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 As a health care professional, what steps can you take to learn more about your clients’ beliefs, values, and backgrounds in order to provide them with culturally competent care?

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UNDERSTANDING HOW CULTURAL BELIEFS AND PRACTICES AFFECT HEALTH AND HEALING IS AN IMPORTANT ASPECT OF BEING A HEALTH CARE PROVIDER.

Understanding how cultural beliefs and practices affect health and healing is an important aspect of being a health care provider.  Prior to responding to this discussion forum, answer the Cultural Self-Assessment Questions that are listed in Chapter 5 of your course text.  Based on your self-assessment, respond to the following:

a.   As a health care professional, what steps can you take to learn more about your clients’ beliefs, values, and backgrounds in order to provide them with culturally competent care?

b.   In your health care work setting, what steps can you take to overcome barriers and provide care for a patient, if you encounter a cultural practice that you feel is unethical or with which you personally disagree?

c.   How can you develop an informed perspective on the culture?

d.   How can you address a patient’s needs if he or she does not wish to accept care from you because of his or her own cultural beliefs?

Your initial post should be a minimum of 250-300 words.

Define, identify, and assess clinical microsystems

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DEVELOP COLLABORATIVE INTERDISCIPLINARY RELATIONSHIPS AND PARTNERSHIPS TO IMPROVE THE HEALTH CARE OF THE COHORT POPULATION

IHP 505 Case Study:  The Deployment Flowchart PowerPoint Presentation

Course Objectives Met by this Case Analysis:

1.            Define, identify, and assess clinical microsystems

2.            Summarize strengths and improvement opportunities

3.            Utilize the Dartmouth Microsystem Improvement Curriculum to support improvement

4.            Identify leadership actions that support front line improvement

Program Outcome Met By This Assignment

1.            Synthesize and apply theories and conceptual models from nursing and other related disciplines to facilitate clinical practice decision making

2.            Integrate the use of communication skills, information systems, and standardized language in relation to clinical outcomes and continuous performance measures

3.            Develop collaborative interdisciplinary relationships and partnerships to improve the health care of the cohort population

Overview

Students will read and reflect upon the case study presented below.  Carefully read and review the information in the case study, and then reflect in a narrative upon the needs of the patient and the processes that must be in place surrounding this acute illness for a smooth and seamless transition for everyone involved.  Construct a voice-over PowerPoint presentation consisting of a minimum of 12 slides (including your title and reference slides) that will include the following information:

1.            Priority care needs of the patient at the center of the case study

2.            Priority care needs of the family care providers

3.            The disruption that this acute illness has caused for the patient, family members, and clinical microsystem

4.            The experiential features of acuity that are apparent in this case

5.            The elements that the clinical microsystem must possess in order to meet this patient’s care needs

6.            Potential barriers that may exist and must be managed in order to provide that care

7.            The communication strategies that were used in the delivery of care

8.            Well-defined (but flexible) roles within the clinical microsystem

9.            Potential strategies to plan for unexpected changes in care needs

10.          The Deployment Flowchart (see page 225, Nelson text) which must include:

•             Evidence-based core measure algorithms

•             Structured decision making and standing orders

•             Advanced access

•             Reliable handoffs

•             Effective communication

•             Rehearsal of coordinated actions

Once you have completed the PowerPoint for this assignment, you will present it using Tegrity technology and upload your presentation into the assignment drop box.  Students are expected to review the presentations posted by all of the other learners and provide feedback.  This assignment is due in Module Two.

EXPLORE HOW “REAL PEOPLE” ACCESS HEALTH CARE AND HOW THIS MIGHT HAVE CHANGED OVER TIME

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EXPLORE HOW “REAL PEOPLE” ACCESS HEALTH CARE AND HOW THIS MIGHT HAVE CHANGED OVER TIME

Health Care Interview Paper – 100 points

The goal of this assignment is for each student to explore how “real people” access health care and how this might have changed over time. Interview 3 separate individuals representing three generations (parents, grandparents, your generation or your children’s generation) and learn how they:

  • accessed health care
  • paid for health care
  • where they received their health care
  • how they viewed their health care and health care providers
  • what changes they have seen in the health care system
  • any other facts or information you obtain from the interviewees

In your conclusion, provide a summary of the similarities and differences noted between the generations.

This paper should be about 3-5 pages in length with appropriate referencing and in APA format. This assignment is worth 100 points (10% of your grade) and is due in Week 3.

The sources you will be citing will be the people you interviewed. If you use direct quotes, you are to cite the source immediately following the sentence it was used in. Also, you are required to have a works cited page with your source information.

Citations for Interviews and Personal Communication

Personal interviews and personal communications (email, group discussions, electronic bulletin boards, telephone conversations) are NOT mentioned at the end of the paper on the list of references. However, they are cited in-text throughout the paper.

For personal communication, you should give the author’s full name (first and middle initials followed by last name), the kind of communication, followed by the date of communication.

Example: (J.L. Smith, personal interview, April 10, 2006)

For more information visit:http://depts.gallaudet.edu/englishworks/writing/apaguide.html

 Health Care Interview Paper Grading Rubric

Category

Points

%

Description

Documentation

& Formatting

10

10%

A quality paper will include a proper citations. The number of sources identified and cited meets the paper requirements.

Organization

& Cohesiveness

30

30%

A quality paper will include an introduction, review of the generational interview information and a conclusion organized in a logical manner. The conclusion will summarize the similarities and differences noted between the generations.

Editing

10

10%

A quality paper will be free of any spelling, punctuation, or grammatical errors. Sentences and paragraphs will be clear, concise, and factually correct.

Content

50

50%

A quality paper will meet the page requirement and provide significant information about the beliefs of the generation/person interviewed.

Total

100

100%

A Quality Paper will meet or exceed all of the above requirements.

EXPLAIN THE THEORY SELECTED AND APPLY THE THEORY IN TERMS OF THE ROLE AND RESPONSIBILITY OF MANAGERS IN HEALTH CARE.

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EXPLAIN THE THEORY SELECTED AND APPLY THE THEORY IN TERMS OF THE ROLE AND RESPONSIBILITY OF MANAGERS IN HEALTH CARE.

Choose from the following list of theories: •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.

GRADING SCAL Select a theory from the following: Kantianism, Utilitarianism, Liberal Individualism, and Communitarianism. 20%

Explain a selected theory using appropriate literature. 20%

Examine a selected theory in terms of roles and responsibilities of managers in health care. 25%

Synthesize a selected theory and relate it to value dilemmas that health care providers must confront in health care service delivery. 25%

Communicate in a manner that is professional and consistent with expectations for members of the business professions, and create a document that is clearly written, generally free of grammatical errors, and follows APA (6th ed.) style and formatting guidelines for references and citations. 10%

Explain the role of contingency planning in health care

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Question 3- Explain how competitive advantage can be gained from within the organization through service delivery strategies. Your response should be at least 200 words in length.

Question 4- Read Perspective 9-1 Enhancement of Health Care Quality Using Clinical Pathways on pages 350-351 in your textbook. Clinical pathways are bringing about important improvements in the quality of American health care. As a hospital CEO or Director of Quality Improvement, how would you go about implementing clinical pathways in your own health care organization? Would you anticipate any resistance to implementation? Who would this resistance come from, and why? Your response should be at least 500 words in length.

VIII

Question 1- How do situational analysis, strategy formulation, value-adding service delivery, value-adding support strategies, and action plans relate to one another in health care?

Your response should be at least 200 words in length

Question 2- How are strategies translated into action plans for health care organizations? Your response should be at least 200 words in length.

Question 3- Explain the role of contingency planning in health care. Should every health care organization formulate contingency plans? Why, or why not?

Your response should be at least 200 words in length.

Question 4-  Read Perspective 10-2: The Balanced Scorecard on pages 394-395 in your textbook. What is a “Balanced Scorecard” in modern health care delivery? What makes a successful Balanced Scorecard for a health care organization today? Your response should be at least 500 words in length.

Discuss the role of pre-service, point-of-service, and after-service strategies for effective implementation

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EXPLAIN THE ROLE OF CONTINGENCY PLANNING IN HEALTH CARE

Question 1- Read Perspective 2-5 in your textbook on pages 63-65, on the Patient Protection and Affordable Care Act (PPACA). Consider all four of the scenarios presented in this perspective. Briefly explain and comment on each one. Which scenario do you feel would be best for health care in America by the year 2025? Why do you feel that the scenario you selected will be the best outcome for our nation, and why? What can you as a health care leader do to help make this scenario reality for your own community? Your response should be at least 500 words in length.

Question 2- Environmental analysis is not perfect, in fact far from it. What are the limitations of external environmental analysis in health care? Your response should be at least 200 words in length.

Unit VII

Question 1- Discuss the role of pre-service, point-of-service, and after-service strategies for effective implementation. Provide at least one example of each.

Your response should be at least 200 words in length.

Question 2- Present one example of a value-adding support strategy to facilitate each of the following types of health care strategies: directional, adaptive, market entry, competitive.Your response should be at least 200 words in length.

ANALYZE THE BENEFITS AND CHALLENGES OF EXTERNALLY REPORTED MEASURES FOR HEALTH CARE PROVIDERS AND FOR PATIENTS.

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ANALYZE THE BENEFITS AND CHALLENGES OF EXTERNALLY REPORTED MEASURES FOR HEALTH CARE PROVIDERS AND FOR PATIENTS.

Application: Quality Measures

“The gold standard for defining quality measurement remains Donabedian’s three-element model of structure, process, and outcome” (Varkey, p. 30).

Although this model of quality measurement may apply to all kinds of clinical care facilities, you will focus on hospitals for this assignment so that you can make use of data on the CMS’s “Hospital Compare” Web site. Using this Web site, you will examine quality information for a particular hospital, and conduct some basic benchmarking analysis.

To prepare for this Application:

  • Visit the Hospital Compare Web site:http://www.medicare.gov/hospitalcompare/?AspxAutoDetectCookieSupport=1
    • Click on the links at the top titled “learn about the new organization of our Hospital Compare Measures” and review them briefly.
  • On the top left there is another tap titled “About Hospital Compare Data” that Shows information on Process of Care Measures, Outcome of Care Measures, and Outpatient Imaging Efficiency Measures.
  • As you consider this information, bring to mind the six dimensions of quality: Safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity. Search…through step 3.
  • For the purposes of this assignment, go back to the 1st page and select a hospital by either entering the zip code for the hospital or the name of the hospital. When you’ve done that and clicked on Show Hospitals, you should have hospitals that you can compare. Follow the directions to review Patient Survey Results (HCAHPS survey results), Timely and Effective Care or Readmissions, Complications and Deaths.
  • Consider which organizations are most appropriate to compare for benchmarking purposes. Use the Hospital Compare website and compare your primary hospital’s data with data from another hospital – either one in the same area or one across the country, as you think appropriate.
  • After comparing the data, assess which measures you think are of the greatest concern and in need of improvement in your primary/original hospital. What is your rationale for this assessment? Select two or three measures to focus on for this assignment. Consider which dimensions of quality they relate to (safety, effectiveness, patient-centeredness, timeliness, efficiency, and/or equity).
  • Review this week’s Learning Resources, new the hospital’s Web site, and consider what other steps you would take to get a clearer picture of these quality issues.

The Assignment

Write a 1- to 2-page paper that addresses the following:

  • Identify the primary hospital you have selected.
  • Identify the measures you have chosen to focus on (those that are most in need of improvement or that otherwise warrant attention). Compare and contrast the characteristics of structure, process, and outcome measures, and explain which category or categories your chosen measure relates to.Also, indicate the dimensions of quality with which these measures are associated.
  • Briefly summarize the data, including your benchmarking analysis.
  • Analyze the benefits and challenges of externally reported measures for health care providers and for patients. Also, explain why benchmarking can be useful for identifying areas for improvement.

Explain how health care organizations use secondary data as a comparison to internal data

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COMPARING AND CONTRASTING THE COLLECTION OF SECONDARY DATA AND THEIR USES VERSUS THE ANALYSIS OF CURRENT HEALTH CARE RECORDS

You work at a small community-based hospital as a manager in the quality assurance department. One function of your job is to analyze internal data such as medical records, patient surveys, and incident reports to track trends and help improve patient care delivery. Your supervisor just came back from a seminar on quality benchmarking and has asked about your thoughts on analyzing secondary data from the health care industry as a way to benchmark and measure the organization’s quality performance against its peers. You have been asked to prepare a report on the use of both secondary data and internal data as way to improve quality in your organization. Complete the following:

  • Write a paper comparing and contrasting the collection of secondary data and their uses versus the analysis of current health care records and internal data such as incident reports and patient surveys.
  • Explain how health care organizations use secondary data as a comparison to internal data.
  • Assess the validity and reliability of primary and secondary data in conducting health care research.
  • Deliverable Length:  5-7 pages; min. 5 academic/professional sources published in the last 5 yrs.
  • In-text citations

The Affordable Health Care Act and a Capitalist Economy

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THE AFFORDABLE HEALTH CARE ACT AND A CAPITALIST ECONOMY

The Affordable Health Care Act and a Capitalist Economy

  • Many would argue that in a capitalistic economy, the government cannot provide goods and services as efficiently as the private sector. For example, most arguments for and against the Affordable Health Care Act center on the efficiency of the government in managing and operating a health care system. Do you think the government can provide goods and services to the public as efficiently as or better than the private sector? Support your conclusions with examples and applications.
  • In a free-market economy, firms face some degree of uncertainty, or risk. Some of this risk is controllable, and some is not. Identify the different types of risk that a business might encounter in the marketplace and identify whether they are controllable or uncontrollable. How can a business incorporate risk into the decision-making process?

Justify your choices with valid assumptions and logically driven arguments. Cite any sources using APA format.

Various roles of governance within the organizations and how they should interact within a team setting.

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ROLE OF GOVERNANCE IN HEALTH CARE ORGANIZATIONS

Role of Governance in Health Care Organizations

Plagiarism  free assignment will be check, No abstract,  APA Style

Write (1,150 words) on the concept of governance within a health care organization. address the following:

 

Role of Governance in Health Care Organizations

1) Corporate structure and how it impacts the effectiveness of governance.

2) Various roles of governance within the organizations and how they should interact within a team setting.

3) Concerns to consider when developing and strengthening a team culture. For example:

  1. a) Team members working independently or at cross-purposes.
  2. b) “Turf battles” that can slow or impede the accomplishment of project purposes.
  3. c) The tone of meetings and interactions that can be seen as negative, manipulative, directive, and/or secretive.
  4. d) Failure to properly apply governance concepts.
  1. e) A discussion of the Sarbanes-Oxley Act and its impact on governance and senior management.