A) Create a proposal by doing the following
1.     Propose one innovative value based healthcare change that will affect patient outcome
2. provide organizational, local or national data that supports the need for proposed change
3. Describe 2 barriers that may hinder making the proposed change
4. Discuss a potential negative outcome if your change isnt implemented 
a. discuss potential action that you can take if there is a lack of support for proposed change
5. Discuss two ways this change could enhance value based care
6. Describe the key stakeholders by title that are essential to the success of this proposal, including  their role
a. describe how you would plan to collaborate with your key stakeholders.
B Create an implementation strategy  by doing the following 
1) identify the key resources needed to implement your proposed change
2) identify the costs associated with implementing your proposed change
3) discuss two benefits of implementing your proposed change
4) provide a timeline for your implementation strategy that include planning, milestones, implementation, evaluation 
5) explain how you would use data to support your implementation strategy 
6) Analyze the potential outcomes of your proposed change by discussing a potential financial benefit of the outcome and discuss two potential ethical implications of change
7) discuss how you could integrate technology into into your implementation strategy including a relevant example of how the technology would be used
8) describe how you would measure your proposed change’s success
C Write a reflection statement by doing to following 
1) describe how you were a change agent in creating this proposed change and implementation plan, including a relevant example 
2) examine your influence over the proposed change by
a) describe the knowledge and skills you obtained and used include a relevant example
b) analyze how you could expand the proposal beyond the organization or environment in which you envisioned your proposed change would take place
D citations 
include author and date of publication 
references that include all four components in order of author, date, title and location