Proposing Evidence-Based Change Professional Context Health care systems around the world provide useful models for analysis. Familiarity with different models and approaches to health care enables leaders to identify what works and what does not, as the basis for proposing a change. As we continue to evaluate the complex and fragmented system in the United States, it is important for nurse leaders to become familiar with the programs and systems that provide evidence-based quality care that is affordable and focused on continual improvement. This assignment provides an opportunity for you to examine a local or regional health care issue from a global perspective. By successfully completing this assignment, you will demonstrate your proficiency in the following course competencies and assignment criteria: Competency

1: Identify the challenges and opportunities facing health care. Identify an aspect of a local or regional health care system or program that should be a focus for change. Competency

2: Compare the effects of different health care finance models and policy frameworks on resources and patient outcomes. Define desirable outcomes, including who will pay for care and factors limiting achievement of those outcomes. 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. Competency

3: Evaluate the positive and negative influences of leaders on health care processes and outcomes. Determine the financial and health implications of making—and not making—proposed changes to a health care system or program. Competency

4: Develop proactive strategies to change the culture of the organization by incorporating evidence-based practices. Explain why specific changes will lead to improved outcomes.

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