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What is the primary method of continuous quality improvement (CQI) in health care, and what is its underlying premise?

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WHAT IS THE PRIMARY METHOD OF CONTINUOUS QUALITY IMPROVEMENT (CQI) IN HEALTH CARE

  1.     Definitions of the quality of medical care are no longer left to clinicians who decide for themselves what technical performance constitutes “good care.”  Name one (1) other dimension of quality care and why is it important?
  2.            What is the primary method of continuous quality improvement (CQI) in health care, and what is its underlying premise?
  3.            Since an ever-increasing amount of research is funded by commercial companies, what is your opinion on a requirement for authors of scientific studies who receive income from these companies to disclose funding sources in their scientific publications?

Future of Health Care Questions:

  1.            Today’s not-for-profit hospitals and health systems are commonly multi-billion dollar tax-exempt organizations. What is your position on the new federal scrutiny upon, and reporting requirements for justifying the charitable missions of not-for-profit hospitals and health systems?
  2.            In 1999, the Institute of medicine report, To Err is Human, generated a brief flurry of concerns about avoidable hospital deaths.  While progress has been made in addressing system errors and deficiencies, it remains inconsistent across the nation’s hospitals.  Fourteen years after this report, is it time for the professions, payers and the public to demand corrections of system problems in an accountable, transparent and publicly disclosed manner?  What form can or should these demands take?

Summarize 3 different reimbursement methods that are used by health care providers and organizations

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SUMMARIZE 3 DIFFERENT REIMBURSEMENT METHODS THAT ARE USED BY HEALTH CARE PROVIDERS AND ORGANIZATIONS.

“The complexity of financing in health care is one of the primary characteristics of medical care delivery in the United States” (Shi & Singh, 2012, p. 129). There are numerous reimbursement methods (e.g., capitation, fee-for-service, package pricing, etc.) that are used by health care organizations and providers to get paid for the health care services that they provide. Building upon your Individual Project from Phase 1, write a 3-5 page paper not including a title page and reference page that contains the following:

  • Summarize 3 different reimbursement methods that are used by health care providers and organizations.
  • Choose which method(s) will work best for the health care facility that you have proposed to be developed, and explain why you chose that method(s).
  • Discuss the pros and cons of the reimbursement method(s) that you chose.
  • Discuss the impact that the method(s) may have on the financial operations of the facility that you chose.

Note: You should include a minimum of 3 references, properly cited in APA format.

Please submit your assignment.

Describe how organizations use statistical thinking to be more competitive

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STATISTICAL THINKING IN HEALTH CARE

Case Study 1 Statistical Thinking in Health Care   Due Week 4 and worth 150 points Read the following case study. Ben Davis had just completed an intensive course in Statistical Thinking for Business Improvement, which was offered to all employees of a large health maintenance organization. There was no time to celebrate, however, because he was already under a lot of pressure. Ben works as a pharmacist’s assistant in the HMO’s pharmacy, and his manager, Juan de Pacotilla, was about to be fired. Juan’s dismissal appeared to be imminent due to numerous complaints and even a few lawsuits over inaccurate prescriptions. Juan now was asking Ben for his assistance in trying to resolve the problem, preferably yesterday! “Ben, I really need your help! If I can’t show some major improvement or at least a solid plan by next month, I’m history.” “I’ll be glad to help, Juan, but what can I do? I’m just a pharmacist’s assistant.” “I don’t care what your job title is; I think you’re just the person who can get this done. I realize I’ve been too far removed from day-to-day operations in the pharmacy, but you work there every day. You’re in a much better position to find out how to fix the problem. Just tell me what to do, and I’ll do it.” “But what about the statistical consultant you hired to analyze the data on inaccurate prescriptions?” “Ben, to be honest, I’m really disappointed with that guy. He has spent two weeks trying to come up with a new modeling approach to predict weekly inaccurate prescriptions. I tried to explain to him that I don’t want to predict the mistakes, I want to eliminate them! I don’t think I got through, however, because he said we need a month of additional data to verify the model, and then he can apply a new method he just read about in a journal to identify ‘change points in the time series,’ whatever that means. But get this, he will only identify the change points and send me a list; he says it’s my job to figure out what they mean and how to respond. I don’t know much about statistics — the only thing I remember from my course in college is that it was the worst course I ever took– but I’m becoming convinced that it actually doesn’t have much to offer in solving real problems. You’ve just gone through this statistical thinking course, though, so maybe you can see something I can’t. To me, statistical thinking sounds like an oxymoron. I realize it’s a long shot, but I was hoping you could use this as the project you need to officially complete the course.” “I see your point, Juan. I felt the same way, too. This course was interesting, though, because it didn’t focus on crunching numbers. I have some ideas about how we can approach making improvements in prescription accuracy, and I think this would be a great project. We may not be able to solve it ourselves, however. As you know, there is a lot of finger-pointing going on; the pharmacists blame sloppy handwriting and incomplete instructions from doctors for the problem; doctors blame pharmacy assistants like me who actually do most of the computer entry of the prescriptions, claiming that we are incompetent; and the assistants tend to blame the pharmacists for assuming too much about our knowledge of medical terminology, brand names, known drug interactions, and so on.” “It sounds like there’s no hope, Ben!” “I wouldn’t say that at all, Juan. It’s just that there may be no quick fix we can do by ourselves in the pharmacy. Let me explain how I’m thinking about this and how I would propose attacking the problem using what I just learned in the statistical thinking course.” Source: G. C. Britz, D. W. Emerling, L. B. Hare, R. W. Hoerl, & J. E. Shade. “How to Teach Others to Apply Statistical Thinking.” Quality Progress (June 1997): 67–80. Assuming the role of Ben Davis, write a three to four (3-4) page paper in which you apply the approach discussed in the textbook to this problem. You’ll have to make some assumptions about the processes used by the HMO pharmacy. Also, please use the Internet and / or Strayer LRC to research articles on common problems or errors that pharmacies face. Your paper should address the following points: Develop a process map about the prescription filling process for HMO’s pharmacy, in which you specify the key problems that the HMO’s pharmacy might be experiencing. Next, use the supplier, input, process steps, output, and customer (SIPOC) model to analyze the HMO pharmacy’s business process. Analyze the process map and SIPOC model to identify possible main root causes of the problems. Next, categorize whether the main root causes of the problem are special causes or common causes. Provide a rationale for your response. Suggest the main tools that you would use and the data that you would collect in order to analyze the business process and correct the problem. Justify your response. Propose one (1) solution to the HMO pharmacy’s on-going problem(s) and propose one (1) strategy to measure the aforementioned solution. Provide a rationale for your response. Use at least two (2) quality references. Note: Wikipedia and other Websites do not qualify as academic resources. Your assignment must follow these formatting requirements: Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA format. Check with your professor for any additional instructions. Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length. The specific course learning outcomes associated with this assignment are: Describe how organizations use statistical thinking to be more competitive. Apply the basic principles of statistical thinking to business processes. Apply the SIPOC model to identify OFIs in business processes. Use technology and information resources to research issues in business process improvement. Write clearly and concisely about business process improvement using proper writing mechanics

Discuss the effects of the trending legislation on health care overall in the United States.

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DESCRIBE GENERAL TRENDS IN HEALTH CARE LEGISLATION OVER THE PAST 5 YEARS.

Write a 750-1,000 word paper that evaluates the effect of local, state, and federal health care legislation within organizations by identifying trends. Be sure to address the following:

  1. Describe general trends in health care legislation over the past 5 years.
  2. Describe a specific piece of legislation occurring within this timeframe across the United States. Discuss how it governs a long trending health care concern. What have been the motivating factors that have influenced this particular legislation?
  3. Discuss the effects of the trending legislation on health care overall in the United States.
  4. Describe how the selected legislation effects one type of health care setting (transitional care, hospital, primary care, home care, primary care).
  5. Identify changes in your selected health care setting that have occurred during this time in order to meet the requirements or needs of this legislative trend.
  6. Discuss how stakeholders (patients, underserved populations, health care providers, staff, etc.) have been affected by the trending legislation.

Support your paper using three to five sources.

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

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

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success

The aspects that need immediate attention and aspects that need long term attention

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A DESCRIPTION OF THE HEALTH CARE WORKFORCE SHORTAGE AND ITS IMPLICATIONS.

Click here to read the health care workforce shortage and its implications on America’s hospitals, at the American Hospitals Association’s (AHA) website.

Select a hospital, which is not more than two hours away from your place of residence. Based on your readings and understanding, create a 3- to 4-page report in a Microsoft Word document, that includes:

A plan for a rural, medium-sized hospital to deal with short- and long-term workforce shortages.

Your plan should include the following elements:

  • An introduction.
  • A description of the health care workforce shortage and its implications.
  • The aspects that need immediate attention and aspects that need long term attention. Provide a rationale on why these aspects need attention.
  • A description of the financial implications for these issues.
  • An explanation of the risks associated with these problems.
  • Your recommendations to solve these problems.
  • An explanation of the methods to measure the success of the plan.
  • A description of the next steps, if the plan failed.
  • A conclusion and a reference list.

Emphasize the importance and congruity of the thesis statement

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Quantitative Study

Background of Study:

·         Identify the clinical problem and research problem that led to the study. What was not known about the clinical problem that, if understood, could be used to improve health care delivery or patient outcomes? This gap in knowledge is the research problem.

·         How did the author establish the significance of the study? In other words, why should the reader care about this study? Look for statements about human suffering, costs of treatment, or the number of people affected by the clinical problem.

·         Identify the purpose of the study. An author may clearly state the purpose of the study or may describe the purpose as the study goals, objectives, or aims.

·         List research questions that the study was designed to answer. If the author does not explicitly provide the questions, attempt to infer the questions from the answers.

·         Were the purpose and research questions related to the problem?

 Methods of Study

·         Identify the benefits and risks of participation addressed by the authors. Were there benefits or risks the authors do not identify?

·         Was informed consent obtained from the subjects or participants?

·         Did it seem that the subjects participated voluntarily in the study?

·         Was institutional review board approval obtained from the agency in which the study was conducted?

·         Are the major variables (independent and dependent variables) identified and defined? What were these variables?

·         How were data collected in this study?

·         What rationale did the author provide for using this data collection method?

·         Identify the time period for data collection of the study.

·         Describe the sequence of data collection events for a participant.

·         Describe the data management and analysis methods used in the study.

·         Did the author discuss how the rigor of the process was assured? For example, does the author describe maintaining a paper trail of critical decisions that were made during the analysis of the data? Was statistical software used to ensure accuracy of the analysis?

·         What measures were used to minimize the effects of researcher bias (their experiences and perspectives)? For example, did two researchers independently analyze the data and compare their analyses?

Results of Study

·         What is the researcher’s interpretation of findings?

·         Are the findings valid or an accurate reflection of reality? Do you have confidence in the findings?

·         What limitations of the study were identified by researchers?

·         Was there a coherent logic to the presentation of findings?

·         What implications do the findings have for nursing practice? For example, can the findings of the study be applied to general nursing practice, to a specific population, or to a specific area of nursing?

·         What suggestions are made for further studies?

Ethical Considerations

·         Was the study approved by an Institutional Review Board?

·         Was patient privacy protected?

·         Were there ethical considerations regarding the treatment or lack of?

Conclusion

·         Emphasize the importance and congruity of the thesis statement.

·         Provide a logical wrap-up to bring the appraisal to completion and to leave a lasting impression and take-away points useful in nursing practice.

·         Incorporate a critical appraisal and a brief analysis of the utility and applicability of the findings to nursing practice.

·         Integrate a summary of the knowledge learned.

What questions have you thought about in a particular area of care such as a procedure or policy?

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Nursing homework help

NURS-6052N-37, Essent of Evidence-Based Pract.2017 

Discussion:-1

Nursing Research and Evidence-Based Practice

In your practice as a nurse, you may use procedures and methods that did not necessarily originate in evidence, but instead were derived from informal and unwritten conventions, traditions, and observations. While these techniques may have merit, practices are constantly being updated and contradicted by information from scholarly research studies and professional guidelines. This new information serves as “evidence” for revising practices to improve outcomes across health care.

Based on this evidence, you can formulate a question. In this Discussion, you consider the use of evidence-based practice in your own organization and formulate a question that you will need to answer for your portfolio project. This is called a PICOT question. You will also investigate strategies for overcoming barriers to implementing evidence-based practice (EBP).

To prepare:

Consider a recent clinical experience in which you were providing care for a patient.

Determine the extent to which the care that you provided was based on evidence and research findings or supported only by your organization’s standard procedures. How do you know if the tasks were based on research?

What questions have you thought about in a particular area of care such as a procedure or policy?

Review Chapter 2, pages 31–34 on “Asking Well worded Clinical Questions” in Polit & Beck and consult the resource from the Walden Student Center for Success: Clinical Question Anatomy & examples of PICOT questions (found in this week’s Learning Resources). Formulate your background questions and PICOT question.

Reflect on the barriers that might inhibit the implementation of evidence-based practice in your clinical environment.

Review the article “Adopting Evidence-Based Practice in Clinical Decision Making” in this week’s Learning Resources. Select one of the barriers described that is evident in your organization and formulate a plan for overcoming this barrier.

Discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research

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Nursing homework help

In a formal paper of 1,000-1,250 words you will discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.” Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development. What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?

Explore the Campaign for Action webpage (you may need to research your state’s website independently if it is not active on this site): http://campaignforaction.org/states

Review your state’s progress report by locating your state and clicking on one of the six progress icons for: education, leadership, practice, interpersonal collaboration, diversity, and data. You can also download a full progress report for your state by clicking on the box located at the bottom of the webpage.

In a paper of 1,000-1,250 words:

  1. Discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
  2. Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development.
  3. What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?

Summarize two initiatives spearheaded by your state’s action coalition. In what ways do these initiatives advance the nursing profession? What barriers to advancement currently exist in your state? How can nursing advocates in your state overcome these barriers?

A minimum of three scholarly references are required for this assignment.

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

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

How do I challenge my student to put forth their best effort when I feel a certain way about a student?

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Nursing homework help

NURS6351 Discussion Response #1: Ethical and Legal Parameters for Nurse Educators

 

Respond to the discussion #1 below using the following approaches:

1.    Respond by proposing strategies for minimizing and managing legal challenges.

2.    Ask a probing question, substantiated with additional background information or research.

 

Discussion #1

 

Ethical Challenge: Providing education to a student who the instructor does not feel is choosing the correct career pathway

The role of the nurse educator is one that should be taken seriously and with high regard. As a nursing educator you are to empower your students to be the best medical practitioner possible. What happens however when you have a student whom you feel has chosen the wrong career path? I can’t say that a person’s single opinion should not make a definitive weigh in on a person’s true potential; but often a skilled educator can identify those who will thrive in the profession and those who will have a more difficult transition. Salminen et.al. (2013) discuss the educator’s professional role and how ethical principles and knowledge impact their ability to teach.  What was confirmed from that study is that the more knowledgeable the educator the better impact they have with students regarding conflict as discussed and struggles revolving around the student interaction.

Ethically, it is not recommended that we use our feelings to determine a student’s potential; but rather utilize the clear black and white objectives that define successful completion of any clinical/nursing rotation.

Questions that would come as a result of this situation would be:

1.   How do I challenge my student to put forth their best effort when I feel a certain way about a student?

2.   How do I provide education to a student who I feel doesn’t appear to thrive in nursing without bias?

3.   How can I encourage a student to continue on in a program when I do not think this career path is a good fit for them?

4.   Is it my place to recommend a different career pathway if their test grades are excellent but their personality at the bedside and their ability to provide passionate care is weak?

Why should the study of nursing theory be included in a master’s program?

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Nursing homework help

Requirements

Description of the Assignment

This assignment focuses on the importance of nursing theory within the profession.  Selecting one nursing theory (non-nursing theories are not allowed), the nursing theory will be presented by identifying the key concepts present within the theory.  The selected nursing theory will then be applied to ONE of the following professional nursing practice area:

  • Nurse practitioner

 

Criteria for Content

 

1.     Introduction: 

The introduction requires the following information.

  • Statements about nursing theory in general
  • Identification of the ONE nursing theory (non-nursing theories are not allowed) selected by the student to be used within this assignment. The specific selected nursing theory may be from any of the three categories of nursing theory (i.e. grand, middle-range, or practice), but must be a specific nursing theory (i.e. Orem, Roy, Benner, etc.); a category may not be used.
  • Identification of the sections of the paper.
  • References from nursing literature are required. 

2.     Importance of Nursing Theory:

This section requires the following information.

·       Present an analysis of the importance of nursing theory, in general, to the nursing profession. Each of the following questions are to be answered.

  • Why should the study of nursing theory be included in a master’s program?
  • How is nursing theory useful to the nursing profession?
  • How can nursing theory be used to separate the nursing profession from other healthcare professions?
  • What would be ONE concern regarding the use of nursing theory within the profession?

·       References from nursing literature are required.

 

3.     Summary of Selected Nursing Theory:

This section requires the following information.

  • Present the name and author of the selected nursing theory (bibliographic and historical information about the theory or theorist is NOT included).  Identify when the nursing theory was initially published and the latest edition of the selected nursing theory.
  • Provide a summary of the key concepts contained within the selected nursing theory.
  • Provide a detailed description of how this nursing theory addresses each of the metaparadigms/ concepts (person, health, environment, and nursing profession) associated with nursing.
  • Identify why this nursing theory selected and its potential use within the student’s selected Master’s track (i.e.  education, leadership, informatics, healthcare policy, or nurse practitioner)
  • References from nursing literature are required.

4.     Application of Specific Nursing Theory to Selected Professional Nursing Practice area:

This section includes the following elements:

  • Present a discussion of how the selected nursing theory defines and explains one of the following professional nursing practice areas:
    • Education (e.g. undergraduate, staff development, etc.)
    • Leadership (e.g. nurse executive, manager, leader, etc.)
    • Informatics (e.g. data management, etc.)
    • Healthcare policy (e.g. application to local, state, national, or global healthcare concerns, etc.)
    • Nurse practitioner
  • Present 2 (two) examples illustrating the above information.  Professional examples come from a student’s own practice experiences or from the scholarly literature. If the example is from the student’s experience, identify this as the source by using the first person in describing the example.
  • Keep each example succinct (about 1 – 3 paragraphs).
  • References from nursing literature are required.

5.     Conclusion:

This section includes the following elements:

  • Summarizes presented information regarding theory in general and its use within the nursing profession
  • Summarizes the selected nursing theory.
  • Presents self-reflection regarding what was learned from writing this assignment.