explain the steps to accurate coding.

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Question 1. In coding, the letter A represents a sequela, and the letter D stands for subsequent visit. True or false

Question 2.  Each unique I-10 diagnosis code may be reported more than once for an encounter. true or false

Question 3.  For bilateral sites, the final character of the codes in the I-10 always indicates laterality true or false

Question 4. Multiple codes are often required for late effects, complication codes, and obstetric codes. true or false

Question 5.  Assign codes as directed in the index, only after verifying the code in the tabular. true or false

Question 6.  A late effect is the residual effect after the acute phase of an illness or injury has passed. true or false

Question 7. It is important to follow any cross-reference instructions in the index of the I-10, such as see also. true or false

Question 8. If there are separate codes for both the acute and chronic forms of a condition, the code for the chronic condition is sequenced first as long as both codes are listed at the same indentation level of the index. true or false

Question 9. Systemic lupus erythematosus with associated endocarditis (M32.11) is an example of dual coding. true or false

Question 10. The official Coding and Reporting Guidelines are updated every year by the Centers for Medicare and Medicaid Services (CMS) and the American Medical Association (AMA), which could affect the steps to accurate coding. true or false

Question 11. Using the ICD-10-CM (Encoder Pro), complete the following statement.

The correct reporting for acute cholecystitis with cholelithiasis with obstruction is:

K80.19

K80.12

K80.10

K80.01

Question 12. A combination code is a single code used to classify all of the following EXCEPT:

two diagnoses

diagnosis with an associated secondary process (manifestation)

a diagnosis with an associated complication.

more than two diagnoses.

SECOND PART

Unit IV PowerPoint Presentation

Weight: 10% of course grade

Grading Rubric

Due: Tuesday, 12/04/2018 11:59 PM (CST)

Instructions

Create a minimum of a 10-slide presentation that explains the steps to accurate coding. For each step, include detailed instructions about the coder’s role. Within your presentation, include the need specificity in diagnosis coding with multiple codes as well as how to report acute and chronic conditions, combination codes, residual effects, and late effects. Additionally, include the alphabetical index and tabular.

You must use at least your textbook as an outside source. Although not a required outside source, you may find the Centers for Disease Control and Prevention website helpful, which can be accessed by clicking the link below:

Centers for Disease Control and Prevention. (n.d.). CDC 24/7: Saving lives, protecting people. Retrieved from http://www.cdc.gov/

All sources used must be cited and referenced according to APA standards.

Resources

Write an argumentative research paper on a managed care-related topic assumption or myth; about social media and health education thoroughly explaining what it is, why it's important, and how it fundamentally impacts the managed care system today.

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Write an argumentative research paper on a managed care-related topic, assumption or myth; about social media and health education thoroughly explaining what it is, why it’s important, and how it fundamentally impacts the managed care system today. You will gather evidence on present a well-reasoned argument or debatable issue. The goal of an argumentative paper is to show that your perspective is valid. You are to form reasons, draw conclusions and apply them to your findings. The purpose is not to completely prove your point, but to convince readers, with your evidence, that your argument or position has merit.

An original research paper with a body of 6-8 pages. In general, your paper should consist of the following pages:

Title Page – captivating title, your name, title of the course, date

Body – 6-8 pages of introduction, background on your topic, research support, personal evaluation, strong conclusion. Body should be organized with a minimum of the following titles

  • Introduction
  • Thesis or Position
  • Reasons
  • Objections
  • Support of Responses
  • Conclusion

References Cited page – in APA format. 5 sources

Explain expected client behaviors while differentiating between normal findings, variations, and abnormalities.

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Chamberlain College of Nursing

NR304 Health Assessment II

1

Teaching Brochure Guidelines

PURPOSE

The purpose of this assignment is to allow students to integrate their knowledge of health assessment as it related to a medical diagnosis and teaching needs. Students will develop a tri-fold or bi-fold brochure for a client that will provide information about a specific disease, the related symptoms, and the management approaches.

COURSE OUTCOMES

This assignment enables the student to meet the following course outcomes:

CO2. Identify teaching/learning needs from the health history of an individual. (PO#2, PO#5). Explain expected client behaviors while differentiating between normal findings, variations, and abnormalities. (PO#1)

DUE DATE: Sunday December 9, 2018 by 11:59 pm. ALL LATE PROCEDURE Policy WILL BE STRICLTY ADHERED TO – NO EXCEPTIONS!

TOTAL POINTS POSSIBLE: 100 POINTS

REQUIREMENTS

1. Research a disease process using two scientific articles from nursing journals.

2. Develop a teaching brochure which could be given to a client who is newly diagnosed with this disease to help them understand the signs and symptoms, disease process, and management approaches.

Sections to include:

· Introduction

· Subjective Findings

· Objective Findings

· Description of Disease (brief)

· Risk Factors/Causes

· Management

· Medications (Note: You have not taken your pharmacology course yet, so please do not focus on medication treatment. Under this section please add only one sentence “Your practitioner may recommend over the counter medications or prescription medications to treat your disease.” But, please do not go into any additional detail.)

· Conclusion

3. Include at least one image and up to three images that would help the client understand classic symptoms of the disease process. This picture should assist the class in better understanding the disease process.

4. Include your references on the back of the brochure in APA format.

5. Submit your brochure on time to the Dropbox (I will not accept emailed copies). Be sure to save the electronic file with your last name and first initial and the diagnosis you are describing.

PREPARING THE BROCHURE

1. Identify appropriate articles for review.

2. Begin to search for images in your textbook or online (make sure you reference your source).

3. Begin the project as soon as possible, allowing yourself plenty of time to make it look good. This means the brochure should be print ready. I expect these to look professional which means you need to spend some time on it.

DIRECTIONS AND GRADING CRITERIA

Category Points % Description
Format 20 27 Brochure is developed as a bi-fold or tri-fold brochure. Submitted on time and properly labeled. Written for the appropriate age group. References are in APA format and include at least 2 nursing journal articles. Includes at least one and up to three appropriate images and the image source is acknowledged. Note this more than 25% of your grade – follow directions!
Definition of Medical Diagnosis 10 5.5 Defines the medical diagnosis clearly and concisely.
Subjective Findings 10 13.5 Clearly identifies the common subjective findings and key history questions. Differentiates subjective from objective.
Objective Findings 15 13.5 Clearly identifies the common objective findings and key physical exam techniques. Includes pertinent procedures and laboratory findings. Differentiates objective from subjective.
Risk Factors/ Causes 15 13.5 Clearly identifies individuals at risk for the medical diagnosis, including modifiable and non-modifiable risk factors.
Management 15 13.5 Includes a concise summary of the management approach for the disease process in terms that a client can understand.
Creativity 15 13.5 Impress me!
100 100 A quality brochure will meet or exceed the above requirements.

Discharge teaching should include?

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Roslyn is complaining of severe pain. She is 6 years old and has been placed in public school for the first time. Now she is complaining of her legs hurting. She is so excited about being in school finally, but her parents report that she is not participating in play time, seems weaker, and is pale. She is diagnosed with sickle cell anemia, parents undergo genetic testing as well as all her siblings and it is found that she is the only child with the disease.

Once the crisis is over what education will you provide to Roslyn and her parents?
Discharge teaching should include?
Is it appropriate that Roslyn stay in school? What about activities?

300 words

what have you learned regarding this cancer and the prognosis?

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Charley is 10 months old. His parents brought him to the pediatrician because he was sleeping more than average, refusing to eat, and is not pulling himself up as other children.

He cries while in the ‘jumper’ and screams when they try to have him stand. After some time Charley’s pediatrician informs the parents that the diagnosis is ALL.

In your research, what have you learned regarding this cancer and the prognosis?

What are the treatment modalities recommended for this disease?

300 words

Post a brief description of three emerging trends that are affecting health care today

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Emerging Trends in Health Care

 

For health care providers, changes in governmental policies, local and national economics, and the need to integrate new technologies, tests, and procedures can all impact the financial situation of an organization. In addressing financial issues, a myriad of factors must be considered, such as the varying objectives of those providing care, resource availability, the population being served, and the implementation of government policies. As a nurse manager, you must consider the potential positive and negative impacts of new trends on your organization and all its stakeholders.

 

In this Discussion, you evaluate how emerging trends in the health care field impact health care decisions for patients, doctors, and nurses.

 

To prepare:

Review the Learning Resources for this week, focusing on the role of nurse managers in making financial decisions.

Conduct additional research in the Walden Library and other relevant sources, to identify three emerging trends that are affecting health care today.

Select one trend to discuss in detail and evaluate its implications for the delivery of care from the perspective of doctors, nurses, and patients.

Reflect on how this trend might impact quality of care.

 

Post a brief description of three emerging trends that are affecting health care today. Evaluate the implication of one of these trends on the delivery of health care from the perspectives of doctors, nurses, and patients. Explain how this trend might impact the quality of care.

 

AND

 

Read a selection of your colleagues’ responses.

Respond to at least two of your colleagues on two different days. Identify those who described a trend that is of particular interest to you and comment on why you find that trend to be interesting and how it could impact what you do on a daily basis.

 

(I will send the responses soon)

Validate an idea with your own experience and additional sources.

 

Required Readings

Baker, J., & Baker, R. W. (2014). Health care finance: Basic tools for nonfinancial managers (4th ed.). Burlington, MA: Jones and Bartlett Learning.

Chapter 2, “Four Things the Healthcare Manager Needs to Know About Financial Management Systems” (pp. 11–21)

 

This chapter focuses on the overall financial management system within an organization and identifies the basic system elements.

 

Zelman, W., McCue, M., & Glick, N. (2009). Financial management of health care organizations: An introduction to fundamental tools, concepts, and applications (3rd ed.). Hoboken, NJ: Jossey-Bass.

Retrieved from the Walden Library databases.

 

Chapter 1, “The Context of Health Care Financial Management” (pp. 1–23)

 

This chapter offers differing perspectives on the causes of a “health care system in distress.” The chapter explores the factors behind rising health care costs, the efforts to control costs, and the ethical issues that affect both.

 

Note: This eBook is accessible through the Course Readings List located in the Course Materials section of the Syllabus.

Sanford, K. (2011). The case for nursing leadership development. Health care Financial Management, 65(3), 100–104, 106.

 

Retrieved from the Walden Library databases.

 

This article details the costs of ineffective management and leadership to a health care organization. Management and leadership are defined as “a discipline” and “an art,” requiring commitment to the organization’s goals, to the team, and to the patient.

Waldman, D. (2014). The health of healthcare, part V: Is the very freedom of providers at risk? The Journal of Medical Practice Management: MPM, 29, (6), 366-368.

Reprinted by permission of Greenbranch Publishing via the Copyright Clearance Center.

 

This article discusses how U. S health providers lose their fiduciary responsibility to patients when compliant with the Affordable Health Care Act.

Studer, Q. (2010). Do your nurses speak finance? Health care Financial Management, 64(6), 80–84.

Retrieved from the Walden Library databases.

 

This article discusses the importance of nurses understanding finance in a health care organization. The article stresses the importance of teaching clinicians the skills necessary to understand and make a difference in the current financial system of health care.

King, M. (2012). Health reform: Special report. Health reform turns two: After passage of the Affordable Care Act, the work—and the criticisms—persist. State Legislatures, 38(3), 12–17.

Retrieved from the Walden Library databases.

 

This article discusses the Affordable Care Act and details changes that still need to be implemented. The article also examines how the legislation has altered the way state legislatures handle health care in the United States.

Harris, J. L., & Ott, K. (2008). Building the business case for the clinical nurse leader role. NurseLeader, 9(1), 28–31.

Retrieved from the Walden Library databases.

 

This article stresses the need for nurses and physicians to “take the lead” in teaming up with business and financial leaders in their organizations to make improvements. The author describes the benefits both business and financial leaders will reap from their enhanced relationship.

White, K. (2011). Back to basics: The challenges of a nurse executive. Nurse Leader, 9(2), 27–30.

Retrieved from the Walden Library databases.

 

This article discusses the challenges faced by nursing executives in a difficult economic climate. Between budgets, technology, and quality controls, the author discusses the need for a focus back on the basics of nursing in order to produce quality health care and successful financial budgeting.

Alliance for Health Reform. (2012). Quality of care. In Covering health issues (6th ed.). Washington DC: Author. Retrieved from http://www.allhealth.org/sourcebooktoc.asp?SBID=5

 

This chapter examines the flaws of the American health care system. The author describes the various consequences of mistakes and how addressing the issues will improve the quality of health care.

Alliance for Health Reform (2012). Cost drivers in health care. Retrieved from http://www.allhealth.org/publications/Cost_of_health_care/Cost_Drivers_in_Health_Care_109.pdf

 

This article describes factors that drive up costs in health care. The article categorizes the various factors and underscores the importance of their interactions.

Optional Resources

Alliance for Health Reform. (2012). What are some smarter ways to pay for health care? [Video]. Available from http://www.allhealth.org/pubs_videos.asp?vid=12 (Video)

 

In this video, Karen Davis, president of The Commonwealth Fund, discusses the future issues that health care organizations will face in trying to reduce costs while still providing quality care. She suggests that comparative effectiveness research should be undertaken to determine best financial practices.

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Create a holistic care plan for disease prevention, health promotion, and acute care of the patient in the clinical case.

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Case Study Analysis and Care Plan Creation

Click here to download and analyze the case study for this week. Create a holistic care plan for disease prevention, health promotion, and acute care of the patient in the clinical case. Your care plan should be based on current evidence and nursing standards of care.

Visit the online library and research for current scholarly evidence (no older than 5 years) to support your nursing actions. In addition, consider visiting government sites such as the CDC, WHO, AHRQ, Healthy People 2020. Provide a detailed scientific rationale justifying the inclusion of this evidence in your plan.

Next determine the ICD-10 classification (diagnoses). The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-10-CM) is the official system used in the United States to classify and assign codes to health conditions and related information.

Click here to access the codes.

You are expected to develop a comprehensive care plan based on your assessment, diagnosis, and advanced nursing interventions. Reflect on what you have learned about care plans through independent research and peer discussions, and incorporate the knowledge that you have gained into your patient’s care plan.

Format

Click here to download the care plan template to help you design a holistic patient care plan.

Your care plan should be formatted as a Microsoft Word document. Follow APA style. Your paper should be 2 to 4 pages double-spaced and in 12pt font.

discuss what the advanced practice nurse includes in the educational plan for the patient who has yet to develop heart disease.

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Guidelines: Support your responses with scholarly academic references using APA style format. Assigned course readings and online library resources are preferred. Weekly lecture notes are designed as overviews to the topic for the respective week and should not serve as a citation or reference.

In your discussion question response, provide a substantive response that illustrates a well-reasoned and thoughtful response; is factually correct with relevant scholarly citations, references, and examples; and that demonstrates a clear connection to the readings.

In your participation responses to your peers, comments must demonstrate thorough analysis of postings and extend meaningful discussion by building on previous postings.

Note: Review South University’s Substantive Participation Policy Criteria, Helpful Tips, and Late Policy available by clicking on the South University Policy and Guidelines navigation tab. The late policy applies to late discussion question responses.

1. Discuss any three risk factors associated with the development of cardiovascular diseases.

Do not just list the risk factor. You need to actually note each factor and discuss how each risk factor is a risk factor.

2. For any one of these risk factors, discuss what the advanced practice nurse includes in the educational plan for the patient who has yet to develop heart disease.

**Complete 1 AND 2 above**

Make sure you adopt an integrated approach to assess your patient’s needs. Your focus here is on primary prevention.

Possible headings for your post: (APA headings are required for scholarly writing and APA is worth 10 points on the forum grading criteria)

Discussion of 3 Risk Factors of Cardiovascular Disease

Educational Plan for 1 Risk Factor In A Client Who Has Not Developed Heart Disease (Primary Prevention)

Be sure to include a detailed educational plan and share your educational resources that will be utilized within the plan.

What obligation does a health care facility have to protect workers from violence?

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Overview

A new initiative has been introduced to educate nurses, health care workers, and social services workers on how to prevent workplace violence where you work. Write a 750–1,000-word article on workplace violence and prevention measures for the hospital employee newsletter.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

•Competency 1: Explain the effect of health care policies, legislation, and legal issues on health care delivery and patient outcomes. ◦Identify the political, legal, and/or legislative factors that may contribute to violence in health care settings.

•Competency 2: Explain the effect of regulatory environments and controls on health care delivery and patient outcomes. ◦Identify the main components of OSHA’s workplace violence prevention guidelines.

◦Explain the American Nursing Association’s position on violence in the workplace.

◦Explain safety policies and protocols for preventing and responding to violence against health care workers.

•Competency 4: Communicate in a manner that is consistent with expectations of nursing professionals. ◦Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.

◦Correctly format citations and references using APA style.

Context

The Centers for Disease Control and Prevention’s National Institute for Occupational Safety and Health (NIOSH) (2002) defines workplace violence as any physical assault, threatening behavior, or verbal abuse occurring in the workplace. Violence includes overt and covert behaviors ranging in aggressiveness from verbal harassment to murder.

Specific to hospital workers, studies by the Institute for Occupational safety and Health (NIOSH) show that:

Violence often takes place during times of high activity and interaction with patients, such as at meal times and during visiting hours and patient transportation. Assaults may occur when service is denied, when a patient is involuntarily admitted, or when a health care worker attempts to set limits on eating, drinking, or tobacco or alcohol use. (2002, para. 4)

Reference

Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health. (2002). Violence: Occupational hazards in hospitals. Retrieved from http://www.cdc.gov/niosh/docs/2002-101

Questions to Consider

To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community.

•What are the more common reasons for workplace violence?

•What clinical risk factors can lead to workplace violence?

•What obligation does a health care facility have to protect workers from violence?

•What personal safety strategies do you have to protect yourself from violence at work?

Suggested Resources

The following optional resources are provided to support you in completing the assessment or to provide a helpful context. For additional resources, refer to the Research Resources and Supplemental Resources in the left navigation menu of your courseroom.

Library Resources

The following e-books or articles from the Capella University Library are linked directly in this course:

•Doby, V. (2015). Leadership’s role in eliminating workplace violence and changing perceptions in the emergency department. Journal of Emergency Nursing, 41(1), 7.

•Blando, J., Ridenour, M., Hartley, D., & Casteel, C. (2015). Barriers to effective implementation of programs for the prevention of workplace violence in hospitals. Online Journal of Issues in Nursing, 20(1), 1–11.

•Bruce, M. D., & Nowlin, W. A. (2011). Workplace violence: Awareness, prevention, and response. Public Personnel Management, 40(4), 293–308.

•Saltzberg, C. W., & Clark, C. M. (2015). A bold call to action: Mobilizing nurses and employers to prevent and address incivility, bullying, and workplace violence. (2015). American Nurse Today, 10(8), 1.

•Gillespie, G. L., Gates, D. M., Miller, M., & Howard, P. K. (2010). Workplace violence in healthcare settings: Risk factors and protective strategies. Rehabilitation Nursing, 35(5), 177–184.

•Magnavita, N. (2014). Workplace violence and occupational stress in healthcare workers: A chicken-and-egg situation-results of a 6-year follow-up study. Journal of Nursing Scholarship, 46(5), 366–376.

•Speegle-Clark, K. (2013). Violence in the workplace: A prevention program for healthcare workers. (Doctoral dissertation). Available from ProQuest Dissertations and Theses database. (UMI No. 1539707).

•Papa, A., & Venella, J. (2013). Workplace violence in healthcare: Strategies for advocacy. Online Journal of Issues in Nursing, 18(1), 1.

Internet Resources

Access the following resources by clicking the links provided. Please note that URLs change frequently. Permissions for the following links have been either granted or deemed appropriate for educational use at the time of course publication.

•United States Department of Labor, Occupational Health & Safety Administration. (n.d.). Workplace violence. Retrieved from https://www.osha.gov/SLTC/healthcarefacilities/violence.html

•United States Department of Labor, Occupational Health and Safety Administration. (n.d.). Workplace violence prevention – Health care and social service workers. Retrieved from https://www.osha.gov/dte/library/wp-violence/healthcare/

•AACN. (n.d.). Position statement: Workplace violence prevention. Retrieved from http://www.aacn.org/WD/Practice/Docs/Workplace_Violence.pdf

•Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health. (n.d.). Occupational violence. Retrieved from http://www.cdc.gov/niosh/topics/violence/training_nurses.html

•Liss, G. M. (2000). Violence in the health care workplace. CMAJ, 162(4). Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1231158/

Assessment Instructions

Your workplace has experienced some serious problems with workplace violence that occurred between patients and caregivers. A new initiative has been introduced to educate nurses, health care workers, and social services workers on how to prevent workplace violence. You have been asked to write an article on workplace violence and prevention measures for the hospital employee newsletter.

Preparation

Search the library and the Internet for scholarly and professional peer-reviewed articles on workplace violence. You will need at least five articles to use as support for your work on this assessment.

Directions

Write a 750–1,000-word article (3–4 pages) on workplace violence and prevention measures for the hospital employee newsletter. Address the following in your article:

•Identify the political, legal, and/or legislative factors that may contribute to violence in health care settings. Consider the types of patients that may be treated within a clinical or hospital setting.

•Compare OSHA regulations and the ANA position statement on workplace violence to organizational policies.

•Explain safety policies and protocols for preventing and responding to violence against health care workers.

Additional Requirements

Your presentation should meet the following requirements:

•Written communication: Written communication should be free of errors that detract from the overall message.

•References: Cite a minimum of five resources, with the majority being peer-reviewed sources. Your reference list should be appropriate to the body of literature available on this topic that has been published in the past 5 years.

•APA format: Resources and citations should be formatted according to current APA style and formatting.

•Length: 750– 1,000 words or 3–4 typed, double-spaced pages, excluding title page and reference page. Use Microsoft Word to complete the assessment.

•Font and font size: Times New Roman, 12-point.

How can an industrial hygienist determine how much risk is acceptable?

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Industrial Hygiene-

Discussion-

Risk perception is influenced by many factors. Reflect on your personal and professional life and share with the class an example of an experience that you have had that had a profound impact on your perception of risk. For example, consider someone who was seriously injured in an automobile accident and was not wearing a seat belt. As a result of that experience, that individual may now perceive the risk of injury caused by not wearing a seat belt as significantly higher than the rick involved when wearing a seatbelt. Consequently, this individual now wears a seat belt whenever driving a car to reduce the risk of injury to an acceptable level.

1) Define exposure assessment, and describe the seven steps involved in an exposure-assessment strategy. Apply each step to a scenario where you, as an industrial hygienist, are asked to describe a worker’s exposure to cadmium during a brazing operation. Your response should be at least 200 words in length.

2) What are the elements of the risk-assessment paradigm? How can these elements be applied in a workplace setting in which an emergency responder is addressing a large spill of trichloroethylene? Describe how risk assessment can be used in industrial hygiene practice. Your response should be at least 200 words in length.

3) In your own words, define risk. What are the four functions of risk? How can these four functions be used to make risk decisions? List the factors that affect risk perception in the workplace. How can an industrial hygienist determine how much risk is acceptable? Your response should be at least 200 words in length.

4) Define instantaneous monitoring, integrated monitoring, personal monitoring, and area monitoring, and explain the differences among each one. Provide a scenario in which in each method would be used. Your response should be at least 200 words in length.

5) Discuss methods that can help prevent musculoskeletal disorders in the workplace. Your response should be at least 200 words in length.

6) Describe how noise and vibration hazards can affect the human body. What are some methods for mitigating these hazards? Your response should be at least 200 words in length.