ANNP8070 UCMC Skin Assessment Discussion

ANNP8070 UCMC Skin Assessment Discussion

Description

Already started but need help filling out the highlighted areas at the bottom( ON THE ATTACHMENT BUT UNDERLINED ON THIS BOX)

Diagnosis: Acne Vulgaris

Plan:

Pharm Interventions:

Non pharm interventions:

Diagnostic testing:

Education:

Follow up:

and immediately available diagnostic results with interpretation

Correctly lists all diagnoses including differentials (if applicable); Comprehensive plan of care including pharm and non-pharm interventions, diagnostic testing, education, and follow up

Interventions outlined in the plan of care for original and suggested alternatives for response posts are supported with evidence from current, relevant, scholarly, peer-reviewed sources including but not limited to textbooks, practice guidelines, and scientific journals. APA  format for reference citations. ANNP8070 UCMC Skin Assessment Discussion

Skin Assessment

Pt. Initials: GS

 

Date:5/13/2022

 

Age:14

 

Gender: M

 

S:

Cc “I have pimples and redness all over my face”

 

HPI 14-year-old Caucasian Male who presents to the office with his mother, with CC pimples and redness all over face and cannot seem to make it go away. Pt states he has had this problem for a year, but it’s been worse the past 3 months. Patients mother states, “it seems to have gotten worse when we moved to Florida from Colorado last year.” Patient denies any itching, pain, or tenderness. No other complaints. Patient states this is the first time he has ever had this happen since starting a year ago and progressing. Patient has tried over the counter face washes with no changes or improvements. Patient states he washes his face 3-4 times a day. Patient denies being around anyone with a skin condition or any chemicals or changes in environmental. Patient denies any recent changes in body soap, laundry detergent, or lotion. Pt denies any other rashes, lumps, or itching. Denies other skin, nails, or hair changes. Patient denies allergies and no new animals in the home. ANNP8070 UCMC Skin Assessment Discussion

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PMH- Patient has no past medical history. Patient’s mother concurs.

            Allergies- allergic to PCN (rash)

            Medications- Denies RX medications

OTC or herbal/ Vitamins: Pt denies taking OTC medications, herbal, supplements, or vitamins.  

Surgeries: No previous surgeries

Vaccinations: Denies Flu, pneumonia (patient has had all child mandated vaccines per CDC)

Last Exams: Patient saw PCP at this office 1year ago for routine physical. Pt also sees pediatric dentist once a year. (Last exam 6 months ago)

Psychiatric history: Denies history of depression, anxiety, Suicidal thoughts, or any other psychiatric history

 

ETOH: Denies drinking alcohol

 

Tobacco: denies tobacco use

 

Illegal Drugs: Denies ever using illegal drugs

 

Occupation/Status: Patient is in 9th grade and is homeschooled by his mother. Not sexually active.

 

Sleep Pattern: Pt states he sleeps about 12 hours a day

 

Exercise History: Reports he works out 4 days a week for about an hour at his neighborhood gym and plays basketball with friends a few nights a week. Pt has been working out for about a 1 year and playing basketball since he was 6 years old. Mother states he has always “been a very active boy and enjoys playing outside”.

Nutrition:

Last 24-hour diet recall: Breakfast: 2 scrambles eggs and 2 pieces of toast with cheese. Lunch: Ramon noodles and a turkey sandwich. Dinner: Chicken and Rice. Snack: Chips, Chocolate granola bar and an energy drink. Drinks 1-2 cans of sprite and/or Dr Pepper every day, 1-2 bottles of water every day. ANNP8070 UCMC Skin Assessment Discussion

FH: Patient denies any family history of throat/mouth/thyroid cancer, glaucoma, or macular degeneration

Paternal Grandfather, 60, HTN

Paternal Grandmother, 56, Hyperlipidemia

Maternal grandfather; living 64y/o, HTN

Maternal grandmother; Living 64, HTN

Father: 36 years old, living, Asthma, Acne Vulgaris, Hay fever

Mother, 34 years old, living, No pertinent medical history

Brother-12 years old – asthma

 

ROS

O:

General appearance: Patient was sitting in exam room AAOX4, no distress noted, Friendly and good historian with mother in the chair next to him. Skin color appropriate for race. Patient was well groomed. Appears to have healthy hygiene and dental hygiene.

Vital signs: BP Left arm sitting 110/70, HR 88 Apical Sinus Rhythm, Resp 17 Regular non labored and even, Temp 97.0 Temporal, O2 sat 100% on room air, denies pain at this time. ANNP8070 UCMC Skin Assessment Discussion

Denies fever, fatigue, or malaise. 5’8, 150lbs, denies weight changes. Appetite good. BMI 22.8 (82%) Healthy weight

 

HEENT:

Head/Neck: patient denies any lymph node pain, goiters, swelling, nodules, headaches, head trauma, dizziness, light headiness, or sinus pressure.

Eyes: denies eye pain, vision changes, itchy or discharge. Denies wearing corrective lenses

Ears: denies changes in hearing, ringing, pain, or discharge.

Nose: denies pain, nose bleeds, polyps, loss of smell, or hay fever.

Mouth/Throat denies sore throat, difficulty swallowing, loss of taste, gum bleeding, carries or lesions. Denies TMJ

Respiratory: denies SOB, cough, asthma, nasal discharge, allergies, or swollen glands.

GI: denies heartburn or indigestion, constipation, vomiting, nausea, diarrhea, masses, hernias, or bowel changes.

Skin: C/o pimples and redness to face denies any other rashes, cyanosis, clubbing of fingers, night sweats, or changes in nails or hair

 

Physical Assessment:

Head:

Inspection: Normocephalic, symmetric, clear of scars, acne, bumps, bruises, redness, rash and swelling, no drooping, no weakness, or involuntary movement.

Palpation/Auscultate: No lesions, bumps, tender spots, or scabs felt. Mandible is symmetric with no cracks or pops during palpations when assessing TMJ and having pt open mouth (with fingers by the tragus of the ear) Lymph nodes are non-palpable and non-tender. Temporal artery no bruits

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Neck:

Inspection: Accessory muscles symmetrical while head erect and still and trachea(midline) on observation. Lymph nodes not swollen on inspection. Supple with full ROM. Face symmetrical, no drooping

Palpation: Lymph nodes are non-palpable and non-tender. Thyroid is soft and smooth on palpation with proper upward movement when swallowing (Standing behind pt, had pt tip head forward and toward the side to be examined and swallow). Thyroid moves up into assessors’ fingers when swallowing bilaterally. Carotid arteries +3/4 with palpation on one side at a time. ANNP8070 UCMC Skin Assessment Discussion

Auscultation: Trachea no stridor, Carotid arteries no bruits, Thyroid no bruit

Eye:

Visual Acuity: Snellen 20/20 bilaterally, EOM intact,

Visual fields normal by confrontation (standing 2 feet away-looking into eyes at eye level- flickering finger until they can see / cover one eye at a time)

Corneal light reflex- symmetric bilaterally. (Shines light 12in away while pt looks straight ahead).

Cover- uncover test: no weakness noted / gaze remained normal ( pt stares straight at nose, cover one eye at a time)

Cardinal Fields of gaze-Tracking of object with both eyes

Inspection: no papilledema, conjunctiva- pink, moist, clear, Sclera white. No crusting or drainage around tear ducts/eyelids. Brows and lashes present. Cornea and lens smooth.

Palpation: eversion of upper lids, no color change, swelling or lesions

Funduscopic: PERRLA, Red reflex present bilaterally, macula is approximately 2.5 disc flat with sharp margins. Vessels present. No crossing defect, retinal background even with no hemorrhages or exudate, macula even color bilaterally.

 

Ear:

Hearing test:

Whisper test- passed- patient able to hear whispered words bilaterally from 2 feet away with one ear covered at a time

Rinne- AC>BC bilaterally (using the tuning fork placed behind ear on bone, tell me when it stops, move to the front of the auricle, and tell me if you can still hear it)

Weber- not lateralized (using the tuning fork, tell me which ear or both that you hear it in)

Inspection: External- symmetric bilaterally, no drainage, bruising, edema, or erythema noted.

Palpate: no tenderness or pain. (Pushed on tragus and mastoid bone)

Otoscopic: TM bilaterally pearly gray with light reflex and landmarks intact, no perforations, no foreign bodies or ear wax. Inspected internal ear and malleus (short process and handle) ANNP8070 UCMC Skin Assessment Discussion

Nose :

Inspection : External- Symmetric, no drainage, polyps, or secretions observed

Patency : Internal- Nares patent, septum midline and symmetric. Mucousa pink and dry

 

Sinus :

Palpation/ Transillumination : Non tender, no edema. Normal transillumination (using the light)

 

 

Mouth:

Inspect & Palpate: Can clench teeth

Breath: No halitosis

Lips: moist, not cracked, no erythema or sores

Tongue: midline, pink and smooth, no lesions

Buccal mucosa: moist, pink, no edema

Gums: moist, pink, no edema, or sores/ulcers

Teeth: straight with good dentition

Uvula: midline, rises on phonation

Throat/Tonsils: Pink mucosa, no lesions, or exudate/ Tonsils grade 0 with no spots or lesions observed

Gag reflex present

 

 

Skin:

Presence of comedones, papules, pustules, and erythema on face. Grade 3. No other lesions or rashes noted on neck, trunk, or other body parts. No warts or moles noted on skin.

 

Differentials: Folliculitis, Rosacea

Diagnosis: Acne Vulgaris

 

Plan:

Pharm Interventions:

Non pharm interventions:

Diagnostic testing:

Education:

Follow up:

and immediately available diagnostic results with interpretation

 

Correctly lists all diagnoses including differentials (if applicable); Comprehensive plan of care including pharm and non-pharm interventions, diagnostic testing, education, and follow up

 

Interventions outlined in plan of care for original and suggested alternatives for response posts supported with evidence from current, relevant, scholarly, peer-reviewed sources including but not limited to textbooks, practice guidelines, and scientific journals. ANNP8070 UCMC Skin Assessment Discussion.APA  format for reference citations

 

 

 

 

 

 

 

SU Health and Medical Operations Plan Essay

SU Health and Medical Operations Plan Essay

Description

 

 

OVERVIEW

According to the text, a significant amount of revenue that the health care industry generates can be linked directly to the care that physicians provide for their patients. In addition, physicians in a medical practice add to this revenue stream by admitting patients to a hospital, prescribing prescription medication, ordering home health services and medical equipment, and referring their patients to other health care providers for care and treatment. SU Health and Medical Operations Plan Essay

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SCENARIO

This is Part 3 in the development of the operations plan to guide you in managing the practice and leading the staff.

INSTRUCTIONS

Part 3:

Develop Part 3 of your operations plan. It should be 3–4 pages and include at least two quality academic resources in which you:

  • Explain what you need to know about accounting and budgeting as a practice leader.
  • Compare the two levels of financial benchmarking (i.e., internal comparison and external comparison), and explain the strategic purpose and importance of benchmarking as a financial tool for a medical practice.
  • Explain the role telehealth and telemedicine services have in medical group practices and how they affect patient care safety and quality. Support your response.
  • Recommend a health information technology (HIT) system that includes an electronic health record (EHR) for the new practice to implement, and include three main benefits of having the HIT system.
  • Propose a strategy to mitigate the impact of a specific hazardous risk associated with one of the risk categories; property (general liability and safety), technology, or financial practices could have on the practice. Support your proposal with a real-life example. SU Health and Medical Operations Plan Essay

Note: Include a cover page and reference page as required in the SWS Writing Standards.

Note: Incorporate the instructor feedback once you receive it to improve Part 3 of your operations plan to be used in the Week 9 Activity and Week 10 Assignment.

This course requires the use of Strayer Writing Standards. For assistance and information, please refer to the Strayer Writing Standards link in the left-hand menu of your course. Check with your professor for any additional instructions.

The specific course learning outcomes associated with this assignment are:

  • Examine the accounting, finance, and budgeting roles in the management of a physician’s group practice.
  • Create an operations plan for a physician group practice that promotes medical excellence, and includes organizational forms, organizational goals, HRM, marketing, health information technology, accounting and finance, disaster preparedness, laws, regulations, and compliance. SU Health and Medical Operations Plan Essay

HIMS 661 UMDC Electronic Health Record System Acquisition Paper

HIMS 661 UMDC Electronic Health Record System Acquisition Paper

Description

 

 

 

Step 2: System Acquisition: RFI, RFP, vendor selection, contract negotiation.

After you have identified the tasks and set the milestones as well as determined task dependency, your next step is to decide whether to develop the system in-house or buy a standard system from the market, also called off-the-shelf. Although the EHR systems, like the other IT systems used to be built and still can be built in-house, they are now mostly acquired from the EHR vendors, like EPIC, Cerner, Allscripts, etc. Your manger advised you to proceed with the RFI (Request for Information), RFP (Request for Proposal), and vendor selection criteria as well as contract negotiation points to be listed as clauses in the contract (e.g., after sale service to maintain the system, provide updates, and undertake training).

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Paper: Explain your rationale for the items above. Support your discussion with references from the suggested articles provided below as well as other peer-reviewed research. RFI/RFP in appendix. HIMS 661 UMDC Electronic Health Record System Acquisition Paper

He also referred you to the following resources.

What Is the Difference Between RFIP and RFI? https://www.reference.com/business-finance/difference-between-rfp-rfi-ecabff43762373d2 and

https://blog.procureport.com/rfi-vs-rfp-how-to-progress-in-the-request-process/

How do I select a vendor? https://www.healthit.gov/faq/how-do-i-select-vendor

Essential Elements of Every Good Business Contract Essentials of a Good Business Contract – New Mexico Attorneys (fdlawyersnm.com)

BUSI 611 Bainbridge College Quality Improvement in Healthcare Annotated Bibliography

BUSI 611 Bainbridge College Quality Improvement in Healthcare Annotated Bibliography

Research Project Annotated Bibliography Template

Criterion prompts to consider for bibliography content: 

  • A brief statement regarding the author and his or her credentials as an authority.
  • A concise statement regarding the relevance of the article for your topic.
  • A salient or meaningful quote from the article that you would likely cite if you were to write an essay on this topic. BUSI 611 Bainbridge College Quality Improvement in Healthcare Annotated Bibliography 

Do not include this first page of the instructions in your Annotated Bibliography—it is provided here only for instructional purposes. Your Annotated Bibliography will have the above title and start with the below section.

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Annotated Bibliography

(Name)

School of Business, Liberty University

 

Statement of Topic

Kiyonaga (2004) suggests “the aging of the largest generation the United States has ever known will affect every social institution from employment to health care. Precisely what the impact will be is, like all future events, still a matter of prediction. That there will be a major impact is not” (p. 357). This paper will seek to provide a perspective on the aging of the workforce with specific attention given to: the potential roles available for the aging worker, the training available and offered the aging worker, an exploration of implications for the organization, and finally the role the strategic HR function plays in propelling the organization forward in dealing with this issue. BUSI 611 Bainbridge College Quality Improvement in Healthcare Annotated Bibliography

Kondrasuk, J. N., Moore, H. L., & Wang, H. (2001). Negligent hiring: The emerging

contributor to workplace violence in the public sector. Public Personnel

Management, 30(2), 185. Retrieved from http://proquest.umi.com/pqdlink?did=74623315&Fmt=2&clientId=20655&RQT=309&VName=PQD

This article contributes significant and relevant statistics which confirm the pervasiveness of violent incidents in general. The National Institute of Occupational Safety and Health (NIOSH) found that 20 persons were murdered at work every week. Nationally, homicide is the second highest overall cause of workplace-related deaths; for female workers, homicide is the leading cause of workplace deaths. Workplace violence now accounts for 15 percent of the more than 6.5 million violent acts experienced by U. S. residents who are age 12 or older (para 7). Kondrasuk provides information also related to a suggested cause or contributor to the violence—negligent hiring practices. Numerous suggestions are given throughout the materials researched for the paper, giving additional thought to the causes of workplace violence. However, Kondrasuk gives weight to not only a passing platitude, but supports the concept of negligent hiring with law and concurrent tort law claims.

Smith, S. J. (2002). Workplace violence. Professional Safety, 47(11), 34. Retrieved from

http://proquest.umi.com/pqdlink?did=239545531&Fmt=2&clientId=20655&RQT=309&VName=PQD

Smith (2002) gives critical analysis to the topic of workplace violence and highlights how ill-prepared most U.S. companies are when faced with the reality of violence. In the research, she provides several real world examples of workplace violence, the behavioral backgrounds and pre-incident behaviors of the employees committing the violent acts. Smith (2002) further contends that “employers have both a legal duty and moral obligation to provide a safe workplace” (p. 39). In addition to this insight, the article contributes to the impact, causes, and prevention of workplace violence. The suggestions are pliable to almost any organization. BUSI 611 Bainbridge College Quality Improvement in Healthcare Annotated Bibliography

 

 

HA 405 Broward County Leadership and Ethics in Healthcare Paper

HA 405 Broward County Leadership and Ethics in Healthcare Paper

Description

 

HA405-4: Develop a plan for healthcare advocacy.

Instructions:

In this unit, you will communicate a healthcare advocacy plan. You will contact either a local healthcare agency (i.e., County Health Department, etc.) or healthcare facility (i.e., clinic, hospital, or nursing home) to research two to three healthcare issues affecting the local community.

Explain the issues facing your community, possible methods to alleviate the concern, and how you would ethically advocate for the respective population. You are required to research the specific issues presented with credible sources (e.g., Centers for Disease Control and Prevention, National Institute of Health, Census Bureau, etc.). In a 3-page paper, present a healthcare advocacy plan that addresses your research findings. Provide a summary of your findings, including at least three (3) credible references to support your advocacy plan in APA format.

Requirements:

  • Research two to three healthcare issues affecting your local community.
  • Propose a healthcare advocacy plan that addresses your research findings.
  • Include three (3) academic references. HA 405 Broward County Leadership and Ethics in Healthcare Paper
  • Criterion 1: Identify issues to propose an Advocacy Plan

    Research three healthcare issues affecting your local community.
    • ● You will contact either a local healthcare agency (i.e., County Health Department, etc.) or healthcare facility (i.e., clinic, hospital, or nursing home) to identify healthcare issues affecting the local community.

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    Criterion 2: Preparing an Advocacy Plan
    • Includes all 4 of the elements to propose a healthcare advocacy plan:
    • ● Explains the issues facing your community
    • ● possible methods to alleviate the concern
    • ● how you would ethically advocate for the respective population
    ● research the specific issues presented with credible sources (e.g., Centers for Disease Control and Prevention, National Institute of Health, Census Bureau, etc.)
    Criterion 3: Writing Requirements
    • All of the following elements are met:
    • ● Displays college-level writing in Standard English free of spelling, grammar, or punctuation errors.
    • ● Minimal in-text citation errors such as a missing page number or a misplaced date may occur.
      • ● Minimal paper formatting errors such as a misplaced margin may occur. HA 405 Broward County Leadership and Ethics in Healthcare Paper
    • ● Quotation marks and citations make authorship clear.
    ● Assignment is 3-page paper in length not including the title page and reference page.
    Criterion 4: Academic references with in-text citations.
    • Includes three academic references from multiple outside sources and/or course materials as requiredHA 405 Broward County Leadership and Ethics in Healthcare Paper
    HA405_1802C_-4.1: Develop a plan for healthcare advocacy
    Student work demonstrates the ability to formulate all the components of a healthcare advocacy plan.

 

Outpatient Immunization Clinic Capstone Assignment

Outpatient Immunization Clinic Capstone Assignment

CAPSTONE ASSIGNMENT

You have been hired to develop an Outpatient Immunization Clinic for Baton Rouge General (https://www.brgeneral.org/in-the-community/community-health-needs-assessment). Their website has a wealth of information regarding their community.

The Mission Statement is:

We will preserve and restore health, one person at a time. ​

The Vision Statement is:

We will lead the region in exceptional patient experiences. ​

Utilizing the Web Site, on-line resources, and the information that we discussed in class via the PowerPoints and Assignments, prepare a proposal for the implementation of Outpatient Immunization Clinic which you will send  to the executive officers of the hospital for review. You are preparing this information for the board to demonstrate to them that this project is needed, is important and meets the mission, vision, and goals of the organization.

Present the information in correct professional language in paragraph form separated by Section Headers for each of the criteria listed below. Outpatient Immunization Clinic Capstone Assignment

 

In your proposal, include the following.

  1. At least two Goals for the Outpatient Immunization Clinic; Refer to the PowerPoint on Mission Statement for more information.

 

  1. At least three Objectives for the Outpatient Immunization Clinic that are specific, attainable, and measurable; Refer to the PowerPoint on Mission Statement for more information.

 

  1. An organizational chart for the Outpatient Immunization Clinic including a justification for each of the positions on the organizational chart. You will be the Director of the Outpatient Immunization Clinic. Remember that the lines upward on your organization chart show to whom they report and lines downward show who has authority over whom.

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NOTE: If the Immunization clinic is approved and implemented, you will report to the Director of Outpatient Services who will report to Ms. Nijoka who is the Chief Nursing Officer. These positions are already a part of the organizational chart of the hospital and are not part of the organizational chart for this assignment.

 

  1. Using online data, information from the hospital website, and your own ideas, provide a justification and make a case for the development of the Outpatient Immunization Clinic.
  1. Complete a SWOT analysis regarding the development the Outpatient Immunization Clinic.
  1. Prepare a Job Description for two of the positions on your organizational chart. Outpatient Immunization Clinic Capstone Assignment
  1. Prepare Position Specific Interview questions for two different positions and describe the why that question is appropriate for the position. Do NOT asked questions that are generic and apply to all positions e.g. where do you see yourself in three years
  1. Create two questions that you will ask of applicants for a specific position on your organizational chart.
  2. Create two questions that you will ask of applicants for a different specific position on your organizational chart.

 

  1. Identify and describe three specific ways that you will collect data to assess whether you have obtained your objectives for the Outpatient Immunization Clinic. You must suggest three ways that data can be gather to assess the achievement of your outcomes.
  1. Describe two potential growth opportunities for the Outpatient Immunization Clinic.
  1. Utilize appropriate professional language that is free of typographical errors and that exhibits correct sentence structure. Outpatient Immunization Clinic Capstone Assignment
  1. Cite any sources using APA Style.

 

Refer to the attached rubric for expectations for the assignment.

 

DUE SUNDAY April 24, 2022 AT 11:59PM

Name:

CASE F: MORTALITY IN KENTUCKY: A COMPARISON OF JEFFERSON AND FAYETTE COUNTIES TEMPLATE

Please erase ?, …, and ___ – Please use a different color than black for your answers!!!!!!!

 

 

  1. Crude Mortality rate for Jefferson County ??

Crude Mortality rate for Fayette County??

_________ County has a higher overall rate than _________ county.

 

  1. Yes / No, because ……

 

  1. ________ County has a higher percent of elderly in the top five age groups (>45).

This matters because …

 

  1. Fill in values for highlighted columns

 

  Exhibit F.3. Direct Standardization of Kentucky Mortality Rates, 2011

 

    Population Age-Specific Rates

(per 100,000)

  Expected Deaths
  Jefferson Fayette Pooled Jefferson Fayette Jefferson Fayette
<1 year 10,198 31,934 14,132 666.8 483.0
1–4 years 39,032 15,030 54,062 43.6 26.6
5–14 years 94,197 33,228 127,425 14.2 13.2
15–24 years 95,746 53,387 149,133 100.3 48.7
25–34 years 106,007 49,352 155,359 135.8 87.1
35–44 years 95,235 39,796 135,031 252.0 198.5
45–54 years 109,184 39,487 148,671 539.5 435.6
55–64 years 95,967 33,611 129,578 1,025.4 859.8
65–74 years 52,200 17,527 69,727 2,086.2 1,968.4
75–84 years 33,943 9,924 43,867 5,394.3 4,463.9
85+ years 14,740 4,548 19,288 14,403.0 14,358.0
ALL 746,449 299,824 1,046,273 963.8 692.7

 

  1. There are ????? expected deaths using Jefferson County rates and ????? expected deaths using Fayette County rates.

Using the compared pooled population in the denominator, this would translate into ? / ? × ? = ? per ? for Jefferson County and ? /? × ? = ? per ? for Fayette County.

The age-adjusted rate for ____ County is lower than the crude rate but that the rate for _____ County is higher than the crude rate. Outpatient Immunization Clinic Capstone Assignment 

  1. See Exhibit F.4. Please Fill in the values for the highlighted columns 

 

 Exhibit F.4. Mortality in Two Kentucky Counties, Direct Method of Adjustment

Using Kentucky Population as the Standard

  Kentucky Age Distribution Age-Specific Rates

(per 100,000)

Expected Deaths
Jefferson Fayette Jefferson Fayette
<1 year 56,065 666.8 483.0
1–4 years 225,096 43.6 133.1
5–14 years 567,946 14.2 13.2
15–24 years 591,188 100.3 48.7
25–34 years 569,158 135.8 87.1
35–44 years 570,028 252.0 198.5
45–54 years 637,556 539.5 435.6
55–64 years 560,468 1,025.4 859.8
65–74 years 334,546 2,086.2 1,968.4
75–84 years 185,832 5,394.3 4,463.9
85+ years 71,473 14,403.0 14,358.0
All 4,369,356 963.8 692.7

 

  1. There are ????? expected deaths using Jefferson County rates and ?????? expected deaths using Fayette County rates.

Using the total population in Kentucky in the denominator, this would translate into: ? /?  × ? = ? per ? for Jefferson County and ? / ? × ? = ? per ? for Fayette County.

The age-adjusted rate for ______ County is lower than the crude rate but that the rate for ______ County is higher than the crude rate. Outpatient Immunization Clinic Capstone Assignment

 

  1. See Exhibit F.5. Please Fill in the values for the highlighted columns

 

Exhibit F.5. Mortality in Two Kentucky Counties, Indirect Method of

Adjustment Using Kentucky Age-Specific Death Rates as a Standard

 

 

Mortality

Rates

Population Expected Deaths
Jefferson Fayette Jefferson Fayette
<1 year 624.3 10,198 3,934
1–4 years 39.1 39,032 15,030
5–14 years 13.4 94,197 33,228
15–24 years 76.3 95,746 53,387
25–34 years 155.8 106,007 49,352
35–44 years 258.1 95,235 39,796
45–54 years 575.6 109,184 39,487
55–64 years 1,069.1 95,967 33,611
65–74 years 2,421.2 52,200 17,527
75–84 years 5,693.3 33,943 9,924
85+ years 15,335.9 14,740 4,548
All 975.6 746,449 299,824

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  1. Rates would be 7,686.9/746,449 × 100,000 = 1,029.8 for Jefferson County and 2,528.7/299,824 × 100,000 = 843.4 for Fayette County.

Standardized Mortality Ratio (SMR) makes a lot more sense. Exhibit F.1 reports 7,194 actual deaths in Jefferson County and 2,077 actual deaths in Fayette County.

The SMR for Jefferson County would be (? / ? ) × ? = ?.

The SMR for Fayette County would be ? /?  × ? = ?. The rule is always “the lower the better.”

Since Fayette County has a lower SMR than Jefferson County, this means that Fayette County has _____ using indirect age adjustment. Since both rates are lower than 100, both counties have lower rates than the entire state of Kentucky because Kentucky rates were used as the standard.  Outpatient Immunization Clinic Capstone Assignment

  1. See the chart below. . Please Fill in the values for the highlighted columns

 

Comparison of Mortality Standardization Methods
Methods of Adjustment and Standard  Age-Adjusted Mortality Rates (per 100,000)
Jefferson Fayette
Direct with Pooled Population
Direct with Kentucky Population
Indirect with Kentucky Rates

 

  1. Please note that infant and maternal mortality rates are usually expressed in terms of every 1,000 live births so “live births” in the denominator in these measures.

Both counties have higher / lower rates among both blacks and whites compared to the state.

The infant mortality rate among blacks in Jefferson County is more than __ percent higher/ lower than the rate among whites.

The rate among blacks in Fayette County is _______comparted to the rate among whites,

 

  1. See Exhibit F.7. Please Fill in the values for the highlighted columns
Exhibit F.7. Race-Adjusted Infant Mortality Rates Using the Direct Method
Race Kentucky Population Race-Specific Infant Mortality Rates (per 1000 live births Expected Deaths
Jefferson Fayette Jefferson Fayette
White 99,883
Black 11,152
Total 111,035    

 

  1. Race adjusted rates would be ? / ? × ? = ? per ? live births in Jefferson County and ? / ? × ? = ? per ? live births in Fayette County.

It appears that _____ County has a somewhat higher infant mortality rate using a standard Kentucky mix of live births.

 

  1. _______ County has a higher rate of perinatal mortality among whites than both Kentucky and ________ County.

The rate among blacks is higher / lower/ similar to the state of Kentucky but much higher / lower / similar than Fayette County.

Fayette Country has _____ the rate of neonatal mortality among whites than the state of Kentucky, higher / lower rates or perinatal mortality than both Kentucky and Jefferson County but slightly higher / lower  rates of neonatal mortality among black newborns.

 

  1. Of the 42,626 deaths in Kentucky, the proportional mortality rates are:

? / ? × ? = ?% were due to heart disease;

? / ? × ? = ?% were due to cancer;

? / ? × ? = ?% were due to stroke.

For Jefferson County:

? / ? × ? = ?% heart disease;

? / ? × ? = ?% cancer;

? / ? × ? = ?% stroke.

For Fayette County:

? / ? × ? = ?% heart disease;

? / ? × ? = ?% cancer;

? / ? × ? = ?% stroke.

___________ County has proportionately fewer deaths in these top three categories.

 

  1. See Exhibit F.10. Please Fill in the values for the highlighted columns

 

Exhibit F.10. Cases and Deaths for Five Major Diagnostic Categories, University of Kentucky (UK) and University of  Louisville (UL) Hospitals
  UK     UL UK UL
  Cases Deaths Cases Deaths Rate Rate
Heart diseases 4,120 42 2,764 28
Respiratory diseases 2,393 136 1,814 105
Gastrointestinal diseases 2,369 90 1,728 64
Musculoskeletal diseases 2,072 16 1,451 14
Nervous system diseases 1,480 30 1,037 31
Total 12,434 314 8,794 242
  1. _________ has higher rates for heart diseases and GI diseases, ________ has higher rates for the other categories. _____________ has a higher overall rate for these five Major Diagnostic Categories (MDCs).

 

  1. See Exhibit F.11.

The SMR is:

? / ? = ? for UK

? / ? = ? for UL.

____________ has a better SMR,  better than the overall state rate. Outpatient Immunization Clinic Capstone Assignment

 

Please Fill in the values for the highlighted columns

Exhibit F.11. Cases and Expected Deaths Using Statewide Rates, University of Kentucky (UK) and University of  Louisville (UL) Hospitals
    UK UL
  State Rates Cases Expected Deaths Cases Expected Deaths
Heart diseases 0.010 4,120 2,764
Respiratory diseases 0.057 2,393 1,814
Gastrointestinal diseases 0.038 2,369 1,728
Musculoskeletal diseases 0.008 2,072 1,451
Nervous system diseases 0.022 1,480 1,037
Total   12,434 8,794

 

  1. Yes / No, because ….

 

  1. Factors to control for fair comparison include ________________________________

 

  1. See Exhibit F.12. Please Fill in the values for the highlighted columns

Overall expected deaths is ? for Chandler and ? for Louisville.

The SMR is ? / ? = ? for Chandler and ? / ? = ? for Louisville.

After adjusting for severity within MDC, _____ has a better SMR than _____, and _______have a better rates than the state.

 

Exhibit F.12. Cases and Expected Deaths Using Statewide Rates. University of Kentucky (UK) and University of  Louisville (UL) Hospitals Five Major Diagnostic Categories and Severity. Outpatient Immunization Clinic Capstone Assignment
    UK UL
  State Rates Cases Expected Deaths Cases Expected

Deaths

Heart disease, severe 0.07 800 900
Heart disease, mild 0.008 3,320 1,864
Respiratory diseases, severe 0.1 700 400
Respiratory diseases, mild 0.02 1,693 1,414
GI diseases, severe 0.08 650 600
GI diseases, mild 0.02 1,719 1,128
Musculoskeletal, severe 0.02 400 351
Musculoskeletal, mild 0.005 1,672 1,100
Nervous system, severe 0.1 300 237
Nervous system, mild 0.01 1,180 800
Total   12,434 8,794

 

 

 

 

 

 

 

HA 405 Broward County Leadership and Ethics in Healthcare Paper

HA 405 Broward County Leadership and Ethics in Healthcare Paper

Description

HA405-4: Develop a plan for healthcare advocacy.

Instructions:

In this unit, you will communicate a healthcare advocacy plan. You will contact either a local healthcare agency (i.e., County Health Department, etc.) or healthcare facility (i.e., clinic, hospital, or nursing home) to research two to three healthcare issues affecting the local community.

Explain the issues facing your community, possible methods to alleviate the concern, and how you would ethically advocate for the respective population. You are required to research the specific issues presented with credible sources (e.g., Centers for Disease Control and Prevention, National Institute of Health, Census Bureau, etc.). In a 3-page paper, present a healthcare advocacy plan that addresses your research findings. Provide a summary of your findings, including at least three (3) credible references to support your advocacy plan in APA format. HA 405 Broward County Leadership and Ethics in Healthcare Paper

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Requirements:

  • Research two to three healthcare issues affecting your local community.
  • Propose a healthcare advocacy plan that addresses your research findings.
  • Include three (3) academic references.
  • Criterion 1: Identify issues to propose an Advocacy Plan

    Research three healthcare issues affecting your local community.
    ● You will contact either a local healthcare agency (i.e., County Health Department, etc.) or healthcare facility (i.e., clinic, hospital, or nursing home) to identify healthcare issues affecting the local community.
    Criterion 2: Preparing an Advocacy Plan
    • Includes all 4 of the elements to propose a healthcare advocacy plan:
    • ● Explains the issues facing your community
    • ● possible methods to alleviate the concern
    • ● how you would ethically advocate for the respective population
    • ● research the specific issues presented with credible sources (e.g., Centers for Disease Control and Prevention, National Institute of Health, Census Bureau, etc.) HA 405 Broward County Leadership and Ethics in Healthcare Paper
    Criterion 3: Writing Requirements
    • All of the following elements are met:
    • ● Displays college-level writing in Standard English free of spelling, grammar, or punctuation errors.
    • ● Minimal in-text citation errors such as a missing page number or a misplaced date may occur.
    • ● Minimal paper formatting errors such as a misplaced margin may occur.
    • ● Quotation marks and citations make authorship clear.
    ● Assignment is 3-page paper in length not including the title page and reference page.
    Criterion 4: Academic references with in-text citations.
    Includes three academic references from multiple outside sources and/or course materials as required
    HA405_1802C_-4.1: Develop a plan for healthcare advocacy
    • Student work demonstrates the ability to formulate all the components of a healthcare advocacy plan. HA 405 Broward County Leadership and Ethics in Healthcare Paper

 

Competing Hospitals Financial Analysis

Competing Hospitals Financial Analysis

Description
Instructions
Financial Analysis of Two Competing California Hospitals
This Signature Assignment is worth 50 points and is due the last day of class, Saturday May 28, midnight PST (no exceptions or late work accepted). If you have not completed Steps 1-3 during the previous week’s assignments, do them now in preparation for writing your paper. Your well-written paper should include the following elements:

Briefly provide a general overview of each hospital (ownership, community served, brief history, general goals/objectives, etc) (2 paragraphs max)(6 pts)
Compare and contrast key operating and financial indicators for each hospital and compare with industry benchmarks. This can be done in table format. (8 pts) Competing Hospitals Financial Analysis
Analysis Part 1: Explain and summarize what these indicators mean in terms of overall performance for each hospital. Imagine you’re preparing a written financial report to the board of directors. Help them understand what you’re presenting. (10 pts)
Analysis Part 2: Summarize your overall findings from your analysis. Which hospital is performing better on which indicators and why? Are these two hospitals direct or indirect competitors? How do they each best serve their community? How well are they achieving their respective mission? (10 pts)

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Human Resource Assessment of DMi

Human Resource Assessment of DMI

Talent and Acquisition

Talent acquisition is a critical component for any organization. It aids in finding and hiring the right people for a position that ties to the overall plan of an organization. It ultimately affects the future success of an organization. Effective talent acquisition is critical for DMI. Through it, the entity has achieved its targets for the last ten years. Getting the right people for jobs is essential for any entity that seeks to prosper in its activities. Through this process, candidates are assessed on every aspect necessary for the job and how they fit in the organization culturally and its prospects. DMI is able, through this particular process, to obtain candidates that tie into its future processes. It allows them to stay competitive and save a lot of time and money. Through its CEO Dr. Lockford Jones, the entity is preparing for the future. It should ensure that all candidates seeking a position within the organization are tied to its future needs of delving into the diagnostics market.

Learning and Development

Training and development assist organizations in gaining and retaining top talent, increasing job satisfaction and morale, boosting productivity, and earning additional revenue. Retaining employees is a significant challenge, more so in health care. However, DMI, through its high level of retention, has been able to consistently meet its set targets over extended periods. Therefore, it is critical that as it seeks to change its trajectory, an increased focus on the retention of employees is necessary, and this can be achieved through enhanced learning and development engagements for employees (Hamza et al., 2021). Often, employees want to gain additional knowledge and aim for companies that seek to do so, leading to higher levels of employee retention. The new president or CEO should focus on providing additional learning and development for the employees in high technology and enhanced diagnostics. It is a path the organization seeks to put additional focus on. Learning and development equally empower the personnel and enhance workplace engagement. Employees can prod or ask questions that lead to higher levels of output. Competing Hospitals Financial Analysis

Collaboration, Teamwork, and Futuristic Discovery in Health Care

Teamwork in health is more than two individuals interacting within an interdependent context, all with a common purpose (Scully-Russ & Torraco, 2020). They are all working towards measurable goals and benefit from management that maintains stability by encouraging honest and transparent discussions and problem-solving mechanisms. Collaboration and teamwork are essential because clinical care is becoming increasingly complex and highly specialized, requiring medical personnel to undertake complicated health practices and learn new methods (Scully-Russ & Torraco, 2020). Aging populations and a rise in chronic ailments lead to medical practitioners having to undertake all activities through a multidisciplinary approach. Working together in health care reduces the possibility of having medical errors, thereby enhancing patient safety. Teamwork also reduces issues that often result in burnout. Innovation or futuristic discovery is more likely to occur within a collaborative setup instead of not having one.

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Organizational Effectiveness, Innovation, and Rewards

Organizational effectiveness measures the success of organizations in meeting their respective goals. An effective organization can run smoothly and also functions well. DMI is highly effective as it has been able to meet its targets over the years. As it embarks on focusing on new areas, it needs to ensure that previous methods utilized that led to high levels of effectiveness should still be explored as they were working for the entity. Innovation is vital for any entity. In the case of DMI, the organization needs to increasingly incorporate technology in its undertakings coupled with selling devices geared toward modern-day technology. However, caution should be exercised when selling such commodities as with technology, innovation occurs rapidly, and as such, the entity must ensure it has up-to-date machinery or devices to sell. DMI considering the high level of effectiveness of its employees should seek to utilize technology to continuously elevate the organization to greater heights. It should recognize the employees through various reward schemes. The sales team, for instance, should get rewards when they sell equipment or devices worth a specified amount (Waheed et al., 2019). The beauty of doing so is that it keeps the employees competitive and seeking to do more which ultimately benefits the entity well into the long run.

Diversity and Inclusion

Diversity and inclusion are more than just having programs and policies in place. It is respecting all personnel’s unique needs, perspectives, and potential. Diverse and inclusive workplaces enhance trust and increased commitment from employees. In DMI, diversity and including needs to make everyone, irrespective of hierarchy, race, or gender, feel equally involved and supported in all areas within the workplace (Waheed et al., 2019). Driving diversity and inclusion within the workplace fosters higher revenue growth and increased readiness for innovation. As DMI embarks on new territories, it should ensure that all team members are seen and included in that journey. Through their engagement and appreciation, the entity will be more likely to achieve its desired goals and or objectives.

Business and Human Resource Strategy

A human resource strategy is crucial in the overall plan for managing its human capital to align it with its business operations. The HR strategy gives the direction for all key areas encompassing human resources, such as hiring, performance audits or appraisals, training and development, and compensation (Waheed et al., 2019). The HR strategy for the organization should focus more on the long-term plan and should have specific characteristics. They include an analysis of the entire organization and its external environment; it should take over one year to implement and primarily assists in the organization’s deployment or direction of HRM.

The strategy should be revised annually and incorporate expert judgment of senior human resource management. The casual model will be deployed to create the HR strategy. The beauty of utilizing this particular model is that it shows the origins of HR and how it influences HR execution and output or business performance (Amberg & McGaughey, 2019). Through the strategy, the organization can incorporate the broader business strategy. It showcases HR activities that create value, and the organization’s strategy will be leaning towards incorporating digital technology in health care. The overall strategy is extensively tied to both past and present occurrences. Staff management has been top tier considering that the company has met its target for over ten years, and the factors leading to it will remain within the strategy. Competing Hospitals Financial Analysis

Aligning HR and the New Strategic Direction

HR and DMI’s Focus on Growth

The focus on growth will be largely skewed towards prioritizing having the team members centered on scaling new heights. The organization’s current market segment is primarily saturated and will hit a plateau in the short run. For this reason, DMI seeks to venture out into new territories for its business (Amberg & McGaughey, 2019). For starters, extended efforts will be placed on training and development in digital health care provision through the devices sold by the organization. Within this approach, the organization aims to create a niche of employees that are well vast within the increasingly digital approach to health care. Once this facet of the organization is extensively explored, the entity can then seek to become a pioneer and dominant force within a new market niche for health care.

Legal and Ethical Considerations

The legal and ethical considerations mainly ensure that everyone within the organization is treated fairly and with no bias at all times. DMI is and should always remain an institution that prides itself in creating avenues through which all employees can grow and enhance their skills. The company should ensure that all roles and compensation made for its employees are well within their rights as entrenched in the respective labor laws. Ethical considerations include ensuring that third parties involved in the entity’s activity equally conduct themselves fairly. The human strategy of the organization should factor in all these components, and training plus sensitization of employees is critical for the validity of their values.

FAQs

What does DMI stand for, and what are its core activities?

Diagnostic Medical Inc is an organization that places extended focus on diagnostics health care across the board. It offers products and services tailored to this market in diagnostic equipment and hospital products.

What does the human resource section of the organization look like?

The entity employs over 600 individuals delving into different components of its core business. They include sales and marketing, operational and finance. Over the years, the organization has been able to have high staff retention, leading to an extensive portion of the organization remaining as part of the team and meeting the set targets consistently.

What is the future of the diagnostics market?

Technology cannot possibly be ignored within health care. The future of diagnostics is primarily driven by technology and seeks to encompass more in-depth techniques of indulging in the diagnosis of patients. Competing Hospitals Financial Analysis

 

References

Amberg, J. J., & McGaughey, S. L. (2019). Strategic human resource management and inertia in               the corporate entrepreneurship of a multinational enterprise. The International Journal of                     Human Resource Management30(5), 759-793.

Hamza, P. A., Othman, B. J., Gardi, B., Sorguli, S., Aziz, H. M., Ahmed, S. A., … & Anwar, G.             (2021). Recruitment and Selection: The Relationship between Recruitment and Selection              with Organizational Performance. International Journal of Engineering, Business, and               Management5(3), 1-13.

Scully-Russ, E., & Torraco, R. (2020). The changing nature and organization of work: An             integrative review of the literature. Human Resource Development Review19(1), 66-93.

Waheed, A., Miao, X., Waheed, S., Ahmad, N., & Majeed, A. (2019). How new HRM practices,                         organizational innovation, and innovative climate affect the innovation performance in the IT             industry: A moderated mediation analysis. Sustainability, 11(3), 621.                      https://doi.org/10.3390/su11030621. Competing Hospitals Financial Analysis

 

 

 

 

 

GCU Effect of Extremely Low Birth Weight Babies on Family and Community Questions

GCU Effect of Extremely Low Birth Weight Babies on Family and Community Questions

Description

Q1 Describe the effect of extremely low birth weight babies on the family and community. Consider short-term and long-term impacts, socioeconomic implications, the need for ongoing care, and comorbidities associated with prematurity. Explain how disparities relative to ethnic and cultural groups may contribute to low birthweight babies. Identify one support service within your community to assist preterm infants and their families and explain how the service adequately addresses the needs of the community, or a population in your community. Provide the link to the resource in your post.

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Q2 A mother comes in with 9-month-old girl. The infant is 68.5cm in length (25th percentile per CDC growth chart), weighs 6.75kg (5th percentile per CDC growth chart), and has a head circumference of 43cm (25th percentile per CDC growth chart). GCU Effect of Extremely Low Birth Weight Babies on Family and Community Questions

Describe the developmental markers a nurse should assess for a 9-month-old female infant. Discuss the recommendations you would give the mother. Explain why these recommendations are based on evidence-based practice.

Q3 Child abuse and maltreatment is not limited to a particular age—it can occur in the infant, toddler, preschool, and school-age years. Choose one of the four age groups and outline the types of abuse most commonly seen among children of that age. Describe warning signs and physical and emotional assessment findings the nurse may see that could indicate child abuse. Discuss cultural variations of health practices that can be misidentified as child abuse. Describe the reporting mechanism in your state and nurse responsibilities related to the reporting of suspected child abuse. GCU Effect of Extremely Low Birth Weight Babies on Family and Community Questions

HCM 520 SEU Healthcare Quality Improvement Trends in Saudi Arabia Presentation

HCM 520 SEU Healthcare Quality Improvement Trends in Saudi Arabia Presentation

Description

Module 11: Critical Thinking Assignment

Healthcare Quality Improvement Trends in Saudi Arabia (130 points)

For this assignment, you will conduct a review on the implementation of the Saudi Vision 2030 goals of healthcare quality improvement in Saudi Arabia. Identify two goals that have already been initiated.

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Prepare a PowerPoint presentation detailing the following:

Discuss in detail the quality improvement goals that have been initiated and the intended outcomes to quality

Identify and examine the health sectors that are most impacted by these initiatives

Discuss any major opportunities that are still present in working towards the continuous improvement of these initiatives

Discuss what tools would be most useful in the quality improvement process of these initiatives. HCM 520 SEU Healthcare Quality Improvement Trends in Saudi Arabia Presentation