What are the major differences between inpatient and outpatient hospital services? Describe and provide examples of how these differences affect the coding process.

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Resource: Medical Insurance

Refer to Ch. 17 of Medical Insurance.

Post a 260- to 350-word response to the following:

What are the major differences between inpatient and outpatient hospital services? Describe and provide examples of how these differences affect the coding process.

Describe three (3) important points you want to discuss with the couple, and provide a one-paragraph justification explaining why you think it is important for them to understand these points.

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You are in the role of a fertility counselor providing information to a couple on the procedure of in vitro fertilization. Describe three (3) important points you want to discuss with the couple, and provide a one-paragraph justification explaining why you think it is important for them to understand these points. Cite any sources you use in an APA-formatted bibliography.

•    What was the name and introduction process of the original policy?

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Option #1: Analyzing a National or Global Healthcare Policy

 

For the wrap-up of this course, it’s time to weave together the knowledge that you have gained; the goal of this project is to integrate the previous Critical Thinking assignments into an interconnected exploration of a specific healthcare policy.

 

For the Portfolio Project, you will complete a two-part assignment (further explained below).   Create the documents in the vein of a presentation that you might share with a community group that is having a policy explained for the first time; pretend that the group has no knowledge of what happens behind the scenes to create and implement a healthcare policy.  You will not actually be required to present this to a group, but prepare the project so that it would be acceptable for an audience of that nature.

 

The two documents are as follows:

 

·       A mind map (via the Text 2 Mind Map site) depicting the essential points and sub-points of your topic. Think of the mind map as a visual outline that addresses the questions listed below.

 

·       A narrative explanation that covers the rationale, research, and processes involved in creating this healthcare policy. The narrative essay should serve as the commentary to accompany the mind map if it were being presented to the group mentioned above; it should be 4-5 pages in length.

 

Reference the content here and all previous assignments before making your selection below.

Instructions:

 

In this Portfolio Project, you will analyze a national and global healthcare policy.  Select a specific federal healthcare policy (other than the Affordable Care Act) to review. Provide information related to the following points:

 

•    What was the name and introduction process of the original policy?

 

•    What research was conducted and/or analyzed to determine the need for the policy?

 

 

•    How was the policy promoted or lobbied against at the federal level?

 

•    What is the impact, or intended impact, of the policy? Consider the viewpoints of multiple stakeholders, and include financial impact.

 

 

•    How does this policy affect other healthcare policies?

 

•    Explain any moral or ethical implications of this policy.

 

 

•    Are any other countries currently working toward a similar policy or has another country successfully passed a similar policy?  Is the process similar or different?

 

Adhere to the following standards:

 

•    The narrative should be 4-5 pages in length, not including the title or references pages.

•    Review the grading rubric, which can be accessed from the Week 8 Folder.

 

•    Be sure to follow the CSU-Global Guide to Writing and APA Requirements.

 

 

•    Support your interpretation with evidence from at least four peer-reviewed journal articles, other than the article provided here. It’s helpful to search for articles from the CSU-Global Library.

 

•    When you complete the Mind Map, you will be given a web address specifically created for the map. Type this web address at the top of the first page of your narrative, and then submit. Note that you will be given a web address, as well as a view-only web address. The first address, which is not view-only, is the one that should be submitted.

 

Discuss cultural beliefs and influences relative to the health issue.

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  1. Discuss cultural beliefs and influences relative to the health issue.
  2. Differentiate any religious/spiritual beliefs and values relative to the issue.
  3. Appraise how religious/spiritual beliefs and values have influenced progress in addressing the issue–either negatively or positively.
  4. Compare differences in ideologies related to the issue across political party lines, geographic regions, and countries of the world.

An abstract not required.

What other methods have been used to complement or supplement the use of this method?.

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Healthcare 2 pages/550 words 2 sources due 24 hours

In a Word document, (500 – 800 words) submit a Report style regarding a method used in health informatics evaluation. Select one of the below topics (regarding a method used in health informatics evaluation.): 1.User satisfaction surveys. 2.Culture surveys. 3.Analysis of clinical indicators (eg. medication error rates, test ordering patterns, patient outcomes). 4.Qualitative interviews. 5.Quantitative work measurement (time and motion studies, work sampling). 6.Qualitative observation of work. 7.Measurement of communication patterns. 8.Video ethnography. 9.Action research. 10.Log analysis. 11.Usability metrics. Question: In a Word document, (500 – 800 words) submit a Report style regarding a method used in health informatics evaluation. Select one of the below topics (regarding a method used in health informatics evaluation.): 1.User satisfaction surveys. 2.Culture surveys. 3.Analysis of clinical indicators (eg. medication error rates, test ordering patterns, patient outcomes). 4.Qualitative interviews. 5.Quantitative work measurement (time and motion studies, work sampling). 6.Qualitative observation of work. 7.Measurement of communication patterns. 8.Video ethnography. 9.Action research. 10.Log analysis. 11.Usability metrics. You report should cover the following points: �Briefly define and describe the selected evaluation method. �What types of health informatics interventions has this method been used to measure?. �What is the purpose of using this method to evaluate health informatics interventions? (ie. what does this method measure?). �What study designs were utilized? (eg. Controlled trial, before and after). �How is the data obtained?. �How is the data analyzed?. �What resources are required to carry out this method (people, equipment, etc)?. �What have been some key findings from studies which have used this method to evaluate health informatics interventions?. �What are the advantages and disadvantages of including this method in a program to evaluate a health informatics intervention?. �What other methods have been used to complement or supplement the use of this method?.

What are your grounds for concluding this? Summarize what these scorecard indicators say about this organization in comparison with its peer organizations (e.g., the Custom Compare Group).

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  • Based on this scorecard, which areas of the organization seem to be doing well, and which ones are most in need of improvement? What are your grounds for concluding this? Summarize what these scorecard indicators say about this organization in comparison with its peer organizations (e.g., the Custom Compare Group).
  • Consider the selection of metrics for this scorecard. Do you think this scorecard will provide managers and administrators with a balanced view of the organization’s performance? Explain why or why not. Suggest adding and/or deleting any metrics and provide a rationale for doing so.
  • Review the scenario and consider these details in connection with the scorecard data. Propose a significant, yet plausible strategic goal for this organization. Then identify 2–3 metrics the organization should focus on to help them meet this goal. Are these metrics in the scorecard already? If so, which ones are they? If not, which metrics would you add to the scorecard to help leadership monitor this strategic goal?

How do culture and climate differ? Why is it important for you, as a master’s-prepared nurse leader, to be cognizant of these matters?

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Organizational Foundations

As you strive to grow in your leadership skills and abilities, you will find that the context in which you work influences your motivation and areas of focus. In a similar vein, your commitment to developing professionally can contribute toward organizational effectiveness.

To that end, it is critical to recognize the importance of organizational culture and climate. In particular, through this week’s Learning Resources, you may consider several questions: How do an organization’s mission, vision, and values relate to its culture? What is the difference between culture and climate? Moreover, how are culture and climate manifested within the organization?

For this Discussion, you explore the culture and climate of your current organization or one with which you are familiar. You also consider decisions and day-to-day practices and the way they relate to the organization’s mission, vision, and values.

To prepare:

  • Review the information related to planning and decision making in health care organizations presented in the textbook, Leadership Roles and Management Functions in Nursing: Theory and Application. Consider how planning and decision making relate to an organization’s mission, vision, and values, as well as its culture and its climate.
  • Familiarize yourself with the mission, vision, and values of your organization or one with which you are familiar. Consider how the statements and actions of leaders and others within the organization support or demonstrate the organizational mission, vision, and values. In addition, note any apparent discrepancies between word and deed. Think about how this translates into expectations for direct service providers. Note any data or artifacts that seem to indicate whether behaviors within the organization are congruent with its mission, vision, and values.
  • Begin to examine and reflect on the culture and climate of the organization. How do culture and climate differ?
  • Why is it important for you, as a master’s-prepared nurse leader, to be cognizant of these matters?

Post  (1) a description of your selected organization’s mission, vision, and values. (2) Describe relevant data, or artifacts, words, and actions of leaders and others in the organization that support, or perhaps appear to contradict the organization’s mission, vision, and values statement. (3) In addition, discuss the organization’s culture and its climate, differentiating between the two. (4) Explain why examining these matters is significant to your role as a nurse leader

Consider a recent clinical experience in which you were providing care for a patient.

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In your practice as a nurse, you may use procedures and methods that did not necessarily originate in evidence, but instead were derived from informal and unwritten conventions, traditions, and observations. While these techniques may have merit, practices are constantly being updated and contradicted by information from scholarly research studies and professional guidelines. This new information serves as “evidence” for revising practices to improve outcomes across health care.

 

Based on this evidence, you can formulate a question. In this Discussion, you consider the use of evidence-based practice in your own organization and formulate a question that you will need to answer for your portfolio project. This is called a PICOT question. You will also investigate strategies for overcoming barriers to implementing evidence-based practice (EBP).

 

To prepare:

 

  • Consider a recent clinical experience in which you were providing care for a patient.
  • Determine the extent to which the care that you provided was based on evidence and research findings or supported only by your organization’s standard procedures. How do you know if the tasks were based on research?
  • What questions have you thought about in a particular area of care such as a  procedure or policy?
  • Review Chapter 2, pages 36—39 on “Asking Well worded Clinical Questions” in Polit & Beck and consult the resource from the Walden Student Center for Success: Clinical Question Anatomy & examples of PICOT questions (found in this week’s Learning Resources). Formulate your background questions and PICOT question.
  • Reflect on the barriers that might inhibit the implementation of evidence-based practice in your clinical environment.
  • Review the article “Adopting Evidence-Based Practice in Clinical Decision Making” in this week’s Learning Resources. Select one of the barriers described that is evident in your organization and formulate a plan for overcoming this barrier.

 

Post on or before Day 3:

 

  • (1)  an evaluation of the use, or lack thereof, of EBP in a recent clinical experience.
  • (2) Identify which aspects of the care delivered, if any, were based on evidence and provide your rationale.
  • (3) List your background questions and PICOT question about this nursing topic.
  • (4) Critique how the policies, procedures, and culture in your organization may hinder or support the adoption of evidence-based practices.
  • (5) Identify the barrier you selected from the article and explain how this barrier could be overcome within your organization

 

REQUIRED RESOURCES

 

 

2.Describe how the technologies work to provide patients and providers with data necessary for health care decision making.

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AMP-450V Module 5 Connected Health and the Digital Age of Medicine

Leadership and Vocation – Data-Driven Decision Making: Incorporating the Evidence

Grand Canyon University

 

 

Explore the technology systems offered by Nanthealth, a provider of “telehealth” and health management services via the following link:

http://nanthealth.com/

Prepare a brief (8-10 slides) PowerPoint presentation in which you do the following:

1.Identify at least two technology innovations to connect patients, providers, and insurers across the care continuum.
2.Describe how the technologies work to provide patients and providers with data necessary for health care decision making.
3.Discuss how the real-time data encourages outcome-focused planning.
4.Predict what impact the technology will have on future health care delivery. Provide rationale and examples.

Presentations must include speakers’ notes on each slide, as well as references for the presentation. A minimum of three academic references from credible sources are required for this assignment. The slide count (8-10 slides) does not include the introduction and References slide(s).

 

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.