE
Not applicable.
COMPETENT
The candidate appropriately prioritizes the identified barriers according to the criteria in A2a.
A2B:KEY LEVERAGE POINTS
NOT EVIDENT
The candidate does not provide a logical explanation of 3 key leverage points for initiating change.
APPROACHING COMPETENCE
The candidate provides a logical explanation, with insufficient detail, of 3 key leverage points for initiating change.
COMPETENT
The candidate provides a logical explanation, with sufficient detail, of 3 key leverage points for initiating change.
B1:APPROACHES FOR IMPLEMENTING THE TEAM-BASED MODEL
NOT EVIDENT
The candidate does not provide an appropriate description of 2 approaches for implementing the new team-based model of care delivery.
APPROACHING COMPETENCE
The candidate provides an appropriate description of 2 approaches, with insufficient detail, for implementing the new team-based model of care delivery.
COMPETENT
The candidate provides an appropriate description of 2 approaches, with sufficient detail, for implementing the new team-based model of care delivery.
B1A:STRENGTHS OF THE APPROACHES
NOT EVIDENT
The candidate does not provide a logical discussion of the strengths of each of the 2 approaches described in B1.
APPROACHING COMPETENCE
The candidate provides a logical discussion, with insufficient detail, of the strengths of each of the 2 approaches described in B1.
COMPETENT
The candidate provides a logical discussion, with sufficient detail, of the strengths of each of the 2 approaches described in B1.
B1B:WEAKNESSES OF THE APPROACHES
NOT EVIDENT
The candidate does not provide a logical discussion of the weaknesses of each of the 2 approaches described in B1.
APPROACHING COMPETENCE
The candidate provides a logical discussion, with insufficient detail, of the weaknesses of each of the 2 approaches described in B1.
COMPETENT
The candidate provides a logical discussion, with sufficient detail, of the weaknesses of each of the 2 approaches described in B1.
B1C:RECOMMENDED APPROACH
NOT EVIDENT
The candidate does not provide an appropriate recommendation of 1 of the 2 approaches in part B1 based on the strengths and weaknesses of each one.
APPROACHING COMPETENCE
Not applicable.
COMPETENT
The candidate provides an appropriate recommendation of 1 of the 2 approaches in part B1 based on the strengths and weaknesses of each one.
B1CI:JUSTIFICATION OF RECOMMENDED APPROACH
NOT EVIDENT
The candidate does not provide a logical justification of the approach recommended in B1c.
APPROACHING COMPETENCE
The candidate provides a logical justification, with insufficient support, of the approach recommended in B1c.
COMPETENT
The candidate provides a logical justification, with sufficient support, of the approach recommended in B1c.
C1:SEQUENCE OF STEPS
NOT EVIDENT
The candidate does not provide a reasonable description of the sequence of steps that would be taken to implement the strategy.
APPROACHING COMPETENCE
The candidate provides a reasonable description, with insufficient detail, of the sequence of steps that would be taken to implement the strategy.
COMPETENT
The candidate provides a reasonable accurate description, with sufficient detail, of the sequence of steps that would be taken to implement the strategy.
C2:APPROACH FOR MEASURING INTENDED CHANGE
NOT EVIDENT
The candidate does not provide an appropriate description of an approach for measuring whether the intended change is occurring.
APPROACHING COMPETENCE
The candidate provides an appropriate description, with insufficient detail, of an approach for measuring whether the intended change is occurring.
COMPETENT
The candidate provides an appropriate description, with sufficient detail, of an approach for measuring whether the intended change is occurring.
C3:CHALLENGES TO SUSTAINING CHANGE
NOT EVIDENT
The candidate does not provide a logical discussion of the challenges to sustaining the change once the strategy is initiated.
APPROACHING COMPETENCE
The candidate provides a logical discussion, with insufficient detail, of the challenges to sustaining the change once the strategy is initiated.
COMPETENT
The candidate provides a logical discussion, with sufficient detail, of the challenges to sustaining the change once the strategy is initiated.
C3A:APPROACHES FOR OVERCOMING CHALLENGES
NOT EVIDENT
The candidate does not provide an appropriate description of 2 approaches for overcoming these challenges and sustaining the change.
APPROACHING COMPETENCE
The candidate provides an appropriate description, with insufficient detail, of 2 approaches for overcoming these challenges and sustaining the change.
COMPETENT
The candidate provides an appropriate description, with sufficient detail, of 2 approaches for overcoming these challenges and sustaining the change.
D:SOURCES
NOT EVIDENT
When the candidate uses sources, the candidate does not provide in-text citations and references.
APPROACHING COMPETENCE
When the candidate uses sources, the candidate provides appropriate in-text citations and references with major deviations from APA style.
COMPETENT
When the candidate uses sources, the candidate provides appropriate in-text citations and references accurately or with only minor deviations from APA style.

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