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Featherfall Medical Center

Imagine you have been contracted to consult on the recent developments at the Featherfall Medical Center. Featherfall has been struggling of late; it has had a series of problems that have prompted your hiring. It has faced the following issues:

1. Featherfall has recently violated several government regulations regarding the current state of its technology and how it is being used. The technology system is vastly out of date, and staff are not always using the technology that is in place or they are using the technology inappropriately. These problems have lost the institution lots of money for not meeting government regulations and have caused operational and ethical problems from inefficient and ineffective use of technology.

2. The staff at Featherfall are not well-trained on the use of technology and do not communicate appropriately about technology use. The roles that pertinent to your consult are the health information management team, the clinical staff (doctors, nurses, etc.), and administrative staff. The health information management team uses proper coding practices, and the current technology system serves them well, despite its age. However, other roles in the hospital have had issues with the system. Clinical staff, for instance, have had record-keeping issues both due to lack of training on the system and the system itself being out of date. Administrative staff within the organization have taken issue with the lack of communication about the technology and its use between the various roles. When the current technology system was chosen many years ago, the needs of these various roles were not considered.

In this milestone, you will submit an analysis of how the company in the case study is noncompliant and the strategies (general, not specifics) to move it toward compliance. Specifically the following critical elements must be addressed: II. Health Regulations and Laws Ramifications: In this section of your final project, you will finish the preparation by reviewing and explaining the ramifications for the organization if it decides to wait on addressing its recent violations regarding technology use. A. Determine how violating health regulations and laws regarding technology could impact the finances of the institution if these violations are not addressed. Be sure to support your response with examples. B. Determine how violating health regulations and laws regarding technology could impact the daily operations of the institution if these violations are not addressed. Be sure to support your response with examples. C. Determine how violating health regulations and laws regarding technology could impact the security of the health information in the institution if these violations are not addressed. Be sure to support your response with examples and references.

Sample Paper

In order to provide quality health care, health organizations like most other organizations, had to embrace Information Technology and information management systems. Health Information Management or health informatics as applied in healthcare describes the activities associated with obtaining, analyzing and protecting medical information that is very pivotal in the provision of quality health care to their patients. The field of health informatics has been developing gradually since the sophistication in computer technology enabled the computers to manipulate large amounts of data. This thus means that the traditional paper based health records are now increasing being replaced with Electronic Health Records which are more efficient in managing health information.

Health Information Management as a practice amongst health professionals has its roots in the 1920s whereby the health practitioners, especially doctors and physicians realized that creating health records for their clients not only benefited the patients but also benefited the health service providers. The healthcare service providers came to realize that they were in a better position to treat patients who had a complete and accurate medical history. All these records were documented on paper and the recording practice was standardized by the American Association of Record Librarians (The modern day American Health Information Management Association).

The development of computers in the 1960s and 1970s saw the advancement of the information age which meant that the initial records on paper could now be processed and be stored on computers. Initially, Universities partnered with healthcare facilities to store their health records on computers solely accessible by the health facilities. As computers became more common, individual health departments, for instance, the registry department looked for single application software to make their operations.

The 1980s and 1990s were characterized by the introduction of computer application software that were more dedicated to specialized healthcare functions such as registration, Laboratory and registry. The master patient Index (MPI) was introduced at this stage.

The 2000s perhaps marked the greatest milestone in Health Informatics since there was a great breakthrough that solved the weaknesses of the previous systems. The previous health information management systems lacked communicative, cross-departmental record system. Health facilities increasingly started implementing functional Electronic Health Record systems in compliance with the American Recovery and Reinvestment Act (ARRA) in 2009 that requires the adoption of Electronic Medical Records by 2014.

The future of Health Informatics lies in fine-tuning the existing HER systems. The focus will not only be on how to collect data but on how to quickly and accurately analyze, process and give out data on virtually any device to those in need of the data.

Featherfall can observe several guidelines for technology use in the field of health information management. First the adopted technology should ensure documentation integrity such that all health records should be complete and accurate. It is will also observe information governance and other legal expectations pertaining health records.

The standard technologies currently being used in the field of Health Information Management are focused on interoperability with a focus on Electronic Health Record Laboratory results, consumer empowerment, Bio-surveillance, Emergency Responder Electronic Health Record(ER-EHR), and Electronic Health Record-Centric which ensures continued compliance. By training Featherfall stuff, the organization will be able to establish better patients’ records. The administration department’s concerns can be met by integrating the system in such a way that the various departments within the health facility can be reached through the health information management system.

Evaluating new health information technology systems will mean that I look at; the system’s ability to match with clinical workflow, its ability to process information, ease of application, the motivation of the users and on their use of the system and the system’s effect on the social and behavioral processes of the healthcare workforce.

References

Usher, W., Gudes, O., & Parekh, S. (2016). Exploring the use of technology pathways to access health information by Australian university students: a multi-dimensional approach. Health Information Management Journal, 45(1), 5-15.

Raw, J. (2003). Standards for Health Information and Related Health Information Technology. Health Information Management Journal, 31(3), 1-5.

INF 336: Project Procurement Management

Use at least one project you have been a team member of, or a project manager for, as an example to contextualize the research topics below:

All of the following topics must be addressed in order for the paper to be complete:

• Define the importance of purchasing and supply management and how this relates to selecting a qualified supplier.
• Discuss how to select strategies for negotiating prices.
• Assemble the steps of the creation of a project supply, service, and material budget from detailed requirements. Illustrate the benefits and costs of outsourcing, and the growth pattern of outsourcing.
• Evaluation of the various organizations that are benchmarks in purchasing and supply management, and their best practices. Provide specific examples of companies who show market leadership in purchasing and supply management.

This is an assignment with a length of eight to ten pages that should integrate the reading, multi-media and class discussions. It is mandatory to have research from the classroom text, as well as three sources from scholarly sources to support your views.

Consider the validity of your resources carefully before using them in academic papers. It is recommended to use examples from your professional experience where possible, or build from your learning in the discussion boards.

Writing the Research Paper

The Final Paper:

• Must be eight to ten double-spaced pages in length, and formatted according to APA style as outlined in the UAGC Writing Center.
• Must include a title page with the following:
  • Title of paper
  • Student’s name
  • Course name and number
  • Instructor’s name
  • Date submitted
• Must begin with an introductory paragraph that has a succinct thesis statement.
• Must address the topic of the paper with critical thought.
• Must end with a conclusion that reaffirms your thesis.
• Must use at least three scholarly sources, other than the textbook.
• Must document all sources in APA style, as outlined in the UAGC Writing Center.
• Must include a separate reference page, formatted according to APA style as outlined in the UAGC

Sample Paper

Introduction

Project Procurement Management has covered many topics relating to supply and purchasing processes. This paper will address several topics while incorporating examples from the text as well as personal experiences. The importance of purchasing and supply management, strategies for negotiating prices, the steps involved in the creation of project supply, the benefits and costs of outsourcing, and best practices of the benchmarks in purchasing and supply management are the topics that will be evaluated and identified throughout this paper.

Purchasing & Supply Management

Purchasing and supply management is essential to operational efficiency in the business world [Joh10]. Organizations cannot be successful without suppliers and supply management in place. Purchasing and supply management is one of the most important jobs in a business. This process involves the observation of customer’s behaviors and ensuring high quality items are abundant while being cost effective to the organization [SAv09].

Purchasing is very relevant to an organization and is a comprehensive process. It is confined to buying and refers to the selection of suppliers and the location. For items needed to be purchased, price negotiation and terms of an agreement, and ending with payment with delivery. Supply management is required to know the needs of a customer, select an appropriate supplier, and negotiate a price in order to fulfill such needs [Pro04]. “Purchasing, supply management and procurement are used interchangeable to refer to the integration of related functions to provide effective and efficient materials and services to the organization[Joh10].

Supply management is responsible for many things. One of the most important being the procurement process. This process includes the steps of: recognition of need, translation of the need, searching for suppliers, selection of sources, agreeing on contracts, delivery of products and services, and the payment of the suppliers [Joh10]. Another important task covered by supply management deals with the receiving, inspecting, warehousing, inventory control, materials handling, packaging schedule, in and outbound transportation, and traffic and disposal [Joh10].

Supply management is also responsible for enhancing revenue for the organization. This is critical for an organization’s success. The desired outcome is an increase in revenue and a decrease in costs. By focusing on the reduction in cost, the customers will benefit as well as the organization. All of the avenues covered by purchasing and supply management are critical in the choosing the most qualified supplier. Factoring each area aspect will allow management to have a qualified supplier that contributes to the success of high customer satisfaction by producing quality products, as well as achieving success within the organization [Mikl4].

Strategies for Negotiating Prices

Negotiation is used in nearly every aspect of business whether it is for resource allocation, meeting places, or prices. Strategy can be thought of as the action process that is put in place to achieve long-term goals and objectives [Joh10]. There are several effective strategies used for negotiating in purchasing and supply management. Strategy in the supply world focuses on how supply chain can contribute to an organization. Supply managers can be faced with obstacles while choosing which strategy to use in order to achieve such objectives. There are strategies for choosing qualified suppliers as well as processes to negotiating the prices.

There are several concepts to analyze before selecting a supplier. At a minimum the supplier should be able to clearly meet quality and quantity standards, cost and price comparisons, and actual services being offered [Mikl4]. Negotiating strategies become a ritual and are performed by the buyer and seller respectively.

It is reasonable and expected for the supplier to operate in an efficient manner, keep prices in line with costs, not take advantage of a privileged position, make proper and reasonable adjustment of claims, and be prepared to consider the special needs of the buyer’s organization prior to entering into a contract [Joh10]. Establishing these strategies with the supplier will create a strong working relationship with open communication.

Other strategic questions to consider are what are the negotiation variables are, times, prices, performances, and payment plans that will be discussed [Pro04]. Negotiation can be present in any aspect of supply management, not just the price aspect. If supply management did not have objective or strategies in place, it would be rather difficult to negotiate and concede on a price [Joh10]. Negotiation should never take away from any of the objectives or strategies and must remain in line with customer needs.

Creation of Project Supply

In order to create an accurate budget for supply, service, and material project, the detailed requirements must be established [SAv09]. These requirements will be the grounds for communication to possible suppliers how the organizations needs can be met. Supply management is responsible for the following steps: recognition of need, description of need, identification and analysis of possible sources of supply, supplier selection and determination of terms, preparation and placement of purchase order, follow-up and/or expediting the order, receipt and inspection, invoice clearing and payment, and maintenance of records and relationship [Joh10].

In addition to the aforementioned steps, receiving, inspecting, warehousing, inventory control, materials handling, packaging scheduling, in and outbound transportation, traffic and disposal are all apart of purchasing and supply management [Joh10]. Minimizing costs and lead times to the supply chain are a major focus. This will help ensure that the customer will also benefit from these actions. Purchasing and supply management is much larger than the conventional term and the responsibilities exceed its textbook definition [Smi09].

Understanding the strategic requirements in supply management is detrimental to the success of the organization. The organization must exercise substantial judgment that encompasses resale, raw and semi-processed materials, parts, maintenance, and capital and service [Joh10]. Recognition and description of need is required due to detailed descriptions of needs, articles, commodities, or the services that are being requested from the supplier. The buyer will need all of this information before moving forward.

Case Study 8-2: Implications of Using Various Data Sources

The technology committee at your medical center has been asked to look at current applications within the facility that generate data streams to determine which applications should feed into patient records. Some devices such as glucometers and other point-of-care testing devices automatically feed results into the patient’s electronic health record. Other devices that track fitness, for example, are heavily used outside the medical center but have not been linked with health records. As the APRN representative on the committee, you have been asked to provide your expert opinion on the integration of these additional data streams.

Discussion Points

• Which types of body sensors, tracking devices, and applications would provide valuable information to nurses and other healthcare professionals when providing care to a patient? Discuss the pros and cons of the value of each item vis-a-vis EHRs.
• What relationships do you see between these types of data streams and the ability to inform and shape healthcare policy in your medical center?
• Describe the relationship between the policy at your organization and the inclusion of additional data streams into electronic health records. For example, how do individual hospitals stream their EHR data into big data sets? How does national healthcare policy support, or not support, the inclusion of additional data streams into electronic health records? Into big data findings?
• Discuss how nurse-sensitive data can be used to create health policy at the state or national level.

Describe ethical and security issues involved in including patients’ personal information in EHRs.

Note: Please answer with reference, less than 5 years.

Sample Paper

1. Some body sensors, tracking devices, and apps, like fitness trackers, glucometers, and other point-of-care testing devices, could give nurses and other healthcare professionals useful information about a patient as they care for them. Fitness trackers can tell doctors a lot about how active a patient is, which can help them take care of their overall health. Glucometers can tell a lot about a patient’s blood sugar levels, which can help them take care of their diabetes. Other point-of-care testing devices can give important information about a patient’s blood pressure, which can help with managing their hypertension.

There could be some problems if these extra data streams are added to patient records. For example, a patient’s fitness tracker data could be used against them in a personal injury lawsuit if it is added to their electronic health record. Also, a patient’s glucometer data could be used against them in a malpractice lawsuit if it is added to their electronic health record.

Pros: Fitness trackers can tell you a lot about how active a patient is, which can help you manage their overall health. Glucometers can tell you a lot about a patient’s blood sugar levels, which can help you manage their diabetes.

Other point-of-care testing devices can give important information about a patient’s blood pressure, which can help with managing their hypertension.

Cons: If a patient’s fitness tracker data is added to their electronic health record, it could be used against them in a personal injury lawsuit.

If a patient’s glucometer information is added to their electronic health record, it could be used against them in a lawsuit for medical malpractice.

Value of each thing vis-a-vis EHRs

There are some reasons why adding more data streams to patient records might be a good idea. For example, if data from fitness trackers is added to a patient’s record, it could help doctors take better care of their overall health. Also, if glucometer data is added to patient records, it could help doctors and nurses take better care of people with diabetes. But putting these extra streams of data into patient records could have some negative effects. For example, a patient’s fitness tracker data could be used against them in a personal injury lawsuit if it is added to their electronic health record. Also, a patient’s glucometer data could be used against them in a malpractice lawsuit if it is added to their electronic health record.

2. There are a couple of possible connections between these sorts of information streams and the capacity to illuminate and shape medical care strategy in your clinical focus. In the first place, coordinating these information streams could assist with giving a more complete image of a patient’s wellbeing, which could thusly assist with further developing consideration quality and results. Moreover, this data could be utilized to illuminate research studies or strategy changes connected with general wellbeing. For instance, on the off chance that wellness following information showed that a specific populace was not getting sufficient activity, the clinical focus could consider carrying out strategy changes to support more actual work. At last, this information could likewise be utilized to further develop populace wellbeing the board endeavors by recognizing patterns and hazard factors for specific sicknesses or conditions.

3. The arrangement at my association in regards to the consideration of extra information streams into electronic wellbeing records is that all information ought to be incorporated paying little heed to where it comes from. The reasoning behind this strategy is that all information is significant with regards to the soundness of a patient and that no information ought to be rejected. This strategy is in accordance with public medical care strategy, which upholds the consideration of all information into electronic wellbeing records.

Individual clinics ordinarily stream their EHR information into large informational collections by cooperating with an information investigation organization. The information investigation organization then takes the information and examines it to track down patterns and examples. Public medical services strategy upholds the incorporation of extra information streams into electronic wellbeing records since it assists with working on the nature of care that patients get.

Enormous information discoveries are significant in light of the fact that they help to work on the nature of care that patients get.

4. Nurture delicate information can be utilized to make wellbeing strategy at the state or public level in various ways. For instance, information on the quantity of falls among older patients in a specific clinic could be utilized to advocate for changes in the emergency clinic’s plan or staffing to diminish the quantity of falls. Likewise, information on the quantity of drug mistakes could be utilized to advocate for changes in the manner prescriptions are recommended or apportioned.

5. There are a couple moral and security issues to consider while coordinating patients’ very own data into electronic wellbeing records. To start with, it is essential to guarantee that patients have given their express assent for their information to be remembered for their EHR. Second, all information ought to be scrambled and put away safely to safeguard patients’ protection. Third, it is critical to consider how the information will be utilized and who will approach it. At long last, it is essential to guarantee that the information is precise and exceptional.

SWOT Analysis of your Chosen Healthcare Organization

For this assignment, you will conduct a detailed SWOT analysis of your chosen healthcare organization for your Final Project. Discuss your selected organization’s strengths, weaknesses, opportunities, and possible threats.

The SWOT analysis should include the following five components:

• Strengths – An organization’s resources and capabilities that can be used as a basis for developing a competitive advantage.

• Weaknesses – Limitations of an organization to meet the needs of its determined customer base.

• Opportunities – External conditions that may reveal certain new opportunities regarding profit and growth.

• Threats – Factors or changes in the external environment that may present threats to the organization.

• Summary/Recommendations – After conducting your SWOT analysis, write a paragraph in which you provide your recommendations to the CEO of your chosen healthcare organization. Also state how you will use this information to create a marketing plan that will ensure the following:

◦ The organization’s resources are not wasted

◦ Time is well spent

◦ Marketing efficiently is improve

The Assignment

• Must be four to five double-spaced pages in length.

Sample Paper

Conduct a detailed SWOT analysis of your chosen healthcare organization. Discuss your selected organization’s strengths, weaknesses, opportunities, and possible threats.

Kaiser Permanente has been providing health care for over 60 years (Kaiser Permanente, 2017). They also dedicated to improving the health of their members and the communities they serve, by creating safe, healthy environments and providing care and coverage for all (Kaiser Permanente, 2017, p.1). What a great organization the more information that is gathered about KP. I can see why when some people say that the future of health care looks like the model that Kaiser has (Abelson, 2013). This paper will lay out a SWOT analysis for Kaiser Permanente giving detail accounts to the strengths, weakness, opportunities, and threats.

Strengths – An organization’s resources and capabilities that can be used as a basis for developing a competitive advantage (Stevens & Silver, 2015, p.4.5). This is the list of strengths based on the analysis they have been able to reduce labor costs, more experienced business units. Thirdly high growth rate, hire more skilled workforce (Weiner Consulting, 2017, p.1). The strengths of an organization are what the company can use to build on to make their weakness a strength. Essentially can the limitations become limitless they do have a model in place that is patient first. The goal of strengths is to identify a distinctive competence an example is a super strength which provides an edge in serving patient’s needs and delivering patient satisfaction (Stevens & Silver, 2015, p.4.6).

Weaknesses – Limitations of an organization to meet the needs of its determined customer base (Stevens & Silver, 2015, p.4.5). Here are some of weaknesses first small business units, high turnover rates with employees. Since this is a health maintenance organization (HMO) insurance provider they are limited to the eight states and DC. Also with some of these regions they have lost money and had to close some locations such as North Carolina in 1999 (kp.org, 2017).

Opportunities – External conditions that may reveal certain new opportunities regarding profit and growth (Stevens & Silver, 2015, p.4.5). There are quite a few opportunities such as new markets, growing demand, growth rates and profitability, new acquisitions. They are already an all in one location first one will walk into a main area say what they are there for and then off they go. Next if they need a prescription once they see the doctor it will already be at the pharmacy. Some location such as those in California have exam rooms with a reclining chair and a couch for family seating (kp.org, 2017). They also offer virtual visits via the computer monitor on the wall or patient can participate in education programs (kp.org, 2017).

Threats – Factors or changes in the external environment that may present threats to the organization (Stevens & Silver, 2015, p.4.5). Some of threats are increasing rates of interest and tax changes which in turn could raise their premium prices. There are competitors in this industry who could be offering lower cost and what the patient is looking for. Also, when talking about growth make sure that before building facilities in an area is there a clear vision of growth. What is the competition doing in the area and what they offer and can KP top that?

Write a paragraph in which you provide your recommendations to the CEO of your chosen healthcare organization.

Looking at what has been done not sure that I would have any recommendations. Some of the reasons they are successful are first their partnership with medical groups which provide some of the best physicians in the world (O’Connor, 2017). They provide coverage and care which means making sure the right incentives are in place. Which will allow them to deliver on preventative care and early detection so that they can have a more comprehensive health care needs any time (O’Connor, 2017). They have and continue to make investments in technology so that the care team have the necessary tools and information to do their job. The last thing is that Kaiser has an evidence-based care with continued research it aide in the helping to take care of individuals (O’Connor, 2017).

With all the successful things the only thing that I would recommend is patient first care but they have already implemented that plan as well. So, when creating a market plan with the following information the organization can assure that resources are not wasted (O’Connor, 2017). Secondly the time is well spent and how to make marketing efficient and thus improving (O’Connor, 2017). The thrive campaign was a great marketing plan it has allow Kaiser to seen in a different light it also included the employees. This campaign was designed to promote both their approach to wellness and its acute-care expertise.

In closing the organization that I chose has done very well in the industry that they are in in fact they have remained in the top 10 for health care insurance (O’Connor, 2017). Having Kaiser for quite a while I know what it is like first hand it was seamless effort from the time of arrival to the appointment to the picking up prescription if needed. There has not been any other insurance company who have even come close to this top-notch service. They are truly the face of the future for healthcare. Also, one of the ways to lower cost is to move from the hospital setting thus evening out physician offices (Abelson, 2013). They are also exploring the possibility of home care or over the internet care this way it cuts down the need to go to an office thus making it convenient for the patient (Abelson, 2013). My recommendation for the CEO would be to keep up the great work and remember change must happen to stay relevant in this industry. The work that has been accomplished thus far has already set the bar high for the competition. Also, Kaiser has implemented GenKP which is a partnership with the #OwnNow campaign which is to encourage millennials to take ownership of their health (genkp.com, 2017). They have partnered with NBA super stars Stephen Curry and Chris Paul to inspire young adults to lead active lives (genkp.com, 2017). On December 18th of 2016 hundreds of fans stopped by the Richmond’s Hilltop Mall to meet Golden State Warrior and #OwnNow ambassador Stephen Curry (genkp.com, 2017). This is just another way that Kaiser continues to raise the bar even with the younger generation.

References

• Abelson, R. (2013, March 20). The face of future health care. The New York times. Retrieve from http://www.nytimes.com/2013/03/21/business/kaiser-permanente-is-seen-as-face-of-future-health-care.html?mcubz=1
• Kaiser Permanente. (2017). Kaiser Permanente. Retrieve from genkp.com/tag/kaiser-permanente
• Kaiser Permanente. (2017). About us. Retrieved from https://healthy.kaiserpermanente.org/health/care/consumer/center
• O’Connor, M. (2017, January 20). Why Kaiser is entering its first new market in 20 years. Hospitals & health networks Retrieved from http://www.hhnmag.com/articles/7985-whykaiser-is-entering-its-first-new-market-in-20-years
• Stevens, R., & Silver, L. S. (2015). Strategic planning and marketing in healthcare organizations [Electronic version]. Retrieved from https://content.ashford.edu/
• Weiner Consulting. (2017). Kaiser Permanente SWOT analysis- strengths, weaknesses, opportunities, threats of kp. Retrieved from https://www.swotanalysis24.com/swotk/59805-swot-analysis-kaiser-permanente.htm

MHA 626 Week 2 DQ 1 n 2

This discussion will allow you to generate content for your Final Project regarding your chosen healthcare organization’s customers and demographics. As mentioned in Chapter 7 of the course text, “marketing involves both the creation and distribution of goods and services” (Stevens, R., & Silver, L. S., 2015, section 7.1: “What is Marketing,” para. 4). Marketing departments should be concerned with customer needs and meeting those needs in the market place. The marketing concept for HCOs, therefore, is patient-centered. However, marketing concerns within a HCO should not be focused on patients in general, but on patients who are part of a pre-selected market segment (i.e., specific customers with specific needs). To prepare for this discussion, read Chapter 7 of the course text and the Rao (2012) article, “Generating Growth Through Patient-Centered Commercial Strategies.” Then read the scenario below and address the points that follow.

Scenario: The Happy Valley long-term care director notes that past marketing directors and marketing teams made assumptions concerning patient expectations and offered a limited degree of amenities. However, current research indicates that the baby boomer generation will expect a far greater degree of amenities such as TVs in rooms and private bathrooms. In the future, HCOs and marketing teams will focus on analytical tools to gain a more accurate degree of knowledge concerning patients’ actual expectations and needs. The marketing director for Happy Valley long-term care facility decided to perform a qualitative analysis. The marketing team interviewed patients and their families as a means to determine patient needs and expectations. The outcomes of the analysis provided the marketing team with data that could be applied to the development of marketing objectives and strategies to support the strategic plan.

Patient-centered marketing focuses on knowing what specific patients need and expect. Needs and expectations can vary, based on the type of care (e.g., long-term care, hospice, palliative care, renal care, and physical therapy).

In your initial post:

• Discuss why patient-centered marketing is an important aspect of your chosen HCO’s marketing plan.

• Explain how patient-centered marketing would help support the goals of your chosen HCO’s marketing plan.

• Support your claims with citations and references from the course text and at least one scholarly source.

NRS-440VN Health Care Delivery Models and Nursing Practice

Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,000-1,250 word paper, discuss action taken for reform and restructuring and the role of the nurse within this changing environment.

Include the following:

1. Outline a current or emerging health care law or federal regulation introduced to reform or restructure some aspect of the health care delivery system. Describe the effect of this on nursing practice and the nurse’s role and responsibility.

NRS-440VN Health Care Delivery Models and Nursing Practice

2. Discuss how quality measures and pay for performance affect patient outcomes. Explain how these affect nursing practice and describe the expectations and responsibilities of the nursing role in these situations.

3. Discuss professional nursing leadership and management roles that have arisen and how they are important in responding to emerging trends and in the promotion of patient safety and quality care in diverse health care settings.

4. Research emerging trends. Predict two ways in which the practice of nursing and nursing roles will grow or transform within the next five years to respond to upcoming trends or predicted issues in health care.

You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.

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. NRS-440VN Health Care Delivery Models and Nursing Practice

You are required to submit this assignment to LopesWrite.

Sample Paper

NRS-440VN Health Care Delivery Models and Nursing Practice

The most directed way is the policies that have been reformed to ensure better patient outcomes. Different laws have been formed to ensure that the delivery of the services system has been improved. This, in turn, leads to the impact that is felt by the nurses on their responsibility and the roles that they play as healthcare providers in the US. For instance, the Affordable Care Act has brought a significant impact on the healthcare system delivery of services. The reform of this regulation has made the nurses do their work without any challenge. This is because the Act allows the nurses to deliver quality care and affordable care to the patients.

A quality measure is a crucial and critical aspect in nursing and health care at large that acts as a tool to quantify and measure the procedures and processes in health care in the organization. It also acts as a tool to look at the structure of the healthcare organization. On the other hand, pay for performance is the payments made to the doctors, physicians, and hospitals for the services they offered to the patient based on the performance. These two aspects significantly impact patient outcomes in any healthcare organization in the United States of America. The impact is that if this is implemented or already in progress makes the patient outcomes be affected positively. Also, the nurses’ responsibility will be impacted as they can be more responsible because they know they will only get paid for the better performance that is offered to them. Hence, they play the role and responsibility effectively. The nursing practice also is impacted in several ways the way the practice of nurses in diverse healthcare organizations will be highly improved.

Nursing leadership and management are crucial for the proper delivery of health care outcomes to patients in any healthcare organization. The leaders have adapted to the emerging roles of nursing leadership and management. Most of the leaders are interested in learning about the best qualities that can help them manage the healthcare organization and better deliver services to the patients. The best way the leadership can improve and manage patients’ healthcare safety is by ensuring that the unprofessional and disruptive behavior of healthcare workers. If this is managed, it will be significantly easier for the organization’s leadership to assured of the safety of patients in the organization. There must be apparent oversight to monitor the physician staff, leading to better services and proper safety measures that clinicians practice.

As technology worldwide grows, the United States of America is one of the most developed countries where the advancement of technology has significantly impacted the nursing field. This has made the merging of new issues in nursing that is meant to improve the outcomes. The nursing roles and practice are increasingly growing and transforming due to the emerging issues in nursing. This has brought a significant impact on the practice of nursing and roles played by the nurses. In the next five years, nursing practice will be viewed at a different angle. First, there will be improved and increased nurse navigators. They will share their knowledge effectively to the patients without any problem due to the improved technology in the next five years. Secondly, there will be better and improved and continued growth in telehealth in the next five years. By this time, the patients will be able to access the doctors effectively without any problem. The video monitoring of physicians makes it possible to work and deploy his nursing role to the patients, which will be highly improved in the next five years.

References

Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5069435/

Retrieved from: https://www.acpjournals.org/doi/10.7326/M16-1881

Retrieved from: https://psnet.ahrq.gov/primer/leadership-role-improving-safety

Retrieved from: https://www.purdueglobal.edu/blog/nursing/top-10-nursing-trends/

Assessing And Treating Patients With Psychosis And Schizophrenia

Psychosis and schizophrenia greatly impact the brain’s normal processes, which interfere with the ability to think clearly. When symptoms of these disorders are uncontrolled, patients may struggle to function in daily life. However, patients often thrive when properly diagnosed and treated under the close supervision of a psychiatric mental health practitioner. For this Assignment, as you examine the patient case study in this week’s Learning Resources, consider how you might assess and treat patients presenting with psychosis and schizophrenia.

To prepare for this Assignment:

• Review this week’s Learning Resources, including the Medication Resources indicated for this week.
• Reflect on the psychopharmacologic treatments you might recommend for the assessment and treatment of patients with schizophrenia-related psychoses.

The Assignment: 5 pages

Examine Case Study: Pakistani Woman With Delusional Thought Processes. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.

At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

Introduction to the case (1 page)

• Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

Decision #1 (1 page)

• Which decision did you select?
• Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
• Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #2 (1 page)

• Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
• Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #3 (1 page)

• Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
• Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion (1 page)

• Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

Note: Support your rationale with a minimum of five academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement. You should be utilizing the primary and secondary literature.

Nursing Leadership

Yoder and Wise (2019, Chapters 7, 8, and 18 ) are interrelated because change in health care can create conflict. Unresolved conflict can lead to stress and unhealthy work teams. Change in health care is inevitable and often out of the nurses locus of control. The Institute of Medicine (IOM) recognizes the value of healthy communication amongst hospital team members which intern leads to healthy teams. Take the conflict self-assessment test in (Chapter 8, Box 8.2) and analyze your approach to dealing with conflict in the workplace. What mode of conflict resolution do you prefer (Chapter 8, Box 8.2) ? What mode of resolution would you find most difficult to deal with in a co-worker? What would you like to change? Discuss the pros and cons of conflict in organizations.

General Guidelines
Type your paper on a computer and print it out on standard, white 8.5 x 11-inch paper.
Double-space the text of your paper and use a legible font (e.g. Times New Roman). Whatever font you choose, MLA recommends that the regular and italics type styles contrast enough that they are each distinct from one another. The font size should be 12 pt.
Leave only one space after periods or other punctuation marks (unless otherwise prompted by your instructor).
Set the margins of your document to 1 inch on all sides.
Indent the first line of each paragraph one half-inch from the left margin. MLA recommends that you use the “Tab” key as opposed to pushing the space bar five times.
Create a header that numbers all pages consecutively in the upper right-hand corner, one-half inch from the top and flush with the right margin. (Note: Your instructor may ask that you omit the number on your first page. Always follow your instructor’s guidelines.)
Use italics throughout your essay to indicate the titles of longer works and, only when absolutely necessary, provide emphasis.
If you have any endnotes, include them on a separate page before your Works Cited page. Entitle the section Notes (centered, unformatted).

Health Policy Issues

PART 1

Assignment: Issue Description

Directions:  Identify a health policy issue that is of interest to you. A list is posted in the WIKI sign up.  You may choose a topic from this list, but feel free to identify a different issue of your choosing.  If you do decide to identify a different issue ,  it should be a current issue, one for which government action (i.e., legislation, regulations or judicial action) has been proposed or is currently being considered.  Please email your faculty  your proposed topic for approval.

To prepare for Session 1:

Directions: In no more than 3 minutes, discuss the health policy issue or issues you are considering as the focus for your written work in the course. This is an opportunity to think through your topic and to receive feedback from the instructors and your colleagues. Please also be prepared to provide feedback to your colleagues about their possible topics.

To indicate which issue you are choosing:

· Please sign up by the end of Weekly Session 3 on the Issue Sign-Up Wiki.

· You can find the Wiki linked in Weekly Session 3 or on the Main Course Menu.

. During our final WebEx session, you will give a brief presentation of your issue.

. You can choose from different dates/times. If you choose a topic that someone else has already chosen, all we ask is that you sign up for a different session to avoid duplication.

Provide an explanation of the issue:  

· What is the issue?  Why is it important? Why is it of interest to you? (If it’s not of interest, choose a different topic!)

· What has been proposed or attempted to address the problem, and by whom?

· Focus on the issue. (If you identify a specific bill addressing the issue, you can cite and discuss it, but don’t focus only on the bill—focus on the issue).

· Your paper should be no more than 3-4 pages of text, double-spaced and written according to APA format. (For this assignment, you do not need to include an abstract).

· Include at least three sources. These do not need to be peer-reviewed journal articles, but they should come from an authoritative source. (Please do not cite Wikipedia, a personal blog or a social media post).

· This paper should serve as a starting point for your final paper.

· Don’t worry if you don’t know yet about the policy process—i.e., about the workings of legislation, regulation, or court decisions. That will come later. For now, focus on the issue.

PART 2

Assignment: Hearing Summary

Directions:  This assignment is to “observe” a virtual or recorded hearing related to your paper topic and to submit a brief  summary of what you observed and learned.

· Although Congressional and state legislative committees may not be holding face-to-face hearings right now, at least not as frequently as usual, almost all are holding virtual hearings. In addition, C-SPAN is a rich source of past congressional hearings. Many states also have web-based archives of their legislative hearings. Many recorded hearings can also be found on YouTube. (We will post a list of resources–but don’t feel limited to those).

· This assignment is to “observe” a virtual or recorded hearing or other public meeting and to submit a summary (of no more than 2 pages) of what you observed and learned. The topic of the hearing should be related to your paper topic. The hearing does not need to be a current one—depending on the issue, you may find a hearing from previous years that is relevant to your issue. This may take a little digging, but it really should not be difficult to find. However, if you are having a hard time finding a relevant hearing, let us know.

In your summary:

· Identify the committee or other body that held the hearing and the date of the hearing.

. What was the subject of the hearing?

. Was it about a specific bill or a broader topic?

. Who spoke at the hearing?

. Were there witnesses who testified?

. Who were they? (If this was a very lengthy hearing, you can identify some of the major speakers/witnesses).

. Were they providing expert testimony or speaking on behalf of a specific organization?

. What did you learn about the topic by viewing this hearing?

PART 3

Assignment: Policy Paper Draft

Directions:  For this assignment, you will develop a policy paper on the issue on which you have been focusing this semester. Approach this paper as if it will circulate to the leaders of major nursing organizations, who are considering what position to take on your issue. Your paper should inform  readers  of the issue and its significance, proposals to address the issue, and your recommendations — what you believe should be done about the issue.

· You can and should build on what you’ve learned so far about the issue through your Issue Description and Hearing Summary.

· The paper should be 5-7 pages, written in APA format, double-spaced, in 12-point Times New Roman font and 1-inch margins. (Be sure to include a title page, abstract, and a list of references–these do not count toward the 5-7 pages).

A draft of the paper is due by the end of  Session 9.  You will receive feedback from the instructors and a classmate , which you can incorporate when you revise your paper . This  draft  is worth 12.5 % of your grade—so you want to make this as much of a finished product as possible.  (The final paper  is due  by the end of Session 13).

Include the following: 

· Issue Description

. Describe the issue, its background, and why people are—or should be—concerned about it. You can incorporate content from your Issue Description assignment.

· Proposals to Address the Issue

. What proposals have been put forward to address this issue? Who has proposed them? Who –which interest groups or other stakeholders—support or oppose these proposals? What, if any, evidence do they give for their positions? If there are several proposals, or several stakeholders support ing or opposing them, focus on the major ones.

· Recommendations

. Based on what you know about the issue and about proposals to address it, what do you think should be done? What should nursing organizations support, and why?

. You might agree with a proposal that has already been made, or you might suggest something else, such as a combination of different proposals. (Of course, this depends on the issue, the evidence, and your perspectives).

· References

. Include a minimum of 5 references from authoritative sources—these might include peer-reviewed journal articles, government reports, white papers, reliable newspaper articles, etc. They do not include Wikipedia, personal blogs, or social media posts.

· You may also include a brief Introduction and Conclusion if that helps you in organizing the paper.

· Submit your draft paper via the Turnitin Submission Link Below.  

PART 4

Assignment: Peer Review of Paper Draft

Directions: For this assignment, you will read and review a colleague’s draft paper and provide feedback. The instructors will randomly match each student with another and post in this space. You will each email a copy of your paper to your partner, then review your partner’s paper and use  this form this form – Alternative Formats to provide feedback. Email your form to your partner and copy your instructor on the emai:  Please use this opportunity to provide constructive feedback!

Note:  Your assignment  must be uploaded to the gradebook  The email copy does not serve as assignment submission and will not be graded.

PART 5

Assignment: Final Paper

Directions:  Based on the feedback you have received from the instructor and from your peer review, revise your draft paper.

· The revisions you make might be substantial or relatively minor—that depends in large part on what you believe is necessary to improve the paper. (Keep in mind that even the best writers always have room to improve).

· Otherwise, the directions for this paper are identical to those for the draft.

· The grading rubric is also the same.

Ebony Bath Soap Simulation and Risk Analysis

Part 1

Read Case Study Case 15.2 “Ebony Bath Soap” from the textbook, and then complete the following items.

1. For Questions 1 and 2 of the case, use the Palisade DecisionTools Excel software to set up a simulation model and run a simulation with 500 trials for the case. Ensure that all Palisade software output is included in your files and that only one Excel file is open when running a simulation. Use the “Topic 3 Case Study Template” file as a starting point. Hint: The RiskSimtable function was be helpful for running the simulations.
2. Respond to Question 3 as written in the problem. Ignore the confidence interval portion of the question.
3. Respond to Question 4 as written in the problem.

To receive full credit on the assignment, complete the following.

1. Ensure that the Palisade software output is included with your submission.
2. Ensure that Excel files include the associated cell functions and/or formulas if functions and/or formulas are used.
3. Include a written response to all narrative questions presented in the problem by placing it in the associated Excel file.
4. Include screenshots of all simulation distribution results for output variables.
5. Place each problem in its own Excel file. Ensure that your first and last name are in your Excel file names.

Part 2

In a 500-750-word summary to company management, address the following. Include relevant charts and graphs within your summary, as needed.

1. Describe the case specific business requirements and how they can be communicated across all levels of the organization.
2. Based on the simulation results, discuss the Annual Cost output statistical distributions. Assume that your audience as minimal background in statistics.
3. Discuss which Annual Cost output probability distribution has the most dispersion, and explain why this is so.
4. Explain the descriptive, predictive, and prescriptive analytics that have been used to formulate the solutions to the business needs.
5. Based on the Annual Cost output statistical distributions and other information gleaned from your analysis, discuss the specific prescribed course of action you would recommend to company management and justify your recommendations. Include discussion of how the proposed analytics solutions can optimize organizational performance and effectiveness