1. Discuss the concept of cost-based analysis. Provide an example of a program where it could be used to show outcomes.
The concept of cost-based analysis is delineated as the process for approximating all of the costs involved and the conceivable profits or benefits to be derived from a particular proposal. This analysis takes into account not only quantitative factors but also qualitative factors for examining the value for money for a particular project, proposal or opportunity. The fundamental aim is to make an ascertainment of any prospect and provide a basis for making contrasts and comparisons with other proposals. This concept of cost-based analysis can be significantly employed in different medical and health care programs, in order to reveal outcomes and results. For instance, within a healthcare institution, there are several different programs that are proposed in every fiscal year but not all can be accepted and implemented by the institution. Therefore, the most ideal approach of determining the ideal program is examining the entire cost expense of the programs and linking them with the benefit that will be expensed from it. For instance, different healthcare departments might propose the procurement of devices that cost a lot, such as MRI machines or dialysis machines. In this regard, the analysis would encompass determining the costs of procuring both machines and analyzing the benefits, for instance the number of patients requiring the machines (Frew, 2010).
2. Discuss a change theory and how it can be or has been applied in nursing practice to integrate care delivery sustainability.
One change theory that has been applied in nursing practice to assimilate care delivery sustainability is Lewin’s Change Theory. Established by Kurt Lewin, this theory is extensively employed in nursing and takes into account three phases including the unfreezing stage, moving stage and refreezing stage (Batras, Duff and Smith, 2016). This theory is reliant on the existent of driving and resistant forces. One the one hand, the driving forces encompasses the change agents who propel employees towards the direction...
References
Batras, D., Duff, C., & Smith, B. J. (2016). Organizational change theory: implications for health promotion practice. Health Promotion International, 31(1), 231-241.
Brock, D. W., Buchanan, A. (1986). Ethical Issues in For-Profit Health Care. Washington (DC): National Academies Press.
Frew, E. (2010). Applied methods of cost-benefit analysis in health care (Vol. 4). Oxford University Press.
Sutherland, K. (2013). Applying Lewin's change management theory to the implementation of bar-coded medication administration. Canadian Journal of Nursing Informatics, 8(1-2).
Welsh, W. N., & Harris, P. W. (2016). Criminal Justice Policy and Planning: Planned Change. Routledge.
Wren, A. (2012). Three Care Delivery Models Transforming Health Care. Optum. Retrieved 25 August, 2018 from: https://www.optum.com/resources/library/three-care-delivery-models-transforming-health-care.html
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