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Coursework, Management, Pages: 8

Collaborative Leadership Plan

Collaborative Leadership Plan

Propose a process innovation and an implementation strategy to meet the needs of the Chinle population. Complete this template (suggested length of 8–10 pages) by doing the following:

  1. Process Innovation Proposal
  2. Summarize the needs of the Chinle population: Collaborative Leadership Plan.
The major needs of the Chinle population include:

i.        The majority of the residents live in rural and remote regions away from major healthcare and educational facilities. Some of these regions are too remote with no educational or healthcare facilities to provide diabetes and obesity care and health information.

ii.        Most of the Chinle community and a majority of the Navajos live below the state and federal poverty line. An estimated 1,569 people, or 41.8% of the population of Chinle, live below the poverty line (Census Reporter, 2022).

iii.        Chinle residents living in remote and rural regions have limited access to reliable transportation. Some regions are beyond the main transit lines and have no accessible roads except for a few dusty roads.

iv.        A majority of the Chinle population has limited access to quality health information on obesity and diabetes.

v.        The Chinle community have significant distrust for Western medical practices due to the influence of the Dine medicine men. The Navajo beliefs about disease and illness, including the causes of such differ from Western medicine. Therefore, treatment strategies may conflict.

vi.        The Chinle population is affected due to cultural practices, poverty, and a lack of healthy dietary practices. A majority of the residents, due to economic disadvantages, noting that 41.8% live under the poverty line, are reliant on processed foods from fast food outlets.

vii.        The population has a high prevalence of chronic illnesses and conditions, including obesity, diabetes, and hypertension. The average BMI among the Chinle population is 29.1. 38.3% are obese, 12.7% are diabetic, 41.5% are at a risk of diabetes, and only 1.6% are taking insulin (city-data.com, n.d.).

 

  1. Explain how cultural differences and socioeconomic factors relate to current healthcare trends.
The current high prevalence of obesity and diabetes among the residents of Chinle and the Navajos can be attributed to different socioeconomic factors. For instance, the cultural practices of the Chinle community, such as traditional medicine practices, have created a conflict between the Western views of disease and treatment methods. In Chinle, due to culture, most residents adopt a more holistic and traditional approach to healing rather than Western medicine.

Such a strong belief in traditional medicine means has contributed to most residents being reluctant to utilize or engage with modern medicines, leading to a higher risk of disease. At the same time, despite the advancement and potential of modern medicines to manage and treat the majority of conditions affecting the people of Chinle, the integration of such Western methods of care with traditional Navajo medicine must align with the cultural norms and values to gain wider social acceptance.

The high levels of poverty, unemployment, and limited transportation routes in remote regions of Chinle also significantly contribute to the current healthcare trends in Chinle. Noting that an estimated 41.8% of the population lives below the poverty line and a majority of the population lives in remote regions, it limits the accessibility of healthcare services, including preventive healthcare and may be linked to the current trends in increasing prevalence of chronic health conditions.

Other socioeconomic factors such as levels of education and access to healthy foods are also contributing to the highly prevalent chronic conditions such as obesity and diabetes and the limited understanding of such conditions, including their prevention and management.

 

  1. Propose a process innovation solution to address the summarized needs in part A1 by doing the following:

 

  1. Describe the process innovation solution.
The proposed process innovation solution is the implementation of a telehealth services for obesity and diabetes. The process innovation solution will be into existing obesity/diabetes programs in Chinle and the larger Navajo Nation such as programs by Navajo Area Indian Health Services (NAIHS) and the Nation Special  Diabetes  Project. The process innovation aims to provide regular and fulltime support for health clinics in remote regions, support patients, and enable a collaborative team approach in diabetes and obesity management, as well as with other conditions. The process innovation will also support traditional Navajo health practices and Navajo medicine men in the delivery of traditional care combined with modern medicine.

 

  1. Discuss how the patient population or community will interact with the process innovation solution.
The Chinle residents and the larger Navajo community, including diabetes patients, will interact with the integrated telehealth services through the use of smartphones and other mobile communication devices. In some remote to-reach areas, there will be designated zones equipped with communication devices with phone and video call capabilities to support service delivery in regions without sufficient cellular network coverage. There will also be a user-friendly smartphone application to help patients access evidence-based and culturally-tailored diabetes and obesity education and self-care tips, schedule appointments, track their progress with medications and weight loss, and connect with the community.

 

  1. Explain how this process innovation solution improves an existing process or meets an unmet need in the community.
The integrated telehealth services will help improve current programs and meet several unmet needs in the community by providing a platform and a means of care service delivery that reduces and overcomes geographic and transportation barriers that exist across Chinle. Telehealth and telemedicine services overcome geographical and transportation barriers in rural areas to allow for improved access to healthcare (Gajarawala & Pelkowski, 2021; Jensen & Jensen, 2024). It will also improve the delivery of more personalized care for patients and the Chinle community at large, as its integration with artificial intelligence (AI) supports the delivery of more accessible, high-quality and personalized healthcare in rural areas (Nwankwo et al., 2024).

The process innovation by utilizing cultural elements in service delivery, including language and the use of traditional healthcare approaches, will help resolve the existing conflict between traditional and modern medicine and improve the residents’ trust in Western medicine. Through this, the process will improve existing health programs by promoting acceptance of non-traditional and modern healthcare strategies towards disease management.

The process innovation will also help meet the community’s need for preventive care for chronic diseases and conditions by providing an equitable platform that goes beyond language and geographical challenges to ensure the accessibility of health information and healthcare services. Evidence from past research also shows that the use of telehealth services in rural settings improves access to specialists, health education, and support self-management (Butzner & Cuffee, 2021).

 

  1. Explain how your process innovation solution is relevant and feasible based on each of the following:
  2. needs analysis
  3. cultural analysis
  Explanation of Relevance Explanation of Feasibility
Needs analysis The integrated telehealth services program is designed to align with the identified current and future needs of the Chinle community, including accessibility of care, including diabetes care due to cultural, economic, and geographical barriers. The implementation of telehealth services for managing diabetes and obesity in rural areas has a significant reduction in healthcare costs associated with transportation (Becevic et al., 2020).
Cultural analysis The program will integrate current traditional knowledge with modern knowledge on diseases, disease development, treatment, and access to health to improve the acceptance of Western medicines among the Chinle community and the Navajos. The integration of cultural elements in the design and implementation of the program will show respect for Navajo cultural values and promote trust and a wider community participation.

 

 

  1. Discuss how each of the following factors shaped your proposed process innovation solution:

 

  1. cultural aspects
  2. stakeholder engagement
  3. community involvement
Factor Impact on Process Innovation
Cultural aspects The proposed integration of telehealth services in the delivery of diabetes and obesity care was shaped by the cultural aspects of the local Chinle community and the Navajos as it had to align with the Navajo traditional healing and healthcare practices, including the adoption of a holistic approach to health and disease management.
Stakeholder

engagement

 Engagement with various stakeholders, including Navajo elders, the Navajo Nation Council, traditional healers, and local healthcare providers, provided critical input that helped design the program in a more community-centered approach to ensure it was needs-based and culturally relevant to achieve community acceptance.
Community involvement The local Chinle community, and specifically the Navajos were involved in the design of the process innovation through their elders and Chinle chapter leaders. These leaders helped identify community priorities in matters health, current gaps, and available resources to address such needs.

 

  1. Implementation Strategy
  2. Identify the resources necessary to implement the process innovation solution.
The implementation of the Integrated telehealth services program will require the following resources:

·        Telehealth and telehealth equipment and infrastructure, including phones, laptops, computers, cellular and internet connectivity, and software

·        Culturally competent healthcare providers

·        Community health workers

·        Traditional medicine men

·        Local educational leadership

·        Funding

·        Local chapter leadership

 

  1. Explain how the identified resources will be used to implement the process innovation solution.
·        Telehealth and telehealth equipment and infrastructure will provide the platform for the implementation of the process innovation and support remote delivery of patient care services to remote regions in Chinle.

·        The culturally competent healthcare providers will collaboratively design and provide remote care to patients and the population.

·        The community health workers will educate the population and patients on the process innovation, identify priority populations, and schedule patient consultations.

·        The traditional medicine men will provide guidance during the integration of traditional practice with modern healthcare and improve trust in the new practices.

·        The local educational leaders, due to their access to a broad range of community members directly, will provide information on the innovation process, and create awareness of its importance.

·        Funds will support the purchase of the equipment, support deployment, community education, and compensation for the staff.

·        The local leadership is an essential resource for the implementation of the process innovation as it will drive the adoption among the Navajos and their adaptation to the new way of accessing care.

 

  1. Describe the stakeholder collaboration plan, including key conveners, as part of the implementation strategy.
The stakeholder collaboration plan focuses on key conveners, including the traditional healers, the Navajo Nation Council, the Chinle Chapter leaders, representatives from the Navajo Department of Health, the chief medical officer, the chief nursing officer, the local social services leaders, and local community elders.

The collaboration strategy will include the creation of a committee to steer the program implementation with the members drawn from the key stakeholder groups. There will also be local community forums and workshops focused on awareness creation and community education driven by the key conveners to drive trust and buy-in across the wider community. Additionally, the strategy will include the use of the local community leadership and health workers to act as communication liaisons between the program committee and the Chinle residents.

 

  1. Explain how your collaboration plan is aligned with Leavitt’s principles and collaborative efforts.
Leavitt’s principles model suggests that the success of a change requires consideration of the elements of change, including the people, tasks, structure, and technology in which any change made by any element has a direct effect on the others. Therefore, change management must focus on striking a balance between all elements. The collaboration plan for the implementation of the process innovation aligns with Leavitt’s principles by focusing on a shared goal among all key stakeholders, adopting the input of local leaders, medicinemen, modern medical professionals, local health reorganizations; integration of communication and information technologies in communication; and leveraging on local resources and infrastructure to build community capacity to manage diabetes and obesity and sustain the program.
  1. Describe your leadership strategy to address challenges and leverage opportunities regarding community involvement in implementing the process innovation solution.
Challenges                          Opportunities
A distinct Navajo culture Focus on competency training for all healthcare professionals involved in the implementation.
Conflict between traditional and modern views of disease causes and treatment Engage local medicine men in the design of interventions.
Mistrust of Western and modern health systems Engage local leaders, including institutional and religious leaders, to overcome trust issues among the locals.
Lack of local participation and engagement Highlight that the goals of the program are focused on the same shared goals of achieving a healthy population and preserving Navajo well-being in the long term.

 

  1. Explain how cultural aspects could affect the implementation of the process innovation solution.
Internal External
The Navajo cultural aspects such as language, views on disease, causes, and treatment, power distance, community collectivism, and gender views, among others, will require that the process innovation solution be implemented in alignment with such cultural norms and values. Such cultural aspects will require the staff, including healthcare providers to be trained on cultural competency in order to create a sense of trust, reliability, and respect for local culture by the process innovation solution.

 

  1. Identify three implementation benchmarks or milestones for the implementation of the process innovation solution.

 

  1. Justify why each benchmark or milestone was chosen.
Implementation Benchmark Justification
Establishment of a telehealth and telemedicine platform

 

 It is the main objective of the process innovation solution and will act as the basis of linking patients and care providers remotely overcoming the geographical challenge.
Staff training on Navajo cultural and cultural competency It will ensure that the care providers understand and respect the local cultures, especially the Navajo culture and guarantee the locals that their community values will be persevered during and after the implementation process
Community level adoption of telehealth services It will indicate community-wide acceptance of the proposed process innovation solution and the readiness of the community to utilize the solution for remote care access.

 

  1. Predict the results of your process innovation solution by completing an impact assessment that incorporates all dimensions of Miller’s Impact Assessment Framework.
Process innovation solution results based on the Miller’s Impact Assessment Framework:

i.        Individual – Individual patients and individuals within the population improved access to needed healthcare services remotely with positive experiences with the care provided

ii.        Health services – The program will improve the quality of care for diabetes and obese individuals with care delivery becoming more efficient with the elimination of the need for travelling for care services. The care providers will also experience a reduced workload as they can manage different cases in different geographical locations remotely.

iii.        Community – The people of Chinle will have unlimited access to health information and connections to healthcare specialists as needed when needed. The overall public health of the Chinle and Navajo communities will improve.

iv.        Operations – Healthcare facilities will experience improved efficiency in patient monitoring.

v.        Organization and workforce – The healthcare workers will experience improved satisfaction with their work as they get to achieve a more balance work and personal life.

vi.        Strategy and finance – There will be reduced costs for care as physical hospital visits will be reduced. The Chinle health system will improve on health saving as preventive care will be majorly promoted.

vii.        Risk management – Continuous monitoring supported by telehealth and telemedicine services will reduce instances of patient harm or unexpected cases of exacerbation of current health conditions.

viii.        Information management – The Navajos will have improved access to health information while the use of digital communication systems will allow for improved data collection and management for disease control and management.

 

  1. Create a vision statement that conveys the shared objectives of the community alliance.
To create a culturally relevant integrated telehealth services program that bridges the gap in access to improved modern, equitable and sustainable diabetes and obesity care for the Chinle community.

  1. APA Sources

Becevic, M., Sheets, L. R., Wallach, E., McEowen, A., Bass, A., Mutrux, E. R., & Edison, K. E. (2020). Telehealth and Telemedicine in Missouri. Missouri Medicine, 117(3), 228. /pmc/articles/PMC7302013/

Butzner, M., & Cuffee, Y. (2021). Telehealth interventions and outcomes across rural communities in the United States: Narrative review. Journal of Medical Internet Research, 23(8), e29575. https://doi.org/10.2196/29575

Census Reporter. (2022). Chinle, AZ – Profile data . https://censusreporter.org/profiles/16000US0412770-chinle-az/

city-data.com. (n.d.). Health and Nutrition of Chinle, AZ Residents. Retrieved December 28, 2024, from https://www.city-data.com/health-nutrition/Chinle-Arizona.html

Gajarawala, S. N., & Pelkowski, J. N. (2021). Telehealth Benefits and Barriers. The Journal for Nurse Practitioners, 17(2), 218–221. https://doi.org/10.1016/J.NURPRA.2020.09.013

Jensen, S. S., & Jensen, S. S. (2024). ADDRESSING TRANSPORTATION BARRIERS TO IMPROVE HEALTHCARE ACCESS IN ARIZONA. https://repository.arizona.edu/handle/10150/674794

Nwankwo, E. I., Emeihe, E. V., Ajegbile, M. D., Olaboye, J. A., & Maha, C. C. (2024). Integrating Telemedicine and AI to Improve Healthcare Access in Rural Settings. International Journal of Life Science Research Archive, 7(1), 059–077. https://doi.org/10.53771/IJLSRA.2024.7.1.0061

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Question

Task 2: Innovation Proposal

Competencies

  • 3042.2.1 : Effective Leadership Evaluation
    • The learner evaluates the attributes of effective leadership to discern actions and strategies that would be consistent with a healthcare organization’s mission, values, and goals.
  • 3042.2.2 : Communication and Collaboration Methods
    • The learner recommends methods of organizational communication to increase effectiveness of interpersonal communication, collaboration, and problem-solving among healthcare organizational stakeholders.
  • 3042.2.3 : Human Capital Management
    • The learner manages internal and external human relationships in healthcare organizations using management theories, methods, and techniques.
  • 3042.2.4 : Data Methodologies
    • The learner assesses a variety of analytical data methodologies to promote and advance organizational healthcare.
  • 3042.2.5 : Leading Change
    • The learner proposes solutions that use strategies and processes to lead effective healthcare organizational change.
  • 3043.2.6 : Healthcare Solutions
    • The learner constructs an innovative solution that will positively affect a healthcare organization and stakeholders.
  • 3045.2.1 : Data Application
    • The learner evaluates the value, source, and appropriate application of the data that will affect risk, compliance, quality, policy, populations, finance, and economic factors within a healthcare organization.

Introduction
This task will provide you with a nuanced understanding of how organizational leadership, cultural factors, and healthcare process innovation interact to optimize care and service delivery. In order to complete this task, you must combine a systematic and detailed understanding of community needs with appropriate patient-centered interventions.

Note: Each of the course assignments should be completed in full before attempting this task. The four course assignments are submitted as Task 1.

Scenario
You are the director of the Navajo Area Indian Health Service (NAIHS), and you are responsible for improving the delivery of care for obesity in the Navajo Nation town of Chinle, Arizona. This requires you to assess community needs, develop a process innovation, recruit allies, create a communication strategy, and create an implementation strategy for the process innovation.

You must create a community-based obesity prevention and treatment plan within your scope of service that involves leaders and also reflects a shared approach to ethnic and cultural needs.

Your process innovation proposal should summarize your findings about the health needs of the Chinle, Arizona, community; the process innovations best suited to addressing these needs; the alliances necessary for successful implementation; and the communication strategies necessary in implementing the plan. All of these elements should demonstrate sensitivity to the Navajo culture. The final product should be polished and professional in look and tone, as it will reflect both you and your organization.

Requirements
Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. The similarity report that is provided when you submit your task can be used as a guide.

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

Tasks may not be submitted as cloud links, such as links to Google Docs, Google Slides, OneDrive, etc., unless specified in the task requirements. All other submissions must be file types that are uploaded and submitted as attachments (e.g., .docx, .pdf, .ppt).

Propose a process innovation and an implementation strategy to meet the needs of the Chinle population. Complete the attached “Collaborative Leadership Plan Template” by doing the following:

Collaborative Leadership Plan

Collaborative Leadership Plan

A. Propose a process innovation by doing the following:

  1. Summarize the needs of the Chinle population.
  2. Explain how cultural differences and socioeconomic factors relate to current healthcare trends.
  3. Propose a process innovation solution to address the summarized needs in part A1 by doing the following:
    • a. Describe the process innovation solution.
    • b. Discuss how the patient population or community will interact with the process innovation solution.
    • c. Explain how the process innovation solution improves an existing process or meets an unmet need in the community.
  4. Explain how your process innovation solution is relevant and feasible based on each of the following:
    • a. needs analysis
    • b.  cultural analysis
  5.  Discuss how each of the following factors shaped your proposed process innovation solution:
    • a. cultural aspects
    • b. stakeholder engagement
    • c. community involvement

B. Propose an implementation strategy for the process innovation solution by doing the following:

  1. Identify the resources necessary to implement the process innovation solution.
  2. Explain how the identified resources will be used to implement the process innovation solution.
  3. Describe the stakeholder collaboration plan, including key conveners, as part of the implementation strategy.
    • a. Explain how your collaboration plan is aligned with Leavitt’s principles and collaborative efforts.
  4. Describe your leadership strategy to address challenges and leverage opportunities regarding community involvement in implementing the process innovation solution.
  5. Explain how cultural aspects could affect the implementation of the process innovation solution.
  6. Identify three implementation benchmarks or milestones for the implementation of the process innovation solution.
    • a. Justify why each benchmark or milestone was chosen.
  7. Predict the results of your process innovation solution by completing an impact assessment that incorporates all dimensions of Miller’s Impact Assessment Framework.
  8. Create a vision statement that conveys the shared objectives of the community alliance.

C. Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.

D. Demonstrate professional communication in the content and presentation of your submission.