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Appreciative Inquiry
an organizational change strategy that directs the group's attention away from its
own problems and focuses participants on the group's potential and positive
elements
Appreciative Inquiry - 5 D's
1. Define the topic for discussion
2. Discovering the best of what is
3. Dreaming what might be
4. Designing what should be
5. Creating a destiny of what will be
Strategic Planning
the process of developing and maintaining a strategic fit between the
organization's goals and capabilities and its changing marketing opportunities
"Organizational Roadmap"
The sum/total/outcome of the processes by which an organization engages an
action to ensure its existence.
___________ is done with broad view of organizations internal/external
environments
Environmental analysis
,External Environment
everything outside an organization's boundaries that might affect it
Looks at trends and needs that could impact the organization
Internal Assessment
generally focuses on the strengths and weaknesses of the organization
Inventory the assets and liabilities of the organization
Strategic Planning Purpose
Organizational growth & development
Strategic Planning Actions
Environmental analysis, goal formation, and strategic development
Strategic Planning Rationale
Provides unified vison and goals
Ensure necessary resources
Plan Creation Steps
-Identify partnerships in the community
-set boundaries
-develop strategies to achieve the objectives
-implementing strategies
-evaluating your results
Plan Creation Issues that could complicate business relationships
-poor communication
-misaligned objectives between organizations
-weak integration between entities
You are preparing a strategic plan for nursing services in your organization. You
1st step is to:
,Review the organization and nursing services mission and vision
Advocacy
support; active pleading on behalf of someone or something
In nursing, it may be to protect/defend a patient, family member, colleague, or
nursing professional
Advocacy Climate will
-strengthen support systems
-create healthy work environment
-assure state of the art equipment
-assure safe staffing ratios
-provide information
-empower autonomy
-advocate for staff & patients
Nurse-Patient Advocacy will
-access to healthcare
-healthcare reimbursement
-medical errors
-culture & ethnic diversity
-pt grievance & appeal process
-withhold of information or breach in veracity (truthfulness)
Veracity
truthfulness
-both legal and ethical
-not absolute
What are the 2 parts (Acts) of the Affordable Care Act (2012)
, 1. patient protection & affordable care act
2. health care & education reconciliation act
What are the 3 goals in the Affordable Care Act (2012)?
1. make affordable health insurance available to more people.
2. Expands the Medicaid program to cover all adults with income below 138% of
Federal Poverty Line (FPL). Not all states have complied with expansion of
Medicaid program
3. Support innovative medical care delivery methods designed to lower the cost of
healthcare
In the Afordable Care Acre, the law provides subsides that lower the cost for
house income between ____ - _____% of Federal Poverty Line (FPL)
100-400%
Affordable Care Act (2012) provides the following:
-coverage for pre-existing conditions
-keeps those under 26 covered under parental insurance
-ends lifetime limits on coverage
-ends arbitrary withdrawal of insurance coverage
removes insurance coverage barriers to emergency services
Patient Self-Determination Act (1990)
this law requires that patients are provided the opportunity to express their
preferences regarding lifesaving or life-sustaining care on entering any health care
service, including hospitals, long-term care centers, and home care agencies. The
law also requires that adequate information be supplied to the patient so that he
or she can make informed decisions regarding self-determination
Patient Self-Determination Act (1990) - written notice of rights include