Clinical preventive services, such as routine disease screening and scheduled immunizations, are key to reducing death and disability and improving the Nation’s health

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No Plegarism please, assignment will be checked with Turnitin. 

Will need minimum of 3 pages, title, and reference page APA Style, double spaced, times new romans, font 12, and and (3 references within 2014-2018) with intext citations). 

Health Maintenance and Screening Plans

Clinical preventive services, such as routine disease screening and scheduled immunizations, are key to reducing death and disability and improving the Nation’s health. Yet, despite the fact that these services are covered by Medicare, Medicaid, and many private insurance plans under the Affordable Care Act, millions of children, adolescents, and adults go without clinical preventive services that could protect them from developing a number of serious diseases or help them treat certain health conditions before they worsen.

Discuss preventative services and ways to promote and overcome the barriers in your clinical practice to deliver holistic care including the recommended services for all patients across a lifespan. Please include examples, evidence-based information and references to support your work.

Unit3

MN 566 Unit 8 Written Assignment:Health Maintenance and Screening Plans
IntroductoryEmergentPracticedProficient/MasteredScoreWeightFinal Score
0 -1.92 – 2.93 – 3.94
Benefits of Evidence Base PracticeDid not discuss preventative services and ways to promote and overcome the barriers in your clinical practice to deliver holistic care including the recommended services for all patients across a life span.Included 1-2 preventative services and ways to promote and overcome the barriers in your clinical practice to deliver holistic care including the recommended services for all patients across a life span.Included 3-5 preventative services and ways to promote and overcome the barriers in your clinical practice to deliver holistic care including the recommended services for all patients across a life span.Included a comprehensive overview of preventative services and ways to promote and overcome the barriers in your clinical practice to deliver holistic care including the recommended services for all patients across a life span.450%2.00
Example of Evidence base PracticeDid not provide an evidence based practice used in clinical setting./no references.Included a comprehensive discussion of an evidence based practices with examples and 3 references to support.ncluded a comprehensive discussion of an evidence based practices with examples and 3 references to support.Included a comprehensive discussion of an evidence based practices with examples and 3 references to support.440%1.60
Format/StyleDid not follow APA formatMajor errors with APA formattingText, title page, and references page follow APA guidelines . Minor references and grammar errorsText, title page and references page follow APA guidelines. No grammar, word usage or punctuation errors. Overall style is consistent with professional work.410%0.40
100%4.00
Final Score55
Percentage100.00%
Total available points =554
Rubric ScoreGrade pointsPercentage
LowHighLowHighLowHigh
3.54.0505590%100%
2.53.49444980%89.99%
1.72.49394470%79.99%
1.01.69333860%69.99%
0.01.00033059.99%

Process of ethical decision making you would use to address this ethical dilemma

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Assignment 1: Practicum Journal Entry: Analyzing an Ethical Decision

In your role as a PMHNP, you will encounter several situations that will require your ability to make sound judgments and practice decisions for the safety and well-being of individuals, families, and communities. There may not be a clear-cut answer of how to address the issue, but your ethical decision making must be based on evidenced-based practice and what is good, right, and beneficial for patients. You will encounter patients who do not hold your values, but you must remain professional and unbiased in the care you provide to all patients regardless of their socio-demographic and ethnic/racial background. You must be prepared to critically analyze ethical situations and develop an appropriate plan of action. For this Assignment, you review the literature and discover the various ethical dilemmas PMHNPs encounter and how these issues are typically addressed in your state.

Learning Objectives

Students will:

· Analyze salient ethical issues in psychiatric mental health practice

· Compare ethical dilemmas with state health laws and regulations

· Analyze ethical decision-making processes

To prepare:

· Review literature for moral/ethical issues encountered by a PMHNP.

· Select one of the articles you found that was published within the last 5 years to use as a focus for this assignment.

Write a 2-page paper in which you do the following:

· Summarize the moral/ethical issue in the article (no more than 1 paragraph).

· Describe the moral and ethical dilemmas surrounding the issue.

· Analyze the ethical issue and compare them to the state health laws and regulations in your state.(Texas)

· Outline the process of ethical decision making you would use to address this ethical dilemma.

Note: Be sure to use the Practicum Journal Template, located in this week’s Learning Resources.

While someone can be harmed by psychotherapy, the level and intensity of the harm generally does not come to the same level of harm that can occur from improper prescribing

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                              Practicum Journal: Safe Prescribing

There is probably no greater responsibility that the psychiatric mental health nurse practitioner (PMHNP) assumes than the responsibility of prescribing medications. While someone can be harmed by psychotherapy, the level and intensity of the harm generally does not come to the same level of harm that can occur from improper prescribing. The PMHNP must understand his/her responsibility both at a state and federal level when it comes to prescribing medications.

In this Practicum Journal Assignment, you will explore the legalities associated with prescribing controlled substances, as well as what a DEA number is, how to obtain one, and, most importantly, how to prescribe controlled substances in your state. 

Learning Objectives

· Analyze roles of the Drug Enforcement Administration

· Analyze PMHNP responsibilities when issued a DEA number

· Analyze DEA number application procedures

· Analyze state requirements for safe prescribing and prescription monitoring

· Analyze PMHNP responsibilities for safe prescribing and prescription monitoring

· Analyze Schedule II-V drug levels

                                        ASSIGNMENT

To prepare for this Practicum Journal:

· Review the Learning Resources.

In 2-3 pages:

· Describe the role of the Drug Enforcement Administration (DEA) as it pertains to 

the Psychiatric mental health nurse practitioner (PMHNP).

· Explain your responsibilities when having a DEA number.

· Explain how you apply for a DEA number.

· Explain your state’s requirements (TEXAS) for a safe prescribing and prescription monitoring program. Explain your responsibility as a PMHNP to follow these requirements.

· Provide an example of a drug you may prescribe from each of the Schedule II-V drug levels.

N: B PLEASE INCLUDE INTRODUCTION, CONCLUSION AND REFERENCES LESS THAN 5 YEARS OLD

                                                            Learning Resources

Required Readings

Stahl, S. M. (2014). Prescriber’s Guide: Stahl’s Essential Psychopharmacology (5th ed.). New York, NY: Cambridge University Press.

http://ezp.waldenulibrary.org/login?url=http://stahlonline.cambridge.org/

To access information on specific medications, click on The Prescriber’s Guide, 5th Ed. tab on the Stahl Online website and select the appropriate medication.

Depression

Premenstrual    dysphoric disorder

Seasonal    affective disorder (MDD with Seasonal Variation)

agomelatine
  amisulpride
  amitriptyline
  amoxapine
  amphetamine (d)
  amphetamine (d,l)
  aripiprazole (adjunct)
  asenapine
  atomoxetine
  bupropion
  buspirone (adjunct)
  citalopram
  clomipramine
  cyamemazine
  desipramine
  desvenlafaxine
  dothiepin
  paroxetine
  phenelzine
  protriptyline

quetiapine (adjunct)
  reboxetine
  selegiline
  sertindole
  sertraline
  sulpiride
  tianeptine
  tranylcypromine
  triiodothyronine
  trazodone
  trimipramine
  venlafaxine
  vilazodone
  vortioxetine
  doxepin
  duloxetine
  escitalopram
  fluoxetine
  flupenthixol
  fluvoxamine

iloperidone
  imipramine
  isocarboxazid
  ketamine
  lisdexamfetamine
  lithium (adjunct)
  l-methylfolate (adjunct)
  lofepramine
  lurasidone
  maprotiline
  methylphenidate (d)
  methylphenidate (d,l)
  mianserin
  milnacipran
  mirtazapine
  moclobemide
  modafinil (adjunct)
  nefazodone
  nortriptyline
  olanzapine

citalopram
  desvenlafaxine
  escitalopram
  fluoxetine
  paroxetine
  sertraline
  venlafaxine

bupropion

Drug Enforcement Administration. (n.d.). Drug schedules. Retrieved June 14, 2016, from https://www.dea.gov/druginfo/ds.shtml 

The Health Information Technology for Economic and Clinical Health (HITECH) Act aims to increase the adoption rate by providing financial incentives for health care organizations that demonstrate “meaningful use” of EHRs

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Discussion: HITECH and Meaningful Use—A Real-World Debate

Though electronic health records (EHRs) may provide an abundance of information at faster speeds than paper-based records ever could, the cost and challenges related to implementation have prevented many organizations from adopting EHRs. The Health Information Technology for Economic and Clinical Health (HITECH) Act aims to increase the adoption rate by providing financial incentives for health care organizations that demonstrate “meaningful use” of EHRs. In order to receive these funds, settings must meet a specific set of requirements identified by the HITECH legislation.

The adoption of an EHR can often be a frenzied process because of the incentives provided by the HITECH Act. In addition, the saturation of the technology market provides settings with an overwhelming amount of options from which to choose.

In this Discussion, you debate the effectiveness of the HITECH Act and Meaningful Use mandates.

To prepare:

· Consider the ways HITECH and Meaningful Use mandates have impacted a health care setting with which you are familiar.

· Conduct research in the Walden Library and through credible nursing organizations to assess how the nursing informatics community is addressing these mandates.

· Create a list that documents the pros and cons that mandates such as these have on health care settings. Reflect upon your list, and determine whether you believe these mandates are beneficial or harmful to health care organizations and nursing practice.

By Day 3

Post a brief scholarly commentary that describes your stance on issues related to HITECH and meaningful use. 

Include in your commentary your personal beliefs on the issue, your experiences in a health care organization, and/or the pros and cons surrounding these initiatives. 

Select at least one of the following to underscore your stance:

· Mandating change. Do the HITECH Act and Meaningful Use mandates help to drive and equalize change across all health care settings, or do they lead to rapid and sloppy implementations?

· The benefits or ramifications that stem from the use of incentives and disincentives.

· The influence of across-the-board mandates on patient safety, ethics, and quality of care. (I select this one)

· The allocation of funds specifically earmarked for HITECH and Meaningful Use. Is it worth it or wasted?

***APA style with reference, 600 characters minimum*** Due date 3/28/2017 6:00pm E.T***

Required Readings

Saba, V. K., & McCormick, K. A. (2015). Essentials of nursing informatics (6th ed.). New York, NY: McGraw-Hill. 

  • Chapter 5, “Open Source and Free Software”

This chapter introduces the role that open source and free software plays in informatics. The disruptive and beneficial effects of such software are also described.

  • Chapter 16, “Nursing Informatics and Healthcare Policy”

Much debate has revolved around the health care policies of the Obama administration. This chapter highlights the impact these policies could have on health care and the nursing informatics discipline in particular.

  • Chapter 18, “Establishing Nursing Informatics in Public      Policy”

Chapter 18 emphasizes the responsibility that nurse informaticists have in voicing their needs and concerns to public health care policy drivers. The chapter also stresses why informatics leaders need equal parts education, advisement, competencies, and support.

  • Chapter 27, “Computerized Provider Order Entry”

In this chapter, the authors explore the intricacies of electronic health record vendor applications. The chapter examines integration of electronic health records (EHRs) in the practice setting, the possible impacts EHRs can have on medical errors, and how nurses can support successful EHR adoption.

  • Chapter 43, “The TIGER Initiative”

This chapter assesses the TIGER initiative and its impact in the clinical setting. The chapter details how TIGER aims to integrate evidence and technology informatics into daily use to make health care safer and more effective.

Bolla, Y. (2011). Meaningful use 101. Nursing Management, 42(8), 18–22. 

Retrieved from the Walden Library databases.

Meaningful use has the potential to impact all facets of the health care setting. This article defines meaningful use in its most basic terms and describes its stages in detail.

Hersh, W., Jacko, J. A., Greenes, R., Tan, J., Janies, D., Embiand, P. J., & Payne, P. R. O. (2011). Health-care hit or miss? Nature (London), 470(7334), 327–329.

Retrieved from the Walden Library databases.

This article explains the HITECH Act and its origins and benefits. The article also details how the HITECH Act presents an opportunity to expedite the adoption of EHRs in the United States.

The Health Insurance Portability and Accountability Act

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Privacy and Security of Health Records

The Health Insurance Portability and Accountability Act (HIPAA) demands that all patients are able to retrieve their medical records, amend inaccuracies or exclusions, and be informed on how their protected health information (PHI) is shared with third parties. HIPAA provisions have led to a widespread overhauling in electronic medical records. HIPAA laws and regulations are divided into the following five rules.

1. HIPAA Privacy Rule

2. HIPAA Security Rule

3. Transactions and Code Sets Rule 

4. The Unique Identifiers Rule

5. Enforcement Rule

After reading the required chapter “Privacy and Security of Health Records,” complete and submit the following in an APA-

formatted scholarly essay.

Begin your essay with an introduction explaining the purpose of the essay. Explain the five rules of HIPAA laws and regulations.

Identify HIPAA transactions, code sets, and uniform identifiers.

Describe HIPAA security requirements and safeguards.

Discuss the importance of contingency plans.

Describe the proper protocol for handling the following scenario under the HIPAA guidelines:

Scenario: A clinician enters orders and requests labs in an electronic patient record, and then leaves the computer without logging off properly. You are working in the area and notice that the computer is on, but you assume someone is coming back in a minute. Meanwhile, a patient wandering the hallway notices that the computer is on and reviews her friend’s patient record. Who is responsible for the patient’s lost privacy? What corrective measures should be taken to ensure the breach of PHI does not happen again?

Your essay must be at least two pages in length, and you must use at least two academic sources, one of which may be your textbook. At least one source must come from the CSU Online Library. Any information from these sources must be cited and referenced in APA style, and your paper must be formatted in accordance to APA guidelines.

Information about accessing the grading rubric for this assignment is provided below.

An original thesis statement in which you help challenge society’s limiting gender narratives

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Module 2 – Case

ARGUMENTATION

Case Assignment

Note: Module 2 SLP should be completed before the Module 2 Case.

No secondary sources are to be used in the process of writing this first paper; it is to be entirely written based on one’s point of view and supported with body points and details.

Reflecting on the four gender-related videos for Module 2 (see below), write a well-organized and well-supported essay in which you help challenge society’s limiting gender narratives.

A well-organized essay has a beginning, middle, and an end. The beginning, or introduction, should include an opening sentence to grab your reader’s attention. Follow the opening sentence with a brief background on the topic or situation. In this case, it would be an explanation of gender roles, stereotypes, myths, and/or controls in society today. The last sentence of the introduction is the thesis statement. The thesis states the main point of the essay, which in this case, would be a statement affirming what needs to be done to limit gender narratives in society today.

A well-supported essay includes supporting points, details, and examples. For this essay, you must decide the best way to organize the body of the paper. Will you have a paragraph for each change? Will you divide the body of your paper into three or more paragraphs, one for each point? In any case, each body paragraph must support (explain) your reasoning (rationale) using specific details. Each body paragraph must have a topic sentence that states the main point of the paragraph.

The conclusion typically summarizes the main points of the essay and/or closes with a lasting impression that connects the reader to their world. In this case, where is our society headed? Is it too late for change?

Be sure to proofread your essay and edit for proper grammar, punctuation, diction (word choice), and spelling, as errors in sentence skills will lower a final grade. A grade will be determined based on the Module 2 Case expectations and the Trident University General Education rubric for English.

Papers must be double-spaced in Times or Times New Roman font (12 cpi) with standard one-inch margins.

The first person “I” is not used in a formal essay.

This essay must include no less than SIX citations from the assigned background material for module 2. Citations are to be a combination of direct quotations and paraphrased quotations with or without the author’s name. No other sources are to be used for this assignment.

Assignment Expectations

  • Write an essay (no less than four pages in length) that states and supports an original thesis statement in which you help challenge society’s limiting gender narratives.
  • Demonstrate the ability to identify credible and reliable sources for use in a well-supported and cohesive essay.
  • Demonstrate the ability to write a direct quote, paraphrased, or summary citation in APA Style

Module 2

Argumentation, Trident University International

Integrating Sources and Intro to APA, Trident University International

How to evaluate sources: Introduction. (n.d.). The Bedford Research Room: Retrieved December 13, 2017, from http://bcs.bedfordstmartins.com/webpub/Ektron/ReWriting2e/ReWriting/Evaluate%20sources/evaluate_index.htm

4 Ladies get the ‘cover model’ makeover of their dreams … And then hate the results. (n.d.). Upworthy. Retrieved February 22, 2014, from http://www.upworthy.com/4-ladies-get-the-cover-model-makeover-of-their-dreams-and-then-hate-the-results-11113?c=reccon1

Miss representation. (n.d.). Miss Representation. Retrieved February 21, 2014, from http://film.missrepresentation.org/

The mask you live in. (n.d.). The Representation Project. Retrieved February 22, 2014, from http://therepresentationproject.org/films/the-mask-you-live-in/

Watch these 4 girls destroy the female stereotype like the monsters they are. (n.d.). Upworthy. Retrieved February 22, 2014, from http://www.upworthy.com/watch-these-4-girls-destroy-the-female-stereotype-like-the-monsters-they-are-rw1-9b

How the governmental policy process informs the development, implementation, and assessment of policy within health care

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Choose one of the following  three policies related to health care reform that influences the economy:

  1. Individual Mandate
  2. Cost-Sharing Reduction Payments to  Insurers
  3. Meaningful Use—Electronic Health Records    (EHRs), HITECH Act)

Write a paper of 1,000-1,250 words, not including the title and  References page that analyzes the chosen policy. Include the following  in your paper:

  1. Summarize how key elements of health care reform impact the    economy on a macro level.
  2. Research the governmental policy    process that was involved with the development, implementation, and    assessment of the chosen policy. Explain how the governmental policy    process affected the way the policy was developed, implemented, and  assessed.
  3. Explain how the policy proposal you selected may    impact three major stakeholders within the health care system (e.g.,    consumers, insurers, hospital systems).

Cite a minimum of five references to support your rationale.

Prepare this assignment according to the guidelines found in the APA  Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to  beginning the assignment to become familiar with the expectations for  successful completion.

You are required to submit this assignment to Turnitin. Please refer  to the directions in the Student Success Center.

This assignment assesses the following programmatic competencies:

MPA 4.5: Analyze how the governmental policy process informs the    development, implementation, and assessment of policy within health care.

MBA 5.2: Analyze the role of government and national health care    policies and programs and their impact on change within health care    delivery systems.

Health care organization's administrative role regarding oversight of risk management policies and ensuring compliance with managed care organization (MCOs) standards

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Throughout this course, you have identified, examined, and provided individual as well as collaborative analysis on multiple facets of risk management in the health care setting.

Addressing the knowledge you have gained, and building on that knowledge to add your evaluation of the role that the managed care organization (MCO) plays in today’s health care environment, develop a 250-500 word reflection to incorporate the following:

  1. What is a health care organization’s administrative role regarding oversight of risk management policies and ensuring compliance with managed care organization (MCOs) standards?
  2. What is your assessment of the value provided to an organization that stems from the regulatory statutes of a typical MCO? Consider the establishment of conflict resolution and risk management strategies within the health care organization from the employer/employee perspective as well as in regards to patient conflict circumstances.
  3. What MCO responsibilities pertain to the Patient Protection and Affordable Care Act (PPACA) and Center for Medicare and Medicaid Services (CMS) focus on fraud, waste, and abuse laws?

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Developing an environmental assessment of your change project area and its readiness for the specific change project you are going to implement

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Develop a proposed evidence-based change-project plan specific to the environment you are using to implement your change project. Your environmental assessment will include a work breakdown structure, a budget plan, and a measurement tool.

This week, you will design a plan that is at least four pages in length and includes all the information listed in the instructions below to discuss the elements of your proposed plan.

  • Develop an environmental assessment of your change project area and its readiness for the specific change project you are going to implement.
    • Include a work breakdown structure. For example, you could create a (timeline/task list/Gantt chart)—a hierarchical definition of the planned tasks and activities of a project that normally begins with the highest-level activities and works downward into the individual tasks.
    • Include a proposed project budget (table or spreadsheet) for the project that addresses the needed personnel, equipment, and supplies that may have associated costs. Click this link for a sample budget template .
    • Include your measurable evaluation methods (indicators/metrics). Include the actual measurement tool you will use and describe any of the following that are applicable to your project: cost savings, improved efficiencies, access to care (visits/procedures/admissions), patient/family satisfaction, associate satisfaction, associate engagement, retention, clinical outcomes, injury prevention, and risk reduction.

Budget Template (incorporated into the Evidence-Based Change Project Plan)

This is one sample template that you can use for your budget plan. You are not required to use this specific template. If you find another one on your own that you prefer, you may use it or create one yourself.

Make sure your budget plan includes the full budget needed for your project. Consider the following elements:

· What are the areas in which there will be expenses?

· What personnel, equipment, and supplies are needed that may have associated costs?

· All expenditures need to be reported on the budget sheet.

Sample CATEGORYBUDGET AMOUNTACTUAL AMOUNTDIFFERENCE
EXPENSES:   
PERSONNEL:
EDUCATIONAL MATERIALS:   
   
UTILITIES:   
Electricity   
   
Telephone (Land Line, Cell)   
   
MEETING EXPENSES:   
   
AUDIO VISUAL AIDS:   
Cable TV/Videos/Movies   
Computer Expense   
   
MISCELLANEOUS:   
   
Total Investments and Expenses   
Surplus/Shortage (Spendable income minus expenses & investments)   

Disorders Of The Reproductive Systems

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Select two disorders of the male and/or female reproductive systems that interest you. Post a description of the two reproductive disorders you selected, including their similarities and differences. Then, select one of the following factors: genetics, ethnicity, age, or behavior. And explain how the factor you selected might impact the diagnosis of treatment for the reproductive disorders. 

– This work should have Introduction and conclusion

– This work should have at 4 to 5 current references (Year 2013 and up)

– Use at least 2 references from class Learning Resources

The following Resources are not acceptable:

1. Wikipedia

2. Cdc.gov- nonhealthcare professionals section

3. Webmd.com

4. Mayoclinic.com

LEARNING RESOURCES

**Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.

  • Chapter      32, “Structure and Function of the Reproductive Systems”

This chapter establishes a foundation for examining alterations of reproductive systems by examining the female and male reproductive systems. It covers the development of both reproductive systems and effects of aging on the systems.

  • Chapter      33, “Alterations of the Female Reproductive System

This chapter covers alterations of the female reproductive systems. It also explores the epidemiology, clinical manifestations, evaluation, and treatment of sexually transmitted infections.

  • Chapter      34, “Alterations of the Male Reproductive System”

This chapter covers alterations of the male reproductive systems. It also explores the epidemiology, clinical manifestations, evaluation, and treatment of sexually transmitted infections.

**Hammer, G. G. , & McPhee, S. (2014). Pathophysiology of disease: An introduction to clinical medicine. (7th ed.) New York, NY: McGraw-Hill Education.

  • Chapter      22, “Disorders of the Female Reproductive Tract”

This chapter reviews the normal structure and function of the female reproductive tract. It then examines disorders specific to the female reproductive tract such as menstrual disorders and infertility.

  • Chapter      23, “Disorders of the Male Reproductive Tract”

This chapter reviews the normal structure and function of the male reproductive tract. It then explores disorders specific to the male reproductive tract such as male infertility and benign prostatic hyperplasia.