Hi! I have a nursing school project due in 3 weeks. Please help!

Here are guidelines, supporting materials to be follow, Thanx!

Ethics Paper

Directions

Select an ethical issue or dilemma

There are many ethical issues related to healthcare environments. Some of the ethical issues that occur in healthcare today are issues related to informed consent, organ donation, end-of- life care, truth-telling, palliative care, narcotic abuse, cultural care, spiritual care, privacy, and pain management. There are more! Select an ethical issue that has occurred in your current work setting or one where you previously have worked.  

Literature search

Visit the APUS library. Conduct a literature search and find articles that pertain to the ethical issue/dilemma that you selected. Make sure your articles are scholarly and current. Sources must be within 3-5 years, of the current year, three years or less is preferred. Look for peer-reviewed articles/sources.  You may also find additional references on the ANA website, or other professional websites. Six scholarly references are required.

Paper structure

• Six-seven pages in length, not including the title page and reference sheet.
• APA format
  • Make the title page and reference sheet per APA format
  • The running head and page numbers correctly formatted
  • Double-spaced with 1-inch borders. Times New Roman Font 12 typeface is required.
  • The paper needs to meet the standards of professional writing in nursing, including accurate grammar, spelling, punctuation, and syntax. It must be in APA format.
• There should be a minimum of six references. Three references must include the following:
  • The American Nurses Association Code of Ethics for Nurses, 2015,
  • The Kearney-Nunnery Advancing Your Career Textbook, and
  • The Park, Integrated Ethical Decision-making Model, 2012 article attached to this assignment.
• Use headers in your paper per APA format ( See template for paper organization and headers)

Inclusions (see rubric for more details)

• Introduction
  • An overview of ethical issue/dilemma that occur in the profession and what will be discussed in your paper
• Describe one ethical issue/dilemma that happened in your workplace. Describe the ethical principles, e.g., beneficence, nonmaleficence, veracity, autonomy, justice,  privacy, confidentiality, and fidelity that were not upheld. Identify and explain the Provisions of the Code of Ethics for Nurses that were breached, providing rationale for it being an ethical issue.
• Use the ethical decision-making model in the attached article to analyze the issue. Work through each step of the ethical decision-making model in detail to analyze the issue.
• Analyze how the ethical issue affected the patients/families and healthcare workers. Include a description of the varying viewpoints based on values, beliefs, and culture about the issue, and how you view the issue. Relate your personal ethical lens to your view.
• Describe how you think the issue should have been, or should be handled? Provide rationale.  Make recommendations of how this issue can best be addressed in the future.
• Conclusion

Ethical Decision-making Model

The article entitled, “An Integrated Ethical Decision-making Model for Nurses” is attached below.  Use the six steps of the model to analyze and guide your decision-making about the ethical issue that occurred in your workplace. Be sure to write about each step in your paper.

Use the Ethics Paper Template below to set up your paper.

See attachments below.

Accountable care organizations (ACOs) are designed to promote value and quality in health care. They use new payment and delivery models that include incentives to improve care coordination and utilization management. With these models, ACOs contract with private insurers and/or Medicare to receive reimbursement, and then the ACO determines how to contract with physicians and other medical providers to provide health care services to patients. Since not all providers are direct employees of ACOs, there are potential challenges with reimbursing the affiliated providers in a way to maximize efficiency, increase quality, and lower utilization. For this Discussion, examine the following scenario and recommend strategies for reimbursement and utilization management.

Scenario:
Medicare and private payers have expanded reimbursement under Accountable care organizations (ACO). You are the chief financial officer (CFO) of a hospital system that is forming an ACO to participate in these payment models. The ACO seeks to improve care coordination for its patients with chronic conditions. To provide better care management, the ACO is interested in investing in primary care physicians and physician’s assistants to provide more intensive care management services. After formation, the ACO will enter contracts with Medicare and private insurers under alternative payment models, including shared savings, bundled payments, and global capitation. The ACO will need to determine how to set up reimbursement payments to ACO providers and consider whether financial incentives are required to ensure ACO providers deliver efficient care.

To prepare for this Discussion:

• Read the provided scenario.
• Consider strategies for reimbursement and utilization management, including financial incentives.
  • How might you set up the reimbursement payments to ACO providers, considering the alternative payment models (i.e., fee for service, shared savings, bundled payments, or global capitations)?
  • What utilization management controls might you add to align the interests of ACO providers?

ACTi 6691

Financial/Managerial Accounting for International
Executive

Case

In this case a full set of budgets will be
prepared and presented in appropriate format. 
Reports will be prepared to explain how budget numbers were
determined.   The following are general requirements for this
budget case.  Specific requirements are
listed after the relevant case data. 

· 
Read the case and analyze the
information.

· 
Prepare an operating budget in
standard “income statement” format. 

· 
Prepare a narrative report (or
notes to the income statement) addressing why/how quantitative items were
selected.  The following items must be
explained:

1. 
Sales Forecast

2. 
Purchases budget (raw
materials, labor, all resources)

3. 
Operating Expenses 

· 
Prepare a cash budget using any
acceptable format.  The following items
must be explained or shown on the budget:

1. 
The process by which cash
inflows were projected.

2. 
The process by which cash
outflows were projected.

3. 
The process by which financing,
if applicable, was determined.

4. 
How interest and other
financing charges were calculated.

· 
Prepare a capital budget using
any acceptable format.

You will be graded on your understanding of
the underlying concepts related to determining budget amounts (for example, how
purchases are determined) as well as your ability to prepare and explain standard
business reports.  The rubric attached as
the last page of this document will be used to grade the case. 

 

Harvey’s Budget¹

Harvey Manufacturing manufactures and sells
two industrial products:  a
self-balancing screw driver and a self-balancing saw.  Both products are manufactured in a single
plant. 

Harvey’s general manager, Mr. Lipscomb, and
president, Mr. Owens, want a budget prepared for the fiscal year 2013.  They have asked various employees to gather
information that they believe will be necessary for preparation of a
budget.  The information is presented
below. 

Neither Mr. Lipscomb nor Mr. Owens is
skilled in budget preparation.  Both
executives have used budgets and have participated to some degree in budget
preparation in prior years, but neither has prepared a full budget. 

Sales and selling price per unit

Historical sales for 2012 the two products are
shown below. 

Harvey’s sales typically peak in the summer
months, beginning with May.  Harvey’s
general manager, Mr. Lipscomb, recommends that the budget be prepared with the
units sold in the high sales months of May, June, and July be used as the bases
for determining the annual forecast.  Mr.
Lipscomb’s recommendation is that annual sales be budgeted at 64,000 per month
for screwdrivers and 42,000 per month for saws. 

Mr. Lipscomb also believes that the
budgeted selling price per unit should be equal to the highest selling price
that could be achieved in 2012.  He would
like to budget 102 per unit for screwdrivers and 130 per unit for saws.  Mr. Lipscomb states that his management team
experimented with pricing in the prior year, beginning with the first month of
the year.

You review the unit sales and unit selling
price information for 2012 and recommend a budget based on 60,000 units of
screwdrivers at 100 each and 40,000 units of saws at 125 each.  Mr. Lipscomb challenges your conclusion.  Likewise Mr. Owens, the company president, would
like to hear an explanation of the budget numbers and how or why you calculated
those numbers. 

Production Requirements

Each unit produced requires the following
materials, labor, and overhead, all of which is variable. 

Inventories

Inventories are listed below.  The beginning inventories are the actual
amounts on hand at the beginning of the year. 
The ending inventories shown are the amounts that the operations manager
has determined to be necessary to ensure smooth production processes.

Other information

  Fixed
manufacturing overhead

Fixed
manufacturing overhead is 214,000, including 156,000 of non-cash expenditures.

Fixed
manufacturing overhead is allocated on total units produced.

Beginning cash
is 1,800,000.

Sales are on
credit.  Sales are collected 50 percent
in the current period and the remainder in the next period.  There are no bad debts. 

Sales for the
last quarter were 8,400,000. 

Purchases for
direct materials and labor costs are paid for in the quarter acquired.

Manufacturing
overhead expenses are paid in the quarter incurred. 

Selling and
administrative expenses are all fixed and are paid in the quarter incurred.

Estimated
selling and administrative expenses for the next period are 340,000 per
quarter, including 90,000 of depreciation. 

REQUIREMENTS:

1.  Prepare a sales budget in good form.

2.  Prepare a narrative report explaining how your
sales budget was determined.  Use the
table above in your analysis. 
(Hint:  Many companies would
develop their budgets using average sales and average unit costs.) 

Whatever budget
determination method you use should be explained.  In your explanation, you should include a
discussion of why you believe sales and selling prices fluctuated last year. 

3.  Prepare a production budget in units.

4.    Prepare a purchases budget. 
Remember that you will need to purchase enough materials to have the
required ending inventories shown.  You
will also need to purchase enough to manufacture and sell the products on your
sales forecast.  Do not forget that you
have beginning inventories. 

5.  Prepare a narrative report explaining how you
prepared the purchases budget.  Be as
detailed as necessary to be sure that the president and general manager will
understand the calculations and costs.

6.    Prepare a budgeted income statement. 

7.  Prepare a
contribution margin income statement.

8.  Prepare a narrative report explaining how the
expenses on the income statement were determined. 

9.  Prepare a cash
budget.  Be sure that you show all cash
inflows and outflows. 

10.  Prepare a narrative report explaining your cash
budget process.

11.  If necessary,
prepare a capital expenditure budget.  Explain your entries.  Use only the facts in this case to prepare
the budget. 

Summary:

Your finished  case will consist of six or seven budgets (a
sales budget, a production budget in units, a purchases budget, a budgeted
income statement, a contribution margin income statement, a cash budget, and,
if necessary, a capital expenditure budget.) 

You will also have four or five narrative
reports (a sales budget report, a purchases budget report, an income statement
report, a cash budget report, and an explanation of your capital budget, if
necessary).

Narrative reports are reports that are in
the form or a white paper that clearly explains the numeric entries on your
budgets.  The length of the narrative
reports will depend on the particular report. 
In general, you should be able to prepare the sales budget report on one
or two pages, the purchases budget report on one or two pages, the income statement
report on one page, and the cash budget report on one page.  In this case, the capital budget report would
be less than one page.  You should not
worry if one of your reports is more or less than the recommendation given
here—just be sure you cover all of the important points and satisfactorily
explain the numeric entries in your budget. 
Also, be sure you explain the process of “how” your numbers were
determined.  In this regard, it is not
necessary or desirable to explain the exact calculations.  Consider your audience and prepare a report
that would be suitable for executives making plans and decisions for the
upcoming year.   

¹Harvey’s budget is adapted from a published case.  (Source and citation are available upon
request to faculty only). 

MBAi 6691		Date Scored
Student:
Case Grading Rubric
Criteria for Case	Meets Expectations	Partially Meets Expectations	Fails to Meet Expectations	Comments/Score
Content Analysis (worth 40% of the case grade)	Analysis addresses all aspects of case in sufficient depth.	Analysis addresses most aspects of case in sufficient depth.	Analysis does not address most aspects of case and/or fails to do so in sufficient depth.
Content Solution (worth 40% of the case grade)	Described solution demonstrates an understanding and correct use of problem solving skills	Described solution demonstrates a sufficient level of problem solving abilities but fails to address correctly as aspects of the case.	Described solution does not demonstrate an acceptable level of problem solving abilities and the ability to use case information correctly.
Presentation Style (worth 20% of the case grade)	No significant errors in presentation style, consistent with case requirements and consistent with business standards	Errors in presentation style, compliance with case requirements, and normal business standards	The presentation was limited, demonstrated a minimal effort to meet case requirements and present your solution in an acceptable business style.
Late Submission – 10% per day regardless of the reason for the late submission.
Total Points

1.To achieve an “S”, spelling, grammar, and organization must be good.  In addition, the content of the paper should follow these guidelines.

a.The paper must be at least 3 complete, double-spaced pages and stapled at the top.  A cover sheet should be attached that includes reaction paper title, your name, name of course, and time of course.  Pages of the paper should be numbered.

b.The first page should review the Yes side of the issue as presented by the author from the PDF I  sent you.  The second page should review the No side as presented by the other author issue as presented by the author from.  The third page (and fourth if you choose) is your response to the topic–”Yes” or “No”–including how your response was influenced by the two authors’ arguments. 

Please you do not need to use outside of soures , only one soures that I uploaded here for yes and no side 

This is the topic Are Today’s Youth More Self-Centered Than Previous Generations?

***Read all instructions first, please understand it then accept it***

I need to write a research paper on a healthcare IT, HIM or health information and Cancer. Below is all the details for the Research paper. I need Part 1 & 2 tomorrow but the rest can be done in two weeks and I will increase the time limit.

Topics that I like:

-How HIM affects Cancer treatment (needs to be specific HIM not broad)

-Improving Cancer screening, treatment, and management through technology( need to be specific topic not broad)

-New technologies (Search one) and Cancer treatment (specific not broad)

you can also suggest a topic that you like along the same lines of technology and Cancer

Research Project

GENERAL ASSIGNMENT DETAILS: All work must be presented in APA-format, using Microsoft Word software, Times New Roman font, 12-point size, double-spaced. In-text and reference page citations must be complete, APA-formatted, and represent only credible sources. Need help? https://owl.english.purdue.edu/owl/resource/560/01/

Part 1:

• Title
• Research Question/Hypothesis

Assignment details:

Title: Choose a health care IT-related topic, preferably something that interests you and is connected in some way to your job – or the job you would like to have. Once you have determined an appropriate topic, write the title of your primary research proposal. A good title will provide the reader a window into the topic you will be investigating.

Research Question/Hypothesis: Write the primary question you are seeking to investigate; about what you want to find the truth over opinions and perceptions.

For example, some patients will complain about how long they must wait in the waiting room before they can be seen by a health care professional. Is this a legitimate complaint or just a vocal few who feel they have waited too long?You might then want to research the actual wait times experienced by all patients [ie. A statistically significant number of all patients], to determine the facts about patient wait times at your facility.

Part 2:

Introduction

• Topic area
• Research question
• Significance

Assignment details:

Based on your work from week 1 [improved by using any feedback received] continue to elaborate on your proposed research study.

Topic Area: Begin by stating the type of facility in which, or about which, the research will focus [for example: hospital, physicians’ office, urgent care center, etc.]

Then, follow with a strong introduction that will share a brief overview that will inform the reader about the specific topic on which the research will focus. This section should also include a brief explanation of why the results are expected to be relevant to the facility, and its ability to be effective and efficient.

Research Question: Once the topic area is established, repeat and elaborate on what you wrote about your research question in week one’s assignment [improved by implementing any feedback, as necessary]. What specific issue or question will your work investigate? What can be learned from this research project?

Significance: Why is this study, and its statistically significant results, important to this facility and its ability to provide quality health care services? Explain why it will be beneficial to answer this question with facts. What are the implications of completing this study? How might these facts [statistically significant results] affect the policies and procedures of this facility? This section should also include why the reader should find value in the completion of the project.

Estimated length: two-to-three pages

Part 3:

Literature review: State of current industry knowledge

• Previous research: as currently available in peer-reviewed journals, government reports, accreditation agency research, etc.
• Identify what specifics have been confirmed or denied by these previous studies, as they relate to your topic for this study
• Assess what in the current industry (last 3-5 years), including laws and regulations, have changed since these previous studies were completed
• Evaluate what updates or new components could possibly be addressed (unresolved or remaining questions) by your proposed research study

Assignment details:

The purpose of the literature review is to position your proposed research in the context of what is already known in the industry about this topic. This review does not need to be exhaustive, however it must be recent (within the last 3-5 years), so you can illustrate how this proposed study will benefit the whole; the facility, the sub-sector of the industry, and the health care system overall. It should provide the theoretical basis for your work, show what has been done in the area by others, and set the stage for your work.

In this literature review, you should give the reader a sufficient number of connections to existing, legitimate literature so that the reader can have confidence that you have found, read, and assimilated the current literature in the field. It is recommended that you include a paragraph that summarizes each article’s contribution to this topic area, along with your interpretation of the relevance to your study.

Unresolved or remaining questions: This is where you present the missing or outdated points in the knowledge that need to be plugged, and by doing so, establish the benefits of your proposed study’s results. This is the section of this proposal where you can establish that this study fits in and can potentially provide significance to the industry.

NOTE: Legitimate literature must be determined to be a valid credible source, including but not limited to websites from the US federal government [,gov], higher educational institutions [.edu], certain industry related non-profit organizations [.org]. Be cautious about using commercial websites [.com] and do not accept information without establishing the credibility of the author(s). Healthcare websites from systems and facilities in another country should be used very cautiously because they do not have the same health care systems nor the same laws and regulations governing these services. For example: .ca = Canada; .uk = United Kingdom, .au = Australia.

Estimated length: three-to-five pages plus References page, as per APA formatting. A minimum of three (3) legitimate sources cited.

Part 4:

Methodology

• Approach
• Data collection
• Data Analysis techniques
• Plan for interpreting results

Assignment details:

Approach: This section should clearly explain whether your study will be conducted qualitatively or quantitatively using what type of contact with participants, including the specific criteria that will make a participant eligible and then how you will recruit these eligible participants (e.g. online, in person, at a specific facility, etc.).

Data Collection: This might include the physical location description, the type of instrument (interview, survey questionnaire) you will use to collect relevant data. Be certain to address any obstacles to collecting data, such as patient consent or corporate approvals.

Statistical Analysis: Once you have collected the required statistically significant number of responses, you will need to organize and assess the results to determine the conclusions that can be drawn. Methods of analysis may include frequency analysis or chi square test while tools of analysis may include software programs such as SPSS or Excel.

Interpretation: Once the data collected has been analyzed, this portion of your proposal should indicate how the anticipated outcomes will be interpreted to answer the research question. It is extremely beneficial to anticipate the range of outcomes from your analysis, and to explain their meaning. For example, the term “majority” is not sufficient, you must include the level of majority that will make this determination significant, such as ± 0.05 or >25 or 57%.

Estimated length: three-to-five pages.

Part 5:

• Expected results
• Possible Action Plans

Assignment details:

Expected Results: This section should provide an overview of what you expect the results to prove. It should join the data analysis and possible outcomes to the theory and questions that you have raised. It will be a good place to summarize the significance of the work.

Possible Action Plans: Once you have the results, theorize on how you might put this new knowledge into action to improve the facility’s service. For example, if you look at the example shared in the Week 1 assignment details investigating patient wait times, here, in this section, you might theorize action plans for both potential determinations: a) if the results show patients are waiting longer than other facilities of the same category [according to benchmarking analysis], we might look to make the admission process more efficient by providing patients with forms to complete, via email or patient portal, so they can arrive with these forms completed; improving triage protocols, or have staff check third-party payer eligibility and verification at least 24 hours prior to the appointment; or b) if the results show patients are not waiting an unreasonable length of time, we will construct a response for staff members to courteously respond to a complaint or developing ways to change the perception of time [ie. Television, fee WiFi, etc.].

Estimated length: two-to-three pages.

Part 6:

• Research Study Budget
• References

Assignment details:

Research Study Budget: Your budget needs to itemize and estimate the costs for conducting and completing this study.

Be specific about each of the elements for which you will need money: staff hours/overtime, cost of special software, a statistician or other consultant, other supplies, transportation, etc.

Use employment sites, such as Indeed, to identify salary or hourly rates for staff members to work on the project. You can Google to find general rates for consultants, as well. Remember, even free sources, such as government or internal facility databases take time, which means you will need to pay someone to pull the data, organize, etc.

References: Collate all of your references into one cohesive reference list. Double-check for complete citations, using APA formatting. Need help- Purdue Owl APA: https://owl.english.purdue.edu/owl/resource/560/01/

Part 7:

COMPLETE PROPOSAL

Put all of the sections of your Proposal – improved by incorporating feedback,Proof it. Run Microsoft’s Spelling and Grammar check. Read it through one more time.