In 1984, the New York Times published the following article:

‘A new era for American telecommunications and for American business begins today as the once-unified Bell System begins life as eight separate companies. It is a time of great expectations and great concern for both the telephone industry and the nation as a whole.

No company so large and technologically integrated as the Bell System has ever split itself into pieces before, not even in the great trust-busting days early in the century.

No nation has ever made a determination to let the forces of competition, rather than government-backed monopoly, determine the future of something so vital as its telephone network. It is an especially daring course for the nation that, by almost all accounts, already has the best phone system in the world. If the gamble is lost, quality of telephone service could deteriorate.

”To break up a very tight network is something quite unprecedented,” said Alfred D. Chandler Jr., professor of business history at the Harvard Business School. ”It was one of the best managed companies in the world for a long time. You go overseas and people there can’t understand why we’re breaking up A.T.&T.”

That was an initiative to break a government- support monopoly in telecommunications, with the entry of new companies in the sector, and the belief that eliminating the monopoly would promote competitive pricing.

Can you identify other legal monopolies currently existing in the USA legal monopoly, based on economies of scale, that could be split into more firms to foster competition?. What do you anticipate would happen to prices? And how about the level of efficiency of the service provided.

Initial Post:

• Length: A minimum of 400 words, not including references
• Citations: At least one high-level scholarly or professional reference in APA format

System Recommendation Report (SRR), Section II – Sharing Data

Section II of the SRR document addresses the need for the Midtown Family Clinic to share data with other organizations.As part of analyzing the requirements for the new system, one step is to consider how that system will enable the Midtown Family Clinic to exchange electronic data with other health organizations – such as other providers, pharmacies, insurance companies, and even patients themselves.The case study mentions several of these.For this assignment you will select two types of external organizations and describe what kind of data would flow between the Midtown Family Clinic and those organizations and how that can be done effectively.

Stage 2 Assignment Instructions

The first step is to incorporate the feedback you received on your Stage 1 assignment, making any needed corrections or adjustments.For this assignment, you will add Section II of the System Recommendation Report (SRR).

Using the case study, the overview above, Course Content readings, and external resources, develop your Section II on Sharing Data. Approximate lengths for each section are provided as a guideline; be sure to provide all pertinent information.Apply specific information from the case study to address each area listed below.

II.Sharing Data

• External Organization #1 and purpose of communication.
• External Organization #2 and purpose of communication.
  • Types of Data to be Shared– In Stage 1, Section C.3., Data, you took an initial look at the types of data the new EHR system will process. But now we’re going to take that a step further and add a layer of complexity by considering the needs and requirements of different external organizations.Using the two external organizations you listed in Section A above, list five data items, or data elements, that would be shared with each external organization, and explain whether that information is going out from the Midtown Family Clinic or coming in from each of the two external organizations.Feel free to consult the list you developed for Section C.3 of your Stage 1 assignment.Some of these data elements may come from that list if they are appropriate for this purpose; however, other, different, data elements may be listed here. Note: For full credit, a different list of data elements should be provided for each organization (no duplicates in the table below, although data elements may be repeated from Section C.3). (Provide an introductory sentence and copy the table and insert information within.)
  • Data Interchange Standards – Conduct some external research and identify a data interchange standard that would apply to the data that is exchanged with each external organization.The standard you select should apply to one or more of the data elements you listed above foreach organization.Provide a brief description of what the standard is, what it requires, why it is important and how it applies to the data elements listed and the Midtown Family Clinic EHR system.Note:For full credit, two different data interchange standards are required.(There are some specific data interchange standards that apply to health data exchange; if the same standard applies to the data exchanged with both organizations, explain how it relates to each.) (Introductory sentence and list of two external organizations and the information shown about the Data Interchange Standard selected for each, providing specifics from the Case Study.)
  • Summary – briefly summarize the content of this section and tie the information together for the reader. (3-4 sentences)

Organization #1 (replace with your organization from above)
Data Element or Item	Data Goes TO/FROM Midtown Family Clinic
1.
2.
3.
4.
5.
Organization #2 (replace with your organization from above)
Data Element or Item	Data Goes TO/FROM Midtown Family Clinic
1.
2.
3.
4.
5.

• External Organization #1
• External Organization #1
  • Data Interchange Standard and description
  • What the Data Interchange Standard requires
  • Why the Data Interchange Standard is important
  • How the Data Interchange Standard applies to the data elements listed and the Midtown Family Clinic EHR system

Formatting Your Assignment

For academic writing, the writer is expected to write in the third person. In third person, the writer avoids the pronouns I, we, my, you, your, and ours. The third person is used to make the writing more objective by taking the individual, the “self,” out of the writing. This method is very helpful for academic writing, a form in which facts, not opinion, drive the tone of the text. Writing in the third person allows the writer to come across as unbiased and thus more informed.The Report is to be written for the Midtown Family Clinic, and reference should not be made by name to individuals who own or work in the Clinic.

• Include the Introduction and Section I, revised according to any feedback received, and add to it Section II.
• Write a short concise paper:Use the recommendations provided in each area for length of response.Content areas should be double spaced; table entries should be single-spaced. It’s important to value quality over quantity.Section II should not exceed 4 pages.
• Ensure that the table is preceded by an introductory sentence that explains what is contained in the table, so the reader understands why the table has been included.
• Use at least two resources with APA formatted citation and reference.Use at least one external reference and one from the course content.

Module 2 submission

Your supervisor needs to make sure that each of the in-service topics will be covered by someone, so she is asking the staff to communicate their topic preference. Below is the list of problems your supervisor wants the nursing staff to be able to teach older adult clients (and/or their family members) about.

In-service Topic Options:

• Hypertension
• Diabetes
• Coronary artery disease
• Depression
• Dementia
• Polypharmacy
• Increased risk of falls
• Vison/hearing impairment
• Nutrition and hydration

Module 4 submission of project

Prepare an annotated bibliography for the resources you identified. Each entry will include:

1. the full APA formatted reference
2. an annotation consisting of the following elements:
   • 2 to 4 sentences to summarize the main idea(s) of the source
   • 1 or 2 sentences to assess and evaluate the source
   • 1 or 2 sentences to reflect on the source

Module 8 Submission Project

Your supervisor at Rasmussen Home Health Services is satisfied with the resources described in your annotated bibliography and is eager for you to continue your work. As a next step, your supervisor wants you to develop and share the following items with them.

1. Write an introduction about your in-service presentation topic.
2. Create an outline that identifies and describes the important content areas for your in-service presentation topic.
3. Write a conclusion.
4. Provide an APA formatted References list that contains at least 2 credible references that you intend to cite in your presentation.

Rubrics attached as well for each of them.

The leader of a local health care organization, Cindy Janowski, has noticed leading organizations successfully implement Quality Improvement plans. Cindy wants to ensure her organization keeps current with those organizations’ quality standards. She has hired you to research the industry’s quality standards and to learn how to improve quality in her organization. 

Cindy sent you an e-mail, which states:

Good Morning,

Per our earlier conversation, I just want to make sure that we are on the right track, and that I am understanding everything. I have put together a list of additional information needed. If you can provide details for me that would really help me out:

• Analyze the purpose of quality management in the health care industry.
• Identify how various health care stakeholders define quality. 
• Identify roles in health care related to Quality Improvement.
• Explain what areas must be monitored for quality.
• Explain what accrediting and regulatory organizations are involved in Quality Improvement and their roles.
• Explain external resources and organizations that provide Quality Improvement information.

Thanks for your help with all of this!

Cindy 

Write a 700- to 1,050-word response to Cindy. 

Click the Assignment Files tab to submit your assignment.