Select a health care facility or service (e.g., hospital, physician practice, long-term care facility, ambulance service, pharmacy, or skilled nursing facility). Please use hospital or physician practice. Design a 550-word proposal for a process improvement or cultural change that would affect all levels of staff in the organization (e.g., Lean Six Sigma or Studer Group). Cite more than 3 reputable references to support your assignment (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality). Format your assignment according to APA guidelines (based on the APA Sample Paper in the Center for Writing Excellence).