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.
- At least two Goals for the Outpatient Immunization Clinic; Refer to the PowerPoint on Mission Statement for more information.
- 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.
- 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.
- 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.
- Complete a SWOT analysis regarding the development the Outpatient Immunization Clinic.
- Prepare a Job Description for two of the positions on your organizational chart. Outpatient Immunization Clinic Capstone Assignment
- 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
- Create two questions that you will ask of applicants for a specific position on your organizational chart.
- Create two questions that you will ask of applicants for a different specific position on your organizational chart.
- 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.
- Describe two potential growth opportunities for the Outpatient Immunization Clinic.
- Utilize appropriate professional language that is free of typographical errors and that exhibits correct sentence structure. Outpatient Immunization Clinic Capstone Assignment
- 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!!!!!!!
- Crude Mortality rate for Jefferson County ??
Crude Mortality rate for Fayette County??
_________ County has a higher overall rate than _________ county.
- Yes / No, because ……
- ________ County has a higher percent of elderly in the top five age groups (>45).
This matters because …
- 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 | ||
- 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
- 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 | ||
- 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
- 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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- 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
- 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 | ||
- 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,
- 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 | ||||
- 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.
- _______ 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.
- 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.
- 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 | ||
- _________ 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).
- 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 | |||
- Yes / No, because ….
- Factors to control for fair comparison include ________________________________
- 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 | |||
