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Explain the functions of the utilization management nurse, and compare and contrast the information from that organization

HSC 3020 Managed CareUtilization ManagementThe principal objective of utilization management is the reduction of practice variations by establishing parameters for cost-effective use of health care resources. There are four main techniques or tools used in utilization management: demand management, utilization review, case management, and disease management. Utilization management helps MCOs control costs and improve quality.

Refer to the readings of this week and the Internet on the above information, answer the following questions:

What are the challenges faced by MCOs regarding practice variations?

What do you think can be done to meet these challenges?

Differentiate between the three main processes of institutional utilization management.

Determine the main purposes of each process of institutional utilization management?

Which process do you think is the most important, and why?

Research the role of the utilization management nurse.

Explain the functions of the utilization management nurse, and compare and contrast the information from that organization.

Explain your understanding of disease management and case management.

What in your opinion are one major similarity and one major difference between the two types of management?

Now, access information on disease and case management by searching the Internet by using the following keywords:Care Continuum AllianceCommission of Case Manager CertificationBased on your research, answer the following questions:

What is the purpose or mission of these professional organizations?

What standards do these organizations set for certification or membership?

How do these organizations define disease or case management and do they differ from the text definitions?

How has the evolution of medical technology, graduate medical education, and the professionalization of medical and nursing staff affected the delivery of care?

HOW HEALTH CARE IN THE UNITED STATES HAS EVOLVED SINCE THE POSTINDUSTRIAL PERIOD.

PAPER 1- minimum of 6 pgsWrite a paper that discusses the following 3 elements:Provide an overview of how health care in the United States has evolved since the postindustrial period.

How has the evolution of medical technology, graduate medical education, and the professionalization of medical and nursing staff affected the delivery of care?

Why has the United States been unsuccessful in evolving the current health care system into a national health care system?3 scholarly references.

Please include in text citationsDUE 5/24/2017PAPER 2 minimum of 500 wordsComplete the following tasks: minimum of Research and discuss 1 piece of federal legislation that has affected the use of medical technology.Explain how changes in medical technology affect health care costs.

Discuss 1-2 current trends in medical technology and how those trends are expected to impact the performance of the U.S. health care system and public health.2 references

Explain the importance of continuing education.

THE HEALTH CARE INDUSTRY, LIKE OTHER INDUSTRIES, IS A VERY COMPETITIVE ENVIRONMENT.

The health care industry, like other industries, is a very
competitive environment. As organizational behavior within health
care companies evolves, it will be even more important to consider
its future and the need for continuing education.
Create a 10- to 12-slide Microsoft PowerPoint presentation
that addresses the following:
Explain the importance of continuing education. Using the
company selected in Week One, describe the support it provides its
employees for continuing education. Describe the future of
organizational behavior. Based on the trends of the health care
industry, describe what you think the future holds for the company
selected in Week One.
Format your PowerPoint according to APA guidelines. Include a
title page, detailed speaker notes, and a references page.
Cite 2 peer-reviewed, scholarly, or similar references to
support your presentation.

Kantianism

HEALTH CARE AND ETHICS TOPIC SELECTION RESOURCES HEALTH CARE AND ETHICS TOPIC SELECTION SCORING GUIDE.

Health Care and Ethics Topic Selection Resources Health Care and Ethics Topic Selection Scoring Guide. Choosing Your Subject. Capella University Library. Writing Feedback Tool. Submit your ethical theory selection for the project to your instructor for approval. Though the general details of the project are in the project description choose a particular set of issues or applications as the focus of your analysis. Choose from the following list of theories: Kantianism. Utilitarianism. Liberal individualism. Communitarianism.Explain the theory selected and apply the theory in terms of the role and responsibility of managers in health care. Include an explanation of how the theory you selected relates to the value dilemmas that health care providers must confront. You may integrate several theories as necessary but one must be prominent and used to guide your analysis throughout the paper. Be sure to: Cite at least three references. Support the selection of your theory. Use APA formatting on all components of the paper.Note: Your instructor may also use the Writing Feedback Tool to provide feedback on your writing. In the tool click the linked resources for helpful writing information.

Explain what the technology is and how and why you believe it will improve patient outcomes and/or improve the delivery of health care

IFSM 305

Topic:  Future of Health Care IT.
With everything that we have covered so far in class, and what we read and see in the world around us, it is obvious that major changes are happening all around us. And, changes seem to be occurring at an ever increasing rate. As part of these changes, there will be changes in how healthcare is delivered to the society. Many new technologies are becoming available, although some are not yet in common use. These advancements are likely to result in cheaper, easier access to healthcare and new paradigms in healthcare delivery.
GROUP 4:  Do some web research and find a new or emerging technology that you believe will improve patient outcomes and/or improve the delivery of health care.  Explain what the technology is and how and why you believe it will improve patient outcomes and/or improve the delivery of health care.  Please put the name of the technology in your subject line and choose something that has not already been reported on by another student.

Put the name of the technology in the Subject line for your posting.
From your research, explain:

What the technology is
How and why you believe it will improve patient outcomes and/or improve the delivery of health care.

GROUPS 1, 2 and 3:  For at least two postings:

Conduct your own research on the new or emerging technology discussed in the posting.
Identify and explain two issues or concerns related to its implementation and use.

I would like for each of you to think back over the class and share with us one new and / or important concept that you learned during this class AND, if applicable, how you may be able to apply this concept.  Also, if there are any recommendations to improve the next offering of the course please let me know either in this forum or via email.  You can also add any areas of improvement and / or things you liked about the course (so we know what to keep) in the end of course survey – which I hope everyone will complete. Your survey responses help us improve the next offering of the course.   Thank you for a great semester.
I look forward to reading your comments!

Stage 4 Assignment see attachment

an analysis of how the culture should change in order to better address the needs of the future

FUTURE OF HEALTH CARE IT

HRMN 367
In 1-3 paragraph, summarize what you learned about culture and change in this course.
In the body of your paragraph(s), use at least three citations from different sources.
At the end of your paragraph(s), list your references.
Please also respond to at least two colleagues.
12Unread for topic Week 8: (2)View profile card for Benjamin WhiteBenjamin WhiteSat at 8:08 PM
Class Culture
Did this class create a culture?
If so, describe it.
If not, explain why not!

Plus
Contains unread posts
What went well in the course?
12Unread for topic Plus: (2)View profile card for Benjamin WhiteBenjamin WhiteFri at 10:42 AM
Delta
What could be improved in the class?

Final project part 2: Change Management Plan (presentation)
Based on your last paper, create a change-management plan. Put yourself in the position of a consultant making recommendations to the CEO of the organization.
Present your recommendations in a PowerPoint presentation of 10-15 slides. State how the organization can be better prepared to meet the needs and challenges of the future. Defend your argument.
Your presentation should include the following (at a minimum):
1)  an evaluation of the current situation (current culture)
2) an analysis of how the culture should change in order to better address the needs of the future (be specific!)
3) recommendations for change, with specific strategies that need to be adopted by the leadership, including how to communicate the changes and how to respond to resistance to change (Keep your recommendations to two or three, otherwise it becomes overwhelming)
4) justification and support for the recommended changes, based on both your own observations and the literature (at least three sources)

HOW WOULD YOU DESCRIBE THE DUAL PURPOSE OF FINANCIAL MANAGEMENT IN HEALTH CARE TODAY? 

HOW WOULD YOU DESCRIBE THE DUAL PURPOSE OF FINANCIAL MANAGEMENT IN HEALTH CARE TODAY?

1. The demand for healthcare administrators has gone up substantially over recent decades, as has the salary range for the position. The job of managing healthcare facilities has become more challenging and more important than ever before. How would you describe the dual purpose of financial management in health care today?

Your response must be at least 200 words in length.

2. Consider the Ridgeland Heights Medical Center (RHMC) actions presented on pages 11 and 12 of your textbook. The medical center is trying to counter a dwindling inpatient census at the facility. What do you think of the three strategies proposed here? Can you think of any other strategies that RHMC should consider here?

Your response must be at least 200 words in length.

3.Consider the big picture of our American economy with health care being an important part of it. How does the large share of American gross domestic product (GDP) that we spend on health care each year impact our nation’s economy overall? What other areas of our economy may currently be suffering because of so much medical spending? In your view, can America continue to spend this much money on health care without sacrificing the quality of American life in other areas? Why or why not? Please support your position.

Your response must be at least 200 words in length.

4. Preparing for the annual healthcare facility audit is a major undertaking. It consumes a considerable portion of the CFO’s time and energy each year.

Review the items presented in Exhibit

1.3 of your textbook, and consider which of these areas might be most susceptible to adjustments by the auditors. What can the facility’s management team do to reduce audit adjustments in these areas?

Your response must be at least 200 words in length.

Berger, S. (2014). Fundamentals of health care financial management: A practical guide to fiscal issues and activities (4th ed.). San Francisco, CA: Jossey-Bass.

Analyze the influence of guidelines on clinical decision making

Nursing homework help

     NURS 6551: Primary Care of Women

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  • Syllabus
  • Course Calendar
  • Course Overview 
  • Course Information
  • Resource List
  • Week 1
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  • Week 11
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  • Guidelines and Policies
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Week 2: Common Screenings for Women

Many screening procedures are often recommended and routinely used with women to detect diseases in the earliest stages possible. Consider Cindy, who was 28 years old when she received the results of her annual pap smear. The results of the test were abnormal, leading to a diagnosis of human papillomavirus (HPV). While Cindy’s type of HPV did not require treatment, subsequent annual pap smears were highly recommended due to risks associated with the disease. Five years later, after another round of abnormal screening results, Cindy was diagnosed with aggressive cervical cancer, which was then successfully treated (Tamika & Friends, Inc., 2011). For diseases like cervical cancer, screenings and early detection can save patients’ lives, as it did in Cindy’s case. As an advanced practice nurse caring for women, you must be able to provide recommendations for screening tests, interpret test results, and develop care plans that meet the unique needs of patients.

Learning Objectives

By the end of this week, students will:
  • Evaluate strengths and limitations of guidelines for screening procedures
  • Analyze the influence of guidelines on clinical decision making
  • Analyze the impact of advanced practice nurses on issues related to screening guidelines
  • Evaluate diagnoses for patients
  • Evaluate treatment and management plans
  • Understand and apply key terms, principles, and concepts related to clinical guidelines on screening procedures
  • Analyze differences between common screenings for younger women and common screenings for older women

Discussion: Guidelines on Screening Procedures

“THYROID DISEASE”

The goal of health promotion and education is to help prevent disease in patients. However, this is not always successful, and disease it not always preventable. With disease, early detection is ideal, often making screening procedures a routine part of clinical care. Unfortunately, many patients do not utilize these health services. This can be attributed to lack of awareness or access to care, financial concerns, or even levels of comfort with health care providers. In your role as the advanced practice nurse, you must be aware of potential obstacles for patients and implement strategies to ensure patients receive necessary screenings. Although a variety of screening procedures are recommended for women at various stages of life, not all screenings are appropriate for all patients. Understanding the strengths and limitations of each screening, as well as current guidelines for use is essential to effectively facilitate patient care. For this Discussion, the course Instructor will assign a specific topic for you to research.

To prepare:

  • Review this week’s media presentation, as well as Chapters 6 and 8 of the Tharpe et al. text and the U.S. Department of Health and Human Services article in the Learning Resources.
  • Research guidelines on screening procedures for the topic assigned to you by the course Instructor (e.g., guidelines on screening for domestic violence, safety, nutrition, osteoporosis, heart disease, mental health, eating disorders, thyroid disease, pap smear, mammogram, cancer, and sexually transmitted infections). Note: The course Instructor will assign a topic to you by Day 1 of this week.
  • Reflect on strengths and limitations of the screening guidelines.
  • Consider how the guidelines might support your clinical decision making.
By Day 3

Post an explanation of the guidelines on screening procedures for the topic assigned to you “THYROID DISEASE”. Include an explanation of strengths and limitations of the guidelines. Then, explain how the guidelines might support your clinical decision making.

By Day 6

Respond to at least two of your colleagues on two different days who were assigned different topics than you. Explain a patient scenario in which your colleague’s guidelines might not be appropriate. Then, explain how you would provide care for the patient in the scenario. Finally, explain how you, as an advanced practice nurse, might be able to impact issues related to these screening guidelines.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!

Make a plan of care that addresses the following: possible pharmacological and non-pharmacological (OTC) interventions, labs, follow-up, teaching, and referrals

Nursing homework help

 As a family nurse practitioner you are working in a rural health clinic. You are evaluating a 16-year-old adolescent patient who comes complaining of having a difficulty concentrating in school. On exam you also note that the patient is very thin and frail in appearance and is asking you for diet pills. Explain the following questions in a 2 page Word document:

1. What are some initial areas for concern?

2. What screening tools can help lead you closer to your diagnosis?

3. Describe 1 health promotion strategy you can discuss with the patient.

4. Make a plan of care that addresses the following: possible pharmacological and non-pharmacological (OTC) interventions, labs, follow-up, teaching, and referrals.

Support your work with a minimum of two (2) evidence-based guidelines and/or articles published within 3-5 years.

Reference:

Centers for Disease Control and Prevention. (2013). Youth risk behavior surveillance system (YRBSS). Retrieved from http://www.cdc.gov/healthyyouth/data/yrbs/index.htm

identify and reflect upon key concepts related to your planning a policymaker cal

Nursing homework help

Your Policy Priority Issue

Graded Assignment #1

Purpose

The purpose of this assignment is to: a) identify and reflect upon key concepts related to your planning a policymaker call b) provide empirical evidence to support new insights gained regarding your policy issue and the policymaking process, and c) present ideas in a clear, succinct, and scholarly manner.

Course Outcomes

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

 

(CO#1) Analyze application of theories to the development of policies that affect nursing and health care. (PO 9, 10)

(CO#3) Communicate with policymakers to advocate for effective policies that affect nurses and nursing, consumers, or the health care system. (PO 2, 3, 10)

(CO#4) Analyze the historical, ethical, and political contexts of healthcare policy and the consequences of policy implementation. (PO 6, 10)

(CO#6) Investigate the interrelationship between policy decisions and evidence-based practice. (PO4, 7, 10) 

Due DateSunday 11:59 p.m. MT at the end of Week 3

 

Total Points: 175 points

Requirements

Assignment Criteria for Presentation:

1.    Provide an introduction to your policy-priority issue.

2.    Articulate key points under each of the Formulating a Health Care Policy Ungraded Worksheet #1 sections, using the headings in your paper.

3.    Provide a critique of empirical evidence thatsupports your chosen policy issue and analysis.

4.    Demonstrate the importance and impact of the chosen policy issue to nursing.

5.    Provide concluding statements summarizingthe content.

6.    The paper will be a minimum of 4 pages and a maximum offive pages in length,in APA format 6th edition,excluding the title and reference page.

Preparing the Paper

After completing Formulating a Health Care Policy Ungraded Worksheet #1, address all areas on the worksheet in the body of a scholarly paper. Include a minimum of five (5) classic or current references published within the past 5 years.