Social, political, and economic factors that have led to the proliferation of urgent care facilities and primary care practices

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Due Week 3 and worth 130 points

You are the manager of a new primary care clinic located about twenty five (25) miles outside of a small city (population of 50,000). With five (5) family physicians, two (2) nurse practitioners, two (2) physicians’ assistants (PAs), and twenty (20) clinical support staff consisting of RNs, LPNs, and CMAs, the clinic provides primary care services to a diverse community of people living and working outside the city limits. Originally a rural area, the community has been growing and now includes promising opportunities in employment, education, and comfortable living spaces for young families. However, there are still many residents who struggle to make ends meet with older farms that have belonged to families for generations.   

The central city includes two (2) large acute care facilities, and one (1) tertiary care facility that is known for its excellent pulmonary care. Both acute care hospitals provide the usual services such as labor and delivery, outpatient surgery, chronic diseases care, etc. and have fully equipped ancillary departments, such as lab and radiology. Up until this point, the residents have used the facilities’ emergency departments for routine illnesses and conditions when their private physicians were not readily available.

Write a five to seven (5-7) page paper in which you:

  1. Analyze some of the key social, political, and economic factors that have led to the proliferation of urgent care facilities and primary care practices over the last 20-30 years.
  2. Create a comprehensive mission statement for the clinic, and discuss how it will facilitate the provision of quality services.
  3. Analyze and discuss one (1) or more directions the clinic might take to grow its business. Determine what factors you would consider when deciding what services to provide in-house and which ones to affiliate with other institutions.
  4. Decide how you will determine if the clinic is meeting its goals. Identify three (3) performance measurements you could use to evaluate the success of the clinic’s services. Begin by naming a goal, and then identify a quantifiable measurement you could use for each to determine if you are coming close or falling short of the goal.
  5. Determine how you would then address whatever opportunities for improvement seem to exist and what processes you would put in place.
  6. Use at least three (3) quality resources in this assignment. Note: Wikipedia and similar Websites do not qualify as quality resources.
  7. Format your assignment according to the following formatting requirements:
    1. This course requires use of Strayer Writing Standards (SWS). The format is different than other Strayer University courses. Please take a moment to review the SWS documentation for details.
    2. Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page is not included in the required page length.  
    1. Include a source list. Citations and sources must follow SWS format. The source list is not included in the required page length.

The specific course learning outcomes associated with this assignment are:

  • Analyze the critical management issues, purpose, functions, and performance measures of different departments within healthcare organizations.
  • Examine the political, economic, and social forces that have influenced the organizational foundations of the United States healthcare system.
  • Explain how public policy has shaped the development of the U.S. healthcare system.
  • Use technology and information resources to research issues in health services organization management.
  • Write clearly and concisely about health services organization management using proper writing mechanics.
  • Use technology and information resources to research issues in health services organization management.
  • Write clearly and concisely about health services organization management using proper writing mechanics.

How you distinguished between weaknesses and threats and consider whether the threats or weaknesses also pose opportunities

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Project: Developing a Strategic Plan

Strategic planning involves reciprocity of analysis and action. Over the previous weeks of this course, you have been examining foundational elements of the strategic planning process. As you move forward, you will apply these concepts to the development of a strategic plan.

Through the Course Project, you will identify an unmet need within a group, unit, or organization and develop a comprehensive strategic plan to address the need. You will develop your project over the next several weeks, culminating in Last week.

Note: Your complete project will serve as your Portfolio Assignment for this course.

To prepare for the upcoming work on this project:

Review the Course Project Overview in this week’s Learning Resources to become familiar with the project components and due dates.

Reflect on the trends addressed in this week’s Discussion. Think about which of these trends, or any additional ones, stand out as being particularly relevant to your own interests and the professional contributions you would like to make now and in the future.

Think about how one or more of these trends relates to an unmet need evident in a specific group, unit, or organization. For example, you might choose the unit in which you currently work or a professional association to which you belong.

Consider how you could address this unmet need through strategic planning. What is your vision and goal(s)?

Begin to analyze historical data and engage in forecasting to investigate opportunities for change.

Course Project: Developing a Strategic Plan

Section 1: Summary of the Issue

To prepare for and set the stage for your Course Project, this week you begin to develop a summary of the issue you will address through the creation of a strategic plan.

You may wish to review the Course Project Overview, which outlines the project components and due dates.

To prepare:

Consider the information on strategic planning presented by Dr. Huston in this week’s media program, as well as in the other Learning Resources.

Reflect on the unmet need you identified in this week’s Discussion, and consider any feedback you have received to your posting from your Instructor and colleagues. If appropriate, refine your focus to clarify the unmet need.

In addition to the steps you took in preparation for the Discussion, proceed as follows:

Investigate the background related to this unmet need. What conditions have contributed to this situation? Is there data (beyond what you identified for the Discussion) that should be examined?

Conduct research to assess what has been attempted in the past, by various individuals or organizations, to address this unmet need.

Think about any broader issues that should be examined to better understand this unmet need. For instance, consider economic, political, and/or social considerations.

Begin to draft your 2- to 3-page summary of the Issue (which will be submitted next week). In your summary, identify and/or describe:

  • The unmet need and how it is evident in the specific group, unit, or organization
  • The mission, vision, and values of the group, unit, or organization
  • Background, including:
  • Data from historical analysis and forecasting
  • Evidence from the literature
  • What has been attempted in the past by various individuals and groups to address this need
  • Which stakeholders should be included in the strategic planning process
  • Initial vision for addressing this need at the organizational or systems level, including at least one strategic goal
  • Broader issues to be considered

Section 2: SWOT Analysis

Conducting a SWOT analysis can have tremendous value in preparing for planned change.

To prepare:

  • Conduct a SWOT analysis for your Course Project, incorporating any insights you have gained from this week’s Discussion. Identify two strengths, two weaknesses, two opportunities, and two threats that warrant attention relative to the identified unmet need.
  • Reflect on how you distinguished between weaknesses and threats and consider whether the threats or weaknesses also pose opportunities.

To complete:

Write a 2- to 3-page summary that conveys the results of your SWOT analysis. Include:

  • Two strengths
  • Two weaknesses
  • Two opportunities
  • Two threats
  • An explanation of whether the threats or weaknesses also pose opportunities

So, in nutshell you need to submit,

Submit:

Section 1: Summary of the Issue (2–3 pages)

Section 2: SWOT Analysis (2–3 pages)

Please use the Refetrences from the week 5 6 and 7 Discussion Posts.

Minimum of 4 references in each section papers.

Just to summarize, there are two papers to be submitted, section 1 and section 2. These are part of project that will be the final submission as a portfolio assignemnt.

Installing a new nursing documentation system for a home health agency

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In 400 wordsDiscussion Topic:

Assume you are working with an implementation team in installing a new nursing documentation system for a home health agency. Historically, all of the agency’s nursing documentation was recorded in paper form. The agency has little computerization beyond basic registration information and has no IT staff.

Members of the implementation have made recommendations for installing a new nursing documentation system. Included in the list of recommendations are:

  • The system needs to take into account the State Nursing Practice Act.
    • The system has to include reflect state laws governing the scope of nursing practice.
  • Nurses should be involved in the workflow setup for all medication tasks, including:
    • drug interactions
    • medication failures
    • allergies
  • There should be visit notes template that both nurses and doctors have to approve.
    • Will there be specific notes that only the nurses will approve?
  • Nurses would like to determine how telephone calls are entered into the system.

Create a post, explaining fully, your answer to the questions below.

  • Based on the information learned in the unit readings, would you include the nurse’s recommendations or do you have recommendations of your own? Justify your decision with supportive material.

The evolving professional nursing roles of leader/manager within a dynamic health care team

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In this assignment, you will write a short (1-2 page), opinion paper. The paper is informal in that it is based on your own experiences and opinions. It is not necessary to reference outside resources or to include a cover page or reference list. However, you should critically reflect on your personal experiences and/or apply what you have learned in the module to your current practice. Justify and explain your responses with examples and thorough explanations.

Hint:Overview: The One Thing That Changes Everything

Trust may be something we take for granted until it is injured or destroyed. When that happens, it assumes a new importance. When you think of the people that are important in your life, these are most likely people you trust. We live in a time when we are frequently reminded that trust has to be earned and then reevaluated. Think of some of the public figures that had been trusted and then lost that trust. As you work on this assignment, start developing your trust meter, the instrument that guides you when evaluating trustworthiness.

This assignment is worth 15 points.

Objectives

• Analyze the evolving professional nursing roles of leader/manager within a dynamic health care team

• Design unique strategies to promote adaptation to the professional nursing roles.

• Utilize the critical thinking process in problem solving and decision making.

Directions:

Before completing this assignment, read the first section (pages 1- 26) of Covey’s The Speed of Trust.

In this assignment, you will write a short (1-2 pages), opinion paper. The paper is to be based on your own experiences and opinions. You should critically reflect on your personal experiences and apply what you have learned in the module to your current practice. Justify and explain your responses with examples and thorough explanations.

Consider your current or past place of employment, and discuss the following:

a. The level of excellence at this institution is (select high or low); possibly because of the high/low level of trust the employees have of the administration. This level of trust of administration is illustrated by:

b. The level of excellence at this institution is (select high or low); possibly because of the high/low level of trust the administration has of the employees.

Conceptual-Theoretical-Empirical Structure (CTE) Evaluation

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Details:

Conceptual models, theories, and empirical indicators are linked and provide a nursing knowledge system to apply the model or theory to nursing practice, research, and education. Advanced-practice nurses are required to understand the linkages as applied to nursing and translate the components into practice.  To continue development of nursing knowledge, advanced practice nurses can create structure to test theory. 

General Guidelines:

•This assignment requires that at least three additional scholarly research articles related to this topic, and at least one in-text citation from each source be included.

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

Directions:

Write a 1,200-1500 word paper examining how the Conceptual – Theoretical – Empirical (CTE) structure translates into nursing practice based on one of the middle range theories that has been formulated or derived from your preferred conceptual model of nursing. Translate and apply the selected theory to nursing practice using actual examples. Evaluate the theory using the CTE steps below:

1.Evaluation of the conceptual-theoretical-empirical linkages.

2.Evaluation of the selected theory.

3.Evaluation of the empirical indicators.

4.Evaluation of research findings.

5.Evaluation of the utility and soundness of the practice theory.

Applying concepts of multiculturalism and diversity to become an agent of change.

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Health Statistics and Populations

Professional Competency addressed in this Assignment:

PC-4.3: Apply concepts of multiculturalism and diversity to become an agent of change.

Directions

Select a health topic of interest such as breastfeeding, coronary heart disease, or juvenile diabetes that affects a specific population such as older adults or women of reproductive age or race. Locate health statistics for your selections. You must include national and state data. Your work may also include local county or city data if available.

Additionally, research content regarding concepts of multiculturalism and diversity, and include interventions that address health disparities.

Input your responses using a table similar to the one below. You may recreate the table in Word©. Excel© files are not accepted. Include a title page and reference page. Length of Assignment should be 2- 3 pages. Content section will expand as you describe your findings in a comprehensive manner.

Data Search Directions

Summarize Your Findings

Identify the population of interest and health condition/event to your practice. Specify how you define the population (e.g. age, gender, health status, etc.).

Summarize your search process. Specify what sources, organizations and agencies for health statistics were searched to find relevant health statistics. Be specific and thorough in your search.

Provide the health information obtained in the search. Include any significant statistics and information on risk factors and trends in epidemiology data on your topic.

Interpret your findings and determine if there is any evidence of health disparities based on the population examined. Be sure you understand what health disparities are and address if your topic is or is not impacted. Provide several examples and include interventions that would improve this disparity.

DUE: to Dropbox on end of Day 7 of Unit 6.

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.

How to Submit:

When you are ready to submit your Assignment, select the unit  Dropbox and then attach your file. Make sure to save a copy of the Assignment you submit.

Type of management/leadership style to employ

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Hi, need 2-3 paragraph, please address all questions carefully:

Elaine has worked in the IMCU of a community hospital for 11 years. She is one of the best nurses, and serves as a preceptor and a resource for other nurses on the unit. Elaine has made numerous contributions to the unit. She has presented training classes, in-services, and booklets. Elaine has been the day shift charge nurse for 5 years.

In January, the unit manager decided to retire. The IMCU manager position was posted. A very unpopular nurse from another unit bid on the position, as well as a nurse from another hospital. The staff has approached Elaine, imploring her to bid for the job. They tell her she will be a terrific manager, and they all love her. Elaine is very happy with her job, but she knows that things will change with a new manager.

After serious deliberation, Elaine bids on the position. Her qualifications are undisputable, and she is offered the position. She is warned, however, that her relationship with her co-workers will not be the same. She has long been a leader, but she must now see herself as a manager. Try to imagine that you are Elaine:

1-What steps will you take to initiate this change?

2-How will you establish your new position with the staff?

3-What type of management/leadership style would you employ?

4-How do the “Cores of Credibility” apply to your new role?

Your response should consist of complete sentences and should be at least one complete paragraph, but it should be no more than three paragraphs in length.

End Stage Renal Disease Patient

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#777110 Topic: End Stage Renal Disease Patient Number of sources: 5 Writing Style: APA Type of document: Case Study Academic Level:Master Number of Pages: 3 (Single Spaced) Category: Nursing VIP Support: N/A Language Style: English (U.S.) Order Instructions: Case Study and Plan of Care. For Patient with End Stage Renal Diseased What is the effect of spkt/v on the hospitalization rate of a patient who has active fistula or graft in-center hemodialysis with the primary cause of kidney failure of either diabetes or hypertension? P- Patient on hemodialysis age from 18 -100 3 X a week treatment with active fistula or graft With Diabetes or Hypertension as the primary cause of Kidney Failure. I – Patient with spkt/v of 1.61 and above hospitalization rate C- Patient with spkt/v of lower than1.39 not meeting the goal and patient with spkt/v of 1.4 – 1.6 hospitalization rate O- Patient with spkt/v of 1.61 or higher will have a lower hospitalization rate T – 3 months (February 01 –April 30, 2018) ?Apply Health Promotion and Disease Prevention, and demonstrate the ability to develop a holistic plan of care, incorporating Telehealth, defining assessment and intervention of specific population incorporating unique attributes of populations for health promotion, wellness preservation and maintenance of function across the health-illness continuum. Directions: Develop a case study and a plan of care, incorporating current mobile App technology: 1. Select a population. Define your population by gender, age, ethnicity, socioeconomic status, spiritual need, and healthcare need .Apply concepts learned in course to identify healthcare needs needs specific to the population and access to care 2. Describe how Telehealth could impact the delivery of care to this population. 3. Identify PICO specific to the population you chose in #1Define a plan of care. 4. Submit your assignment via the D2L Dropbox This project is to be a total of 3 pages, typed. 12 pt font, 1” margins, Times New Roman.

Leadership and its impact on followers and organizational performance

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Topic: Leadership and its impact on followers and organizational performance

Develop a full-sentence outline of your research topic, taking care to structure your thoughts on the topic in a coherent fashion that clearly illustrates  your objectives and intentions.

Your full sentence outline should identify your thesis statement, the leadership in healthcare topic, and also a leadership theory or approach learned in this course.

You must incorporate the use of at least 6 references to use within your outline.

Follow the alphanumeric outline structure and use complete sentences. List references in APA format, alphabetically. Use APA format throughout. Include citations as needed along with a title page and a reference page.

This is a full sentence outline…please use full sentences and not phrases. In addition, you will have topic sentences for each paragraph and transition sentences (a sentence that leads in to the next paragraph). You must have in text citations and a reference page.

This is the book that we are using, where you must find a leadership theory or approach, you can find them from chapter 2-7 as it is a requirement from this assessment.

 Leadership: Theory and Practice, 7th Edition Peter G. Northouse
Launch Bookholder

Video with Helpful Hints for Outline and Final Paper

I have created a video with helpful hints for your outline and final paper. You can view the video by cutting and pasting the following link in your browser.

https://us.bbcollab.com/collab/ui/session/playback/load/51edd1be91d94f2182bd32986bbe5f7b

Below is a helpful outline template that the professor provided to us to help organize our writing:

I. Introduction

a. Thesis statement:_______________________________________________

II. Body Paragraph 1 ( Heading)

a. Transition:_____________________________________________________

b. Topic Sentence:_________________________________________________

i. Supporting detail 1:________________________________________

ii. Supporting detail 2:________________________________________

iii. Supporting detail 3:________________________________________

III. Body Paragraph 2( Heading)

a. Transition:_____________________________________________________

b. Topic Sentence:_________________________________________________

i. Supporting detail 1:________________________________________

ii. Supporting detail 2:________________________________________

iii. Supporting detail 3:________________________________________

IV. Body Paragraph 3 (Heading)

a. Transition:_____________________________________________________

b. Topic Sentence:_________________________________________________

i. Supporting detail 1:________________________________________

ii. Supporting detail 2:________________________________________

iii. Supporting detail 3:________________________________________

V. Body Paragraph 4 (Heading)

a. Transition:_____________________________________________________

b. Topic Sentence:_________________________________________________

i. Supporting detail 1:________________________________________

ii. Supporting detail 2:________________________________________

iii. Supporting detail 3:________________________________________

VI. Conclusion

a. Transition:_____________________________________________________

b. Restatement of thesis:____________________________________________

VII. References

a. List references in APA format, alphabetically.

Please contact me if you have questions.

Due Sunday, 11:59 p.m. (Pacific time)

Points 125

The role of assessment in diagnosis and treatment

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Week 3 – Discussion

 Case Studies in Assessment

Prior to beginning work on this discussion, read the assigned chapters from the text. It is highly recommended that you review each of the brief Blumenfeld (2012) video clips demonstrating the administration of a mental status examination. These are listed in the recommended resources and may require that you download Quicktime in order to view them. Although not required, these videos show the administration of a mental status exam and may prove helpful in this discussion.

Access the Barnhill (2014) DSM-5 Clinical Cases e-book in the DSM-5 library, and select one of the case studies. The case study you select must be one in which the client could be assessed using one or more of the assessment instruments discussed in this week’s reading. (case study I chose is   Trauma- and Stressor-Related Disorders )

For this discussion, you will take on the role of a psychology intern at a mental health facility working under the supervision of a licensed psychologist. In this role, you will conduct a psychological evaluation of a client referred to you for a second opinion using valid psychological tests and assessment procedures. The case study you select from the textbook will serve as the information provided to you from the professional who previously evaluated the client (e.g., the psychologist or psychiatrist).

In your initial post, begin with a paragraph briefly summarizing the main information about the case you selected. Evaluate and describe the ethical and professional interpretation of any assessment information presented in the case study. Devise an assessment battery for a psychological evaluation that minimally includes a clinical interview, mental status exam, intellectual assessment, observations of the client, and at least two assessment instruments specific to the diagnostic impressions (e.g., attention deficit/hyperactivity disorder, post-traumatic stress disorder, autism spectrum disorder, etc.). The assessment battery must include at least one approach to assessing your client which is different from the assessments previously administered. The assessment plan must be presented as a list of recommended psychological tests and assessment procedures with a brief sentence explaining the purpose of each test or procedure. Following the list of tests and assessment procedures you recommend for your client, compare the assessment instruments that fall within the same categories (e.g., intellectual or achievement), and debate the pros of cons of the instruments and procedures you selected versus the instruments and procedures reported by the referring professional.

Course material

Gregory, R. J. (2014).  Psychological testing: History, principles, and applications  (7th ed.). Boston, MA: Pearson.

e-books

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.

Barnhill, J. W. (Ed.). (2014).  DSM-5 Clinical Cases . Washington, D.C.: American Psychiatric Association.

article

American Psychiatric Association. (2013).  Online assessment measures for the diagnostic and statistical manual of mental disorders (Links to an external site.)Links to an external site. (Links to an external site.)Links to an external site.  (5th ed.).