Draft a 3-5 page change proposal to executive leaders, soliciting their support for a change to the health care system in the community you selected in the previous assessment.

  • Draft a 3-5 page change proposal to executive leaders, soliciting their support for a change to the health care system in the community you selected in the previous assessment.
    To improve health care outcomes within a community, leaders must understand the needs of specific populations. In addition, it is important that leaders are able to gather and present persuasive evidence to decision makers to obtain the necessary funding and establish these needs as priorities for budget and resource planning. Thus, proposed changes should support improved outcomes and align with the current or needed health care policy.
    This assessment provides an opportunity to propose a community health care change that is based on the community health assessment you completed in Assessment 2.
    Your community health assessment was well received by the executives at Vila Health. Consequently, they have asked you to recommend a change in the community that will improve health outcomes. They have also asked you to submit your recommendation in a formal change proposal. You are confident that you can present a strong case for change, including a financial plan, that will ensure the success of this initiative.
    In this assessment, you will draft a change proposal to executive leaders to solicit support for a change to the current community health care system. To prepare for the assessment, you are encouraged to begin thinking about your justification for establishing the recommended change as a priority, a strategy for leading change, and how the change will be funded. 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 Guiding Questions: Planning for Community and Organizational Change [DOCX], which includes questions to consider and additional guidance on how to successfully complete the assessment.
    Note: As you revise your writing, check out the resources listed on the Writing Center’s Writing Supportpage. 
    The following resource is required to complete the assessment.
    Vila Health: Planning for Change.
    Vila Health is a virtual environment that simulates a real-world health care system. In the various Vila Health scenarios, you will apply professional strategies, practice skills, and build competencies that you can apply to your coursework and in your career. The information you gather in this scenario will help you to complete the assessment.
    Use this template for your change proposal.
    Change Proposal Template [DOCX].
    Complete this assessment in two steps:

    If you have not already done so, complete the Vila Health: Planning for Change simulation.
    Draft a change proposal to justify your recommendation for improving the health of the community and establish the change as a priority for the next budget cycle. Consider the feasibility of your proposed change, in terms of overall scope, funding, and timeframe.
    The change proposal 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: Planning for Community and Organizational Change document provides additional considerations that may be helpful in completing your assessment. In addition, be sure to note the requirements below for document format and length and for citing supporting evidence.

    Identify the benefits of proposed health care system changes and its implications for a community.
    Describe potential barriers to change in an organization or community.
    Develop strategies for changing barriers into opportunities and resolving conflict.
    Develop a strategy for helping organizational stakeholders understand and evaluate the proposed changes to an existing health care system.
    Develop a grant proposal and associated budget for a proposed change to an existing health care system.
     clearly and concisely in a logically coherent and appropriate form and style.
    Support assertions, arguments, propositions, and conclusions with relevant and credible evidence.
    Document Format and Length
    Use the Change Proposal Template. can help you in writing and formatting your assessment. If you would like to use a different template or document format for your change proposal, obtain prior approval from faculty.
    Your change proposal should be 3–5 pages in length, not including the title page and references page.
    Be sure to apply correct APA formatting to all source citations and references.
    Supporting Evidence
    Cite 3–5 credible sources from peer-reviewed journals or professional industry publications to support your change proposal.
    Additional Requirements
    Proofread your change proposal before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your analysis.
    Portfolio Prompt: You may choose to save your change proposal to your ePortfolio.
    Competencies Measured
    By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
    Competency 1: Identify the challenges and opportunities facing health care. 

    Identify the benefits of proposed health care system changes and its implications for a community.

    Competency 2: Compare the effects of different health care finance models and policy frameworks on resources and patient outcomes. 

    Describe potential barriers to change in an organization or community.
    Develop a grant proposal and associated budget for a proposed change to an existing health care system.

    Competency 4: Develop proactive strategies to change the culture of the organization by incorporating evidence-based practices. 

    Develop a strategy for helping organizational stakeholders understand and evaluate the proposed changes to an existing health care system.
    Develop strategies for changing barriers into opportunities and resolving conflict.

    Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style consistent with applicable organizational, professional, and scholarly standards.  clearly and concisely in a logically coherent and appropriate form and style.

    Support assertions, arguments, propositions, and conclusions with relevant and credible evidence.


Assessment 3:

  • Change Proposal
  • Kathy Ergle

    Capella University

    NURS-FPX 6218: Leading the Future of Health Care

    Prof. Donna Ryan

    November 23, 2




    Change Proposal

    A change regarding healthcare is successful when health organizations and professionals

    identify the required change and get a chance to influence it. Other significant factors that

    contribute to a successful change are the preparedness of professionals, recognizing of the

    benefits and value of the change, and knowing its health outcomes (Nilsen et al., 2020). A change

    proposal plays a vital role in the identification of change, its value, benefits, and outcomes. In

    this assessment, I will draft a change proposal, soliciting the support of executive leaders for

    health-related change in the Jordan Community.

  • Summary
  • Benefits and Implication

    The major health issues in the Jordan community were related to imbalanced

    socioeconomic status, water contamination, and poor air quality (JordanMN, 2021). Due to

    economic differences, several people were included in a low-income


    . Such a

    population has to face several health disparities like difficulty in dealing with the cost of

    healthcare services, lack of regular hospital visits due to costly health insurance, and lack of

    health access due to expensive management of chronic health conditions (Capella University,

    n.d.). Poor economic status is linked with several other aspects of the community such as

    education, healthcare access, living standards, and safety (Lago et al., 2018). The poor conditions

    of water and air in the community also contribute to several health conditions including cholera,

    diarrhea, asthma, respiratory disease, and chronic obstructive pulmonary disorder (Manisalidis et

    al., 2020). And such conditions are difficult to manage for people, especially those belonging to

    low economic status.


    Keeping all the issues of the community in view, the proposed change is the use of

    telehealth services and the initiative of free medical camps every six months. The goals of the

    change include spreading awareness about safety measures, access to affordable healthcare, and

    free medical check-ups for the poor population (Haque et al., 2022; Pathak et al., 2019).

    Telehealth services have several direct benefits as they will provide the community with easy

    access to low-cost healthcare. Low-income people will be able to get affordable healthcare

    through online visits (Kichloo et al., 2020). Moreover, the people affected by waterborne health

    conditions and air pollution will get treatment and safety awareness through telehealth services.

    Free medical camps will be arranged every six months to support the low-income population

    who cannot buy costly health insurance. Moreover, they will be directed to get affordable health

    insurance under the Affordable Care Act (ACA) (Isola & Reddivari, 2021). The health disparities

    in the Jordan community will be addressed by the combination of telehealth and free medical

    camps. The change will improve the overall health of the community by improving the existing

    health disparities.

    Pathak et al., (2019) conducted a study in India, where 60% of the population does not

    have access to basic healthcare, to check the effectiveness of the medical camps to address the

    health access issue. They found the intervention beneficial for the population’s health and

    suggested similar interventions should be followed in the future. Moreover, Haque et al., (2022)

    conducted a study based on questionnaires to find the use of telehealth services in different

    populations. They found that low-income people were one of the populations who were mostly

    associated with the use of telehealth services.

    The agreement of all stakeholders is essential for the approval of the proposed change

    (Boaz et al., 2018). Making them agree to the change is not an easy job. Stakeholders include


    patients and funders or payers as well. Patients can feel hesitant to utilize new arrangements due

    to misconceptions (Mahmoud et al., 2022). On the other hand, private funders and payers need to

    know about the profit and benefits of the change because they have to offer financial support. To

    avoid the risk of stakeholders jumping to unfounded conclusions, presentations should be

    arranged that will focus on the direct benefits of the proposed change. Moreover, the community

    can acknowledge the benefits through pamphlets and awareness campaigns (Seymour, 2018).

    Potential Barriers to Change

    Although telehealth services are beneficial and easy to access, several barriers can be

    faced while the implementation of the change. As the Jordan community contains people from

    different ethnicities, cultural and language barriers may affect the services. Moreover, people can

    feel hesitant to use online consultations due to misconceptions, privacy issues, or hearing issues

    (Mao et al., 2022; Žagar et al., 2019). According to Busso et al. (2022), people can also feel

    hesitant to use telehealth services due to a lack of technology knowledge, mistrust of online

    services, and behavioral biases. Another barrier that can hinder the proposed change is the

    availability of the internet and knowledge of technology for telehealth services at the user level.

    The resistance to the use of telehealth services and medical camps can be due to cultural

    diversity and privacy-related misconceptions (Žagar et al., 2019; Zhang et al., 2020). A lack of

    cultural competence in telehealth providers reduces patient satisfaction and hinders the effective

    use of the initiative (Hilty et al., 2020). At the organizational level, the lack of cultural or lingual

    competence and technical challenges can create resistance to telehealth change. The study by

    Žagar et al., (2019) analyzed the barriers to medical camps and found several factors contributing

    to the hindrance. Two of them were cultural diversity and language barriers. Kalicki et al., (2021)


    presented research that showed two major barriers to telehealth services e.g., video meetings

    internet issues, and unavailability to support technology use.

    Change Drivers

    Drivers of change are factors or people that contribute to the development and

    implementation of a change. In this case, the potential drivers of change are health professionals,

    volunteers, management, and the involvement of stakeholders in decision-making. My vision for

    change is the provision of affordable healthcare and the improvement of health conditions in the

    Jordan community by removing health disparities.

    Change Model

    The change model used here is the Complex Adaptive System (CAS) which takes a

    healthcare change as a dynamic system. It integrates agents or changes drivers from different

    areas and integrates them under one context where the drivers collaborate by adapting each

    other’s actions (Gomersall, 2018). The expected outcomes are a reduction in health disparities,

    improved healthcare access, and improvement in cost-related health issues. The time expected

    for the change is almost 60 days. The plan will be evaluated every fifteen days through surveys.

    The reason behind keeping the evaluation period fifteen days is to get an idea of the early

    success of the project. The purpose of the evaluation will be to check the effectiveness and

    progress of the proposed change. Approval to change, collection of financial and human

    resources, technological arrangements, and preparation of awareness campaigns, presentations,

    and medical camps are included in this time framework. Communication with stakeholders

    (patients, payers, professionals) is crucial for the successful implementation of the change. It can

    be done through presentations for stakeholders, and seminars for the target population focused on

    the need and requirement for the mitigation of resistance. The conflict among competing


    interests will be resolved by training health professionals to get the technological expertise

    needed for telehealth. They will be trained to practice cultural and lingual competency. Also,

    informing the community about the benefits of telehealth services will reduce the conflict

    (Bhaskar et al., 2020).

    Stakeholder Communications

    Strategies for Stakeholders

    The strategies to help stakeholders understand the proposed changes will include

    presentations and training sessions. The presentation will be arranged for all the stakeholders,

    including payers, nurses, management, and other involved professionals while the training

    sessions will be conducted for nurses and the providers who will execute telehealth technology.

    For community members, seminars will be arranged to enhance their knowledge of technology

    and clear misconceptions about telehealth services. The changes will be evaluated through

    surveys and the dissemination of questionnaires among nurses and community members because

    it is imperative to know both sides of perceptions for effective evaluation of the project (Gaur et

    al., 2020). The key stakeholders for the change will be the hospital management, the target

    population of the Jordan Community, health professionals, and financial supporters.

    Influence of Stakeholders

    The overall influence of the stakeholders on the community is that change cannot be

    implemented without their involvement. Health professionals need to be trained in telehealth

    services (Haleem et al., 2021). Financial supporters will provide funds to arrange seminars and

    medical camps, install telehealth systems, and other campaigns. The management will organize

    the system and allocate financial and human resources as per requirements.


    Data for Decision Makers

    The data and information provided to the decision makers will include demographic data

    of the community, potential benefits and risks of the proposed change, the time required for the

    implementation, and expenses needed for the whole change proposal.

    Effect of Changes on Organization

    The changes will also affect the healthcare organization. For example, the proper

    allocation of financial resources will help reduce the financial burden on the hospital related to

    the emergency department (Radinmanesh et al., 2021). Moreover, the training of healthcare

    providers will help the professionals keep a work-life balance by not wasting time on technical

    issues (Haleem et al., 2021).

    Buy-In Engagement of Stakeholders

    Presentation and training sessions for stakeholders (nurses, payers, and professionals)

    will engage them in the project. Moreover, financial incentives for best-performing health

    providers can also increase their buy-in (Martin et al., 2020).

  • Budget Associated with the Proposed Change
  • A project manager will be leading the budget-related change in the organization. The

    major budget will be required for telehealth implementation and salaries. The startup cost will

    include software installment and equipment purchase ($50,000). Then, the cost will be required

    for its maintenance ($10,000) (Horiachko, 2022). Medical camps in the first year will cost

    $12,000 to the hospital. Travel and other costs will add $3,900 to the total expenses of the

    proposed change (Guiding Light Orphans, n.d.). The budget information will be provided to the

    stakeholders to inform them of the details of the changed proposal and the purpose of the


    required money. Moreover, the documents of the change proposal along with its financial

    expenditures will be signed by all major stakeholders involved in funding and decision-making.

  • Conclusion
  • The change proposal for improving health disparities in the Jordan Community is crucial

    as it affects the community’s overall quality of life. The implementation of telehealth services

    and free medical camps will improve the community’s health condition. There might be potential

    barriers to the change, but they can be minimized using certain strategies. The involvement of

    stakeholders is imperative for the successful implementation of the change.


  • References
  • Best Places. (n.d.). Health in Jordan, Minnesota. Bestplaces.net.


    Bhaskar, S., Bradley, S., Chattu, V. K., Adisesh, A., Nurtazina, A., Kyrykbayeva, S., Sakhamuri,

    S., Moguilner, S., Pandya, S., Schroeder, S., Banach, M., & Ray, D. (2020). Telemedicine

    as the new outpatient clinic gone digital: Position paper from the pandemic health system

    resilience program (reprogram) international consortium (part 2). Frontiers in Public

    Health, 8(410). https://doi.org/10.3389/fpubh.2020.004


    Boaz, A., Hanney, S., Borst, R., O’Shea, A., & Kok, M. (2018). How to engage stakeholders in

    research: Design principles to support improvement. Health Research Policy and

    Systems, 16(1). https://doi.org/10.1186/s12961-018-0337-6

    Busso, M., Gonzalez, M. P., & Scartascini, C. (2022). On the demand for telemedicine: Evidence

    from the COVID‐19 pandemic. Health Economics, 31(7).


    Gaur, P. S., Zimba, O., Agarwal, V., & Gupta, L. (2020). Reporting survey-based studies – a

    primer for authors. Journal of Korean Medical Science, 35(45).


    Gomersall, T. (2018). Complex adaptive systems: A new approach for understanding health

    practices. Health Psychology Review, 12(4), 405–418.


    Guiding Light Orphans. (n.d.). Medical camps. GuidingLightOrphans. Retrieved November 22,

    2022, from https://www.guidinglightorphans.org/medical-camps









    Haleem, A., Javaid, M., Singh, R. P., & Suman, R. (2021). Telemedicine for healthcare:

    Capabilities, features, barriers, and applications. Sensors International, 2(2), 100117.


    Haque, M. Md. A., Jahan, Y., Khair, Z., Moriyama, M., Rahman, Md. M., Sarker, M. H. R.,

    Shaima, S. N., Chowdhury, S., Matin, K. F., Karim, I. J., Ahmed, M. T., Hossain, S. Z.,

    Masud, Md. A. H., Nabi, M. G., Aziz, A. B., Sharif, M., Chowdhury, Md. F. I., Shams, K.

    L., Nizam, N. B., & Ananta, T. T. (2022). Perceptions about telemedicine among

    populations with chronic diseases amid COVID-19: Data from a cross-sectional survey.

    International Journal of Environmental Research and Public Health, 19(7), 4250.


    Hilty, D. M., Gentry, M. T., McKean, A. J., Cowan, K. E., Lim, R. F., & Lu, F. G. (2020).

    Telehealth for rural diverse populations: Telebehavioral and cultural competencies,

    clinical outcomes and administrative approaches. MHealth, 20(6), 20–20.


    Horiachko, A. (2022, May 4). Cost of telemedicine system: Is it a worthy investment? Softermii.


    Isola, S., & Reddivari, A. K. R. (2021). Affordable Care Act. PubMed; StatPearls Publishing.


    JordanMN. (2021). Jordan 2021 drinking water report. Jordanmn.gov. https://jordanmn.gov/wp-


    Kalicki, A. V., Moody, K. A., Franzosa, E., Gliatto, P. M., & Ornstein, K. A. (2021). Barriers to

    telehealth access among homebound older adults. Journal of the American Geriatrics

    Society, 69(9). https://doi.org/10.1111/jgs.17163










    Kichloo, A., Albosta, M., Dettloff, K., Wani, F., El-Amir, Z., Singh, J., Aljadah, M., Chakinala,

    R. C., Kanugula, A. K., Solanki, S., & Chugh, S. (2020). Telemedicine, the current

    COVID-19 pandemic, and the future: A narrative review and perspectives moving

    forward in the USA. Family Medicine and Community Health, 8(3), e0005

    30. https://doi.org/10.1136/fmch-2020-000530

    Lago, S., Cantarero, D., Rivera, B., Pascual, M., Blázquez-Fernández, C., Casal, B., & Reyes, F.

    (2018). Socioeconomic status, health inequalities and non-communicable diseases: A

    systematic review. Journal of Public Health, 26(1), 1–14. https://doi.org/10.1007/s10389-


    Mahmoud, K., Jaramillo, C., & Barteit, S. (2022). Telemedicine in low- and middle-income

    countries during the COVID-19 pandemic: A scoping review. Frontiers in Public Health,

    10(914423). https://doi.org/10.3389/fpubh.2022.914423

    Manisalidis, I., Stavropoulou, E., Stavropoulos, A., & Bezirtzoglou, E. (2020). Environmental

    and health impacts of air pollution: A review. Frontiers in Public Health, 8(14).



    Mao, A., Tam, L., Xu, A., Osborn, K., Sheffrin, M., Gould, C., Schillinger, E., Martin, M., &

    Mesias, M. (2022). Barriers to telemedicine video visits for older adults in independent

    living facilities: Mixed methods cross-sectional needs assessment. Journal of Medical

    Internet Research Aging, 5(2), e34326. https://doi.org/10.2196/34326

    Martin, B., Jones, J., Miller, M., & Johnson-Koenke, R. (2020). Health care professionals’

    perceptions of pay-for-performance in practice: A qualitative metasynthesis. Inquiry: A

    Journal of Medical Care Organization, Provision and Financing,

    57(0046958020917491). https://doi.org/10.1177/0046958020917491









    Nilsen, P., Seing, I., Ericsson, C., Birken, S. A., & Schildmeijer, K. (2020). Characteristics of

    successful changes in health care organizations: An interview study with physicians,

    registered nurses, and assistant nurses. BMC Health Services Research, 20(1).


    Pathak, B., Bhondve, A., & Manapurath, R. (2019). Mixed-method analysis of community health

    camps: A novel approach beckoning. Indian Journal of Community Medicine, 44(3), 233.


    Radinmanesh, M., Ebadifard Azar, F., aghaei Hashjin, A., Najafi, B., & Majdzadeh, R. (2021). A

    review of appropriate indicators for need-based financial resource allocation in health

    systems. BMC Health Services Research, 21(1). https://doi.org/10.1186/s12913-021-


    Seymour, J. (2018). The impact of public health awareness campaigns on the awareness and

    quality of palliative care. Journal of Palliative Medicine, 21(S1), S-30-S-36.


    Žagar, M., Rotar Pavlič, D., Švab, I., Maksuti, A., Ilić, B., Smrekar, M., & Kovačević, I. (2019).

    Through health workers’ eyes: A qualitative study of health service provision for migrants

    at Schengen border. International Journal for Equity in Health, 18(1).


    Zhang, T., Mosier, J., & Subbian, V. (2020). Identifying barriers and opportunities for telehealth

    implementation amidst the COVID-19 pandemic using a human factors approach: A leap

    into the future of healthcare delivery? (Preprint). Journal of Medical Internet Research

    Human Factors, 8(2). https://doi.org/10.2196/24860









  • Appendix A: Grant Proposal
  • Need Proposal

    The main issue identified in the Jordan Community is the existence of socioeconomic

    differences, and poor water, and air quality that cause different health conditions in the

    community (Best Places, n.d.; JordanMN, 2021). The issue is affecting the Jordan community,

    especially the low-income population. The proposed change for the community is aimed at

    providing cost-effective healthcare and awareness to the community through telehealth services

    and free medical camps. The potential barriers could be a lack of telehealth awareness among the

    community, technical issues, misconceptions, and hesitance to the use of telehealth. The need for

    change was defined through a windshield survey. Further efforts can be added to the change for

    addressing the problem.

    Program Description

    The reason behind the implementation of telehealth is its economic viability for the

    organization and the community. Moreover, the services will help the organization reach more

    patients in the community regardless of their cultural and socioeconomic backgrounds. Free

    medical camps after six months will provide free check-ups for low-income populations in the

    community. The change will involve all the stakeholders like health organizations, professionals,

    community members, nurses, project managers, and payers. The project will take 60 days to


    Goals and Objectives

    The goals of the proposed initiative are:

     Provision of cost-effective healthcare to patients, especially low-income



     Free medical checkups for the low-income population

     Making healthcare access easy for more patients

     Improving cost management for chronic diseases

    Program Evaluation

    A survey team will be developed to evaluate the program. The team will include members

    from Jordan Community for better evaluation. The survey will be conducted every fifteen days,

    in the beginning, to check the improvement in the community’s health after the implementation

    of the change. After that, the evaluation time will be increased to a period of thirty days. The

    survey will be led by disseminating questionnaires and taking interviews with community

    members and health providers. The evaluation reports will be presented to the supervisor. Key

    stakeholders including funders will be given copies of the reports to inform them about the

    progress of the plan.


    The change is important to the community because it will improve the existing health

    disparities due to socioeconomic differences and low quality of water and air. The primary

    objective of the plan is easy to access to affordable or free healthcare while the funding

    organization also aims to improve health coverage at affordable prices. That is why both

    objectives are well aligned with each other. The financial support of the funders is essential as

    the hospital and Jordan community are not very stable financially. In the end, I would thank the

    funding agencies for considering and supporting the initiative financially.


  • Table
  • 16

    Categories Startup 1st Year
    Other Sources

    of Revenue Justification
    Salary and Wages $80,000 $100,00

    Hospital Revenue
    and Government

    Salaries will be given
    to professionals and
    providers for the
    change services.

     Professionals $47,000 $52,000
     Project Manager $7,000 $8,000
     Support Staff $26,000 $30,000
     Other $10,000

    Fringe Benefits These incentives are
    significant to raise
    the morale of

     Incentives $500 Private Payers
     Health Insurance $20,000 $20,000

    Telehealth Cost $50,000 $10,000 Funds from
    Government and
    Private Payers

    The initiative of
    telehealth needs the
    installation of
    software equipment,
    and maintenance

    (Software, Equipment)

    Medical Camps $6,000 $12,000 Private Payers Free medical camps
    will require surgical
    supplies, free
    medicines, and other

    (Surgical Supplies,

    Travel $200 $400 Hospital Revenue Medical camps have
    to be arranged in
    different areas of the

    (For medical camps)

    Miscellaneous $3,500 $3,500 Hospital Revenue Training, awareness
    campaigns, and
    seminars are essential
    for the proposed

    (Training, Awareness
    Campaigns, Seminars)

    Total Expenses $159,700 $146,40


      Change Proposal


      Benefits and Implication

      Potential Barriers to Change

      Change Drivers

      Change Model

      Stakeholder Communications

      Strategies for Stakeholders

      Influence of Stakeholders

      Data for Decision Makers

      Effect of Changes on Organization

      Buy-In Engagement of Stakeholders

      Budget Associated with the Proposed Change



      Appendix A: Grant Proposal

      Need Proposal

      Program Description

      Goals and Objectives

      Program Evaluation





    Change Proposal

    Your Full Name (no credentials)

    School of Nursing and Health Sciences, Capella University



    18 Leading the Future of Health Care

    Planning for Community and Organizational Change

    Instructor’s Name

    Month, Year

    Title of Paper

    Note: Delete this note and all instructions from the template before submitting your proposal. Use headings to organize your text, rather than bullets.


    Benefits and Implications

    Identify the benefits of proposed health care system changes and its implications for a community.

    Consider the goals and potential outcomes of the proposed changes.

    What are the direct benefits of your proposed changes?

    How will improvements in overall health affect the community?

    Potential Barriers to Change

    Describe potential barriers to change in an organization or community.

    What factors in an organization and community create or contribute to resistance to changes?

    What other factors can create barriers to change?

    Articulate strategies for changing barriers into opportunities and resolving conflict.

    What are the drivers of change in organizations and communities?

    How will you communicate with stakeholders and overcome resistance?

    How will you resolve conflict among competing interests?

    Stakeholder Communications

    Articulate a strategy for helping organizational stakeholders understand and evaluate proposed changes to the existing health care system.

    Who are the key stakeholders in the organization?

    What influence do they have on your proposal?

    Consider the effects of these changes on the organization and the specific information needs of decision makers.


    List your APA-formatted references here.

    Appendix A: Grant Proposal

    Need Statement

    Define the problem that this change is addressing.

    Describe the scope of the problem.


    Who is affected? How will you describe this population?

    · How many people does this problem affect?

    Identify the barriers you are likely to encounter when implementing this change?

    Identify the sources of information you used to define the need for change.

    Identify any other change initiatives or studies that are addressing this problem.

    Program Description

    Describe the proposed change initiative and how you plan to implement it. Address the basic questions of who, what, when, where, why, and how.

    Goals and Objectives

    Describe the goals and objectives of the change initiative.

    Program Evaluation

    Explain how this change initiative will be evaluated.

    · Who will have oversight responsibilities?

    · How and how often, will this initiative be evaluated?

    · Who is the recipient of the evaluation reports?

    · What is the extent of stakeholder involvement in evaluation?


    Explain why this change is important to the community.

    Explain how the goals and objectives of this change initiative align with those of the funding organization and why their financial support is vital to the success of this initiative.

    Be sure to thank the funding agency for considering and supporting this initiative.



    Appendix B: Project Budget

    Table directions:

    Add table rows, as needed, for each budget category.

    Enter the information (startup, first-year budget figures, other sources of revenue, and justification) for each budget category line item in columns 2–5.






















    1st Year

    Other Sources
    of Revenue


    Salary and Wages

    · Project Manager

    · Support Staff

    · Other


    Fringe Benefits

    Consultation or Contract Services




    Miscellaneous or Other

    Total Expenses

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    • Formatting (MLA, APA, Chicago, custom, etc.)
    • Title page & bibliography
    • 24/7 customer support
    • Amendments to your paper when they are needed
    • Chat with your writer
    • 275 word/double-spaced page
    • 12 point Arial/Times New Roman
    • Double, single, and custom spacing
    • We care about originality

      Our custom human-written papers from top essay writers are always free from plagiarism.

    • We protect your privacy

      Your data and payment info stay secured every time you get our help from an essay writer.

    • You control your money

      Your money is safe with us. If your plans change, you can get it sent back to your card.

    How it works

    1. 1
      You give us the details
      Complete a brief order form to tell us what kind of paper you need.
    2. 2
      We find you a top writer
      One of the best experts in your discipline starts working on your essay.
    3. 3
      You get the paper done
      Enjoy writing that meets your demands and high academic standards!

    Samples from our advanced writers

    Check out some essay pieces from our best essay writers before your place an order. They will help you better understand what our service can do for you.

    • Analysis (any type)
      Advantages and Disadvantages of Lowering the Voting Age to Thirteen
      Undergrad. (yrs 1-2)
      Political science
    • Coursework
      Undergrad. (yrs 1-2)
      Business Studies
    • Essay (any type)
      Is Pardoning Criminals Acceptable?
      Undergrad. (yrs 1-2)
      Criminal Justice

    Get your own paper from top experts

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    Perks of our essay writing service

    We offer more than just hand-crafted papers customized for you. Here are more of our greatest perks.

    • Swift delivery
      Our writing service can deliver your short and urgent papers in just 4 hours!
    • Professional touch
      We find you a pro writer who knows all the ins and outs of your subject.
    • Easy order placing/tracking
      Create a new order and check on its progress at any time in your dashboard.
    • Help with any kind of paper
      Need a PhD thesis, research project, or a two-page essay? For you, we can do it all.
    • Experts in 80+ subjects
      Our pro writers can help you with anything, from nursing to business studies.
    • Calculations and code
      We also do math, write code, and solve problems in 30+ STEM disciplines.

    Frequently asked questions

    Get instant answers to the questions that students ask most often.

    See full FAQ
    • Is there a possibility of plagiarism in my completed order?

      We complete each paper from scratch, and in order to make you feel safe regarding its authenticity, we check our content for plagiarism before its delivery. To do that, we use our in-house software, which can find not only copy-pasted fragments, but even paraphrased pieces of text. Unlike popular plagiarism-detection systems, which are used by most universities (e.g. Turnitin.com), we do not report to any public databases—therefore, such checking is safe.

      We provide a plagiarism-free guarantee that ensures your paper is always checked for its uniqueness. Please note that it is possible for a writing company to guarantee an absence of plagiarism against open Internet sources and a number of certain databases, but there is no technology (except for turnitin.com itself) that could guarantee no plagiarism against all sources that are indexed by turnitin. If you want to be 100% sure of your paper’s originality, we suggest you check it using the WriteCheck service from turnitin.com and send us the report.

    • I received some comments from my teacher. Can you help me with them?

      Yes. You can have a free revision during 7 days after you’ve approved the paper. To apply for a free revision, please press the revision request button on your personal order page. You can also apply for another writer to make a revision of your paper, but in such a case, we can ask you for an additional 12 hours, as we might need some time to find another writer to work on your order.

      After the 7-day period, free revisions become unavailable, and we will be able to propose only the paid option of a minor or major revision of your paper. These options are mentioned on your personal order page.

    • How will I receive a completed paper?

      You will get the first version of your paper in a non-editable PDF format within the deadline. You are welcome to check it and inform us if any changes are needed. If everything is okay, and no amendments are necessary, you can approve the order and download the .doc file. If there are any issues you want to change, you can apply for a free revision and the writer will amend the paper according to your instructions. If there happen to be any problems with downloading your paper, please contact our support team.
    • Where do I upload files?

      When you submit your first order, you get a personal account where you can track all your orders, their statuses, your payments, and discounts. Among other options, you will have a possibility to communicate with your writer via a special messenger. You will be able to upload all information and additional materials on your paper using the “Files” tab on your personal page. Please consider uploading everything you find necessary for our writer to perform at the highest standard.
    See full FAQ

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