As the HIM Director of an acute care hospital you are charged with the responsibility of maintaining the hospital-wide confidentiality policies and procedures and managing the access and disclosure of

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As the HIM Director of an acute care hospital you are charged with the responsibility of maintaining the hospital-wide confidentiality policies and procedures and managing the access and disclosure of

As the HIM Director of an acute care hospital you are charged with the responsibility of maintaining the hospital-wide confidentiality policies and procedures and managing the access and disclosure of healthcare information. You review federal and state guidelines as well as other examples of access and disclosure policies from other organizations for benchmarking purposes.

Review the two guidelines below

  1. HIPAA Privacy Rules Summary from HHS  (https://www.hhs.gov/hipaa/for-professionals/privacy/laws-regulations/index.html)
  2. The AHIMA Notice of Privacy Practices AHIMA Practice Brief

After reviewing the guidelines, use the sample policies on patient confidentiality, disclosure and access you have obtained from Columbia University Medical Center at the links below.

Sample Notice_of_Privacy_Practices_Policy Columbia University

Authorization to Disclose Medical Information

To benchmark if the Columbia University Medical Center policies meet the required HIPAA guidelines. Create a table that highlight the key guidelines and identifies if the Columbia University Medical Center policies include the appropriate section and wording. Recommend revisions to the policies if needed Based on those recommendations write a policy for your organization using the Columbia University Medical Center policies as the template.

Once your policy is written, consider the following types of requests for information that have been problematic for your organization based on your review of the ROI Disclosure Logs and assess and support that your revised policy will allow your ROI staff to have sufficient guidance to respond to the request or indicate what further revisions need to be considered. Use the table summarize your findings.

(Please see attachment below for the Table)

Submit your completed assignment by following the directions linked below. Please check the Course Calendarfor specific due dates.

Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.)

Why would you recommend the facility create and implement a QI plan?

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Competency Explain the basic models of quality improvement in healthcare. Course Scenario Chaparral Regional Hospital is a small, urban hospital of approximately 60 beds, and offers the following: Eme

Competency

Explain the basic models of quality improvement in healthcare.

Course Scenario

Chaparral Regional Hospital is a small, urban hospital of approximately 60 beds, and offers the following:

  • Emergency room services
  • Intensive care
  • Surgical care
  • Obstetrics
  • Diagnostic services
  • Some rehabilitation therapies
  • Inpatient pharmacy services
  • Geriatric services
  • Consumer physician referral      services

Recently, the CEO has been hearing complaints from both patients and staff, varying from long wait times to rude physicians. You have been hired to design and implement a Quality Improvement Plan to help uncover quality problems and to satisfactorily resolve them.

Scenario Continued

The CEO has met with you to let you know that some members of the Board of Directors are questioning the value of developing a quality improvement plan. She has asked you to create an executive summary and an information sheet to be included in the next Board packet.

Instructions

Topics for the executive summary should include:

  1. What is a Quality Improvement      plan?
  2. Why do healthcare facilities      create improvement plans?
  3. Why would you recommend the      facility create and implement a QI plan?

NOTE – APA formatting for the reference list, and proper grammar, punctuation, and form required.

After completing the Executive Summary, you will create a one-page information sheet for the Board that they can use to answer questions about QI plans.

  1. The information sheet should give      your CEO and the Board of Directors enough information to have an educated      conversation with patients and other stakeholders on the value of QI      plans.
  2. Make sure to use audience-specific      language and tone on your information sheet. Remember, you are writing      this information sheet for your CEO and the Board of Directors.
  3. Be creative, and make your      information sheet fun and organized.

Identify an evidence-based practice model and change model that has been defined in Chapters 13 and 14 of the textbook (Melnyk and Fineout-Overholt, 2015). (2-3 slides).

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Assignment: Evidence-Based Practice Model and Change Model Create a PowerPoint presentation that addresses each of the following points/questions. Be sure to completely answer all the questions for ea

Assignment:

Evidence-Based Practice Model and Change Model

Create a PowerPoint presentation that addresses each of the following points/questions. Be sure to completely answer all the questions for each bullet point. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least three (3) sources using APA citations throughout your presentation. Make sure to cite the sources using the APA writing style for the presentation. Include a slide for your references at the end. Follow best practices for PowerPoint presentations related to text size, color, images, effects, wordiness, and multimedia enhancements. Review the rubric criteria for this assignment.

Identify an evidence based practice model and change model that has been defined in Chapters 13 and 14 of the textbook (Melnyk and Fineout-Overholt, 2015). Describe in detail how you would utilize the practice model and change model to implement an evidence-based practice change in your clinical practice environment, related to your research topic.

  1. Title Slide (1 slide)
  2. Objective Slide (1 slide)
  3. Identify an evidence-based practice model and change model that has been defined in Chapters 13 and 14 of the textbook (Melnyk and Fineout-Overholt, 2015). (2-3 slides).
  4. Describe in detail how you would utilize the practice model and change model to implement an evidence-based practice change in your clinical practice environment, related to your research topic. (6-8 slides)
  5. References (1 slide)

Assignment Expectations:

Length: 8-14 slidesStructure: Include a title slide, objective slide, content slides, reference slide in APA format. Title/Objective/Reference slides do not count towards the minimum slide count for this assignment.References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of three (3) scholarly sources are required for this assignment.Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.Format: Save your assignment as a Microsoft PPT document (.pptx) or a PDF document (.pdf)

Explain how the theory or concept presented in the article(s) relates to the results of your Work Environment Assessment.

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MY QUESTION Post a brief description of the results of your Work Environment Assessment. Based on the results, how civil is your workplace? Explain why your workplace is or is not civil. Then, describ

MY QUESTION

Post a brief description of the results of your Work Environment Assessment. Based on the results, how civil is your workplace? Explain why your workplace is or is not civil. Then, describe a situation where you have experienced incivility in the workplace. How was this addressed? Be specific and provide examples.

To Prepare:

  • Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015).
  • Review and complete the Work Environment Assessment Template in the Resources.

This is the Work Environment Assessment Template Below

Summary of Results – Clark Healthy Workplace Inventory

Identify two things that surprised you about the results. Also identify one idea that you believed prior to conducting the Assessment that was confirmed.

What do the results of the Assessment suggest about the health and civility of your workplace?

Briefly describe the theory or concept presented in the article(s) you selected.

Explain how the theory or concept presented in the article(s) relates to the results of your Work Environment Assessment.

Explain how your organization could apply the theory highlighted in your selected article(s) to improve organizational health and/or create stronger work teams. Be specific and provide examples.

General Notes/Comments

Write a 2- to 3-page paper that evaluates how your sustainability initiative will improve patient care and outcomes.

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Create a list or mind map of the patient services offered at the health care setting you selected for your sustainability initiative.   Identify which services are affected by your sustainability init

Create a list or mind map of the patient services offered at the health care setting you selected for your sustainability initiative.

Identify which services are affected by your sustainability initiative, and brainstorm ways that the initiative will improve patient care and outcomes.

Write a 2- to 3-page paper that evaluates how your sustainability initiative will improve patient care and outcomes. 

Include your list or mind map of the patient services offered and provide details of how the services will improve once your initiative is implemented. 

Cite 3 reputable references to support your assignment (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality).

Format your assignment according to APA guidelines.

Energy Efficiency in a local hospital is the initiative. 

Create an 8- to 9-slide PowerPoint presentation in which you do the following:

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Create an 8- to 9-slide PowerPoint presentation in which you do the following: Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep vario

Create an 8- to 9-slide PowerPoint presentation in which you do the following:

  • Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
  • Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
  • Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
  • Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
  • Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
  • Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
  • Add a lessons learned section that includes the following:
    • A summary of the critical appraisal of the peer-reviewed articles you previously submitted
    • An explanation about what you learned from completing the evaluation table (1 slide)
    • An explanation about what you learned from completing the levels of evidence table (1 slide)
    • An explanation about what you learned from completing the outcomes synthesis table (1 slide)

1.Describe a specific ethical dilemma based on one of the options above.

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If there is a right and wrong answer, there is no ethical dilemma. An ethical dilemma occurs when one or more competing ethical principles must be considered and weighed against each other. Social wor

If there is a right and wrong answer, there is no ethical dilemma. An ethical dilemma occurs when one or more competing ethical principles must be considered and weighed against each other.

Social workers serve individuals, families, and communities who experience complex problems for which there are rarely simple solutions, or right or wrong answers. As such, social workers use the NASW Code of Ethics to identify the various ethical principles and standards that will guide ethical decision making.

In this Discussion, you apply social work ethics as you analyze an ethical dilemma.

To prepare: Consider the ethical decision-making framework outlined in this week’s resources by Reamer (2002). Select one of the following options and engage in the first few steps of the ethical decision-making process, including consultation with colleagues through your response posts.

Option 1

As technology advances, so do the ways that social workers can connect with clients. Is it acceptable to look at a client’s activities on social media or seek information through an Internet search? Should a social worker allow clients to contact them by text or e-mail? How does a social worker’s personal social media presence influence the worker/client relationship?

Option 2Consider the presence of dual relationships in social work practice. What are examples of nonharmful and harmful dual relationships between clients and workers? How do social workers determine if dual relationships are harmful to a client?

Option 3Your Instructor will post a social work ethical dilemma related to a current event.

Answer all 6 of these questions below based on Option you selected in APA Format and provide at least 3 reference from Reamer (2002). I have provided 2 different articles by reamor below.

1.https://www.socialworktoday.com/news/eoe_101402.shtml 2.https://www.socialworktoday.com/news/eoe_061614.shtml 

  • 1.Describe a specific ethical dilemma based on one of the options above.
  • 2.Describe the ethical issues in the option chosen.
  • 3.Identify specific values or ethical standards that apply.
  • 4. Identify who is likely to be affected by the ethical dilemma.
  • 5. Describe potential courses of action.
  • 6. Examine reasons in favor of or opposed to the course of action

explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments.

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Case Studies 1–3 Respiratory disorders such as pneumonia and asthma are among the leading causes of hospitalization in pediatric patients (U.S. Department of Health and Human Services, 2011). With suc

Case Studies 1–3

Respiratory disorders such as pneumonia and asthma are among the leading causes of hospitalization in pediatric patients (U.S. Department of Health and Human Services, 2011). With such severe implications associated with many respiratory disorders, advanced practice nurses must be able to quickly identify symptoms, diagnose patients, and recommend appropriate treatment. For this Discussion, consider potential diagnoses and treatments for the patients in the following three case studies.

Case Study 1:

A 14-month-old female presents with a 4-day history of nasal congestion and congested cough. This morning, the mother noted that her daughter was breathing quickly and “it sounds like she has rice cereal popping in her throat.” Oral intake is decreased. Physical examination reveals the following: respiratory rate is 58, lung sounds are diminished in the bases, she has pronounced intercostal and subcostal retractions, expiratory wheezes are heard in all lung fields, and her tympanic membranes are normal. There is moderate, thick, clear rhinorrhea and postnasal drip. Her capillary refill is less than 3 seconds, and she is alert and smiling. Her RSV rapid antigen test is positive.

Case Study 2:

Brian is a 14-year-old known asthmatic with a 2-day history of worsening cough and shortness of breath. He reports using a short-acting beta agonist every 3 hours over the previous 24 hours. He has a long-acting inhaled corticosteroid, but the prescription ran out, and he forgot to get it refilled. He says he came today because he woke up at 2 a.m. coughing and couldn’t stop, thus preventing him from going back to sleep. Over-the-counter cough suppressants don’t help. He denies cigarette smoking, but his clothing smells like smoke. His respiratory rate is 18 and he has prolonged expiration and expiratory wheezes in all lung fields. There are no signs of dyspnea. All other exam findings are normal.

Case Study 3:

A father presents his 9-year-old with a 3-day history of cough. Dad states that his son is coughing up yellow mucus. The boy is afebrile and is sleeping through the night, but the father’s sleep is disturbed listening to his son coughing. Dad says he thinks his son has bronchitis and is requesting treatment. Physical examination reveals the following: respiratory rate is 18, lungs are clear to auscultation, patient is able to take deep breaths without coughing, there is no cervical adenopathy, nasal turbinates are slightly enlarged, and there is moderate clear rhinorrhea.

Case Studies 4–6

Assessing, diagnosing, and treating pediatric patients for many cardiovascular and genetic disorders can be challenging. As an advanced practice nurse who facilitates care for patients presenting with these types of disorders, you must be familiar with current evidence-based clinical guidelines. Because of the clinical implications, you have to know when to treat patients with these disorders and when to refer them for specialized care. In this Discussion, you examine the following case studies and consider appropriate treatment and management plans.

Case Study 4:

Miguel is a 15-year-old male who presents for a sports physical. He is a healthy adolescent with no complaints. He plays basketball. He is 6 feet 5 inches tall and weighs 198 pounds. You note long arms and long thin fingers. He has joint laxity in his wrists, shoulders, and elbows.

Case Study 5:

Trina is a 9-year-old female who weighs 110 pounds. Vital signs are as follows: BP 122/79, P 98, R 20. Her mother reports she is a picky eater and refuses to eat fruits and vegetables. Her physical activity includes soccer practice for 1 hour a week with one game each weekend from September through November. Family history is negative for myocardial infarction, but both parents take medication for dyslipidemia.

Case Study 6:

You see a 2-month-old for a well-child visit. She is breastfed and nurses every 2 to 3 hours during the day, but her mother reports she is not nursing as vigorously as before. She sleeps one 4-hour block at night. Birth weight was 7 pounds 5 ounces. Weight gain over the last 2 weeks reveals gain of 5 ounces per week. Physical examination reveals the following: HEENT exam is benign, lung sounds are clear, a new III/VI systolic ejection murmur is noted along the left lower sternal border, cap refill is brisk, skin is pink and moist, and abdominal exam is benign.

To prepare:

  • Review “Respiratory Disorders,” “Cardiovascular Disorders,” and “Genetic Disorders” in the Burns et al. text.
  • Review and select one of the six provided case studies. Analyze the patient information.
  • Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.
  • Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or non-pharmacologic treatments.
  • Consider strategies for educating patients and families on the treatment and management of the respiratory disorder.

By Day 3

Post an explanation of the differential diagnosis for the patient in the case study you selected. Explain which is the most likely diagnosis for the patient and why. Include an explanation of unique characteristics of the disorder you identified as the primary diagnosis. Then, explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments. Finally, explain strategies for educating patients and families on the treatment and management of the respiratory, cardiovascular, and/or genetic disorder.

3. What are special tests used to differentiate type of Tendon tears in the knee ? Explain how they are performed (Always on boards)

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Knee Injury Case Studies  A 15-year-old gymnast has noted knee pain that has become progressively worse during the past several months of intensive training for a statewide meet. Her physical examina

 Knee Injury Case Studies 

A 15-year-old gymnast has noted knee pain that has become progressively worse during the past several months of intensive training for a statewide meet. Her physical examination indicated swelling in and around the left knee. She had some decreased range of motion and a clicking sound on flexion of the knee. The knee was otherwise stable. Studies Results Routine laboratory values Within normal limits (WNL) Long bone (femur, fibula, and tibia) X-ray No fracture Arthrocentesis with synovial fluid analysis Appearance Bloody (normal: clear and straw-colored) Mucin clot Good (normal: good) Fibrin clot Small (normal: none) White blood cells (WBCs) <200 WBC/mm3 (normal: <200 WBC/mm3 ) Neutrophils <25% (WNL) Glucose 100 mg/dL (normal: within 10 mg/dL of serum glucose level) Magnetic resonance imaging (MRI) of the knee Blood in the joint space. Tear in the posterior aspect of the medial meniscus. No cruciate or other ligament tears Arthroscopy Tear in posterior aspect of medial meniscus Diagnostic Analysis The radiographic studies of the long bones eliminated any possibility of fracture. Arthrocentesis indicated a bloody effusion, which was probably a result of trauma. The fibrin clot was further evidence of bleeding within the joint. Arthrography indicated a tear of the medial meniscus of the knee, a common injury for gymnasts. Arthroscopy corroborated that finding. Transarthroscopic medial meniscectomy was performed. Her postoperative course was uneventful. 

Critical Thinking Questions 

1. One of the potential complications of arthroscopy is infection. What signs and symptoms of joint infection would you emphasize in your patient teaching? 

2. Why is glucose evaluated in the synovial fluid analysis? 

3. What are special tests used to differentiate type of Tendon tears in the knee ? Explain how they are performed (Always on boards)  

Students much review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle.

Case Studies will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)

Turn it in Score must be less than 50% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 50%. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.

DPI Project Proposal Chapter 1 – Introduction to the Project

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DPI Project Proposal Chapter 1 – Introduction to the Project               Chapter 1 of the DPI Project is entitled “Introduction to the Project” and includes background and other essential informatio

DPI Project Proposal Chapter 1 – Introduction to the Project              

Chapter 1 of the DPI Project is entitled “Introduction to the Project” and includes background and other essential information regarding the overall DPI Project design and components.  

General Requirements:  Use the following information to ensure successful completion of the assignment: 

•Locate the “DPI Proposal Template” located in the PI Workspace of the DC Network. 

•Access The Doctor of Nursing Practice Essentials: A New Model for Advanced Practice Nursing textbook from DNP-801. The direct link is: http://gcumedia.com/digital-resources/jones-and-bartlett/2013/the-doctor-of-nursing-practice-essentials_ebook_2e.php 

•You may also find it helpful to access the The Doctor of Nursing Practice Essentials: A New Model for Advanced Practice Nursing textbook from DNP-801, which you have been using throughout the program. Chapter 10 of this textbook provides an excellent template for a DNP-focused scholarly project. 

•Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center. 

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

•You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.  Directions:  Use the “DPI Proposal Template” to help you develop a draft of the Introduction (Chapter 1) of your DPI Project Proposal. Keep in mind this is an outline and formatting structure; it may be of use to you, but recall that each project will vary in nature and scope, so adaptations to this format may be required.  

Sections in Chapter 1 include: 

1. Introduction 2.Background of the Project 

3. Problem Statement 

4. Purpose of the Project 5.Clinical Question(s) 6.Advancing Scientific Knowledge 

7. Significance of the Project 

8. Rationale for Methodology 

9. Nature of the Project Design 

10. Definition of Terms 

11. Assumptions, Limitations, Delimitations 

12. Summary and Organization of the Remainder of the Project  Much of this information can be gleaned from your DPI Prospectus, but you will find that new as well as expanded content in specific areas will be required, depending on the nature of your proposed DPI Project.