MGT-325 Developing an Organizational Change Communications Pl

MGT-325: Developing an Organizational Change
Communications Plan
Name:
<Name>Part 1 Directions:
Fill out the company's name below and then, using the updated
question prompts starting in page 2 of this template, address
each of the following 11 sections. Notice how these various
sections relate to your three-part plan: summary, findings, and
recommendations, as well as the connection to the ADKAR
model you first learned about in Topic 2. In total, your
responses will range between 750-1,000 words (i.e.,
approximately 70-90 words each).
Company Name:
Summary should address: Think "Awareness" and "Desire" in
creating the summary.
· Key Stakeholders
· Key Activities
· Communications Team
· Communication Goals
Findings should address: Think "Knowledge" and "Ability"
when collecting and summarizing observations and findings.
· Key Messages and Stories
· Target Personas
· Communication Channels and Techniques
· Communications Budget
Recommendations should address: Think "Reinforcement" when
identifying next steps and success measurements.
· Tracking/Measuring Results
· Two Proactive Steps or Sacrifices

· Identify the Techniques, Channels, and Technologies for Both
Internal and External Communication
Communications Plan
Adapted from Business Model Canvas, Strategyzer, and the
Business Model Generation
KEY STAKEHOLDERS
Who will help you?
Of the three stakeholders identified in your Topic 3 research,
identify the most impacted stakeholder and the
importance/impact of change to this stakeholder. Describe ideal
forms of communication for this stakeholder communication
and reports that can be utilized. Describe establishment of
feedback mechanisms for this stakeholder.
KEY ACTIVITIES
How do you do it?
Describe impending change, necessity of change, and sacrifices
necessary. Indicate reports/metrics supporting impending
change.
COMMUNICATIONS TEAM
Who do you need?
Identify role management will play during the change process,
means to achieve collaboration, how servant leadership can be
utilized by management, and the role of technology in
communications.
COMMUNICATION GOALS
What do you need to accomplish?
Identify current vision, mission, values statement, manifestos,
promises (etc.) for the organization, and what revisions should
be made to these to align with the change?

TARGET PERSONAS
How do you describe your recipients?
Describe in detail the organization's primary personas of
interest. Are there groups currently being served that are not a
fit for the organization or groups not being served that should
be considered?
COMMUNICATION CHANNELS AND TECHNIQUES
How do you reach them?
Summarize what communication channels are currently being
used to reach the target personas. Provide examples of
communication techniques applied. Identify untapped avenues
that may be worth consideration as well as challenges related to
technologically mediated communications whenconveying
important information.
KEY MESSAGES AND STORIES
What will you communicate?
Provide examples of key messages or relevant stories that
currently exist and identify messaging issues or gaps.
COMMUNICATIONS BUDGET
What will it cost?
In addition to budget considerations, identify and explain
significant obstacles that could be encountered by each of the
following: management, employees, change agents, and two
other significant stakeholders. Include essential resources the
organization needs to sustain the required changes.
TRACKING AND MEASURING RESULTS
How will you know the message was successfully deployed and
received?
What outcomes can be expected upon completion of the change;
how will outcome progress be measured? What metrics will be
utilized to measure change process.

TWO PROACTIVE STEPS OR SACRIFICES
What Needs to Change?
Identify two proactive steps or sacrifices that the organization
might need to make to accomplish the goals/objectives of this
organization or avert potential change-related problems.
TECHNIQUES, CHANNELS, AND TECHNOLOGIES FOR
BOTH INTERNAL AND EXTERNAL COMMUNICATION
What Needs to Be Leveraged?
Identify the techniques, channels, and technologies for both
internal and external communication to be leveraged to
effectively communicate with the most-impacted stakeholder
identified at the onset of change, during the change, and after
the change is complete. What differentiations exist between the
approach for internal versus external communications?
References:
Part 2 Directions:
Review the three-step writing process model detailed in Figure
4.1 (below) from the Business Communications Today textbook.
In the spaces provided on the following pages, complete each of
the steps in the three-step writing process to ultimately create a
brief statement for external stakeholders on the change to take
place and the desired end state. Step 1: Plan
Using bulleted phrases, identify the key elements to be
addressed. Remember that you will likely include information in
this section that does not make it into your draft section in Part
2.
· <Point 1>
· <Point 2>
· <Etc.>
Step 2: Write
Create the first rough draft of the statement. Remember that you
are demonstrating a process, so do not worry about editing this
yet.
Step 3: Complete
In 150-200 words, finalize the statement, indicating in the

provided space who in the organization would have reviewed
the rough draft and who in the organization will need to approve
the final language.
State who would have reviewed the rough draft:
State who will need to approve the final language:
© 2022. Grand Canyon University. All Rights Reserved.
2
Subjective Documentation in Provider Notes
Subjective narrative documentation in Provider Notes is
detailed and organized and includes:
Chief Complaint (CC), HPI, Current Medications, Allergies,
Past Medical History, Family History, Social History and
Review of Systems (ROS)
ROS: covers all body systems that may help you formulate a list
of differential diagnoses. You should list each system as
follows:
General: Head: EENT: etc.
You should list these in bullet format and document the systems
in order from head to toe.—
Objective Documentation in Provider Notes - this is to be
completed in Shadow Health
Physical exam: Document in a systematic order starting from
head-to-toe, include what you see, hear, and feel when doing
your physical exam using medical terminology/jargon.
Document all normal and abnormal exam findings. Do not use
"WNL" or "normal".
You only need to examine the systems that are pertinent to the
CC, HPI, and History.

Diagnostic result - Include any pertinent labs, x-rays, or
diagnostic test that would be appropriate to support the
differential diagnoses mentioned
Differential Diagnoses (list a minimum of 3 differential
diagnoses). Your primary or presumptive diagnosis should be at
the top of the list (#1).--
3/25/20, 8:31 PMFocused Exam: Chest Pain | Completed |
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Focused Exam: Chest Pain Results | Completed
Advanced Health Assessment - January 2020, nur634
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Documentation / Electronic Health Record

Document: Provider Notes
Student Documentation Model Documentation
Subjective
Mr. Foster is a pleasant 58 years old caucasian man who
presented
to the clinic with chief complaints of intermittent chest pain
that has
been going on for the past month. There is no evidence of acute
distress at this time and he currently denies chest pain. He
states
that his chest pain occured at least three times this month. He
states
"I feel it mostly in the middle of my chest. over my heart." He
states
that pain severity at its worst is 5/10, non-radiating, and usually
goes
after a couple of minutes. He describes the pain as "mostly feels
tight and uncomfortable right in the middle of the chest." He
further
states "the pain seems to start when I'm doing something
physical
and subsides a little bit with rest." He denies taking any
medication
to relieve his chest pain. He reports history of hypertension and
hyperlipidemia and takes Atorvastatin 20mg daily and fish oil
for
cholesterol and metoprolol 100mg daily for his hypertension.
He
reports that he has not been checking his blood pressure at home
and only gets it checked during clinic visits. He states that his
last
physical was about three months ago. Reports ocassional

alcohol
consumption. Denies smoking and substance abuse. He denies
shortness of breath, fever or chills and any abdominal
dsicomfort. He
denies history of blood clot and bleeding. He states that his
mom
died of heart attack.
Pt. reports: "I have been having some troubling chest pain in my
chest now and then for the past month." Experiencing periodic
chest
pain with exertion such as yard work, as well as with
overeating.
Points to midsternum as location. Describes pain as "tight and
uncomfortable" upon movement or exertion. Mentioned an
episode
upon going up the stairs to bed. Most recent episode was three
days
ago after eating a large restaurant dinner. Denies radiation. Pain
lasts
for "a few" minutes and goes away when he rests. States "It has
never gotten 'really bad'" so he didn't think it was an
emergency, but
is concerned after three episodes in one month and wants his
heart
checked out. Last physical was 1 year ago but says he hadn't
been
checked out for several years prior. His regular diet includes
grilled
meat, some sandwiches, and vegetables. Reports grilling
between 4-
5 times a week, usually red meat. Has fast food for lunch on
busy
days. 1-2 cups of coffee a day. Denies coughing, shortness of
breath, indigestion, heartburn, jaw pain, fatigue, dizziness,
weakness, nausea, vomiting, and diarrhea. Denies chest pain at

time
of interview. No history of anxiety or depression.
• General Survey: Alert and oriented, with clear speech. Sitting
comfortably in no acute distress.
• Cardiac: S1, S2, without murmurs or rubs. S3 noted at mitral
area.
Your Results Turn In (/assignment_attempts/6065961/choose)
Reopen (/assignment_attempts/6065961/reopen)
Lab Pass (/assignment_attempts/6065961/lab_pass.pdf)
Overview
Transcript
Subjective Data Collection
Objective Data Collection
Education & Empathy
Documentation
Document: Vitals Document: Provider Notes
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Objective
General Survey: 58 years old male patient is alert and oriented,
with
clear speech and no acute distress. V/s BP 146/90, HR 104,
respiration 19, SpO2 98% on room air and temperatire 36.7C.
Facial
expression symmetrical.
Cardiac: S1 S2 wit S3 noted at mitral area, without murmurs.
No
jugular vein distention.
Peripheral Vascular: Capillary refill less than 3 seconds in all
extremities. Right carotid pulse with thrill, 3+ and left carotid
pulse
without thrill, 2+. PMI displaced laterally, brisk and tapping,
less than
3 cm. R/L brachial pulses no thrill, 2+. R/L radial pulses no
thrill, 2+.
R/L femoral pulses no thrill, 2+. R/L popliteal pulses no thrill
1+. R/L
tibial pulses no thrill 1+. R/L dorsalis pedis pulses no thrill 1+.
All
extremities are dry and warm to touch. No edema, varicosities
and
stasis noted.
Respiratory: Breathing is quiet and unlabored. Chest expansion
symmetrical. Breath sounds are clear to ausculation in upper
lobes.

Fine crackles on pesterior bases of both lungs.
Gastrointestinal: Round, soft, nontender with normoactive
bowel
sounds in all four quadrants, no abnormal bruits. No tenderness
to
palpation. Tympanic throughout. Liver is 7cm in the
midclavicular
line.
Neuro: Alert and oriented, follows commands
EKG: NSR with no ST changes
No swelling or fluid retention present.
• Peripheral Vascular: No JVD present. JVP 3 cm above sternal
angle. Left carotid no bruit. Right side carotid bruit. Right
carotid
pulse with thrill, 3+. Brachial, radial, femoral pulses without
thrill, 2+.
Popliteal, tibial, and dorsalis pedis pulses without thrill, 1+.
Cap refill
less than 3 seconds in all 4 extremities.
• Respiratory: Breathing is quiet and unlabored. Breath sounds
are
clear to auscultation in upper lobes and RML. Fine crackles in
posterior bases of L/R lungs.
• Gastrointestinal: Round, soft, non-tender with normoactive
bowel
sounds in all quadrants; no abdominal bruits. No tenderness to
light
or deep palpation. Tympanic throughout. Liver is 7 cm at the
MCL
and 1 cm below the right costal margin. Spleen and bilateral
kidneys
are not palpable.

• Neuro: Alert and oriented x 3, follows commands, moves all
extremities. Gross cranial nerves 2-12 bilaterally and grossly
intact.
• Skin: Warm, dry, pink, and intact. No tenting and no sweating.
• Musculoskeletal: Moves all extremities.
• Psych: Normal affect, cooperative, good eye contact.
• EKG (interpretation): Regular sinus rhythm. No ST changes.
• Gastrointestinal: Round, soft, non-tender with normoactive
bowel
sounds in 4 quadrants; no abdominal bruits. No tenderness to
light
or deep palpation. Tympanic throughout. Liver is 7 cm at the
MCL
and 1 cm below the right costal margin. Spleen and bilateral
kidneys
are not palpable.
• Neuro: Alert and oriented x 3, follows commands, moves all
extremities.
• Skin: Warm, dry, pink, and intact. No tenting.
• EKG (interpretation): Regular sinus rhythm. No ST changes.
Assessment
Coronary artery disease with stable angina. Possible congestive
heart failure, carotid disease or GERD.
Based on the abnormal findings during cardiovascular and

respiratory auscultation, my differentials include coronary
artery
disease with stable angina; congestive heart failure; carotid
disease;
aortic aneurysm; pericarditis; or GERD.
Plan
1. Since Mr. Foster's BP is not yet controlled, I will titrate his
Lopressor and transition to ACE inhibitor. Will also refer to
Cardiologist for start of diuretic therapy, PRN nitroglycerin for
chest
pain, echocardiogram and stress test. May need an additional
consult with a vascular surgeon for carotid evaluation.
2. Cxray, lab workup including cardiac enzyme, electrolyte,
CBC,
BMP, CMP, Hgb, A1C, lipid profile, and liver function test.
3. Educate patient regarding exercise, diet and lifestyle
modification.
Educate Mr. Foster to seek immediate medical attention if chest
pain
returns and gets worse.
7. Return to clinic in 5-7 days for follow-up.
Mr. Foster should receive a 12-lead ECG, chest x-ray, and lab
workup (cardiac enzymes, electrolytes, CBC, BNP, CMP, Hgb
A1C,
lipid profile, and liver function tests) to confirm a diagnosis. He
should be referred for an echocardiogram, exercise stress test,
and
carotid dopplers as well as a consult with a vascular surgeon for
carotid evaluation. Mr. Foster should be prescribed diltiazem
and a
diuretic in addition to his daily Lopressor and Lipitor. If
needed, add
an ACE inhibitor to manage his hypertension and PRN

nitroglycerin
for chest pain that does not subside with rest.
Comments
If your instructor provides individual feedback on this
assignment, it will appear here.
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Name:
Section:
Week 7
Shadow Health Digital Clinical Experience Focused Exam:
Chest Pain Documentation
SUBJECTIVE DATA: Include what the patient tells you, but
organize the information.
Chief Complaint (CC): In just a few words, explain why the
patient came to the clinic.
History of Present Illness (HPI): This is the symptom analysis
section of your note. Thorough documentation in this section is
essential for patient care, coding, and billing analysis. Paint a
picture of what is wrong with the patient. You need to start
EVERY HPI with age, race, and gender (i.e. 34-year-old AA
male). You must include the 7 attributes of each principal
symptom:
1. Location
2. Quality
3. Quantity or severity
4. Timing, including onset, duration, and frequency
5. Setting in which it occurs
6. Factors that have aggravated or relieved the symptom

7. Associated manifestations
Medications: Include over the counter, vitamin, and herbal
supplements. List each one by name with dosage and frequency.
Allergies: Include specific reactions to medications, foods,
insects, and environmental factors.
Past Medical History (PMH): Include illnesses (also childhood
illnesses), hospitalizations, and risky sexual behaviors.
Past Surgical History (PSH): Include dates, indications, and
types of operations.
Sexual/Reproductive History: If applicable, include obstetric
history, menstrual history, methods of contraception, and sexual
function.
Personal/Social History: Include tobacco use, alcohol use, drug
use, patient’s interests, ADL’s and IADL’s if applicable, and
exercise and eating habits.
Immunization History: Include last Tdp, Flu, pneumonia, etc.
Significant Family History: Include history of parents,
Grandparents, siblings, and children.
Review of Systems: From head-to-toe, include each system that
covers the Chief Complaint, History of Present Illness, and
History).Remember that the information you include in this
section is based on what the patient tells you. You will only
need to cover systems pertinent to your CC, HPI (N/A,
UNKNOWN is not acceptable, make up the information if you
need to). To ensure that you include all essentials in your case,
refer to Chapter 2 of the Sullivan text.

General: Include any recent weight changes, weakness, fatigue,
or fever, but do not restate HPI data here.
Cardiovascular/Peripheral Vascular:
Respiratory:
Gastrointestinal:
Musculoskeletal:
Psychiatric:
OBJECTIVE DATA: From head-to-toe, includewhat you see,
hear, and feel when doing your physical exam. You only need to
examine the systems that are pertinent to the CC, HPI, and
History unless you are doing a total H&P. Do not use WNL or
normal. You must describe what you see.
Physical Exam:
Vital signs: Include vital signs, ht, wt, temperature, and BMI
and pulse oximetry.
General: Include general state of health, posture, motor activity,
and gait. This may also include dress, grooming, hygiene, odors
of body or breath, facial expression, manner, level of
conscience, and affect and reactions to people and things.
Cardiovascular/Peripheral Vascular: Always include
the heart in your PE.
Respiratory: Always include this in your PE.
Gastrointestinal:
Musculoskeletal:
Neurological:
Skin:
Diagnostic Test/Labs: Include any labs, x-rays, or other
diagnostics that are needed to develop the differential diagnoses
with rationale for each one documented OR ones that were
mentioned during the SH assignment.

ASSESSMENT: List your priority diagnosis(es). For each
priority diagnosis, list at least 3 differential diagnoses, each of
which must be supported with evidence and guidelines. For
holistic care, you need to include previous diagnoses and
indicate whether these are controlled or not controlled.
© 2021 Walden University

MGT-325 Developing an Organizational Change Communications Pl

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