Assignment Overview

This assignment is intended to demonstrate your comprehension of the main principles of health informatics, as well as the primary applications of health informatics in healthcare organizations.

For this assignment, you will read a case study that presents difficulties associated with implementing a new computer system in a professional setting. Based on the scenario described in the case study and assignment details, you will create a short PowerPoint presentation.

Assignment Details:

Perform the following tasks:

· Complete the reading assignment and the interactive lesson before attempting this assignment.

· To complete this assignment:

o Review the case study and select one of the committee roles.

o Download the provided PowerPoint template to create a presentation that includes:

§ Your selection as a member on the committee 

§ Identification one or more issues, related to your role on the committee

§ Identification of probable cause(s) of identified issue(s)

§ Proposed recommendations to resolve the identified issues 

§ Reference slide – list of academic references, using APA style 

o Ensure to support the content of your slides with research from your text or the LRC.

·

Ø Case Study

Read the following case study

A good friend of yours is director of nursing at a 220-bed community hospital. Last year the hospital merged with a much larger medical center. One of the upsides, as well as one of the challenges, resulting from this change has been the rapid introduction of new computer systems. The goal is to bring the hospital “up to speed” within 3 years. At present, the Computerized Physician Order Entry (CPOE) is being implemented. The general medical and surgical units went live last month. The ICU, pediatrics, and obstetrics units are scheduled to go live next month. The plan is to work out any kinks or problems on the general units and then go live in the specialty units. Most of the physicians, nurse practitioners, and physician assistants initially complained but are now becoming more comfortable with the computers and are beginning to integrate the CPOE process into their daily routines. Several physicians are now requesting the ability to enter orders from their offices and others are looking into this option. However, three physicians have not commented during this process but are clearly resisting. For example, after performing rounds and returning to their offices they called the unit with verbal orders. After being counseled on this behavior, they began to write the orders on scraps of paper and put these in the patient’s charts or leave them at the nurses’ station. When they were informed that these were not “legal orders,” they began smuggling in order sheets from the non-activated units. In addition, they have been coercing the staff nurses on the units to enter the orders for them. This has taken two forms. Sometimes they sign in and then ask the nurses to enter the orders. Other times they ask the nurses to put the orders in verbally and then they confirm the orders. The nurses feel caught between the hospital’s goals and the need to maintain a good working relationship with these physicians. 

You suggest to your friend (director of nursing) to create an informal committee to review the issues surrounding the CPOE implementation. The committee would determine methods to address these issues, prior to implementing CPOE within the ICU, pediatrics, and obstetrics units. Your friend appreciates the suggestion and forms a small committee with the following members:

· Taylor Terrific, RN – a nurse practitioner

· Dr. Dudley Do-Right – a physician who uses the CPOE system routinely and correctly

· Dr. Frank Burns – a physician who rarely, if ever, uses the CPOE system

The director of nursing asks each committee member to create a short PowerPoint presentation for the committee. The presentation would identify issues that occurred during CPOE implementation, identify potential causes of such issues, and list specific recommendations, based on strong rationale and research, to resolve the identified issues prior to the next CPOE implementation. Each committee member will have a unique perspective, based on their position (i.e., nurse, physician).

PowerPoint Presentation

Directions:

1. Review the case study and select one of the committee roles.

2. Download the PowerPoint template (Week 2 Assignment Template). 

· The link to this template can be found in your Blackboard course in Week 2.

3. Select one of the following roles on the committee 

· Taylor Terrific, RN – a nurse practitioner

· Dr. Dudley Do-Right – a physician who uses the CPOE system routinely and correctly

· Dr. Frank Burns – a physician who rarely, if ever, uses the CPOE system

4. Use the PowerPoint template to create slides that:

· Identify one or more issues, related to your role on the committee

· Identifies probable cause(s) of identified issue(s)

· States proposed solutions or processes to address the identified issues

§ Solutions are supported by specific rational and research.

· Includes a reference slide – a list of academic references, using APA style 

5. Ensure to support the content of your slides by the case study, research from your text, or the LRC.

 HUM1001 History of Art through the Middle Ages SU01

Question 1. The Evolution of Greek Sculpture

As we learned this week, sculptors in Ancient Greece strove to achieve perfection in the works of art they created. Carefully examine the following sculptures and read about each one in your textbook, course and video lectures, and through reliable internet resources:

Peplos Kore, from the Acropolis, Athens, c. 530 BCE
Warrior, found in the sea off Riace, Italy, c. 460-450 BCE
Hagesandros, Polydoros, and Athanadoros of Rhodes, Laocoön and His Sons, 2nd-1st c BCE

Then, in a minimum of 2 well-developed paragraphs, answer the following questions:

• What specific visual similarities do you observe in these three sculptures?
• What specific differences do you see? Consider the representation of the figure, facial expression or suggested emotion, additional objects portrayed, and the role of the viewer for each sculpture.
• How is each sculpture representative of the period in Ancient Greece (e.g., Archaic, Classical, Hellenistic) in which it was created?

Be sure to explain your ideas clearly and support them by discussing specific details about each sculpture.

Question 2. Religious Symbolism

This week, we studied cultures that recognized a pantheon of gods and goddesses, such as Ancient Greece and Rome, and also explored the early artistic objects of the Jewish and Christian faiths.

Carefully examine the following sculptures and read about each one in your textbook, course and video lectures, and through reliable internet resources:

Initiation Rites of the Cult of Bacchus, wall painting in the Villa of the Mysteries, Pompeii, c. 50 BCE
Ark of the Covenant and Menorahs, wall painting in a Jewish catacomb, Villa Torlonia, Rome, 3rd c CE
The Transfiguration of Christ, Church of Sant’ Apollinare in Classe, 533-549 CE

Then, in a minimum of 3 well-developed paragraphs, address the following questions:

1. What is the subject matter shown in each work?
2. What is the belief system or faith represented in each work?
3. What religious symbols do you observe in each work?
4. How would the setting of each work have influenced how the contemporary viewer interpreted or understood its meaning?

Be sure to provide citations for any outside sources you reference in this part of your response.

 Occupational Health and Safety – Surgical Smoke Evacuation Initiative 

This assignment builds on the Risk Management Program Analysis Part One assignment you completed in Topic 1 of this course.

Assume that the example risk management program you analyzed in Topic 1 was developed by and is now currently implemented by your health care employer/organization. Further assume that your supervisor has asked you to present a high-level summary brief of this new risk management program to a group of administrative personnel from a newly created community health organization in your state who has enlisted your organization’s assistance in developing their own risk management policies and procedures.

Compose a 1,250-1,500 word summary brief that expands upon the elements you addressed in the Risk Management Program Analysis Part One assignment. In addition, analyze the following:

1. Explain the Joint Commission’s role in the evaluation of an organization’s quality management processes.
2. Describe the roles that different levels of administrative personnel play in establishing or sustaining operational policies that are focused on employer-employee organizational risk management policies.
3. Explain the relationship of risk management programs and compliance with ethical standards.

Jessica is a 32 y/old math teacher who presents to the ER with a friend for evaluation of sudden decrease of vision in the left eye. She denies any trauma or injury. It started this morning when she woke up and has progressively worsened over the past few hours. She had some blurring of her vision 1 month ago and thinks that may have been related to getting overheated, since it improved when she was able to get in a cool, air-conditioned environment. She has some pain if she tries to move her eye, but none when she just rests. She is also unable to determine colors. She denies tearing or redness or exposure to any chemicals. Nothing has made it better or worse.

She is normally healthy. She had chickenpox at age 10 and a tonsillectomy/adenoidectomy at age 11. She has no medical problems. She has never been hospitalized. She has four children, all spontaneous vaginal deliveries.  She completed a bachelor’s degree in mathematics and a master’s degree in education. She quit smoking 10 years ago (two packs daily for 5 years); she drinks an occasional wine cooler, and she denies illicit drug use. Her father has a coronary artery disease (he had a stent placed at age 67) and a mother with hypertension.

She denies fever, chills, night sweats, weight loss, fatigue, headache, changes in hearing, sore throat, nasal or sinus congestion, neck pain or stiffness, chest pain or palpitations, shortness of breath or cough, abdominal pain, diarrhea, constipation, dysuria, vaginal discharge, swelling in the legs, polyuria, polydipsia, and polyphagia.

Patient is alert; she appears anxious. BP 135/85 mm Hg; HR 64bpm and regular, RR 16 per minute, T: 98.5F. Visual acuity 20/200 in the left eye and 20/30 in the right eye. Sclera white, conjunctivae clear. Unable to assess visual fields in the left side; visual fields on the right eye are intact. Pupil response to light is diminished in the left eye and brisk in the right eye. The optic disc is swollen. Full range of motions; no swelling or deformity. Mental status: Oriented x 3. Cranial nerves: I-XII intact; horizontal nystagmus is present. Muscles with normal bulk and tone; Normal finger to nose, negative Romberg. Intact to temperature, vibration, and two-point discrimination in upper and lower extremities. Reflexes: 2+ and symmetric in biceps, triceps, brachioradialis, patellar, and Achiles tendons; no Babinski.

Instructions:

Make a whole history and physical examination in a comprehensive manner with all its elements included: CC, HPI, PMH, FH, SH, MEDICATIONS, ALLERGIES, ROS PER APPARATUS OR SYSTEMNS, HEAD TO TOE PHYSIACL EXAMINATION PER SYSTEMS ( write your presentation in H&P format no paragraph format).

Based on this information, what is your presumptive nursing diagnosis? All nursing diagnosis that apply to the case written in NANDA format related to … and evidence by…., NO MEDICAL DIAGNOSIS.

Teaching plan and nursing care plan per each nursing diagnosis on this case.   

       Requirements.

    1- All written assignment and documentations must be  in APA 6th edition format.

    2- Double spaces, minimum 4 pages long , minimum 3 up to date bibliography. (UP to date means last 3 years.), Note: have to be written in APA format.

#6703 Topic: Heart Failure Clinic Resourcing Plan Number of Pages: 4 (Double Spaced) Number of sources: 4 Writing Style: APA Type of document: Coursework Academic Level:Undergraduate Category: Nursing Order Instructions: Assessment 4 Write a 4 page evidence-based resourcing plan for one component of the Heart Failure Clinic. • Instructions Deliverable: Develop one component of an evidence-based resourcing plan. Scenario: The hospital leadership team has already allocated the major capital expenditures for the heart failure clinic, such as the facility, legal services, IT, and security services. However, as a member of the nurse team, you have been asked to develop one component of a resourcing plan for the next leadership meeting. You may use any combination of documents (for example, a spreadsheet or a table) in addition to explanatory information to convey information clearly and succinctly. Choose one of the following: Budget: o Apply evidence-based management strategies and best practices for resourcing health care services.  Identify the business plan budget categories and subcategories (not necessarily the actual cost) to establish a new clinic.  Start-up expenses.  Examine fixed and variable costs.  Capital budget items.  Examples: salary and benefits, staffing mix, specialized equipment or materials, et cetera.  Contingency fund and parameters. o Apply legal and professional standards for resourcing outpatient services.  Explain the alignment to best practices and professional standards for cost effective outpatient services.  How will uninsured or underinsured patients be managed? o Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes.  What data resources and tools analyze costs, health insurance, and hospitalization services?  How will billing be handled?  How will you determine if outpatient management is cost-effective?  How does transparency impact the consumer? Staffing Plan: o Apply evidence-based management strategies and best practices for resourcing health care services.  Identify the disciplines and skill mix needed for appropriate staffing.  Estimate staffing requirements by discipline and staffing ratios (evidence-based).  Develop a sample staffing schedule.  How will you staff to meet corporate diversity goals or the needs of diverse patients?  Explain how delegation, collaboration, negotiation will affect staffing plan.  How does a union contract affect the staffing plan or schedule?  Examine the Nurse Practice Act for your state.  How does the Nurse Practice Act affect your staffing plan? o Apply legal and professional standards for resourcing outpatient services.  Align your staffing plan to best practices, the Nurse Practice Act for your state, scope of practice, and the Joint Commission standards for outpatients. o Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes.  How will you know if staffing is cost-effective?  How will you know if staffing mix or schedule impacts patient outcomes? Additional Requirements o Written communication: Written communication should be free of errors that detract from the overall message. o APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting. o Length: The plan should be 4 pages in content length, double-spaced. o Font and font size: Times New Roman, 12 point. o Number of resources: Support your plan with a minimum of three peer-reviewed resources, in addition to professional standards. o Applies evidence-based management strategies and best practices for resourcing health care services; identifies risks and opportunities o Applies legal and professional standards for resourcing outpatient services; identifies risks and opportunities under the Health Care Reform Act. o Describes management and accountability tools and procedures used to manage health delivery services and patient outcomes; explains the relationship of staffing to improved outcomes.