Note: The instructions are long but most of which is RESOURCES 
TOPIC: POLICY PROPOSAL 

Write a 5-page policy proposal and practice guidelines for improving quality and performance associated with the benchmark metric underperformance you advocated for improving in Assessment 1. (Assignment 1 Paper is attached for reference) Do not publish!!!!

Introduction
In advocating for institutional policy changes related to local, state, or federal health care laws or policies, health leaders must be able to develop and present clear and well-written policy and practice guideline proposals that will enable a team, a unit, or an organization as a whole to resolve relevant performance issues and bring about improvements in the quality and safety of health care. This assessment offers you an opportunity to take the lead in proposing such changes.
As a master’s-level health care practitioner, you have a valuable viewpoint and voice to bring to discussions about policy development, both inside and outside your care setting. Developing policy for internal purposes can be a valuable process toward quality and safety improvement, as well as ensuring compliance with various health care regulatory pressures. This assessment offers you an opportunity to take the lead in proposing such changes.
Propose organizational policy and practice guidelines that you believe will lead to an improvement in quality and performance associated with the benchmark underperformance you advocated for improving in Assessment 1. Be precise, professional, and persuasive in demonstrating the merit of your proposed actions.
Requirements
The policy proposal requirements outlined below correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, be sure to note the requirements for document format and length and for supporting evidence.
Explain the need for creating a policy and practice guidelines to address a shortfall in meeting a benchmark metric prescribed by local, state, or federal health care policies or laws.
What is the current benchmark for the organization and the numeric score for the underperformance?
How is the benchmark underperformance potentially affecting the provision of quality care or the operations of the organization?
What are the potential repercussions of not making any changes?
What evidence supports your conclusions?
Recommend ethical, evidence-based practice guidelines to improve targeted benchmark performance prescribed by applicable local, state, or federal health care policy or law.
What does the evidence-based literature suggest are potential strategies to improve performance for your targeted benchmark?
How would these strategies ensure performance improvement or compliance with applicable local, state, or federal health care policy or law?
How would you propose to apply these strategies in the context of Mercy Medical Center or your own practice setting?
How can you ensure these strategies are ethical and culturally inclusive in their application?
Analyze the potential effects of environmental factors on your recommended practice guidelines.
What regulatory considerations could affect your recommended guidelines?
What resources could affect your recommended guidelines (staffing, financial, and logistical considerations, or support services)?
Explain why particular stakeholders and groups must be involved in further development and implementation of your proposed policy and practice guidelines.
Why is it important to engage these stakeholders and groups?
How can their participation produce a stronger policy and facilitate its implementation?
Organize content so ideas flow logically with smooth transitions.
Proofread your proposal, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your proposal.
Use paraphrasing and summarization to represent ideas from external sources.
Be sure to apply correct APA formatting to source citations and references.
Policy Proposal Format and Length
It may be helpful to use a template or format for your proposal that is used in your current organization. The risk management or quality department could be a good resource for finding an appropriate template or format. If you are not currently in practice, or your organization does not have these resources, many appropriate templates are freely available on the Internet.
Your policy should be succinct (about one paragraph). Overall, your proposal should be 5 pages in length minus sources and title page 
Supporting Evidence
Cite 5 references to relevant research, case studies, or best practices to support your analysis and recommendations.
OUTLINE TOPICS
1. Policy Proposal 
2. Need for Policy and Practice guidelines 
3. Fall Prevention Analysis
4. Fall Prevention Strategies 
5. Policy and Practice Guidelines for Managing Patient’s Falls
6. Effects of Environmental Factors 
7. Stakeholder Involvement in Implementing Proposed Strategies 
8. Conclusion 
GRADING COMPETENCIES MEASURED 
Competency 1: Analyze relevant health care laws, policies, and regulations; their application; and their effects on organizations, interprofessional teams, and professional practice.
Analyze the potential effects of environmental factors on recommended practice guidelines.

Competency 2: Lead the development and implementation of ethical and culturally sensitive policies that improve health outcomes for individuals, organizations, and populations.
Recommend ethical, evidence-based practice guidelines to improve targeted benchmark performance prescribed by applicable local, state, or federal health care policies or laws.
Competency 3: Evaluate relevant indicators of performance, such as benchmarks, research, and best practices, to inform health care laws and policies for patients, organizations, and populations.
Explain the need for creating a policy to address a shortfall in meeting a benchmark metric prescribed by local, state, or federal health care policies or laws.
Competency 4: Develop strategies to work collaboratively with policy makers, stakeholders, and colleagues to address environmental (governmental and regulatory) forces.
Explain why particular stakeholders and groups must be involved in further development and implementation of a proposed policy and practice guidelines.
Competency 5: Produce clear, coherent, and professional written work.
Organize content so ideas flow logically with smooth transitions.
Use paraphrasing and summarization to represent ideas from external sources.
Resources: Affordable Care Act 
Blendon, R. J., & Benson, J. M. (2017). Public opinion about the future of the Affordable Care Act. The New England Journal of Medicine, 377(9), e12(1)e12(7).
Butler, S. M. (2016). The Future of the Affordable Care Act: Reassessment and revision. JAMA, 316(5), 495497.
Gaffney, A., & McCormick, D. (2017). The Affordable Care Act: Implications for health-care equity. The Lancet, 389(10077), 14421452.
Gliad, S., & Jackson, A. (2017). The future of the Affordable Care Act and insurance coverage. American Journal of Public Health, 107(4), 538540. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5343718/
Guiliot, C. (2014). Gauging the Affordable Care Act. Internal Auditor, 71(1), 5459.
Himmelstein, D. U., Lawless, R. M., Thorne, D., Foohey, P., & Woolhandler, S. (2019). Medical bankruptcy: Still common despite the Affordable Care Act. American Journal of Public Health, 109(3), 431433.
Levitt, L. (2017). Is the Affordable Care Act imploding? JAMA, 317(20), 20512052.
Health care organizations typically have hundreds or even thousands of different contracts for different reasons, parties, terms and clauses, termination regulations, and more. It is imperative that there be a robust contract management system to establish and maintain order for all agreements from a legal and regulatory perspective. This article provides insight on the benefits such a system can offer:
Centafont, D. (2014). Contract management systems: An effective compliance tool. Journal of Health Care Compliance, 16(5), 4142, 78.
RESOURCES
INTERPROFESSIONAL COLLABORATION 
Collaboration through interprofessional and interdisciplinary teamwork is critical to the success of health care organizations in the current environment. The following three articles will further your understanding of how different viewpoints from multiple disciplines can facilitate teamwork and contribute to optimal decision making:
Bosch, B., & Mansell, H. (2015). Interprofessional collaboration in health care: Lessons to be learned from competitive sports. Canadian Pharmacists Journal, 148(4), 176179. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4530359/
Gordon, L., Modayil, M. V., Pavlik, J., & Morris, C. D. (2015). Collaboration with behavioral health care facilities to implement systemwide tobacco control policies California, 2012. Preventing Chronic Disease, 12, E13. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4318685/
Webb, E. (2014). Commentary on the ISSOP policy statement on the UNCRC and health. Child: Care, Health & Development, 40(1), 46.
Resources: Ethical Decision-Making to Improve Quality Performance

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