Change Proposal
Your Full Name (no credentials)
School

Planning for Community and Organizational Change
Instructor’s Name

Month, Year
Title of Paper
Note: Delete this note and all instructions from the template before submitting your proposal. Use headings to organize your text, rather than bullets.

Summary
Benefits and Implications
Identify the benefits of proposed health care system changes and its implications for a community.

Consider the goals and potential outcomes of the proposed changes.

What are the direct benefits of your proposed changes?

How will improvements in overall health affect the community?

Potential Barriers to Change
Describe potential barriers to change in an organization or community.

What factors in an organization and community create or contribute to resistance to changes?

What other factors can create barriers to change?

Articulate strategies for changing barriers into opportunities and resolving conflict.

What are the drivers of change in organizations and communities?

How will you communicate with stakeholders and overcome resistance?

How will you resolve conflict among competing interests?

Stakeholder Communications
Articulate a strategy for helping organizational stakeholders understand and evaluate proposed changes to the existing health care system.

Who are the key stakeholders in the organization?

What influence do they have on your proposal?

Consider the effects of these changes on the organization and the specific information needs of decision makers.

References
List your APA-formatted references here.

Appendix A: Grant Proposal
Need Statement
Define the problem that this change is addressing.

Describe the scope of the problem.

· Who is affected? How will you describe this population?

· How many people does this problem affect?

Identify the barriers you are likely to encounter when implementing this change?

Identify the sources of information you used to define the need for change.

Identify any other change initiatives or studies that are addressing this problem.

Program Description
Describe the proposed change initiative and how you plan to implement it. Address the basic questions of who, what, when, where, why, and how.

Goals and Objectives
Describe the goals and objectives of the change initiative.

Program Evaluation
Explain how this change initiative will be evaluated.

· Who will have oversight responsibilities?

· How and how often, will this initiative be evaluated?

· Who is the recipient of the evaluation reports?

· What is the extent of stakeholder involvement in evaluation?

Summary
Explain why this change is important to the community.

Explain how the goals and objectives of this change initiative align with those of the funding organization and why their financial support is vital to the success of this initiative.

Be sure to thank the funding agency for considering and supporting this initiative.

2

6

Appendix B: Project Budget
Table directions:

Add table rows, as needed, for each budget category.

Enter the information (startup, first-year budget figures, other sources of revenue, and justification) for each budget category line item in columns 2–5.