Performance management is, ideally, an ongoing quality-assurance-based process to provide an organization, its employees, regulatory agencies, accreditors, and other stakeholders with a structured means to support and accomplish mutually identified strategic goals and objectives.

Assume the role of a newly-hired risk management officer for a hypothetical new allied health organization in your chosen career field. You and your team will need to develop the organization’s policies.

The first item you will create will be a performance management plan. Using the Health Resources and Services Administration (HRSA)

(https://hrsa.gov/quality/toolbox/methodology/performancemanagement/index.html)or other qualified framework, craft a proposal (1,250-1,500 words) for a performance management plan for your new organization that includes the following:

1. Organizational Goals. Provide a statement of your organization’s goals in terms of workplace safety, risk management, or quality improvement. Pick one area, and develop five goals for that one area.
2. Outline of Organizational Objectives. Outline and provide a brief evaluation of specific objectives that support the organizational goals you previously identified.
3. Summary of Relevant Performance Measures. Summarize the steps and measures your new organization will adopt to measure performance. Consider: (a) How well measures will align with your stated goals? (b) How do these measures demonstrate a relationship to positive health outcomes? (c) Are the measures you select able to be controlled by your organization (i.e., can your organization effect change in this area?)? (d) Which measures meet criteria related to reliability and validity, and which are standardized?
4. Performance Baseline. Determine a performance baseline for the measures you have selected. This will enable your organization to conduct comparisons of desired goals versus actual results as time moves on.
5. Performance Evaluation. Select one of three commonly accepted methods to measure provider quality and summarize the features and why it applies best to your organization. Refer to the assigned reading, “The Measurement of Health Care Performance: A Primer From the Council of Medical Specialty Societies,” by the Council of Medical Specialty Societies (CPSS) (http://www.cmss.org/uploadedFiles/CMSS_Quality_Primer.pdf).
6. Definition of Success. Define what success means to the organization. Now that you have chosen measures to assess organizational performance, you need to identify what success means to your organization; otherwise, you are chasing a moving target. Be explicit in the level of performance you see as acceptable. This will change as an organization grows, but you need to start somewhere in order to get anywhere.

You are required to use and cite a minimum of three qualified resources from the readings, qualified website

Choose one of the following health care organizations:

• Hospital Corporation of America (HCA)
• Tenet Health System
• Mayo Clinic
• Henry Ford Health System
• Centers for Disease Control (CDC)
• Children’s Miracle Network
• Deborah Heart and Lung Center
• Medtronic
• Veterans Health Administration (VHA)
• National Institutes of Health (NIH)
• Planned Parenthood
• Indian Health Service (IHS)
• Health Markets

Conduct an evaluation of the organization based on strategic planning analysis, which includes the strengths and/or weaknesses that are internal to the organization and opportunities and/or threats external to the organization.  Your strategic plan analysis must include at least three strengths and three weaknesses that are internal to the organization and at least three opportunities and three threats that are external to the organization. You must utilize at least five valid sources in your analysis. Examples of valid sources include organizational websites, annual reports, personal interviews with organizational leadership, investigative reports, government reports, and conference transcripts.  Your Final Paper must address at least five key areas, concepts, and strategies that are outlined in the course text.  These include:

• Internal and external assessments
• Competitive marketing analysis
• Identification of stakeholders
• Overview and assessments of services provided
• Competencies and resource
• Public entities and regulatory requirements
• Demographics served
• Strategic financial planning
• Financial and operational outcomes
• Current and future direction of the organization of choice

Writing the Final Paper

The Final Paper:

1. Must be 8 to 10 double-spaced pages in length, excluding the title and references pages, and formatted according to APA style as outlined in the Ashford Writing Center.
2. Must include a title page with the following:
   • Title of paper
   • Student’s name
   • Course name and number
   • Instructor’s name
   • Date submitted
3. Must begin with an introductory paragraph that has a succinct thesis statement.
4. Must address the topic of the paper with critical thought.
5. Must end with a conclusion that reaffirms your thesis.
6. Must use at least five scholarly sources, including a minimum of two from the Ashford University Library.
7. Must document all sources in APA style as outlined in the Ashford Writing Center.
8. Must include a separate reference page that is formatted according to APA style as outlined in the Ashford Writing Center.

Module One (Week One): Part One Windshield Survey and Key Informant Interviews

Please complete the following information on this template about the community you have selected. If you do not use this template there will be a 10- point grade penalty per assignment, and you will be required to resubmit within 48 hrs. You may increase the size of the block by continuing to type. Use as much space as necessary to provide your answers

Elements

Descriptors

Physical Environment

Make sure you address fully what you observed and NOTE if something was not found within your community area.

● Boundaries

What defines the boundaries? Roads, water, railroads. Is the area known for a particular name? What area is this community located in?

● Housing and Zoning

What is the age of the houses? Describe type of construction material, appearance, and general condition. Do you see single family housing? Multi-family housing?

● Common Meeting Places

Where do people in the neighborhood hang out? Who hangs out there and what hours of the day?

● Indicators of Growth or Decline

Is this a “thriving” community or does it look “run down?” Is there new or ongoing construction? Businesses and Industries coming to the area? Are buildings, roadways, and public areas clean and well-kept. Do you see dirt, trash, or graffiti?

● Employment Opportunities

What places for employment are there is this area? Name the businesses and industries in this area.

● Transportation

How to people get from one place to another? Is public transportation available? How timely is it? Personal autos? Bikes? Walking?

People

Make sure you address fully what you observed and NOTE if something was not found within your community area.

● Race and Ethnicity

What is the majority racial group represented? What is the majority ethnic group represented? Describe the distribution of gender, approximate ages, single families, multiple families, generational families?

● Cultural Characteristics

What cultural similarities or differences do you observe? Languages spoken? Clothing? Ethnic eating places? Culturally-based celebrations? Signs in languages other than English?

● Lifestyle Healthy Behaviors

What healthy lifestyle behaviors do you observe? Do you see people exercising, wearing helmets when biking, seat belt usage, using trash cans for garbage disposal, healthy eating practices?

● Lifestyle Risk Behaviors

What unhealthy lifestyle behaviors do you observe? Do you see people practicing risky lifestyle behaviors such as drinking alcoholic beverages, smoking, fighting? Do you see signs of violence, gang activity, drug use, criminal activity, and bars on doors and/or windows? Do you see overweight/underweight persons? Do you see children unattended playing out in the streets? Do you see any signs of homelessness? Street people? Describe gender, age, and race/ethnicity of persons observed.

● Poverty Indications

Do you see any signs of homelessness? Street people? Describe gender, age, and race/ethnicity of persons observed.

Services in the Community

Make sure you address fully what you observed and NOTE if something was not found within your community area, how far away it is and how people will access it.

● Social Services

Do you see evidence of recreation centers, parks, and social services? For services that are not available, how far must persons travel to access these services? Describe each.

● Health Services

Do you see evidence of health (Hospitals, Dr’s Offices, Clinics) and mental health services? Describe each. Are there any signs of alternative services in the area, such as healers (curanderos), herbalists, herbal stores, palm readers, acupunctures, chiropractors. For services that are not available, how far must persons travel to access these services?

● Fire and Police Services

Do you see any fire and police services/equipment/officers? Where are the closest fire and/or police stations?

● Educational Resources

Where is the nearest public library? Discuss the Schools and Universities/Community colleges?

● Religions

What signs of religion do you see? Discuss the types of churches, mosques, temples? What services are offered by these churches, e.g., Day Care, Mother’s Day Out, Summer Camps, Languages Classes, Citizenship Classes, Food Banks, Clothing, other.

Business & Industry

Describe stores and shops available in the community, e.g., grocery stores, gas stations, department stores. What type of business climate exists? Manufactures? Light or heavy industry? Large employers? Small business owners? Retail? Hospitality industry? Do people have to seek employment elsewhere? Is this considered a “bedroom community”- where people work outside this community but live here?Make sure you address fully what you observed and NOTE if something was not found within your community area.

Politics

What indicators do you see about politics? Posters? Headquarters?Make sure you address fully what you observed and NOTE if something was not found within your community area.

Media

Do you see indicators of what people read? Listen to the radio? Watch TV? Are there any signs of media language other than English?Make sure you address fully what you observed and NOTE if something was not found within your community area.

Key Informants

Interview a fireman or police office.

Also interview a librarian, school teacher, school nurse or administrator.

Ask each person interviewed to share their perceptions of

the following and cite personal communication as appropriate:

1. Interview with fireman or police officer

˃ Community’s Health issues

˃ Community’s Safety issues

˃ Strengths of the Community

2. Interview with librarian, school teacher, school nurse or administrator

˃ Community’s Health issues

˃ Community’s Safety issues

˃ Strengths of the Community

Enter the information about your interviews with Key Informants in this space in your template. You will not receive credit if the Key Informant interviews are inserted elsewhere on this template.

Analysis of Windshield Survey

Analyze and summarize your observations and the input from key informants. Write a 3 paragraph summary of community health (2) and safety (1) issues for this community and strengthens of the community.Remember to cite personal communication as appropriate:

Reference
Module 2 (Week 2) Part Two: Statistical Analysis of Community Health Problem

Please complete the following information on this template. If you do not use this template there will be a 10-point grade penalty per assignment, and you will be required to resubmit within 48 hrs. You may increase the size of the block by continuing to type. Use as much space as necessary to provide your answers

Name of Community or Zip Code:

Instructions: Enter your response in each category marked below. Provide objective, statistical support for your subjective findings.

● Include all the data listed in the Objective Data Criteria listed below.

● Add supplemental data as needed for your community.

● All statistical data must be reported in NARRATIVE form only. Tables and graphs will not be accepted.

● Compare objective data for your community with local (city), state, and national data.

You may increase the size of the block by continuing to type. Use as much space as necessary to provide your answers

General Objective Data Criteria for the Community-at-Large

1. Demographics: Total population; age distribution; gender distribution; family characteristics (single parent, multi-family, etc.). Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.

Racial/Ethnic Characteristics: Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.

Economy: poverty rate, unemployment rates, median income. Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.

4. Education: High school completion rates; higher education statistics. Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.

5. Identify two Morbidity and Mortality/Risk Problems: (Based on your observations from Week 1 subjective assignment, windshield survey and key informants provide Morbidity, Mortality (M&M) and risk data for your community… Example 1: if you observed obesity in your community then present obesity rates and health conditions associated with obesity [i.e. CVD, HD, Depression, etc.). Example 2: smoking/drinking rates and health conditions associated with smoking [i.e. Lung Cancer, COPD, etc]. These variables may include the following: gender (who does this problem affect the most, men or women); age distribution; ethnicity or racial group(s) mostly-affected; morbidity and mortality rates; any data related to life-expectancy in light of the health issues; is there a geographic area where the health problems mainly exist; is there a relationship between the health issue(s) and environmental health hazards; are these life-threatening health issues? Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.

6. Other data as needed (air, water quality, crimes rates). Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.

Analysis of Data

1. Based on your subjective and objective review of your findings, what conclusions have you arrived at? Remember to cite sources as appropriate.

· What impressions from your subjective observations were unfounded/invalid?

· Given the objective data, what impressions were validated/substantiated?

· What cause-and-effect relationships did you discover/identify?

2. Problem Analysis for Community/Zip Code:

Problem: List two (2) problems within your community (for example, Infant Malnutrition, CVD, Lung Cancer, Obesity, Alcoholism, Violence) NOTE: These problems need to be something the Community Health Nurse can impact(for example, a CHN cannot build a sidewalk, repair a street, implement a new bus route, etc.). Remember to cite sources as appropriate.

1. ____________________________________________

2. ____________________________________________

Select one of these problems and complete the Problem Analysis chart

Problem Correlates*

Relationship of Correlate to Problem

Data Supportive of Relationship +

Ex. Inadequate diet

Ex. Diets lacking in required nutrients contribute to malnutrition

Ex. All infants and children seen at the local Public Health Clinic are referred to the nutritionist because of poor diets (X.Y. personal communication, date). Of infants measured, 60% were in the lower percent for their weight/height (X report, date).

*These are factors that contribute to problem and outcomes.

+ Refer to appropriate sections of the database and relevant research of the findings in current literature. Data in the third column could be local, state, or national statistics.

Refer to text (pg. 420-423) for additional examples.

3. Community Health Nursing Diagnoses:

Based on your subjective and objective assessment findings above for both Weeks 1 and 2, write TWO priority community health nursing diagnoses.

You must use this format as outlined in your text page 413 (do NOT use NANDA):

Health Risk/problem of (specific injury, illness, or potential of, complication of, etc) among (specific population) related to (supporting evidence from your assessment findings).

Ø Your CHN Diagnoses MUST be something that a community/public health nurse can do something about. See example below.

Ø Note: Poverty is NOT a CHN diagnosis.

Ø Remember do NOT use NANDA Nursing Diagnoses.

For example: Risk of asthma complications among children in SE Dallas County related to observations of overcrowded living conditions, lack of public transportation (may result in inability to access health care), high number of animals observed living in homes, poverty indications (may result in lack of access to medications).

Community Health Nursing Diagnosis #1

Community Health Nursing Diagnosis #2

Reference

Write a reflection of 750-1,000 words in which you identify your strengths and weaknesses related to the four content areas below:

1. Personal and professional accountability
2. Career planning
3. Personal journey disciplines
4. Reflective practice reference behaviors/tenets

Discuss how you will use your current leadership skill set to advocate for change in your workplace.

Identify one personal goal for your leadership growth and discuss your implementation plan to achieve that goal.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

RUBRICS

Identification of strengths and weaknesses related to the four content areas listed.

Discussion of use of current leadership skills to advocate change in the workplac

Reflection on personal goal for leadership growth and development of implementation plan to reach goa