HIPAA and Electronic Medical Records

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HIPAA and Electronic Medical Records

Discussion 2: HIPAA and Electronic Medical Records
An electronic health or medical record (EMR) is a digital version of a paper medical chart that contains a patient’s medical history. EMRs offer clinicians and patients increased access to information and assist in the coordination of care. In hospitals, EMRs are particularly useful because each member of the health care team is able to monitor a patient’s progress across disciplines. A social worker, for example, is able to read, in real time, the note of every physician, nurse, or therapist who has seen a patient. To maintain HIPAA compliance, institutions have strict policies that restrict access to EMRs. These policies require computers and networks to be secure, ensuring that only authorized users can access protected health information. HIPAA and Electronic Medical Records

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To prepare for this Discussions, review this week’s resources including the article by Harman et al. Consider the complexities involving the emerging electronic health record system. Think about how the HIPAA Privacy and Security Rules apply to EMRs. HIPAA and Electronic Medical Records

By Day 4
Post an explanation of how the HIPAA Privacy and Security Rules apply to EMRs. Then, address the following questions and explain your reasoning:

Can a social worker access any patient’s electronic medical record?
Can a social worker access his or her own electronic medical record?
Can a social worker access the electronic medical record of his/her family members?
Finally, explain the positive and negative ramifications HIPAA might have on medical social work practice in clinical settings with regard to handling EMRs.

Be sure to support your postings and responses with specific references to the resources and the current literature using appropriate APA format and style.

HIPAA and Electronic Medical Records

 

Chronic Fatigue

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Chronic Fatigue

A 52-year-old male patient who is a house painter presents to the office reporting chronic fatigue and “mild” chest pain. When he is painting, chest pain is relieved after taking a break. He reports that the pain usually lasts 5 minutes or less and occasionally spreads to his left arm before subsiding. The patient was last seen 3 years ago by you, and you recommended diet changes to manage mild hyperlipidemia, but the patient has gained 30 pounds since that time. The patient’s medical history includes anxiety, vasectomy, cholecystectomy, and mild hyperlipidemia. The patient does not smoke or use other tobacco or nicotine products. The patient cares for his wife, who has multiple sclerosis and requires 24-hour care. His daughter and grandson also live with the patient. His daughter assists with the care of his wife, and his job is the major source of income for the family. The initial vital signs are: blood pressure 158/78, heart rate 87, respiratory rate 20, and body mass index 32. As part of the diagnostic work-up, an ECG, lipid levels, cardiac enzymes, and C-reactive protein (CRP) are ordered. The patient reports that he does not have time to “be sick” and says that he needs to take care of everything during this visit so he can return to work and care for his wife. Discuss the following: Chronic Fatigue

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What additional information should you obtain about the pain the patient is experiencing?

What additional physical assessment needs to be performed with this patient?

What considerations are important to remember if the patient’s CRP level is elevated?

What differential diagnoses should be considered for the patient?

What patient teaching will be incorporated into the visit to modify the patient’s risk factors?

How will you respond to the patient’s statement that he does not have time to “be sick” and needs to take care of everything during this visit?

Chronic Fatigue

Benchmark – Patient’s Spiritual Needs: Case Analysis

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Benchmark – Patient’s Spiritual Needs: Case Analysis

Assessment Description

In addition to the topic Resources, use the chart you completed and questions you answered in the Topic 3 about \”Case Study: Healing and Autonomy\” as the basis for your responses in this assignment. Benchmark – Patient’s Spiritual Needs: Case Analysis

Answer the following questions about a patient\’s spiritual needs in light of the Christian worldview.

  1. In 200-250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient\’s autonomy? Explain your rationale.

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  2. In 400-500 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James\’s care?

  3. In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care?

Remember to support your responses with the topic Resources.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. Benchmark – Patient’s Spiritual Needs: Case Analysis

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

BS in Health Sciences 1.2; BS Nursing (RN to BSN ) 5.2

Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.

Benchmark – Patient’s Spiritual Needs: Case Analysis

Case Study: Healing and Autonomy

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Case Study: Healing and Autonomy

In addition to the topic Resources, use the chart you completed and questions you answered in the Topic 3 about \”Case Study: Healing and Autonomy\” as the basis for your responses in this assignment.

Answer the following questions about a patient\’s spiritual needs in light of the Christian worldview.

In 200-250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient\’s autonomy? Explain your rationale. Case Study: Healing and Autonomy

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In 400-500 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James\’s care?

In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care?

Remember to support your responses with the topic Resources.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. Case Study: Healing and Autonomy

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

BS in Health Sciences 1.2; BS Nursing (RN to BSN ) 5.2

Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.

Case Study: Healing and Autonomy

 

Effective Approaches in Leadership and Management

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Effective Approaches in Leadership and Management

Benchmark – Effective Approaches in Leadership and Management
Assessment Description
In this assignment, you will be writing a 1,000-1,250 word paper describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following: Effective Approaches in Leadership and Management

Select an issue from the following list: bullying, unit closures and restructuring, floating, nurse turnover, nurse staffing ratios, use of contract employees (i.e., registry and travel nurses), or magnet designation.
Describe the selected issue. Discuss how it impacts quality of care and patient safety in the setting in which it occurs.

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Discuss how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct.
Explain the differing roles of nursing leaders and nursing managers in this instance and discuss the different approaches they take to address the selected issue and promote patient safety and quality care. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.
Discuss what additional aspects managers and leaders would need to initiate in order to ensure professionalism throughout diverse health care settings while addressing the selected issue.
Describe a leadership style that would best address the chosen issue. Explain why this style could be successful in this setting.
Use at least three peer-reviewed journal articles other than those presented in your text or provided in the course.

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

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. Effective Approaches in Leadership and Management

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

This benchmark assignment assesses the following programmatic competencies:

RN to BSN

1.1: Exemplify professionalism in diverse health care settings.

1.3: Exercise professional nursing leadership and management roles in the promotion of patient safety and quality care.

3.4: Demonstrate professional standards of practice.

Effective Approaches in Leadership and Management

Contemporary Issues Affecting Parenting

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Contemporary Issues Affecting Parenting

Compare those cultural influences to contemporary issues affecting parenting.

In your family of origin( Black African American family, who grew up poor and didn’t , describe the impact that culture had on your parent’s behavior( employment issues, financial issues, which humbled them and very optimistic). Compare those cultural influences to contemporary issues affecting parenting. Why is it essential for mental health workers to be able to identify cultural influences on parenting? How can mental health workers become aware of client cultural experiences?

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Describe three unique challenges parents face today that parents did not deal with historically. Explain how mental health workers should prepare to assist parents with these contemporary issues from a mental health perspective. Recommend resources that address the three unique challenges you described. You may refer to the Topic 4 Resources.

Contemporary Issues Affecting Parenting

Transition of Care

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Transition of Care

Assignment:

Write a paper in which you address the following:

Identity your selected example of a transition of care.

Describe the key stakeholders that might be involved in this transition of care and the leadership strategies you would use to engage and influence them.

Explain how you, as a nurse leader along with your healthcare team, would apply systems thinking when providing a transition of care aligned with the IHI Quadruple Aim framework in order to improve it. Explain the fourth aim and strategy you would use and why.

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Explain how systems thinking would inform your improvement plan for the specific transition of care you selected.

Be sure your paper includes a title page and a reference page. You should also resubmit your refined Annotated Bibliography.

Transition of Care

Hospital Merger and Culture Considerations

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Hospital Merger and Culture Considerations

Part 1: Hospital Merger and Culture Considerations

Imagine that your hospital has recently merged with a group of medical centers. As a high-level executive, you have been asked to develop a strategy to integrate the two cultures. Success with this effort must also translate into the optimization of patient care, quality, safety, cost of services, and access to care. Hospital Merger and Culture Considerations

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Research best practices and devise approaches to address potential issues and pushback. Create a proposal of 700 to 875 words that includes the following:

• Identify and describe the personnel groups affected by the merger.

• Predict and explain challenges in merging the two cultures. Consider the cultures of the clinical staff and the medical staff.

• Propose strategies or solutions to address those challenges.

• Explain the negotiation strategies that may be useful to elicit buy-in on the decisions.

• Design the modes of communication you will use to convey these strategies to the clinical and medical staff.

o Identify who should be the primary communicator.

o Outline the information that should be included.

o Explain how buy-in will occur. Hospital Merger and Culture Considerations

Part 2: Reflection
Facilitation and negotiation are skills you will use on a regular basis as a leader in health care. You researched best practices and applied them to a merger of two workforce cultures.

Reflect on the research you completed as well as your proposal you wrote in Part 1. Write 350 words on the following:

• Examine the overall strategy and implementation you devised to address the different aspects of the company merger. What were the major factors and considerations that led you to make the strategic decisions for the merger?

• Discuss the health sector best practices you drew from your research to help determine the decision-making and negotiation approaches defined in your proposal.

• Describe any facilitation and negotiation strategies that you have used or experienced in any setting that you can use in your professional life.

Hospital Merger and Culture Considerations

Approaches of Nursing Leaders and Managers to Issues in Practice

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Approaches of Nursing Leaders and Managers to Issues in Practice

The differing approaches of nursing leaders and managers to issues in practice.

In this assignment, you will be writing a 1,000-1,250 word paper describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following:
Select an issue from the following list: bullying, unit closures and restructuring, floating, nurse turnover, nurse staffing ratios, use of contract employees (i.e., registry and travel nurses), or magnet designation.
Describe the selected issue. Discuss how it impacts quality of care and patient safety in the setting in which it occurs. Approaches of Nursing Leaders and Managers to Issues in Practice
Discuss how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct.

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Explain the differing roles of nursing leaders and nursing managers in this instance and discuss the different approaches they take to address the selected issue and promote patient safety and quality care. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.
Discuss what additional aspects managers and leaders would need to initiate in order to ensure professionalism throughout diverse health care settings while addressing the selected issue.
Describe a leadership style that would best address the chosen issue. Explain why this style could be successful in this setting.
Use at least three peer-reviewed journal articles other than those presented in your text or provided in the course.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. Approaches of Nursing Leaders and Managers to Issues in Practice

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
This benchmark assignment assesses the following programmatic competencies:
RN to BSN
1.1: Exemplify professionalism in diverse health care settings.
1.3: Exercise professional nursing leadership and management roles in the promotion of patient safety and quality care.
3.4: Demonstrate professional standards of practice.

Approaches of Nursing Leaders and Managers to Issues in Practice

 

 

 

Coordination of Patient Care

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Coordination of Patient Care

In the case management role, nurses are responsible for full coordination of patient care

In the case management role, nurses are responsible for full coordination of patient care, ensuring that patients are aware of and properly use available healthcare resources and services. Coordination of Patient Care

Instructions: Apply the following scenario to this assignment: A nurse is asked to manage a case for an unemployed single mother who is HIV positive.

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Utilizing the MCO table from Unit 2, select an insurance plan that would meet the patient’s needs.

Select one alternative plan to present to the patient as an additional option.

Prepare a handout (in Microsoft Word) to provide to the patient. The handout should contain:

An explanation of the case management process. Include the primary components of a healthcare case management process that will best serve the patient needs based upon the selected insurance plan (for the first plan option only).

A summary of the way(s) that case management impacts healthcare delivery.

Rationale as to why the selected plan would be best for this patient.

Rationale as to why the alternative plan could also serve the patient’s needs.

An explanation as to how the patient would benefit from an alternate payment plan, such as an HSA (or other of your choosing).

Coordination of Patient Care