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For this task, you will comprehensively address a healthcare change by creating a proposal and implementation plan. An emphasis is placed on the transition and culmination of learned skills throughout your undergrad experience. The competencies of development, optimization, integration, and influence will require relevant evidence and information to support your proposal. Using clinical knowledge, collaboration, quality improvement, innovation, and informatics, you will apply your expertise and value-based healthcare skills to address your proposal systematically.
**Proposal** (PART 1)
A. Create a proposal by doing the following:
1. Propose one innovative, value-based healthcare change that will affect patient outcomes.
a. Select an organizational sponsor in a leadership role and meet with them to authorize your proposed change and complete the attached “Professional Verification Form.” (FORM ATTACHED)
Note: See the “Professional Verification Form” for details on how to complete the document, and include all required sections. An organizational sponsor is an individual who fulfills a leadership role, such as a supervisor, manager, director, or clinical specialist.

b. Summarize the discussion you had with your organizational sponsor, including feedback received from the sponsor.
c. Explain any changes you had to make to your proposal based on the sponsor’s feedback, or explain why no changes were needed based on your sponsor’s feedback.
2. Provide organizational, local, or national data that support the need for the proposed change.
3. Describe two barriers that may hinder making the proposed change.
4. Discuss a potential negative outcome if your proposed change is not implemented.
a. Discuss a potential action that you can take if there is a lack of support for your proposed change.
5. Discuss two ways this proposed change could enhance value-based care.
6. Describe the key stakeholders by title that are essential to the success of this proposal, including their role in the proposed change.
a. Describe how you would plan to collaborate with your key stakeholders.

Implementation Strategy
B. Create an implementation strategy by doing the following:
1. Identify the key resources needed to implement your proposed change.
2. Identify the costs associated with implementing your proposed change.
3. Discuss two benefits of implementing your proposed change.
4. Provide a timeline for your implementation strategy that includes the following phases:
• planning
• milestones
• implementation
• evaluation
5. Explain how you would use data to support your implementation strategy.
6. Analyze the potential outcomes of your proposed change by doing the following:
a. Discuss a potential financial benefit of the outcome of your proposed change.
b. Discuss two potential ethical implications of the proposed change.
7. Discuss how you could integrate technology into your implementation strategy, including a relevant example of how the technology would be used.
8. Describe how you would measure your proposed change’s success.

Reflection
C. Write a reflection statement by doing the following:
1. Describe how you were a change agent in creating this proposed change and implementation plan, including a relevant example.
2. Examine your influence over the proposed change by doing the following:
a. Describe the knowledge and skills you obtained and used, including a relevant example.
b. Analyze how you could expand the proposal beyond the organization or environment in which you envisioned your proposed change would take place.

D. Incorporate the following components into your task:
• citations that include the author(s) and date of publication—for example: (author, date)
• references that include all four components, in the order of author, date, title, and location

E. Demonstrate professional communication in the content and presentation of your submission.
**E-Portfolio Submission (PART 2)**
A. Complete your e-portfolio using the “E-Portfolio Template” in the weblinks section, including all 12 required headings. Each heading should be labeled as follows:
• Introduction
• Ethical Competent Practice
• Scholarship
• Informatics and Technology
• Safety
• Leadership/Professional
• Innovation
• Quality Assurance
• Compassionate Holistic Care
• Professional Communication/Collaboration
• Personal, Professional, and Leadership Development
• Appendix
1. Include the following in the Introduction heading of your e-portfolio:
a. Create a professional mission statement (suggested length of 1 paragraph) that includes the following:
• a representation of your career goals, your aspirations, and how you want to move forward with your career
• an overview of where you would like to focus your time and energies within the profession
b. Reflect on how your professional mission statement will help guide you throughout your nursing career including examples.
2. Include a professional summary in the Introduction heading (suggested length of 3–4 pages) that includes the following:
a. Explain how the specific artifacts (examples of written work completed during the program) or completed work or both in your portfolio represent you as a learner and a healthcare professional including examples.
b. Discuss how the specific artifacts (examples of written work completed during the program) in your portfolio represent your professional strengths using examples.
c. Discuss challenges you encountered during the progression of your program including examples.
i. Explain how you overcame the challenges from part A2c.
d. Discuss how you have grown professionally since the beginning of your program including examples.

B. Reflect on the professional definition provided in the “Portfolio Artifact Table” in the Weblink section for each programmatic competency by completing the requested written summary located in each section of the “Portfolio Artifact Table.” Include each of the following in your e-portfolio:
1. Discuss how the program assisted you in meeting the professional definition.
2. Explain how each of the artifacts in your portfolio supports the professional definition from part B1.
a. Attach each artifact listed in the “Portfolio Artifact Table” under the corresponding competency.

C. Include the following deliverables in the Appendix heading of your e-portfolio:
1. Include documents, prior assignments, or additional items that are examples of your best work to support your mastery of all sections given in the “Portfolio Artifact Table.”
2. Provide an updated professional résumé.
3. Provide one of the following professional references:
• a professional reference questionnaire
• a full letter of recommendation
• a list of four professional references with the title and phone and/or email address (CHOOSE! – ATTACHED)
4. Include a copy of your American Museum of Natural History (AMNH) certificate of completion. (ATTACHED)
5. Include a copy of your End-of-Life Nursing Education Consortium (ELNEC) certificate of completion. (6 MODULE CERTIFICATES ATTACHED)
6. Include a copy of your selected certificate from D225, Emerging Professional Practice course. (CHILD MALTREATMENT CERTIFICATE ATTACHED)

D. Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.

E. Demonstrate professional communication in the content and presentation of your submission.

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