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NURS FPX 6200 Assessment 3 Strategic Planning Report
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Capella University
NURS-FPX6200 Management and Leadership for Nurse Executives
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Strategic Planning Report
Healthcare organizations need to overcome quality gaps and improve patient outcomes through strategic planning. The Boston Health Care for the Homeless Program must have a detailed strategy to incorporate behavioral health services (Mautone et al., 2021). This report presents a five-year strategic plan based on the Balanced Scorecard framework to achieve this objective. The plan aligns with BHCHP’s mission to provide holistic, patient-centered care to vulnerable groups at all times.
Strategic Goals and Outcomes
The strategic goals are structured plans of action on how organizations can achieve quantifiable changes in the quality of care and safety in healthcare. The Boston Health Care for the Homeless Program aims to integrate behavioral health services comprehensively within the next five years. Goal one aims to establish infrastructure by employing two behavioral health clinicians and applying standard screening procedures (Buchanan et al., 2020). It is a supporting objective that will ensure that 90 percent of patients receive mental health assessments by the third year.
Goal two is to increase access to tele-behavioral health services to serve more segments of the population more effectively and efficiently. In five years, at least 500 behavioral health intervention visits will be delivered systematically by telehealth at BHCHP. This growth reduces the challenges of transportation, stigma, and time conflicts that impede timely care (Freske and Malczyk, 2021). Improved accessibility will result in a 25% reduction in behavioral health crisis ED visits by year five.
Goal three deploys the Collaborative Care Model to make behavioral health an integral part of primary care practices. CoCM training will be offered to all primary care personnel by year four, ensuring consistent implementation across teams. Coordinated care plans, medication management, and crisis prevention will be implemented at the organizational level to promote patient safety (Jara et al., 2021). These strategic objectives all contribute to BHCHP’s service to vulnerable populations by providing high-quality, safe, and comprehensive care.
Potential Barriers
There are several challenges that organizations encounter when executing strategic activities that involve significant changes to workflows and resource allocation. The staff may be resistant to implementing new behavioral health integration protocols at BHCHP because they will have more work to do. The paucity of funds and reimbursement could delay the recruitment of behavioral clinicians and the implementation of an effective telehealth technology infrastructure.
Complexities in regulations governing compliance with the Health Insurance Portability and Accountability Act (HIPAA), 42 CFR Part 2, and others may slow the pace of behavioral health services integration (Segal et al., 2021). These obstacles require planning, stakeholder involvement, and ongoing leadership dedication to successfully implement strategic plans.
Alignment with Organizational Mission and Values
The alignment of the strategic objectives and organizational purpose also ensures that the improvement efforts reflect the core values and purpose. The mission of the BHCHP centers on providing comprehensive, patient-centered care to homeless people with complex medical conditions (Boston Health Care for the Homeless Program, 2025). Goal one is closely related to this mission, as it will address the behavioral health needs of more than 80 percent of the homeless population. The development of sound behavioral health infrastructure will help the organization achieve its objective of providing comprehensive care to vulnerable communities at all times.
The values within organizations shape the decision-making process and influence the execution of strategic initiatives in the healthcare setting. Equity, dignity, and excellence are valued in delivering trauma-informed care to patients who face many barriers at Boston Health Care for the Homeless Program (BHCHP) (Andrieiev et al. 2024). Goal two promotes this set of values by removing access barriers through telehealth services that respect patient dignity and autonomy. The increase in tele-behavioral health services demonstrates that the organization cares about delivering equitable care to all the populations it serves.
Strategic goals for visionary leadership should change existing practices and systematically and sustainably improve patient outcomes. The vision of BHCHP is to be an example of integrated care, providing medical and behavioral health services simultaneously. The vision is implemented in goal three through the use of the Collaborative Care Model that encourages interdisciplinary collaboration and evidence-based practice (Shirey et al., 2020). Such an integrated strategy makes BHCHP one of the pioneers of innovative, high-quality care for homeless groups in the country.
Uncertainties and Gaps
To develop realistic expectations and contingency plans for implementation, healthcare organizations must address shortcomings in existing evidence. The current continuation of tele-behavioral health services to homeless people is questionable, given the lack of research evidence. Best practices in staffing for integrated behavioral health teams in homeless care facilities are not well-defined or evidence-based at present.
The applicability of the Collaborative Care Model to the homeless population, in particular, needs further research, with the results measured (Rawlinson et al., 2021). By addressing knowledge gaps through continuous assessment and research, the strategic plan of BHCHP will be consolidated and incorporated into plans.
Leadership Theory Application
Good leadership theories provide models that guide change in an organization and help achieve strategic goals systematically. The integrated behavioral health model will be adopted by staff due to the shared vision and motivation fostered by transformational leadership (Barr & Nathenson, 2021). Leaders will promote the spirit of innovation by enabling team members to develop effective ways to apply screening protocols. This strategy encourages a sense of organizational dedication, as individual involvement will be tied to substantial improvements in patient care. The result of transformational leadership is the establishment of an organizational culture of excellence that will continue to improve quality levels in the long term.
The theories of leadership must account for the intricacies of healthcare delivery and encourage teamwork among diverse stakeholder groups. Servant leadership is concerned with the needs of patients and employees, as it removes obstacles to the use of tele-behavioral health services (Demeke et al., 2025). Leaders will be willing to listen to frontline workers’ grievances and provide resources to facilitate their successful adoption of the telehealth platform. This theory instills trust in homeless communities, as it demonstrates a commitment to their welfare and dignity. Servant leadership will ensure that strategic initiatives are patient-centered and grounded in the community’s needs during implementation.
Organizations can succeed in complex healthcare environments by applying strategic leadership theories to focus on long-term goals. The system leadership will work with community mental health agencies to implement the Collaborative Care Model comprehensively (Kamin et al., 2022). Leaders will explore the interdependencies among primary care, behavioral health, and social services to streamline care coordination. This method enables alignment of resources, workflows, and communication systems at the multi-organizational and external partner levels. Systems leadership delivers sustainable infrastructure to facilitate integrated care delivery and achieve measurable, high-quality outcomes.
Limitations and Mismatches
Leadership theories may not fully address the unique contextual challenges that arise when implementing complex healthcare initiatives in practice. Transformational leadership assumes that staff are ready to change, but it may encounter resistance from overburdened frontline workers, which can limit its effectiveness.
Servant leadership emphasizes consensus-building, which may slow the decision-making process required for timely behavioral health crisis interventions (Kamin et al., 2022). Systems leadership requires significant coordination, which may exceed available resources in resource-constrained homeless care settings. These theoretical limitations require malleability in applying and combining multiple leadership approaches to address the complexities of organizations effectively.
Ethical, Cultural, and Regulatory Considerations
The strategic initiatives should be integrated with the ethical, cultural, and regulatory frameworks to be implemented responsibly and to make improvements in the organization sustainable. The strategic plan promotes autonomy by providing informed consent procedures for all behavioral health services provided to patients. The evidence-based interventions that support maximal benefits and limit the potential harm to vulnerable populations demonstrate beneficence.
Non-maleficence informs crisis prevention measures, which protect patients from causing self-harm and reducing negative events in the provision of care (Sharan, 2023). The principles of justice ensure equitable access to integrated behavioral health services regardless of patients’ socioeconomic level or background. The cultural competence training will support the diverse needs of the patient population at BHCHP, including racial, ethnic, and linguistic minorities.
Principles of trauma-informed care recognize a high level of trauma within homeless persons and respectfully propose healing environments. The plan ensures compliance with HIPAA, 42 CFR Part 2 on substance use confidentiality, and Joint Commission standards (Winfield and Huffman, 2025). Organizational integrity is ensured by adopting SAMHSA-guided principles of integrated care and state licensing criteria of providers of behavioral health care (Possemato, 2025). Such holistic considerations ensure that the strategic objectives of BHCHP are ethical, culturally sensitive, and regulatory-compliant during implementation.
Identified Limitations
Any strategic initiative has inherent limitations that should be considered and may affect the scope and duration of expected quality improvement. There is a chance that cultural competence training is inadequate to deal with biases that are deeply embedded in the care delivery process for homeless populations. Regulatory compliance needs can result in slack implementation schedules and become a significant administrative burden for already-stretched clinical personnel.
The financing may be limited, and hence it would affect the number of behavioral health clinicians that can be recruited, which in turn would affect the ability to provide services and their outcomes. Irrespective of these limitations, the primary goal is to achieve quantifiable improvements in patient safety, access, and satisfaction (Segal et al., 2021). These outcome goals strike the right balance between the organization’s constraints and BHCHP’s mission to provide quality, comprehensive care for vulnerable populations.
Critical Leadership Qualities and Skills
An effective execution of strategic plans requires certain leadership values and skills that help drive change and sustainability within the organization. Leadership and resistance can be addressed through change management skills, which will ensure smooth transitions for BHCHP staff within integrated care delivery. Emotional intelligence is useful in building relationships with homeless clients, individuals who experience trauma, mental illnesses, and systematic discrimination on an almost daily basis (Barry et al., 2023).
Data literacy enables leaders to track performance dashboards and screening rates and to make changes based on real-time results. Strategic thinking can help predict implementation challenges related to employee shortages, funding gaps, and the complexities of partnerships with communities. Cultural humility promotes respectful communication with various patient groups and reduces health disparities in vulnerable homeless populations.
Communication competencies are an effective means of expressing goals to interdisciplinary teams, community affiliates, and behavioral health experts in a coordinated way. Collaboration competencies assist leaders in creating partnerships with mental health agencies and in effectively organizing the Collaborative Care Model (Mautone et al., 2021). Conflict-resolution skills address disagreements among team members regarding changes to the workflow and the clarification of roles during integration. All these multifaceted characteristics of a leader will ensure that quality, safety, and patient outcomes are sustainable at BHCHP.
Underlying Assumptions
Assessments of leadership are based on assumptions that may not fully capture the complexities of the healthcare setting. This assessment assumes the leaders have adequate resources and support from the company to develop the identified competencies. It assumes employees to be prepared and able to respond positively to transformational and servant leadership styles (Rawlinson et al., 2021).
The evaluation presupposes the maintenance of a steady flow of funds to support the ongoing professional development and training of leaders at BHCHP. Moreover, it assumes fewer external shock events, such as changes in policy, economic crises, or epidemics. These premises ought to be continually reviewed and confirmed to ensure that leadership approaches are relevant and appropriate.
Conclusion
Strategic planning can ensure that healthcare organizations make sustainable quality and safety improvements and that vulnerable populations receive them systematically. The five-year plan has positioned BHCHP to integrate behavioral health services through evidence-based goals and transformational leadership. Embarkation on the values, vision, and organizational mission is the result of the love of holistic patient care amongst people experiencing homelessness. The implementation will not be successful without collaboration, cultural competency, and compliance with ethical and regulatory norms at all stages.
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References For
NURS FPX 6200 Assessment 3
Andrieiev, I., Trehub, D., Khatsko, K., Sokolovska, I., & Ganzhiy, I. (2024). Strategic management in healthcare: The impact of strategic decisions on achieving organizational goals and improving the quality of healthcare services. Multidisciplinary Science Journal, 6, e0217. https://doi.org/10.31893/multiscience.2024ss0217
Barr, T. L., & Nathenson, S. L. (2021). A holistic transcendental leadership model for enhancing innovation, creativity, and well-being in health care. Journal of Holistic Nursing, 40(2), 157–168. https://doi.org/10.1177/08980101211024799
Barry, A., Hoffman, E., Charleston, E., DeMario, M., Stewart, J., Mohiuddin, M. I., Mihelicova, M., & Brown, M. (2023). Trauma‐informed interactions within a trauma‐informed homeless service provider: Staff and client perspectives. Journal of Community Psychology, 52(2). https://doi.org/10.1002/jcop.23102
Boston Health Care for the Homeless Program. (2025). The BHCHP Institute | Boston Health Care Center for the Homeless. Boston Health Care for the Homeless Program. https://www.bhchp.org/institute/what-we-do/
Buchanan, G. J. R., Monkman, J., Piehler, T. F., & August, G. J. (2020). Integration of behavioral health services and adolescent depression screening in primary care. Clinical Practice in Pediatric Psychology. https://doi.org/10.1037/cpp0000359
Demeke, G. W., Engen, van, & Markos, S. (2025). Servant leadership and patient safety culture in Ethiopian public hospitals: A qualitative study. BioMed Central Health Services Research, 25(1). https://doi.org/10.1186/s12913-025-13118-5
Freske, E., & Malczyk, B. R. (2021). COVID-19, rural communities, and implications of telebehavioral health services: Addressing the benefits and challenges of behavioral health services via telehealth in Nebraska. Societies, 11(4), e141. https://doi.org/10.3390/soc11040141
NURS FPX 6200 Assessment 3 Strategic Planning Report
Jara, A. L., Luckhurst, C. L., Dismore, R. A., Arthur, K. J., Ifeachor, A. P., Militello, L. G., Glassman, P. A., Zillich, A. J., & Weiner, M. (2021). Care coordination strategies and barriers during medication safety incidents: A qualitative, cognitive task analysis. Journal of General Internal Medicine, 36(8), 2212–2220. https://doi.org/10.1007/s11606-020-06386-w
Kamin, D., Weisman, R. L., & Lamberti, J. S. (2022). Promoting mental health and criminal justice collaboration through system-level partnerships. Frontiers in Psychiatry, 13(805649). https://doi.org/10.3389/fpsyt.2022.805649
Mautone, J. A., Wolk, C. B., Cidav, Z., Davis, M. F., & Young, J. F. (2021). Strategic implementation planning for integrated behavioral health services in pediatric primary care. Implementation Research and Practice, 2, e98755. https://doi.org/10.1177/2633489520987558
Possemato, C. (2025). Barriers to integrating primary care services into behavioral health agencies: A policy analysis. Health Sciences Research Commons. https://hsrc.himmelfarb.gwu.edu/son_dnp/187/
Rawlinson, C., Carron, T., Cohidon, C., Arditi, C., Hong, Q. N., Pluye, P., Bridevaux, I., & Gilles, I. (2021). An overview of reviews on interprofessional collaboration in primary care: Barriers and facilitators. International Journal of Integrated Care, 21(2), e32. https://doi.org/10.5334/ijic.5589
Segal, M., Giuffrida, P., Possanza, L., & Bucciferro, D. (2021). The critical role of health information technology in the safe integration of behavioral health and primary care to improve patient care. The Journal of Behavioral Health Services & Research, 49(2). https://doi.org/10.1007/s11414-021-09774-0
Sharan, P. (2023). Ethical challenges in clinical care of suicidal patients. Indian Journal of Social Psychiatry, 39(4), 319–324. https://doi.org/10.4103/ijsp.ijsp_271_23
Shirey, M. R., Selleck, C. S., Williams, C., Talley, M., & Harper, D. C. (2020). Interprofessional collaborative practice model to advance population health. Population Health Management, 24(1), 69–77. https://doi.org/10.1089/pop.2019.0194
Winfield, C., & Huffman, J. (2025). Confidentiality in addiction treatment: Navigating 42 CFR part 2 within human services. Journal of Human Services. https://doi.org/10.52678/%E2%80%8B001c.132049
Capella Professors To Choose From For NURS-FPX6200 Class
- Mark Adelung.
- Erica Alexander.
- Jill Aston.
- Robert Atchley.
- Diane Cousert.
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NURS FPX 6200 Assessment 3
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