capstone discussion 5

Please respond to the discussion and also respond to the peers discussion

DQ1

Stakeholder support is necessary for a successful change proposal
project implementation. Consider your internal stakeholders, such as
the facility, unit or health care setting where the change process is
situated, and your external stakeholders, like an individual or group
outside the health care setting. Why is their support necessary to the
success of your project, and how you will go about securing that support?

DQ 2

Stakeholder support is necessary for a successful change proposal
project implementation. Consider your internal stakeholders, such as
the facility, unit or health care setting where the change process is
situated, and your external stakeholders, like an individual or group
outside the health care setting. Why is their support necessary to the
success of your project, and how you will go about securing that support?

Peer DQ1

According
to (Noland & Phillips, 2015), s
takeholders
are the groups and individuals who will be influential in the
success of your change plans. It is important to
identify or map stakeholders who can affect your quality
improvement project at an early stage when these relationships
can be managed, including supporters and resistors of change.
Stakeholders
should be involved during each stage of the prooject to
build support for it, provide suggestions for its design,
and participate in evaluation and continuous quality
improvement activities.
It
is often the skill with which you communicate, consult
and involve these people which will determine the
success of your change initiative. Developing
and implementing projects can be a complex and
difficult process. When the stakeholders are
insufficiently engaged (Noland & Phillips, 2015),
the
problem of
getting them
to support the
project and
use its
outputs is
even more
difficult, and
the likelihood
of project
success
diminishes
quickly.
Stakeholders
are often
defined or
thought of
as only
the senior
leadership of
the
organization
because they
are the ones
who are
providing
resources
(money,
people, etc.),
or who expect
to see a
benefit in
their area of
responsibility
(Noland
& Phillips, 2015).

How you will go about securing that support?

Building
great relationships isn’t about the amount of time you
spend with someone, but about the quality of that time. I will
make sure at all meetings I will keep them engaged on the
project. I will come prepared and let them know that the
purpose of the meeting is to uncover anything that can help the
project be successful including how you will be working
together.
Send out weekly or bi-monthly status reports with an
executive summary, an overview of which milestones have been
delivered and which ones are still outstanding. Include the
project’s top five risks and issues with actions and
owners. Talk about the real status of the project and what
support you need from the committee members, if any, to overcome
roadblocks and move the project forward.

Reference:

Noland,
J., & Phillips, R. (2015). From
Stakeholder Management to Stakeholder Accountability

International
Journal of Management Reviews , 39-49.

https://link.springer.com/article/10.1007/s10551-0…

Peer DQ2

Stakeholder Support

Internal and external stakeholders

The change expected to improve the
care administration program. The external stakeholders will include
consumers, who will enable the administrators to rate the
effectiveness of the interventions developed and hence, provide the
ability to develop a better program in general (Agency for
Healthcare Research and Quality, 2014). Patients are also external
stakeholders, as they will enable the staff to comprehend the impact
of the program on the behaviour of the consumers and determine
fields that require change. The internal stakeholders include the
physicians, physician assistants, the Board of Directors, and
suppliers. The suppliers of care management will assist in
supporting the intervention theories with the patients and
determining the expected intervention approaches to be used by the
patients. Therefore, they will be the representatives of the program
to the patients.

Importance of stakeholder support

The support of the stakeholder is
crucial as it enables the administrator in actualizing the benefits
involving them in the hospital programs. This ensures that the
changes in the program benefit the affected people. Establishing
connections with agency leadership and senior Medicaid will be
important in ensuring the success of the care administration program
(Agency for Healthcare Research and Quality, 2014). Their support
ensures that there is dedicated planning that facilitates different
options available for designing the program. Additionally, the
support ensures that internal capacity and resources are analyzed
and the needs of the members of Medicaid are understood fully.

Securing stakeholder support

To secure the support, the
stakeholders should be involved in the early planning stages of the
project so that the expectations of the program are developed.
Continuous and routine communication is important in maintaining the
support, for instance, they can be provided with questions that
concern the design and management of the program (Agency for
Healthcare Research and Quality, 2014).

References

Agency for Healthcare Research and Quality (2014). Section 1:
Planning a Care Management Program. Retrieved October 13, 2018, from
https://www.ahrq.gov/professionals/systems/long-te…

Peer DQ3

A strategic leader takes the knowledge and skills and translates
them into action while influencing the stakeholder to commit to the
desired goals and objectives. When building a vision and leading
changes within the system, strategic leadership process allows the
leaders to foresight, envision, partner and motivate in the various
organizations and contact with stakeholders by setting clear goals,
predict possible risks associated with various objectives, calculate
the future plans for the organization and demonstrate the complete
understanding of the vision and mission of the vision for the outreach
program. Identification of human and financial resources can be
used to predict the potential for success or failure of the program
(Milstead, 2016). A strategic leader analyzes
the current situation in the healthcare organization and evaluates the
need for changes, then translates those needs into action and programs.

Strategic planning is a broad concept but it consists of small
processes of decision making that also has to be flexible enough to
adjust to various dynamic changes (economic, political, technological,
and social) that can affect the organization (Burke, 2013). The
steps of strategic leadership planning include: defining the purpose
of the organization, setting goals and objectives, identifying the
stakeholders, communicating the need for change, creating a strategic
plan, assigning appropriate resources,
initiating/implementing/monitoring and controlling the project.
SWOT analysis and dashboard scorecards are the two most common tools
that are used by the leaders in strategic planning. SWOT
analysis is used to identify organizational strengths, weaknesses,
opportunities and threats which points to a community outreach program
can benefit the healthcare organization (Dickson & Tholl, 2014).

Strategic leadership is the essence for leading change because it
allows the leader to manage, motivate and persuade staff to share the
vision of the organization, analyze the need for change and implement
the change to improve the organizational performance (IHI, 2017). What
makes a leader effective and engaging? An individual who is energized
possesses excellent communication skills, works hard to accomplish set
objectives, and leads stakeholders toward the mission and vision of
the organization. According to Delgado and Mitchell (2016), an
effective leader can engage stakeholders through teamwork, personal
influence, and management of performance expectations. DeRenzo
(2015) stated that a leader has to be fully aware of their leadership
style and learn various techniques to motivate other team
members. Self-evaluations and being critical about various areas
of self-improvement are a part of effective leadership. Working
in today’s healthcare environment can be hectic and demanding;
therefore it is even more significant that everyone working in
healthcare sustain a positive attitude and encourage one
another. Leaders have to continually remind themselves of the
profession’s core values and behaviors.

David

Burke, J. (2013). Health analytics: Gaining the insights to
transform health care. New Jersey: John Wiley & Sons, Inc.

Delgado, C., & Mitchell, M. M. (2016). A survey of current
valued academic leadership qualities in nursing. Nursing
Education Perspectives (National League for
Nursing), 37(1), 10-15. doi:10.5480/14-1496

DeRenzo, E. G. (2015). Encouraging Others to Speak Up: Physician
Leadership in the 21st Century. Journal of Hospital
Ethics, 4(1), 22-26.

Dickson, G., & Tholl, B. (2014). Bringing leadership to
life in health: LEADS in a caring environment. London: Springer.

Institute for Healthcare Improvement. (2017). IHI triple
aim initiative. Retrieved from http://www.ihi.org/Engage/Initiatives/TripleAim/Pa…

Milstead, J. A. (2016). Health policy and politics: A
nurses guide (5^th Ed.), Burlington, MA:
Jones & Bartlett.

Peer DQ4

The role of stakeholders defines whether the health care will
succeed in implementing its project or not. The internal
stakeholders have a direct influence in the success of the project.
Thus, their support cannot be ignored.

Stakeholder Support!!!

The internal stakeholders such as the employees and the
investors play a significant role in delivering the goals and the
objectives of the project. For example, the employees form the
larger team responsible for executing the project. When the
employees are in support of the project, they will do all they can
to deliver project results. On the other hand, the investors play a
critical role increasing the finances allocated to the project. In a
case where the investor offer limited resources, this will affect
the overall execution of the project. Moreover, the project
management on their side comes up all the master plans to ensure
that the project is completed on time and the final product is
delivered.

In order to secure the support of these stakeholders,
first and foremost, there is need to create open communications.
This approach shall build a strong confidence that the project is
actually headed on the right direction. Another thing is involving
these stakeholders in every decision made. This is another element
that ensures that the stakeholders honor the project.

Reference

Vidaver-Cohen,
D., & Brønn, P. S. (2015). Reputation, responsibility,
and stakeholder support in Scandinavian firms: A comparative
analysis. Journal of Business
Ethics, 127(1), 49-64.

Peer DQ5

The term stakeholder refers to, any group or individual who can
affect or is affected by the achievement of the organization’s
objectives. In other words, almost any individual or group of
individuals with an interest or stake in a consensus-building process
thereby the outcome of the project and/or an ability to exert a
positive or negative influence by the execution or completion of a
project or being affected by the work or its deliverables, outputs, or
results. The process of identifying, engaging stakeholders must begin
well in advance so that dialog is seen to play an important part of
project implementation; no decisions should be already made before
commencing stakeholder engagement on project-related issues (Pandi-
Perumal et al., 2015).

Stakeholder engagement and management is pivotal to the development
and deployment of health care settings. The ultimate purpose of such
engagement is the efficient use of time, money, and resources thereby
positively impact existing and/or emerging healthcare challenges.
Stakeholders should be involved during each stage of the program to
build support for it, provide suggestions for its design, and
participate in evaluation and continuous quality improvement
activities. And we can secure that help from stakeholders by
presenting the importance of project and by providing a summary of the
resources required e.g. staff time and the commitment needed from the stakeholders.

Reference,

Pandi-Perumal, S. R., Akhter, S., Zizi, F., Jean-Louis, G.,
Ramasubramanian, C., Edward Freeman, R., & Narasimhan, M. (2015).
Project stakeholder management in the clinical research environment:
how to do it right. Frontiers in
psychiatry, 6, 71. Retrieved from https://www.frontiersin.org/articles/10.3389/fpsyt…

Peer DQ 6

It goes without saying that if any change initiative to be
implemented and established, key stakeholders in the work environment
have to be carried along. There are two main types of stakeholders,
they are internal stakeholders, and external stakeholders.
Stakeholders can be defined as people who have a ‘stake’
in a situation. Internal stakeholders are the health care
professionals, facility operations personnel, and the management
board. External stakeholders can be suppliers, clients (and
their families), and the government (through legislation and
regulations) (Health Knowledge, 2017).
I
am embedded in the psych unit of the the health care facility that my
mentor works in. I undoubtedly require the cooperation of management,
and the input of my mentor, if my change project is to be successful.
I maintain open channels of communication with my mentor and abide by
the rules of engagement with the organization.
As
regards the use of external stakeholders, I have familiarized myself
with the existing legal framework and government policies with regards
to my change initiative. I have also consulted with interest groups
(such as church forums, county mental health initiatives and community
youth organizations), to gauge whether the changes I propose are
likely to make an impact in the event that they become applicable.

References
Health Knowledge. (2017). Understanding Organizations:
Identifying and managing internal and external stakeholder interests.
Retrieved October 2018 from https://www.healthknowledge.org.uk/public-health-t…