THE PRINCIPAL OBJECTIVE OF UTILIZATION MANAGEMENT IS THE REDUCTION OF PRACTICE VARIATIONS BY ESTABLISHING PARAMETERS FOR COST-EFFECTIVE USE OF HEALTH CARE RESOURCES.

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HSC 3020 Managed CareUtilization ManagementThe principal objective of utilization management is the reduction of practice variations by establishing parameters for cost-effective use of health care resources. There are four main techniques or tools used in utilization management: demand management, utilization review, case management, and disease management. Utilization management helps MCOs control costs and improve quality.Refer to the readings of this week and the Internet on the above information, answer the following questions:What are the challenges faced by MCOs regarding practice variations? What do you think can be done to meet these challenges?Differentiate between the three main processes of institutional utilization management.Determine the main purposes of each process of institutional utilization management? Which process do you think is the most important, and why?Research the role of the utilization management nurse.Explain the functions of the utilization management nurse, and compare and contrast the information from that organization.Explain your understanding of disease management and case management. What in your opinion are one major similarity and one major difference between the two types of management?Now, access information on disease and case management by searching the Internet by using the following keywords:Care Continuum AllianceCommission of Case Manager CertificationBased on your research, answer the following questions:What is the purpose or mission of these professional organizations?What standards do these organizations set for certification or membership?How do these organizations define disease or case management and do they differ from the text definitions?

THE ROLE OF A CONSULTANT WHO HAS BEEN HIRED TO EVALUATE A CLINICAL MENTAL HEALTH COUNSELING PROGRAM THAT PROVIDES SERVICES IN YOUR COMMUNITY OR REGION.

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For the course project you have been assuming the role of a consultant who has been hired to evaluate a clinical mental health counseling program that provides services in your community or region.You are creating a hypothetical but plausible program with hypothetical stakeholders clients interventions and measures. And you are developing plans for an evaluation that will guide program improvements and document progress toward the program’s mission and goals.For this assignment in Unit 8 use the template linked in Resources to describe the evaluation design you chose the measures of outcomes that you have selected your data collection and analysis plans and how you plan to assure reliability validity and credibility of your data and your analysis.To achieve a successful project experience and outcome you must include the following sections for Part 2:Additionally your paper must:Make sure to use the template (link in Resources) for this assignment.

DESCRIBE FOR YOUR AUDIENCE THE NATURE OF YOUR CHOSEN PUBLIC HEALTH ISSUE SO THAT THEY WILL BE ABLE TO UNDERSTAND AND APPRECIATE YOUR PRESENTATION.

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Overview: For Milestone Two you will dD Building upon your Milestone One worksheet submission your analysis will include the economic principles and impacts of the principals involved with your public health issue related socioeconomic factors and the healthcare organizations impacted.Use the feedback you received on Milestone One to assist you in developing your introduction. Submit your analysis as a short paper that you may use to develop speakers notes for your final presentation.Prompt: Describe for your audience the nature of your chosen public health issue including the economic considerations involved.Specifically the following critical elements must be addressed: I. Analysis of the Health Issue:A. Outline the underlying economic principles and indicators at play using specific examples. To what extent do those principles and indicators apply in understanding your chosen public health issue?B. Demonstrate the economic impacts of your public health issue. Provide specific examples of each impact.C. Analyze the larger context within which your chosen public health issue exists. To what extent is the issue a product of larger socioeconomic factors?D. Examine the major healthcare organizations impacted by the public health issue.How are they currently acting and reacting to the issue? Rubric Guidelines for Submission:Your paper must be submitted as a 2- to 3-page Microsoft Word document with double spacing 12-point Times New Roman font one-inch margins and at least three sources cited in APA format. Instructor Feedback:Textbook:Economics for Healthcare ManagersChallenges for Improving Health Care Access in Rural AmericaThis case found on pages 60 – 65 provides a customary view of poverty in association with healthcare and focuses on the residents ability to pay. Financial difficulty in a region has compounding effects on utilization and demand extending from provider supply to access to insurance. This case will be used as a basis for the module discussion.Here is the link for the homework.

A GRADUATE LEVEL COURSE LEADERSHIP AND MANAGEMENT IN HEALTHCARE SYSTEM.

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This is a graduate level course Leadership and management in healthcare system. There are three questions in all the first question should be a paper 2 pages long APA format and the two questions should be 1-2 paragraphs long.Leadership Competency Assessment – Self-Development PlanAssignment:Throughout the last five units you have learned about several leadership skills and competencies that are demonstrated by successful business leaders. This assignment is designed to help you apply the lessons you have learned in the class, consider how you want to apply your leadership in your career and develop a self-development plan as a path to achieving your goals.Assignment Clarifications:Career Goals: Please identify you three, five and ten-year career goals. Please be very specific including what you would like to be doing, where would you like to be, your ideal work setting, position, lifestyle, etc? If you are planning to remain in your current position, how would you improve the way you work or the way your position is structured?Development Needs: Please identify 5 – 8 development steps leadership competencies that you will need to be successful in your career goals. For each competency, be very specific on steps you will take to develop the competency, time-frames and additional resources needed.Grading Rubric (50 points total): Identification of Career Goals = 20 points Developmental Needs = 25 points Grammar Format Thorough = 5 points1. Listening Effectively (Leadership Competency)Read the excerpt from a Leadership Newsletters, Effective Listening. Provide examples of when the listening skills of reflecting, probing, deflecting or advising may be appropriate? Provide examples of when listening skills were effective or not effective and discuss the outcome. How will you practice your listening skills?2. Unsuccessful Executives (Leadership Competency)Read the 7 Habits of Unsuccessful Executives. From your experience or research, please identify a company that has not achieved its potential (several examples cited in the article) and comment on what specific leadership skill change may have impacted the outcome in a more positive way?

how a market force affects the health care industry and describes an associated ethical challenge that could influence management practices.

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Write a 35 page executive report that explains how a market force affects the health care industry and describes an associated ethical challenge that could influence management practices. Recommend two strategies to prevent or address the ethical challenge and explain how the strategies maintain compliance with external regulations.For this assessment, suppose you work for a health care organization whose senior leadership strives to make ethical decisions related to ever-changing external forces. As part of the management team, you have been assigned to analyze one of the market forces affecting the health care industry. You need to choose one of the following market forces: Managed care. Caring for aging baby boomers. Integrative medicine.Then you need to choose one segment of the health care system (insurance, reimbursement industry, hospitals, long term care facilities, and so on) to use as the focus of this analysis. For example, you may decide to focus on integrative medicine in long-term care facilities.Review the resources provided and conduct your own research on the topic you have selected. You will need to use current, relevant information and statistics from at least three authoritative resources to support your work. Be sure you also look at regulatory agencies that oversee the topic and health care system segment you selected.Format this assessment as an executive report, following APA guidelines for citations and references. Please be sure you include a title page and a references page.RequirementsIn the executive report you develop for this assessment, be sure you complete the following: Explain how the market force you selected is affecting the health care industry. Include any statistics you found during your research. Describe at least one ethical challenge related to the market force that might influence organizational management practices. Recommend at least two strategies leadership might use to prevent or address the challenge. Consider whether a CSR initiative could help prevent the ethical challenge.Explain how your recommended strategies will maintain compliance with external regulations.

Case Study on Biomedical Ethics in the Christian Narrative

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This assignment will incorporate a common practical tool in helping clinicians begin to ethically analyze a case. Organizing the data in this way will help you apply the four principles of principlism.

Based on the “Case Study: Healing and Autonomy” and other required topic study materials, you will complete the “Applying the Four Principles: Case Study” document that includes the following:

Part 1: Chart

This chart will formalize principlism and the four-boxes approach by organizing the data from the case study according to the relevant principles of biomedical ethics: autonomy, beneficence, nonmaleficence, and justice.

Part 2: Evaluation

This part includes questions, to be answered in a total of 500 words, that describe how principalism would be applied according to the Christian worldview.

Remember to support your responses with the topic study materials.

APA style is not required, but solid academic writing is expected

Applying the Four Principles: Case Study

Part 1: Chart (60 points)

Based on the “Healing and Autonomy” case study, fill out all the relevant boxes below. Provide the information by means of bullet points or a well-structured paragraph in the box. Gather as much data as possible.

Medical IndicationsBeneficence and NonmaleficencePatient PreferencesAutonomy
Quality of LifeBeneficence, Nonmaleficence, AutonomyContextual FeaturesJustice and Fairness

©2019. Grand Canyon University. All Rights Reserved.

Part 2: Evaluation

Answer each of the following questions about how principlism would be applied:

1. In 200-250 words answer the following: According to the Christian worldview, which of the four principles is most pressing in this case? Explain why. (45 points)

2. In 200-250 words answer the following: According to the Christian worldview, how might a Christian rank the priority of the four principles? Explain why. (45 points)

Write A 500-750 Word Description Of Your Proposed Capstone Project Topic.

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In collaboration with your approved course mentor, you will identify a specific evidence-based practice proposal topic for the capstone project. Consider the clinical environment in which you are currently working or have recently worked. The capstone project topic can be a clinical practice problem, an organizational issue, a quality improvement suggestion, a leadership initiative, or an educational need appropriate to your area of interest as well as your practice immersion (practicum) setting. Examples of the integration of community health, leadership, and an EBP can be found on the “Educational and Community-Based Programs” page of the Healthy People 2020 website.

Write a 500-750 word description of your proposed capstone project topic. Make sure to include the following:

  1. The problem, issue, suggestion, initiative, or educational need that will be the focus of the project
  2. The setting or context in which the problem, issue, suggestion, initiative, or educational need can be observed.
  3. A description providing a high level of detail regarding the problem, issue, suggestion, initiative, or educational need.
  4. Impact of the problem, issue, suggestion, initiative, or educational need on the work environment, the quality of care provided by staff, and patient outcomes.
  5. Significance of the problem, issue, suggestion, initiative, or educational need and its implications to nursing.
  6. A proposed solution to the identified project topic

You are required to retrieve and assess a minimum of 8 peer-reviewed articles. Plan your time accordingly to complete this assignment.

Prepare this assignment according to the guidelines found in the APA Style enter.

Family Focused Assessment

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Develop an interview questionnaire to be used in a family-focused functional assessment. The questionnaire must include three open-ended, family-focused questions to assess functional health patterns for each of the following:

  1. Values/Health Perception
  2. Nutrition
  3. Sleep/Rest
  4. Elimination
  5. Activity/Exercise
  6. Cognitive
  7. Sensory-Perception
  8. Self-Perception
  9. Role Relationship
  10. Sexuality
  11. Coping

Select a family, other than your own, and seek permission from the family to conduct an interview. Utilize the interview questions complied in your interview questionnaire to conduct a family-focused functional assessment. Document the responses as you conduct the interview.

Upon completion of the interview, write a 1000- 1250 word paper. Analyze your assessment findings. Submit your questionnaire as an appendix with your assignment.

Include the following in your paper:

  1. Describe the family structure. Include individuals and any relevant attributes defining the family composition, race/ethnicity, social class, spirituality, and environment.
  2. Summarize the overall health behaviors of the family. Describe the current health of the family.
  3. Based on your findings, describe at least two of the functional health pattern strengths noted in the findings. Discuss three areas in which health problems or barriers to health were identified.
  4. Describe how family systems theory can be applied to solicit changes in family members that, in turn, initiate positive changes to the overall family functions over time.

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

Prepare this assignment according to the APA , NO PLAGIARISM PLEASE

Cardiovascular Alterations

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At least once a year, the media report on a seemingly healthy teenage athlete collapsing during a sports game and dying of heart complications. These incidents continue to outline the importance of physical exams and health screenings for teenagers, especially those who play sports. During these health screenings, examiners check for cardiovascular alterations such as heart murmurs because they can be a sign of an underlying heart disorder. Since many heart alterations rarely have symptoms, they are easy to miss if health professionals are not specifically looking for them. Once cardiovascular alterations are identified in patients, it is important to refer them to specialists who can further investigate the cause.

Consider the following scenario:

A 16-year-old male presents for a sports participation examination. He has no significant medical history and no family history suggestive of risk for premature cardiac death. The patient is examined while sitting slightly recumbent on the exam table and the advanced practice nurse appreciates a grade II/VI systolic murmur heard loudest at the apex of the heart. Other physical findings are within normal limits, the patient denies any cardiovascular symptoms, and a neuromuscular examination is within normal limits. He is cleared with no activity restriction. Later in the season he collapses on the field and dies.

To Prepare

Review the scenario provided, as well as Chapter 25 in the Huether and McCance text. Consider how you would diagnose and prescribe treatment for the patient.

Select one of the following patient factors: genetics, ethnicity, or behavior. Reflect on how the factor you selected might impact diagnosis and prescription of treatment for the patient in the scenario.

Post a description of how you would diagnose and prescribe treatment for the patient in the scenario. Then explain how the factor you selected might impact the diagnosis and prescription of treatment for that patient. 

Required Readings

** Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.

Chapter 23, “Structure and Function of the Cardiovascular and Lymphatic Systems”

This chapter examines the circulatory system, heart, systemic circulation, and lymphatic system to establish a foundation for normal cardiovascular function. It focuses on the structure and function of various parts of the circulatory system to illustrate normal blood flow.

Chapter 24, “Alterations of Cardiovascular Function”

This chapter presents the pathophysiology, clinical manifestations, evaluation, and treatment of various cardiovascular disorders. It focuses on diseases of the veins and arteries, disorders of the heart wall, heart disease, and shock.

Chapter 25, “Alterations of Cardiovascular Function in Children”

This chapter examines cardiovascular disorders that affect children. It distinguishes congenital heart disease from acquired cardiovascular disorders.

** Hammer, G. G. , & McPhee, S. (2014). Pathophysiology of disease: An introduction to clinical medicine. (7th ed.) New York, NY: McGraw-Hill Education.

Chapter 11, “Cardiovascular Disorders: Vascular Disease”

This chapter begins with an overview of the vascular component of the cardiovascular system and how the cardiovascular system is normally regulated. It then describes three common vascular disorders: atherosclerosis, hypertension, and shock.

**American Heart Association. (2012). Retrieved from http://www.heart.org/HEARTORG/ 

**Million Hearts. (2012). Retrieved from http://millionhearts.hhs.gov/index.html 

**National Heart, Lung, and Blood Institute. (2012). Retrieved from http://www.nhlbi.nih.gov/

Instructor Requirements

As advanced practice nurses, we are scholars, nurse researchers and scientists. As such, please use Peer-Reviewed scholarly articles and websites designed for health professionals (not designed for patients) for your references. Students should be using the original citation in Up

to Date and go to that literature as a reference. The following are examples (not all inclusive) of resources/websites deemed inadmissible for scholarly reference:

1. Up to Date (must use original articles from Up to Date as a resource)

2. Wikipedia

3. Cdc.gov- non healthcare professionals section

4. Webmd.com

5. Mayoclinic.com

– This work should have  Introduction and  Conclusion

– It should have at least 3 current references

– APA format

– At least 2 pages, references page not included

Home Visit With Sallie Mae Fisher

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observe the simulated “Home Visit With Sallie Mae Fisher” video (http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs410v_vp01Alt.php).

Refer to “Sallie Mae Fisher’s Health History and Discharge Orders” for specifics related to the case study used to inform the assignment.

Using “Home Visit With Sallie Mae Fisher” and “Sallie Mae Fisher’s Health History and Discharge Orders,” complete the following components of this assignment:

Essay Portion

After viewing the home visit, write an essay of 500-750-words in which you do the following:

  1. Identify,      prioritize, and describe at least four problems.( problems identify are as follows

Mrs. Fisher’s number one problem is dehydration. In the video her vital signs are: Heart rate 58, blood pressure 90/56, respiratory rate 24 and temperature 97.8F (GCU, 2017). Her physical assessment reveals poor skin turgor, tenting, dry mucus membranes, hypoactive bowel sounds, no bowel movement for three days and a 14 pound weight loss in one week (GCU, 2017). She admits to “not having an appetite.” She is taking Lasix, a diuretic further contributing to her fluid loss.  All of these finding are consistent with dehydration. Dehydration can lead to a kidney injury, seizures and hypovolemic shock (Mayo Clinic, 2017). 

The next problem is an unsafe living environment. In in video we see a loose rug on the floor, prescriptions on the table and mail on the couch. This lack of organization and Mrs. Fisher’s age put at risk for a fall. The Center for Disease Control and Prevention (CDC) states, “One out of five falls in an older adult causes a serious injury such as broken bones or a head injury” (CDC, 2017).

Then we look at her lack of understanding surround her discharge. She is supposed to be on home oxygen but didn’t have it delivered because she thinks she will, “Be in the poor house” due to cost of her medications and medical supplies. The final problem is her depression. Mrs. Fisher explains her husband died. She now lives alone and, “doesn’t even care, is so lonesome and misses him so” (GCU, 2017). 

  1. Provide      substantiating evidence (assessment data) for each problem identified.
  2. Identify      and describe at least four medical and/or nursing interventions.
  3. Discuss      your rationale for the interventions identified.

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

Scripted Dialogue Portion

Utilizing the information learned from the home visit, health histories, and discharge orders, write a scripted dialogue in which you provide Sallie Mae with education that describes her problems and the interventions identified to improve her condition. Consider Sallie Mae’s physiological, psychosocial, educational, and spiritual needs when developing your dialogue.

Your dialogue should resemble a script. The following is an example of a few sentences from a scripted dialogue:

Nurse: “Good morning, Salle Mae, my name is ______ and I will be your nurse today. I understand you are experiencing problems with ________.”

APA format is not required for this part of the assignment, but solid academic writing is expected.

Refer to “Home Visit With Sallie Mae Fisher Grading Criteria.”

Entire Assignment

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.

NRS410V.R.SallieMaeFishersHealthHistoryandDischargeOrders_Student_02-11-13.docxNRS410V.R.HomeVisitWithSallieMaeFisherGradingCriteria_Student_02-11-13.docx