What is one strength you see in the current U.S. health care system? What is one weakness you see? List and describe one of the challenges facing the U.S. health care system.

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Develop an implementation plan (1,500-2,000 words). The elements that should be included in your plan are listed below:

1. Method of obtaining necessary approval(s) and securing support from your organization’s leadership and fellow staff.
2. Description of current problem, issue, or deficit requiring a change. Hint: If you are proposing a change in current policy, process, or procedure(s)

   when delivering patient care, describe first the current policy, process, or procedure as a baseline for comparison.

3. Detailed explanation of proposed solution (new policy, process, procedure, or education to address the problem/deficit).
4. Rationale for selecting proposed solution.
5. Evidence from your review of literature in Topic 2 to support your proposed solution and reason for change.
6. Description of implementation logistics

   (When and how will the change be integrated into the current organizational structure, culture, and workflow? Who will be responsible for initiating the change, educating staff, and overseeing the implementation process?)

7. Resources required for implementation: Staff; Educational Materials (pamphlets, handouts, posters, and PowerPoint presentations); Assessment Tools (questionnaires, surveys, pre- and post-tests to assess knowledge of participants at baseline and after intervention);

   Technology (technology or software needs); Funds (cost of educating staff, printing or producing educational materials, gathering and analyzing data before, during, and following implementation), and staff to initiate, oversee, and evaluate change.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Please use attached articles

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Virginia Mason Hospital

Review the closing case on Virginia Mason Hospital at the end of Chapter 4 in your textbook. Post your answers to the following questions on the discussion board. (At least one substantive paragraph on each question required, plus at least two comments on classmates’ posts. Copy each question with your answer.)

1. What do you think were the underlying reasons for the performance problems that Virginia Mason Hospital was encountering in the early 2000s?
2. Which of the four building blocks of competitive advantage did lean production techniques help improve at Virginia Mason?
3. What do you think was the key to the apparently successful implementation of lean production techniques at Virginia Mason?
4. Lean production was developed at a manufacturing firm, Toyota, yet it is being applied in this case at a hospital. What does that tell you about the nature of the lean production philosophy for performance improvement?

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Health Promotion for depression
Provide a review of 4 literature from scholarly journals of evidence-based interventions
that address depression• After completing a library search related to effective interventions for depression health promotion activity, write a review that evaluates the strengths and
weaknesses of all the sources you have found. Provide an overview of your implementation plan complete with a summary of
communication ideas and a timeline.

Propose a health promotion program using an evidence-based intervention found in
your literature search to address the problem in the selected population/setting. Include a
thorough discussion of the specifics of this intervention which include resources necessary,
those involved, and feasibility for a nurse in an advanced role. Be certain to include a
timeline .

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In an effort to cut costs, the CEO of Jones Memorial is considering replacing Licensed Practical Nurses (LPNs) with non-licensed assistive personnel. What are the legal and organizational implications of making this move?

Objective: Discuss issues unique to the use of non-licensed assistive personnel in health care.

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“Cost Control “Please respond to the following:
1. Determine one (1) key driver of health care cost escalation. Indicate one (1) strategy health care managers can implement to reduce costs in the future. Provide support for your rationale.

(answer)

2. Determine one (1) key trend in the health care segment that is likely to increase the cost of health care. Suggest one (1) strategy that managers can implement in order to best minimize the impact of the trend that you have indicated. Provide support for your rationale.

…….

…

(answer)

“Fixed and Variable Costs “Please respond to the following:
1. Assume that you are a financial administrator of a hospital, and you are responsible for reducing fixed costs for the facility. Determine the most significant fixed cost within the hospital, and recommend a strategy for reducing this cost 10% over the next year. Provide support for your strategy.

(answer)

2. As a health care administrator, suggest the type of costs that you are most likely to control. Suggest an approach to drive down this particular cost area. Provide support for your rationale.

(answer)

Min. 2 references

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