I’m working on a nursing writing question and need a reference to help me understand better.
Development of a Fall Prevention Program
Safety for elders is always an overriding concern for healthcare delivery agents since without a safe environment the elder will be injured and therefore their health will decline. Considering the environment and the lack of safety could potentially result in a fall. Fall prevention programs are always being developed for the safety of the elder in different environments. The following assignment will enlighten you as to the elements of a good, evidence-based fall prevention program.
Instructions:
After developing a fall prevention program for a facility in South Florida. Read the following document and answer the questions below:Â
you will develop by yourself:
how to institute the program?
the goals and interventions (such as resources needed, training required and how much it will cost)?
a marketing plan?
an estimated cost?
FALL PREVENTION PROGRAM
Introduction
Falls are the leading cause of both fatal and non-fatal injuries for older Americans (CDC 2017), so it is significant to develop proper fall prevention programs in health care facilities. This project has been developed to be implemented in the Assisted Living Facility Sun Villages Homes of Hialeah, Florida.
General Information
1. Is this a Nursing Home, SNF, Hospital, etc? Select: _Nursing Home__
2. Name of Facility: _Sun Villages Homes__
3. Name of Corporation: (if needed): ____________
4. Name of Falls Program: Fall Prevention Program
In order to understand the magnitude of the fall problem some statistics could be used as examples:
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“Over 800,000 patients a year are hospitalized because of a fall injury, most often because of a head injury or hip fracture†(CDC, 2021).
“Falls are the most common cause of traumatic brain injuries†(CDC, 2021).
“In 2015, the total medical costs for falls totaled more than $50 billion.11 Medicare and Medicaid shouldered 75% of these costs†(CDC, 2021).
These statistics speak for themselves. The consequences of falls in the elderly go beyond minor bumps and bruises. Falls can cause major trauma and lead to death. According to an article published in 2016, “an estimated 23,000 older individuals die every year as a direct consequence of or from complications after a fall†(MEDCOM, 2016). In addition to the physical consequences, falls can have psychological consequences such as feelings of low self-esteem and worthlessness and depression related to feelings of isolation (Tan, 2018).
Describe three evaluation methods and their purpose.
The first step in implementing a fall prevention plan is the identification of those patients who are at risk of falls. Falls are associated with multiple risk factors, including biological, behavioral, and environmental (Tan, 2018).
Biological factors: “age, chronic diseases, low vitamin D level, urinary incontinence, gait and balance disorder, hypotension, chronic pain, and altered sensory perceptions†(Tan, 2018).
Behavioral factors: “ lack of exercise, fear of falling, feelings of anxiety, symptoms of depression, low self-efficacy, history of falls, behavioral disruption associated with dementia, tremors, and impaired cognitive abilities†(Tan,2018).
Environmental factors: “ hazardous objects like loose wires, slippery floors, poor lighting, and improper use of assistive devices†(Tan,2018).
Medications side effect: “orthostatic hypotension, increased drowsiness, and lethargy†(Tan, 2018).
To begin, it is necessary to perform an assessment of each resident of the nursing home to evaluate biological and behavioral factors and medication side effects. This requires the use of evidence-based fall risk screening tools. We propose the use of the 30-second chair stand test (CDC, 2017) and the Tinetti Assessment tool (Willy, 2014). The results of these tests must be accompanied by an analysis of the history of falls, medications, comorbidities, and physical examination.
Intervention list: Name at least five (5) interventions that will help reduce the number of falls.
In this project, we have designed interventions aimed at the management of biological, behavioral, and medication factors and other interventions aimed at environmental changes, based on scientific articles published in peer-reviewed journals (Tan,2018), (Willy, 2014). It is necessary to emphasize that these interventions should focus on each resident’s risk factors associated with the risk of falls.
Interventions related to biological, behavioral, and medication factors:
Balance, gait, and strength training: Establishing a comprehensive exercise program (with or without physical therapy) to help residents enhance/restore muscle strength, balance, and endurance.
Disease and medication management: Evaluation of how to manage specific conditions to reduce the person’s risk of fall that include changing the type or dosage of a medication that causes dizziness or drowsiness.
Treating vision and hearing impairments: Include periodic hearing and vision tests, checking the residents’ eyeglasses cleanness, and monitoring the residents wear the eyeglasses daily and during ambulation.
Managing foot and footwear issues. Guaranteeing the residents receive podiatric services. Provide proper footwear: No-slip-on (with the backs out) and no shoes with slick soles. Having residents wear slippers/no-skid socks.
Interventions related to environmental factors and work organization:
Identification: Posting signs (e.g., “fall riskâ€) just above the person’s bed, using color-coded armbands or blankets.Â
Environmental hazards: Include actions such as keep the environment free of hazards, remove clutter from rooms and public areas, arrange rooms to have clear passage-ways, decrease traffic in hallways, proper lighting for resident’s toileting. All staff members should be on the alert for environmental hazards, like spills and trip hazards, and clean them up promptly.
Training list: List some of the training that may be needed. (eg, patient, healthcare, professionals, administration?)
For the implementation of this fall prevention project, it is necessary to educate staff members and residents. Staff members must learn and understand each of the proposed interventions and have sufficient training to carry them out. Health care professionals must know the steps of the assessment and carry out the disease and medication management as described above. The nursing home administration is responsible for carrying out the educational program and the implementation of the program. Residents should be empowered to comply with fall prevention measures focusing on the need to call for help when they need to get out of bed to use the restroom, and focusing on the residents’ awareness of side rails on the bed and any other protective equipment or devices.
References
Center for Disease Control and Prevention (CDC). (2017). Take a Stand on Falls. Retrieved on March 10th, 2021 from https://www.cdc.gov/features/older-adult-falls/index.html.
Center for Disease Control and Prevention (CDC). (2021). Important Facts about Falls. Retrieved on March 10th, 2021, from https://www.cdc.gov/homeandrecreationalsafety/falls/adultfalls.html.
MEDCOM. (2016). Preventing Falls In Long-Term Care: A Comprehensive Approach. Retrieved on March 10th, 2021, from https://www.medcominc.com/long-term-care/preventing-patient-falls-in-long-term-care/.
Tan, A. (2018). Improving practice to reduce falls in the nursing home. American Nurse. Retrieved on March 10th, 2021, from https://www.myamericannurse.com/improving-practice-to-reduce-falls-in-the-nursing-home/.
Willy, B., Osterberg, Ch. (2014). Strategies for Reducing Falls in Long-Term Care. Annals of Long-Term Care: Clinical Care and Aging. 23-32. Retrieved on March 10th, 2021, from https://www.managedhealthcareconnect.com/articles/strategies-reducing-falls-long-term-care.
Center for Disease Control and Prevention (CDC). (2017). 30-second chair stand. Retrieved on March 10th, 2021, from https://www.cdc.gov/steadi/pdf/STEADI-Assessment-30Sec-508.pdf.
solved Part A Implementing Qualitative Evidence in EBP 4-6 pages with
/in /by adminPart A Implementing Qualitative Evidence in EBP 4-6 pages with References Instructions Write a paper in which you apply the first four steps of the EBP process in relation to the health care challenges presented in the Vila Health: The Best Evidence for a Healthcare Challenge multimedia simulation and readings. Use APA Style Your paper should be 4–6 pages in length, not including the title page and references page. Assignment Grading Construct a PICO(T) question (step 1 in the EBP process). Summarize the PICO(T) components of the health care challenges presented in the following Vila Health scenario and qualitative research study, and write a PICO(T) question: Vila Health: The Best Evidence for a Health Care Challenge. Carlfjord, S., Öhrn, A., & Gunnarsson, A. (2018). Experiences from ten years of incident reporting in health care: A qualitative study among department managers and coordinators. BMC Health Services Research, 18, 1–9. Your PICO(T) question will be the basis of your search for additional research evidence. Implement a search strategy for the best evidence (step 2 in the EBP process). Search for one quantitative study that supports the Chief Nursing Officer’s suggested intervention or an alternative intervention. Base your search strategy on your PICO(T) question and on appropriate study methods and designs with the best evidence. Describe your search strategy, and explain how you determined it would lead to finding the best evidence for your PICO(T) question. What databases did you search? What search terms were most effective? What’s your rationale for concluding that you’ve found the best evidence? Identify and summarize the study you found for this purpose. Evaluate the strengths and weaknesses of the evidence in both the qualitative and quantitative research studies, in relation to the health care challenge (step 3 in the EBP process). Conduct a rapid critical appraisal of the study provided by the CNO and the quantitative study you found in your search. Consider the research design and methods in relation to the evidence presented when you choose an appropriate critical appraisal tool and complete the appraisal for each study. Interpret the evidence and its implications, in relation to the health care challenge (step 4 in the EBP process). Synthesize all of the evidence, including research evidence, organizational evidence/data, and staff perceptions. Explain why the quantitative study you found and (or) the CNO’s study contains the best evidence for your PICO(T) question. Recommend a strategy to implement the evidence-based intervention in your PICO(T) question (also part of step 4 in the EBP process). Support your recommended strategy with a synthesis of the evidence presented in the studies and (or) additional relevant and timely resources. Explain how health care professionals in multiple roles can apply the findings of the studies to improve practice. Reflect on how you and other health care professionals can improve practice, based on your interpretation of the implications of these studies. This part of your paper extends beyond the steps of the EBP process to address how interprofessional collaboration and communication can lead to improvements in health care. Synthesize multiple sources into key themes or findings. Part B Evidence-Based Leadership and Motivating Change 2-3 pages with references Evidence-Based Leadership As a leader in a health care organization, you will need to engage in evidence-based leadership, serve as a role model for evidence-based decision making, and implement interventions and initiatives to create and sustain an evidence-based organization. Describe interventions necessary to facilitate the behavioral change of staff and providers to create an evidence-based culture in an organization. Explain, based on the four leadership styles discussed in the textbook on pages 334–337, which style you think you might use to support evidence-based processes at your organization. Provide an example from your own role where you would have an opportunity to promote evidence-based decision-making. Part C Communicating and Disseminating Evidence – 4-6 pages with references Instructions Write a paper in which you complete the steps of the EBP process and promote a culture of evidence. Paper Format and Length Format your paper using APA style. Title page and references page. An abstract is not required. A running head on all pages. Appropriate section headings. Your paper should be 4–6 pages in length, not including the title page and references page. Analyze the outcomes of an evidence-based intervention (step 5 in the EBP process). Restate the PICO(T) question and provide a transition to Step 5 of the EBP process, after an evidence-based intervention was implemented and data related to the outcomes have been gathered. Review the information provided in the Vila Health: Creating a Culture of Evidence multimedia simulation, showing results from 2020 (after the intervention) compared to baseline data from 2018 and 2019 (before the intervention). Analyze both qualitative and quantitative outcomes. Develop a continuing evaluation plan in relation to the outcomes from an evidence-based intervention (still part of Step 5 of the EBP process). Discuss additional data that needs to be collected and methods for doing so. Was the data collected sufficient to show whether the intervention was successful? When, and how often, should the same or other data be collected to continue evaluating the intervention? Justify your conclusions and recommendations. Recommend strategies to disseminate outcomes and sustain the evidence-based practice improvements through collaboration with professionals in health care and other fields (Step 6 in the EBP process). Strategies could include how to teach providers or staff about EBP, how to facilitate changes in attitudes and behaviors, and how to lead change. Make recommendations about how the organization can create a culture of evidence. What evidence do you have to support your recommendations? Organize your writing so ideas flow logically, with smooth transitions. Apply selected resources to improve your writing skills. Include an appendix after your reference page in which you identify writing improvement tools or resources you’ve used. Include evidence of the use of such tools as the Personal Writing Assessment, MEAL plan, outlining, reverse outlining, and (or) other resources explaining the appropriate use of evidence. Explain how you used these tools or resources to improve your writing for this assignment. Part D APPLYING AN EBP FRAMEWORK TO IMPLEMENT A WRITING DEVELOPMENT PLAN – 4-5 pages with reference pages Assignment Grading Assess your writing strengths and weaknesses. Use the results from your writing self-assessment What are the implications of your current skill level for writing at the doctoral-level? Discuss specific writing development or improvement goals as they relate to each element in a PICO(T) question. Create a concept map that illustrates the application of an EBP model or framework to achieve your writing development or improvement goals. Identify the implementation strategies and resources needed to carry out a writing skills development plan. Support main points, assertions, arguments, or conclusions with relevant and credible evidence. Adhere to the rules of grammar, usage, and mechanics. Part E The Ethics of Evidence 2-3 pages with references This discussion focuses on ethical issues and safeguards to prevent them in EBP, Quality Improvement (QI), and research. Discuss the difference between safeguards and strategies that may be employed in EBP, in QI, and in research to ensure that activities are ethically appropriate. Identify one area in your health care leadership role and one area in your current role as a doctoral learner in which potential ethical issues may arise. Answer these questions: As a health care professional, what strategies do or would you employ to ensure the ethical appropriateness of activities you undertake in your role? What strategies or safeguards will you employ to ensure the ethical appropriateness of your own doctoral project?
solved Student #1 In order for information to qualify as a
/in /by adminStudent #1
In order for information to qualify as a trade secret, it can’t be known to others and efforts should be made to maintain and keep its secrecy. Trade secret means information, including a formula, pattern, compilation, program, device, method, technique, or process that: (1) derives independent economic value, actual or potential, from not being generally known to, and not being readily ascertainable by proper means by, other persons who can obtain economic value from its disclosure or use, and (2) is the subject of efforts that are reasonable under the circumstances o maintain is secrecy. Deborah E. Bouchoux, Intellectual Property: The Law of Trademarks, Copyrights, Patents, and Trade Secrets, Section 22-1a (5th ed. 2018).
In Buffets, INC v. Klinke, Buffets Inc., operating as Old Country Buffets, filed suit against Paul Klinke for inappropriately using its recipes and job training manuals, which claim to be trade secrets of Buffets, Inc., for the start of their own buffet style restaurant. The main issue was determining if the trade secrets considered by Buffets, INC., were actually trade secrets. The court used the Hangman’s rule to make the decision in this case. The district court held that the recipes and job manuals were not trade secrets because the recipes were well known recipes that most all buffets use, and the job manuals were not subject to reasonable efforts to maintain their secrecy. The court of appeals affirmed the decision of the district court. The court found the trade secret status to be improper because of the Hangman’s test. Paul Klinke’s conduct was not to injure anyone else or cause a public interest impact. Hangman Ridge Training Stables, Inc., v. Safeco Title Ins. Co., 719 P.2d 531, 538 (Wash. 1986). The relationship between the two parties does not appear to be of the sort contemplated by the Hangman test.
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Student #2 KAB
A trade secret is information of a commercial nature used in the course of business that: (1) has inherent economic value derived through its usage in the commercial activities of that business; is not generally known to the general public or any other people not affiliated with the business, nor to people within the business that lack the need to know; and (3) is subject to the maintenance of heightened levels of security. Â (Bouchoux, 22-1a, 2012)
Trade secrets law is mainly the prerogative of state law. Â Until recently, with the passage of the Defend Trade Secrets Act of 2016, trade secrets law was a Wild West with judges relying solely on common law principles. However, with the federal legislation and the trade secrets definition being incorporated into Restatement, 3rd, for adoption by several dozen state legislatures, trade secrets law is beginning to take precedential shape. Â (Bouchoux, 22-1b, 2012) Â Â Â
An example of a trade secrets case is that of Buffets, Inc., et al. v. Klinke, et al., 73 F.3d 965 (1996).  In this case, Buffets, Inc., and others joined to sue a few members of the Klinke family and their business in federal district court.  Buffets, Inc., doing business as “Old Country Buffets,” accused the Klinke’s of misappropriating their recipes and job manual under Washington state trade secrets and consumer protections laws.  The district court ruled in favor of the defendants after finding that the the recipes and job manual were not trade secrets as is defined at Rev. Code Wash. (ARCW) § 19.108.010 (Definitions).  The district court also ruled that Buffet, Inc., was not entitled to a consumer protection claim under Rev. Code Wash. (ARCW) § 19.86.020 (Unfair competition, practices, declared unlawful).
The Circuit Court held that the District Court did not err in making its determination. Â The rationale for this holding was in the text of the Washington state laws themselves.
Rev. Code Wash. (ARCW) § 19.108.010(2) (Definitions; Misappropriations) reads:
“Misappropriation” means:
           (a)        Acquisition of a trade secret of another by a person who knows or                          has reason to know that the trade secret was acquired by improper                              means; or
           (b)       Disclosure or use of a trade secret of another without express or                              implied consent by a person who:
                       (i)        Used improper means to acquire knowledge of the trade                                           secret; or
                       (ii)       At the time of disclosure or use, knew or had reason to                                            know that his or her knowledge of the trade secret was
                                   (A)      derived from or through a person who had utilized                                                    improper means to acquire it,
                                   (B)       acquired under circumstances giving rise to a duty                                                     to maintain its secrecy or limit its use, or
                                   (C)       derived from or through a person who owed a duty                                                  to the person seeking relief to maintain its secrecy                                                            or limit its use; or
                       (iii)      Before a material change of his or her position, knew or                                            had reason to know that it was a trade secret and that                                        knowledge of it had been acquired by accident or mistake.
Since it was the policy of the business to allow their employees to take their job manuals home, those employees could not be held to have had any reasonable level of knowledge that the job manuals were considered trade secrets.
Rev. Code Wash. (ARCW) § 19.86.020 (Unfair competition, practices, declared unlawful) reads:
Unfair methods of competition and unfair or deceptive acts or practices in the conduct of any trade or commerce are hereby declared unlawful.
It was never established definitively that the acts, practices, or methods of competition that the defendants was accused of exhibiting were, in fact, unfair or deceptive in that the recipes in question were so ordinary that they were said to be available almost everywhere in American society.
Kwami Abdul-Bey
REFERENCES
Bouchoux, Deborah E.. “Intellectual Property: The Law of Trademarks, Copyrights, Patents, and Trade Secrets.†(2012).
Buffets, Inc. v. Klinke, 73 F.3d 965, 1996 U.S. App. LEXIS 436, 96 Cal. Daily Op. Service 315, 96 Daily Journal DAR 507, 37 U.S.P.Q.2D (BNA) 1449 (United States Court of Appeals for the Ninth Circuit, January 16, 1996, Filed), available at https://advance-lexis-com.ezproxy.liberty.edu/api/document?collection=cases&id=urn:contentItem:3S4X-5HN0-006F-M203-00000-00&context=1516831.
19.86.020. Unfair competition, practices, declared unlawful., Rev. Code Wash. (ARCW) § 19.86.020 (Statutes current with effective legislation through c332 of the 2021 Regular Session), available at https://advance-lexis-com.ezproxy.liberty.edu/api/document?collection=statutes-legislation&id=urn:contentItem:5BB3-VX31-66P3-24HS-00000-00&context=1516831.
19.108.010. Definitions., Rev. Code Wash. (ARCW) § 19.108.010 (Statutes current with effective legislation through c332 of the 2021 Regular Session), available at https://advance-lexis-com.ezproxy.liberty.edu/api/document?collection=statutes-legislation&id=urn:contentItem:5BB3-VX31-66P3-24SX-00000-00&context=1516831.
solved Assessment 5 Instructions: Health Care Leadership Self-AssessmentAssess the development of
/in /by adminAssessment 5 Instructions: Health Care Leadership Self-AssessmentAssess the development of your health care leadership competencies over the course of your MHA program, using a STAR Format Competency Rating Table. There is no page limit for this assessment.IntroductionNote: Each assessment of your capstone project is built on the work you have completed in previous assessments. Therefore, you must complete the assessments in this course in the order in which they are presented.Throughout their careers, health care leaders must regularly assess their individual competencies and how those competencies align with organizational needs and priorities. Changing laws, regulations, technology, consumer preferences, medical treatment advances, and external environmental shifts can affect the skill sets needed for an effective leadership. An accurate self-assessment is the first step in identifying potential gaps and in developing an action plan to close those potential gaps.This assessment provides an opportunity for you to examine your leadership skills with respect to the NCHL health leadership competencies and assess your progress in developing those skills as you progress through your program.Overview and PreparationNote: This assessment completes your capstone project and should be completed last.This assessment is in two parts:Part 1: Leadership Self-Assessment. You will assess the development of your leadership skills over the course of your MHA program.Part 2: Personal Development Plan.You will identify measurable action steps for future career development. Review the Health Leadership Competency Model Summary [PDF] and Assessment 5 STAR Format Competency Rating Table [DOCX]. (Note: There are 26 total competencies listed in the NHCL Competency Model. You will need to assess 19 of the 26 NHCL competencies, as they are listed in the competency rating table.)RequirementsPart 1: Leadership Self-AssessmentComplete a self-assessment of your health leadership competencies using the Assessment 5 STAR Format Competency Rating Table [DOCX]. Instructions for filling in the table are included in the document.The requirements outlined below correspond to the first three grading criteria in the scoring guide. Be sure that your self-assessment addresses each point, at a minimum. You may also want to read the assessment scoring guide to better understand how each criterion will be assessed.Assess personal progress toward developing NCHL health leadership competencies.Compare your baseline competency rating at the start of your program with your current competency rating.Explain any new insights from your competency assessment.Describe specific examples of how you have demonstrated NCHL health leadership competencies, with the intent of improving health care outcomes.Provide the most current, relevant examples of how you have demonstrated these skills in the past, preferably in the health care and human services industry.Consider, if you do not have experience in health care or human services, how you may have demonstrated these skills in a different industry or setting, a previous job, volunteer work, or other courses here at Capella. You may consider the following as examples:You assumed a role on a strategic marketing team for a client organization and demonstrated analytical thinking, strategic orientation, and organizational awareness.You demonstrated an information-seeking attitude and self-confidence during a health policy team debate on HIPAA.You demonstrated financial skills, performance measurement, and human resource management when conducting a health care quality cost-benefit analysis.Evaluate the outcomes of demonstrated health care leadership that illustrate NCHL competencies.Reflect upon personal, community, volunteer, academic teamwork, and workplace experience in which you have demonstrated each competency.Determine how, if asked, you would justify your evaluation.Part 2: Personal Development PlanReflect upon any insights for future workplace relevance that you have gained during your capstone project, obstacles that you may have encountered, and the strategies you employed to overcome them. Then, formulate a 1–2 page personal development plan that bridges the transition from your academic studies to leadership development strategies for future career advancement.The requirements outlined below correspond to the last grading criterion in the scoring guide. Be sure that your personal development plan addresses each point, at a minimum. You may also want to read the assessment scoring guide to better understand how each criterion will be assessed.Identify measurable action steps for one’s future career advancement.Measurable action steps include a specific task, due date, and relevance to the competency. Example: Study for and take the ACHE certification exam by March of 2022.Select two areas for improvement that you believe will be relevant to your future career.Use industry-related or organization-specific examples to show how these two areas will be relevant to your future career.Discuss what career development steps you might take in the future. Portfolio Prompt: You are required to save your STAR Format Competency Rating Table to your ePortfolio.Competencies MeasuredBy successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:Competency 1: Transformation: Facilitate a change process that effectively involves patients, communities, and professionals in the improvement and delivery of health care and wellness.Assess personal progress toward developing NCHL health leadership competencies.Competency 2: Execution: Translate strategy to develop and maintain optimal organizational performance in health care settings.Evaluate the outcomes of demonstrated health care leadership that illustrate NCHL competencies.Competency 3: People: Create an organizational climate that values and supports employees and colleagues in health care settings.Describe specific examples of how you have demonstrated NCHL health leadership competencies, with the intent of improving health care outcomes.Identify measurable action steps for one’s future career advancement.Resources: NCHL Leadership CompetenciesThis is a summary of the NCHL competencies.National Center for Healthcare Leadership. (n.d.). Health leadership competency model summary [PDF]. https://jsmitheportfolio.files.wordpress.com/2014/…This article explains how a shift in health care toward value-based care and population health requires a new set of competencies and skills for executive leaders.Morrissey, J. (2015). Leadership assessment and competencies. https://www.trusteemag.com/articles/884-leadership…Resources: Leadership CompetenciesThis is a booklet and instrument for health care executives to use in assessing their expertise in critical areas of healthcare management.American College of Healthcare Executives. (2020). ACHE healthcare executive 2020 competencies assessment tool [PDF]. https://www.ache.org/-/media/ache/career-resource-…This is a core competencies directory for health care leaders developed to professionalize the leadership and management of health systems to improve patient care.Global Consortium for Healthcare Management Professionalization. (2015). Leadership competencies for health services managers [PDF]. https://www.ache.org/-/media/ache/about-ache/leade…The authors of this resource developed a leadership model specific to health care, based on patient centeredness, emotional intelligence, integrity, selfless service, critical thinking, and teamwork.Hargett, C. W., Doty, J. P., Hauck, J. N. T., Webb, A. M. B., Cook, S. H., Tsipis, N. E., Neumann, J. A., Andolsek, K. M., & Taylor, D. C. (2017). Developing a model for effective leadership in healthcare: A concept mapping approach. https://www.dovepress.com/developing-a-model-for-e…Resources: APA ResourcesThese Capella resources will help to build your understanding of APA style.APA Module.APA Style and Format.This article discusses academic writing, the appropriate use of APA style, how to avoid plagiarism, and how to provide appropriate credit to your sources.Academic Honesty & APA Style and Formatting.
solved Write a letter to the editor of an academic or
/in /by adminWrite a letter to the editor of an academic or professional journal. The length and format of the letter is dictated by your choice of journal.IntroductionNote: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.Advocating for new policies is an important aspect of the master’s-prepared nurse. For new policies to be compelling they need to be supported by evidence. Supporting data can be used to illustrate why new policies and interventions are needed to help address a specific health issue. Compelling data can help sway the stakeholders and gain support for your policy.Another aspect of advocacy is disseminating new policies and interventions outside of the immediate care environment. This can be done by reaching out to professional organizations as well as academic and professional journals. A letter to the editor is one strategy for disseminating information to a wider audience, and to potentially enlist support throughout the wider professional community.PreparationsAs you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.Looking at your health care issue from a prevention standpoint, what are the relevant levels of prevention?What would be the benefits and challenges of applying a specific level of prevention to your chosen issue and population?How might one or more approaches to prevention improve the care and outcomes?How could your policy be leveraged, or revised, to support the relevant levels of prevention?What are relevant strategies that you could use to help advocate for the policy you are proposing?How could these strategies help you advocate for your policy proposal?How does evidence from the literature support the benefits of your proposed policy?How does citing evidence help lend credibility to your advocacy?What academic or professional journal would be the best forum to advocate for your policy?Why is your chosen journal an appropriate forum?Which advocacy strategies would be most effective in this forum?How will you craft your message to best appeal to the likely audience of your chosen journal?Assessment 3 will build upon the work you have done for your previous two assessments. For this assessment, you will be writing a letter to the editor of an academic or professional journal as a means to advocate for adoption or development of policies that will improve the quality of care and outcomes around your chosen health care issue and vulnerable population. Refer to the resource listed below.Guiding Questions: Letter to the Editor: Population Health Policy Advocacy [DOC].ScenarioThroughout this course, you have focused on a specific health issue occurring within a specific population. You researched position papers regarding this health concern, and you developed a health policy proposal to positively impact the health of the affected individuals. It is now time to reach a greater audience regarding your policy proposal.InstructionsDevelop a letter to the editor of a peer-reviewed academic or professional nursing journal based on the policy proposal that you created for Assessment 2. Choose from one of the journals on the Ultimate List of Nursing Journals and go to that journal’s Web site to find out the requirements for submitting a letter to the editor, such as format requirements, topics, and word counts. Make sure you select a nursing journal that covers the topic about which you are going to write. If you want to use another journal that is not on this list, please make sure the journal does address health care, because this is the purpose of the assessment.The goal of your letter is to be informative about the policy that you developed for Assessment 2, while also being persuasive about the need for and benefit of similar policies in other health care settings. The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your submission addresses all of them. You may also want to read the Letter to the Editor: Population Health Policy Advocacy Scoring Guide and Guiding Questions: Letter to the Editor: Population Health Policy Advocacy [DOC] document to better understand how each grading criterion will be assessed.Evaluate the current state of the quality of care and outcomes for a specific issue in a target population.Look back to the data or scenario you used in Assessment 1 to address this criterion.Analyze how the current state of the quality of care and outcomes for a specific issue in a target population necessitates health policy development and advocacy.Justify why a developed policy will be vital in improving the quality of care and outcomes for a specific issue in a target population.Advocate for policy development in other care settings with regard to a specific issue in a target population.Analyze the ways in which interprofessional aspects of a developed policy will support efficient and effective achievement of desired outcomes for the target population.Communicate in a professional and persuasive manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling.Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style (or the journal’s preferred style).Example Assessment: You may use the assessment example, linked in the Assessment Example section of the Resources, to give you an idea of what a Proficient or higher rating on the scoring guide would look like.Additional RequirementsThe submission requirements for your editorial will depend on the journal you choose. To find out the requirements, go to the journal’s Web site. There should be a section regarding submissions that will address how to format letters to the editor, and whether there is a word count limit (there usually is a limit).If the journal does not have submission guidelines for the number of resources required, use 3-5 sources.To be sure that your instructor knows the submission and formatting requirements for your letter, include the journal’s guidelines on a separate page at the end of the document you submit for this assessment.Competencies MeasuredBy successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:Competency 1: Design evidence-based advanced nursing care for achieving high-quality population outcomes.Evaluate the current state of the quality of care and outcomes for a specific issue in a target population.Justify why a developed policy will be vital in improving the quality of care and outcomes for a specific issue in a target population.Competency 2: Evaluate the efficiency and effectiveness of interprofessional interventions in achieving desired population health outcomes.Analyze the ways in which interprofessional aspects of a developed policy will support efficient and effective achievement of desired outcomes for the target population.Competency 3: Analyze population health outcomes in terms of their implications for health policy advocacy.Analyze how the current state of the quality of care and outcomes for a specific issue in a target population necessitates health policy development and advocacy.Advocate for policy development in other care settings with regard to a specific issue in a target population.Competency 4: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with organizational, professional, and scholarly standards.Communicate in a professional and persuasive manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling.Integrate relevant sources to support assertions, correctly formatting citations and references using APA style.
solved Assessment 2: Revenue and ReimbursementWrite a 3-4 page proposal for
/in /by adminAssessment 2: Revenue and ReimbursementWrite a 3-4 page proposal for billing changes, and explain how the proposed changes will benefit the organization, the physicians, and the patients.IntroductionNote: The assessments in this course build upon each other, so you are strongly encouraged to complete them in sequence.Regardless of the corporate structure, health care organizations must remain financially viable. Income must be forecasted according to existing contracts with stakeholders, such as insurers and private payers and state and federal payers.Health care leaders must also deal with the reality of finite resources, including caring for patients with limited or no resources. The Emergency Medical Treatment and Active Labor Act (EMTALA) requires triage and emergency care for patients in need (Social Security Administration, n.d.). Health care executives are responsible to support emergency care, and they must manage finite resources to achieve this legal imperativeTo deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community.What resources are available to help patients with no insurance and no financial means to pay for health care?How can an organization be financially prepared to handle uninsured patients?ReferenceSocial Security Administration. (n.d.). Compilation of the social security laws. http://www.ssa.gov/OP_Home/ssact/title18/1867.htmPreparationUse the Capella University Library and the Internet to locate resources and information on health care revenue cycles and billing processes.Imagine that you have just stepped into a new role as the office manager for a very successful clinic. The clinic is a conglomeration of physicians who offer specialized care. Each group of physicians tried to manage their own billing process but it quickly became obvious that one billing office would be more efficient. You realize that there has been a lack of consistency in the clinic and that you will need to update the billing policies and procedures immediately. You also realize that there is always resistance to change, and you will need to provide evidence supporting the changes you plan to make.Prepare a proposal for billing changes that you would present to the physicians. You will need to support each proposed change with relevant evidence to assure buy-in from the physicians.There is no specific format you must follow for this assessment, but be sure that your proposal is clear, logical, and succinct. Follow APA guidelines for any in-text citations and references. Include a title page and reference page.RequirementsWrite a proposal for changes you would like to make to the billing policies and procedures in a successful physicians clinic. Include the following in your proposal:Develop a step-by-step process for the entire revenue cycle from pre-verification of insurance to accounts receivable management.Recommend a method for determining a pricing structure. What factors can influence pricing?Explain the factors that must be considered while negotiating insurance contracts. What major payer categories are appropriate for this practice?Explain how the clinic will handle private pay and charity care.Recommend either an installed or a web-based billing software system. (Please note that you should not recommend a specific brand of software; just the type of software.)Explain how the changes will benefit the physicians, the clinic, and patients.Additional RequirementsInclude a title page and reference page.Number of pages: 3–4.At least three current scholarly or professional resources.APA format for in-text citations and references.Times New Roman font, 12 point.Double-spaced.Competencies MeasuredBy successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:Competency 1: Develop financial strategies to address dynamic environmental forces. (L24.2, L24.5, L17.2)Develop a step-by-step process for a revenue cycle.Recommend a pricing structure method.Competency 2: Analyze the cost and revenue implications for organizational changes due to environmental forces. (L18.2, L12.1)Explain the factors to consider for insurance contract negotiations.Explain a process for handling private pay and charity care.Recommend a billing software system.Explain how billing process changes benefit physicians, clinics, and patients.Competency 4: Communicate in a manner that is scholarly, professional, and consistent with expectations for professionals in health care administration. (L6.1, L6.2, L6.3, L6.4)Write content clearly and logically with the correct use of grammar, punctuation, and mechanics.Format citations and references using the APA style.Resources: Revenue and ReimbursementThe resources provided here are suggested and provide helpful information about topics relevant to the assessment. You may use other resources of your choice to prepare for this assessment however, you will need to ensure that they are appropriate, credible, and valid. The MHA Program Library Guide can help direct your research.The chapter in the following book contains information on revenue cycle management:Harrison, C., & Harrison, W. P. (2013). Introduction to health care finance and accounting. Cengage Learning/Delmar. Available in the courseroom via the VitalSource Bookshelf link.Chapter 11, “Revenue Cycle Management,” pages 197–212.The chapters in the following textbook contain information on billing and coding for health services, the financial, legal, and regulatory environment for health care organizations, revenue determination, and managed care:Cleverley, W., & Cleverley, J. (2018). Essentials of health care finance (8th ed.). Jones & Bartlett. Available in the courseroom via the VitalSource Bookshelf link.Chapter 2, “Billing and Coding for Health Services,” pages 10–29.Chapter 3, “Financial Environment of Healthcare Organizations,” pages 30–56.Chapter 4, “Legal and Regulatory Environment,” pages 96–129.Chapter 6, “Revenue Determination,” pages 150–169.Chapter 7, “Health Insurance and Managed Care,” pages 170–193.Resources: Additional Resources for Further ExplorationThe resources provided here are suggested and provide helpful information about topics relevant to the assessment. You may use other resources of your choice to prepare for this assessment however, you will need to ensure that they are appropriate, credible, and valid. The MHA Program Library Guide can help direct your research.You may use the following optional resources to further explore topics related to competencies.Coding and ReimbursementThis website focuses on medical billing and revenue cycle management, and it has helpful links to education and publications on these topics.Healthcare Business Management Association. (n.d.). https://www.hbma.org/.The information on this website relates to the billing and coding process, and it provides links and information on revenue and reimbursement cycles for health care organizations.American Academy of Professional Coders. (n.d.). Medical billing and coding. https://www.aapc.com/medical-billing/medical-billi…This website provides an overview of each code set in relation to HIPAA.Centers for Medicare & Medicaid Services. (n.d.). Code sets overview. https://www.cms.gov/Regulations-and-Guidance/Admin…This website provides technical process information on aspects of ICD-10 codes, guidelines, and regulations.Centers for Medicare & Medicaid Services. (n.d.). ICD-10. https://www.cms.gov/Medicare/Coding/ICD10/index.ht…Financial StrategiesThis is a bi-weekly newsletter focusing on health care finance strategies for a variety of topics. The main website contains links to publications and resources.Healthcare Financial Management Association. (n.d.). Healthcare finance strategies. http://www.hfma.org/Content.aspx?id=1728Financial ManagementThis web page discusses electronic exchanges between administrative and financial entities, and it contains helpful links.Centers for Medicare & Medicaid Services. (n.d.). Transactions overview. https://www.cms.gov/Regulations-and-Guidance/Admin…
solved For this assessment, you will develop an 8-14 slide PowerPoint
/in /by adminFor this assessment, you will develop an 8-14 slide PowerPoint  presentation with thorough speaker’s notes designed for a hypothetical  in-service session related to the safe medication administration  improvement plan you developed in Assessment 2.
As a practicing professional, you are likely to present educational  in-services or training to staff pertaining to quality improvement (QI)  measures of safety improvement interventions. Such in-services and  training sessions should be presented in a creative and innovative  manner to hold the audience’s attention and promote knowledge  acquisition and skill application that changes practice for the better.  The teaching sessions may include a presentation, audience participation  via simulation or other interactive strategy, audiovisual media, and  participant learning evaluation.
The use of in-services and/or training sessions has positive  implications for nursing practice by increasing staff confidence when  providing care to specific patient populations. It also allows for a  safe and nonthreatening environment where staff nurses can practice  their skills prior to a real patient event. Participation in learning  sessions fosters a team approach, collaboration, patient safety, and  greater patient satisfaction rates in the health care environment (Patel  Wright, 2018).
As you prepare to complete the assessment, consider the impact of  in-service training on patient outcomes as well as practice outcomes for  staff nurses. Be sure to support your thoughts on the effectiveness of  educating and training staff to increase the quality of care provided to  patients by examining the literature and established best practices.
You are encouraged to explore the AONE Nurse Executive Competencies  Review activity before you develop the Improvement Plan In-Service  Presentation. This activity will help you review your understanding of  the AONE Nurse Executive Competencies – especially those related to  competencies relevant to developing an effective training session and  presentation. This is for your own practice and self-assessment, and  demonstrates your engagement in the course.
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate  your proficiency in the following course competencies and assessment  criteria:
Competency 1: Analyze the elements of a successful quality improvement initiative. Â Â Â Â
Explain the need and process to improve safety outcomes related to medication administration.
Create resources or activities to encourage skill development  and process understanding related to a safety improvement initiative on  medication administration.
Competency 4: Explain the nurse’s role in coordinating care to enhance quality and reduce costs. Â Â Â Â
List clearly the purpose and goals of an in-service session focusing on safe medication administration for nurses.
Explain audience’s role in and importance of making the improvement plan focusing on medication administration successful.
Competency 5: Apply professional, scholarly, evidence-based  strategies to communicate in a manner that supports safe and effective  patient care.    Â
Communicate with nurses in a respectful and informative way that  clearly presents expectations and solicits feedback on communication  strategies for future improvement.
Reference
Patel, S., Wright, M. (2018). Development of  interprofessional simulation in nursing education to improve teamwork  and collaboration in maternal child nursing. Journal of Obstetric, Gynecologic, Neonatal Nursing, 47(3), s16-s17.
Professional Context
As a baccalaureate-prepared nurse, you will often find yourself in a  position to lead and educate other nurses. This colleague-to-colleague  education can take many forms, from mentoring to informal explanations  on best practices to formal in-service training. In-services are an  effective way to train a large group. Preparing to run an in-service may  be daunting, as the facilitator must develop his or her message around  the topic while designing activities to help the target audience learn  and practice. By improving understanding and competence around designing  and delivering in-service training, a BSN practitioner can demonstrate  leadership and prove him- or herself a valuable resource to others.
Scenario
For this assessment it is suggested you take one of two approaches:
Build on the work that you have done in your first two assessments  and create an agenda and PowerPoint of an educational in-service  session that would help a specific staff audience learn, provide  feedback, and understand their roles and practice new skills related to  your safety improvement plan pertaining to medication administration, or
Locate a safety improvement plan through an external resource and  create an agenda and PowerPoint of an educational in-service session  that would help a specific staff audience learn, provide feedback, and  understand their roles and practice new skills related to the issues and  improvement goals pertaining to medication administration safety.
Instructions
The final deliverable for this assessment will be a PowerPoint  presentation with detailed presenter’s notes representing the material  you would deliver at ;an in-service session to raise awareness of your  chosen safety improvement initiative focusing on medication  administration and to explain the need for it. Additionally, you must  educate the audience as to their role and importance to the success of  the initiative. This includes providing examples and practice  opportunities to test out new ideas or practices related to the safety  improvement initiative.
Be sure that your presentation addresses the following, which  corresponds to the grading criteria in the scoring guide. Please study  the scoring guide carefully so you understand what is needed for a  distinguished score.
List the purpose and goals of an in-service session focusing on safe medication administration for nurses.
Explain the need for and process to improve safety outcomes related to medication administration.
Explain to the audience their role and importance of making the  improvement plan focusing on medication administration successful.
Create resources or activities to encourage skill development and  process understanding related to a safety improvement initiative on  medication administration.
Communicate with nurses in a respectful and informative way that  clearly presents expectations and solicits feedback on communication  strategies for future improvement.
There are various ways to structure an in-service session below is just one example:
Part 1: Agenda and Outcomes.Â
Explain to your audience what they are going to learn or do, and what they are expected to take away.
Part 2: Safety Improvement Plan.Â
Give an overview of the current problem focusing on medication  administration, the proposed plan, and what the improvement plan is  trying to address.
Explain why it is important for the organization to address the current situation.
Part 3: Audience’s Role and Importance.Â
Discuss how the staff audience will be expected to help implement and drive the improvement plan.
Explain why they are critical to the success of the improvement plan focusing on medication administration.
Describe how their work could benefit from embracing their role in the plan.
Part 4: New Process and Skills Practice.Â
Explain new processes or skills.
Develop an activity that allows the staff audience to practice and ask questions about these new processes and skills.
In the notes section of your PowerPoint, brainstorm potential responses to likely questions or concerns.
Part 5: Soliciting Feedback.Â
Describe how you would solicit feedback from the audience on the improvement plan and the in-service.
Explain how you might integrate this feedback for future improvements.
Remember to account for activity and discussion time.
For tips on developing PowerPoint presentations, refer to:
Capella University Library: PowerPoint Presentations.
Guidelines for Effective PowerPoint Presentations [PPTX].
solved Two classmates responses 125 words eachone: Reddy (2018) defines strategy
/in /by adminTwo classmates responses 125 words eachone: Reddy (2018) defines strategy as a long-term plan created for a company to reach the desired future state. A strategy considers a company’s goals and objectives, type of products, customers to whom the products will be sold, and the market the products are competing in. Strategic planning is the key to higher revenues and profits. Long-term objectives are the foundation of formulating strategies. David (2019, p.128) identified that long-term objectives should be consistent, usually from 2 to 5 years. Objectives must be quantitative, understandable, challenging, compatible, and obtainable. Strategies can be categorized into eleven actions: forward integration, backward integration, horizontal integration, market penetration, market development, product development, related diversification, unrelated diversification, retrenchment, divestiture, and liquidation (David, et al., 2019, p.130). In March of 2021, Coca-Cola unveiled its 2030 water security strategy. The strategy’s objective is to regenerative water used in bottling operations to improve watershed health and community water resilience (Coca-Cola, 2021). The brand is pursuing water stewardship with an operational excellence strategy using backward integration. Backward integration can be defined as seeking ownership or increased control over suppliers (David, et al., 2019, p.130). Coca-Cola is attempting to have control over its main ingredient, water. Water is the main component of all of Coca-Cola’s products. The advantages include improving water quality for both the business and communities, water replenishment, and improved agriculture. The disadvantages are the negative publicity regarding hoarding a natural resource, cost, legal regulations, and misalignment and compliance between global partners. Since 2015, Coca-Cola has seen success in setting the corporate benchmark for water stewardship. Coca-Cola is implementing an updated water security strategy in 2021 due to COVID increasing the amount of unsafe driving water, such as in India and Mexico (Coca-Cola, 2021). In February 2021, AHA launched two new sparkling waters Raspberry + Acai and Mango + Black Tea. AHA debuted in early 2020. The selling point of AHA is zero-calorie, sodium, and sweetener in a sparkling water beverage with more than eight varieties of favors. The products include 30mg of caffeine. The packaging is modern, graphic, and memorable, catching the eyes of millennials. In 2020, sparkling waters were up by 24% (Coca-Cola, 2021). In 2020, AHA held 8.3% of the share in the unsweetened flavored water category. The new strategy is related diversification. Related Diversification strategy is defined as adding new but related products (David, et al., 2019, p.130). The advantages of introducing the new flavors are more diversity within the sparkling water market, health-oriented beverages, and low-cost marketing since the new flavor is already marketed under the brand AHA. AHA’s new flavors’ disadvantages are the shortage of aluminum cans due to COVID and replacing two original flavors. David (2019, p.131) states, “organizations cannot excel in multiple different strategic pursuits because resources and talents get spread thin, and competitors gain an advantage.” In the future, two strategies Coca-Cola should implement are expanding into the snack market and launching a digital rewards program. Entering the snack market would be a product development strategy. A product development strategy relies on seeking increases sales by developing new products. By entering into the snack market, Coca-Cola will improve its competitive edge over PepsiCo. PepsiCo owns Frito Lay North America, enhancing its product innovation and branding. The advantage is holding market position by being competitive and increasing profitability. The shortcomings are the startup cost, liabilities, and needed market research. Lastly, launching a digital rewards program will improve customer loyalty. This strategy is a market penetration strategy. The objective would be to increase market shares through more effective marketing (David, et al., 2019, p.130). Within the rewards program, incentives, discounts, and special exclusives would engage consumers. The advantages are brand loyalty and B2C engagement. The disadvantages would be the new demand for technological governance, maintenance cost, and risk of consumers not being engaged.ReferencesCoca-Cola. (2021). Media center: The Coca-Cola Company. Retrieved March 31, 2021, from https://www.coca-colacompany.com/media-centerDavid, F. R., & David, F. R. (2019). Strategic management: a competitive advantage approach, concepts and cases (17th ed.). Upper Saddle River: Pearson.Reddy, N. (2018, February 12). Council post: Want a successful Business? Build an effective strategy. Retrieved March 31, 2021, from https://www.forbes.com/sites/forbescoachescouncil/…Two:The Coca-Cola Company is one of the largest beverages brand in the world distributing to well over 200 countries. Although Pepsi Co continues to be their biggest competition, the organization has managed to retain its title as the largest beverage distributor. The most impactful strength Coca-Cola has is brand power; they have the power to influence customers to purchase their products by the name alone due to global recognition. Its distribution network is large as well as diverse, reaching a customer base even in the most remote of locations. The organization is huge on customer loyalty and with impressionable products as well as quality consistency and affordability, customers continue to flock to the brand (Gowri Nagaraj, 2020). Two strategies the Coca-Cola Company has implemented are brand portfolio optimization and brand building.Brand portfolio optimization – The organization conducted a deep analysis to focus on the brands that will continue to lead the way to success for the company. With that in mind, they reduced their portfolio from 400 to 200 brands, which allowed the global team to identify opportunities and investment allocations. The company and its global team want their brands to reach a larger customer base, therefore increasing its brand power. A downside to this strategy is eliminating products that might appeal to some customers, especially those looking for a low/zero calorie drink.Brand building – Coca-Cola is a customer-based organization that wants to effectively and efficiently market their products to the masses. The build experimental campaigns that are data driven so they can identify the areas in which resources should be allocated. “By improving our processes, eliminating duplication, and optimizing spend on things like third-party agencies, we will increase our effectiveness and be able to fuel reinvestment into our brands,†(Accelerated Our Transformation, 2021). Two strategies the Coca-Cola company is not currently pursing but should consider are environmental damage and nutritious drinks.Environmental damage – The need for a healthy environment is crucial for having a great quality of life as well as for the future generation. The company’s use of plastic is impacting the environment and creating an ecological imbalance. By investing in glass bottles or using recycled material, Coca-Cola can increase their brand power by discouraging the single use plastic bottle, however, this change could negatively impact bottling plants if production decreases.Nutritious drinks – The current and future generations are more health conscious and are concerned about the foods and drinks they intake. More now than ever, people are aware of the lack of nutrition in sugary drinks and want organic or low-calorie beverages that taste good. This should be a topic of concern for the company since there are several posts and campaigns that show the harm Coca-Cola’s products has on a person’s body and health.ReferencesAccelerated Our Transformation. (2021, April 01). Retrieved from Coca-Cola: https://investors.coca-colacompany.com/strategy/gr…Gowri Nagaraj, S. (2020, June 19). The Coca-Cola Company’s Competitive Strategies . Retrieved from Medium: https://medium.com/@shwethagowri/coca-cola-competi…
solved Assessment 4: Performance Improvement and Best PracticesComplete two EHR Go
/in /by adminAssessment 4: Performance Improvement and Best PracticesComplete two EHR Go activities relating to meaningful use, provider performance, and EHRs and Plan-Do-Check-Act (PCDA). Create a best practices checklist (2 pages) for data analysts to follow when analyzing EHR charts for accuracy and quality.A user’s degree of trust in CDS systems is critical. Developing a successful CDS system is complex. It relies on highly skilled experts and users. However, for users to reach a certain skill level, they have to be confident the system works as intended. For example, successful design of a CDS system requires providers to work with technical staff to identify the steps in assessing symptoms to reach a diagnosis. This type of design work translates into effective development and use of the CDS. The foundation underlying EHRs and supporting systems, such as clinical decision functions, is to use with meaning. In other words, these systems must have meaningful use. Providers are generally more accepting of the system if meaningful use exists.Integrating a CDS into an existing system to support clinical practice provides an opportunity for health care organizations to reduce treatment errors and to improve patient care, outcomes, and safety. A frequent approach to implementing CDS systems is to offer incentives to providers who use the system effectively. Likewise, CDS system implementations also focus on best practice uses in a particular setting. CDS systems also help to establish best practices to further support health care organizations’ goals of improving patient care, outcomes, and safety. For instance, using a CDS system may facilitate the practice of evidence-based medicine to improve health care quality.Many health care professionals believe that CDS systems offer significant benefits to the health care industry. Still, the ability to use these benefits is only beginning to evolve. Many organizations—particularly larger entities with significant resources—have implemented fragments of CDS systems. Few organizations rely on these systems to provide direct care without first providing information to an experienced provider. Most organizations have found that even these small steps are difficult and resource intensive. In spite of this, because of their potential value, many organizations are willing to spend considerable time trying to make these CDS systems work.In this final course assessment, you will continue your work as a data analyst. You have been assigned to a performance improvement team that has as one of its objectives to support best practices and guidelines for the use of CDS functions. Your specific task is to create a checklist that will help data analysts to consistently analyze EHR charts for accuracy and quality. You will use Core Objectives for Hospital Measures and a performance improvement model of your choice to create the checklist.Demonstration of ProficiencyBy successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:Competency 3: Apply common performance improvement models.Establish the use of EHR-CDS functions as a best practice.Apply a performance improvement tool to EHR accuracy and quality.Determine best practices for EHR-CDS functions by applying a performance improvement tool to EHR-CDS functions.Competency 4: Apply data extraction methodologies.Retrieve data from a patient chart.Competency 5: Evaluate data used for medical staff credentialing.Use EHR and CDS functions to assess meaningful use and provider performance.Describe the relationship between provider performance and patient outcomes.Competency 6: Communicate effectively in a professional manner.Create clear, well organized, professional documents that are generally free of errors in grammar, punctuation, and spelling.Follow APA style and formatting guidelines for citations and references.PreparationIndependent ResearchIf you are less familiar with EHRs and CDS systems, you may wish to conduct additional independent research. The suggested resources provide a good starting point. You may also wish to consult the Health Care Administration Undergraduate Library Research Guide for research tips and help in identifying current, scholarly and/or authoritative sources.InstructionsYour fourth assessment consists of two parts.Part 1: Complete these two EHR Go activitiesFor this first activity, you will create notes in an EHR. You will save and close your session and then download the progress report into a Word document.EHR Go: Meaningful Use and Provider Performance.Enter your answers for this activity, including the table, directly into a Word document. Also, copy and paste the progress report into the same Word document.For this second activity, you will be working with the plan-do-check-act performance improvement model and the EHR.EHR Go: EHR and PDCA.Enter your answers for this activity into the Word document you’ve created.You will create one document that contains your answers to the two activities. Remember to copy and paste the progress report for activity 1 into your document.Part 2: Create a 2-page checklist that establishes best practices for analyzing EHR charts for accuracy and qualityIn the second part of this assessment, you are continuing on in your data analyst role. The performance improvement team that you are on has as one of its objectives to support best practices and guidelines for the use of CDS functions. The team has assigned you a specific task—create a checklist that establishes best practices for data analysts to follow when analyzing EHR charts for accuracy and quality. The team has also asked you to:Consider Core Objectives for Hospital Measures when preparing your checklist.Apply the PDCA performance improvement model to the process of analyzing EHR charts for accuracy and quality and incorporate the findings into your checklist.Note: The practice exercise for this assessment identifies best practices for the plan-do-study-act (PDSA) cycle. PDSA is a later iteration of the PDCA cycle. Many people use these models interchangeably. Feel free to apply either model to your EHR chart accuracy and quality process. You may also select another performance improvement model to apply to your process, but discuss your selection with your faculty member before doing so.This checklist will serve as a job aid for data analysts when reviewing EHR charts for accuracy and quality. As such, it needs to be substantive yet concise.Additional RequirementsLength: 2-page checklist for EHR chart accuracy and quality.EHR Go activities: Submit your completed EHR Go activities in a Word document. Remember to copy and paste your progress report into this document. Font: Times Roman, 12 point font.Writing: Create clear, well organized, professional documents that are generally free of errors in grammar, punctuation, and spelling. APA: Follow APA style and formatting guidelines for citations and references. This guide is a good APA refresher: APA Style and Format.Resources: Meaningful UseBarr, P. (2015). Taking analytics to the next level. H&HN;: Hospitals & Health Networks, 89(9), 14.Farzandipour, M., Meidani, Z., Gilasi, H., & Dehghan, R. (2017). Evaluation of Key Capabilities for Hospital Information System: A Milestone for Meaningful Use of Information Technology. Annals of Tropical Medicine and Public Health, 10(6).Lehrman, J. (2016). Achieving meaningful use in 2016. Podiatry Management, 35(4), 93–100.Resources: Performance Improvement and Best PracticesCurtis, C. E., Bahar, F. A., & Marriott, J. F. (2017). The effectiveness of computerised decision support on antibiotic use in hospitals: A systematic review. PLoS One, 12(8). Performance Improvement – More Than Just a Change in Behavior | Transcript.Plan-Do-Study-Act (PDSA) Cycle | Transcript.Ross, A., Feider, L., Eun-Shim, N., & Staggers, N. (2017). An outpatient performance improvement project: A baseline assessment of adherence to pain reassessment standards. Military Medicine, 182(5), e1688–e1695.Ulrich, B. (2017). Using teams to improve outcomes and performance. Nephrology Nursing Journal, 44(2), 141–152.
solved You are a nurse manager at a local post-acute care
/in /by adminYou are a nurse manager at a local post-acute care nursing facility. Today is April 1, and you have received the budget printout (above) for your department. Your charge nurses are requesting an additional RN on day and evening shifts since acuity has increased dramatically over the last 2 years. (The average annual salary without benefits would be $65,000). Dr. Richardson has requested two new continuous passive motion (CPM) machines ($3000 each) for post-operative orthopedic patients. In addition, you would like to attend a national orthopedics conference in New York in August (projected cost $1500). The $650 conference registration fee is due now.
Two Response Posts (min 250 words): Provide feedback to agree or disagree with your classmate’s budget decisions. What responsibilities do the staff nurses have (if any) for staying within the unit’s budget? Give specific examples. Â
Post # 1
Kate BassMondayJul 5 at 8:34pmManage Discussion EntryAfter reviewing the budget report for April 1st, I would conclude that we would not hire another registered nurse to help out with the increasing acuity on the unit this fiscal year. I came to this conclusion by looking at the budget and projecting it to be about $100,000 over our current budget. Instead, I would extend overtime to nurses currently working until we make it into the next fiscal year in three months, in which I would reevaluate our need for more RN’s and plan accordingly. I would address this first and bring it to the person in charge over me to make sure they agree with that decision. I would then notify the charge nurse of our decision and explain why this is not feasible as of yet. My next obstacle to tackle would be the physician who was requesting two new continuous passive motion machines for post-op orthopedic patients. This is a situation I would also assess and gather more information on to see if all of our patients would benefit from these machines or only a certain amount of patients or a specific population. If all the patients can not benefit from these devices, I would have to decline the physician’s request due to no more funding in our equipment department and ask the physician to follow up on the idea in the next fiscal year. If all of our patients benefited from those machines and our budget was based on the improvement of our performance, I would consider it and possibly move some funds around because that would give us more funding. The time frame that I would speak to the physician would depend on how long it took to investigate the situation. Once I came to a conclusion, I would then talk with the physician as to why I could or could not provide funding for the physician equipment he requested. To address the national orthopedics conference, I would say this could be made possible. I say this because we could use what is left in the budget to pay the registration fee. We could either pull from another part of the budget for the rest of the registration payment since the amount needed would not send the budget into a crisis. Or we could pay out of pocket depending on how much I feel this conference would advance our knowledge and help our team out. Then the rest of the money I believe, would be due in August, which is the next fiscal year when our budget renews, and we could pay the remainder with that. The most accurate budgeting area was travel because we spent $0 in March and still have $500 left to help with expenses. The most inaccurate projections were the personnel in which come the end of the fiscal year, we will have been over budget by at least $100,000. The significant steps in planning a budget include gathering information and planning, developing budgets for each unit, developing a cash budget, negotiating and revising that said budget, and using feedback to control your budget results and improve your plans. Therefore, learning to defend and negotiate budgets is an essential skill for a nursing manager (Trepanier, 2019, pp. 371–372). It seems like the organization set this budget, and then there were few attempts to follow said budget. I believe nursing management could have controlled these inaccuracies had the nursing manager paid more close attention to the budget. Another factor that would have helped was if variance analysis were done periodically. Cherry (2019) states that variance analysis is a process in which deviations from budgeted amounts are examined by comparing actual financial performance results against the expected or budgeted performance. If this is something we had practiced throughout the fiscal year, we would’ve known the minute we were heading towards going over budget and corrected it right away. These factors influenced my decision because I wanted to try and stay as within budget as possible, which was very difficult. I also wanted to ensure that everything that needs to be taken care of was, even if we had to pull from other budgets to make it happen. The decision I arrived at was what I felt best would suit the budget and the unit’s needs until we start a new fiscal year in July, where I can reevaluate where we can cut costs and where the budgeting money needs to go.ReferencesCherry, B. (2019). Budgeting basics for nurses. In B. Cherry & S. R. Jacob (Eds.), Contemporary nursing issues, trends and management (8th ed., pp. 309–321). Elsevier.Trepanier, S. (2019). Managing cost and budgets. In P. S. Yoder-Wise (Ed.), Leading and managing in nursing (7th ed., pp. 358–376). Elsevier . ReplyReply to Comment
Post # 2
Linette Suttles6:16pmJul 8 at 6:16pm
Manage Discussion Entry
This week’s assignment proves to be a challenge that I believe managers face all the time. A budget is the basic financial document in most healthcare organizations. This helps organize and carry-outs activities for the organization during a certain time frame (Trepanier, 2019). In the example, the first portion to discuss would be the operating budget. The operating budget is the financial plan for the day-to-day activities (Trepanier, 2019). In the example, they are asking for two extra full-time nurses. One for days shift and one for night shift. Trepanier (2019) states that the costs do not change as the increased volume of patients changes. I would keep the requests for the nurses to benefit the unit. I also feel that just having these extra nurses would help the unit and the patient care. I work in an ICU, and I know we have been short lately and if we can hire and maintain these extra nurses, we may not feel overworked as we are now. The other-than-personnel services expense budget would be for the travel budget for the conference that was discussed in the example. I think that once the newly hired nurses are maintained that perhaps we can hold off on the conference for another time frame. The capital budget funds major equipment purchases (Cherry, 2019). In the example, the doctor would like to order two CPM machines. Cherry (2019) suggests that the budget for these capital expenditures should be between $500-$2,000. Since I have already cut the travel conference, I would suggest purchasing one new CPM machine and if proves to be beneficial for the unit then next year we can purchase another CPM machine. I feel like if the unit shows improvement with these budgetary changes, that if we need the extra CPM machine we could speak to the organization and see if we can have an increase in our budget. I also think that due to reimbursements from healthcare that we can also utilize this for our extra needs and not have to ask for more money from the organization. The focus is to provide better care to the unit but still maintain a budget. Nurses need to advocate for the patients, provide quality evidence-based practice, provide efficient operations staffing budget, and utilize cost-effective supplies (Cherry, 2019).
References
Cherry, B. (2019) Budgeting basics for nurses. In B. Cherry & S.R. Jacob (Eds), Contemporary
nursing: Issues, trends & management. (8th ed. pp. 309-321). Elsevier
Trepanier, S. (2019) Managing costs and budgets. In P.S. Yoder-Wise (Ed.), Leading and Managing in Nursing.
(7th ed. pp.358-376). ElsevierÂ
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Development of a Fall Prevention Program
Safety for elders is always an overriding concern for healthcare delivery agents since without a safe environment the elder will be injured and therefore their health will decline. Considering the environment and the lack of safety could potentially result in a fall. Fall prevention programs are always being developed for the safety of the elder in different environments. The following assignment will enlighten you as to the elements of a good, evidence-based fall prevention program.
Instructions:
After developing a fall prevention program for a facility in South Florida. Read the following document and answer the questions below:Â
you will develop by yourself:
how to institute the program?
the goals and interventions (such as resources needed, training required and how much it will cost)?
a marketing plan?
an estimated cost?
FALL PREVENTION PROGRAM
Introduction
Falls are the leading cause of both fatal and non-fatal injuries for older Americans (CDC 2017), so it is significant to develop proper fall prevention programs in health care facilities. This project has been developed to be implemented in the Assisted Living Facility Sun Villages Homes of Hialeah, Florida.
General Information
1. Is this a Nursing Home, SNF, Hospital, etc? Select: _Nursing Home__
2. Name of Facility: _Sun Villages Homes__
3. Name of Corporation: (if needed): ____________
4. Name of Falls Program: Fall Prevention Program
In order to understand the magnitude of the fall problem some statistics could be used as examples:
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“Over 800,000 patients a year are hospitalized because of a fall injury, most often because of a head injury or hip fracture†(CDC, 2021).
“Falls are the most common cause of traumatic brain injuries†(CDC, 2021).
“In 2015, the total medical costs for falls totaled more than $50 billion.11 Medicare and Medicaid shouldered 75% of these costs†(CDC, 2021).
These statistics speak for themselves. The consequences of falls in the elderly go beyond minor bumps and bruises. Falls can cause major trauma and lead to death. According to an article published in 2016, “an estimated 23,000 older individuals die every year as a direct consequence of or from complications after a fall†(MEDCOM, 2016). In addition to the physical consequences, falls can have psychological consequences such as feelings of low self-esteem and worthlessness and depression related to feelings of isolation (Tan, 2018).
Describe three evaluation methods and their purpose.
The first step in implementing a fall prevention plan is the identification of those patients who are at risk of falls. Falls are associated with multiple risk factors, including biological, behavioral, and environmental (Tan, 2018).
Biological factors: “age, chronic diseases, low vitamin D level, urinary incontinence, gait and balance disorder, hypotension, chronic pain, and altered sensory perceptions†(Tan, 2018).
Behavioral factors: “ lack of exercise, fear of falling, feelings of anxiety, symptoms of depression, low self-efficacy, history of falls, behavioral disruption associated with dementia, tremors, and impaired cognitive abilities†(Tan,2018).
Environmental factors: “ hazardous objects like loose wires, slippery floors, poor lighting, and improper use of assistive devices†(Tan,2018).
Medications side effect: “orthostatic hypotension, increased drowsiness, and lethargy†(Tan, 2018).
To begin, it is necessary to perform an assessment of each resident of the nursing home to evaluate biological and behavioral factors and medication side effects. This requires the use of evidence-based fall risk screening tools. We propose the use of the 30-second chair stand test (CDC, 2017) and the Tinetti Assessment tool (Willy, 2014). The results of these tests must be accompanied by an analysis of the history of falls, medications, comorbidities, and physical examination.
Intervention list: Name at least five (5) interventions that will help reduce the number of falls.
In this project, we have designed interventions aimed at the management of biological, behavioral, and medication factors and other interventions aimed at environmental changes, based on scientific articles published in peer-reviewed journals (Tan,2018), (Willy, 2014). It is necessary to emphasize that these interventions should focus on each resident’s risk factors associated with the risk of falls.
Interventions related to biological, behavioral, and medication factors:
Balance, gait, and strength training: Establishing a comprehensive exercise program (with or without physical therapy) to help residents enhance/restore muscle strength, balance, and endurance.
Disease and medication management: Evaluation of how to manage specific conditions to reduce the person’s risk of fall that include changing the type or dosage of a medication that causes dizziness or drowsiness.
Treating vision and hearing impairments: Include periodic hearing and vision tests, checking the residents’ eyeglasses cleanness, and monitoring the residents wear the eyeglasses daily and during ambulation.
Managing foot and footwear issues. Guaranteeing the residents receive podiatric services. Provide proper footwear: No-slip-on (with the backs out) and no shoes with slick soles. Having residents wear slippers/no-skid socks.
Interventions related to environmental factors and work organization:
Identification: Posting signs (e.g., “fall riskâ€) just above the person’s bed, using color-coded armbands or blankets.Â
Environmental hazards: Include actions such as keep the environment free of hazards, remove clutter from rooms and public areas, arrange rooms to have clear passage-ways, decrease traffic in hallways, proper lighting for resident’s toileting. All staff members should be on the alert for environmental hazards, like spills and trip hazards, and clean them up promptly.
Training list: List some of the training that may be needed. (eg, patient, healthcare, professionals, administration?)
For the implementation of this fall prevention project, it is necessary to educate staff members and residents. Staff members must learn and understand each of the proposed interventions and have sufficient training to carry them out. Health care professionals must know the steps of the assessment and carry out the disease and medication management as described above. The nursing home administration is responsible for carrying out the educational program and the implementation of the program. Residents should be empowered to comply with fall prevention measures focusing on the need to call for help when they need to get out of bed to use the restroom, and focusing on the residents’ awareness of side rails on the bed and any other protective equipment or devices.
References
Center for Disease Control and Prevention (CDC). (2017). Take a Stand on Falls. Retrieved on March 10th, 2021 from https://www.cdc.gov/features/older-adult-falls/index.html.
Center for Disease Control and Prevention (CDC). (2021). Important Facts about Falls. Retrieved on March 10th, 2021, from https://www.cdc.gov/homeandrecreationalsafety/falls/adultfalls.html.
MEDCOM. (2016). Preventing Falls In Long-Term Care: A Comprehensive Approach. Retrieved on March 10th, 2021, from https://www.medcominc.com/long-term-care/preventing-patient-falls-in-long-term-care/.
Tan, A. (2018). Improving practice to reduce falls in the nursing home. American Nurse. Retrieved on March 10th, 2021, from https://www.myamericannurse.com/improving-practice-to-reduce-falls-in-the-nursing-home/.
Willy, B., Osterberg, Ch. (2014). Strategies for Reducing Falls in Long-Term Care. Annals of Long-Term Care: Clinical Care and Aging. 23-32. Retrieved on March 10th, 2021, from https://www.managedhealthcareconnect.com/articles/strategies-reducing-falls-long-term-care.
Center for Disease Control and Prevention (CDC). (2017). 30-second chair stand. Retrieved on March 10th, 2021, from https://www.cdc.gov/steadi/pdf/STEADI-Assessment-30Sec-508.pdf.