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Change strategy and implementation assessment

Consider the current environment. This could be your current care setting, the care settings presented in the Vila Health: Using Evidence to Drive Improvement or Vila Health: Concept Maps as Diagnostic Tools media, or a care setting in which you are interested in working.

For the setting that you choose you will need to have a data set that depicts sub-optimal outcomes related to a clinical issue. This data could be from existing sources in the course (Vila Health: Using Evidence to Drive Improvement), a relevant data set that already exists (a data set from the case study you used as a basis for your Concept Map assessment, or from your current place of practice), or an appropriate data set that you have created yourself. (Note: if you choose to create your own data set, check with your instructor first for approval and guidance.)

After you have selected an appropriate data set, use your understanding of the data to create at least one realistic goal (though you may create more) that will be driven by a change strategy appropriate for the environment and goal.

Potential topics for this assessment could be:

Consider ways to help minimize the rate of secondary infections related to the condition, disease, or disorder that you focused on for your Concept Map assessment. As a starting point you could ask yourself, “What could be changed to facilitate safety and minimize risks of infection?”
Consider how to help a patient experiencing traumatic stress or anxiety over hospitalization. As a starting point you could ask yourself, “How could the care environment be changed to enhance coping?”
Once you determine the change you would like to make, consider the following:

What data will you use to justify the change?
How can the team achieve this change with a reasonable cost?
What are the effects on the workplace?
What other implementation considerations do you need to consider to ensure that the change strategy is successful?
How does your change strategy address all aspects of the Quadruple Aim, especially the well-being of health care professionals?
Once the change strategy is implemented, how would you evaluate the efficiency and effectiveness of the care system if the desired outcomes are met?

Sample Solution

transactions (i.e. commerce, finance etc.) through the application by all countries of common solutions for identical cases of double taxation. The first recommendation related to the double taxation issue was published in 1955 by the Organisation for European Economic Co-operation (i.e. the predecessor of OECD), by that time being already in force double tax conventions between several countries, as well one of the first model bilateral conventions, i.e. Model Conventions of Mexico (1943) and London (1946). However, neither of these Model Conventions were fully and unanimously accepted by countries. After the Second World War, when the economic interdependence and co-operation between the countries increased due the so known globalisation process, the OECD members showed increasingly of the importance of measures to be taken for preventing the international double taxation. In 1963 the Fiscal Committee presented the first Draft Convention, envisaging that it might be revised on a later stage. Further on, all the efforts of the Fiscal Committee of OECD and, after 1971, its successor the Committee of Fiscal Affairs, resulted in the publication of the Model Tax Convention and Commentaries, in 1977. Due to the extended influence of the Model Tax Convention far beyond the OECD member countries, the Committee decided that the revision process should be open also for input of non-member countries, international organisations or other interested parties. This led to publication of newly enacted Model Convention in 1992 – since then it was updated 10 times (i.e. in 1994, 1995, 1997, 2000, 2002, 2005, 2008, 2010, 2014 and 2017). The 2017 update included a large number of changes resulting from the OECD/G20 Base Erosion and Profit Shifting (“BEPS”).

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