FACTORS AFFECTING UTILIZATION OF MENTAL HEALTH.

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This assignment requires that you prepare both Annotated Bibliographies and Literature Review Resources

Successful completion of a doctoral dissertation requires significant amounts of independent reading on the research topic. This allows the doctoral learner/researcher to become familiar with the scope of the topic and to identify gaps or tensions within the existing literature on the topic. These gaps and tensions become the source of the dissertation research. In this assignment, you will read and annotate potential sources in your dissertation field of interest. Those demonstrating the most merit to the best of your understanding of the topic at this time should be added to your RefWorks list for potential inclusion in the Literature Review section of your dissertation.
General Requirements:
Use the following information to ensure successful completion of the assignment:
•You will be adding to this document to begin building a running literature review.
•  It is strongly recommended that you engage in this activity throughout the duration of your program.
• Instructors will be scoring your submission based on the number of unique sources identified in the list submitted.
•  Download the resource entitled “Literature Review Resources Tool” and use it to complete the assignment.
•  Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
•  Refer to the resource, “Preparing Annotated Bibliographies,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.
Directions:
Read at least 10 peer-reviewed articles in your general dissertation field that you have not read previously.
In the “Literature Review Resources” document that you submitted in RES-830, provide the following for each source you are adding to the document:
• The APA-formatted citation.
• A brief annotation of the key points of the source.
• An indication of whether the source has been added to (Y) or excluded from (N) your RefWorks list.

PLEASE NOTE DISSERTATION TOPIC:
Broad Topic Area: Factors Affecting Utilization of Mental Health in Southern Texas
Final Topic: Factors Affecting Utilization of Mental Health in Fort-Bend County, Texas 

Describe in your own words what you understand by the term functional health.

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There are many ways to access functional health. 

Describe in your own words what you understand by the term functional health.
What are ADLs and IADLs? List the ADLS and IADLs and describe what they are.

a. Researchers report that there has been a decrease in the rate of impairment in ADLs and IADLs among older adults in the past two decades. Discuss this statement with supporting numbers. What are the reasons for this decline?

2. b. Similarly, it is reported that there has been a decrease in nursing home residency over the past two decades. What factors do you think contribute to this decrease?
3. Quality of life is a multi-faceted construct.  Describe what you understand by the term Quality of life.
4. Chapter 10 in Aldwin, Carolyn M., and Diane F. Gilmer. Health, Illness, and Optimal Aging: Biological and Psychosocial Perspectives states that “There are three major ways of defining stress (Mason, 1975). The first is as a physiological state of the organism (sometimes referred to as strain). The second is to define stress as a characteristic of the environment (or stressor). The third is to view stress as a transaction between the person and the environment.” Pick one of the three ways stress is defined and write a paragraph using some of the theories associated with the definition you chose.

DISCUSS THE MEANING OF RATIO ANALYSIS IN HEALTHCARE.

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Instructions
Assessment #4: Ratio Analysis (15%)

Write a 3-5  page paper in which you discuss the value of ratio analysis in decision making for health care organizations. Complete the following in your paper: 
Discuss the meaning of ratio analysis in healthcare.
Pick only one (1) ratio from EACH major group from the financial statements. (e.g. Current ratio, ROE, Debt to equity, ALOS)
Major Groups:

Liquidity ratios (Current ratio, Days Cash-on-Hand, Quick Ratio)
Profitability ratios (ROE, ROA, Total Margin, Operating Margin)
Leverage/Capital Structure Ratios (Debt ratio, Equity ratio, Debt to Equity Ratio)
Nonfinancial Ratios (Occupancy rate, payer mix, ALOS, Expense per discharge, FTE per bed, HMO penetration)

Discuss one (1) ratio (from EACH major group) using the following criteria: 

What is the meaning of each ratio?
Evaluate the meaning of the ratio related to the financial health of the health care organization. Show the calculations.
Explain the factors that affect the results related to the financial health of the organization. 

You can also utilize the sample Help4UHMO Organization financial statements (located under week 6) or a real-life health care organization to evaluate by researching their financial statements.

Format your paper consistent with APA guidelines.
Provide a minimum of two (2) cited sources in your paper. Properly cite in APA format.

ANALYZE HEALTH NEEDS, DISPARITIES, AND HEALTHCARE DELIVERY SYSTEMS WITHIN THE CONTEXT OF CULTURAL, SOCIAL, LEGAL, POLITICAL, AND ECONOMIC FORCES.

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Competency
Analyze health needs, disparities, and healthcare delivery systems within the context of cultural, social, legal, political, and economic forces.
Instructions
You have recently been promoted to Health Services Manager at Three Mountains Regional Hospital, a small hospital located in a mid-size city in the Midwest. Three Mountains is a general medical and surgical facility with 400 beds. Last year there were approximately 62,000 emergency visits and 15,000 admissions. More than 6,000 outpatient and 10,000 inpatient surgeries were performed.
After the first series of training, your CEO decided that employees would benefit from an online self-check after completing the training. You are tasked with developing a PowerPoint presentation with a list of questions that ask about liability protections for the physicians and the facility. Correct answers should be provided in the notes so that employees can check their responses.
Please prepare a PowerPoint presentation (or feel free to use other shareable Webware/software that you prefer) with questions that check employee understanding about the liability protections for physicians and the facility.

The PowerPoint presentation should be a minimum of 8 slides and a maximum of 12. (Here is a library resourcefor help creating a PowerPoint presentation.)
On each slide, provide a question that can be utilized to ascertain basic understanding. Open-ended questions are preferable.
Use the notes area on each slide to provide the answer with a thorough explanation of why that answer is correct.
Include a slide that provides links to 3-5 resources for employees who want more information.
Your final slide should be the reference page for sources cited in the Notes.

NOTE – APA formatting, and proper grammar, punctuation, and form required. APA help is available here.

You are the Project Manager in a large healthcare facility for Be Well Health System. The organization consists of 3 hospitals and 15 clinic/specialty facilities that were acquired over the past 10 years as part of the company’s growth strategy.

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Scenario
You are the Project Manager in a large healthcare facility for Be Well Health System. The organization consists of 3 hospitals and 15 clinic/specialty facilities that were acquired over the past 10 years as part of the company’s growth strategy. While the sites are part of the Be Well Health System, many operate independently as they did before the acquisitions.
This strategy has worked well for the organization. Given the changing environment of the healthcare industry, Be Well’s executive team wants to make sure the organization is not growing too fast or stretching their resources too thin and impacting patient care or service. They know other organizations are working to consolidate and standardize their business operations and realize they will need to do the same to remain competitive.
The executive team would like to put together a strategic workgroup with representatives and key stakeholders from all the sites to start exploring how a consolidated organization might look and function successfully for all the sites. You know the group will have a lot of work to do, and in order to be successful, it is important that the right team of people is selected for the workgroup.
You have been asked to provide the group with information about how to identify the skills needed for this new workgroup, build the team, and develop staff so they are successful. You also know that not everyone understand the differences between the principles of management and strategic management, so you plan to start by presenting that information to the group.

You know that once the executive committee selects the workgroup participants, their work is just starting. Making sure that the team functions well and can come to consensus on key issue will be the determining factor of their success.
Write a 1 page paper on team building and consensus strategies. 

Provide your evaluation of team building strategies and select one to propose to the executive committee that would work well for this case scenario. Remember that employees are not currently co-located and bringing people in town for meetings can be an expensive option that will not always be available.
Provide your evaluation of consensus strategies and select one to propose to the executive committee that would work well for this case scenario. Take into consideration that work group participants may have different tiles and job rank, so you want the group to be able to naturally come to a consensus when faced with difficult issues rather than defaulting to higher level positions pulling rank over the group.

APA formatting must be used for all written assignments. This includes title page, formatting and references along with in text citations. A minimum of 2 references must be used.

Develop a 4–6-page proposal for executive leadership that addresses changes you would like to see within your organization that would advance the field of nursing.

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ITS IMPORTANT TO MEET THE COMPETENCES !!!

Develop a 4–6-page proposal for executive leadership that addresses changes you would like to see within your organization that would advance the field of nursing.    
Nursing is in the midst of many changes. In this assessment you will consider how you can be a driving force to bring about needed change within the field of nursing.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

Competency 1: Explain strategies for effective interprofessional teamwork and collaboration in health care delivery.            

(IMPORTANT) -Analyze barriers and resistance to change, and describe strategies to overcome these barriers and resistance to change from an organization, patients, or colleagues.
(IMPORTANT) -Identify other health care professionals to enlist as members of an interprofessional team to drive change in an organization.

Competency 2: Analyze the implications of working with interprofessional teams in multifaceted health care settings.            

(IMPORTANT) -Analyze how a problem impacts an organization, patients, or the nursing profession. 

Competency 3: Develop evidence-based nursing interventions to address specific problems and enable systemic change.            

(IMPORTANT) -Describe evidence-based solutions to a problem and develop a plan to implement these solutions. 

Competency 4: Communicate in a manner that is scholarly, professional, and consistent with expectations of a nursing professional.           

(IMPORTANT) -Write content clearly and logically, with correct use of grammar, punctuation, and mechanics. Use correct APA format.

Assessment Instructions 
Preparation
To prepare for this assessment, you will need to think about changes you feel are needed to address a problem either within nursing as a professional field or within the organization where you work. Narrow down your options by considering which change would best be undertaken by an interprofessional team. Some examples for you to consider might include:

The use of mobile and portable technology to support patients.
Using evidence-based practice (EBP) to improve patient care.
Increasing patient safety and quality of care.
The use of medical technology such as genes and stem cells, or robots in the OR.
Addressing the nursing shortage now and into the future.
Improving the work environment (providing calm, supportive spaces for nurses; improved dialog between health care professionals).
Better safety for nurses at work (violence, spreading diseases, physical injury).
Substance abuse by health care professionals.

Or you can narrow the scope to an issue within your own organization:

Developing a mobility program for an inpatient unit.
Implementing “smart” technology to assist in patient monitoring.
Creating a mentoring program to attract and retain nurses.
Implementing protocols for infection control and/or treatment of an epidemic.
Developing a plan to eliminate physical violence and verbal abuse in the workplace.
Other.

Once you have selected an issue to address, look for scholarly and professional articles that focus on the problem, the needed change, and how interprofessional teams can work together to drive change.
Requirements
Lately you have noticed the need for changes within your organization that would advance the field of nursing. You have decided to develop a proposal and submit it to executive leadership. Format this assessment as a professional proposal. You may want to look at how proposals are drafted within your organization and follow that format. You will still need a references page; follow APA guidelines for in-text citations and references.
Address the following in your proposal:

Briefly describe the problem and how it impacts the organization, patients, and/or the nursing profession.
Describe possible evidence-based interventions for the problem.
Analyze potential barriers and resistance to change that might come from the organization, patients, and/or colleagues.
Describe strategies to overcome barriers and resistance to change.
Develop a plan to implement evidence-based interventions. What steps would you take? What resources might you need?
Identify other health care professionals to enlist as team members to help drive change in the organization.

Your completed assessment should be 4–6 pages in length, not including title page and references page. Support your statements and intervention plan with references to and citations for at least four scholarly or professional resources.
Additional Requirements

Include a title page and references page.
Reference at least four current scholarly or professional resources.
Use APA format for citations and references.
Use Times New Roman font, 12 point.
Double space.

DISCUSS THE DIFFERENCES BETWEEN FINANCIAL AND MANAGERIAL ACCOUNTING AND HOW EACH APPLIES TO HEALTHCARE FACILITIES?

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You are the CFO for a 400-bed hospital in your community. You have been asked to present information to the local business organization on financial information and its importance to the stability of any business. You have been presented a list of questions from the group to answer in your presentation:

What is the importance of financial information to the hospital? 
Who are the various users of the hospital financial information and how is the information used in healthcare decision making? 
Discuss the differences between financial and managerial accounting and how each applies to healthcare facilities?

attached is the ebook that should be referenced 

Q2

Go to this website https://wonder.cdc.gov/ 
Answer these questions in 2 pages
1. Identify one of the resources at the CDC Wonder site above and describe how a nurse might use this information in practice.
2. How might nurses utilizing telehealth benefit from these resources?
3. Address what you find innovative about the link.
4. Feel free to share some of your nursing innovation ideas!
Addition reference is Fronczek, A. E., Rouhana, N. A., & Kitchin, J. M. (2017). Enhancing telehealth education in nursing: Applying King’s conceptual framework and theory of goal attainment. Nursing Science Quarterly, 30(3), 209-213.

Explain the concept of health information exchange (HIE).

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A one and a half to two page draft of your paper is due this week (you may certainly write more but a minimum of one and a half pages is required to satisfy the content criteria. Your draft should indicate how you plan to address project objectives and expectations, show some details from your research, and show the primary sources of information you have identified. Your draft may address any or all of the following objectives.
1.  Explain the concept of health information exchange (HIE).
2.  Explain the structure and types of HIE.
3.  Explain challenges related to HIE.
4.  Describe benefits of HIE for various stakeholders.
5.  Explain the role of clinical terminologies and data standards in HIE.
6.  Evaluate the significance of data quality characteristics in HIE.
7.  Describe your interest in HIE as a consumer.
8.  Discuss any state-specific HIE findings from your research.
Your HIE Paper should be primarily based on academic research but you can also use credible Internet sources such as the AHIMA, HIMMS, or HealthIT ones, as well as informational interviews with those involved in HIE.

Q2

how to eat healthy is one of the ways to combat potential obesity issues.

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Prompt: Write a ± 550-word expository essay explaining how to eat healthy is one of the ways to combat potential obesity issues. 

Your essay should have 5 paragraphs (1 introduction with your thesis statement – 3 body paragraphs – 1 conclusion). 

  
In your essay, you must use some information or evidence from ALL of the five (5) sources below. Use direct quotes (no more than a couple of lines each using quotation marks); no more than 2 direct quotes for your all essay. Also, use paraphrased passages (usually 1 to 2 lines from the sources). For presenting evidence from these outside sources, refer to your CP, pp. 254-261.
At the end of your essay, you must have the “Reference List” section referring to the sources below. Refer to your CP, pp. 266-269, on how to present your Reference List.
§ www.healthline.com/nutrition/14-ways-to-stick-to-a-diet#section1 
§ http://www.dailymail.co.uk/health/article-53111/Why-eating-little-best.html
§ https://www.helpguide.org/articles/healthy-eating/healthy-eating.htm
§ CP, Unit 3: “It’s the Calories”, pp. 195-202

DESCRIBE MANAGEMENT AND ACCOUNTABILITY TOOLS AND PROCEDURES USED TO MANAGE HEALTH DELIVERY SERVICES AND PATIENT OUTCOMES.

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ITS IMPORTANT TO MEET THE COMPETENCES !!!

Write a 3–4 page evidence-based resourcing plan for one component of the Heart Failure Clinic.

It is important for the nurse leader to have not only a basic understanding of the budget process, but to understand how to work with variances in staffing, patient loads, and supply costs in order to meet the needs of the patients, without compromising the funding process of the clinic.
  
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

Competency 3: Apply management strategies and best practices for health care finance, human resources, and materials allocation decisions to improve health care delivery and patient outcomes.       

(IMPORTANT) -Apply evidence-based management strategies and best practices for resourcing health care services.
(IMPORTANT) -Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes.

Competency 4: Apply professional standards of moral, ethical, and legal conduct in professional practice.       

(IMPORTANT) -Apply legal and professional standards for resourcing outpatient services.

Competency 5: Communicate in manner that is consistent with the expectations of a nursing professional.       

(IMPORTANT) -Write content clearly and logically, with correct use of grammar, punctuation, mechanics, and current APA style.

Assessment Instructions 
  
Preparation
Refer to the Capella library and the Internet for supplemental resources to help you complete this assessment.
Instructions
Deliverable: Develop one component of an evidence-based resourcing plan.
Scenario:
The hospital leadership team has already allocated the major capital expenditures for the heart failure clinic, such as the facility, legal services, IT, and security services. However, as a member of the nurse team, you have been asked to develop one component of a resourcing plan for the next leadership meeting.
You may use any combination of documents (for example, a spreadsheet or a table) in addition to explanatory information to convey information clearly and succinctly.
Choose  one of the following:
Budget:

Apply evidence-based management strategies and best practices for resourcing health care services.      

Identify the business plan budget categories and subcategories (not necessarily the actual cost) to establish a new clinic.
Start-up expenses.
Examine fixed and variable costs.
Capital budget items.        

Examples: salary and benefits, staffing mix, specialized equipment or materials, et cetera.

Contingency fund and parameters.

Apply legal and professional standards for resourcing outpatient services.      

Explain the alignment to best practices and professional standards for cost effective outpatient services.
How will uninsured or underinsured patients be managed?

Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes.      

What data resources and tools analyze costs, health insurance, and hospitalization services?
How will billing be handled?
How will you determine if outpatient management is cost-effective?
How does transparency impact the consumer?

Staffing Plan:

Apply evidence-based management strategies and best practices for resourcing health care services.

Identify the disciplines and skill mix needed for appropriate staffing.
Estimate staffing requirements by discipline and staffing ratios (evidence-based).
Develop a sample staffing schedule.
How will you staff to meet corporate diversity goals or the needs of diverse patients?
Explain how delegation, collaboration, negotiation will affect staffing plan.       

How does a union contract affect the staffing plan or schedule?         

Examine the Nurse Practice Act for your state.           

How does the Nurse Practice Act affect your staffing plan?

Apply legal and professional standards for resourcing outpatient services.      

Align your staffing plan to best practices, the Nurse Practice Act for your state, scope of practice, and the Joint Commission standards for outpatients.

Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes.      

How will you know if staffing is cost-effective?
How will you know if staffing mix or schedule impacts patient outcomes?

Additional Requirements

Written communication: Written communication should be free of errors that detract from the overall message.
APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.
Length: The plan should be 3–4 pages in content length, double-spaced.
Font and font size: Times New Roman, 12 point.
Number of resources: Support your plan with a minimum of three peer-reviewed resources, in addition to professional standards.