) Describe a technique or tip you learned through your initial experience with Microsoft Project that might be useful to your colleagues.

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Microsoft Project Proficiency

 

In Week 2, you began creating a project plan in Microsoft Project. By now, you should have an idea about your level of comfort in using this software. You have most likely discovered some helpful techniques and may also have an idea of areas in which you could use help. Both your newfound skills and your areas of concern are valuable insights that could assist your colleagues.

 

In this Discussion, you assess your first experiences using Microsoft Project and exchange tips with your colleagues.

 

To prepare:

 

  • Think about your initial comfort level in using Microsoft Project. What difficulties did you have? How were you able to move past them?
  • Consider new techniques or skills you have developed through your initial use of Microsoft Project.
  • Consider which of these skills or techniques might be useful to your colleagues.
  • Reflect on any areas of Microsoft Project in which you could use help.

 

 words in APA format. Cite at least 2 references and include the level 1 headings as numbered below:

 

1) An assessment of your level of comfort in using Microsoft Project.

 

2) Describe a technique or tip you learned through your initial experience with Microsoft Project that might be useful to your colleagues.

 

3) Specify an area in which you could use help

 

 

 

Required Readings

 

 

 

Biafore, B. (2010). Microsoft Project 2010: The missing manual. Sebastopol, CA: O’Reilly.

 

  • Chapter 2, “Planning a Project” (pp. 39–57)

 

This chapter supplies a brief introduction on project planning. The chapter describes the contents of a project plan along with the process of creating relevant documents.

 

 

 

Coplan, S., & Masuda, D. (2011). Project management for healthcare information technology. New York, NY: McGraw-Hill.

 

  • Chapter 5, “Change Management” (pp. 193–237)

 

In this chapter, the authors review change management knowledge areas. The authors describe a variety of analysis methods applicable to change management processes and outputs.

 

Project Management Institute. (2013). A guide to the project management body of knowledge (PMBOK guide) (5th ed.). Newtown Square, PA: Author.

 

  • Chapter 3, “Project Management Processes” (pp. 47–61)

 

This chapter supplies information on managing a project that uses networked processes. The chapter describes project management processes related to each phase of a project.

 

 

 

Campbell, R. J. (2008). Change management in health care. The Health Care Manager, 27(1), 23–39. 

 

Retrieved from the Walden Library databases.

 

In this article, the author highlights the work of two leaders in the field of change management. The author demonstrates how the work of these leaders can be applied to health care organizations.

 

 

 

Merrell, P. (2012). Effective change management: The simple truth. Management Services, 56(2), 20–23. 

 

Retrieved from the Walden Library databases.

 

In this article, the author provides six steps for effective change management. The author also supplies supplementary information on the importance of learning activities, measuring success, and managing change management strategies.

 

 

 

Required Media

 

Laureate Education (Producer). (2013a). Establishing a team [Video file]. Retrieved from https://class.waldenu.edu

 

 

 

Note: The approximate length of this media piece is 8 minutes.

 

In this video, Dr. Mimi Hassett discusses important considerations when assembling a project team, such as who to include and whom to consult. She talks about how project size, goals, and timelines can impact those decisions, and she also offers examples of how to keep enthusiasm for a project moving forward as the challenges toward completion arise.

 

 

 

 

 

Schifalacqua, M., Costello, C., & Denman, W. (2009). Roadmap for planned change, part 1: Change leadership and project management. Nurse Leader, 7(2), 26–29. 

 

Retrieved from the Walden Library databases.

 

In this article, the authors explore the essential elements of change theory and project management. The article details many tools and concepts that assist in managing and planning change at various scales.

 

 

 

 

 

Microsoft Corporation. (2012). Getting started: Introduction to project management. Retrieved from http://office.microsoft.com/en-us/project-help/getting-started-introduction-to-project-management-HA010359477.aspx?CTT=3

 

Review this web page, which provides an overview of basic project management concepts. It also provides links to other pages which demonstrate how to apply the aforementioned concepts in Microsoft Project 2010.

 

Explain how flow  sheets are used in Obstetric offices and chronic disease management.

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Unit V Essay

Data Entry Using Flow Sheets

 

After reading the required chapters on Data Entry Using Flow Sheets and Anatomical Drawings and Using the EHR to Improve Patient Health, complete and submit the following in an APA formatted scholarly essay:

 

· Begin your essay with an introduction explaining the purpose of the essay.

· In no more than two paragraphs, describe the purpose of flow sheets in a medical environment. Explain how flow  sheets are used in Obstetric offices and chronic disease management.

· In no more than one paragraphs, describe the purpose of a problem- oriented flow sheet. Explain the difference between a Form- based flow sheet and a problem – oriented flow sheet.

· In no more than one paragraph describe how to develop a flow sheet from a form.

· Important reminder, do not forget to include a reference page, including all sources cited in your essay. The essay requires a minimum 500 word response.

· Submit before the assignment deadline. Be sure to support your work with specific citations from this week’s required reading and any additional resources. Format your Research Paper using APA style. Use your own words, and include citations and references as needed to  avoid plagiarism.

Information about accessing the Blackboard Grading Rubric for this assignment is provided below.

Reference:

Gartee, R. (2011). Electronic health records: Understanding and using computerized          medical records (2 nd ed.). Upper Saddle River, NJ: Pearson Education.

 

Chapter 8&9

 

 

 

 

 

 

 

Unit V Essay

Data Entry Using Flow Sheets

 

 

HIPAA demands that all patients are able to retrieve their medical records, amend inaccuracies or exclusions, and be informed on how their PHI is shared with third parties. HIPAA provisions that has led to a widespread overhauling in electronic medical records. HIPAA Laws and Regulations are

divided into five Rules :

 

1. Privacy Rule

2. Security Rule

3. Transactions Rule

4. Identifiers Rule

5. Enforcement Rule

6. HITECH

 

Act After reading the required chapter on Privacy and Security of Health Records complete and submit the following in an APA formatted scholarly essay:

 

· Begin your essay with an introduction explaining the purpose of the essay.

· In no more than three paragraphs explain the five Rules of HIPAA Laws

and Regulations.

· In no more than one paragraph, describe the proper protocol for handling the following scenario under the HIPAA guidelines.

 

Scenario:

A clinician enters orders and requests labs in an electronic patient record, and then leaves the computer without logging off properly. You are working in the area and notice that the computer is on, but you assume someone is coming back in a minute. Meanwhile, a patient wandering the hallway notices that the computer is on and reviews her friend’s patient record. Who is responsible for

the patient’s lost privacy? What corrective measures should be taken to ensure the breach of PHI does not happen again.

· Important reminder , do not forget to include a reference page, including all sources cited in your essay. The essay requires a minimum 500 word response.

· Submit before the assignment deadline. Be sure to support your work with specific citations from this week’s required reading and any additional resources. Format your Research Paper using APA style.  Use your own words, and include citations and references as needed to  avoid plagiarism.

Information about accessing the Blackboard Grading Rubric for this assignment is provided below

 

 

Reference:

Gartee, R. (2011). Electronic health records: Understanding and using computerized          medical records (2 nd ed.). Upper Saddle River, NJ: Pearson Education.

 

Chapter 10

Why are coding standards important for promoting consistent, high-quality care?

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Discussion: Standardized Coding Systems

As a result of the fragmented nature of the health care system, professionals in various specialty areas of medicine have developed their own unique sets of terminology to communicate within that specialty. In the past, limited attention has been given to codifying practices in order for them to be understood and utilized across disciplines or through different information technology systems. The implementation of a federally mandated electronic medical records system, therefore, poses a challenge to nursing professionals and others who must be prepared to utilize standardized codes for the new system. Why are coding standards important for promoting consistent, high-quality care?

According to Rutherford (2008, para. 15), “Improved communication with other nurses, health care professionals, and administrators of the institution in which nurses work is a key benefit of using a standardized nursing language.” In this Discussion you consider the reasoning behind and the value of standardized codification.

To prepare

  • Review the information in Nursing Informatics: Scope and Standards of Practice. Determine which set of terminologies are appropriate for your specialty or area of expertise.
  • Reflect on the importance of continuity in terminology and coding systems.
  • In the article, “Standardized Nursing Language: What Does It Mean for Nursing Practice?” the author recounts a visit to a local hospital to view its implementation of a new coding system. One of the nurses commented to her, “We document our care using standardized nursing languages but we don’t fully understand why we do” (Rutherford, 2008, para. 1). Consider how you would inform this nurse (and others like her) of the importance of standardized nursing terminologies.
  • Reflect on the value of using a standard language in nursing practice. Consider if standardization can be limited to a specialty area or if one standard language is needed across all nursing practice. Then, identify examples of standardization in your own specialty or area of expertise. Conduct additional research using the Walden Library that supports your thoughts on standardization of nursing terminology.
By Day 3

Post an explanation of why nurses need to document care using standardized nursing languages and whether this standardization can be limited to specialty areas or if it should be across all nursing practice. Support your response using specific examples from your own specialty or area of expertise and using at least one additional resource from the Walden Library.

ow do policymakers evaluate which health care services should be financed through government programs?

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Discussion: Financing of Health Care

With coinciding concerns about health care costs and the imperative to improve quality of care, health care providers and others face difficult decisions in the effort to achieve an appropriate balance. Such decisions often are addressed in the policy arena. How do policymakers evaluate which health care services should be financed through government programs? How do ethics-related questions and other considerations play into this evaluation process? Is it possible to contain costs and provide accessible, high-quality care to all, or is the tension between cost and care inherent in the U.S. health care delivery system? These questions are central to health care financing decisions in the United States.

For this Discussion, you will focus on the policy decision-making process that determines what types of care are covered by public and private insurers and the ethical aspects of such financial decisions.

To prepare:

  • Read the following case study, “Hard Economic and Finance Choices in US Healthcare” (Milstead):
    • Case Study 1: Hard Economic and Finance Choices in US Healthcare

      Applied economics is all about managing scarce resources. Economics is an amoral field of study: it is neither moral nor immoral. Morality and values are determined by individuals at the personal level and by group consensus or majority opinion at the national level. State and federal governments determine the ‘will of the people’ about how to use scarce resources for the good of a nation.

      The U.S. health care system is an exemplar of scarcity: primary care physicians, substance abuse treatment centers, trauma centers, registered nurses, and the money to pay for goods and services. Finance is all about how to pay for goods and services. The Medicare Payment Advisory Commission (MedPAC) is appointed by the Executive branch of the federal government to make decisions about what the Medicare program will and will not pay for. In this role, MedPAC makes decisions about medications, procedures and treatments. Examples of MedPAC decisions include coverage for left ventricular assistive devices as a destination therapy, coverage for bariatric surgery, and in 2010, coverage of the drug Provenge™. By law, MedPAC is not allowed to use price or cost of any treatment in its decision-making processes.

  • Review the information in the Washington Post article “Review of Prostate Cancer Drugs Provenge Renews Medical Cost-Benefit Debate” in the Learning Resources.
  • Consider how policy decisions currently are made about what will and will not be paid for and what changes, if any, could improve the process.
  • Reflect on how the Washington Post example illustrates the tension between cost and care.
By Day 3

Post your analysis and assessment of the ethical and economic challenges related to policy decisions such as those presented in the Washington Post article. How does this type of situation contribute to the tension between cost and care? Substantiate your response with at least two outside resources.

 In what ways have private practice physicians responded to the expansion of hospital, health plans’ and other organization-sponsored ambulatory services?

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Discussion Board Assignment

 

Chapter 5 – Ambulatory Care in Edition 8

 

Assigned Readings:  Chapter 5

 

Answer the following questions:

 

 

1.       Identify the major factors that have resulted in the shift in utilization from inpatient hospitalization to ambulatory care services. Describe the implications of this shift for hospitals, consumers, and the health care delivery system as a whole.

2.       In what ways have private practice physicians responded to the expansion of hospital, health plans’ and other organization-sponsored ambulatory services?  What are the implications of those responses for the patient, for the consumer, and for the health care industry as a whole?

3.       Hospital emergency departments continue to be used as an ever more important source of primary medical care by large numbers of the community’s medically underserved population. What are the implications of this practice for the patients, and on health care costs and quality of care? What would you propose as a means to change this situation?

4.        Almost two-thirds of all surgical procedures are now performed in ambulatory surgery facilities. Discuss the reasons for this shift of surgery from the inpatient setting and its effect on hospitals and consumers.

5.       Some people support the role of public health departments in providing preventive and treatment services as necessary to fill gaps in the system for the medically needy. Others believe these services are more efficiently and effectively provided through private organizations. What is your position on this issue and why?

Determine a plan for lifelong learning and educational development anticipated within the first year and at five years

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Please follow the APA format and the requirements listed below as it is a most for this professor.

 

REQUIREMENTS

In this assignment, the student will be producing a 4‐5 page essay that includes the following components:

•        Transition into the Professional Nursing Role: Identify actions to be considered in the transition from student to BSN graduate nurse including:

o   Identify the state in which the student is seeking employment.

o   Detail a minimum of three (3) criteria set forth by the Board of Nursing for obtaining an RN license in that state.

o   Conduct a new BSN graduate job search in a 30 mile radius of where the student lives or plans to relocate.

§   Provide the details of what is required to submit an application for hire for the top two choices of employment.

•        Holistic Life Balance: Provide a description of the ways in which the student intends to maintain holistic balance in their personal life as well as in the role of professional nurse within the first year and at five years.

•        Stressors and Challenges: Identify known stressors and anticipated challenges as well as plans for managing each of them within the first year and at five years.

•        Lifelong Learning: Determine a plan for lifelong learning and educational development anticipated within the first year and at five years.

o   This plan can include, but is not limited to, specialty certification, advanced nursing education, and the pursuit of formal education outside of the nursing discipline.

•        Professional Contributions: Summarize plans for contributing to at least one professional nursing community as well as the student’s general community in the healthcare professional role within the first year and at five years

•        Scholarly Resources:

o   A minimum of three (3) peer‐reviewed scholarly sources are required in support of this assignment.

o   A minimum of one (1) professional nursing organization website or Board of Nursing website is required in support of this assignment

 

PREPARING THE ASSIGNMENT

•        Maximum of 4‐5 pages including the title page and the reference page.

•        Students may find the following list of resources helpful in completing the assignment:

o   American Nurses Credentialing Center at http://www.nursecredentialing.org/certification.aspx

o   Board of Nursing Contact at https://www.ncsbn.org/contact‐bon.htm

o   Holistic Nursing at http://www.ahna.org/About‐Us/What‐is‐Holistic‐Nursing

o   National Council of State Boards of Nursing at https://www.ncsbn.org/index.htm

o   Nursing Community at http://www.thenursingcommunity.org/

o   Robert Wood Johnson Foundation at http://www.rwjf.org/

o   Sigma Theta Tau International at http://www.nursingsociety.org

 

•        The sources cited both in text and on the reference page for this assignment will be formatted according APA 6th edition guidelines.

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. What challenges do you anticipate your patient may have related to payment for services?

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Continuum and Coordination of Health Care Presentation

As a graduate student and health care administrator, you must be able to research a critical issue or situation and present your findings in a compelling manner. For this Assignment, as well as this module’s Discussion, you will examine the continuum of care a patient may need and research the services available in your area to support the patient.

Note: During the Module 3 Discussion, you will share some of the information for this Assignment with your colleagues.

To develop the content for your presentation, record detailed notes as you complete the following steps.

  • Review the information about the continuum and coordination of health services presented in the Learning Resources, including the HIMSS resource, Continuum of Care, and the tables in Chapter 1 of the course text.
  • Develop a brief description of a hypothetical adult patient who has a serious health problem or injury. Imagine this patient lives in your local area. If you are an international student, you may choose a geographic area in the United States or use your own location.
  • Use the pertinent information in Chapters 7, 8, 9, and/or 10 of the Shi & Singh textbook and conduct additional research of your own to analyze specific services your hypothetical patient might need, beginning with the onset or diagnosis of an illness or injury and concluding with an end-point of your choosing (i.e., recovery, symptom management, end of life). Also research the types of organizations that provide those services.
  • Investigate the health care organizations in your local area. Based on the services your hypothetical patient needs, select four or five actual settings in which he/she would receive care.
  • Next, gather information related to the types of insurance from which each organization accepts payment. Typically, this would include Medicare, Medicaid, and various types of insurance programs. What challenges do you anticipate your patient may have related to payment for services?
  • Review the Institute for Healthcare Improvement (2014) resource and consider what it means for health care to be safe, effective, patient-centered, timely, efficient, and equitable. Analyze how the scenario you have created—with your hypothetical patient receiving services from actual settings in your geographic area—illustrates positive or negative attributes related to two or more of the six Institute of Medicine aims.
  • Next, prepare to create your presentation using PowerPoint. Examine the Presentation Guidelines and Tips and the Module 3 Assignment Template, both found in this module’s Learning Resources.

The Assignment

Download and save the Module 3 Assignment Template, found in this module’s Learning Resources. Use the template to create a succinct and engaging PowerPoint presentation. Include the following:

  • Title slide
  • Introduction slide
  • 7–9 slides* in which you:
    • Introduce the patient, health problem/injury, and geographic area.
    • Describe the continuum of care, including specific services from four or five actual settings in your local area.
    • Describe a potential challenge related to payment for services this patient may encounter.
    • Explain how this example illustrates positive or negative attributes related to two or more of the six Institute of Medicine (IOM) aims.
  • Sources slide*
    • List all resources (a minimum of 4) used to develop your presentation.

*Apply the design principles included in Presentation Guidelines and Tips to develop a professional presentation.

  • On your content slides, use a combination of text, photos, graphs, maps, links to websites, color contrasts, and/or other visual elements to convey the information.
  • Create presenter notes of a few sentences to accompany each slide in a way that supports (rather than duplicates) the information presented visually.

Your presentation must be written in standard edited English. Be sure to support your work with specific citations from this module’s Learning Resources and additional scholarly sources as appropriate. See the rubric in the Course Information area for additional requirements related to research and scholarly writing/presentation.

 

Does the policy increase the safety or quality of the provision of heath care?

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Topic: Policy Summary and Critique related to Quality and Safety

You should obtain a policy from a healthcare organization related to a contemporary work site issue about safety, quality, staffing, advanced practice nursing, education, or other health related topic. The initial thread should contain a summary of the policy including a description of the policy, rationale, outcomes, such as what defines success (i.e., adequate staffing per the policy, no back injuries related to a no lift policy, etc).

  • You should relate the policy to quality and safety standards based on Quality and Safety Education for Nurses (QSEN) standards and readings in the text.
  • Does the policy increase the safety or quality of the provision of heath care?
  • You should also discuss the following considerations: socioeconomic, legal, ethical, and political issues relevant to the making of the policy.
  • Consider reviewing political viewpoints and positions of a professional organization such as the American Nurses Association (ANA) and the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and the impact that the organizations viewpoint may have on the development of the policy.
  • If you are not employed in a health care setting, you may use a policy from any health care organization. Policies such as staffing/patient ratios, no lift policies, fall protocols, policies that support National Database of Nursing Quality Indicators (NDNQI), or the Centers of Medicare and Medicaid Hospital Consumer Assessment of Health care Providers, and Systems (HCAHPS ) are topics of interest, but you may choose other policies related to quality and safety as well.
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Develop a plan that could be carried out by a nurse to resolve the clinical issue.

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REQUIREMENTS

•        When selecting a clinical issue (the clinical issue chosen is Hand washing) to be addressed in the assignment, the student is expected to draw from one of the four main categories of the NCLEX‐RN examination blueprint: assurance of a safe and effective care environment, health promotion and maintenance of health, the preservation of the patient’s psychosocial and physiological integrity.

•        Length of paper 8‐10 pages excluding the title page and the reference page.

•        The sources cited both in text and on the reference page for this assignment will be formatted according APA 6th edition guidelines.

•        A minimum of six (6) peer‐reviewed scholarly sources are required in support of the Evidence‐based Capstone Evidence‐based Paper.

•        This assignment will be graded using the Capstone Evidence‐ based Paper Rubric available in Unit 6 of the course.

 

PREPARING THE ASSIGNMENT

The student will be required to:

•        Produce an 8‐10 page evidence‐based paper addressing a significant clinical issue

•        Identify and explore a solution to a clinical issue

•        Gather additional background information on:

o   the clinical issue

o   the patient population

•        Develop a plan that could be carried out by a nurse to resolve the clinical issue.

•        Reflect on the knowledge and experience gained in the nursing program

•        Draw from one of the four main categories of the NCLEX‐RN examination blueprint

o   assurance of a safe and effective care environment,

o   health promotion and maintenance of health,

o   preservation of the patient’s psychosocial

o   preservation of the patient’s physiological integrity

•        With the exception of the Introduction, each criterion listed below will serve as the major headings of this assignment due in Unit Six and will include the following:

•        Title Page: (APA 6th edition formatting)

•        Introduction:

o   Offers a detailed description of the statement of purpose for the paper.

o   Identifies a clinical issue or problem drawn from one of the four main categories of the NCLEX‐RN examination blueprint:

§  Assurance of a safe and effective care environment

§  Health promotion and maintenance of health

§  Preservation of the patient population’s psychosocial integrity

§  Preservation of the patient population ’s physiological integrity

•        In this paper the student will provide a detailed description of the relationship between the category from the NCLEX‐RN examination blueprint and the clinical issue.

•        The reference to the NCLEX‐RN examination blueprint found at the National Council of State Boards of Nursing website constitutes one scholarly reference.

•        Importance: The student will describe the importance of the clinical issue to the health of a patient population. This discussion will include the potential negative effect of leaving the clinical issue unresolved.

3

•        Patient Population: The student will describe the patient population that is impacted by the clinical issue. With a focus on the diversity of the human condition found within this patient population, the student will describe the influence that cultural values may have on the proposed solution.

•        Proposed Solution: The student will set the stage for proposing the best solution to the clinical problem by using appropriate evidence‐based data and integrating data from peer‐reviewed journal articles. In this paper, the student will:

o   Propose a clear solution to the clinical problem that is supported by a minimum of three scholarly, peer‐reviewed journal articles.

o   Expand on the ethical considerations when developing the plan.

•        Goals: While the intervention will not actually be carried out, the student will discuss the plan that could be implemented by a nurse to address the clinical issue. One short‐term and one long‐term goal of the intervention will be identified. The student will include a description of how attainment of each of the goals would be measured.

•        Barriers: The student will identify a minimum of two potential barriers to the success of the plan as well as a strategy for addressing each one.

•        Benefits: The student will describe a minimum of one benefit to the patient population and one benefit to the nursing profession that will result from carrying out the plan. Provides a minimum of one scholarly, peer‐reviewed source in support of the benefit of the plan to the patient population.

•        Participants and Interdisciplinary Approach: The student will identify all of the parties whose participation is important for the success of implementing the plan.

o   This list will include a minimum of two members of disciplines outside of nursing.

o   A description of the benefit of including each member from another discipline to the success of the plan.

o   A minimum of one scholarly, peer‐reviewed source providing support for the success of the plan by including the healthcare team member outside of nursing.

•        Conclusion:

o   Provides a thorough recap of the purpose of the plan to prevent or help to resolve the clinical issue.

o   Includes a complete statement describing why addressing this clinical problem matters and to whom.

 

o   Reference Page: (APA 6th edition formatting)

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