you make up the info as if you actually did the assessments on someone

You will complete a biopsychosocial assessment report that integrates a mental status examination and the appropriate DSM assessments. This assignment provides opportunities to apply assessment skills.

Tasks:

Part I: Meet with Your Classmate and Conduct a Biopsychosocial Assessment:

• Conduct your intake session telephonically with your assigned practice client. The client must present as an adult client.
• The session should range between 45-50 minutes in length.
• Administer the mental status examination to the client. You can use electronic options (i.e. Skype, Facetime) to complete the Mini-Mental Status Examination (MMSE) if possible.

• Administer the WHODAS 2.0 and the Level-1 Cross-Cutting Symptom Measure.
• Score the WHODAS 2.0 and Level-1 Cross-Cutting Symptom Measure and choose and administer the appropriate Level-2 Cross-Cutting Symptom Measures and score these measures.

Part II: Write a Biopsychosocial Report:

Follow the details below pertaining to the report’s requirements.

Your written report should be 3 to 5 pages in length and should follow APA guidelines for writing style, particularly chapters 3 (“Writing Clearly and Concisely”) and 4 (“The Mechanics of Style”). Clear documentation of services is a very important skill that can result in a client’s services being reimbursed or denied; and therefore, unclear documentation could result in a client welfare issue. You should have a title page and a header labeled “Biopsychosocial Assessment Report Your Name.”

A. Biopsychosocial Assessment:

Your biopsychosocial assessment should be written in such a manner that the selected diagnosis is clearly supported by the evidence in the documentation.

A formal mental status examination will be conducted. In addition, the following information should be reflected throughout the report when relevant to the client:

3 As (Appearance, Attention, and Activity Level); Orientation (Xs 4); Motor Activity; Speech and Language; Mood/Affect; Cognition (Thought Process and Content); Memory; Insight and Judgment; Motivation; Risk of Harm to Self; Risk of Harm to Others

Your written assessment should be documented in the following format:

• Name (Pseudonym) of Client.
• Age of Client.
• Referral Source: Include who/how client was referred for counseling services.
• Presenting Problem: Address why the client decided to seek treatment now. Be sure to include all symptoms that will support your diagnoses (i.e., frequency, duration, severity).
• History of Presenting Problem: Include the history of the problem (i.e., previous episodes, duration, precipitating factors).
• Developmental History: Include developmental milestones met and not met; major accidents, injuries, and hospitalizations; and other significant developmental history.
• Medical History: Include medical illnesses (i.e., chronic, head trauma, etc.) and medication history (i.e. psychotropic, chronic, over-the-counter, vitamins, etc.).
• Mental Health History: Include mental health diagnoses previously given, treatment received, and treatment outcomes; document traumas, losses, victimization, substance abuse, or other behaviors like gambling, sex, shopping, eating, etc., that might be used to regulate emotion; and document hospitalizations, nonsuicidal self-injury, suicide attempts, or violent behavior toward others.
• Family History: Include family of origin, current family as the client defines it and sociocultural information that is relevant to treatment. Document the client’s experience of those relationships.
• Relationship History: Include significant information related to relationships outside of family, such as friendships, dating relationships, work relationships, relationships with co-workers/bosses/teachers, etc.
• School/Work History: Include successes, challenges, learning disabilities identified, and frequent changes, if any. Include reasons for those changes.
• Legal History: Ask specifically about open Child Protective Services (CPS) cases or probation/parole/court orders, including divorce/separation decrees. Ask for copies of orders and a release to speak to caseworkers/probation officers, etc., and document that you received them—it is a practice client, so we will assume you actually would get the documents or releases, as necessary.
• Strengths/Supports: Include hobbies, friendships, current relationships, pets, sports/exercise, spirituality/religion, civic groups, or personal strengths identified during the assessment.
• Behavioral Observations: Include results from the MSE and additional behavioral observations.
• Assessment Results: Document the assessments administered and the scores of each assessment.

Submission Details:

• Your final product will consist of your report in a Microsoft Word document (approximately 3–5 pages in length). Your report should be written in APA format in a clear, concise, and organized manner; demonstrate ethical scholarship in the accurate representation and attribution of sources; and display accurate spelling, grammar, and punctuation.

This will be done weekly and according to what we will be studying for that week, and will begin Week 2, and end Week 9.

Each student will be responsible for preparing one presentation on pharmacological management of the disease or pharmacological applications of a drug or group of drugs.

1. Each student will clearly write a title for this topic. Examples are ‘Pharmacological Management of Deep Vein Thrombosis and/or Pulmonary Embolisms Using Anticoagulants/Thrombolytics and Nursing Implications’ or ‘Pharmacological Effects of Anti-hypertensive Medications in the Management of Hypertension and Nursing Implications’
   • Nursing Implications are the nursing related consequences and what you as the nurse should be looking for in the treatment and care of your patient.
2. Students must get their title approved by the professor before the deadline shown in your schedule. Unapproved titles will not be accepted
3. The presentation must identify the Pharmacodynamic properties and actual/potential effects on the patient.
4. This is worth 20 points.

Part 1: Simulation for Performance Improvement

As you have examined this week, simulation as an analytic tool can assist healthcare administration leaders execute important improvement initiatives. Simulations can be used to determine the impact of hospital outbreaks, shortages in staff, potential disaster events, or even financial challenges that might impact healthcare delivery for a health services organization. As a current or future healthcare administration leader, the ability to use simulation as an analytic technique will help you execute sound decision making to tackle healthcare administration challenges.

For this Discussion, review the resources , and consider those issues that might most affect healthcare administration practice. Consider how those issues might be addressed through the process of using simulation as an analytic technique, and reflect on how you might apply the process of simulation to address these issues.

Explain in 2 or 3 paragraphs of how simulation might be used to improve performance in your health services organization or one with which you are familiar. Be specific, and provide examples.

Part 2: Assignment: Simulation in Health Care

Sometimes, challenges or issues in healthcare delivery are not prescriptive in nature and cannot be solved using pure optimization. Simulation provides healthcare administration leaders and decision makers a method to evaluate problems using probabilistic components. For example, a primary care queueing problem might logically follow a Poisson process and be modeled using simulation techniques.

For this Assignment, review the resources, and examine the different simulation techniques highlighted. Reflect on how these simulation techniques might apply to specific challenges or issues for healthcare delivery. Then, complete the assigned problems for the Assignment.

The Assignment: (3–5 pages)

• Complete Problem 40 on page 876 of your course text.

Note: You will be using Excel and @Risk for this Assignment.

Albright, S. C., & Winston, W. L. (2015). Business analytics: Data analysis and decision making (5th ed.). Stamford, CT: Cengage Learning.

• Chapter 15, “Introduction to Simulation Modeling” (pp. 812–879)X

Required Media

Palisade [PalisadeCorp]. (2014a, January 29). Introduction to Monte Carlo simulation and risk analysis using @RISK and RISKOptimzer [Video file]. Retrieved from https://www.youtube.com/watch?v=KgAHLRxjBsA&feature=youtu.be

Part 3 The Affordable Care Act

QUESTION a:The Affordable Care Act: Variability by State

The costs of implementing provisions called for under the PPACA, and the benefits from the legislation, vary from one state to another. The degree to which your health care organization must adhere to guidelines of the ACA may affect the extent of the type of health care services offered, the types of patients served by your facility, and how health care costs are maintained. As a current or future health care executive, you must consider how to balance operations of your health care organization within the context of the ACA and in providing high-quality, low-cost health care.

Review the resources. Search for the cost of implementing the ACA for a health care organization in your state. Reflect on the benefits of implementing the ACA for a health care organization in your state. How might your health care organization, or one with which you are familiar, be affected by ACA mandates?

Describe in 2 or 3 paragraphs the costs of implementing ACA provisions in your state. Then, explain the benefits of the ACA in your state. Explain how the costs and benefits of the ACA may impact you as a current or future health care executive and your health care organization or one with which you are familiar. Be specific and provide examples.

QUESTION b: Population Health and the Affordable Care Act

Earlier in this course you examined how health care organizations are beginning to look at value-based care, which often encompasses care across the continuum of health care services. You also considered how this was associated with new payment methodologies. Care across the continuum links to population health, which describes the outcomes of the health of the population, and to new payment methods through the ACA.

As a health care executive for a hospital, you have been responsible for caring for the patient in your hospital bed. In the last couple of years, your role has likely expanded to include determining how to keep patients from being re-hospitalized. With the implementation of the ACA, your role is expanding further to encompass population health.

Review the resources and reflect on your role as a health care executive in implementing ACA provisions related to population health strategies. Reflect on the considerations you should keep in mind to fully comply with and enact population health strategies in light of ACA legislation.

Explain in 2 or 3 paragraphs how you as a hospital chief executive officer (CEO) might create a population health strategy based on ACA foci. Be specific and provide examples.

Required Readings

DiMichele, T. (2016). Obamacare facts: Facts on the Affordable Care Act. Retrieved from http://obamacarefacts.com/obamacare-facts/

Hardcastle, L. E., Record, K. L., Jacobson, P. D., & Gostin, L. O. (2011). Improving the population’s health: The Affordable Care Act and the importance of integration. Retrieved from http://scholarship.law.georgetown.edu/cgi/viewcontent.cgi?article=1032&context=ois_papers

Huelskoetter, T. (2015). 2014 census data confirm dramatic impact of the Affordable Care Act. Retrieved from https://www.americanprogress.org/issues/healthcare/news/2015/09/16/121094/2014-census-data-confirm-dramatic-impact-of-the-affordable-care-act/

Kliff, S. (2013). The cost of Obamacare varies wildly by state. Retrieved from https://www.washingtonpost.com/news/wonk/wp/2013/10/13/the-cost-of-obamacare-varies-wildly-by-state/

Robert Wood Johnson Foundation. (2015). Reform by the numbers. Retrieved from http://www.rwjf.org/en/library/features/reform-by-the-numbers.html

Shaw, F. E., Asomugha, C. N., Conway, P. H., & Rein, A. S. (2014). The patient protection and Affordable Care Act: Opportunities for prevention and public health. The Lancet, 384(9937), 75–82.

Stoto, M. A. (2013). Population health in the Affordable Care Act era. Retrieved from https://www.academyhealth.org/files/AH2013pophealth.pdf

Urban, J. (2013, September 23). How the Affordable Care Act (ACA) varies by state [Blog post]. Retrieved from http://www.zanebenefits.com/blog/bid/317011/How-the-Affordable-Care-Act-ACA-Varies-by-State

U.S. Department of Health and Human Services. (2015a). The Affordable Care Act is working. Retrieved from http://www.hhs.gov/healthcare/facts-and-features/fact-sheets/aca-is-working/index.html

Option #1: Research and Reflection Paper – Management Perspective

Your Portfolio Project synthesizes information gathered from an interview you will conduct with a manager of your choosing, the knowledge you’ve gained in this course, and your own experience to create a research and reflection paper.

Be sure to thoroughly read the Portfolio Project description below before beginning to work on the project.

Portfolio Milestone Deliverables

The following deliverables are due before Sunday midnight of Weeks 2 and 4 respectively:

Week 2: Interview Subject and Summary of Theories (20 points of the Portfolio Project)

Select which of the two Portfolio Project options you will complete and submit. Before midnight on Sunday, submit the name of the person who will be your interview subject, along with a summary of the theories that you plan to cover. These theories can change as you progress through your project, so the information you provide for this Week 2 deliverable is not set in stone. Instead, this assignment provides an opportunity to begin thinking about your Portfolio Project and record your preliminary ideas. Your submission should be 200-300 words in length.

Week 5: Portfolio Project Outline (20 points of the Portfolio Project)

Submit an outline of your Portfolio Project. Your outline should include bullet points, in the form of sentences or phrases describing each major argument you want to make, organized as the final project will be organized. This should by no means be a complete or final document, but should be sufficiently advanced to serve as a guide for a working draft of your project drafts to ensure that your writing is clear, thoughtful, and precise.

Interview

Choose a manager to interview with whom you are familiar—ideally, someone whom you admire and aspire to emulate. Ask her or him for some time—perhaps you can sit down for coffee—during which you can describe your course learning objectives and discuss what you have so far taken away from the class (in brief) Ask the manager what insights she or he has to offer to you at this point in your career.

The goal of the interview is to gain insight into what makes a good manager from the perspective of someone in a management position. Some topics to touch on in the interview could include the following:

• How did your interviewee come to be a manager (i.e., what career path she or he followed)?
• Has your interviewee found that professional certifications, volunteering, and continued education are important factors to career development?
• What has surprised your interviewee most about what it means to be an effective leader (as opposed to the popular view of what a successful leader is and/or does)?
• What roles are played by managerial goals, objectives, decision-making, and communication on the job?
• How does the interviewee handle change management at his/her organization and what specific challenges has she or he encountered?
• What advice does your interviewee offer to someone in your position and with your short- and long-term goals?

At the close of the interview, be sure to thank your interviewee for her or his time and assistance!

Note: Any documentation resulting from personal interviews by CSU-Global students are for the sole purposes of fulfilling a course assignment and will not be used as part of a larger study, published, or distributed outside of the course environment.

Research and Reflection Paper

In the next phase, ruminate on what you learned in your interview—especially anything that helped you to gain a deeper insight into the topics you studied in the course—and write a research and reflection paper in which you draw upon learning shared with your instructor and colleagues, your individual learning, and knowledge you have gained from the interview to demonstrate a more in-depth understanding of the foundational principles of management. In your paper, go beyond recitation of memorized facts or regurgitation of information; strive to synthesize the most important topics of management (i.e., leadership, personality, motivation, decision-making, communication, and the importance of good management to yourself and to society) into a hybrid research and reflection paper.

Your paper should integrate responses to each of the following questions in a well-organized and coherent paper:

• What leadership precepts did your interviewee impart to you (or what can you glean on the topic as a result of your interview), and how do those dovetail with one or more of the modern theories of leadership?
• How do the personalities of workers, colleagues, managers, and subordinates impact your performance in, and experience of, the workplace? How do they interact with one or more leadership models to create the most effective work environment?
• In light of your interview, the leadership model(s) you’ve discussed, and your own personality, what one or two tenets of motivation theory have you taken away from the course?
• How do your understandings of motivation theories impact your conceptions of the best practices when it comes to making decisions and communicating at work?
• Based on your interview and on learning from this course, what does it take to be an effective employee, a successful manager, and an exemplary citizen of society?

Your well-written paper should meet the following requirements:

• 8-10 pages in length in addition to the title page and reference page
• Formatted according to the CSU-Global Guide to Writing and APA Requirements
• Cite at least three scholarly sources, at least one of which is not provided in, or linked from, the course, to support your assertions and strengthen your arguments. The CSU-Global Library is a great place to find these sources!

Refer to the Portfolio Project rubric on the Course Information page for grading criteria. Please proofread your paper to ensure the sentences, paragraphs, and ideas flow well and are logical, concise, and grammatically error-free.

Recruitment/Retention Memo

During our week one and two, reading assignments and group discussions, we discuss recruitment and retention, employee pay and benefits, performance evaluations and employee motivation. In our online discussions we discuss these issues in the context of Gallup’s 2016 survey showing that 71% of state and local employees are not engaged in their work and 17% are actively disengaged. We also discuss unique challenges associated with millennials – increasingly becoming the largest cohort in the workforce – working in traditional, rule bound, hierarchical workplaces. This is an opportunity for you to reflect on how these issues currently impact your current or past work place. In a (minimum) one page single-spaced memo addressed to an *executive level employee at your organization:

1. Summarize a specific recruitment, retention and/or motivational challenge experienced at your workplace. Use data and stats when possible;
2. Incorporating concepts from the lecture, text and/or research from articles, provide a compelling argument about why this issue deserves immediate attention and consequences of continuing with the current course of action – or no action; and
3. Present a minimum of two (2) specific recommended actions. Include timelines, responsible parties, expected outcomes for improved recruitment/retention and/or employee motivation and how performance outcomes will be measured.

[NOTE: If you have no current or past professional experience in an organization where this assessment can be completed, please complete one of the two alternative assignments described in the attached document].