At least once a year, the media report on a seemingly healthy teenage athlete collapsing during a sports game and dying of heart complications. These incidents continue to outline the importance of physical exams and health screenings for teenagers, especially those who play sports. During these health screenings, examiners check for cardiovascular alterations such as heart murmurs because they can be a sign of an underlying heart disorder. Since many heart alterations rarely have symptoms, they are easy to miss if health professionals are not specifically looking for them. Once cardiovascular alterations are identified in patients, it is important to refer them to specialists who can further investigate the cause.

Consider the following scenario:

A 16-year-old male presents for a sports participation examination. He has no significant medical history and no family history suggestive of risk for premature cardiac death. The patient is examined while sitting slightly recumbent on the exam table and the advanced practice nurse appreciates a grade II/VI systolic murmur heard loudest at the apex of the heart. Other physical findings are within normal limits, the patient denies any cardiovascular symptoms, and a neuromuscular examination is within normal limits. He is cleared with no activity restriction. Later in the season he collapses on the field and dies.

To Prepare Review the scenario provided. Consider how you would diagnose and prescribe treatment for the patient. Select one of the following patient factors: genetics, ethnicity, or behavior. Reflect on how the factor you selected might impact the diagnosis and prescription of treatment for the patient in the scenario.

Post a description of how you would diagnose and prescribe treatment for the patient in the scenario. Then explain how the factor you selected might impact the diagnosis and prescription of treatment for that patient.

APA citation 3 to 4 references within 5 years

Discuss the importance of advocacy as it pertains to patient care. What is the nurse’s role in patient advocacy? Describe a situation in which you were involved with patient advocacy. Explain what the advocacy accomplished for the patient, and what the repercussions would have been if the patient would not have had an advocate.

Discuss the assumptions of parametric statistical testing versus the assumptions of nonparametric tests. Describe the differences in the distributions of the data. Discuss when a researcher would select a nonparametric approach and when they would select parametric tests for their data set. Does it matter what type of variables has been collected in the dataset?

Requirements: Be sure to support your statements with logic and argument More citing all sources referenced through the text  2 pages no plagiarism 3 Minimum references  APA Style The references not older than 5 years  ago

 

Accountability in Healthcare

This assignment will be at least 1500 words. Address each bulleted item (topic) in detail including the questions that follow each bullet. There should be three (3) sections in your paper; one for each bullet below. Separate each section in your paper with a clear brief heading that allows your professor to know which bullet you are addressing in that section of your paper. Include a “Conclusion” section that summarizes all topics.

This week you will reflect upon accountability in healthcare and address the following questions: Briefly define an Accountability Care Organization (ACO) and how it impacts health care providers: How do ACOs differ from the health maintenance organizations (HMOs) of earlier years What role does health information technology (HIT) play in the newer models of care? What is the benefit of hospitals partnering with primary care providers? How does bundling payments contain healthcare costs? How does pay for performance (P4P) improve quality care?  Briefly discuss the value-based purchasing program? How do value-based purchasing (VBP) programs affect reimbursement to hospitals? Who benefits the most from value-based reimbursement and why? How does the VBP program measure hospital performance?

Assignment Expectations

Length: 1500-2000 words in length

Structure: Include a title page and reference page in APA format. These do not count towards the minimal word amount for this assignment.  Your essay must include an introduction and a conclusion.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) scholarly sources are required for this assignment.

Format: Save your assignment as a Microsoft Word document (.doc or .docx).

File name: Name your saved file according to your first initial, last name, and the module number (for example, “RHall Module 1.docx”)

Submission: Submit to the D2L dropbox for grading

respond 

 

Healthcare Delivery System Nonprofit 130 Bed Community Hospital

Payer Mix

Percentage

Medicare

 50.2

Medicaid/Managed Care

 10.5

HMO

 0

PPO

 34.4

IPA

 0

Self-pay/ Uninsured

 4.5

Dr. Strong and Class,

I work in a small community hospital in south-central Nebraska. We are in the Midwest farm belt.  The breakdown of our payor source for our organization. I do believe this is an accurate reflection of the community.  The city itself is an aging sleepy community that caters to the Medicare type clientele. There are very few fast food joints, and new and upcoming businesses do not happen in this city.  The town is a large commuter town in which there are many that travel 20-30 mins away to work but “doctor” in their hometown. Many of the Medicaid/managed care people are here due to family support or the decreased cost of living that this community provides. The PPO is primarily the families of those that work in the city and or hospital. 

As a future nurse leader, one of the predications that I foresee with the aging population that the Medicare percentage will continue to grow, at least until Medicare itself is exhausted.  The PPO percentage will decrease due to the aging of the people. Like many farm communities, the “kids” leave the area after graduating from high school. Without local businesses growing and investing in the future of the community as a whole, they will not come back.

One of the recent concerns for our organization that within 20 miles, there is a brand new hospital that will be opening up to the community. They have the potential to entice staff to leave our facility. This adds additional burdens to the system.  Our organization needs to be more competitive pay and staff benefits with neighboring community hospitals. These benefits would entice staff into staying.  Early estimations from the hospital include expected loss if ten percent of the team to this new place.  The employees that will leave initially are the ones that drive past it every day.  That is a lot of people in an already struggling healthcare environment of the 1200 employees that our facility employees that would 120 people.