Assessment Instructions Note: The work you complete in this assessment is based on the work you complete in Assessments 2 and 3. Therefore, complete Assessments 2, 3, and 4 in the order in which they are presented. Preparation The executive leaders at Vila Health accepted your change proposal and would like to move it forward. However, lasting change in a volatile regulatory and policy environment will require adequate funding and support from the applicable governing body or regulatory agency. Consequently, you have been asked to present the proposed change to policymakers to seek their support and funding for the change as an established policy for the organization and community. To prepare for this assessment, you are encouraged to begin thinking about funding and securing policy support for lasting change. In addition, you may wish to: · Review the assessment requirements and scoring guide to ensure that you understand the work you will be asked to complete. · Review the Guiding Questions: Advocating for Lasting Change document linked in the Resources of this assessment, which includes questions to consider and additional guidance on how to successfully complete the assessment. · Be sure that your audiovisual equipment works and that you know how to record and upload your presentation. Note: Remember that you can submit all or a portion of your draft presentation to Smarthinking Tutoring for feedback before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback. AUDIOVISUAL EQUIPMENT SETUP AND TESTING It is a good idea to check that your recording hardware and software is working properly and that you are familiar with its use as you will make a video recording of your presentation. If you do not have a built-in or external microphone and video camera (webcam or other devices), webcams and headsets with microphones are available for purchase from the Capella University Bookstore. You may use Kaltura Media, Adobe Connect, or other technology of your choice for your video recording. · If using Kaltura Media, refer to the Using Kaltura [PDF] tutorial for directions on recording and uploading your video in the courseroom. · If using Adobe Connect, refer to the instructions and tutorials available from the Using Adobe Connect support page. You may use Microsoft PowerPoint or other suitable presentation software to create your slides. If you elect to use an application other than PowerPoint, check with your faculty to avoid potential file compatibility issues. Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact [email protected] to request accommodations. Requirements Develop and record a video presentation for policymakers from the appropriate governing body or regulatory agency requesting policy and financial support for your proposed change. Draw on yo ...

1. Assessment Instructions
Note: The work you complete in this assessment is based on the
work you complete in Assessments 2 and 3. Therefore, complete
Assessments 2, 3, and 4 in the order in which they are
presented.
Preparation
The executive leaders at Vila Health accepted your change
proposal and would like to move it forward. However, lasting
change in a volatile regulatory and policy environment will
require adequate funding and support from the applicable
governing body or regulatory agency. Consequently, you have
been asked to present the proposed change to policymakers to
seek their support and funding for the change as an established
policy for the organization and community.
To prepare for this assessment, you are encouraged to begin
thinking about funding and securing policy support for lasting
change. In addition, you may wish to:
· Review the assessment requirements and scoring guide to
ensure that you understand the work you will be asked to
complete.
· Review the Guiding Questions: Advocating for Lasting
Change document linked in the Resources of this assessment,
which includes questions to consider and additional guidance on
how to successfully complete the assessment.
· Be sure that your audiovisual equipment works and that you
know how to record and upload your presentation.
Note: Remember that you can submit all or a portion of your
draft presentation to Smarthinking Tutoring for feedback before
you submit the final version for this assessment. If you plan on
using this free service, be mindful of the turnaround time of 24–
48 hours for receiving feedback.
AUDIOVISUAL EQUIPMENT SETUP AND TESTING
It is a good idea to check that your recording hardware and
software is working properly and that you are familiar with its

2. use as you will make a video recording of your presentation. If
you do not have a built-in or external microphone and video
camera (webcam or other devices), webcams and headsets with
microphones are available for purchase from the Capella
University Bookstore. You may use Kaltura Media, Adobe
Connect, or other technology of your choice for your video
recording.
· If using Kaltura Media, refer to the Using Kaltura [PDF]
tutorial for directions on recording and uploading your video in
the courseroom.
· If using Adobe Connect, refer to the instructions and tutorials
available from the Using Adobe Connect support page.
You may use Microsoft PowerPoint or other suitable
presentation software to create your slides. If you elect to use
an application other than PowerPoint, check with your faculty
to avoid potential file compatibility issues.
Note: If you require the use of assistive technology or
alternative communication methods to participate in this
activity, please contact [email protected] to request
accommodations.
Requirements
Develop and record a video presentation for policymakers from
the appropriate governing body or regulatory agency requesting
policy and financial support for your proposed change. Draw on
your work in the previous assessments and consolidate lessons
learned.
The presentation requirements outlined below correspond to the
grading criteria in the scoring guide, so be sure to address each
point. Read the performance-level descriptions for each
criterion to see how your work will be assessed. The Guiding
Questions: Advocating for Lasting Change document provides
additional considerations that may be helpful in completing
your assessment. In addition, be sure to note the requirements
below for the presentation format, length, and for citing
supporting evidence.
· Explain why proposed changes to a health care system require

3. policy and financial support to ensure positive, systemic change
and to overcome present challenges.
· Provide compelling evidence that proposed changes to a health
care system will produce the intended outcomes.
· Provide broad budget estimates to fund specific capital or
human resource outlays that are important to the success of a
proposed change.
· Outline a plan for leading transformational, evidence-based
change in an organization.
· Assess the potential future for wellness, health, and improved
overall care and the role of visionary leaders in achieving the
desired goals.
. As a guide, explore the website of HealthyPeople.gov, linked
in the Resources of this assessment.
· Cultivate stakeholder interest in and support for the proposed
changes to a community health care system.
· Develop slides that augment a multimedia presentation.
· Argue persuasively to obtain policy and financial support from
policymakers for a proposed community health care change.
· Support assertions, arguments, propositions, and conclusions
with relevant and credible evidence.
Presentation Format and Length
Remember, you may use Microsoft PowerPoint or other suitable
presentation software to create your slides. If you elect to use
an application other than PowerPoint, check with your faculty
to avoid potential file compatibility issues.
Your slide deck should consist of 10–15 slides, not including
the title, questions, and references slides. Use the speaker's
notes section of each slide to develop your talking points and
cite your sources, as appropriate.
Be sure that your slide deck includes the following slides:
Note: Your slide titles will depend on your choice of community
and the specific content of your change proposal.
· Title slide.
. Title or name of your project (main focus of your change
proposal).

4. . Subtitle (optional), which could include Jordan or Armitage, if
not part of the title.
. Your name.
. Date.
. Course number and title.
· Introduction.
. Identify the stakeholders to whom you are presenting.
· Social determinants affecting health in the community (may
need more than one slide).
· Synopsis of the windshield survey and environmental analysis
findings.
. Identify the positive aspects of the community.
. Identify opportunities for improvement. Although your change
proposal addresses these opportunities, avoid phrasing them as
negatives.
· Your change proposal—briefly outlined (may need more than
one slide).
· Benefits of the change to the community and stakeholders.
· Challenges or concerns.
. Address the implications for the community and organizational
stakeholders, if these opportunities are not addressed.
· Funding (may need more than one slide).
. Include the financial implications for the community and
organizational stakeholders.
. Specify your funding needs (how much and for what)?
· Community health implications (may need more than one
slide).
. Explain how the proposed change will improve the health of
the community.
. Address both direct or indirect benefits, as applicable.
· Conclusion.
. Summarize key points.
. Be sure to thank your audience for their time and
consideration of your proposal.
· Questions.
. Add a slide to prompt questions from the audience.

5. · References (at the end of your presentation).
Supporting Evidence
Cite 3–5 credible sources from peer-reviewed journals or
professional industry publications to support your presentation.
Additional Requirements
Upload your video presentation and attach the presentation
slides, with speaker notes. See the Using Kaltura [PDF] for
more information about uploading media. You may submit the
assessment only once, so be sure that the assessment
deliverables are included before submitting your assessment.
Running head: CHANGE MANAGEMENT
CHANGE MANAGEMENT
2
Change Proposal
Krystle McDonald
Capella University
November, 2018

6. Introduction
For the longest time, my community has relied on a manual
system for storing information. However, the system is past its
prime with the digitalization of health records. The manual
system requires a lot of space for storage purposes with
warehouses preferred due to the bulkiness of the documents
(Hsiao, Hing, & Ashman, 2014). It is also time-consuming to
track records and converting them into soft-copies.
Additionally, there are legibility issues as medical practitioners
have a reputation for having poor handwriting.
However, the main reason why I am advocating for a
change in hospital management system is due to the recent fire
incidence that saw part of the storage facility burn down. As a
result, some crucial patient records were lost. As such, there is
a need to convert from a manual system to an electronic health
record system. The electronic health record system is a digitized
version of a patient’s paper chart that ensures information is
available and secure to the authorized persons only (Hsiao,
Hing et al., 2014). This system, when initiated in the hospitals
and community, will bring about significant change in
healthcare delivery.
Benefits and Implications
The use of electronic health records aims towards the
provision of high quality and safe care to all patients and
creates perceptible enhancements in an organization. EHRs have
various direct benefits in the care of patients. First and
foremost, it allows healthcare providers to offer timely,
accurate and complete information about patients at the point of
care. With the use of this system, there will be quick access to
the records of patients and secure sharing of data with patients
and health professions. The cost will also be reduced through
the reduction in paperwork, safety improvement, and improved

7. health (Tomines, Readhead, Readhead, & Teutsch, 2013).
Improvements in overall health will ensure that community
members have access to safe care as the diagnosis will be made
effective and reduction of medical errors will be promoted. This
means that correct and early diagnosis will promote timely
management of diseases in the community while mortality and
morbidity rates decrease (Tomines et al., 2013). The community
members will also benefit in that there will be an improvement
in their interaction and communication with healthcare
providers, as well as convenience. The members of the
community will improve in their health-seeking behavior since
this change promotes privacy and security of the patients’ data.
Health-seeking behavior improvements will gradually promote
health by reducing morbidity and mortality in the community. In
this way, they are accountable for their own health and take
actions to advance their health requirements.
Potential barriers to change
Adoption and change to the EHR system require financial
input from both an organization and the community. Lack of
financial resources will make it cumbersome to afford the
system and more staff will be needed to process the change
required for the effective use of EHRs. Secondly, focus on this
information system will add to complexity struggles in the
organization, more so, the community health centers (Nguyen,
Bellucci, & Nguyen, 2014).
Such complexity increases cost in the organizations due to the
required staff training and complimentary process changes.
Technological equipment are also needed to satisfy the change,
which also requires training of staff on how to operate them and
costs of purchasing them for use in the organization. Leaders in
the community are responsible for financing and supporting the
change to bring about advancement in healthcare.
It is imperative to effectively communicate with the
community political leaders and health center leaders, who are
the core drivers of change in the community. I would present

8. the various advantages of technological change to this group of
people and explain its impact on the health of the community
members. In this way, they will be able to perceive the
importance of the system and agree on its adoption in the
community health centers.
However, when there is the conflict between competing
interests, I would resolve it by providing concrete evidence of
information on cases where the change was adopted and
successfully benefited the organizations and the whole
community (Nguyen et al., 2014). Evidence of success will
motivate the leaders and other change drivers to allow the
adoption of the system. Aside from that, I would disclose the
change to the members of the community and provide concrete
information about the course. Democratic decision making will
be completed through a voting process where the majority
decision will be made effective. The action will ensure that
there are no misunderstandings in the future as the decision was
made legitimately.
Stakeholders
For the proposed change to be understood, it is imperative
to involve potential stakeholders. There are three main
stakeholders. They include the hospital management, donors,
the government, and the community. The hospital management
is in charge of the day to day running of the institution and
makes decisions based on the availability of sponsors. The
institution is a community mission hospital that relies on the
government and donors for funding. It is a non-profit one and
hence cannot make an isolated decision. However, convincing
the hospital management to adopt the change would be the first
approval step. As aforementioned, the recent fire that burnt the
hospital records necessitates the need for change. As such, It
will be relatively easy to convince the hospital management to
take up the change as a way of averting such an incidence in the
future. While the management will be concerned about the cost
of the transformation, the system is fairly priced and the
maintenance costs are manageable.

9. The government plays an integral role in regulating
changes in the healthcare sector. Additionally, it provides the
hospital with both manpower and supplies. Therefore, it will be
prudent to involve the government from the start so that they
can endorse the project. Government involvement will create
awareness on the importance of adopting technology in the
healthcare sector. Additionally, the government partially funds
the institution. As such, it is necessary to involve it for
accountability purposes.
There are different donors who make financial
contributions to the hospital as part of keeping it open.
Therefore, it is important to hold a meeting with the donors to
assure them of the proper use of their funds and how the new
system will improve efficiency in the hospital. The final group
of stakeholders in the community. They are also the main
beneficiary of the system. While a majority of the community
members are not techno-savvy, it is imperative to convince them
that the new system will service delivery faster and seemliness,
improving the customer experience at the facility.
Conclusion
In summation, the new system will be geared towards
improving the mode of operation at the facility. A proper
engagement of all stakeholders; the management, government,
donors, and the community will see a successful implementation
of the same. The Electronic Healthcare Records system will
ensure that records are safe from hazards, and retrievable in the
event of natural calamities such as fire and floods.
References
Hsiao, C. J., Hing, E., & Ashman, J. (2014). Trends in
Electronic Health Record System Use Among Office-based
Physicians, United States, 2007-2012. US Department of Health
and Human Services, Centers for Disease Control and

10. Prevention, National Center for Health Statistics.
Jamoom, E., Beatty, P., Bercovitz, A., Woodwell, D., Palso, K.,
& Rechtsteiner, E. (2013). Physician adoption of electronic
health record systems: United States, 2011. US Department
of Health and Human Services, Centers for Disease Control and
Prevention, National Center for Health Statistics.
Nguyen, L., Bellucci, E., & Nguyen, L. T. (2014). Electronic
health records implementation: an evaluation of information
system impact and contingency factors. International journal of
medical informatics, 83(11), 779-796.
Tomines, A., Readhead, H., Readhead, A., & Teutsch, S.
(2013). Applications of electronic health information in public
health: uses, opportunities & barriers. EGEMS (Washington,
DC), 1(2), 1019. doi:10.13063/2327-9214.1019