Trends in healthcare management – Discussion post
How do you see current trends and changes in healthcare models impacting the delivery of healthcare? Consider the impact of these trends on your own practice setting. Also consider how these trends and changes have impacted your own leadership style or your supervisor’s leadership style.
You are expected to follow proper APA guidelines when using citations in discussions in this course.
Key Assignment Final Paper – Report of Findings to Mr. Magone, CEO, Healing Hands Hospital and the “Future of Healing Hands” Task Force
Continue to use the scenario to assist you with this assignment.
There are two parts to this assignment:
Part 1:
Using your instructor’s and peers’ feedback and suggestions from Week 4, complete your final draft of the Key Assignment, Report to the Future of Healing Hands Task Force. Add the following analysis to complete your paper from Week 4 and then submit the entire paper including the analysis for this assignment:
Mr. Magone and the senior leadership of Healing Hands Hospital understand the importance of evaluating operational performance in the healthcare industry and its impact not only on patient satisfaction but also maintaining sound financial management. This is increasingly important in the era of value-based care including Medicare’s Quality Payment Program. Both qualitative and quantitative analysis of data related to patient care is needed. This data includes average length of stay, readmission rates, mortality rates and compliance with standard of care guidelines.
In addition, Healing Hands Hospital is preparing financially for the many different reimbursement changes associated with Medicare Advantage Plans and the need to demonstrate improved quality of care delivered to the hospital’s patients. As part of the Task Force you have been asked to research and analyze data regarding 1) length of stay and 2) hospital acquired infections and the impact of both metrics on the hospital budget and reimbursement. As reimbursement payments become increasingly linked to quality of care, it is important for Healing Hands Hospital to continue to improve in these areas. You have been asked to help the Chief Financial Officer and Chief Nursing Officer evaluate these aspects of patient care as part of your report to Mr. Magone and the Task Force. Submit a 7-10 page paper incorporating your unit 1-4 Individual Project topics including the analysis of how Healing Hands Hospital compares to other hospitals in the nation, state and region in:
Average length of stayHospital acquired infection rate
Describe how these statistics impact the organization’s budget and reimbursement opportunities in the future. Be sure to include how Medicare reimbursement will be impacted.
For your research, remember to use the hospital that you chose to represent Healing Hands Hospital and use data for the same state and region for comparison in your analysis. Put your data for comparison in a table or graph in your paper.
For the final paper reference list, be sure to include a minimum of 3 reference sources besides the textbook identifying where you found your data on hospital statistics and add this to your references for the other sections of your final paper from the previous week’s assignments. Document your references using APA format.
Part 2:
Being asked to be part of the Task Force was recognition of your abilities and value to Healing Hands Hospital. When you started to work on the Task Force, you were not an expert in all of the aspects of the healthcare industry on which you were asked to report. Your manager, Ms. Woods, the Chief Operating Officer, recognizes this and that you had not previously had the opportunity to present to the Chief Executive Officer and other members of the executive team. She tells you that this is a good opportunity to develop skills as a professional and expand your expertise level in the healthcare field. She is curious about how you feel about the opportunity and what skills you feel you already had and those that you developed in this process. She also would like to know what skills you feel you still need to develop to continue to advance in your healthcare management career. Write a 2-3 paragraph memo to Ms. Woods that answers her questions and reflect on your professional development through the work that you did for the Task Force (as a part of this course) and how you will continue to maintain your acquired skills and knowledge base.
Please submit your assignment.
For assistance with your assignment, please use your text, Web resources, and all course materials
minimum of 250 words
Two nurses make a medication error: One causes an adverse event with a patient and the other does not. Should the nurses be disciplined, and, if so, should they be disciplined the same way? Why or why not? How would this be addressed in a just culture?
Create a 6-slide PowerPoint presentation that can be used in a staff development meeting on presenting different approaches for implementing the stepwise approach for asthma treatment.
MUST INCLUDE TITLE & REFERENCE SLIDE MUST INCLUDE PICTURES
Be sure to address the following:
Describe long-term control and quick relief treatment options for the asthma patient from your practice as well as the impact these drugs might have on your patient.
Explain the stepwise approach to asthma treatment and management for your patient.
Explain how stepwise management assists health care providers and patients in gaining and maintaining control of the disease. Be specific.
FYI: To Prepare Reflect on drugs used to treat asthmatic patients, including long-term control and quick relief treatment options for patients. Think about the impact these drugs might have on patients, including adults and children. Consider how you might apply the stepwise approach to address the health needs of a patient in your practice. Reflect on how stepwise management assists health care providers and patients in gaining and maintaining control of the disease.
1.
It was very nice meeting with you and learning more about the LPN position in Family Medicine that you have interviewed me for. I appreciate you taking the time out of your day to meet with me and get to know me a little more, while looking through my resume at my qualifications. The job that you have posted and interviewing for seems like it would be a very good match for my knowledge and interests. After looking over and talking with you more in depth about the job description, allowed me to confirm that I would enjoy working at Park Nicollet and would be a great addition to your health care teams. With my 9+ years of experience working in the health care field, I believe that I have valuable qualities that will help provide your patients with the best quality of care possible. I am very honored and appreciative that you chose to interview me and hope we will have the opportunity to work together in the near future. Thank you again.
Tawna Postel
I feel that it is a good idea to send a thank you letter to a company who has taken the time to interview you. Not only does it show that you respect them and their company, but that you are interested in the job itself. I also feel that sending a thank you letter will make a canidate stand out amongst others. I dont feel that just because someone sends a thank you letter, that they will receive the job; that is based off how qualified the employee is.
2.
Good Afternoon Mrs. Anderson,
I wanted to take a moment in time to express my gratitude to you for allowing me the opportunity to meet you. It was an absolute pleasure to enter the clinic as I was greeted with a warm welcome from the staff and the uplifting ambiance. It was lovely to see all the employees work well together as a team. I appreciate you taking the time to explain the hiring process and how the training program works at your clinical. I am very impressed with the opportunity you have available here and I would be delighted to add to your team as an LPN.
It would be a honor to be considered for a LPN position at this clinic. I am very much looking forward to hearing from you in regards to the next steps. Please do not hesitate to contact me if you need any additional information than I provided or if you have any further questions. I hope to hear from you soon!
Sincerely,
Morgan Koivisto,
When I first watched the videos, I thought writing a thank you letter would be rather simple and quick. I do think that less words are better than more words and it leaves a lasting impression. However, when I sat down looking at a blank slate, I had a hard time coming up with the right words to say. I wanted my letter to be genuine and not too scripted. I thought this was a very good experience as this is something we will be needing to write to our potential employers. I liked it.
i just need a respond for these two post
The Assignment:
Complete the following items and incorporate them into the final version of your Academic Success and Professional Development Plan. With the resources specific to the MSN specialization and the, Walden University. (n.d.). Master of Science in Nursing (MSN), shared in this module, write a paragraph or make a Nursing Specialty Comparison table, comparing at least two nursing specialties that include your selected specialization and second-preferred specialization. Write a 2- to 3-paragraph justification statement identifying your reasons for choosing your MSN specialization. Incorporate feedback you received from colleagues in this Module’s Discussion forum. Identify the professional organization related to your chosen specialization for this Assignment, and explain how you can become an active member of this organization. Note: Your final version of the Academic Success and Professional Development Plan should include all components as presented the Academic Success and Professional Development Plan template.
Submit an essay of the developed action plan for a community educational project.( the project is on fall prevention awareness). The project plan should include 2 (two) goals and objectives based on your topic from Healthy People 2020, an implementation plan for implementing these activities, a budget (if necessary, not required), a justification for the project, a description of where and when the plan will be implemented, and a description of the teaching materials which will be utilized during the execution of the project. Then recommend nursing actions/interventions to improve the health concern and achieve your stated goals and objectives. Discuss potential public and private partnerships that could be formed to implement your recommendations and create a timeline (i.e. 3 month, 6 month) for potential expected outcomes.
The assignment should be written in an APA-formatted essay. The essay should be between 1250 and 1500 words in length and include at least two scholarly sources other than provided materials.
Excellent grammar, no plagiarism, and follow instructions. N.B. Reference MUST BE WITHIN 5 YEARS
Thank you.
Question
Question 1
2 / 2 pts
What is a major determinant of the resting membrane potential necessary for transmission of nerve impulses?
The ratio between intracellular K+ and extracellular Na+
The ratio between intracellular Na+ and extracellular K+
The ratio between intracellular Na+ and extracellular sodium
The ratio between intracellular K+ and extracellular potassium
Question 2
2 / 2 pts
Chvostek sign and Trousseau sign indicate
hypercalcemia.
hypokalemia.
hyperkalemia.
hypocalcemia.
Question 3
2 / 2 pts
Physiologic pH is maintained around 7.4 because bicarbonate (HCO3) and carbonic acid (H2CO3) exist in a ratio of
1:20.
10:2.
10:5.
20:1.
Question 4
2 / 2 pts
Water movement between the intracellular fluid compartment and the extracellular compartment is primarily a function of
osmotic forces.
antidiuretic hormone.
hydrostatic forces.
plasma oncotic pressure.
Question 5
2 / 2 pts
Which are indications of dehydration?
Tachycardia and weight loss
Muscle weakness and decreased deep tendon reflexes
Polyuria and hyperventilation
Decreased hemoglobin and hematocrit
Question 6
2 / 2 pts
At the arterial end of capillaries, fluid moves from the intravascular space into the interstitial space because the
capillary oncotic pressure is lower than the interstitial hydrostatic pressure.
capillary hydrostatic pressure is higher than the capillary oncotic pressure.
interstitial hydrostatic pressure is higher than the capillary hydrostatic pressure.
interstitial oncotic pressure is higher than the interstitial hydrostatic pressure.
Question 7
2 / 2 pts
In hyperkalemia, cardiac rhythm changes are a direct result of
cardiac cell repolarization.
depression of the sinoatrial (SA) node.
cardiac cell hypopolarization.
cardiac cell hyperexcitability.
Question 8
2 / 2 pts
Clinical manifestations that include unexplained weight loss, dyspnea on exertion, use of accessory muscles, and tachypnea with prolonged expiration are indicative of
chronic bronchitis.
pneumonia.
asthma.
emphysema.
Question 9
2 / 2 pts
In ARDS, alveoli and respiratory bronchioles fill with fluid as a result of the
compression on the pores of Kohn, thus preventing collateral ventilation.
inactivation of surfactant and the impairment of type II alveolar cells.
increased capillary hydrostatic pressure that forces fluid into the alveoli and respiratory bronchioles.
increased capillary permeability, which causes alveoli and respiratory bronchioles to fill with fluid.
Question 10
2 / 2 pts
Pulmonary edema usually begins at a pulmonary capillary wedge pressure or left atrial pressure of _____ mm Hg.
20
40
30
10
Question 11
2 / 2 pts
The most successful treatment for chronic asthma begins with
drugs that reduce bronchospasm.
broad-spectrum antibiotics.
elimination of the causative agent.
drugs that decrease airway inflammation.
Question 12
2 / 2 pts
High altitudes may produce hypoxemia through
decreased inspired oxygen.
diffusion abnormalities.
hypoventilation.
shunting.
Question 13
2 / 2 pts
Which pleural abnormality involves a site of pleural rupture that act as a one-way valve, permitting air to enter on inspiration but preventing its escape by closing during expiration?
Open pneumothorax
Secondary pneumothorax
Tension pneumothorax
Spontaneous pneumothorax
Question 14
2 / 2 pts
Clinical manifestations of pulmonary hypertension include
dyspnea on exertion and paroxysmal nocturnal dyspnea.
productive cough and rhonchi bilaterally.
peripheral edema and jugular venous distention.
systemic blood pressure greater than 130/90.
Question 15
2 / 2 pts
In tuberculosis, the body walls off the bacilli in a tubercle by stimulating which action?
macrophages that release TNF-alpha (TNF-α)
apoptotic infected macrophages that activate cytotoxic T cells.
phagocytosis by neutrophils and eosinophils.
formation of immunoglobulin G to initiate the complement cascade.
Question 16
2 / 2 pts
A(n) _____ is a circumscribed area of suppuration and destruction of lung parenchyma.
empyema
cavitation
consolidation
abscess
Question 17
2 / 2 pts
_____ is a fulminant form of respiratory failure characterized by acute lung inflammation and diffuse alveolocapillary injury.
Pneumonia
Acute pulmonary edema
Pulmonary emboli
Acute respiratory distress syndrome (ARDS)
Question 18
0 / 2 pts
Dyspnea is not a result of
fatigue of the intercostal muscles and diaphragm.
decreased pH, increased PaCO2, and decreased PaO2.
stimulation of stretch or J-receptors.
decreased blood flow to the medulla oblongata.
Question 19
2 / 2 pts
The release of fibroblast growth factors affects ARDS by causing
disruption of alveolocapillary membrane.
pulmonary fibrosis.
pulmonary hypertension.
atelectasis and decreased lung compliance.
Question 20
2 / 2 pts
Which of the following types of croup is most common?
Autoimmune
Bacterial
Fungal
Viral
Question 21
2 / 2 pts
Chest wall compliance in infants is _____ in adults.
unlike that
lower than
higher than
the same as
Question 22
2 / 2 pts
What is the primary cause of RDS of the newborn?
Anemia
An immature immune system
Small alveoli
A surfactant deficiency
Question 23
0 / 2 pts
Which of the following statements about the advances in the treatment of RDS of the newborn is incorrect?
Treatment includes the instillation of exogenous surfactant down an endotracheal tube of infants weighing less than 1,000 g.
Administering glucocorticoids to women in preterm labor accelerates the maturation of the fetus’s lungs.
Supporting the infant’s respiratory function by using continuous positive airway pressure (CPAP). An infant’s respiratory function is supported by using continuous pressure (CPAP).
Administering oxygen to mothers during preterm labor increases their arterial oxygen before birth of the fetus.
Administration of oxygen to the mother is not a valid treatment of RDS.
Question 24
2 / 2 pts
Which immunoglobulin is present in childhood asthma?
IgG
IgA
IgE
IgM
Included in the long list of asthma-associated genes are those that code for increased levels of immune and inflammatory mediators (e.g., IL-4, IgE, and leukotrienes), nitric oxide, and transmembrane proteins in the endoplasmic reticulum.
Question 25
2 / 2 pts
Cystic fibrosis (CF) is caused by a(n)
autosomal dominant inheritance.
autosomal recessive inheritance.
infection.
malignancy.
Statistics play an important role in the management of health care organizations and in decision making and strategic planning. Collecting, analyzing, and utilizing data appropriately impacts financial management of the organization and the quality of patient care delivered. Decisions in clinical medicine are driven by evidence-based practice, as are those in health care management. A health care manager must understand and use evidence in making informed decisions that improve the operations and financial status of the organization as well as deliver quality of care accessible to those who need it and with consideration of the costs involved.
In this assignment, you will choose a utilization review statistic from the following list and review a research paper or government publication, as outlined below.
Choose a health care statistic that health care managers would use, such as one of the following: Hospital-acquired condition (HAC) Emergency department visits Labor and delivery suite usage Ambulatory surgery procedures Hospital death rates Cesarean-section rate Wait time Adverse drug events
Research your chosen statistic, and provide information from an outside source—such as a journal article, accreditation agency report, government site, and so forth—that discusses the health care statistic in a real-life setting or situation.
Write a paper of 4–6 pages, not including the title page and reference page, in APA format that discusses the following: What was the reason for the research that was performed or for the data being collected? What was the source of the data presented? What types of descriptive statistics and graphical representations of data were used? What were the research question(s) and the significant findings of the article? How could the information presented be used to inform decisions or improvements?
Cite references using APA format, and remember to include a citation for the article that you are describing.
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