| Course | MHA 599 Capstone: Leading the Organization Through Change (MHA/599) |
|---|---|
| Week | 6 |
| Paper type | Capstone final presentation |
| Length | about 843 words, 3 double-spaced pages plus title page and references |
| Format | APA 7 student paper |
| School | University of Phoenix |
| Program | MHA |
| Updated | September 2026 |
Free sample paper for MHA 599 Week 6
Controlled at Home: A Capstone Presentation Asking Leadership to Take Pharmacist-Managed Blood Pressure Care to All Fourteen Rural Clinics
[Student Name]
University of Phoenix
MHA/599: Capstone: Leading the Organization Through Change
Week 6 Assignment
[Instructor Name]
[Date]
The health system, pilot results, finances and plan are composites written for a model presentation; county estimates and research findings come from the sources cited.
Slide 1: The Decision Today
Approve expansion to all 14 rural clinics.
Staged over 18 months.
Board review at 12 months.
Speaker notes
I am asking you today to approve expanding pharmacist-managed home blood pressure care from our four pilot clinics to all fourteen rural clinics, one clinic at a time over eighteen months, with a board review at twelve months. Everything that follows is the case for that decision.
Slide 2: The Need
High blood pressure is common in our counties.
Rural control lags Billings.
Distance is the barrier.
Speaker notes
County estimates from CDC's 2025 release put adult high blood pressure at 28.3% in Yellowstone County and above a third in Big Horn and Rosebud counties, where many adults also lack transportation (Centers for Disease Control and Prevention, 2025). In our rural clinics, fewer than half of hypertension patients were controlled before the pilot, compared with 61% in Billings.
Slide 3: A Model With Evidence
Home readings go to pharmacists.
Pharmacists adjust medicines.
Control roughly doubled in a trial.
Speaker notes
We copied a model tested in a clinic-randomized trial, in which patients sent home readings to pharmacists who adjusted their medicines; roughly double the share of patients reached their targets and stayed there for a year compared with usual care (Margolis et al., 2013). We kept the elements that made it work, especially active management, because monitoring alone has failed elsewhere.
Slide 4: How the Program Works
Cellular cuff, no smartphone.
Pharmacist review and calls.
Clinicians see summaries.
Speaker notes
Patients receive a cuff that works without internet. Readings reach a pharmacist, who calls within a business day when action is needed and adjusts medicines under protocols our physicians wrote. Clinicians receive monthly summaries rather than every reading.
Slide 5: How We Led the Change
Coalition with rural clinicians.
Staff shaped the design.
Weekly test cycles.
Speaker notes
A coalition of rural physicians, pharmacists, a medical assistant, a patient and a tribal health representative made key decisions. A medical assistant's concern led us to move device setup outside clinic visits. We tested each step in weekly cycles before adding patients.
Slide 6: Pilot Results
640 patients enrolled.
78% transmitting regularly.
49% controlled at six months.
Speaker notes
All 640 enrolled patients started with uncontrolled blood pressure. At six months, 49% had reached control, nearly four in five were sending readings most days of the month and no serious safety events had occurred. Half of patients who started uncontrolled were controlled within six months, without extra trips to town. Clinicians' support rose over the pilot, and two physicians who were skeptical at the start now refer patients themselves.
Slide 7: The Money
About $2.9 million a year at full scale.
Monitoring revenue covers most in year one.
Shared savings follow.
Speaker notes
At full scale, ongoing costs are about $2.9 million a year, mostly pharmacists. Medicare's 2026 codes for monitoring and management bring in an estimated $2.1 million. The trial's economic follow-up estimated $1,511 per patient in program costs and projected five-year cardiovascular event costs of $758,000 against $1,538,000 under usual care, a 126% return (Margolis et al., 2020). We count only our share through shared savings.
Slide 8: Risks and Responses
Pharmacist recruitment.
Billing documentation.
Changing payment rules.
Speaker notes
Our largest risks are recruiting pharmacists in rural Montana, incomplete billing documentation and changes in payment rules. Each has an owner and a plan: a pharmacist residency partnership, monthly billing audits and annual review of the fee schedule.
Slide 9: What Patients Told Us
Fewer trips to town.
A pharmacist who calls back.
Medicines that finally work.
Speaker notes
A rancher from the Rosebud County clinic told us he had not driven to a blood pressure appointment since enrolling, because his pharmacist calls him when his numbers change. A grandmother raising two grandchildren said the program was the first time anyone had adjusted her medicines between visits. Stories like these are why clinicians now ask to join.
Slide 10: The Expansion Plan
One clinic at a time.
Thresholds before each step.
Full coverage in 18 months.
Speaker notes
Each new clinic starts only when the previous ones keep at least 75% of patients transmitting and respond to high readings within one business day. If thresholds are missed, we pause and fix before moving on.
Slide 11: What You Will See
Quarterly board report.
Control, transmission, safety.
Revenue against costs.
Speaker notes
Each quarter, you will see enrollment, control rates, transmission, safety events, billed revenue and costs, and the status of every risk.
Slide 12: The Decision and Next Steps
Approve expansion today.
First new clinic in 60 days.
Review at 12 months.
Speaker notes
With your approval, we will post two pharmacist positions this month, open the fifth clinic within sixty days and return for review in twelve months. Thank you. I welcome your questions.
Slide 13: References
Speaker notes
Sources cited in the presentation are listed below in APA format.
References
Centers for Disease Control and Prevention. (2025). PLACES: Local data for better health, county data, 2025 release [Data set]. data.cdc.gov. https://data.cdc.gov/d/swc5-untb
Margolis, K. L., Asche, S. E., Bergdall, A. R., Dehmer, S. P., Groen, S. E., Kadrmas, H. M., Kerby, T. J., Klotzle, K. J., Maciosek, M. V., Michels, R. D., O'Connor, P. J., Pritchard, R. A., Sekenski, J. L., Sperl-Hillen, J. M., & Trower, N. K. (2013). Effect of home blood pressure telemonitoring and pharmacist management on blood pressure control: A cluster randomized clinical trial. JAMA, 310(1), 46-56. https://doi.org/10.1001/jama.2013.6549
Margolis, K. L., Dehmer, S. P., Sperl-Hillen, J., O'Connor, P. J., Asche, S. E., Bergdall, A. R., Green, B. B., Nyboer, R. A., Pawloski, P. A., Trower, N. K., & Maciosek, M. V. (2020). Cardiovascular events and costs with home blood pressure telemonitoring and pharmacist management for uncontrolled hypertension. Hypertension, 76(4), 1097-1103. https://doi.org/10.1161/HYPERTENSIONAHA.120.15492
What the MHA 599 Week 6 instructions ask
The final MHA 599 assignment usually asks students to present their capstone change initiative to organizational leaders, often as slides with speaker notes or a recorded presentation. Prompts may ask students to summarize the opportunity, the innovation, the change and communication approach, the implementation plan, the financial and risk analysis and results or expected outcomes, and to make a clear recommendation. Formats vary by version, including recorded narration, so follow yours closely. Strong presentations lead with the decision requested, give one message per slide with details in the notes, use data and evidence throughout, address risks candidly and end with a specific request, dates and next steps.
How this MHA 599 Week 6 example is built
The deck opens by asking leadership to approve expanding the program to all fourteen rural clinics over eighteen months. Slides follow with the rural need, the evidence behind the model, the program design, how change was led, pilot results, the financial picture, risks and mitigation, the expansion plan and the measures the board will see. Speaker notes carry the detail: county estimates, trial results, pilot data, the economic follow-up and payment rules. The final slide restates the decision and names the first three steps after approval, including the first new clinic, pharmacist hiring and the date of the twelve-month review.
MHA 599 Week 6 grading rubric: where the points go
The capstone presentation is typically graded on clarity, integration of the capstone's work and persuasiveness grounded in evidence. Graders look for a clear, specific request at the start, a logical sequence that integrates earlier papers, one message per slide with supporting notes, data and research cited accurately, honest treatment of risks and a closing with a specific decision and next steps. Visual simplicity, readable slides and a patient story earn credit. Speaker notes that explain rather than repeat the slides strengthen the presentation, as does a closing slide with dates. APA references on a final slide complete the grade. Presentations that read like papers on slides, or end without a request, commonly lose points.
MHA 599 Week 6 help: mistakes to avoid
A common weakness in the MHA 599 final presentation is telling the story in the order the work was done. Decision makers need the ask up front and the case afterward. Put one message on each slide in plain words, and move detail into the speaker notes. Use your strongest evidence early: local need, the research behind your model and your own results. Be candid about risks and what you will do about them. Show the money simply on one slide: costs, revenue, savings and who captures them. End by restating the decision and the first steps after approval. Finally, rehearse with someone outside the project who can tell you what was unclear, and time yourself against the limit.
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- MHA 599 Week 5: Financial and Risk Analysis
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MHA 599 Week 6 questions, answered
What does MHA/599 Week 6 usually ask for?
The final capstone assignment typically asks students to present their change initiative to leaders, integrating the opportunity, innovation, change plan, implementation, finances and results into a clear recommendation.
Where can I find a free MHA 599 Week 6 sample paper?
This capstone presentation sample paper, with speaker notes for every slide, can be read above at no cost. Share your capstone project, and your first presentation is written free.
How should a capstone presentation begin?
With the decision you are asking leaders to make, so every later slide serves as evidence for that request.
How many slides should a capstone presentation have?
Follow your instructions; many capstone presentations use 10 to 15 slides, each with one message, and put detail in the speaker notes.
What evidence should a capstone presentation include?
Local data showing the need, research supporting the chosen model, the project's own pilot or expected results and a financial and risk analysis.
Write yours, or have the desk draft it
This paper is an original model document written by our desk, not a submitted student paper and not an official University of Phoenix document. Read it for the moves, then write your own to the instructions in your classroom. If you want one built to your exact prompt and rubric, the first custom sample is free and arrives in 24 to 48 hours.
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