THIS IS A TWO PART WORK, SO TWO ESSAYS WITH INTRODUCTION,BODY,CONCLUSION AND ATLEAST 3 REFERENCE.

PART 1

In this Discussion, you examine a national healthcare issue and consider how that issue may impact your work setting. You also analyze how your organization has responded to this issue.

To Prepare:

• Review the Resources and select one current national healthcare issue/stressor to focus on.
• Reflect on the current national healthcare issue/stressor you selected and think about how this issue/stressor may be addressed in your work setting.

By Day 3 of Week 1

Post a description of the national healthcare issue/stressor you selected for analysis, and explain how the healthcare issue/stressor may impact your work setting. Then, describe how your health system work setting has responded to the healthcare issue/stressor, including a description of what changes may have been implemented. Be specific and provide examples.

PART 2

The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system.

Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time.

In this module’s Discussion, you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected.

To Prepare:

• Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for study.
• Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected.
• Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor.

The Assignment (3-4 Pages):

Analysis of a Pertinent Healthcare Issue

Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:

• Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).
• Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.
• Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.

Required Readings

Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). New York, NY: Springer.
Chapter 2, “Understanding Contexts for Transformational Leadership: Complexity, Change, and Strategic Planning” (pp. 37–62)
Chapter 3, “Current Challenges in Complex Health Care Organizations: The Triple Aim” (pp. 63–86)

Read any TWO of the following (plus TWO additional readings on your selected issue):

Auerbach, D. I., Staiger, D. O., & Buerhaus, P. I. (2018). Growing ranks of advanced practice clinicians—Implications for the physician workforce. New England Journal of Medicine, 378(25), 2358–2360. doi:10.1056/NEJMp1801869
Note: You will access this article from the Walden Library databases.

Gerardi, T., Farmer, P., & Hoffman, B. (2018). Moving closer to the 2020 BSN-prepared workforce goal. American Journal of Nursing, 118(2), 43–45. doi:10.1097/01.NAJ.0000530244.15217.aa
Note: You will access this article from the Walden Library databases.

Jacobs, B., McGovern, J., Heinmiller, J., & Drenkard, K. (2018). Engaging employees in well-being: Moving from the Triple Aim to the Quadruple Aim. Nursing Administration Quarterly, 42(3), 231–245. doi:10.1097/NAQ.0000000000000303
Note: You will access this article from the Walden Library databases.

Norful, A. A., de Jacq, K., Carlino, R., & Poghosyan, L. (2018). Nurse practitioner–physician comanagement: A theoretical model to alleviate primary care strain. Annals of Family Medicine, 16(3), 250–256. doi:10.1370/afm.2230
Note: You will access this article from the Walden Library databases.

Palumbo, M., Rambur, B., & Hart, V. (2017). Is health care payment reform impacting nurses’ work settings, roles, and education preparation? Journal of Professional Nursing, 33(6), 400–404. doi:10.1016/j.profnurs.2016.11.005
Note: You will access this article from the Walden Library databases.

Park, B., Gold, S. B., Bazemore, A., & Liaw, W. (2018). How evolving United States payment models influence primary care and its impact on the Quadruple Aim. Journal of the American Board of Family Medicine, 31(4), 588–604. doi:10.3122/jabfm.2018.04.170388
Note: You will access this article from the Walden Library databases.

Pittman, P., & Scully-Russ, E. (2016). Workforce planning and development in times of delivery system transformation. Human Resources for Health, 14(56), 1–15. doi:10.1186/s12960-016-0154-3. Retrieved from
https://human-resources-health.biomedcentral.com/track/pdf/10.1186/s12960-016-0154-3 

Poghosyan, L., Norful, A., & Laugesen, M. (2018). Removing restrictions on nurse practitioners’ scope of practice in New York state: Physicians’ and nurse practitioners’ perspectives. Journal of the American Association of Nurse Practitioners, 30(6), 354–360. doi:10.1097/JXX.0000000000000040
Note: You will access this article from the Walden Library databases.

Ricketts, T., & Fraher, E. (2013). Reconfiguring health workforce policy so that education, training, and actual delivery of care are closely connected. Health Affairs, 32(11), 1874–1880. doi:10.1377/hlthaff.2013.0531
Note: You will access this article from the Walden Library databases.

Common Assignment Requirements 

The purpose of this assignment is to demonstrate your comprehension of project planning as a key function for enabling PMO success and business outcomes. To satisfy this objective, address the following assignment key elements:

• In your own words including scholarly reference support,
  • Define project planning in context of the PMO.
  • Describe the primary rationale for PMO project planning.
• Compare and contrast the project planning functions between Supportive and ControllingPMO types as described in the PMBOK Guide (6th ed.), Part 1 Section 2.4.4.3 page 48.
• Describe the application of PMO standards and metrics in PMO project planning.
• Summarize how the project planning enables PMO success while recognizing ethical considerations and challenges unique to an international PMO.

Option #2: PMO Planning Results Presentation

For the assignment Option #2, develop a multimedia-rich presentation to address the Module 4 Common Assignment Requirements.

• Your multimedia-rich presentation must contain logically cohesive flow including audio, video, and graphical content.
• The length of the presentation, beyond the title and reference portions, should be 8 slides with speaker notes (or narration transcript) which should be equivalent to five to seven minutes of narrated presentation.
• Please present your content clearly, concisely, and cohesively. The presentation must be submitted as a completely self-contained file (e.g., PowerPoint, Screencast-O-Matic, or Prezi) or as a link to a hosted Internet site.
• In addition to your course textbook, cite at least four current (within 5-years) scholarly resources (peer-reviewed, official governmental reports, and other scholarly sources) to support your suppositions, assertions, and conclusions. To enhance your learning experience, scholarly resources are available from the CSU Global library.
• Format your submission per the C (Links to an external site.)SU Global Writing Center (Links to an external site.), which includes an introduction and conclusion.

You may wish to review the Visual Presentations (Links to an external site.) section in the CSU Global Writing Center for help creating, formatting, and recording audio for your presentation according to the requirements. If you need assistance with your writing style or you need writing tips or tutorials, visit the CSU Global Writing Center (Links to an external site.). Review the grading rubric to see how you will be graded for this assignment.

“The US Federal Reserve says that it expects economic growth to rise sharply this year — along with inflation — but Jerome Powell, the Fed chair, said that despite this, interest rates were unlikely to rise through 2023. (Links to an external site.) Economists have been fretting recently that inflation could rise due to improving economic prospects brought on by the reopening of the economy, the ramping up of vaccinations (Links to an external site.) and the Biden administration’s massive stimulus package. But Powell believes any bump in inflation this year “will be short-lived.” (Murfett 2021)

Your task is to write a report or Essay (max 4,500 words) examining how the United States domestic fiscal and monetary policy might impact on the Asia pacific region, specifically on Australian and Singaporean economies. In your answer consider likely scenarios of US expansionary fiscal and monetary policy on Singaporean and Australian economies. In your assessment of the likely impacts of US policy on Singapore and Australia, use the theoretical tools and concepts developed in the course, for example:-

• Current macroeconomic indicators including the balance of payments of the US, Singapore and Australia to get an understanding of the current international macroeconomic context to then assess how changes might impact on International flows in goods and assets for each country.
• Consider real interest rate differentials across countries and relative growth rates – what would the intertemporal model predict about capital flows and the current account balances of the three countries. Note; inflation rates and expected inflation rates will be important to consider here also.
• How might changes impact on the exchange value of the currencies of the three economies and why. Critically examine Australia and Singapore’s exchange rate mechanism and examine the possible costs and benefits of exchange rate management (You can apply the flexible V fixed exchange rate example for illustration purposes)
• Use the IS LM BP model to illustrate the macroeconomic spill over effects of US policy on the various countries
• Critically examine other concepts developed in the course that might be relevant – these may include the Swan diagram, RER, currency crisis,

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