You will utilize your change model for this assignment. Review the feedback submitted by your instructor on your previous change model assignment. Make any changes or modifications necessary for the submission of this assignment.Evaluate the performance of your organization or department. Identify an area that would significantly benefit from initiating a change. Write a paper (1,500-1,700 words) in which you describe the particular area you propose to address through a change initiative. Include the following for your company:

1. Discuss the issues in this area and the current outcomes as a result of the issues.
2. Describe the external and/or internal driving forces, contributing issues, and the people affected.
3. Evaluate the stakeholders involved and discuss how they will be affected by your change initiative.
4. Clarify your role and responsibility as a change leader. Discuss the leadership theory (or theories) you will use to guide the change process. 
5. Discuss the change agents you need to recruit in order to successfully implement your change. Describe the roles of these change agents.
6. Utilize your change model to develop strategies: (a) Explain the relevance of this model to your organization; and (b) Present the strategic aspects using your model. Be sure to clearly define the purpose of each aspect, the people involved, and the actions that need to be taken.
7. Identify, or predict, the potential barriers to change. Discuss possible ways to overcome these obstacles, including methods for dealing with emerging or unforeseen circumstances that could impede implementation.
8. Describe the evaluation methods you will use to determine the level of success of your change initiative. Discuss what metrics or measurable determinates you will use.
9. Propose strategies to anchor change or support continuous change.
10. Establish how your change plan supports the organizational mission/goal, genuinely addresses stakeholder concerns, and will serve as an equitable contribution for the community or society overall.

Assignment Details

Course Outcome covered in this Assignment:

MN507-2: Explore financial models of reimbursement and their effects on patients and health care providers.

Directions

For this Assignment, you will distinguish between Medicare and Medicaid. Your paper must include the following topics:

• Provide a brief history of both Medicare and Medicaid.
• Define the populations that they are intended to serve.
• Determine whether your state has expanded Medicaid.
• Articulate the reasons that states choose not to participate in Medicaid expansion.
• Analyze your role in your specialized area of nursing practice when interfacing with Medicare and/or Medicaid recipients. 

The word count for your paper, excluding the title page and references page, will be 800–1200 words. You must include a minimum of (5) different scholarly references.

Assignment Requirements

Before finalizing your work, you should:

• be sure to read the Assignment description carefully (as displayed above);
• consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
• utilize spelling and grammar check to minimize errors. 

Your writing Assignment should:

• follow the conventions of Standard English (correct grammar, punctuation, etc.);
• be well ordered, logical, and unified, as well as original and insightful;
• display superior content, organization, style, and mechanics; and
• use APA formatting and citation style.

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Outlining an Introduction Speech

Objective

Prepare an introduction speech Outline. (Please read all directions thoroughly and email me if you are unclear.)

Assignment Overview

In this assignment, you will explore the process used to prepare a basic speech. You will select a potential speech topic and outline your topic selection.

Deliverables

A one-page (250-word) outline – See suggested format shown below.

Step 1 Review the information involved in planning a speech.

The main steps involved in preparing any type of speech include the following and should always remember the Preacher’s Axiom that is this: First, you tell them what you are going to tell them, then you tell them, and then you tell them what you told them.  You do this by these steps:

• Choose the Right Topic
• Narrow Your Topic
• Locate Supporting Material
• Structure Your Speech
• Prepare an Outline
• Practice
• Deliver Your Speech

Step 2 Prepare an introduction speech.

In a one-page (250-word) outline, you are not writing your speech, just the outline, consider the following as you prepare your speech:

• Brainstorm what your fellow classmates might find interesting about you for this introduction speech. Consider family history, stories about your childhood, significant life events, or your accomplishments.
• Narrow your ideas down to a specific topic, theme, or anecdote. List the specific topic or title for your speech.
• When locating supporting materials for your introduction speech, think about any visual aids that may support your delivery.
• Remember to think about how you will open and close your introduction speech. Include those notes in your outline.

Step 3 Save and submit your assignment.

When you have completed the assignment, save a copy for yourself in an easily accessible place and submit a copy to your instructor using the dropbox.

Here is a general method of outlining your speech that I urge you to use:

                                          Outline Format

Hook – this is the opening statement to your speech. It should be a statement that arouses interest and makes your reader/audience want to read or hear more. You pique their interest and they want to know more!

Thesis Statement (TS) – this is the main focus of your speech and I suggest it always be explicit. You want to first tell the audience what you are going to tell them and this is done in the TS. Make it explicit by listing the three points of your speech, not just by stating something like this: There are three reasons why cars are necessary, but rather like this: The three reasons cars are necessary are they are used to get people from point A to point B, they are used in emergencies, and they are useful for family transportation. See the difference between explicit and implied? Making your TS explicit is the best way to inform your audience in beginning speeches.

Support – These are the words in at least three body paragraphs that follow your TS in order of what you have listed for the three points. Use one paragraph to write about each point. Please have at least five sentences per paragraph since that can help ensure that you have enough support for that point. 

Conclusion – In the conclusion, you will want to restate your TS but not in the exact same words you used in the introduction paragraph. Just use slightly different wording to say the same thing without boring your readers/audience with the same words from the introduction. Then you will want to end your conclusion with the last statement that will leave the audience with a warm and fuzzy feeling that appeals somehow to the emotions. We suggest this technique because it is known that folks remember the first and last of speeches, most times, and you should always want to make your speech memorable, so end with a memorable statement.

Grading Rubric Advice and Sample Table for This Discussion Question

Class after completing all of the assigned readings answer the following question:

For the middle-aged adult, exercise can reduce the risk of various health problems. Choose two at-risk health issues that regular physical exercise and activity can help prevent and manage. Discuss the prevalence of each of these health problems in society today. Describe measures that you would take as a nurse to assist clients with health promotion measures to incorporate exercise and physical activity into their lives. Include the kind of activities you would recommend, the amount of exercise, and the approach you would use to gain cooperation from the client. Support your response with evidence-based literature.

Your post should illustrate that you completed the readings and be well related to the unit’s objectives. Please do not use consumer web sites like Mayo.org as the information is summarized and simplified for the consumer. Your post should illustrate knowledge much deeper than a consumers.

Grading Rubric

States twohealth issues that physical exercise could help prevent and manage in the middle aged adult +1

Provides prevalence of the problems in society today (current statistics) +2

Lists/ discusses health promotion measures for prevention/ management of each problem +2

Includes examples of activities/ exercises +2

Supports response with evidence-based literature. +1

USE SCHOLARLY ARTICLES ONLY!