1Change Proposal Summary ReportJessica RamosCapell

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Change Proposal Summary Report
Jessica Ramos
Capella University
FPX 6218: Leading the Future of Health Care
Dr. Donna Ryan
November 24, 2021
2
Change Proposal Summary Report
One of the clinical conditions affecting numerous people
globally is diabetes. Around 35
million people in the United States are diagnosed with
diabetes annually. Based on the world
statistics, diabetes pervasiveness has increased promptly
among people of low and middle
incomes. Accordingly, people living in countries such as
India and China have the highest

prevalence of diabetes. Globally, approximately 5.0 million
deaths resulted from diabetes and
diabetes-related disorders. Again, the countries spend billions
of dollars on health expenditures for
diabetic patients and other approaches to minimize its
prevalence through education and other
evidence-based practices. Besides, more than 400 million
people globally are likely to develop
type 2 diabetes mellitus. The executive summary will
describe some of the challenges facing
healthcare, such as type 2 diabetes, and ideal strategies and
measures to mitigate such health issues.
Executive Summary
Proposed Change
Globally, type 2 diabetes mellitus is a chronic health
issue affecting numerous people.
From statistics, persons diagnosed with the disease have
increased significantly in the past few
decades. The Center for Disease Control has pointed out a
high incidence of type 2 diabetes
mellitus among children, the elderly, and teenagers (Mayer-
Davis et al., 2017). Some of the risk
factors aligned with diabetes mellitus encompass behavioral
practices, lifestyle, and genetics. A

proposed change to lessen the prevalence of type 2
diabetes mellitus entails implementing
programs including the Lifestyle Change Program and
Diabetes Management Education and
Support (DMES). Such a proposed change will play a central
role in raising awareness and giving
people critical information regarding type 2 diabetes, its
prevention, and management (Munshi et
al., 2016). From contemporary clinical studies, recognizing
diabetes risk factors early is crucial in
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3
preventing and managing chronic disorders (American
Diabetes Association, 2016). Efficient
therapy might prevent or precisely delay diabetic
complications. Thus, the DMES program
educates people regarding diabetes, preventive, and
management strategies to improve their
lifestyle and behavioral practices.

Desired Outcomes
There is a need to boost awareness of various risk factors
aligned with type 2 diabetes
mellitus. Many people will understand the risk factors
contributing to the clinical disorder and
various measures or strategies to reduce its prevalence through
the proposed programs (Munshi et
al., 2016). Understanding and managing the clinical condition
effectively will significantly reduce
the global mortality rate associated with diabetes
(American Diabetes Association, 2016).
Additionally, the program will educate people on the best
behavioral practices and lifestyles to
reduce their exposure to risk factors leading to increased death
rates.
Essentially, type 2 diabetes mellitus patients should be taught
the best mitigating measures
to minimize mortality rates and boost life quality by
adopting ideal lifestyles. To adequately
address this clinical condition, it is imperative to know its
prevalence, the people's access to health
and education facilities, and the existence of health insurance
cover (Stevens et al., 2015). These

desired outcomes will give the cornerstone for implementing the
proposed change to address type
2 diabetes prevalence (American Diabetes Association, 2016).
The federal government, personal
savings, and insurance firms (insured) will pay for the care.
However, some factors might limit the
accomplishment of these outcomes, such as lack of
resources needed for care, general
misunderstanding regarding the seriousness of the disorder, and
poverty among people living in
low-income countries.
Donna Ryan
coverage
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Health Care System Comparative Analysis
The United States is one of the countries with well-developed
healthcare systems to address
the issue of type 2 diabetes mellitus (Stevens et al., 2015).
Ideally, the U.S. healthcare system has
healthcare programs and reforms to improve disease
prevention and management compared to
China and India (American Diabetes Association, 2016).

For instance, America has numerous
health insurance covers for diabetic patients, increased access to
education or health services, and
health promotion initiatives to minimize the prevalence of
diabetes mellitus.
Rationale for the Proposed Change
According to statistics, type 2 diabetes is among the leading
contributors of death among
Americans. Indeed, there is a close correlation between
diabetic Mellitus and other disorders,
including cardiovascular ailments and kidney-interrelated
diseases. The World Health
Organization (WHO) has depicted that the worldwide frequency
of type 2 diabetes is anticipated to
reach more than 500 million in the coming years (Mayer-Davis
et al., 2017). There is a need for the
federal government and private agencies to implement
measures for promoting early detection
through appropriate screening, lifestyle and behavioral
change, and management strategies for
patients diagnosed with the ailment (Stevens et al., 2015). The
proposed change would educate
people on prevention and management policies for diabetes.

Financial and Health Implications
Based on the American Diabetes Association, the total
cost for treating diabetes is
approximately $350 billion annually. Some of the expenditure
goes to the medication, while the
rest is associated with productivity loss in the working
patients. Implementing the proposed
changes is imperative since the overall cost aligned with
treating and managing diabetic patients is
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cite year with author
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5
comparatively higher than planning and designing the
preventive approaches (American Diabetes
Association, 2016). Failure to make changes will lead to
higher expenditures on treatment and
management plans and high mortality and morbidity rates
related to diabetes mellitus.
Conclusion
The proposed change will play an integral purpose in reducing

the overall prevalence of
diabetes in various regions of the world. The strategies will
raise awareness and give people critical
information regarding type 2 diabetes, prevention, and
management. In actuality, they will educate
them regarding diabetes, preventive and management
strategies to improve their lifestyle, and
behavioral practices (Munshi et al., 2016). Early detection
of the clinical condition primarily
through efficient therapy and screening will prevent or
precisely delay diabetic complications.
Thus, it will also reduce the billions of dollars spent in
healthcare organizations addressing diabetes
mellitus, and the high mortality and morbidity rates reported
globally.
SUMMARY REPORT 6
Appendix
Table 1: Health Care System Comparative Analysis
Table directions:
1. Add the names of the two non-U.S. health care systems and
the local or regional U.S. health care system to the applicable
column

headings.
2. In the first column, list each outcome. Add rows to your
table, as needed.
3. Add the relevant information pertaining to each outcome for
each health care system in the second, third, and fourth
columns.
7
Outcomes
[Health Care System 1]-
(China)
[Health Care System 2]
(India)
[U.S. Health Care System]
The pervasiveness of type 2
diabetes mellitus.
The type 2 diabetes prevalence
rate is approximately 12.5%
and is expressively increasing.
The type 2 diabetes mellitus
prevalence in the country is

around 12.0%.
The type 2 diabetes mellitus
prevalence in the state is
around 10 percent (Stevens et
al., 2015). The number of
Americans with the disorder
has increased in the past
decade, making it a pandemic
and necessitating instant
preventive measures.
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need to cite sources of all facts inside the table
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outcomes need to be measurable
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Outcomes
(China)

(India)
Health and Education Access. There is poor or inadequate
access to healthcare and
education services for self-care
or personal management of the
chronic disorder (Munshi et al.,
2016). There is a lack of
community engagement and
efficient measures to prevent
and manage type 2 diabetes
mellitus.
Inadequate education and
health access create a barrier to
quality care services and
appropriate preventive
approaches for the clinical
condition such as screening

(A1c testing). Lack of
comprehensive care hinders
measures to curb the increasing
incidences of type 2 diabetes
(Munshi et al., 2016). Low or
poor lifestyles contribute to
rising cases of the disorder.
Multiple regions in America
have access to quality care and
education services on the
prevention of diabetes (Stevens
et al., 2015). Many training
programs, interventions, and
continuous education facilities
for patients on diabetic risk
factors have reduced its
prevalence and fatality.

9
Outcomes
(China)
(India)
Health Insurance Coverage. The federal government in the
country does not prioritize the
type 2 diabetes epidemic
contributing to increased care
costs for diabetic patients (Li,
et al., 2020). The prevention,
treatment, and management
cost of the disease is relatively
high.
The federal government gives
subsidies for diabetes
prevention, management, and
treatment. But, there is no

organizational assistance to
fully cover the treatment
procedures for diabetic patients
where they pay most of the
care cost.
There are well-designed
insurance firms such as
Medicare and Medicaid that
provide medical coverage
incentives for diabetic patients
who qualify for the programs
(Stevens et al., 2015). The cost
of care for the insured patients
is relatively low or free,
depending on their
qualifications and terms of care
services.

Running head: SUMMARY REPORT 10
References
American Diabetes Association. (2016). 1. Strategies for
improving care. Diabetes
care, 39(Supplement 1), S6-S12.
Li, Y., Teng, D., Shi, X., Qin, G., Qin, Y., Quan, H., ... & Shan,
Z. (2020). Prevalence of diabetes
recorded in mainland China using 2018 diagnostic criteria from
the American Diabetes
Association: national cross sectional study. Bmj, 369.
Mayer-Davis, E. J., Lawrence, J. M., Dabelea, D., Divers, J.,
Isom, S., Dolan, L., ... &
Wagenknecht, L. (2017). Incidence trends of type 1 and type 2
diabetes among youths,
2002–2012. N Engl J Med, 376, 1419-1429.
Munshi, M. N., Florez, H., Huang, E. S., Kalyani, R. R.,
Mupanomunda, M., Pandya, N., ... &
Haas, L. B. (2016). Management of diabetes in long-term care
and skilled nursing facilities:
a position statement of the American Diabetes Association.
Diabetes care, 39(2), 308-318.
Stevens, J. W., Khunti, K., Harvey, R., Johnson, M., Preston,

L., Woods, H. B., ... & Goyder, E.
(2015). Preventing the progression to type 2 diabetes melli tus in
adults at high risk: a
systematic review and network meta-analysis of lifestyle,
pharmacological and surgical
interventions. Diabetes research and clinical practice, 107(3),
320-331.
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need to include all authors up to 19 in reference, per APA 7;
follow APA for journal title
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follow APA for journal title
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National
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please include dois and links to all sources
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need to include all authors up to 19 in reference, per APA 7
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need to include all authors up to 19 in reference, per APA 7:
follow APA for journal titleExecutive SummaryProposed
ChangeDesired OutcomesHealth Care System Comparative
AnalysisRationale for the Proposed ChangeFinancial and Health
ImplicationsConclusionAppendixReferences

1
Community Health Assessment
Jessica Ramos
Capella University
FPX 6218: Leading the Future of Health Care
Dr. Donna Ryan
November 26, 2021
2
Community Health Assessment
Healthcare should be evidence-based, affordable, efficient, and
effective. Again, it must
possess all relevant resources needed to meet the community's
needs. Indeed, nurse leaders and
other critical stakeholders must inclusively assess the
working environment to warrant the
equitable and effective allocation of resources. Thorough
assessments give an ideal opportunity of
examining the current health conditions and relevant social
determinants attributable to health in a

given community. This is typically achieved through completing
an environmental analysis and a
virtual windshield survey founded on communities within
Jordan city. Using the data collected
from the community health assessment, the nurse leaders
might formulate a community health
improvement initiative based on allocating resources to meet
community needs. The executive
summary will critically complete a virtual windshield
survey and environmental analysis to
evaluate the healthcare needs for a community situated in
Jordan City for quality improvement.
Executive Summary
General Condition and Public Health Needs
Notably, a virtual windshield survey carried out in Jordan town
depicted it as a growing
community and revealed a broad array of socioeconomic
settings. The city comprises people with
low and medium socioeconomic statuses with a population
of around 6,500 residents (Capella
University, 2021). Markedly, the residents have an average
monthly income of around $635
(Pennel et al., 2017). From the survey, there are no present and
quality healthcare facilities in the

city to provide care services to the growing community
(Lightfoot et al., 2014). The only available
facilities under the St. Francis Health Services include Park
Nicollet and Allina Health services
that inadequately serve the ever-increasing population. The
facilities are far from downtown
Donna Ryan
I don't see how this source is the correct source to cite the
income levels and poverty levels of Jordan
3
Jordan, and there are no appropriate transport means to visit
them. The cost of transport is also
unaffordable for many residents. While the healthcare
organization provides a full array of
outpatient, inpatient, and emergency care, the services are not
enough for the whole population
(Pennel et al., 2016). The education system in the city is
inappropriate and sub-standard. This is
because there are inadequate learning facilities to serve
the growing population. Notably, the
Jordan public schools provide a student and family-friendly
exclusive campus (Pennel et al., 2017).

The school has numerous outdoor recreational and extra-
curricular facilities visited by students,
such as arts programs, athletics, and vocational training
(Capella University, 2021). The housing
facilities in the city lack maintenance and have been subjected
to wear and tear, while the outlying
shopping centers are empty and vacant without ongoing
activities (Pennel et al., 2016).
Environmental Analysis
Numerous social factors affect Jordan town in the provision of
quality services, including
unemployment (income status), inappropriate education
facilities, and access to quality healthcare
services. According to the recent labor statistics, the
unemployment rate in the city is
approximately 25% (Pennel et al., 2017). Again, poverty is
the city and its surrounding has
hindered many students from attending learning institutions,
deteriorating the education system.
Ideally, poor health upshots have been worsened by inadequate
health and the town's economic
and social statuses. Since the rural town is not situated near a
developed healthcare facility, the
community is limited from accessing preventive care and

critical or emergency care (Capella
University, 2021). The poor economic state of this town
makes it challenging for healthcare
facilities to develop and provide high-quality care services.
Inadequate provision of food is evident
in the rural town. The available food shelf has more than 100
active volunteers, which might serve
Donna Ryan
where is your evidence of this. I find no evidence that states
the schools are substandard
4
around 20 families only on weekends (Pennel et al., 2017).
Thus, the rural town has economic
instability because of low quality food sources and educational
advancements (Pennel et al., 2016).
If political, social, cultural, and economic statuses are not
modified, the rural town will remain
undeveloped.
Conclusion
Most rural areas have social and economic disparities leading to
poor educational services,
healthcare service delivery, high mortality and morbidity

rates. Such sites need equitable and
effective distribution of resources to warrant easy access to
quality care and educational services
(Pennel et al., 2017). There is a need for the relevant
stakeholders to implement appropriate
interventions and meaningful policies to improve the
quality of social and economic service
provision in rural areas (Capella University, 2021).
Considering the case for Jordan town, the
community requires appropriate health services, advanced
housing facilities, and a suitable
educational system to boost its social and economic status. For
effective and successful quality
improvement, it is imperative to conduct a windshield
survey and environmental analysis for
concise corrective measures and policies.
5
References
Capella University (n.d.). (2021). Villa Health: Environmental
Analysis and Windshield Survey.
Lightfoot, A. F., De Marco, M. M., Dendas, R. C., Jackson, M.
R., & Meehan, E. F. (2014).

Engaging underserved populations in affordable care act-
required needs
assessments. Journal of Health Care for The Poor and
Underserved, 25(1), 11-18.
https://muse.jhu.edu/article/537883/summary
Pennel, C. L., Burdine, J. N., Prochaska, J. D., & McLeroy, K.
R. (2017). Common and critical
components among community health assessment and
community health improvement
planning models. Journal of Public Health Management and
Practice, 23, S14-S21.
https://journals.lww.com/jphmp/Abstract/2017/07001/Common_
and_Critical_Components
_Among_Community.5.aspx
Pennel, C. L., McLeroy, K. R., Burdine, J. N., Matarrita-
Cascante, D., & Wang, J. (2016).
Community health needs assessment: potential for population
health
improvement. Population Health Management, 19(3), 178-186.
https://www.liebertpub.com/doi/abs/10.1089/pop.2015.0075
Donna Ryan
please include the link to this source

https://www.liebertpub.com/doi/abs/10.1089/pop.2015.0075
and_Critical_Components_Among_Community.5.aspx
and_Critical_Components_Among_Community.5.aspx
https://muse.jhu.edu/article/537883/summary
COMMUNITY HEALTH ASSESSMENT 6
Appendix
Table 1: Windshield Survey and Environmental Analysis
Table directions:
1. Add table rows, as needed, for additional categories.
2. Enter the information (questions, observations and
impressions, SWOT category, and references) for each category
in columns 2–
5.
Category Questions
Observations and
Impressions
SWOT Category References
(See note 1.)
Community Size
Population

Age
Ethnicity
Health Issues
Health Care Services
Churches
Schools
Businesses
Buildings
Restaurants
Other
7
Notes:
Cite applicable sources for each category of information, either
the Internet or the Vila Health: Environmental Analysis and
Windshield
Survey simulation.
General Condition and Public Health NeedsEnvironmental
AnalysisConclusionReferencesAppendix
Running head: SUMMARY REPORT 5Change Proposal
Summary Report

Your Full Name (no credentials)School of Nursing and Health
Sciences, Capella University NURS-FPX6218 Leading the
Future of Health CareProposing Evidence-Based Change
Instructor’s NameMonth, YearChange Proposal Summary
Report
Note: Delete this note and all instructions from the template
before submitting your report. Use headings to organize your
text, rather than bullets.Executive Summary
Proposed Change
Identify an aspect of a local or regional health care system or
program that should be a focus for change.
Desired Outcomes
Define each desirable outcome you wish to examine, including
who will pay for care and factors limiting achievement of those
outcomes.Health Care System Comparative Analysis
Use Table 1, in the appendix, for your comparative analysis of
the specific outcomes you wish to examine.
Analyze outcomes in two non-U.S. health care systems that
offer insight into your proposed change.
Choose one of the following options for selecting the two
systems:
· Option 1: Select two systems at opposite ends of the scale in
terms of desirable outcomes for the issue reflected in your
proposed change.
· Option 2: Select two systems that both produce positive
outcomes but take unique or innovative approaches to the
problem.
Compare the outcomes in each non-U.S. system with each other
and with present outcomes in your local or regional health care
system.
Rationale for the Proposed Change
Explain why specific changes will lead to improved outcomes.

Financial and Health Implications
Determine the financial and health implications associated with
the proposed changes.
Address the implications of making the changes.
Address the implications of not making the changes.Conclusion
Summarize your analysis and provide your rationale for the
proposed change.
1
2
Appendix
Table 1: Health Care System Comparative Analysis
Table directions:
Add the names of the two non-U.S. health care systems and the
local or regional U.S. health care system to the applicable
column headings.
In the first column, list each outcome. Add rows to your table,
as needed.
Add the relevant information pertaining to each outcome for
each health care system in the second, third, and fourth
columns.
Outcomes
List outcome 1 here.

Place in-text citations here, along with any other information
not included in the table itself.
SUMMARY REPORT 4
References
List your APA-formatted references here.
Remove or Replace: Header Is Not Doc Title
NURS-FPX6218
Guiding Questions for Assessment 1
Proposing Evidence-Based Change
This document is designed to give you questions to consider and
additional guidance to help you successfully complete the
Proposing Evidence-Based Change assignment. You may find it
useful to use this document as a pre-writing exercise, an
outlining tool, or as a final check to ensure that you have
sufficiently addressed all the grading criteria for this
assignment. This document is a resource to help you complete
the assignment. Do notturn in this document as your assignment
submission.Executive Summary
Propose a change to one aspect of your local or regional health
care system or program that would improve outcomes. Then,
conduct a comparative analysis of different health care systems,
focusing on the aspect of the system you are proposing to
change, and summarize the results in a summary report.
Identify an aspect of a local or regional health care system or
program that should be a focus for change.
Why did you decide on this particular change?

What improvements do you expect as a result of the change?
What evidence supports your position?
Define desirable outcomes, including who will pay for care and
factors limiting achievement of those outcomes.
What is your rationale for this definition?
What sources can you cite that support your definition?
What are the two limiting factors?
Analyze two non-U.S. health care systems or programs that
offer insight into a proposed change for a health care system or
program in the United States.
Select two systems at opposite ends of the scale in terms of
desirable outcomes for the issue reflected in your proposed
change or select two systems that both produce positive
outcomes but take unique or innovative approaches to the
problem. Then, compare the outcomes in each non-U.S. system
with each other and with present outcomes in your community.
· How do the two health care systems or programs address the
issue?
· What lessons are you able to draw from each example that you
could apply in your system?
Explain why specific changes will lead to improved outcomes.
What are the expected improvements in outcomes?
What evidence can you use to justify your conclusions?
Are your expectations reasonable within the existing health care
system?
Determine the financial and health implications associated with
the proposed changes.
Address the implications of making the changes.
Address the implications of not making the changes.
· What are the likely costs and benefits for individuals and the
community at large?
· What are the potential short- and long-term effects?
· What evidence do you have that supports your conclusions?
Write clearly and concisely in a logically coherent and
appropriate form and style.
Write with a specific purpose and audience in mind.

Adhere to scholarly and disciplinary writing standards and APA
formatting requirements.
Support assertions, arguments, propositions, and conclusions
with relevant and credible evidence.
Integrate relevant and credible evidence from 3–5 peer-
reviewed journals or professional industry publications.
Is your supporting evidence clear and explicit?
· How or why does particular evidence support a claim?
· Will your reader see the connection?
Did you summarize, paraphrase, and quote your sources
appropriately?Submission Reminders
Have you identified an aspect of your local or regional health
care system or program as the focus for change, with supporting
evidence?
Have you clearly defined desirable outcomes and provided
supporting evidence?
Have you completed your examination of two non-U.S. health
care systems or programs with respect to the issue reflected in
your proposed change?
Have you adequately explained why specific changes will lead
to improved outcomes and provided supporting evidence?
Have you determined the financial and health implications both
of making and not making your proposed changes and provided
supporting evidence?
Is your report well supported by 3–5 sources of relevant and
credible evidence?
Is your report 4–5 pages in length, not includingthe title page
and references page?
Did you proofread your writing and delete all directions from
the template?

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