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BHA FPX 4020 Assessment 1 Health Care Problem Analysis Proposal

Healthcare Problem Analysis Proposal

According to the Agency for Healthcare Research and Quality (AHRQ) (2021), a healthcare disparity is a “difference between population groups in the way they access, experience, and receive healthcare” (p. 193). In this sense, the synergies between ethnic, social, economic, environmental, and geographical factors contribute to inequalities regarding access to care, experiences, and quality of life.

Although the country enacts policies that ensure affordability, accessibility, and equality, eliminating ethnic and socio-economic disparities poses a public health challenge. Therefore, this proposal elaborates on strategies for measuring and assessing healthcare disparities, quality benchmarks, and evidence-based strategies for addressing the problem.

Measurements and Assessment of the Problem

It is possible to measure and assess the problem of healthcare disparities by evaluating interactions between health and social determinants of health (SDOH), including age, education, neighborhood, employment, and population’s income levels. Also, it is essential to incorporate ethnic aspects because they influence access to quality care, experiences, and quality of life. The Agency for Healthcare Research and Quality (AHRQ) (2021) presents six profound domains for assessing disparities. These considerations are:

Access to person-centered care
Patient Safety
Care coordination
Care affordability
Effective treatment
Healthy living

Benchmarks for Healthcare Disparities

Often, it is possible to determine the prevailing health disparities by comparing the community’s performance against top-performing communities and state or national benchmarks. As noted earlier, it is vital to assess and measure health disparities by evaluating inequalities within the six domains, including access to patient-centered care, the level of care coordination, care affordability, the availability of effective treatment, and healthy living.

Gomez et al. (2021) argue that conditions in which people live, learn, work, and worship, alongside their age and growth patterns, influence well-being outcomes, quality of life, and access to timely, affordability, and quality care. Therefore, the social determinants of health (SDOH) are the causative and contributing factors for health disparities.

The Agency for Healthcare Research and Quality (AHRQ) collaborates with other agencies such as the Centers for Disease Control and Prevention (CDC) and the Centers for Medicare and Medicaid Services (CMS) to document national and state benchmarks for the six domains. In this sense, it is possible to gauge communities’ performance regarding eliminating healthcare disparities by comparing their prevalence with states’ and national benchmarks.

One of the most profound benchmarks for healthcare disparities is the number of uninsured people of ethnic diversities. Carratala & Maxwell (2020) argue that about 10.6% of African Americans were uninsured compared with 5.9% of non-Hispanic Whites in 2017. Such statistics indicate ethnicity is a profound cause of disparities in care affordability and accessibility.

The stand unit for measuring health disparities entails often computing the total number of individuals with distinct characteristics against a predetermined population (1000, 100000, and so on). For example, healthcare professionals can calculate the total number of Black Americans with new cases of HIV by identifying the numbers of new cases per 100,000 people. Consequently, it is possible to compare the prevalence of disparities with achievable benchmarks.

Action Plan

Many scholarly and authoritative sources proposed evidence-based interventions for analyzing and addressing health disparities in patient safety, access to quality care, care affordability, quality of life, and care coordination. These interventions include:

Identifying and addressing contextual issues contributing to healthcare disparities (Suarez-Balcazar et al., 2017). it is essential to understand the linkage between social determinants of health (SDOH) and access to care, affordability, care coordination, and quality of life.
Initiating organizational, provider-focused, and systematic changes to reduce racial healthcare disparities (Gullost et al., 2018).
Eliminating structural racism in healthcare organizations to promote fairness and equality at the institutional level (Lavizzo-Mourey et al., 2021)
Ensuring equality when distributing socio-economic resources reduces disparities within the social determinants of health, such as housing, health literacy, work conditions, and employment status (Gomez et al., 2021).
Implementing care transformative care delivery and financial arrangements to transform healthcare reimbursement strategies, including national insurance models to enhance accessibility and affordability (Garzon-Orjuela et al., 2020).

American College of Healthcare Executives (ACHE) Leadership Competencies

ACHE DomainACHE Competency SelectedHow This Competency Related to the Capstone Health Care Problem Analysis ProposalCommunication and Relationship ManagementCommunication Skills Communication competencies are prerequisites for effectively disseminating information and evidence regarding clinical problems as a healthcare professional. According to the American College of Healthcare Executives (ACHE) (2020), communication skills enhance an individual’s ability to communicate clearly and concisely with internal and external audiences, establish and maintain relationships, and facilitate constructive interactions with team members. This competency is consistent with the capstone project analysis because it entails developing interdisciplinary teams for change implementation.LeadershipManaging ChangeUndoubtedly, understanding the change process is essential for inspiring evidence-based interventions to address health disparities. ACHE (2020) contends that effective leadership entails inspiring individuals and organizational excellence by creating a shared vision and successfully managing change. Therefore, this competency complements the need to initiate, implement, and sustain approaches for addressing health disparities.ProfessionalismPersonal and Professional AccountabilityAs noted earlier, it is essential to eliminate structural discrimination in healthcare organizations to address health disparities such as access to quality care for disadvantaged patient populations, care coordination issues, and patient safety concerns (Lavizzo-Mourey et al., 2021).
Personal and professional accountability is a prerequisite for ensuring equality at the institutional level because it aligns with ethical and professional standards. This competency relates to the capstone healthcare problem because it requires healthcare professionals to uphold ethical and professional practice standards, eliminating structural disparities such as discrimination.Knowledge of the Healthcare EnvironmentalHealthcare Systems and OrganizationsThe problem of health disparities prompts healthcare professionals and policymakers to understand the synergies between social determinants of health (SDOH) and domains of quality care, including accessible, affordable, and coordinated care.
Therefore, it is essential to understand external and internal organizational environments, including healthcare delivery systems like insurance and reimbursement models. Therefore, this competency aligns with the capstone healthcare problem because it emphasizes understanding care dynamics and their contribution to health disparities.Business Skills and KnowledgeQuality ImprovementQuality improvement is an essential concept in the current healthcare systems because it emphasizes interventions for bolstering care quality, accessibility, and affordability, alongside other dimensions of quality care.
Healthcare professionals should familiarize themselves with implementing evidence-based recommendations for clinical problems. This competency aligns with the capstone healthcare problem analysis because it entails understanding organizational capacity and aspects that improve dimensions of quality care.

BHA FPX 4020 Assessment 1 Health Care Problem Analysis Proposal References

Agency for Healthcare Research and Quality. (2021). National healthcare quality and disparities report (pp. 1-316). AHRQ. https://www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr.pdf

American College of Healthcare Executives. (2020). ACHE healthcare executive: 2020 competencies assessment tool. https://www.ache.org/-/media/ache/career-resource-center/competencies_booklet.pdf.

Carratala, S., & Maxwell, C. (2020). Health disparities by race and ethnicity. https://www.americanprogress.org/article/health-disparities-race-ethnicity/

Garzón-Orjuela, N., Samacá-Samacá, D., Luque Angulo, S., Mendes Abdala, C., Reveiz, L., & Eslava-Schmalbach, J. (2020). An overview of reviews on strategies to reduce health inequalities. International Journal for Equity in Health, 19(1), 1-11. https://doi.org/10.1186/s12939-020-01299-w

Gollust, S., Cunningham, B., Bokhour, B., Gordon, H., Pope, C., & Saha, S. et al. (2018). What causes racial health care disparities? A mixed-methods study reveals variability in how health care providers perceive causal attributions. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 55, 1-11. https://doi.org/10.1177/0046958018762840

Gómez, C., Kleinman, D., Pronk, N., Wrenn Gordon, G., Ochiai, E., & Blakey, C. et al. (2021). Addressing health equity and social determinants of health through healthy people 2030. Journal of Public Health Management and Practice, s249-s257. https://doi.org/10.1097/phh.0000000000001297

Lavizzo-Mourey, R., Besser, R., & Williams, D. (2021). Understanding and mitigating health inequities — past, current, and future directions. New England Journal of Medicine, 384(18), 1681-1684. https://doi.org/10.1056/nejmp2008628

Suarez-Balcazar, Y., Mirza, M., & Garcia-Ramirez, M. (2017). Health disparities: Understanding and promoting healthy communities. Journal of Prevention & Intervention in The Community, 46(1), 1-6. https://doi.org/10.1080/10852352.2018.1386761

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BHA FPX 4020 Assessment 3 Data Collection and Analysis

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BHA FPX 4020 Assessment 5 Health Care Leadership

BHA FPX 4020 Assessment 1 Health Care Problem Analysis Proposal Instructions

Prepare a health care problem analysis proposal in outline format (3-10 pages) on a current, relevant health care problem. Include the rationale for selecting the problem, a description of the how the problem is assessed and measured for quality improvement purposes, a proposed industry measure of performance, action steps for completing the project, and a description of the applicable leadership competencies.

Effective health care leaders simultaneously maintain internal organizational and external industry environmental awareness. Leaders are challenged to focus on vision, mission, strategic direction, goals, and objectives while remaining mindful of emerging trends that may affect an organization’s viability.

Monitoring the external environment for issues that may represent major challenges to an organization requires ongoing diligence. Health care administrators must identify and prioritize issues affecting their organizations. Furthermore, leaders must select methods and tools with which to analyze data for identification of potential solutions.

In this first assessment in your capstone course, you will have an opportunity to select a health care problem that is relevant to your career interests and one that adds value to a current or future health care organization. By the end of the course, you will be drawing from current scholarly and/or authoritative sources to provide evidence-based recommendations to solve the problem.

Demonstration of Proficiency for BHA FPX 4020 Assessment 1 Health Care Problem Analysis Proposal

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

Competency 1: Evaluate problems in health care organizations, and apply tools to improve quality and outcomes.

Describe, using an authoritative source, how the selected health care problem is assessed and measured for quality improvement purposes. Describe how five American College of Healthcare Executives (ACHE) leadership competencies apply to the selected capstone project topic.

Competency 2: Analyze foundational elements of the U.S. health care system.

Identify a relevant problem along with the rationale for selecting the problem.

Competency 4: Analyze records and reports based on established benchmarks and organizational goals and performance.

Propose an industry measure of performance, such as a benchmark, which pertains to the type of organization selected for problem analysis.

Competency 5: Create comprehensive and useable data-driven actions plans, based on industry benchmarks. Provide a bulleted list of the preliminary action plan steps to review the problem and propose solutions.

Competency 6: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards.

Create a clear, well organized, professional, and generally error-free outline that describes a relevant health care problem.

Preparation for BHA FPX 4020 Assessment 1 Health Care Problem Analysis Proposal

To successfully complete this first assessment in your capstone course, you will need to conduct independent research on current, relevant problems facing the U.S. health care system. The problem you select needs to meet all of the following criteria:

The selected health care problem is likely to affect your current or desired future workplace, such as a hospital, home health care agency, hospice, ambulatory clinic, et
Authoritative and scholarly health care literature addresses the problem of
Data is available for the selected
The current state can be articulated by describing major factors and the way in which these factors are For example, the selected problem can be analyzed by examining such data as average length of stay (in days) and cost (dollars).

You may begin your research on current, relevant problems facing the health care industry by studying your suggested resources for this assessment. In addition, you may want to consult the Health Care Administration Undergraduate Library Research Guide to help you begin your search for scholarly and authoritative sources on significant, contemporary problems in the health care industry.

Please ensure that the problem is relevant and of sufficient interest to your career goals since all future course work is built upon the stated problem.

BHA FPX 4020 Assessment 1 Health Care Problem Analysis Proposal Instructions

For this assessment, you will construct a capstone health care problem analysis proposal on your selected topic. You may wish to envision your current or future workplace as the potential site for presentation of the proposal. After your proposal is constructed, you will receive feedback from your faculty member. Later in the course, in a separate assessment, you will receive feedback from a practicing professional about the proposed approach to analyze data relating to the problem.

Your goal is to provide succinct yet substantive information with sufficient depth to cover your selected problem. Remember to include a cover page, table of contents, section headings, and reference list. The length of the proposal is based upon the breadth and depth of your selected topic.

The following general steps in construction of your proposal contain additional specific information requirements.

Step 1: Identify a relevant problem along with the associated rationale for the selection of the problem. Be sure to substantiate content with and authoritative source.

State the problem in a single sentence, tell why it is a problem, and add a citation from a current, authoritative source. For example: Condition X if not addressed may result in Consequence Y (source, year).

Step 2: Describe, using an authoritative source, how the selected health care problem is assessed and measured for quality improvement purposes. Include relevant factors and associated units of measurement.

Select six current authoritative sources that apply to your selected problem. You may consider your problem from an industry, organization, or specific professional level. Be sure to include any industry standards, legal, and ethical considerations that relate to your problem. Summarize each of the six sources in a succinct sentence or two. Explain how each source directly relates to the problem. Be sure to add an APA formatted citation for each.

Step 3: Propose an industry measure of performance, such as a benchmark, which pertains to the type of organization selected for problem analysis.

State the major factors or performance indicators that directly relate to your problem. Assign a unit of measurement to each factor (days, dollars, percentage, et cetera.)

Identify the authoritative source(s) used to determine the major factors you selected that relate to the problem. Identify which industry assessment tool or framework you will use to analyze the problem.

Step 4: Provide a bulleted list of the preliminary action plan steps to complete the capstone health care problem analysis project. Examples include:

conduct library search, formulate problem statement, identify factors and units of measure, and so on.

Step 5: Describe one competency from each of the five American College of Healthcare Executives’ (ACHE) domains that relate to your capstone health care problem analysis proposal.

Review the ACHE competency model:

Healthcare Leadership Alliance and the American College of Healthcare Executives. (2018). ACHE healthcare executive competencies assessment tool. Retrieved from https://www.ache.org/pdf/nonsecure/careers/competencies_booklet.pdf

Provide a short statement about how you practice one competency within each of the five ACHE domains. Consider including a table such as the following within your outline. Note: You have been provided with one example of how you might complete this for one competency within one domain. You will need to complete the entire table—one competency within each of the five domains.

ACHE Domain ACHE Competency Selected How This Competency Relates to the Capstone Health Care Problem Analysis Proposal Communication and Relationship Management Leadership Professionalism Knowledge of the Healthcare EnvironmentHealthcare Systems and OrganizationsI chose health care systems and organizations because the capstone project will require me to develop skills in identifying substantive problems that the health care industry needs to address. It will also require me to develop skills in working to resolve a substantive problem within a health care organization. Business Skills and Knowledge

Reminder: You will condense and use the material from your outline in your final PowerPoint presentation in the fourth course assessment.

Additional Requirements for BHA FPX 4020 Assessment 1 Health Care Problem Analysis Proposal

Length: 3 to 10 double-spaced pages. Outline length will vary based on your selected topic.

Font: Use Times New Roman, 12 point font.

APA: Provide a minimum of six APA-formatted citations and references to current, scholarly and/or authoritative sources.

Problem selection criteria: Be sure your selected problem meets all four criteria listed under Preparation.

Writing: Create a clear, well-organized, professional, and generally error-free outline that describes a relevant health care problem

BHA FPX 4020 Assessment 3 Data Collection and AnalysisData Collection and Analys ...

BHA FPX 4020 Assessment 3 Data Collection and Analysis

Data Collection and Analysis

Health disparities in the US pose a challenge by compromising the ability to provide timely, affordable, and quality care. According to the Agency for Healthcare Research and Quality (AHRQ) (2021), healthcare disparities entail differences between population groups that determine how they access, experience, and receive healthcare services.

When elaborating on the problem of widening health inequalities, it is essential to incorporate the role of social determinants of health (SDOH) into the discussion. In this sense, synergies between ethnic, socioeconomic, environmental, and locational factors contribute to inequalities regarding access to care, care coordination, perceptions of patient safety, and care affordability.

As a country of demographic and socioeconomic diversities, the US needs to understand the interactions between health disparities. Therefore, data collection and analysis emerge as a profound strategy for enhancing knowledge and inspiring evidence-based practice for addressing health inequalities. As a result, this assessment presents data regarding various health inequalities while proposing evidence-based strategies for addressing health disparities.

Data Presentation

Figure 1: People under age 65 with any period of uninsurance during the year, by race, 2017

BHA FPX 4020 Assessment 3 Data Collection and Analysis

Figure 2: New HIV cases per 100,000 population aged 13 and over, 2008-2016

Source: Agency for Healthcare Research and Quality (AHRQ)

Figure 3: People unable to get or delayed in accessing medical care due to financial or insurance reasons, 2002-2017

Figure 4: Effects of Medicaid Expansion on States’ Healthcare Expenditures

Source: The Commonwealth Fund

Quantitative and Qualitative Analysis of Data

As noted earlier, health disparities influence how people access, experience, and receive healthcare services. In the United States, health inequalities manifest via various domains, including access to person-centered care, patient safety, healthy living, effective treatment, care coordination, and care affordability (Agency for Healthcare Research and Quality, 2021).

In this sense, national and state health organizations set achievable benchmarks based on concepts from each domain. For example, organizations emphasize adverse drug events in patients with anticoagulants, urinary tract infections, and medication safety when establishing patient safety benchmarks. These sub-themes enable healthcare institutions to compare their performance with top-performing institutions.

Since health inequalities are diverse and beyond one measure of quality, it is essential to focus on areas that demonstrate widening gaps within the social determinants of health (SDOH). In this sense, analyzing quantitative and qualitative data from national healthcare organizations such as the Agency for Healthcare Research and Quality (AHRQ) is essential to identify priority areas that demonstrate significant inequalities.

The first graph represents quantitative data regarding the problem of uninsured people under the age of 65 years. The graph makes it possible to identify disparities in access to insurance coverage among people of different ethnic backgrounds, including White, Black Americans, Asian Americans, American Indians or Alaska Natives (AI/AN), and people of more than one race.

The graph indicates that in 2017, (AI/ANs) under age 65 were twice as likely to lack insurance as whites (38.8% compared with 18.3%). Also, Black Americans were more likely than Whites to have a period of uninsurance in 2017 (21.7% compared with 18.3%). While health disparities hamper access to insurance coverage for ethnic groups, this data from the Agency for Healthcare Research and Quality (AHRQ) can inform recommendations for addressing health inequalities within the national insurance models.

Another ideal measure of health disparities is the prevalence of new HIV cases among people aged 13 and above. In Figure 2, the Agency for Healthcare Research and Quality (AHRQ) (2021) indicates the inequalities regarding new HIV cases in 2016. The graph indicates that non-Hispanic Blacks reported 52.0 new HIV cases per 100000 population for people aged 13 and above compared with 5.9 per 100000 cases for non-Hispanic Whites.

Although these numbers did not match the 2015 national achievable benchmark of 4.2 cases per 100000 population, they signify underlying conditions that create imbalances in the quality of life across the two groups. Therefore, the data shed light on areas where the federal and state governments should improve to reduce health inequalities.

Apart from the prevalence of new HIV cases and the number of uninsured people across populations, income issues are essential determinants of health disparities. In Figure 3, it is evident that poor and low-income people grapple with the problem of delayed care compared to middle-and-high-income people.

The graph indicates that 51.5% of the poor faced the challenge of delayed care in 2017 due to financial or insurance reasons. Although the income disparities narrowed from 2002 to 2017, poor and low-income people endure delayed care due to financial or insurance reasons. Therefore, national and state governments can use such data to initiate programs to reduce income inequality.

Evidence-Based Recommendations

Healthcare organizations in the US operate to promote care quality, timeliness, equality, and affordability. However, the prevailing health disparities affect how people access, experience, and receive healthcare services. In the current healthcare systems, external evidence significantly influences organizations’ practices and informs clinical decisions. While health inequalities rely massively on discrepancies within the social determinants of health (SDOH), it is vital to implement recommendations from reputable sources to address these disparities. These recommendations include:

Medicaid Expansion

The United States lacks a universal insurance model for providing health coverage to vulnerable groups. The absence of universal public insurance coverage exacerbates the problem of uninsured people, leading to expensive insurance premiums and complex health reimbursement models.

According to Radley et al. (2021), nearly 30 million Americans are still uninsured and are disproportionately people of color. Although the Affordable Care Act (ACA) 2010 required states to expand Medicaid, the revised eligibility criteria exclude poor and low-income people. As a result, they are ineligible for Medicaid coverage, leading to multiple ramifications, including limited access to quality care, the problem of delayed care due to financial or insurance issues, and compromised quality of life.

Although Medicaid expansion is an ideal strategy for addressing income-related health disparities, it is essential to establish its cost-benefit analysis to ensure its economic plausibility. Since Medicaid is a federal insurance policy, its expansion can alter national healthcare expenditures. However, states are more likely to save the cost of healthcare outside Medicaid services.

Ward (2020) argues that Medicaid expansion reduces states’ spending in various areas, including mental health and substance abuse treatment, corrections, and uncompensated care. The qualitative data in Figure 4 present savings estimates from traditional Medicaid and Medicaid expansion for selected states in different fiscal years. It is vivid that expanding Medicaid addresses disparities in access to quality care, care affordability, coordination, and patient safety.

Developing Community-Based Programs and Policies for Ensuring Health Equality

Medicaid expansion cannot singlehandedly address the prevailing health inequalities. Instead, health organizations and governmental agencies should embrace interdisciplinary collaboration to support community-based initiatives tackling health inequalities. According to Gomez et al. (2020), these localized programs should focus on various social determinants of health, including education, housing, healthcare justice, and literacy.

Also, they should compromise sub-themes such as attending to root causes of health inequalities and disparities, addressing issues that affect susceptible groups, promoting equal opportunities for all people to guarantee improved quality of life, and fair distribution of socioeconomic resources to promote healthy living.

Eliminating Structural Racism in Healthcare Organizations

Organizational cultures are consistent with patient safety, coordination, and patient-centered care. According to Lavizzo-Mourey et al. (2021), racial and ethnic disparities in healthcare organizations exist and are disproportionate to minority groups such as Black Americans and Asian Americans.

Such inequalities result in adverse health effects by compromising the tenets of patient-centered care, patient safety, and positive medical outcomes. As a result, addressing the underlying organizational barriers to equal healthcare service delivery is a profound strategy for tackling health discrepancies at the organizational level.

Conclusion

Undoubtedly, health inequalities and disparities cut across various domains, including access to person-centered care, patient safety, coordination, affordability, and effective treatment. Since the US grapples with social determinants of health discrepancies, it is essential to incorporate evidence-based strategies from quantitative and qualitative data regarding measures of health inequalities.

Figures 1, 2, and 3 present insights on various health discrepancies prevailing among ethnic and socioeconomic groups. Therefore, national and state governments should use such data to formulate policies and programs addressing health disparities. Evidence-based recommendations are Medicaid expansion, implementing community-based interventions to ensure equality, and eliminating structural racism in healthcare settings.

References

Agency for Healthcare Research and Quality. (2021). National Healthcare Quality and Disparities Report (pp. 1-316). AHRQ. https://www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr.pdf

Gómez, C., Kleinman, D., Pronk, N., Wrenn Gordon, G., Ochiai, E., & Blakey, C. et al. (2021). Addressing health equity and social determinants of health through Healthy People 2030. Journal of Public Health Management and Practice, s249-s257. https://doi.org/10.1097/phh.0000000000001297

Lavizzo-Mourey, R., Besser, R., & Williams, D. (2021). Understanding and mitigating health inequities — past, current, and future directions. New England Journal of Medicine, 384(18), 1681-1684. https://doi.org/10.1056/nejmp2008628

Radley, D., Baumgartner, J., Collins, S., Zephyrin, L., & Schneider, E. (2021). Achieving racial and ethnic equity in US health care: A scorecard of state performance. Accessed 5th February 2022 from https://www.commonwealthfund.org/publications/scorecard/2021/nov/achieving-racial-ethnic-equity-us-health-care-state-performance.

Ward, B. (2020). The impact of Medicaid expansion on states’ budgets. Accessed 5th February 2022 from https://www.commonwealthfund.org/publications/issue-briefs/2020/may/impact-medicaid-expansion-states-budgets.

BHA FPX 4020 Assessment 3

Apply a selected tool to an identified health care problem, analyze the qualitative and quantitative results, and provide evidence-based recommendations to address the problem based on analyses performed. Include a minimum of two visual data displays (charts, graphs, et cetera).

Health care has become a data-driven industry that practices evidence-based decision making. Whether the issue is clinical or financial, health care leaders are expected to analyze problems using logic, established tools, and data. Effective leaders engage team members in the problem resolution process, encouraging a wide variety of perspectives. Once the problem is clearly defined, the health care leader is responsible for selecting an appropriate, established framework or tool with which to analyze the problem. Research, critical thinking, and team collaboration are important facets of problem solving.

Health care organizations have finite resources, so the solving of problems must take place within the confines of the organization’s available resources. In this assessment you will practice estimating the cost of one recommendation and determining whether implementing the recommendation is realistic for a specific health care organization. You will apply a simple cost benefit analysis and make a recommendation. Cost benefit analysis is another important skill for health care leaders, and this assessment provides an opportunity for you to demonstrate critical thinking skills.

This assessment also provides the opportunity to reflect upon the industry and organizational contexts before engaging in application of a tool for problem analysis. You will consider the organization’s setting with respect to level of care, mission, strategy, operations, and culture. Moreover, you will think critically about legal, regulatory, ethical, and risk management operational issues that relate to the selected problem. Let’s get started.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate proficiency in the course competencies through the following assessment scoring guide criteria:

Competency 1: Evaluate problems in health care organizations, and apply tools to improve quality and outcomes.

Provide rationale for the selected problem analysis model or tool.

Competency 3: Construct evidence-based health care management recommendations in compliance with personal and professional values and legal, regulatory, and ethical considerations.

Construct evidence based recommendations which may include ethical, legal, regulatory, and organizational standards.

Competency 4: Analyze records and reports based on established benchmarks and organizational goals and performance.

Analyze date relative to internal and external benchmarks.

Preparation for BHA FPX 4020 Assessment 3

As you prepare to complete this third course assessment, consider the organizational context. How does analysis of the problem align with the organization’s vision, mission, strategy and financial viability? Using numbers and organizational considerations, you will explain why the organization should or should not proceed with the recommendation.

Assessment 3 Instructions

This assessment consists of three parts.

Data Presentation

In this part of the assessment, you will apply the selected tool to the problem and produce a minimum of two visual data displays (charts, graphs, et cetera). Examples of tools you might include are:

Cost Benefit Analysis: Excel spreadsheet, converted into 2–3 worksheet tabs, graphs, or other visual display format. Compliance Assessment: 3 major criteria converted into 3 separate pie charts or other graphic display format.

Lean Analysis: The percent of variance by major factor converted into 2–3 trend lines.

Note: At a minimum, provide a cost benefit analysis of the recommendation.

Quantitative and Qualitative Analysis of Data

In this part of the assessment you will analyze the collected data relative to benchmarks. Provide discussion as to whether the selected benchmarks are internal to the organization, external industry benchmarks, or a combination. Be sure to include a short summary of observations. Note: If the problem requires an additional tool, such as a compliance audit tool, you may include more than one discussion of the results.

Evidence-Based Recommendations

In this final part of the assessment, provide evidence-based recommendations that will help to address the identified problem. Be sure to support your recommendations with references to current, scholarly, and/or authoritative sources. Also include an explanation as to why the recommendations are feasible for this particular organization. For example, one recommendation might be to offer a new service line. Even though the new service may not generate an immediate profit, it might serve to draw additional patients into the network.

Additional Requirements

Length: The nature, breadth, and depth of the problem will drive the length of the recommendation and cost benefit analysis.

Font: Use Times New Roman, 12-point font.

APA: Follow APA formatting and style guidelines for citations and references

Related Assignments:

BHA-FPX 4020 Assessment 5 Instructions: Health Care Leadership Self-Assessment

BHA FPX 4020 Assessment 5 Health Care LeadershipComplete a self-assessment of 25 ...

BHA FPX 4020 Assessment 5 Health Care Leadership

Complete a self-assessment of 25 ACHE leadership competencies. Prepare a personal development plan that identifies specific action steps and due dates for improvement of five selected leadership competencies.

Throughout their careers, health care leaders must regularly assess their individual competencies and how those competencies align with organizational needs and priorities. Changing laws, regulations, technology, consumer preferences, medical treatment advances, and external environmental shifts can affect the skill sets needed for effective leadership. Accurate self-assessment is an important first step in identification of areas for future leadership development.

In this assessment, you will reflect upon your performance with respect to the industry-validated ACHE leadership competency model. After identifying areas of strength and areas for development, you can craft specific action steps to address any leadership development gaps.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

Competency 4: Analyze records and reports based on established benchmarks and organizational goals and performance.

Identify five individual competencies within each of the five ACHE model domains practiced during the capstone project.

Estimate baseline competency performance ratings at the beginning of the BHA program on the 25 identified individual competencies. Assess current competency performance ratings for the capstone project on the 25 identified individual competencies.

Competency 5: Create comprehensive and useable data-driven action plans, based on industry benchmarks.

Identify one competency within each of the five ACHE domains for further development.

Create one specific action step with a due date to strengthen competency performance for each of the five development areas identified.

Preparation

To successfully prepare to complete this final course assessment, you will need to review the ACHE competency model:

Remember that you already examined this tool in Assessment 1 and identified one competency from each domain that you would be practicing while completing the capstone project.

BHA FPX 4020 Assessment 5 Health Care Leadership Instructions

This assessment is in two parts:

Part 1: Leadership Self-Assessment.

You will assess the development of your leadership skills over the course of your BHA program.

Part 2: Personal Development Plan.

You will identify measurable action steps for future career development based on the results of your leadership skills assessment.

Part 1: Leadership Self-Assessment

To complete your leadership self-assessment:

Download the Leadership Self-Assessment Template [DOCX].

Select five competencies from each of the five ACHE leadership domains (25 total competencies) that you practiced during your capstone project and enter them into the appropriate space on the template (Column 2).

Estimate your performance at the beginning of your BHA program on each of the 25 competencies you selected. The rating scale is from 1 (novice) to 5 (expert).

Enter this information on Column 3 of the template.

Early careerists typically score in the novice to competent performance levels. Occasionally they may rate in the expert category. The faculty member will be emphasizing rating accuracy rather than how high the ratings are.

Assess your performance after completing your capstone project on each of the selected 25 competencies.

Enter this information in Column 4 on the template.

Summarize your insights about strengths and improvement areas in the space provided.

Part 2: Personal Development Plan

To complete the personal development plan part of this assessment:

Download the Personal Development Plan Template [DOCX].

Select from your leadership self-assessment five competencies (one from each of the five domains) for further development and cultivation of your health care leadership skills. Enter these competencies into Column 2 of the template.

BHA FPX 4020 Assessment 5 Health Care Leadership

Determine one specific, measurable action step for each of the five selected competencies that will promote skill development. Enter the actions steps in Column 3 of the template.

People learn the most from having the opportunity to practice and demonstrate their skills. Although courses and readings certainly have value for personal development, consider other ways to cultivate the selected competencies. For example, obtain a mentor, solicit feedback from a more experienced colleague, join a professional organization, or volunteer your services.

Assign due dates for completing each action step. Enter the due dates in Column 4 of the template.

Templates: Use the templates provided to complete your leadership self-assessment and your personal development plan.

Portfolio Prompt: You may choose to save this learning activity to your ePortfolio. Consult this resource for additional information about adding artifacts to your ePortfolio.

Leadership Self-Assessment Template Example

Refer to the ACHE Healthcare Executive Competencies Assessment Tool to select the applicable competencies.

ACHE DomainIdentified Competency (Choose 5 for each domain that you practiced during your capstone project)Rating at the beginning of BHA Program1 (novice) to 5 (expert)Rating during Capstone Project1 (novice) to 5 (expert)Communication and Relationship ManagementPrinciples of communication and their specific applications25 Communicating organizational mission, vision, objectives, and priorities14 Preparing and delivering business/organizational communication, including meeting agendas, presentations, reports, and project communication plans14 Providing and receiving constructive feedback25 Using factual data to produce and deliver credible and understandable reports13LeadershipChange Management and promotion14 Explore opportunities for growth and organizational development continuously14 Promote continuous organizational learning/improvement25 Anticipate and plan strategies for overcoming obstacles13 Develop effective medical staff relationships in support of the organization’s mission, vision, and strategic plan25ProfessionalismProfessional roles, responsibility, and accountability24 Understanding organizational business and personal ethics25 Balancing professional and personal pursuits13 Understanding cultural and spiritual diversity for patients and staff as they relate to healthcare needs24 Uphold and act upon ethical and professional standards25Knowledge of the Healthcare EnvironmentKnowledge of healthcare systems and organizations24 Healthcare and medical terminology15 Managed care models, structures, and environment14 Evidence-based management practice24 Healthcare economics13Business Skills and KnowledgeQuality Improvement25 Benchmarking techniques24 Quality improvement theories and frameworks24 National quality initiatives, including patient safety25 Data collection, measurement, and analysis13

Summarize insights regarding strengths and areas for improvement as you continue your health care administration career:

Based on the leadership self-assessment template, it is valid to argue that the capstone project has bolstered various competencies across the five American College of Healthcare Executives (ACHE) domains. Under the communication and relationship management domain, the capstone project developed my communication skills by enhancing my understanding of communication principles and their specific applications, the ability to communicate institutional/team mission, vision, and objectives, and the ability to present agendas and reports, and project plans.

Also, it bolstered my capacity to provide and receive constructive feedback from colleagues regarding organizational objectives and priorities. However, I must improve on using factual data to produce and deliver credible and understandable reports.

Secondly, the capstone project has enhanced my competencies for promoting and managing change. In this sense, I am now aware of strategies for exploring organizational growth and development opportunities, anticipating and planning strategies for overcoming obstacles, and promoting continuous organizational learning or improvement.

Also, the project has transformed my ability to develop effective medical staff relationships in support of the organizational mission, vision, and strategic plans. However, it is essential to embrace strategies for personal development regarding the ability to anticipate and plan strategies for overcoming barriers to effective change implementation. In this sense, I need the implement action step for further development in areas such as change advocacy, analysis of the underlying impediments to quality improvement, and effective ways for championing change.

Thirdly, the capstone project bolstered various competencies under the professionalism domain. For instance, I have developed awareness of patient rights and responsibilities, corporate business and personal ethics, patients’ and staff’s cultural and spiritual diversity, and strategies for upholding and acting upon ethical and professional standards.

It is valid to argue that the capstone project has enabled me to understand thresholds for ethical and professional standards that guide nursing practices. However, I still face challenges when establishing approaches for balancing professional and personal pursuits. Often, I emphasize personal aspirations at the expense of professional roles. Therefore, I need to develop competencies to balance professional issues and personal aspirations and pursuits.

Fourthly, the capstone project has positively impacted my knowledge of healthcare systems and organizations. At the beginning of the Bachelor’s of Health Administration (BHA) program, I was a novice in various aspects, including healthcare and medical terminologies, managed care models, structures, and environment, evidence-based management practice, and healthcare economics. However, the program enhanced my competencies regarding these topics. Although knowledge of healthcare systems and organizations is one of my strengths, I need to embrace strategies for personal development regarding healthcare economics.

Finally, the BHA program has improved my business skills and knowledge. For instance, I am now aware of benchmarking techniques, national quality initiatives, clinical methodologies, quality improvement theories and frameworks, and data collection, measurement, and analysis tools/techniques. At the beginning of this program, I was a novice in various quality improvement techniques in different healthcare settings.

However, I had become competent by the time of completing my capstone project. Although I am competent in quality improvement, I should emphasize interventions for developing my data collection, measurement, and analysis competencies. In this sense, I am yet to become an expert in data collection, measurement, and analysis.

References

Personal Development Plan

From your Leadership Self-Assessment, identify five competencies (one from each domain) that you would like to develop further. Identify an appropriate action step with a due date for each competency.

ACHE DomainCompetency for Further Development (Choose 1 for each domain from your Leadership Self-AssessmentAction StepDue DateCommunication and Relationship Management

Using factual data and delivering credible and understandable reports· Develop a culture of inquiry to embrace evidence-based practice and improve skills for nursing research

· Obtain a mentor and solicit feedback from more experienced colleagues regarding effective selecting and appraising evidence sources.

· Volunteer to a professional organization specializing in nursing research methods and information dissemination.

By the end of 2022Leadership

Anticipate and plan strategies for overcoming obstacles to change management and promotion· Develop listening and communication skills to understand colleagues’ views and feedback regarding the change process.

· Leverage data to convince my colleagues to accept change and implement its provisions.

· Review and understand various change theories and frameworks

By June 2022Professionalism

Balancing professional and personal pursuits· Developing time management skills by setting priorities and timely planning

· Proper scheduling

· Regularly reviewing workloads

· Encouraging social activities to facilitate recreation and reduce burnout

ContinuousKnowledge of the Healthcare Environment

Healthcare economics· Soliciting feedback from more experienced colleagues

· Enrolling in part-time learning programs regarding health economics

· Obtaining a mentor to offer guidance and insights into various aspects of healthcare economics

By December 2022Business Skills and Knowledge

Data collection, measurement, and analysis· Use internet-based databases, books, and other evidence sources to learn about effective methods for data collection, measurement, and analysis

· Enroll in part-time learning programs for data collection, measurement, and analysis

· Obtain a mentor and engage more experienced colleagues to obtain insights into data collection, measurement, and analysis methods.

By mid-2023

Related Assignments:

BHA-FPX4020 Assessment 1: Health Care Problem Analysis Proposal

BHA-FPX 4020 Assessment 3: Data Collection and Analysis

BHA-FPX 4020 Assessment 4: Interdisciplinary Presentation of Evidence-Based Recommendations

measurable action step for each of the five selected competencies that will pro ...

measurable action step for each of the five selected competencies that will promote skill development. Enter the actions steps in Column 3 of the template.

People learn the most from having the opportunity to practice and demonstrate their skills. Although courses and readings certainly have value for personal development

BHA FPX4020 Assessment Papers – Healthcare Problem Analysis Proposal Example ...

BHA FPX4020 Assessment Papers – Healthcare Problem Analysis Proposal Example Solution

Healthcare systems in the US bear the obligation to achieve a triad objective of improving the patient experience of care, including quality and satisfaction, improving public health services, and reducing the cost of care. Despite these considerations, Americans do not receive quality, timely, and affordable care due to the prevailing healthcare disparities. According to the Agency for Healthcare Research and Quality (AHRQ) (2021), a healthcare disparity is a “difference between population groups in the way they access, experience, and receive healthcare” (p. 193).

In this sense, the synergies between ethnic, social, economic, environmental, and geographical factors contribute to inequalities regarding access to care, experiences, and quality of life. Although the country enacts policies that ensure affordability, accessibility, and equality, eliminating ethnic and socio-economic disparities poses a public health challenge. Therefore, this proposal elaborates on strategies for measuring and assessing healthcare disparities, quality benchmarks, and evidence-based strategies for addressing the problem.

Measurements and Assessment of the Problem

Access to person-centered care
Patient Safety
Care coordination
Care affordability
Effective treatment
Healthy living

Benchmarks for Healthcare Disparities

The Agency for Healthcare Research and Quality (AHRQ) collaborates with other agencies, such as the Centers for Disease Control and Prevention (CDC) and the Centers for Medicare and Medicaid Services (CMS), to document national and state benchmarks for the six domains. In this sense, it is possible to gauge communities’ performance regarding eliminating healthcare disparities by comparing their prevalence with states’ and national benchmarks.

One of the most profound benchmarks for healthcare disparities is the number of uninsured people of ethnic diversities. Carratala and Maxwell (2020) argue that about 10.6% of African Americans were uninsured compared with 5.9% of non-Hispanic Whites in 2017. Such statistics indicate ethnicity is a profound cause of disparities in care affordability and accessibility.

The stand unit for measuring health disparities entails often computing the total number of individuals with distinct characteristics against a predetermined population (1000, 100000, and so on). For example, healthcare professionals can calculate the total number of Black Americans with new cases of HIV by identifying the number of new cases per 100,000 people. Consequently, it is possible to compare the prevalence of disparities with achievable benchmarks.

Action Plan

Identifying and addressing contextual issues contributing to healthcare disparities (Suarez-Balcazar et al., 2017). it is essential to understand the linkage between social determinants of health (SDOH) and access to care, affordability, care coordination, and quality of life.
Initiating organizational, provider-focused, and systematic changes to reduce racial healthcare disparities (Gullost et al., 2018).
Eliminating structural racism in healthcare organizations to promote fairness and equality at the institutional level (Lavizzo-Mourey et al., 2021)
Ensuring equality when distributing socio-economic resources reduces disparities within the social determinants of health, such as housing, health literacy, work conditions, and employment status (Gomez et al., 2021).
Implementing transformative care delivery and financial arrangements to transform healthcare reimbursement strategies, including national insurance models to enhance accessibility and affordability (Garzon-Orjuela et al., 2020).

American College of Healthcare Executives (ACHE) Leadership Competencies

ACHE DomainACHE Competency SelectedHow This Competency Related to the Capstone Health Care Problem Analysis ProposalCommunication and Relationship ManagementCommunication SkillsCommunication competencies are prerequisites for effectively disseminating information and evidence regarding clinical problems as a healthcare professional. According to the American College of Healthcare Executives (ACHE) (2020), communication skills enhance an individual’s ability to communicate clearly and concisely with internal and external audiences, establish and maintain relationships, and facilitate constructive interactions with team members. This competency is consistent with the capstone project analysis because it entails implementing interdisciplinary teams for change.LeadershipManaging ChangeUndoubtedly, understanding the change process is essential for inspiring evidence-based interventions to address health disparities. ACHE (2020) contends that effective leadership entails inspiring individuals and organizational excellence by creating a shared vision and successfully managing change. Therefore, this competency complements the need to initiate, implement, and sustain approaches for addressing health disparities.ProfessionalismPersonal and Professional AccountabilityAs noted earlier, it is essential to eliminate structural discrimination in healthcare organizations to address health disparities such as access to quality care for disadvantaged patient populations, care coordination issues, and patient safety concerns (Lavizzo-Mourey et al., 2021). Personal and professional accountability is a prerequisite for ensuring equality at the institutional level because it aligns with ethical and professional standards. This competency relates to the capstone healthcare problem because it requires healthcare professionals to uphold ethical and professional practice standards, eliminating structural disparities such as discrimination.Knowledge of the Healthcare EnvironmentalHealthcare Systems and OrganizationsThe problem of health disparities prompts healthcare professionals and policymakers to understand the synergies between social determinants of health (SDOH) and domains of quality care, including accessible, affordable, and coordinated care. Therefore, it is essential to understand external and internal organizational environments, including healthcare delivery systems like insurance and reimbursement models. Therefore, this competency aligns with the capstone healthcare problem because it emphasizes understanding care dynamics and their contribution to health disparities.Business Skills and KnowledgeQuality ImprovementQuality improvement is an essential concept in the current healthcare systems because it emphasizes interventions for bolstering care quality, accessibility, and affordability alongside other dimensions of quality care. Healthcare professionals should familiarize themselves with implementing evidence-based recommendations for clinical problems. This competency aligns with the capstone healthcare problem analysis because it entails understanding organizational capacity and aspects that improve dimensions of quality care.

References

American College of Healthcare Executives. (2020). ACHE healthcare executive: 2020 competencies assessment tool. https://www.ache.org/-/media/ache/career-resource-center/competencies_booklet.pdf.

Carratala, S., & Maxwell, C. (2020). Health disparities by race and ethnicity. https://www.americanprogress.org/article/health-disparities-race-ethnicity/

Garzón-Orjuela, N., Samacá-Samacá, D., Luque Angulo, S., Mendes Abdala, C., Reveiz, L., & Eslava-Schmalbach, J. (2020). An overview of reviews on strategies to reduce health inequalities. International Journal for Equity in Health, 19(1), 1-11. https://doi.org/10.1186/s12939-020-01299-w

Gollust, S., Cunningham, B., Bokhour, B., Gordon, H., Pope, C., & Saha, S. et al. (2018). What causes racial health care disparities? A mixed-methods study reveals variability in how healthcare providers perceive causal attributions. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 55, 1–11. https://doi.org/10.1177/0046958018762840

Suarez-Balcazar, Y., Mirza, M., & Garcia-Ramirez, M. (2017). Health disparities: Understanding and promoting healthy communities. Journal of Prevention & Intervention in The Community, 46(1), 1-6. https://doi.org/10.1080/10852352.2018.1386761

BHA FPX4020 Assessment 1 Instructions : Health Care Problem Analysis Proposal