How do effective nurse leaders and others approach problem solving and decision making in organizations?

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The problem that I would like to use is.  Is it better for the patient in the emergency room to be roomed and triaged or triaged and roomed?  In the emergency room in the United States we usually triage a patient and then place them in a room that is suitable for their complaint.  A trauma or critical patient gets a critical care room, a patient with abdominal pain gets a regular room, a psychiatric patient that is suicidal gets a psych room.  Now, the want us to just room patients in any room that is open, and triage them there because it helps their door to MD times, and increases our patient satisfaction scores because the patients think they are being seen faster.  When in fact, I feel that patients should be triaged into the proper rooms because it helps the care that they receive, and expedites the care that they need.
Also, please see attached.  This will help with this discussion question and the paper due this week

Discussion: Transitioning From Closed to
Open Systems

How do effective nurse leaders and others approach problem solving and decision making in organizations? As suggested in this week’s Learning Resources, systems theory provides a valuable way to assess situations and prepare to address problems.
For this week’s Discussion, you identify an issue or process that could be improved and apply knowledge and strategies related to systems theory.
Note: You may find it helpful to view the Assignment instructions and use the same problem for this Discussion.
To prepare:
  • Review the information presented in this week’s Learning Resources on systems theory and the difference between open and closed systems.
  • Reflect on the practices and processes with which you are familiar in your organization. Identify one problematic issue or process that could be improved.
  • Consider the problem from a closed-system perspective. Then think about how the issue or process you selected could be addressed by viewing it from an open-system perspective. How would the transition from a closed- to an open-system view help you and others to address the problem and improve outcomes?
By Day 3
Post a description of the problem that you identified in your selected organization. Explain the problem from a closed-system perspective. Then, describe how the problem could be addressed by viewing it from an open-system perspective, and explain how this modification would help you and others improve health care outcomes.
Read a selection of your colleagues’ responses.

What are the most important forces that will oppose you or stand in your way of reorganization?

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Choose a health care problem and answer the following questions

1. Define the problem – write a brief and specific explanation.

2. Is the problem level Macro or Micro?

3. What factors affect the previous levels?

4. What is the area of health service that underlies the problem?

5. What is the level of problem in the health care pyramid (there are 3 levels)?

6. Which health care organizations are concerned with the problem (one or more)?

7. Is the problem involved in a particular health sector (general, special, …) or more or mixed?

8. Apply this problem in the health care system (Inputs, Outputs, Process, Feedback).

9. What are the objectives and policies related to the problem? (A) Objectives (B) Policies

10. Evaluate (pros and cons) the problem based on available resources, health organizations that deal with them, management style and solutions provided by these organizations.

11. What level of manager is required in order to solve this problem and is there more than one level required?

12. What is the proper organization of the problem and why, and is there a real need to regulate it?

13. Can informal regulation be applied to them and why?

14. Apply the steps of organizing it.

15. Should the existing regulatory situation be reorganized and what are the main reasons and how (the approach can be used)?

16. What are the most important forces that will oppose you or stand in your way of reorganization?

17. What are the most important strategies governing the problem and what is its level?

18. Apply the steps of the strategic plan with the elements of the external and internal environment and elements of the plan.

19. Choose a medical technique that fits the problem and explains how to apple it

research an environmental factor that poses a threat to the health or safety of infants and develop a health promotion that can be presented to caregivers.

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The growth, development, and learned behaviors that occur during the first year of infancy have a direct effect on the individual throughout a lifetime. For this assignment, research an environmental factor that poses a threat to the health or safety of infants and develop a health promotion that can be presented to caregivers.

Create a 10-12 slide PowerPoint health promotion, with speaker notes, that outlines a teaching plan. For the presentation of your PowerPoint, use Loom to create a voice over or a video. Include an additional slide for the Loom link at the beginning, and an additional slide for references at the end.

Include the following in your presentation:

1.  Describe the selected environmental factor. Explain how the environmental factor you selected can potentially affect the health or safety of infants.

2.  Create a health promotion plan that can be presented to caregivers to address the environmental factor and improve the overall health and well-being of infants.

3.  Offer recommendations on accident prevention and safety promotion as they relate to the selected environmental factor and the health or safety of infants.

4.  Offer examples, interventions, and suggestions from evidence-based research. At least five scholarly resources are required. Three of the Five resources must be peer-reviewed and no more than 6 years old.

5.  Provide readers with Three community resources, a national resource, and a Web-based resource. Include a brief description and contact information for each resource.

6.  In developing your PowerPoint, take into consideration the health care literacy level of your target audience, as well as the demographic of the caregiver/patient (socioeconomic level, language, culture, and any other relevant characteristic of the caregiver) for which the presentation is tailored

5 APA Style reference, NO PLAGIARISM .

Discuss the steps of the data collection process used in the studies

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NSG3029 W4 Project

Research Template Name

Cite both articles reviewed in APA style:

***In the template, any direct quotes from the articles needs to only include the page number.

Week 4 Template Quantitative Article Qualitative Article
Identify and describe the sample including demographics, in the studies chosen in W2 Assignment 2
Discuss the steps of the data collection process used in the studies

Identify the study variables (independent and dependent)
Identify the sampling design
Describe the instrument, tool, or survey used in each article.
Summarize the discussion about the validity and reliability of the instruments, tools, or surveys used in each article
Identify the legal and ethical concerns for each article, including informed consent and IRB approval

Describe the influence of nursing leadership in driving the needed changes.

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Write 3–5 page safety score improvement plan for mitigating concerns, addressing a specific patient-safety goal that is relevant to quality patient care. Determine what a best evidence-based practice is and design a plan for resolving issues resulting from not maintaining patient safety.

Quality improvement and patient safety are health care industry imperatives (Institute of Medicine’s Committee on Quality of Health Care in America, 2001). Effective quality improvement results in system and organizational change. This ultimately contributes to the creation of a patient safety culture.

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

· Competency 2: Apply systems theory and systems thinking to facilitate health care delivery and patient outcomes.

. Apply systems thinking to explain how current policies and procedures may affect an identified safety issue.

. Explain an evidence-based strategy to collect information about, and improve, an identified safety concern.

. Explain a plan to implement a recommendation and monitor outcomes.

· Competency 4: Evaluate how power relates to health care organizational structure, behavior, and leadership.

. Describe the influence of nursing leadership in driving needed changes.

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

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

Instructions:

Refer to the Internet for supplemental resources to help you complete this assessment, a safety score improvement plan.

Consider the hospital-acquired conditions that are not reimbursed for under Medicare/Medicaid. Among these conditions are specific safety issues such as infections, falls, medication errors, and other safety concerns that could have been prevented or alleviated with the use of evidence-based guidelines. Hospital Safety Score, an independent nonprofit organization, uses national performance measures to determine the safety score for hospitals in the United States. The Hospital Safety Score Web site and other online resources provide hospital safety scores to the public.

Read the scenario below:

Scenario

As the manager of a unit, you have been advised by the patient safety office of an alarming increase in the hospital safety score for your unit. This is a very serious public relations matter because patient safety data is public information. It is also a financial crisis because the organization stands to lose a significant amount of reimbursement money from Medicare and Medicaid unless the source of the problem can be identified and corrected. You are required to submit a safety score improvement plan to the organization’s leadership and the patient safety office.

Select a specific patient safety goal that has been identified by an organization, or one that is widely regarded in the nursing profession as relevant to quality patient care delivery, such as patient falls, infection rates, catheter-induced urinary infections, IV infections, et cetera.

Deliverable: Safety Score Improvement Plan

Develop a 3 page safety score improvement plan.

· Identify the health care setting and nursing unit of your choice in the title of the mitigation plan. For example, “Safety Score Improvement Plan for XYZ Rehabilitation Center.”

· You may choose to use information on a patient safety issue for the organization in which you currently work, or search for information from a setting you are familiar with, perhaps from your clinical work.

. Demonstrate systems theory and systems thinking as you develop your recommendations.

Organize your report with these headings:

Study of Factors

· Identify a patient safety issue.

· Describe the influence of nursing leadership in driving the needed changes.

· Apply systems thinking to explain how current policies and procedures may affect a safety issue.

Recommendations

· Recommend an evidence-based strategy to improve the safety issue.

· Explain a strategy to collect information about the safety concern.

. How would you determine the sources of the problem?

· Explain a plan to implement a recommendation and monitor outcomes.

. What quality indicators will you use?

. How will you monitor outcomes?

. Will policies or procedures need to be changed?

. Will nursing staff need training?

. What tools will you need to do this?

Additional Requirements

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

· APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.

· Length: The plan should be 3–5 pages.

· Font and font size: Times New Roman, 12 point, double-spaced.

· Number of resources: Use a minimum of three peer-reviewed resources.

Analyze how performance and quality measures are aligned to the organizations mission, vision, strategic and operational plans.

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Note I have attached QI paper 1-3 with teachers comment on what to do for the following papers. Please read over and follow the instuctions below for this assignment base off of the 3 previous papers, please if you can not do assignment please do not accept assignment. It is important that I get a good grade.

 

 

Combine all four parts of the QI plan into one document, making sure to include instructor feedback. Organize the plan as you would present it to the organization’s board of directors for approval. Use the QI Plan Template as a guide.

In the QI Plan Template, complete the following:

  • Evaluate various data collection and display tools used in performance measurement.
  • Evaluate tools used to measure and report data.
  • Analyze various improvement methodologies for integrating quality improvement strategies into performance measurements.
  • Analyze the impact of information technology applications on performance measures.
  • Analyze the use of internal and external benchmarking and milestones in managing the utilization of quality indicators.
  • Evaluate criteria and tasks for developing quality improvement plans.
  • Analyze how performance and quality measures are aligned to the organizations mission, vision, strategic and operational plans.
  • Evaluate strategies for meeting regulatory and accreditation standards within health care organizations.
  • Evaluate measures used to monitor and revise quality program implementation.
  • Evaluate barriers that can interfere with the implementation of quality measures.
  • Evaluate strategies to ensure successful implementation of quality measures.

Write a 350- to 700-word executive summary related to your QI plan which includes an evaluation of the  following:

  • Evaluate the current state of QI at the organization, its organizational and operational QI structure, authority, mission, methodology, and tools used.
  • Recommend how the organization will achieve its objectives over the long term.
  • Evaluate challenges that may impact the future of health care quality improvement.
  • Evaluate effect of health care quality improvement on operational and financial performance.

Format your paper according to APA guidelines.

Cite 5 peer-reviewed, scholarly, or similar references to support your paper.

Click the Assignment Files tab to submit your QI Plan and your Executive Summary.

  • attachment

    brenda_abayomi_qi_plan_part_one_1.doc

write a comparison/contrast essay exploring the similarities and differences of your claim about Phoenix Jackson and Saunder's claim about Phoenix James.

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Having a clear understanding of what is in this article is crucial to being successful on the final exam. For the final exam, you will write a comparison/contrast essay exploring the similarities and differences of your claim about Phoenix Jackson and Saunder’s claim about Phoenix James.

What do these similarities and differences reveal about Phoenix? Did your opinion of Phoenix change? Did you see her in a new light? Did any of his evidence strengthen your claim?

In your outline for your final exam, include your thesis, topic sentences, relevant quotes from your paper (cite using your last name and page number), Saunder’s article, and Welty’s story that you intend to use.

Review the sample paper for an example of a paper on this essay prompt. Notice how the writer cited his paper throughout the text as well as in the works cited page.

Explain the difference between Medicare and Medicaid billing.

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H07 Medical Coding I

Directions:  Be sure to make an electronic copy of your answer before submitting it to Ashworth College for grading.  Unless otherwise stated, answer in complete sentences, and be sure to use correct English spelling and grammar.  Sources must be cited in APA format.  Your response should be two (2) to four (4) pages in length; refer to the “Assignment Format” page for specific format requirements.

 

Lesson 1, 2, 3, and 4 of this course has covered a wide variety of topics. Thus far, you have learned a great deal of information on health insurance, medical contracts, HIPAA, physician and hospital medical billing, and Medicare and Medicaid.

 

For this writing assignment, please explain why the following course objectives are important for medical billers and coder to understand:

 

1.      Understand the history and impact of health insurance on health care reimbursement process and recognize various types of health insurance coverage.

 

2.      Identify the key elements of a managed care contract and identify the role HIPAA plays in the health care industry.

 

3.      Recognize and explain the different components of physician and hospital billing and differentiate between the two types of services.

 

4.      Explain the difference between Medicare and Medicaid billing.

 

 

Please include at least 3 scholarly articles within your response. Overall response will be formatted according to APA style and the total assignment should be between 2-4 pages not including title page and reference page.

  • attachment

    h07eassignment4.docx

What is the etiology of Diabetic Ketoacidosis?

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Need 2 nursing post done. Please make sure you answer every question.

Requirements (FOR EACH POST****)

· 350 words min

· 1 scholarly source *less than 5 years*

· APA format

POST 1

Ms. Blake is an older adult with diabetes and has been too ill to get out of bed for 2 days. She has had a severe cough and has been unable to eat or drink during this time. She has a history of Type I diabetes. On admission her laboratory values show:

Sodium (Na+)

156 mEq/L

Potassium (K+)

4.0 mEq/L

Chloride (Cl–)

115 mEq/L

Arterial blood gases (ABGs)

pH- 7.30; Pco2-40; Po2-70; HCO3-20

Normal values

Sodium (Na+)

136-146 mEq/L

Potassium (K+)

3.5-5.1 mEq/L

Chloride (Cl–)

98-106 mEq/L

Arterial blood gases (ABGs)

pH- 7.35-7.45

Pco2- 35-45 mmHg

Po2-80-100 mmHg

HCO3–22-28 mEq/L

1. What is the etiology of Diabetic Ketoacidosis?

2. Describe the pathophysiological process of Diabetic Ketoacidosis.

3. Identify the hallmark symptoms of Diabetic Ketoacidosis.

4. Identify any abnormal lab results provided in the case and explain why these would be abnormal given the patient’s condition.

5. What teaching would you provide this patient to avoid Diabetic Ketoacidosis symptoms?

POST 2

A three-month-old baby boy comes into your clinic with the main complaint that he frequently vomits after eating. He often has a swollen upper belly after feeding and acts fussy all the time. According to his parents, the vomiting has become more frequent this past week and he is beginning to lose weight. After careful history taking, a thorough physical exam and diagnostic work-up, the patient is diagnosed with pyloric stenosis.

1. What is the etiology of pyloric stenosis?

2. Describe in detail the pathophysiological process of pyloric stenosis.

3. Identify hallmark signs identified from the physical exam and presenting symptoms. What diagnostic tests would help to confirm the diagnosis of pyloric stenosis?

4. Describe the pathophysiology of complications of pyloric stenosis.

5. What teaching would you provide this patient/parents regarding pyloric stenosis?

What are the Health Insurance Marketplaces, and how do consumers enroll in health insurance?

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NUR 3805 Dimensions of Professional Nursing Practice

Health Care Reform Paper

Purpose: The Patient Protection and Affordable Care Act (ACA) was a sweeping health reform statute signed into law by President Obama in March of 2010. The ACA is the most significant government expansion and regulatory overhaul of the health system since the advent of Medicare and Medicaid.  The intent of the law is to expand insurance coverage, control health care costs, and to improve healthcare delivery systems.  Even as the ACA rolls out, much of the population (including nurses) lack understanding of the ACA, and question the value of the law in achieving its intended results. This assignment gives students the opportunity to explore how healthcare is organized and financed, and discuss how the Affordable Care Act affects population health, patient care quality and safety, and the practice of nursing.

Prepare: Complete the “Health Care Reform” study guide, watch videos and read the articles provided in the module.

Content: For the Health Care Reform PAPER, select ONE of the following questions that addresses/explores one aspect of the ACA. Write a brief (2-3 page) paper in APA format that provides a clear description that answers the question, AND reflect on why this information is important to you in your practice as a nurse, as a family member and/or as member of your community.

Choose ONE topic/question:

1. Describe the Affordable Care Act (ACA), including the major goals and features of the law. How does the ACA differ from government-run healthcare in other countries?

2. What are the Health Insurance Marketplaces, and how do consumers enroll in health insurance? How do the exchanges work?

3. Describe the Medicare program, including eligibility, and program elements (Parts A, B, C, D). Describe Medicare expenditures for the most recent year.

4. Describe the Medicaid program, including eligibility by age and income. Explain Medicaid Expansion programs proposed under the ACA, and the current status of expansion programs in the United States.

5. One of the goals of the ACA is to decrease the number of uninsured people. How well has this goal been achieved? What population groups have been impacted the most by this increased coverage?

6. Define the concept of Hospital Value-based Purchasing (also known as pay-for-performance or performance-based reimbursement.  Provide examples of how hospitals are affected by value-based purchasing policies.

7. Define Medical Homes and Accountable Care Organizations.  How can these approaches improve population health, improve the quality of healthcare and lower costs?

Format: Apply APA format and style guidelines to write a 2- to 3-page paper, which should include a minimum of three references, one or more of which is an article from a peer-reviewed journal. No abstract is required for this paper.

Discussion:

See Discussion assignment instructions; students will post one substantive post and one substantive peer response to the following question: What does the Affordable Care Act mean for nursing? Base your initial post on information described in your Health Care Reform paper, supplemented by the Luther and Hart article (and/or more resources)! Grading will be evaluated by the Discussion Board Grading Rubric.

Health Care Reform Paper Grading Rubric

Criteria Ratings
Explain concepts introduced in question, including and citing reliable sources (government organizations, reliable foundations, peer-reviewed journal articles). Narrative demonstrates understanding of concepts and programs described; information cited from reliable sources =50 Description of concepts lacks accuracy or clarity or extensive use of quotations = 35 Minimal description of concepts introduced in question; sources are not adequately cited and/or are not reliable =10
Why this information is important to you Thoughtful reflections of why healthcare program or reform is important to you as a nurse, as a family member and/or as member of your community = 30 Little reflection on what was presented in the paper or extensive use of quotations = 15 Minimal or missing reflection = 0
APA and Scholarly Writing Follows APA style and format with rare and minor exceptions; scholarly and objective writing = 20 APA and writing have a few mistakes OR body of paper exceeds 3 pages by one additional page = 10 More than a few APA errors; OR body of paper exceeds 4 pages = 0
Possible Points = 100