Applying the Concept of Positive Deviance

Discussion: Applying the Concept of Positive Deviance

Focus on the successful exceptions (i.e., positive deviants), not the failing norm.

—Pascale, Sternin, & Sternin, 2010

Positive deviants—those who are able to innovate and create affirmative results—do so within the same constraints that others face. These outliers reveal how the desired outcomes can be achieved by expanding beyond the boundaries of the status quo, while maintaining a focus on what is professionally, legally, and morally appropriate.

Consider the following example:

In 1990, Save the Children (SC), a nongovernmental organization in the United States, was asked by the government of Vietnam to create a program to enable poor villages to solve the overwhelming problem of childhood malnutrition. Given just six months to create a sustainable solution, those involved realized that they needed to look at the positive results that some had been able to achieve relative to the lack of success others had encountered under similar circumstances. They posed the question: “If some individuals in a community were better able to solve problems than others with access to exactly the same resources, could we use that provocative discrepancy?” Taking this tack, they were able to identify approaches that differed from the norm and apply this knowledge to produce positive results that led to a dramatic improvement in child health (Dura, Singhal, and Sternin, 2009).

In this Discussion, you examine a health care problem or issue and consider how you could apply the concept of positive deviance to produce systems-level change that leads to improved quality.

To prepare:

Review the information in this week’s Learning Resources, including the first chapter in Pascale, Sternin, and Sternin book and the Bradley, Curry, Ramanadhan, Rowe, Nembhard, and Krumholz article.

Reflect on health care quality problems or issues that warrant systems-level change. Consider the significance of each problem/issue. Identify one, in particular, that you would like to focus on for this Discussion. Note: You may use the quality improvement issue that you selected for your Course Project, if appropriate.

With this problem or issue in mind:

How would you apply the principles of positive deviance to address this problem/issue? What specific steps would you take to move from identification of the problem/issue through evaluation of outliers to implementation of a larger scale change to improve quality?

What examples of positive deviance, if any, are you aware of related to this problem/issue? Conduct research as necessary to see if you can locate one or more instances of positive deviance.

Post a brief description of the health care quality problem or issue you selected and explain how it could be addressed using the principles of positive deviance.

Read a selection of your colleagues’ responses.

Respond to at least two of your colleagues on two different days using one or more of the following approaches:

Ask a probing question, substantiated with additional background information or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Validate an idea with your own experience and additional resources.

Required Readings

Bradley, E. H., Curry, L. A., Ramanadhan, S., Rowe, L., Nembhard, I. M., & Krumholz, H. M. (2009). Research in action: Using positive deviance to improve quality of health care. Implementation Science, 4(25), 1–11.

Retrieved from the Walden Library databases.

The authors of this article review literature on positive deviance as well as break down a step-by-step approach in applying positive deviance in a research model to improve quality.

Dingfelder, H. E., & Mandell, D. S. (2011). Bridging the research-to-practice gap in autism intervention: An application of diffusion of innovation theory. Journal of Autism & Developmental Disorders, 41(5), 597–609.

Retrieved from the Walden Library databases.

The authors discuss the need to apply Roger’s diffusion of innovation theory in an effort to improve autism intervention for patients.

Seidman, W., & McCauley, M. (2009). A scientific model for grassroots O.D. Organization Development Journal, 27(2), 27–37.

Retrieved from the Walden Library databases.

Seidman and McCauley explore the grassroots nature of an organization’s culture and the effect of positive deviance, fair process, and neuroscience on creating change in the culture.

Required Media

Laureate Education (Producer). (2013h). Risks and benefits of positive deviance. Retrieved from https://class.waldenu.edu

Note: The approximate length of this media piece is 4 minutes.

Dr. Kenneth Rempher discusses how to encourage positive deviance while maintaining ethical and moral standards.

Accessible player

Optional Resources

Pascale, R. T., Sternin, J., & Sternin, M. (2010). The power of positive deviance: How unlikely innovators solve the world’s toughest problems. Boston, MA: Harvard Business Press.

Chapter 1, “Introduction: Against All Odds” (pp. 1–18)

Referral Process in Behavioral Healthcare Services

Staffing in Behavioral Healthcare Facilities

There are different types of behavioral healthcare facilities. Some are stand-alone facilities while others are part of a larger healthcare system. Many larger healthcare systems include a department or behavioral health unit as part of their comprehensive set of services. In these large healthcare systems, there is integration and sharing of services at all levels.

Describe the similarities and differences between staffing for a stand-alone behavioral healthcare facility and a behavioral healthcare unit that is a part of a larger healthcare system. What are the reasons for these differences? Does behavioral healthcare have unique staffing needs or is it similar to the staffing needs of a hospital in general? Why or why not?

Provide specific examples of both types of healthcare facilities. You may also refer to information shared on the Internet. Which healthcare system among these two would you prefer more and why? Justify your answers with appropriate research and reasoning.

 

Referral Process in Behavioral Healthcare Services

Behavioral healthcare, like most healthcare services, has seen a change in focus from a didactic relationship between the physician and the patient to that of a group effort involving an interdisciplinary team of professionals as well as active participation by the consumer.

The team concept stems from several factors but mainly from the comorbidity of diseases and conditions. In most instances, the consumer is not just faced with mental illness but psychosocial issues such as family and work challenges, as well as other medical issues such as addictions and overall poor health. This is when a team operating in a disease management capacity is the best course of action, especially for individuals with persistent mental illness and comorbidity.

How does a primary care physician integrate the need for further behavioral health services such as referring to a psychiatrist or psychologist for therapy or counseling?

Search the Internet to look for a hospital system providing behavioral healthcare services. Review the information shared on the hospital’s Web site regarding the functioning of the department providing behavioral healthcare services. Explain the referral process and the protocol followed in hospitals when a patient requires behavioral healthcare services. Justify your answers with appropriate research and reasoning

Explain what each ratio and piece of financial data means and explain the trends in each; are they increasing or decreasing and is this trend positive or negative for the firm and why?

In a comprehensive summary of your firm, provide the following financial information for your firm for the last two years.
• Revenue
• Net Income
• Profitability Ratios
o Gross Profit Margin
o Net Profit Margin
o Return on Assets
• Liquidity Ratios
o Current Ratio
• Market Ratios
o Earnings per Share
o Price to Earnings Ratio
• Debt measures
o Debt to Asset Ratio
• Explain what each ratio and piece of financial data means and explain the trends in each; are they increasing or decreasing and is this trend positive or negative for the firm and why?
• Using the information from IP4, summarize an explanation of the Sustainable Growth Rate for your firm and what it means for your company (do NOT copy and paste the information from IP4! This is not what the assignment requires)
• Using the financial data, summarize and reflect on the future financial health of your firm.

Describe ways to structure the following agreements to incentivise the party providing goods or services: construction projects, sales representatives, manufacturing, mortgage, ad retail banking; professional services such as legal, accounting, and engineering.

Write an essay describing how you would advice a business with cash flow problems that wishes to break several unprofitable contacts with its suppliers and customers, to defend against several lawsuits brought against it for non-payment and to retain employees who have not received a raise in several years. Discuss potential contract defences including impossibility, duress, accord and satisfaction, fraud, lack of performance, lack of consideration, equitable defences, statue of frauds and statue of limitations. Assume that some of the contracts are oral, some were breached more than ten years ago, some cannot be performed in less than a year, some of the goods were defective, some of the representations about quality were exaggerated and the company has excess inventory. Bankruptcy is not an option. 
You are a believer in incentive contracts. Describe ways to structure the following agreements to incentivise the party providing goods or services: construction projects, sales representatives, manufacturing, mortgage, ad retail banking; professional services such as legal, accounting, and engineering. What are the drawbacks on incentive contracts. How can incentives be hedged against for non-payment by customers for commissioned sales that have already been booked; for latent defects in goods and services resulting in charge-backs or lawsuits; for fraud by the incentivised party resulting in wrongful payment? See, e.g. Wells Fargo Bank. Also provide sample language for incentive clauses and examples. 

Describe the variables under study and how they are a key component in this quantitative research study.

Using the “Modified 10 Points Template,” identify each of the 10 strategic points in this quantitative dissertation.

Complete the “Evaluation” section of the template by addressing the following questions (250-500 words) with regard to the 10 strategic points in the study:

Discuss the key points in the literature review and how the author used this section to identify the gap or problem addressed in the study.
Describe the variables under study and how they are a key component in this quantitative research study. You are not expected to understand the differences between variables at this point, but should be able to identify how they inform the problem, purpose, research questions and data collection instruments.
Describe the problem and how it informed the research questions under study.
Describe the quantitative design used and why it is appropriate for the identified problem and research questions. Support your response with a peer-reviewed citation from a research source.
Assess the appropriateness of the instruments used to collect data and answer the research questions as well as to address the stated problem.
Discuss how the problem statement informed the development of the purpose statement in this study.

What items would you evaluate to select companies for investment?

The purpose of this assignment is to analyze venture capital and private equity.   You are the manager of CBPM Fund I.  This is a investment fund that specializes in companies that are in difficulty.  The goal of the fund is to finance turnaround situations and then cash out when the companies are profitable.   Prepare a list of questions and responses to evaluate a company for funding.  What items would you evaluate to select companies for investment?  Also, what responses would you consider acceptable and not acceptable?   Here are some examples.   Form of organization – Is the company a C corp., S corp., or LLC? Response – C corp. or LLC is easier to structure financing.  S corp. limits shareholders and cannot go public.   State of Incorporation – Is the company in good legal standing? Response – Review articles of incorporation. Is the state pro- or anti-business?   submissions will not be accepted without prior permission.  The assignment is worth 45 points.  The assignment is to be 1-3 pages, typed and single spaced.  Grammar, spelling, and punctuation will be graded along with the content of the assignment.   The responses are to be sent in a plain, simple, easy-to-read Word and Excel file.  Include your name at the top of each document.   There is to be no discussion of the assignment or cooperation with others, individually or jointly as in study groups.  If such discussions or consultations occur, all involved students may get as low as ZERO for the assignment or an “F” for the course.   The assignments are to be submitted using SafeAssign in Blackboard.   Go to Assignment 1 in the Content section. Click on View/Complete. Upload your assignment in section 2. Click on Global Reference Database in section 3. Click on Submit.

Choose 2 diseases or disorders to complete the table.Be sure to properly cite references and sources for any information or facts used.

University of Phoenix Material

Effects of Disease on the Health Care Industry: Endocrine System Health

Complete the table on the following page. Choose 2 diseases or disorders to complete the table.Be sure to properly cite references and sources for any information or facts used.

A general example has been provided for you.

Example:

Disease or Disorder Treatment Modalities Cultural Beliefs/Practices Affecting this Disease Epidemiological Statistics Available Consumer Resources(e.g., financing, information, support) Impact on Society
Acquired Immunodeficiency Syndrome (AIDS) · Prevention (education, exposure avoidance)· Antiretroviral treatment (required to begin directly after infection)· Antiviral medications sometimes slow disease progression but cannot cure it once contracted. · AIDS is a disease that only affects the LGBT community (myth).· Contracting HIV is an automatic death sentence (myth).· HIV/AIDS is currently incurable (fact).· Education and proper preventive measures are crucial in fighting this disease. · Worldwide, 2.5 million new cases reported in 2011 (CDC)· 635,000 individuals with AIDS have died in the United States to date (CDC).· An estimated 1.1 million people in U.S. were living with AIDS in 2009 (CDC). · Websites:www.cdc.gov/hiv/default.htmlwww.aidshealth.orgwww.aids.gov· Funding for prevention and research from the government and private sector· Educational programs, UNICEF · Considered a worldwide epidemic (Shi, 2014)· In 2012, the U.S. government spent more than $20 billion on HIV/AIDS programs and research.· Has an impact on social lives and sexual practices of all citizens in a given society in one way or another.

References

Shi, L. (2014). Introduction to Health Policy. Chicago, IL: Health Administration Press. Washington, D.C.: AUPHA Press. Centers for Disease Control and Prevention. (2013). Retrieved from www.cdc.gov/hiv/default.html

Complete the table below for 2 diseases that you have chosen that affects the endocrine system. In each box, you are required to list 3 to 5 bulleted statements regarding the heading of that box.

Cite your sources using APA format.

This section is due in Week Four.

Chosen Endocrine Disease or Disorder Treatment Modalities Cultural Beliefs/Practices Affecting this Disease Epidemiological Statistics Available Consumer Resources(e.g., financing, information, support) Impact on Society
List chosen disease here · · · · ·

References

Copyright © 2018 by University of Phoenix. All rights reserved.

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Explain the controversy surrounding some cause-related marketing

Explain cause-related marketing. Cause-related marketing is the cooperative effort between a for-profit firm and a non-profit organization. It is different from philanthropy, which is a specific, tax deductible donation. Cause-related marketing is very popular because it can enhance the reputation of the corporation and also make additional profit for the company. Sometimes companies have abused cause-related marketing and received much greater benefits than the nonprofit that has supposedly been helped. These cases are a small minority Questions 6.1 Why are more firms jumping on the cause-related marketing bandwagon? 6.2 Explain the controversy surrounding some cause-related marketing. 6.3 What are some questions that consumers should consider before participating in a  campaign?

Discuss local news coverage of alcohol or drug-related stories to adolescent use in your area.

You will read the provided essay topic, noting carefully all the pertinent issues to address. You will then write an essay of at least 600 words (excluding the title page and reference page), drawing information from this course, scholarly articles, outside readings, and presentations for that module/week. The essay must be strongly supported with proper citations of 2–3 current, scholarly references in current APA format. These references must be less than 10 years old. DO NOT write opinions, but support your answers to the questions with your readings.
Addiction in Adolescence 
In addition to your readings and presentations for this module/week, research at least 2 scholarly articles that discusses abuse of substances and addiction in adolescence. What is the current research saying in regards to addiction/abuse, resilience in this population, and what interventions may counteract abuse of substances and addictions in this population? Also discuss how healthy spiritual development may affect the likelihood of use/abuse/addiction in adolescent years. Discuss local news coverage of alcohol or drug-related stories to adolescent use in your area. Give details on the prevalence of addiction based on your readings and the news stories. Are differing viewpoints considered, analyzed, and treated?
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Explain if the sender and receiver expressed themselves clearly.

Think of a situation where you witnessed communication between 2 people resulting in conflict. Explain if the sender and receiver expressed themselves clearly. Were questions answered and comments given? What was the outcome of the interaction? Think about an interaction you have had with a peer or colleague that resulted in conflict. If you could replay the interaction what would you change and why? How well does communication function in your workplace? Is there conflict and how is it handled?