· Discuss the changes made in the control mechanisms (external and internal) in order to control the management, financing, and quality in the long-term care systems.

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Home Healthcare & Nursing Facility· Describe the roles and responsibilities of the administration in each department of your chosen facilities.· Identify and list the sources of fina

Home Healthcare & Nursing Facility

·         Describe the roles and responsibilities of the administration in each department of your chosen facilities.

·         Identify and list the sources of financing available to consumers for the various programs provided by your chosen facilities. Identify the key public and private sources of reimbursement available. Also discuss the role played by managed care and its impact on long-term care reimbursement.

·         Describe the various government and private resources available that assist in developing and maintaining quality improvement programs in your chosen facilities. Describe the ways in which quality and cost are controlled in your chosen facilities. Also discuss the ethical aspect of access to care in the facilities, including rationing.

Based on your observations and learning from the two facilities, discuss the changes brought in the long-term care system to make it reach full status as a competition-driven system. You may include the following points in your discussion:

·         Discuss the changes made in the control mechanisms (external and internal) in order to control the management, financing, and quality in the long-term care systems.

·         Discuss the changes taking place in long-term care reimbursement system in order to provide better reimbursement options both to consumers and providers.

·         Discuss the changes made in the efforts of providers to accommodate changing magnitude of the day-to-day needs of long-term care consumers.

Define the medical term; is it an anatomy term? Or medical terminology term?

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CMB152 Module 1 Assignment Review the following operative case for highlighted medical terms and provide the following for each of the 10 terms:1. Define the medical term; is it an anatomy term?

CMB152 Module 1 Assignment

Review the following operative case for highlighted medical terms and provide the following for each of the 10 terms:

1.      Define the medical term; is it an anatomy term?  Or medical terminology term?

2.      Does this term use a prefix?  If so, please list.

3.      Does this term use a suffix?  If so, please list.

4.      Does this term have a main term?

PREOPERATIVE DIAGNOSIS: Right knee pain, rule out a meniscal tear

POSTOPERATIVE DIAGNOSIS: 1. Primary degenerative joint disease, medial compartment, right knee 2. Degenerative medial meniscus tear, right knee

OPERATIONS: 1. Diagnostic arthroscopy, right knee 2. Partial medial meniscectomy, right knee

ANESTHESIA: Spinal

OPERATIVE INDICATIONS: This patient is a 67-year-old with right knee pain. He received minimal relief of his pain with corticosteroid injection. He is now brought for arthroscopic evaluation.

OPERATIVE FINDINGS: The patient has a degenerative tear involving the posterior horn of the medial meniscus. There was an area of grade IV chondral changes involving the medial tibial plateau adjacent to the meniscal tear. There were also extensive areas of grade IV chondromalacia involving the medial femoral condyle. The ACL was intact. The lateral compartment was actually without significant abnormality. There was grade II chondromalacia involving the trochlea

Which has the greatest impact on the organization (individual development or career development)? What types of topics or activities might be used for each (individual versus career development)?

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Discussion (Nursing Field related PleaseBefore beginning work on this week’s discussion forum, please review the link “Doing Discussion Questions Right,” the expanded grading rubric for the foru

Discussion (Nursing Field related Please

Before beginning work on this week’s discussion forum, please review the link “Doing Discussion Questions Right,” the expanded grading rubric for the forum, and any specific instructions for this week’s topic.

By the due date assigned, submit your response in the Discussion Area below, using the lessons and vocabulary found in the reading.

A special focus of this course is executive communications that are succinct, strategic, and supported. Accordingly, your initial post should not exceed 500 words in the discussion forums. 

Select any one of the following starter bullet point sections. Review the important themes within the sub questions of each bullet point. The sub questions are designed to get you thinking about some of the important issues. Your response should provide a succinct synthesis of the key themes in a way that articulates a clear point, position, or conclusion supported by research. Select a different bullet point section than what your classmates have already posted so that we can engage several discussions on relevant topics. If all of the bullet points have been addressed, then you may begin to re-use the bullet points with the expectation that varied responses continue.

  • Individual development is described as a short-term orientation to performance improvement. In contrast, career development is a more long-term approach. Which has the greatest impact on the organization (individual development or career development)? What types of topics or activities might be used for each (individual versus career development)? Should development always focus on job- or organizational-specific concerns or might development include any type of development for an individual (including things that don’t specifically relate to the job/organization)? Leadership lessons you can learn?
  • Many organizations suggest that human resources (HR) are their most valuable resource. A competitive advantage can be achieved by maximizing everyone’s contribution. Therefore, sustainable competitive advantage is based on an organization’s ability to utilize its most valuable resource—people. Relative to physical and financial resources, how important are human resources? In other words, are human resources more important? Less important? Of the same importance? What factors should we consider when trying to answer these questions? Do you agree that the only way to sustain a competitive advantage is through an organization’s HR? Leadership lessons you can learn?
  • Have you ever had a leader who was also a good coach? What did she or he do? How did she or he make you feel? What were some of the attributes that she or he possessed? Was there one attribute that seemed to be most important or most crucial to being a good coach? Leadership lessons you can learn?
  • Organizational and leadership experts can perform at least two different roles. One is the role of a consultant. The other is the role of a coach. What is similar about a consultant and a coach and the process that each uses? What is different? Can the same person perform both? Can the same person perform both in the same organization? Are there other similar roles (e.g., counselor, advisor, mentor, etc.)? How do those roles compare/contrast to the coaching role? Leadership lessons you can learn?

1. Identify a problem or issue related to practice, policy, population, or education that aligns with the organizational priorities you seek to solve.

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Introduction:Nursing is a practice discipline that includes direct and indirect care activities that affect health outcomes. As a baccalaureate nursing student, you are developing new competencies in

Introduction:

Nursing is a practice discipline that includes direct and indirect care activities that affect health outcomes. As a baccalaureate nursing student, you are developing new competencies in leadership, and in order to achieve mastery, you must apply those competencies to live practice experiences and situations. This Leadership Learning Experience (LLE) is designed to allow you to choose a clinical focus (e.g., practice, policy, education, population) in which you apply your leadership problem–solving skills. The LLE requires engagement with other people within the setting to complete.  

You will develop a project within a practice setting that allows you to develop these leadership skills. You will identify a problem area in a practice setting that you specifically want to address (e.g., practice, policy, population, education) that aligns with organizational priorities. Example sources for the problem area may include the following:

•  Practice: joint commission standards, core measures as quality indicators, other data

•  Policy: legislation, staffing ratio, regulations from state boards

•  Population: children with diabetes, adult obesity

•  Education: future of nursing, Benner’s recommendations about nursing education

You will focus on a real-life solution for the problem. You should choose a topic that is timely, manageable, and realistic to the current healthcare environment. An external resource person (i.e., manager, clinical leader, clinical educator, policy expert, or population expert) must confirm the relevance of the selected project and your engagement in the setting as part of project completion. As with all projects, you should think how you, as a nurse, function in the following roles: detective, scientist, and manager of the healing environment.

Requirements:

Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. Use the Turnitin Originality Report available in Taskstream as a guide for this measure of originality.

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

Note: Any information that would be considered confidential, proprietary, or personal in nature should not be included. Do not include the actual names of people, stakeholders, or other personally identifiable information. Fictional names should be used. Also, agency-specific data, including financial information, should not be included but should be addressed in a general fashion as appropriate.

Note: Your submission may be in a variety of formats (e.g., report, multimedia presentation). 

A.  Develop a written proposal by doing the following:

1.  Identify a problem or issue related to practice, policy, population, or education that aligns with the organizational priorities you seek to solve. 

Note: You may need to meet with your organization or practice setting, your manager, or your supervisor to help choose a current problem or issue. 

a.  Explain the problem or issue, including why it is applicable to the area of practice you chose and the healthcare environment.

2.  Discuss your investigation of the problem or issue.

a. Provide evidence to substantiate the problem or issue (e.g., organizational assessment, national source documents, evidence from a stakeholder).

3.  Analyze the state of the situation using current data.

a. Analyze areas that might be contributing to the problem or issue.

4.  Propose a solution or innovation for the problem or issue.

a.  Justify your proposed solution or innovation based on the results of your investigation and analysis.

5.  Recommend resources to implement your proposed solution or innovation. Include a cost-benefit analysis of your proposed solution or innovation.

6.  Provide a timeline for implementation based on your proposal.

7.  Discuss why each key stakeholder or partner is important for the implementation of the solution or innovation.

a.  Summarize your engagement with the key stakeholders or partners, including the input and feedback you received.

b.  Discuss how you intend to work with those key stakeholders or partners in order to achieve success.

8.  Discuss how your proposed solution or innovation could be implemented, including how the implementation could be evaluated for success. 

B.  Explain how you fulfilled the following roles during your process of investigation and proposal development:

1.  scientist

2.  detective

3.  manager of the healing environment 

C.  Submit the completed attached “Professional Verification Form” from the organizational leader advising you in your leadership experience. 

D.  Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized. 

E.  Demonstrate professional communication in the content and presentation of your submission. 

Identify personal health information breach of security

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nursing informaticsDescribe a HITECH breach of PHI, explain the investigative notification processes associated with a security breach, and explain the OCR sanctions that are applicable.Develop a Powe

nursing informatics

  • Describe a HITECH breach of PHI, explain the investigative notification processes associated with a security breach, and explain the OCR sanctions that are applicable.
  • Develop a PowerPoint with a minimum of 12 slides (not including the title slide and reference slide)
    1. Describe HITECH regulations
    2. Describe personal health information
    3. Describe how HITECH regulations support HIPAA and protects client health information
    4. Identify personal health information breach of security
    5. Describe the notification process
    6. Discuss the investigative process
    7. Explain OCR sanctions
    8. Describe security protocols necessary to maintain personal health information protected
    9. Required 3-4 peer-reviewed nursing journals references
    10. APA format
    11. Be sure to proofread presentation and eliminate all spelling and grammar errors

Write a 750-1,000-word policy brief that summarizes the issue, explains the effect on the population, and proposes a solution to the issue.

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The benchmark assesses the following competencies:1.4 Participate in health care policy development to influence nursing practice and health care.Research public health issues on the “Climate Change”

The benchmark assesses the following competencies:

1.4 Participate in health care policy development to influence nursing practice and health care.

Research public health issues on the “Climate Change” or “Topics and Issues” pages of the American Public Health Association (APHA) website. Investigate a public health issue related to an environmental issue within the U.S. health care delivery system and examine its effect on a specific population.

Write a 750-1,000-word policy brief that summarizes the issue, explains the effect on the population, and proposes a solution to the issue.

Follow this outline when writing the policy brief:

  1. Describe the policy health issue. Include the following information: (a) what population is affected, (b) at what level does it occur (local, state, or national), and (c) evidence about the issues supported by resources.
  2. Create a problem statement.
  3. Provide suggestions for addressing the health issue caused by the current policy. Describe what steps are required to initiate policy change. Include necessary stakeholders (government officials, administrator) and budget or funding considerations, if applicable.
  4. Discuss the impact on the health care delivery system.

Include three peer-reviewed sources and two other sources to support the policy brief.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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. Refer to the LopesWrite Technical Support articles for assistance.

For this assignment, the student will provide a synopsis of eight peer-reviewed articles from nursing journals using an evaluation table that determines the level and strength of evidence for each of the eight articles.

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In nursing practice, accurate identification and application of research is essential to achieving successful outcomes. Being able to articulate the information and successfully summarize relevant p

 In nursing practice, accurate identification and application of research is essential to achieving successful outcomes. Being able to articulate the information and successfully summarize relevant peer-reviewed articles in a scholarly fashion helps to support the student’s ability and confidence to further develop and synthesize the progressively more complex assignments that constitute the components of the course change proposal capstone project.

For this assignment, the student will provide a synopsis of eight peer-reviewed articles from nursing journals using an evaluation table that determines the level and strength of evidence for each of the eight articles. The articles should be current within the last 5 years and closely relate to the PICOT statement developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project. Use the “Literature Evaluation Table” resource to complete this assignment.(Attached)

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

NRS-490-RS-LiteratureEvaluationTable.docx 

5. How will today’s experience enhance your knowledge base?

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Identify the clinical experience and describe the events noting the 4 areas of Community Health Nursing: Intake, Chronic Care, Medication Administration, and Episodic Care/Sick Call.2.

1.            Identify the clinical experience and describe the events noting the 4 areas of Community Health Nursing:  Intake, Chronic Care, Medication Administration, and Episodic Care/Sick Call.

2.            Based on your knowledge of the core functions and essential services of public health nursing and/or community based nursing, what did you observe to be the role of the RN and/or other personnel involved in this clinical experience/event?

3.            What was positive about this experience?

4.            What concerns can you identify about this experience?

5.            How will today’s experience enhance your knowledge base?

6.            Research a different topic area (see weekly topics choices below) per week and its application to Public/Community Health Nursing.  Write a reflection paper (minimum of 3 pages) incorporating your research and your reflection on the topic. 

7.            A copy of a scholarly article must be attached to each entry.

8.            Modified APA format will be used, including a Reference Page and Title Page, as well as citation(s) within the paper.

Needs to include :did you observe the 4cares of community chronic one medication administration episode care

Core function be specific

Positives

 Concerns

Knowledgebase

Discuss your article incorporating it

1.4 Participate in health care policy development to influence nursing practice and health care.

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The benchmark assesses the following competencies:1.4 Participate in health care policy development to influence nursing practice and health care.Research public health issues on the “Climate Change”

The benchmark assesses the following competencies:

1.4 Participate in health care policy development to influence nursing practice and health care.

Research public health issues on the “Climate Change” or “Topics and Issues” pages of the American Public Health Association (APHA) website. Investigate a public health issue related to an environmental issue within the U.S. health care delivery system and examine its effect on a specific population.

Write a 750-1,000-word policy brief that summarizes the issue, explains the effect on the population, and proposes a solution to the issue.

Follow this outline when writing the policy brief:

  1. Describe the policy health issue. Include the following information: (a) what population is affected, (b) at what level does it occur (local, state, or national), and (c) evidence about the issues supported by resources.
  2. Create a problem statement.
  3. Provide suggestions for addressing the health issue caused by the current policy. Describe what steps are required to initiate policy change. Include necessary stakeholders (government officials, administrator) and budget or funding considerations, if applicable.
  4. Discuss the impact on the health care delivery system.

Include three peer-reviewed sources and two other sources to support the policy brief.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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. Refer to the LopesWrite Technical Support articles for assistance.

RUBRIC

Attempt Start Date: 29-Apr-2019 at 12:00:00 AM

Due Date: 05-May-2019 at 11:59:59 PM

Maximum Points: 120.0

Benchmark – Policy Brief – Rubric

No of Criteria: 9 Achievement Levels: 5CriteriaAchievement LevelsDescriptionPercentageUnsatisfactory0.00 %Less than Satisfactory75.00 %Satisfactory79.00 %Good89.00 %Excellent100.00 %Content80.0     Description of Policy Health Issue 20.0Description of the policy issue is omitted.An incomplete description of the policy issue is presented. The origin of this policy is unclear. There is no evidence that this policy creates a health issue, or that it is an issue for the population selected. The level at which the issue occurs has not been identified. There are major inaccuracies. A description of the policy issue is summarized. The origin of the policy is described, but it is unclear why the policy creates a health issue for the population selected. The level at which the issue occurs is identified. There are some inaccuracies. More information and rationale are needed.A general description of the policy issue is presented. The origin of the policy is described and a correlation between the policy and the health issue for the population selected is established. The level at which this occurs is discussed. Some rationale or detail is needed for clarity.A detailed description of the policy issue is presented. The origin of the policy is described and a strong correlation between the policy and the health issue for the population selected is established. The level at which this occurs is discussed. Strong rationale and evidence are offered for support. Insight into the policy health issue is demonstrated.Problem Statement20.0A problem statement is not included.A problem statement is present but lacks detail or is incomplete. Subject knowledge is unclear or inconsistent.A problem statement is present. Some subject knowledge is evident.A problem statement is included, and subject knowledge is competent.A problem statement is thoroughly developed with supporting details.Suggestions for Addressing the Policy Health Issue (C 1.4 Participate in health care policy development to influence nursing practice and health care.)20.0Suggestions for addressing the policy health issue are not included.Suggestions for addressing the policy health issue are incomplete. Suggestions do not include all assignment criteria. The suggestions do not support policy change for the policy health issue.Suggestions for addressing the issue are present. Some subject knowledge is evident. Most assignment criteria are met. The suggestions generally outline steps for policy change. More information or evidence is needed.Suggestions for addressing the issue are present, and subject knowledge is competent. All assignment criteria are met. The suggestions outline steps for policy change. Minor detail is needed for clarity.Suggestions for addressing the issue are thoroughly developed with supporting details. All assignment criteria are met and well-supported. The suggestions are well-supported and offer clear steps for initiating policy change.Impact on Health Care Delivery System20.0A discussion on the impact on the health care delivery system is not included.A discussion on the impact on the health care delivery system is present but lacks detail or is incomplete. Subject knowledge is unclear or inconsistent.A discussion on the impact on the health care delivery system is present. Some subject knowledge is evident.A discussion on the impact on the health care delivery system is present, and subject knowledge is competent.A discussion on the impact on the health care delivery system is thoroughly developed with supporting details.Organization and Effectiveness 15.0     Thesis Development and Purpose5.0Paper lacks any discernible overall purpose or organizing claim.Thesis is insufficiently developed or vague. Purpose is not clear.Thesis is apparent and appropriate to purpose.Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.Argument Logic and Construction5.0Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.Mechanics of Writing (includes spelling, punctuation, grammar, language use)5.0Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English.Format5.0     Paper Format (use of appropriate style for the major and assignment)2.0Template is not used appropriately or documentation format is rarely followed correctly.Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.Template is used, and formatting is correct, although some minor errors may be present. Template is fully used; There are virtually no errors in formatting style.All format elements are correct. Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)3.0Sources are not documented.Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.Total Percentage  100

In this Discussion, you explore the development and approval processes used in an academic or clinical setting with which you are familiar. You then determine how internal factors may have impacted these processes.

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Internal factors can impact every aspect of the curriculum development process. When developing and seeking approval for staff trainings, academic courses, or entire nursing programs, it is imperative

Internal factors can impact every aspect of the curriculum development process. When developing and seeking approval for staff trainings, academic courses, or entire nursing programs, it is imperative that nurse educators are cognizant of the internal environment of the parent institution or agency. Recognizing internal politics, budgetary and resource allocations, faculty/staff characteristics, and the organizational structure of the setting can help nurse educators better prepare for the development process. In addition, aligning the program to the overarching mission, vision, and philosophy of the institution can help nurse educators undergo a smoother approval process.

In this Discussion, you explore the development and approval processes used in an academic or clinical setting with which you are familiar. You then determine how internal factors may have impacted these processes.

To prepare:

  • Consider how curriculum is developed and approved. How might approval at a large institution differ from that at a small institution? How might approval for an academic institution differ from that of a clinical agency?
  • Select a curriculum (seminar, training, course, or program) offered through a workplace or academic institution with which you are familiar.
  • Review Chapter 3, “Needs Assessment: The External and Internal Frame Factors,” in the Keating text. Examine how internal factors might have impacted the development and approval of this curriculum.

By Day 3

Post a brief description of the curriculum and setting that you selected. Provide an overview of the curriculum development and approval processes applicable to your selected setting. Explain how internal factors can impact the development and approval of this curriculum and why.