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This course contains a course project where you will
identify and solve a healthcare problem. Assuming you have been listening to
the news or following the talk shows the last 6 months (more like 2 decades),
you know that healthcare is a key and contentious issue in America. There is no
shortage of concerns, nor are there approaches on how to best solve them. (Some
people call healthcare, from a problem standpoint, a target-rich environment.)
The course projects requires you to identify a problem and, using the below
model, to arrive at a recommended solution along with its implementation. The
course project is a key academic activity. Because of its importance, you may
need to commit time throughout the course, beginning with developing a problem
statement in Week 2 to successfully complete the project. Below is a review of
the project academic expectations, evaluation criteria, and examples of how to
write an effective problem statement.

Academic Requirements:

Format: The two main content sections
are (a) the introductory (noncontent) title page and table of contents
(noncontent pages) and (b) the body (content sections 1-8 listed below).

Content: Write a problem-solving,
decision-making research paper that is no less than 18 pages and no more than
22 pages of content (body of paper) and is double spaced. It should be based on
your chosen subject, in which you convince your readers to support your
recommendation. Details on format and content follows:

Category

Points

Description

Documentation

15

A
quality paper will include proper citations and references.

Editing

15

A
quality paper will be free of any spelling, punctuation, or grammatical
errors. Sentences and paragraphs will be clear, concise, and factually
correct.

Content

185

A
quality paper will have significant scope and depth of research to support
thoughts, statements, concepts, and conclusions. Relevant illustration or
examples are encouraged. Use of external source material is required. A
quality paper will employ use of sound reasoning and logic to reinforce
conclusions.

Organization
& Formatting

20

A
quality paper will include the above content sections, beginning with an
executive summary through references. The content will be properly subdivided
into the above required headings and subheadings (bold and in caps). In a
quality paper, each step in the problem-solving model will be complete with
relevant content that meets the content expectations for that section; a
thoughtful problem statement, clearly researched and defined, with relevant
and reasonable problem-solving recommendations, assessed in ways that
produced a constructive solution and implementation plan is the expectation.
Managing communication flow is key to effective writing.

Total

235

A
quality paper will meet or exceed all of the above requirements.

Submit your assignment to the Dropbox located on the silver
tab at the top of this page. For instructions on how to use the Dropbox, read
these step-by-step instructions
or watch this Dropbox Tutorial.

See the Syllabus section “Due Dates for Assignments
& Exams” for due date information.

Content Section 1, Executive Summary (15 points)

Once your paper is completed, you will need to summarize the
paper’s main points for your reader. Explain succinctly the problem or issue
you are writing about along with a summary of your paper’s main points. Include
the solutions offered along with your identified best solution and plan and how
it will solve the identified problem or issue. The purpose is to provide the
reader (in this case me, your professor) an overview of the main points in the
paper. The maximum length of an executive summary is one page, single spaced.

Content Section 2, Define the Problem or Issue in a Single
Statement (25 points)

Identify and clearly state the problem that needs
improvement or is not meeting expectations. Remember, that what appears to be
the healthcare problem or issue may actually be just a symptom of a bigger
problem: dig deep to be sure that you have identified the real problem or
problems. If there appears to be more than one problem or issue, decide if they
are separate or related issues. State the problem in the form of a single,
clear problem statement (required). A problem statement contains identified the
focus issue the rest of the model addresses. It presents an existing adverse
outcome or concern. For the course project, the problem statement can be a
statement or a question. The following is an example of a national-level focus
(do not use it): The un- and under-insured receive 45% of their healthcare
through expensive rates (two to three times higher than standard delivery
systems) for Emergency Departments (ED), adversely impacting the ability of EDs
to meet their quality service standards. The following is an example of a
healthcare facility focus (do not use it): How can healthcare access be
improved? Our lack of an automated information management system is adversely
impacting our ability to compete; how can we achieve automated information
management?

Please note, there should be no more than one paragraph in
this section with a clear problem statement easily identified in that
paragraph. The problem statement should be underlined and in bold letters.
There will be a deduction if more than one paragraph is used.

Content Section 3, Literature Review (30 points)

Present what you discovered in your search of the
literature. Review theories, concepts, and studies discussed in class and in
our textbook, and review what other writers or researchers have to say about
the subject of your analysis. In short, demonstrate an understanding of the
literature and apply it sensibly to the problem. This is not a course in
applied commonsense; however, such practical intelligence is important,
especially in the application stage. A literature review is like playing a
video game in which you are in a chamber with many doors. As you open each
door, you uncover clues to help you progress to the next level. Similarly, in a
literature review, your objective is to open the doors that can point the way
to solving your business problem. Begin your literature review with a broad
look at your field of interest, then narrow your focus until you zero in on the
essential issue or issues of concern. Please note, a literature review is a
required element of this assignment. At least 10 resources are required, beyond
the textbook and course readings, to ensure the effectiveness of your research.
Be sure to list them in the bibliography. Suggestion: Begin your literature
survey by accessing Keller”s online library at 

Present what you discovered in your search of the
literature. Review theories, concepts, and studies discussed in class and in our
textbook, and review what other writers and researchers have to say about the
subject of your analysis. In short, demonstrate an understanding of the
literature, and apply it sensibly to the problem. This is not a course in
applied commonsense; however, such practical intelligence is important,
especially in the application stage. A literature review is like playing a
video game in which you are in a chamber with many doors. As you open each
door, you uncover clues to help you progress to the next level. Similarly, in a
literature review, your objective is to open the “doors” that can point the way
to solving your business problem. Begin your literature review with a broad
look at your field of interest, then narrow your focus until you zero in on the
essential issue or issues of concern. Please note, a literature review is a
required element of this assignment. At least 10 resources are required, beyond
the textbook and course readings, to ensure the effectiveness of your research.
Be sure to list them in the bibliography.

Content Section 4, Problem Analysis (40 points)

This section should provide a detailed analysis of the
causes of the problems or issues you identified in Section II. A major
objective is to clearly illustrate how you are using course concepts (as well
as what you learned from your literature review) to better understand the
causes of the problem or issue. Show that you are applying course material! The
purpose of this analysis is to make clear the focus issue (problem). It narrows
the focus from the understanding created in the Literature Review into a clear
problem definition, which is the detail that the problem-solving effort is to
correct.

Content Section 5, Possible Solutions (30 points)

List, number, and describe at least three alternative
solutions that could be appropriate methods to solve the identified problem or
issue. Number each solution to make them clear to the reader (required). Be
sure these solutions are logical, based on your analysis and that each would
effectively treat the problem, not the symptoms. Also, discuss the anticipated
outcomes (positive and negative) of implementing each of the possible solutions
you identified. This is a probability assessment, meaning your assessment of
the alternatives ability to solve the problem and at what cost. This assessment
should transition to the solution section, meaning the solution should be the
one you assessed as having the best chance to solve the problem within any cost
constraints (key to the selection process).

Content Section 6, Solution and its Implementation (25
points)

Outline your recommended solution to the problem or issue.
(It will be one of the alternatives explored in Section V or a combination of
those alternatives.) State your solution clearly and specifically. Describe
exactly what should be done; how it should be done, including by whom, with
whom, and in what sequence; when actions should begin; and estimate cost and
means of payment. List each bold and underlined word and then discuss
(required).

Here are key points to keep in mind as you write this
section:

  • Have I indicated
    an awareness of the problem and of implementation (i.e., the what and how
    aspect)?
  • Have I been
    specific enough ( i.e., when and cost)? (A specific solution will state
    what style is most appropriate for the situation and how you will attempt
    to the have the manager realize the appropriate style.)
  • What aspects of
    the problem remain unresolved by my solution?
  • Does my
    recommended solution and implementation plan address the problem or issues
    and causes identified in the previous sections?
  • Does my solution
    consider and resolve the identified pros and cons?
  • How will I
    evaluate the effectiveness of the implemented recommended solution?
  • What process
    checks or procedures will I put in place to institutionalize the
    improvement?
  • Could my solution
    cause other problems or issues?
  • What risks are
    inherent in the solution you recommend?
  • What contingency
    plans do you recommend?

Assess the realism of your proposed action plan. For
example, is there adequate time, money, or other resources for your solution?
In addition, does your solution place too much reliance on other people being
reasonable (i.e., on what you think is reasonable)?

Content Section 7, Justification (20 points)

Justify why your recommended solution and its implementation
will solve the identified problem or issue in the organization or unit you have
selected. An important element of this section is to show very clearly how you
applied course concepts to arrive at a workable solution and a successful
implementation. Apply appropriate course material; support your conclusions
with appropriately referenced facts, quotes, and readings, and be sure your
justification addresses identified pros and cons.

Content Section 8, References (15 points)

All citations in the paper must appear in the reference
list, and all references must be cited in the text. Choose references
judiciously, and cite them accurately. A citation of an author’s work in the
text documents your work, briefly identifies the source for readers, and
enables readers to locate the source of information in the alphabetical
reference list at the end of the paper. To use the ideas or words of another
without crediting the source is plagiarism.

Plagiarism in its purest form involves copying of entire
passages either verbatim or nearly verbatim, with no direct acknowledgment of
the source. The most common (and unconscious) form of plagiarism is when a
direct quotation is simply paraphrased. Paraphrasing does not relieve you of
the obligation to provide proper
identification of source data. The best way to avoid plagiarism is to make sure
all quotes, ideas, or conclusions that are not your own are given proper
acknowledgment in your text. Footnotes are required.

Grammar and Composition (15 points)

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The paper uses acceptable terminology in standard English
and reflects the use of word processing software and spell check. Acceptable
sentence structure is reflected with appropriate use of grammar and style and
is considerate of the audience for which the paper is written.

Formatting (20 points)

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Failure to follow required format, content length, or other
issues impacting effective communication (flow) will result in a reduction of
up to 20 points.

Constructing an Adequate Problem Statement

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Leaders and managers must be clear in their definition of an
issue, concern, or problem to achieve an effective outcome. Decision making is
not just about problem solving, but problem solving outcomes are often the
measure of decision making. While problem solving has many steps, the process
depends upon an adequate definition of the problem. Keep in mind if outcomes
have not been clearly articulated, those tasked with planning and implementing
actions directed at achieving new outcomes will be less than efficient and
effective, and managers will be unable to measure performance quality against
new outcomes.

An effective problem statement should contain the following
two elements: an adverse outcome and suggested causal factors.

Below are examples of an adverse outcome:

  • Cost of
    healthcare is rising faster than inflation.
  • Access to
    healthcare in rural areas is lower than urban areas.
  • Research
    indicates the quality of care in the United States has declined over the
    last 2 decades.

Below are examples of relevant factors to above adverse
outcomes:

  • There is a
    greater use of unnecessary care, the uninsured are being provided care via
    the most costly delivery methods (emergency departments), or the cost of
    health insurance is rising.
  • Rural areas lack
    sufficient numbers of healthcare providers, or rural areas lack
    specialists.
  • Physicians do
    not spend enough time with patients to arrive at a correct diagnosis, or
    physicians perform unnecessary services that needlessly expose patients to
    less than high-quality outcomes.
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