As an emerging health care leader, the senior management has requested that you independently research and explore one of the economic opportunities that may be available in your care setting. This may be offering a new service line, working to improve a service line already offered, retiring an outdated or unprofitable service line, or any other economic initiative that you believe will be of benefit to your care setting in the short and long term. One example of this is a recently launched partnership with a local bicycle sharing company. Your care setting partners with them to host healthy community events that offer free screenings for early detection of various health issues. This helps fulfill some of your care setting’s preventive and healthy lifestyle initiatives, while also potentially driving referrals to other services provided by your care setting. You have been asked to submit your proposal in the form of a 3-page executive summary that includes your proposed economic initiative, supporting economic data, and an analysis of the proposal’s benefits for your department and for the care setting overall.

DirectionsYou have been asked to ensure that your report addresses the following. Note: The bullet points below correspond to grading criteria in the scoring guide. Be sure your work is, at minimum, addressing each of the bullets below. You may also want to read the scoring guide and the Guiding Questions: Executive Brief: Proposal of New Economic Opportunity document, linked in the Resources, to better understand the performance levels that relate to each grading criterion:Propose an economic initiative that presents an opportunity for your care setting at both the micro (departmental, neighborhood) and macro (organizational, community) levels that you believe will provide ethical and culturally equitable improvements to the quality of care.Analyze the supply and demand for your proposed economic initiative within contexts relevant to your care setting.Explain relevant economic and environmental data that support your proposal and analysis.Communicate your economic proposal in a logically structured and concise manner, writing content clearly with correct use of grammar, punctuation, and spelling.Effectively support your proposal with relevant economic data and scholarly sources, correctly formatting citations and references using current APA style.

 

Search the GCU Library and find one new health care article that uses quantitative research. Do not use an article from a previous assignment, or that appears in the Topic Materials or textbook.

Complete an article analysis and ethics evaluation of the research using the “Article Analysis and Evaluation of Research Ethics” template. See Chapter 5 of your textbook as needed, for assistance.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Attachments 

Reflective Journal

Learners are required to maintain a reflective journal integrating leadership and inquiry into current practice.

Your journal will reflect on the personal knowledge and skills gained in this course and should address a variable combination of the following:

New practice approaches

Intraprofessional collaboration

Health care delivery and clinical systems

Ethical considerations in health care

Population health concerns

The role of technology in improving health care      outcomes

Question 2: When is the ideal time to complete a clinical breast exam?  What steps would you follow for concerning findings on the clinical breast exam? What age or risk factors indicate the need for a mammogram?

           Clinical breast exams are normally done during a woman’s annual vaginal exam.  Normally performed by a healthcare provider with proper training.  The National Comprehensive Cancer Network recommends that a trained provider carefully feel the breast, underarm and the breast bone area for any concerns such as a lump.  Clinical breast exams should be performed every one to three years starting at the age of 20 and every year starting at the age of 40 (Susan G. Komen Staff, 2018).

           The American Cancer Society does not recommend CBE for screening of breast cancer.  Clinical breast examinations lack the evidence to be an effective screening for breast cancer according to The American Academy of Family Physician’s.  The clinical breast exam is a time burden for clinicians, rather it is recommended that more time is spent on the comprehensive assessment of family history and counseling on mammograms and breast changes (Bredemeyer, 2016). 

           If there are abnormal findings during the CBE, it is important to follow with a mammogram or breast ultrasound to identify the concern, if there is a long family history and/or the patient is over 30 years of age. If the patient is under thirty with no family history the physician may decide to watch the area for growth or pain.  Normally that time frame is approximately one or two menstrual periods.  Once the concern is located, and deemed a true concern, biopsy and further testing will be needed.  It is important to note that most abnormal findings are found to be benign, however it is vital to pay close attention to changes in the area of concern and work with the physician to determine course (Bredemeyer, 2016).

           When a patient has a lengthy family history of cancer, either breast or other cancer, yearly mammograms are necessary to determine concerns early.  In recent years there is also Breast magnetic resonance imaging (MRI) that gives a three dimensional look of the breast, this test can also be used after a positive mammogram comes back (Susan G. Komen Staff, 2018).

           It is important to note that if there is a positive screen for breast cancer, it is important to receive a second opinion to ensure that it is not a false positive.  Normally a biopsy will be done to ensure the pathology.

References

Bredemeyer, M. (2016). ACS Releases Guideline on Breast Cancer Screening. American Family Physician, 711-712.

Susan G. Komen Staff. (2018, July 6). Clinical Breast Exam. Retrieved from Susan G. Komen: ww5.komen.org/breastcaner/clinicalbreastexam