After reading Chapter 7 in Nurse Educator Competencies: Creating an Evidence-Based Practice for Nurse Educators, reflect on Competency 6 -Pursue Continuous Quality Improvement in the Nurse Educator Role and the associated behaviors as related to your practicum experience. How will you meet this competency or what do you need to do to meet, this competency during your Practicum or how might you meet it if you have a position as an educator in any setting?
400-500 words and 2-3 references

 

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One of the trends marking the continuing transformation of the U.S. health care industry is the dramatic increase in the pace of competition. The heightened competition is taking place among hospitals, health plans, physician groups, and drug companies, and between physicians and hospitals, and hospitals and health plans. Listen to the Looking Ahead: The Future of Health Care Policy podcast from National Public Radio (NPR). Then, prepare a three- to five-page paper in which you: 

• Describe the different forms of competition that take place among various types of health care organizations.
• Evaluate the benefits and pitfalls of competition in health care and suggest alternatives if competition was not the primary driver of operations in the U.S. health care system.
• Explain the elements of successful competition and the use of competitive intelligence.
• Describe the influence competition has on the services offered by health care organizations and the choices patients have.

Your paper must be three to five double-spaced pages (excluding title and reference pages) and formatted according to APA style as outlined in the Ashford Writing Center. Utilize a minimum of two scholarly sources that were published within the last five years. One source must be obtained from the Ashford University Library and focus on competition health care. All sources must be documented in APA style as outlined in the Ashford Writing Center.   

 

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1. Discuss the resource-based view of competitive advantage. Why is it important to understand organizational differences to use this approach?
2. Briefly define what is meant by competitive advantage. Are competitive advantage and sustained competitive advantage identical concepts? Compare and contrast the two concepts.

Professional Development: 

Case Study #12: AIDSCAP Nepal

• Conduct an internal environmental analysis, identifying the value-creating strengths and weaknesses for each value chain component. Model your response after Exhibit 4-4 (p. 144) “Value Creating Strengths and Value Reducing Weaknesses.”
• For each strength, assess the competitive relevance, using Exhibit 4-6 (p. 149) as an example.
• Exhibit 4–4: Value Creating Strengths and Value Reducing Weaknesses for American Healthways, Inc.
• Value Chain Component
• Service Delivery, Pre-Service
• Service Delivery, Point-ofService
• Service Delivery, AfterService
• Support Activities, Culture
• Support Activities, Strategic Resources
• Value Reducing Weakness
• • Limited brand identity • Disease management and care enhancement contracts require extensive selling because of lack of knowledge of key benefits • Revenues subject to seasonal pressures from enrollment processes of contracted health plans
• • Company/employees have less experience in care enhancement programs in expanded product line areas such as end-state renal disease, fibromyalgia, etc. • A majority of company’s revenues accounted for by three health plans
• • Incomplete or inaccurate data could render independent evaluation of clinical interventions useless
• • Acquisition of StatusOne Health System with different culture • Company’s reluctance to declare cash dividend may discourage some classes of investors
• • Hospital contracts decreasing • Cost to maintain IT for compliance with federal and state regulations • High labor costs from competition for staff • Volatility of stock price and trading volume
• Value Creating Strength
• • Customer benefit: care enhancement/disease management concept (attractive to health plans, hospitals, physicians, patients) • Customer benefit developed: geographical coverage (attractive to large health plans) • Six care enhancement centers
• • Successful management of diseases leading to reduced costs and increased customer satisfaction • Company employees highly experienced in implementing care enhancement programs in certain areas, such as diabetes • Integrated care product line attracts broad range of patients • Number of covered lives increasing making economies of scale possible
• • Alliance with Johns Hopkins Health System to independently evaluate effectiveness of clinical interventions
• • First disease management and care enhancement provider in nation accredited by all three accrediting agencies • Highly professionalized culture • Experienced management team of individuals with extensive health care experience and longevity with the company • Conservative fiscal management philosophy: retain earnings for future growth and development • Company has state-of-the-art medical information technology • Company has sound financial position: cash, working capital, stockholder equity increasing over past year • Earnings per share of common stock has increased despite 3:2 stock split in 2001 and 2:1 stock split in 2003.

Exhibit 4–6: Strategic Thinking Map of Competitive Advantages Relative to Strengths in General

Is the Value of the Strength High or Low? (High/Low?)

H

H

H

H

H

H

H

H

Is the Strength Rare? (Yes/No)

N

N

N

N

Y

Y

Y

Y

Is the Strength Easy or Difficult to Imitate? (Easy/Difficult)

E

E

D

D

E

E

D

D

Can the Strength Be Sustained? (Yes/No)

Y

N

Y

N

Y

N

Y

N

Implications

No competitive advantage. Most competitors have the strength and those that do not can develop it easily. All can sustain it. Maintenance strategy.

No competitive advantage. All competitors have the strength which is easy to develop. Strength is not sustainable so it represents only a short-term advantage.

No competitive advantage. Many competitors possess the strength but it is difficult to develop, so care should be taken to maintain this strength.

No competitive advantage. Many competitors possess the strength but it is difficult to develop, and those who do possess it will not be able to sustain the strength. Only a short-term advantage.

Not a source of long-term competitive advantage. Because it is valuable and rare, competitors will do what is necessary to develop this easy-to-imitate strength. Short-term advantage. Should not base strategy on this type of strength but should obtain benefits of short-term advantage.

Not a source of competitive advantage. The strength is easy to imitate and cannot be sustained. Short-term advantage. Do not base strategy on this type of strength but obtain benefits of short-term advantage.

Source of long-term competitive advantage. If value is very high, it may be worth “betting the organization” on this strength.

Possible source of short-term competitive advantage but not a strength that can be sustained over the long run.

Ginter, P. M., Duncan, W. J., & Swayne, L. E. (2013). Strategic Management of Health Care Organizations (7th ed.). San Francisco: Jossey-Bass.

 

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Assignment 2: Competitiveness and Performance Effectiveness for Health Care IT Systems

Due Week 8 and worth 250 points

Write a six to eight (6–8) page paper in which you:

1. Define the fundamental responsibilities and key characteristics of the Chief Information Officer (CIO) and Chief Technology Officer (CTO) within health care organizations. Make one (1) recommendation where they can utilize their expertise to assist with employee and patient satisfaction. Support your response with related examples of such expertise in use.
2. Suggest two (2) developing technologies that health care systems should use in order to improve health care processes and thus increase the quality and lower the cost of health services. Provide a rationale to support your response. 
3. Determine two (2) significant methods that health care systems should use in order to prevent misuse of information and protect data privacy and thus achieve a high level of security of health information. Provide a rationale to support your response. 
4. Suggest one (1) strategy for health care organizations to train providers in using technology in health care. Provide a rationale to support your response.
5. Provide three (3) best practices for effective IT alignment and strategic planning initiatives. Justify your response.
6. Use at least three (3) quality academic resources in this assignment. Note: Wikipedia and similar type websites do not qualify as academic resources.

Your assignment must follow these formatting guidelines:

• This course requires use of new Strayer Writing Standards (SWS). The format is different than other Strayer University courses. Please take a moment to review the SWS documentation for details.
• Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; references must follow SWS or school-specific format. Check with your professor for any additional instructions.
• Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required page length. 

The specific course learning outcomes associated with this assignment are:

• Examine the impact technologies have on health care information systems. 
• Describe the basic components of a strategic information system plan.
• Describe the major types and classifications of health care information standards and the specific organizations that develop and regulate these standards.
• Discuss the need for, and identify methods of, accomplishing the security of information systems.
• Evaluate the impact of strategic information system plans on organizational competitiveness and performance.
• Use technology and information resources to research issues in health information systems.
• Write clearly and concisely about health information systems using proper writing mechanics.

Grading for this assignment will be based on answer quality, logic / organization of the paper, and language and writing skills, using this rubric. 

 

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