A small, rural community has had, since its founding nearly a century ago, a stable population, including a steady median age and a relatively homogenous ethnicity. However, in the last 5 years, the area’s natural beauty and its suitability for outdoor activities have transformed the community into a tourist and recreational destination. This has created a fluctuating seasonal population of recreational visitors. As a result, the integrated health care system in the community is experiencing a rise in demand for emergency and urgent care. This is placing economic pressure on the health care system because of government regulation surrounding the delivery of emergency care regardless of the patients’ ability to pay. In this assignment, you will create a presentation for the board of the community health care system that outlines necessary changes and possible innovations to respond to the economic pressure of the demographic changes to this community.

General Requirements:

Use the following information to ensure successful completion of the assignment:

  • This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
  • Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
  • This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.
  • You are not required to submit this assignment to LopesWrite.


Create a presentation (10-15 slides with speaker notes for each slide) that outlines for the board of the community health care system described above a significant change or innovation that you believe is necessary to provide adequate services and impriove quality of care for this changing community. The presentation must include the following:

  1. A description of the change or innovation
  2. A rationale for the change or innovation. What demographic and/or other changes within the community have precipitated the need for your proposed change or innovation? What practical need will this meet?
  3. An analysis of the steps you will take to evaluate the change or innovation. When will these steps be performed? What are the strengths, weaknesses, opportunities, and threats (SWOT) of the change or innovation?
  4. A description of the impact of the change or innovation on the governance and structure of the existing health care system. (Benchmarks 12.1: Analyze the governance and structure of health care institutions.)
  5. A description of the governmental regulations that influence the implementation of this change or innovation. How will quality of care be affected by the interaction of these regulations and the proposed change or innovation? (Benchmarks 12.2: Evaluate the influence of governmental regulations on quality of care.)
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