How an informatician can use an outcome measurement of missed school days to monitor and evaluate population health

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Instructions

An informatician conducts data assessments of public health information. They are responsible for organizing, synthesizing, and interpreting data and transforming it into pertinent information that may be used to identify implications for public health program planning and development.

In this assignment, you will continue to use your pre-intervention asthma surveillance data set from the CDC in the Excel spreadsheet to analyze your database from a summary perspective. You will calculate various statistical means of the asthma data in your Excel spreadsheet using Pivot Table reports. You will then answer the following questions in a 3–4-page paper, and embed your pivot tables in your report to explain the summary results. How an informatician can use an outcome measurement of missed school days to monitor and evaluate population health

What statistical mean results do your Pivot Tables demonstrate about this grade school population of students?

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Data Means Statistical Questions

  • What was the most frequent number of missed days?
  • What is the mean (average) number of missed days because of asthmatic conditions?
  • Which school had the highest average of missed days? 
  • Was the school with the highest average of missed days for males the same as the school with the highest average of missed days for females?
  • Is the average number of missed days higher among those who answered yes to asthma than the overall average?
  • What is the average age of the student population?

In a summary, explain how an informatician can use an outcome measurement of missed school days to monitor and evaluate population health; in this situation, asthma cases in elementary school children. Refer to the following article by Moonie, Sterling, Figgs, and Castro (2006): How an informatician can use an outcome measurement of missed school days to monitor and evaluate population health

Awareness of health care quality and safety issues, as well as advocated for health care reform

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                Awareness of health care quality and safety issues, as well as advocated for health care reform

                   Discussion: Improving Quality

Improving the quality of health care delivery and patient safety continues to be a political concern and has been at the heart of reform issues for many years. The American Nurses Association (ANA) and the Institute of Medicine (IOM) have increased awareness of health care quality and safety issues, as well as advocated for health care reform. The documents featured at the ANA and IOM websites listed in this week’s Learning Resources focus on many of the current issues surrounding quality and safety in the health care industry. 

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                                              To prepare:

Review this week’s Learning Resources, focusing on the Six Aims for Improvement presented in the landmark report “Crossing the Quality Chasm: The IOM Health Care Quality Initiative.” 

Consider these six aims with regard to your current organization, or one with which you are familiar. In what areas have you seen improvement? What areas still present challenges? As a nurse leader, how can you contribute to improving the organization’s achievement of these aims? Awareness of health care quality and safety issues, as well as advocated for health care reform

Select one specific quality or safety issue that is presenting a challenge in the organization. Consider at least one quality improvement strategy that could be used to address the issue, as well as which of the six aims for improvement would then be addressed.

Reflect on your professional practice and your experiences with inter-professional collaboration to improve quality and safety. How has inter-professional collaboration contributed to your organization’s efforts to realize the IOM’s six aims for improving health care? Where has inter-professional collaboration been lacking?

Post a description of the quality or safety issue you selected and a brief summary of the impact that this issue has on health care delivery. Describe at least one quality improvement strategy used to address this issue. Then explain which of the six “aims for improvement” are addressed by the strategy. Finally, explain how inter-professional collaboration helps improve quality in this area.

                                           Required Readings

Knickman, J. R., & Kovner, A. R. (Eds.). (2015). Health care delivery in the united states (11th ed.). New York, NY: Springer Publishing.

Chapter 13, “High Quality Health Care” (pp. 273–295)

Chapter 2, “A Visual Overview of Health Care Delivery in the United States” (pp. 13–27) 

These chapters discuss the current state of health care quality, as well as efforts to measure and improve quality.

Chapter 14, “Managing and Governing Health Care Organizations” (pp. 297–309) Awareness of health care quality and safety issues, as well as advocated for health care reform

This chapter details the vital importance of developing a better understanding of why and how heath care organizations are governed and managed in order to improve accountability.

CHECK THE BOOK,  DOCUMENT, AND MEDIA PRESENTATION VIDEO  ATTACHED BELLOW TO COMPLETE THE DISCUSSION QUESTION

Interprofessional Collaborative Practice and Advanced Practice Nurses

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Response to main discussion post for week 5

Discussion: Interprofessional Collaborative Practice and Advanced Practice Nurses

Interprofessional practice requires that health care practitioners recognize that patient outcomes are better when there is a collaborative team approach in addressing patient health issues. Also, there are barriers to interprofessional practice that must be addressed among health care practitioners. The Interprofessional Education Collaborative (IPEC) is an initiative including multiple professions designed to advance interprofessional education so that students entering health care professions are able to view collaboration as the norm and seek collaborative relationships with other providers (IPEC, 2011).

This week your Discussion will focus on interprofessional practice. This Discussion is an opportunity for you to examine your perspective and experiences with interprofessional collaborative practice and to apply your knowledge to managing patient care. Interprofessional Collaborative Practice and Advanced Practice Nurses

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To prepare:
  • Identify a professional nursing organization and review their position on interprofessional practice
  • Review the following case study:

Case Study:

Ms. Tuckerno has been diagnosed with multiple sclerosis (MS). The patient receives care at an internal medicine clinic. Her internist is not in the office today and she is being treated by the nurse practitioner. The patient is on two medications for her MS, three different blood pressure medications, one medication for thyroid disease, one diabetic pill daily, insulin injections twice a day, she uses medical cannabis, and uses eye drops for glaucoma. Upon assessing the patient, the nurse practitioner (NP) decides her treatment plan should be adjusted. The NP discontinues some of the patient’s meds and discontinues medical cannabis. She orders the patient to follow up in two weeks.

The patient returns and is seen by her internist. The internist speaks with the patient and reviews her medical chart. The internist states to the patient, “I am dissatisfied with the care you received from the nurse practitioner.” The internist places the patient back on originally prescribed medications and medical cannabis.

By Day 3

Post an explanation of your understanding of interprofessional practice. Also, explain the position on interprofessional practice for a professional nursing organization that you are a member of or of which you plan to become a member. Then, explain what you think is the best collaborative approach to manage Ms. Tuckerno’s care.

Read a selection of your colleagues’ responses. Interprofessional Collaborative Practice and Advanced Practice Nurses

By Day 7

Respond to at least two of your colleagues on two different days who shared a different perspective than you did. Based on your personal and/or professional experiences, expand on your colleagues’ postings by providing additional insights or contrasting perspectives.

Strengths and Barriers to Program Implementation

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 As you design your program, it is important to anticipate potential issues related to program implementation. Careful forethought can help you to minimize unnecessary stumbling blocks during implementation.
 

There are strengths and barriers associated with every program. What do you see as the key factors to be aware of for your program? Brainstorm key terms such as community, culture, environment, organization, client, bias, and ethics. Give consideration to the factors you come up with (along with those in the Learning Resources) as you proceed with this Discussion. Strengths and Barriers to Program Implementation
 

To prepare:

  • Review      the information presented in the Learning Resources. What are some of the      factors (e.g., community, organization, environmental, ethical) that you      consider strengths or facilitators for your program (breast cancer in      African American women in the USA)?
  • Which      ones do you think may pose a challenge for your program(breast cancer in      African American women in the USA)?
  • How      do these barriers need to be addressed in your program design? 
  • How      might the strengths be leveraged to help overcome the barriers?

     

By tomorrow Wednesday 01/02/19 2 pm post a minimum of 550 words essay in APA format with a minimum of 3 scholarly references from the list of required readings below. (Also see attached file on the previous paper regarding the program on the issue of breast cancer in African American women in the USA). Include the level one header as numbered below:

Post a cohesive scholarly response that addresses the following:

1) Analyze two or more community, client, organization, and/or environmental forces that may facilitate your program and two or more that may pose a challenge for your program (breast cancer in African American women in the USA).

2) Propose a strategy for addressing one of the barriers as a part of your program design (breast cancer in African American women in the USA)? Strengths and Barriers to Program Implementation

3) Ask questions of your colleagues regarding how you might address the other challenge.

Required Readings

Hodges, B. C., & Videto, D. M. (2011). Assessment and planning in health programs (2nd ed.). Sudbury, MA: Jones & Bartlett Learning.

• Chapter 4, “Program Planning: The Big Picture”

• Chapter 5, “Social Marketing, Program Planning, and Implementation”

• Chapter 8, “Identifying Strategies and Activities”

• Chapter 9, “Program Implementation”

Chapter 4 outlines the program planning steps and emphasizes the importance of including your target population and additional stakeholders in the design process. Chapter 5 reemphasizes this focus on the target audience as the authors discuss the use of marketing principles in relation to program development and implementation. Chapter 8 discusses the importance of utilizing strategies that are aligned with the theoretical foundations of a program and presents recommendations for developing suitable activities. In Chapter 9, the authors note that even implementation requires planning; they provide guidance for implementation planning and advise how this can also support evaluation.

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Kettner, P. M., Moroney, R. M., & Martin, L. L. (2017). Designing and managing programs: An effectiveness-based approach (5th ed.). Thousand Oaks, CA: Sage.

Review Chapter 6, “Selecting the Appropriate Intervention Strategy”

Chapter 8, “Designing Effective Programs”

Review Chapter 6, which discusses the connection between the program hypothesis and service decisions. Chapter 8 addresses how to design elements of a program systematically in order to promote consistency and attend to the necessary details.

Breslau, E.S., Weiss, E.S., Williams, A., Burness, A., & Kapka, D. (2015). The implementation road: Engaging community partnerships in evidence-based cancer control interventions. Health Promotion Practice, 16(1), 40–54 doi: 10.1177/1524839914528705 Strengths and Barriers to Program Implementation

Buck, H.G., Kolanowski, A., Fick, D., & Baronner, L (2016). Improving rural geriatric care through education: A scalable, collaborative project. The Journal of Continuing Education in Nursing, 47(7), 306-313 doi:10.3928/00220124-20160616-06 

KIDASA Software. (n.d.). Gantt charts. Retrieved December 12, 2011, from http://www.ganttchart.com/Examples.html

This site provides examples of different forms of Gantt charts.

Minb, A., Patel, S., Bruce-Barrett, C., O-Campo, P. (2015). Letting youths choose for themselves: Concept mapping as a participatory approach for program and service planning. Family Community Health, 38(1), 33–43 doi: 10.1097/FCH.0000000000000060

Soong, C.S., Wangm M.P., Mui, M., Viswanath, K., Lam, T.H., & Chan, S.SC. (2015). A “community fit” community-based participatory research program for family health, happiness, and harmony: Design and implementation. JMIR Research Protocols, 4(4), 1–10 doi:10.2196/resprot.4369

Witherspoon, B., Braunlin, K., & Kumar, A.B. (2016). A secure, social media-based “case of the month” module in a neurocritical care unit (2016). American Journal of Critical Care, 25(4), 310–317 doi: http://dx.doi.org/10.4037/ajcc2016203

Required Media

Laureate Education (Producer). (2011). Design and evaluation of programs and projects [Video file]. Baltimore, MD: Author.

“Designing Effective Programs” (featuring Dr. Donna Shambley-Ebron, Dr. Debora Dole, and Dr. Rebecca Lee)

You may view this course video by clicking the link or on the course DVD, which contains the same content. Once you’ve opened the link, click on the appropriate media piece.

In this week’s videos, Dr. Donna Shambley-Ebron, Dr. Debora Dole, and Dr. Rebecca Lee share experiences related to designing effective programs. Strengths and Barriers to Program Implementation

Education plan for asthma prevention among school children

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Education plan for asthma prevention among school children

Good public health program planners are able to clearly describe, descriptively and/or analytically, the priority population and use that information to guide them when developing an intervention (activity) to address the specific problem.

In your final deliverable consisting of both an 8–10-page report and a 15–20-slide PowerPoint presentation, you will use the information from the pre-intervention elementary school asthma study to create an education plan for asthma prevention among school children in four schools, based on the social ecological model. See the model illustration below.

The findings and recommendations in your paper and PowerPoint presentation must be supported by your primary data results and peer-reviewed literature. Give reasons and examples in support of your positions. Cite all sources using APA format. Education plan for asthma prevention among school children

Click here to install Minitab Software.

You may review the following resources:

  • CDC. (2013). Colorectal cancer control program (CRCCP): Social ecological model. Retrieved from http://www.cdc.gov/cancer/crccp/sem.htm
  • CDC. (2012). Program Performance and Evaluation Office (PPEO)—Program evaluation: A framework for program evaluation. Retrieved from http://www.cdc.gov/eval/framework/index.htm

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Report

Your plan should be delivered in an 8–10-page report and include:

  • Clear explanations of each level of the ecological model and how it addresses the problem.
  • Positions supported by the asthma data and statistics from this course, which support the need for the education program.
  • Calculations indicating if there is a significant difference in asthma prevalence between four schools (A, B, C, and D) using Statistical Inference and t-Tests. Refer to the help files in the Minitab application specifically for Statistical Inference and t-Tests.
  • A well-supported answer to the question: Is there one school that has a greater need than others for priority in asthma education and why?

PowerPoint Presentation

Your 15–20-slide PowerPoint presentation should summarize your informatics research completed in Weeks 1–4, and your final needs assessment findings and recommendations. The PowerPoint presentation must include:

  • Relevant information from your asthma study, and be visually stimulating with graphics and pictures as appropriate
  • References both within the PowerPoint slides and a full citation on the last slide
  • Speaker notes on each slide plus an audio file of your narration of the presentation using the “record narration” feature. Education plan for asthma prevention among school children

Submission Details:

  • Submit your 15–20-slide presentation in MS PowerPoint format and your 8–10-page report in a MS Word format to the Submissions Area by the due date assigned.
  • Name your document SU_PHE6203_W5_A2_A_LastName_FirstInitial.doc and your PowerPoint presentation SU_PHE6203_W5_A2_B_LastName_FirstInitial.ppt.

Attachments

Submissions

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  • Activity Details

Task: Submit to complete this assignment Due Ja 

Clinical impressions regarding diagnosis and or symptoms

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Using the client family from your Week 3 Practicum Assignment, address in a progress note (without violating HIPAA regulations) the following:

  • Treatment modality used and efficacy of approach
  • Progress and/or lack of progress toward the mutually agreed-upon client goals (reference the treatment plan for progress toward goals) Clinical impressions regarding diagnosis and or symptoms
  • Modification(s) of the treatment plan that were made based on progress/lack of progress
  • Clinical impressions regarding diagnosis and or symptoms
  • Relevant psychosocial information or changes from original assessment (e.g., marriage, separation/divorce, new relationships, move to a new house/apartment, change of job)

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  • Safety issues
  • Clinical emergencies/actions taken
  • Medications used by the patient, even if the nurse psychotherapist was not the one prescribing them
  • Treatment compliance/lack of compliance
  • Clinical consultations
  • Collaboration with other professionals (e.g., phone consultations with physicians, psychiatrists, marriage/family therapists)
  • The therapist’s recommendations, including whether the client agreed to the recommendations
  • Referrals made/reasons for making referrals
  • Termination/issues that are relevant to the termination process (e.g., client informed of loss of insurance or refusal of insurance company to pay for continued sessions)
  • Issues related to consent and/or informed consent for treatment
  • Information concerning child abuse and/or elder or dependent adult abuse, including documentation as to where the abuse was reported
  • Information reflecting the therapist’s exercise of clinical judgment

Note:Be sure to exclude any information that should not be found in a discoverable progress note.

Part 2: Privileged Note

Based on this week’s readings, prepare a privileged psychotherapy note that you would use to document your impressions of therapeutic progress/therapy sessions for your client family from the Week 3 Practicum Assignment.

In your progress note, address the following:

  • Include items that you would not typically include in a note as part of the clinical record.
  • Explain why the items you included in the privileged note would not be included in the client family’s progress note.
  • Explain whether your preceptor uses privileged notes. If so, describe the type of information he or she might include. If not, explain why. Clinical impressions regarding diagnosis and or symptoms

Organizational Structures And Leadership

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Organizational Structures And Leadership

In most health care settings, it is unlikely that you would hear the terms “ad hoc” or “matrix” as you walk down the hallway. Although it is helpful for any organization to delineate pathways of responsibility and authority in an organizational chart, the lived experience of these structures is most apparent through the inquiries and behaviors people share everyday.

In your own workplace, you may find yourself wondering, who should I turn to when I have a practice dilemma? or Where can I go to learn more about this issue? These questions speak to the intricacies of formal and informal organizational structure and leadership.

To prepare:

  • Review the information presented in Chapter 12 of the course text. Focus on the information about formal versus informal structure as well as the types of organizational structures.
  • Consider the overall structure or hierarchy of your organization or one with which you are familiar. Which organizational structure best describes your organization—line (or bureaucratic), ad hoc, matrix, service line, or flat? Note: It is possible to have a combination of structures in one organization. Is decision making centralized or decentralized in this organization? Organizational Structures And Leadership
  • What is the role of committees, task forces, and councils in the organization, and who is invited to join? Consider how this relates to formal and informal leadership.
  • Reflect on how decisions are made within a specific department or unit. Which stakeholders provide input or influence the decision-making process? Assess this in terms of formal and informal leadership.
  • To support your analysis, consider your own experiences and investigate these matters by speaking with others at the organization and reviewing available documents. Be sure to consider how the concepts of formal and informal structure and leadership relate to one another and are demonstrated in the organization and in the particular department or unit.

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Post on or before Day 3 a (1) depiction of your organization’s formal structure, indicating whether it is best described as line, ad hoc, matrix, service line, flat, or a combination. (2) Describe how decisions are made within the organization and within one department or unit in particular, noting relevant attributes of centralized/decentralized decision making. (3) Explain the influence of formal and informal leadership on decision making within this department or unit

REQUIRED RESOURCES

Readings

  • Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application(8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.
    • Chapter 2, “Classical Views of Leadership and Management”

      The information introduced through this chapter relates to this week’s Discussion, and will also be referred to in future weeks of the course.
    • Chapter 3, “Twenty-First Century Thinking About Leadership and Management”

      This chapter examines new thinking about leadership and management and how this may influence the future of nursing. Organizational Structures And Leadership
    • Review Chapter 12, “Organizational Structure” 
  • Allmark, P., Baxter, S., Goyder, E., Guillaume, L. and Crofton-Martin, G. (2013), Assessing the health benefits of advice services: using research evidence and logic model methods to explore complex pathways. Health & Social Care in the Community, 21, pp. 59–68. doi:10.1111/j.1365-2524.2012.01087.x

    This manuscript examines causal pathways between the provision of advice services and improvements in health. It may also be useful to commissioners and practitioners in making decisions regarding development and commissioning of advice services.
  • Downey, M., Parslow, S., & Smart, M. (2011). The hidden treasure in nursing leadership: Informal leaders. Journal of Nursing Management, 19(4), 517–521.
    Retrieved from the Walden Library databases.

    Informal leaders can have a strong impact in the workplace. This article explores the value informal leaders can provide.
  • Stetler, C. B., Ritchie, J. A., Rycroft-Malone, J., & Charns, M. P. (2014). Leadership for Evidence-Based Practice: Strategic and Functional Behaviors for Institutionalizing EBP. Worldviews on Evidence-Based Nursing, 11(4), 219-226. doi:10.1111/wvn.12044

    Except from Abstract: Making evidence-based practice (EBP) a reality throughout an organization is a challenging goal in healthcare services. Leadership has been recognized as a critical element in that process. However, little is known about the exact role and function of various levels of leadership in the successful institutionalization of EBP within an organization.

Media

  • Laureate Education, Inc. (Executive Producer). (2012a). Diverse organizational structures. Baltimore, MD: Author.

    Note: The approximate length of this media piece is 7 minutes.

    This week’s media pieces further explore the structure of the three organizations presented in Week 1. The experts provide additional insights into how the structure of the organization influences nursing practice and patient care. Organizational Structures And Leadership

Organizational Structures And Leadership

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Organizational Structures And Leadership

In most health care settings, it is unlikely that you would hear the terms “ad hoc” or “matrix” as you walk down the hallway. Although it is helpful for any organization to delineate pathways of responsibility and authority in an organizational chart, the lived experience of these structures is most apparent through the inquiries and behaviors people share everyday.

In your own workplace, you may find yourself wondering, who should I turn to when I have a practice dilemma? or Where can I go to learn more about this issue? These questions speak to the intricacies of formal and informal organizational structure and leadership.

To prepare:

  • Review the information presented in Chapter 12 of the course text. Focus on the information about formal versus informal structure as well as the types of organizational structures.
  • Consider the overall structure or hierarchy of your organization or one with which you are familiar. Which organizational structure best describes your organization—line (or bureaucratic), ad hoc, matrix, service line, or flat? Note: It is possible to have a combination of structures in one organization. Is decision making centralized or decentralized in this organization? Organizational Structures And Leadership
  • What is the role of committees, task forces, and councils in the organization, and who is invited to join? Consider how this relates to formal and informal leadership.
  • Reflect on how decisions are made within a specific department or unit. Which stakeholders provide input or influence the decision-making process? Assess this in terms of formal and informal leadership.
  • To support your analysis, consider your own experiences and investigate these matters by speaking with others at the organization and reviewing available documents. Be sure to consider how the concepts of formal and informal structure and leadership relate to one another and are demonstrated in the organization and in the particular department or unit.

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Post on or before Day 3 a (1) depiction of your organization’s formal structure, indicating whether it is best described as line, ad hoc, matrix, service line, flat, or a combination. (2) Describe how decisions are made within the organization and within one department or unit in particular, noting relevant attributes of centralized/decentralized decision making. (3) Explain the influence of formal and informal leadership on decision making within this department or unit

REQUIRED RESOURCES

Readings

  • Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application(8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.
    • Chapter 2, “Classical Views of Leadership and Management”

      The information introduced through this chapter relates to this week’s Discussion, and will also be referred to in future weeks of the course.
    • Chapter 3, “Twenty-First Century Thinking About Leadership and Management” Organizational Structures And Leadership

      This chapter examines new thinking about leadership and management and how this may influence the future of nursing.
    • Review Chapter 12, “Organizational Structure”
  • Allmark, P., Baxter, S., Goyder, E., Guillaume, L. and Crofton-Martin, G. (2013), Assessing the health benefits of advice services: using research evidence and logic model methods to explore complex pathways. Health & Social Care in the Community, 21, pp. 59–68. doi:10.1111/j.1365-2524.2012.01087.x

    This manuscript examines causal pathways between the provision of advice services and improvements in health. It may also be useful to commissioners and practitioners in making decisions regarding development and commissioning of advice services.
  • Downey, M., Parslow, S., & Smart, M. (2011). The hidden treasure in nursing leadership: Informal leaders. Journal of Nursing Management, 19(4), 517–521.
    Retrieved from the Walden Library databases.

    Informal leaders can have a strong impact in the workplace. This article explores the value informal leaders can provide.
  • Stetler, C. B., Ritchie, J. A., Rycroft-Malone, J., & Charns, M. P. (2014). Leadership for Evidence-Based Practice: Strategic and Functional Behaviors for Institutionalizing EBP. Worldviews on Evidence-Based Nursing, 11(4), 219-226. doi:10.1111/wvn.12044

    Except from Abstract: Making evidence-based practice (EBP) a reality throughout an organization is a challenging goal in healthcare services. Leadership has been recognized as a critical element in that process. However, little is known about the exact role and function of various levels of leadership in the successful institutionalization of EBP within an organization.

Media

  • Laureate Education, Inc. (Executive Producer). (2012a). Diverse organizational structures. Baltimore, MD: Author.

    Note: The approximate length of this media piece is 7 minutes.

    This week’s media pieces further explore the structure of the three organizations presented in Week 1. The experts provide a dditional insights into how the structure of the organization influences nursing practice and patient care.  Organizational Structures And Leadership

High blood LDL cholesterol and triglyceride levels

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High blood LDL cholesterol and triglyceride levels

Dave is a 46-year-old attorney with a family history of heart disease (his father had a heart attack at the age of 56) whose recent blood tests reveal high blood LDL cholesterol and triglyceride levels. His doctor has advised him to eat less fat in his diet. Dave is a self-confessed “foodie” and he enjoys wine and cheese at several social functions each week. He cooks with “real” butter at home and uses half milk and half cream in his coffee. Although fairly inactive, Dave keeps his weight stable at 170 pounds. He is 5 feet 10 inches tall. 1. What factors may be contributing to Dave’s elevated cholesterol and triglyceride levels? 2.

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From the history given, identify the main sources of saturated fat in Dave’s diet. What are some reasonable changes he could make to lower his intake of saturated fat from these foods? 3. Assume Dave eats about 2000 kcalories a day and that his doctor has advised him to limit his fat intake to 35 percent of his daily kcalories. Refer to the “How to” feature (p. 155) of this chapter to calculate his personal Daily Value for fat. 4. According to the 2010 Dietary Guidelines for Americans, what is the maximum percentage of kcalories from saturated fat that Dave should consume each day? Remembering that 1 gram of fat contains 9 kcalories, calculate the maximum grams of saturated fat that Dave should eat each day based on his daily intake of 2000 kcalories. 5. Using information from Highlight 5, what additional advice would you offer Dave to improve his heart health? 6. Plan a one-day menu for Dave with higher amounts of healthful fatty acids and lower amounts of harmful fatty acids.High blood LDL cholesterol and triglyceride levels

Horizontally integrated health system and the vertically integrated health system

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Horizontally integrated health system and the vertically integrated health system

Healthcare administration

Integration of Health Systems

Intermountain Healthcare is a high-performing integrated health system with facilities in Utah and Idaho. The health system has a long-standing clinical integration structure that encourages professional collaboration. Despite this, in 1999, many physicians at Intermountain Healthcare found it difficult to fulfill the needs of patients with co-occurring physical and mental health conditions. To efficiently and effectively address this issue, Intermountain Healthcare adopted a mental health integration model in many of its primary care facilities, as well as some of its specialty clinics and partner clinics. The team-based approach has improved the coordination of services, resulting in higher quality care at a savings of cost. Horizontally integrated health system and the vertically integrated health system

Consider the example above. What advantages does integration afford Intermountain Healthcare? Do other integrated health systems experience similar benefits? Are there disadvantages to integration? If so, what are they?

To prepare for this Assignment,review the information related to vertical and horizontal integration presented in the Learning Resources.

Select one of the following horizontally integrated health systems:

·         DaVita

·         Apria

·         Sunrise Senior Living

·         Labcorp

·         Quest Diagnostics

Also select one of the following vertically integrated health systems:

·         Kaiser Permanente

·         Mayo Clinic

·         Cleveland Clinic

·         MedStar Health

·         Memorial Hermann Healthcare System Houston

As an alternative, you may use Becker’s Hospital Review resource to identify a vertically integrated health system.

Using the Walden Library and credible sources on the Internet, research your selected health systems. Investigate the rationale for pursuing integration and the strategies each health system has used to achieve integration. Note information related to the size of each health system, settings/locations, and types of services it provides.

Based on your research, consider the ways in which the two health systems are similar to and/or different from one another

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Assess the business and health care-related implications of horizontal and vertical integration of your selected health systems. How does integration impact the management of your selected organizations and the patients/consumers they serve, especially in terms of cost, quality, and access?

Consider any applicable insights you have gained through the Discussion for this module. Horizontally integrated health system and the vertically integrated health system

The Assignment

Write a 3- to 4-page paper in which you:

·         Compare the horizontally integrated health system and the vertically integrated health system you have selected (e.g., size, settings/locations, and types of services).

·         Explain each health system’s rationale for pursuing integration and the strategies it has used to achieve integration.

·         Assess the business and health care-related implications of integration for your selected health systems, including how integration impacts the patients/consumers the organization serves.

Your Assignment must be written in standard edited English. Be sure to support your work with specific citations from this module’s Learning Resources and additional scholarly sources as appropriate.

Resources

Readings

·         Shi, L., & Singh, D. (2015). Delivering health care in America: A systems approach (6th ed.). Burlington, MA: Jones & Bartlett.

o    Chapter 9, “Managed Care and Integrated Organizations” (pp. 361–368)

·         Cohen, A., Klein, S., & McCarthy, D. (2014). Hill Physicians Medical Group: A market-driven approach to accountable care for commercially insured patients. Retrieved fromhttp://www.commonwealthfund.org/~/media/files/publications/case-study/2014/oct/1770_cohen_hill_physicians_aco_case_study.pdf

·         Cutler, D. M., & Morton, F. S. (2013). Special communication: Hospitals, market share, and consolidation. JAMA, 310(18), 1964–1970.
Retrieved from the Walden Library databases.

·         Sanford, K. D. (2013). Integration requires new roles and responsibilities. Healthcare Financial Management, 67(3), 56–60.
Retrieved from the Walden Library databases.

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·         Summer, L. (2014). Research insights: Integration, concentration, and competition in the provider marketplace. Retrieved fromhttp://www.academyhealth.org/files/publications/AH_R_Integration%20FINAL2.pdf

Use the following resources to select integrated health systems on which to focus for your Assignment. You may also use this list to develop background information as you research health systems in your area for the Discussion. Horizontally integrated health system and the vertically integrated health system

·         Rodak, S. (2013). 100 integrated health systems to know. Retrieved fromhttp://www.beckershospitalreview.com/lists/100-integrated-health-systems-to-know.html

Vertically Integrated Health Systems

·         Cleveland Clinic. (n.d.). Retrieved March 27, 2015, from http://my.clevelandclinic.org

·         Kaiser Permanente. (n.d.). Retrieved March 27, 2015, from http://kp.kaiserpermanente.org/

·         Mayo Clinic. (n.d.). Retrieved March 27, 2015, from http://www.mayoclinic.org

·         MedStar Health. (n.d.). Retrieved March 27, 2015, from https://www.medstarhealth.org/

·         Memorial Hermann Healthcare System Houston. (n.d.). Retrieved March 27, 2015, fromhttp://www.memorialhermann.org

Horizontally Integrated Health Systems

·         Apria. (n.d). Retrieved March 27, 2015, from www.apria.com

·         DaVita. (n.d). Retrieved March 27, 2015, from www.davita.com

·         Labcorp. (2014). Retrieved March 27, 2015, from https://www.labcorp.com/

·         Quest Diagnostics. (n.d.). Retrieved March 27, 2015, from http://www.questdiagnostics.com/

·         Sunrise Senior Living. (n.d.). Retrieved March 27, 2015, from http://www.sunriseseniorliving.com/ Horizontally integrated health system and the vertically integrated health system