Discussion Question

Discussion: Politics and the Patient Protection and Affordable Care Act

Regardless of political affiliation, individuals often grow concerned when considering perceived competing interests of government and their impact on topics of interest to them. The realm of healthcare is no different. Some people feel that local, state, and federal policies and legislation can be either helped or hindered by interests other than the benefit to society.

The suppliers of legislative benefits are legislators, and their primary goal is to be re-elected. Thus, legislators need to maximize their chances for re-election, which requires political support. Legislators are assumed to be rational and to make cost-benefit calculations when faced with demands for legislation. However, the legislator’s cost-benefit calculations are not the cost-benefits to society of enacting particular legislation. Instead, the benefits are the additional political support the legislator would receive from supporting legislation and the lost political support they would incur as a result of their action. When the benefit to legislators (positive political support) exceeds their costs (negative political support) they will support legislation. (page 27)

Source: Feldstein, P. (2006). The politics of health legislation: An economic perspective (3rd ed.). Chicago, IL: Health Administration Press.

To Prepare:

· Review the Resources and reflect on efforts to repeal/replace the Affordable Care Act (ACA).

· Consider who benefits the most when policy is developed and in the context of policy implementation.

By Day 3 of Week 3

Post an explanation for how you think the cost-benefit analysis in the statement from page 27 of Feldstein (2006) affected efforts to repeal/replace the ACA. Then, explain how analyses such as the one portrayed by the Feldstein statement may affect decisions by legislative leaders in recommending or positioning national policies (e.g., Congress’ decisions impacting Medicare or Medicaid).

By Day 6 of Week 3

Respond to at least two of your colleagues* on two different days by expanding on their explanation and providing an example that supports their explanation or respectfully challenging their explanation and providing an example.

RESOURCES TO READ

https://www.congress.gov/

https://www.house.gov/

https://www.senate.gov/

https://www.senate.gov/reference/org_chart.htm

In the Discussion for this module, you considered the interaction of nurse informaticists with other specialists to ensure successful care. How is that success determined? 

Patient outcomes and the fulfillment of care goals is one of the major ways that healthcare success is measured. Measuring patient outcomes results in the generation of data that can be used to improve results. Nursing informatics can have a significant part in this process and can help to improve outcomes by improving processes, identifying at-risk patients, and enhancing efficiency.

To Prepare:

• Review the concepts of technology application as presented in the Resources. 
• Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies.

The Assignment: (4-5 pages)

In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following:

• Describe the project you propose.
• Identify the stakeholders impacted by this project.
• Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.
• Identify the technologies required to implement this project and explain why.
• Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.
  
  

   Rurbic:           

In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient care efficiency. Your project proposal should include the following:



·   Describe the project you propose.

·   Identify the stakeholders impacted by this project.

·   Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving, and explain how this improvement would occur. Be specific and provide examples.

·   Identify the technologies required to implement this project and explain why.

·   Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.–

Levels of Achievement:Excellent 77 (77%) – 85 (85%) The response accurately and thoroughly describes in detail the project proposed.

The response accurately and clearly identifies the stakeholders impacted by the project proposed.

The response accurately and thoroughly explains in detail the patient outcome(s) or patient-care efficiencies that the project proposed is aimed at improving, including an accurate and detailed explanation, with sufficient supporting evidence of how this improvement would occur.

The response accurately and clearly identifies the technologies required to implement the project proposed with a detailed explanation why.

The response accurately and clearly identifies the project team (by roles) and thoroughly explains in detail how to incorporate the nurse informaticist in the project team.

Includes: 3 or more peer-reviewed sources and 2 or more course resources.Good 68 (68%) – 76 (76%) The response describes the project proposed.

The response identifies the stakeholders impacted by the project proposed.

The response explains the patient outcome(s) or patient-care efficiencies that the project proposed is aimed at improving, including an explanation, with some supporting evidence of how this improvement would occur.

The response identifies the technologies required to implement the project proposed with an explanation why.

The response identifies the project team (by roles) and explains how to incorporate the nurse informaticist in the project team.

Includes: 2 peer-reviewed sources and 2 course resources.Fair 60 (60%) – 67 (67%) The response describing the project proposed is vague or inaccurate.

The response identifying the stakeholders impacted by the project proposed is vague or inaccurate.

The response explaining the patient outcome(s) or patient-care efficiencies the project proposed is aimed at improving, including an explanation of how this improvement would occur, is vague or inaccurate, or includes little to no supporting evidence.

The response identifying the technologies required to implement the project proposed with an explanation why is vague or inaccurate.

The response identifying the project team (by roles) and an explanation of how to incorporate the nurse informaticist in the project team is vague or inaccurate.

Includes: 1 peer-reviewed sources and 1 course resources.Poor 0 (0%) – 59 (59%) The response describing the project proposed is vague and inaccurate, or is missing.

The response identifying the stakeholders impacted by the project proposed is vague and inaccurate, or is missing.

The response explaining the patient outcome(s) or patient-care efficiencies the project proposed is aimed at improving, including an explanation of how this improvement would occur, is vague and inaccurate, includes no supporting evidence, or is missing.

The response identifying the technologies required to implement the project proposed with an explanation why is vague and inaccurate, or is missing.

The response identifying the project team (by roles) and an explanation of how to incorporate the nurse informaticist in the project team is vague and inaccurate, or is missing.

Includes: 1 or fewer resources.Feedback:

Written Expression and Formatting – Paragraph Development and Organization:

Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance.–

Levels of Achievement:Excellent 5 (5%) – 5 (5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity.Good 4 (4%) – 4 (4%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.Fair 3.5 (3.5%) – 3.5 (3.5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.Poor 0 (0%) – 3 (3%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.Feedback:

Written Expression and Formatting – English writing standards:

Correct grammar, mechanics, and proper punctuation–

Levels of Achievement:Excellent 5 (5%) – 5 (5%) Uses correct grammar, spelling, and punctuation with no errors.Good 4 (4%) – 4 (4%) Contains a few (1-2) grammar, spelling, and punctuation errors.Fair 3.5 (3.5%) – 3.5 (3.5%) Contains several (3-4) grammar, spelling, and punctuation errors.Poor 0 (0%) – 3 (3%) Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.Feedback:

Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.–

Levels of Achievement:Excellent 5 (5%) – 5 (5%) Uses correct APA format with no errors.Good 4 (4%) – 4 (4%) Contains a few (1-2) APA format errors.Fair 3.5 (3.5%) – 3.5 (3.5%) Contains several (3-4) APA format errors.Poor 0 (0%) – 3 (3%) 

SBIRT: Screening, Brief Intervention, and Referral to Treatment Presentation Guidelines

09/01/2018

Purpose

Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an evidence-based practice intervention used to identify, reduce, and prevent problematic use, abuse, and dependence on substances such as tobacco, alcohol and illicit drugs. The SBIRT model was incited by an Institute of Medicine (IOM) recommendation that called for community-based screening for health risk behaviors. The purpose of this assignment is to integrate SBIRT into nursing practice to help stimulate positive change at the individual and population focused level of care.

Course Outcomes

This assignment enables the student to meet the following Course Outcomes (COs).

· CO3: Plan prevention and population-focused interventions for vulnerable populations using professional clinical judgment and evidence-based practice. (PO 4, 8)

· CO4: Evaluate the delivery of care for individuals, families, aggregates, and communities based on theories and principles of nursing and related disciplines. (PO1)

Due Date

Submit your completed SBIRT presentation by 11:59 p.m. MT Sunday of Week 6.

Points: 225 points

Background information

SBIRT consists of three major components.

1. Screening—A healthcare professional assesses a patient for concerning behaviors using standardized screening tools. Screening can occur in any healthcare setting.

2. Brief Intervention—A healthcare professional engages a patient in a short conversation, providing feedback and advice regarding concerning behaviors.

3. Referral to Treatment—A healthcare professional provides a referral to resources and/or treatment options and additional services available (Substance Abuse and Mental Health Services Administration [SAMHSA], n.d.)

Directions

1. Prior to starting the presentation, you are to read the assigned training.

SBIRT Education. (n.d.). Overview of screening, assessment and brief intervention: a nursing response to the full spectrum of substance use. Retrieved from https://hospitalsbirt.webs.com/nursingsbirt.htm (Links to an external site.)Links to an external site.

· Choose “Watch On Demand Recording”

· Start at minute 9:08/slide 12, end at 1hr 27 sec. (slide 80)

Or you may go directly to the YouTube video:

SBIRT Education. (2015, May 10). Overview of SBIRT: a nursing response to the full spectrum of substance use [Video File]. Retrieved from Overview of SBIRT: A Nursing Response to the Full Spectrum of Substance Use (Links to an external site.)Links to an external site. 

Use this BNI checklist for the role play at the end: BNI Checklist (Links to an external site.)Links to an external site.    SBIRT Education. (n.d.). Brief negotiated            interview checklist [PDF Document]. Retrieved from https://hospitalsbirt.webs.com/nursingsbirt.htm (Links to an external site.)Links to an external site.       You are encouraged to review the assignment tutorial found at the end of the Academic Integrity Reminder.    

2. Next, choose one addiction or problem to focus on for this assignment from the options below.

· Alcohol

· Drug use (addictive prescription or illicit)

· You must be specific to which drug you are choosing

3. You are required to use one of the problems listed above. Assignments that do not follow the current guidelines or use the required forms or templates will be evaluated for evidence of an academic integrity violation. After the due date, there will be no opportunity for revision or resubmission of assignments that have been uploaded to the submission area. It is your responsibility to submit the correct assignment to the correct submission area.

4. After you have chosen the addiction/problem, you are to research SBIRT training specific to that problem/addition. Before starting to work on the presentation, it is vital you understand how SBIRT is used with that particular addiction/problem. You must find at least two scholarly resources (other than readings assigned in the course) and one video resource. Search YouTube for one SBIRT training video from a reputable source that shows a provider using SBIRT with a patient. Watch this video so that you understand the steps of SBIRT.

5. You may choose to complete this assignment as a PowerPoint poster or PowerPoint multiple slide presentation. Download the SBIRT PowerPoint poster (Links to an external site.)Links to an external site. or slide presentation template (Links to an external site.)Links to an external site..

6. Submit the completed PowerPoint poster or slide presentation by Sunday, 11:59 p.m. MT at the end of Week 6.

7. Length: The poster should be one page with all boxes on template complete. The slide presentation should be no more than twelve slides, not including the title and references slides.

Guidelines

Below are the requirements needed for successful completion of the SBIRT: Screening, Brief Intervention, and Referral to Treatment presentation.

1. Introduction to the problem and/or addiction: Clearly identify the problem, and discuss specific statistics from your community related to this problem. You may use city or county data. For example, if you choose a specific drug, you should find the drug use rate in your city or county.

2. Problem description : Utilize one scholarly reference (not assigned in this course) to describe this problem/addiction. Discuss reasons why this may be a problem in your community. Cite all sources.

3. SBIRT description: Utilize at least one scholarly reference different from the one selected for the problem description above, and not assigned in this course, to describe how SBIRT is used with this specific addiction/problem. Identify specific steps and questions that are used.

4. Video: Locate and describe at least one video that demonstrates SBIRT related to the addiction you chose.

5. Citation: Cite all sources.

6. Community resources: Describe at least two available community resources to which you may refer people who have this problem or an increased potential for acquiring this problem. You are to provide the names of these resources and brief descriptions. You may use online resources if community resources are not available.

7. Conclusion/future implications for nursing: Provide a summary of your findings. Discuss the use of SBIRT in nursing practice.

8. References: Provide all references for all sources utilized. Use APA format, however, a hanging indent is not necessary.

Best Practices in Preparing PowerPoint

The following are best practices in preparing this presentation.

· Review directions thoroughly.

· We recommend that you use one of the linked templates. Replace the placeholder text with your own content. Use a black or colored font that is easy to read.

· Be creative. You may choose a design (from design tab) to enhance visual appeal.

· Incorporate graphics, clip art, or photographs to increase interest.

· Use short bullet points and large font for easier reading. For PowerPoint slides, use no more than eight lines per slide and no more than eight words per line.

· Do not use the notes are in the PowerPoint format (they are not visible in Canvas-Speedgrader)

· Cite all sources within the slides or poster with (author, year) as well as on the Reference slide or section.

· Proofread prior to final submission.

· Spell check for spelling and grammar errors prior to final submission.

Reference

Substance Abuse and Mental Health Services Administration (SAMHSA). (n.d.). SBIRT: Screening, Brief Intervention, and Referral to Treatment.

**Academic Integrity Reminder**

Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.

·  W7A1 AUDITOR REVIEW FORM.xlsx (15.107 KB)

Assignment Objectives:

1. Meet CAHIIM Curriculum requirement for Associate Degree

a. Domain III. Informatics, Analytics and Data Use

b. Subdomain III.C. Analytics and Decision Support

c. Section 1. Explain analytics and decision support

d. Competencies Analytics and decision support o Data visualization, dashboard, data capture tools and technologies

2. Meet CAHIIM Curriculum requirement for Associate Degree

a. Domain VI. Leadership

b. Subdomain VI.F. Strategic and Organizational Management

c. Section 5. Utilize enterprise-wide information assets in support of organizational strategies and objectives

d. Competencies Data/information visualization and presentation

3. Meet CAHIIM Curriculum requirement for Bachelor Degree

a. Domain III. Informatics, Analytics and Data Use

b. Subdomain  III.C. Analytics and Decision Support

c. Section 5. Apply knowledge of database querying and data  exploration and mining techniques to facilitate information retrieval

d. Competencies: Data presentation standards and tools

4. Meet CAHIIM Curriculum requirement for Bachelor Degree

a. Domain III. Informatics, Analytics and Data Use

b. Subdomain III.D. Health Care Statistics

c. Section 2. Analyze statistical data for decision making

d. Competencies: Data reporting and presentations techniques

Assignment Purpose:

Presentation of audit findings

Assignment Description:

Information:

DRG 193: Simple Pneumonia with MCC (Wt. 1.4261)

            DRG 194: Simple Pneumonia with CC (Wt. 0.9695)

            DRG 195: Simple Pneumonia without CC/MCC (Wt. 0.7111)

            Hospital Base Rate = $1,234.56

Step One:  Review the attached audit findings for five coders

Step Two:  Determine the following

1. Overall accuracy rate for all coders

2. Each Coder’s overall accuracy rate

3. Overall DRG (all DRG’s) assignment accuracy rate

4. Each Coder’s DRG (all DRG’s) assignment accuracy rate

5. Overall accuracy of each DRG assignment (193, 194, and 195)

6. Each Coder’s overall accuracy for each DRG assignment (193, 194, and 195)

7. Pre-audit CMI

8. Post-audit CMI

Step Three:  You have been asked to present your audit findings to the CEO. Create a Power Point Presentation (10 slides) which will demonstrate your audit findings. Be sure to use graphs, charts, diagrams, etc. Use the notes section of the power point. Be prepared to answer any of the questions that the CEO may ask about the data. Show overall and individual results. Identify overall and individual strengths and weaknesses. This should be a voice-over presentation.

Step Four:  Submit your presentation for grading

Your Power Point should:

1. Be 10 slides in length

2. Contain Voice-Over

3. Cover each point (1-8) above

4. Be audience ready

5. Appropriate use of color, font and graphics

6. Appropriate use of Notes section with majority of information in the Notes and just highlights in the slides.

This is TWO (2) discussion post. PLEASE USE the textbook below for reference and at least one SCHOLARLY PEER-Review

In Huston’s (2010) brief, but impressive article (required reading this week), the author outlines several leadership competencies that EVERY nurse leader will need for 2020. That year is not too far in the future, is it?

1. Select one of the eight leadership competencies Huston described and relate it to your own leadership of nurses and nursing. This should promote a robust discussion as we come from different clinical and nonclinical perspectives.

2. Discuss how the BSN-prepared nurse can assist a nurse leader in the budgeting process by contributing data readily available to the staff nurse.

Huston, C. (2010). What skills will the nurse leaders of 2020 need? (2010). Kai Tiaki Nursing New Zealand, 16(6), 14–15.

2nd Part

Do you possess the leadership skill to get you to the next level? After reading the Huston article, do you see these leadership skills on your unit/area? Please provide your reasoning and an example from your practice.

How does budgeting contribute to becoming a strong nurse leader?

Finkelman, A. (2016). Leadership and management for nurses: Core competencies for quality care (3rd ed.). Boston, MA: Pearson.