If you were the CEO of a United States based Managed Care Organization that wished to open or operate abroad, what types of services would you want to offer, how would you offer them, and why

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The condition of the world’s economies is a moving target. The market fluctuations and global monetary values have suggested a weak, and in some cases, a collapsed economy in many parts of the world. Yet, despite these economic woes, people suddenly do not become ill or not need healthcare services simply because the economy is unstable, although some would suggest less use of the health care system if ill, especially if they are uninsured. If you were the CEO of a United States based Managed Care Organization that wished to open or operate abroad, what types of services would you want to offer, how would you offer them, and why? Keep in mind the current healthcare situation of the United States as well as countries abroad, and the current differences between the U.S. healthcare system and the healthcare systems around the world (i.e social medicine).

Describe what the public health department is doing to reduce the threat of the disease.

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For the next newsletter, you have been asked to write about the effect of a specific communicable disease on your community.

Identify a communicable disease to research.

Write a 700- to 1,050-word paper summarizing your research. Include the following information:

  • Describe the disease and discuss efforts to control it.
  • Identify the environmental factors related to this disease.
  • Explain the influence of lifestyles, socioeconomic status, and disease management.
    • Identify gaps and how you might connect to other resources to meet needs that are not locally available.
    • Include recommendations to expand the community’s programs if there are gaps.
  • Describe what the public health department is doing to reduce the threat of the disease.
  • Include data findings, evidence-based intervention, and a plan to ensure quality health.

Include at least 3 APA formatted references.

How could this department be incorporated into the Health Level Seven (HL7) electronic system in terms of application, collection, warehousing, and evaluation regarding the storing and retrieval of patient charts?

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12/6/16 @12:00 p.m. PowerPoint Presentation 10-12 slides including title and reference page. 75-100 words of speaker notes per slide. No speaker notes on title page or reference page. 100 percent original work with at least 2 references.

 

As a manager of a health care facility, you have had numerous patient complaints regarding the accessibility and readability of their requested patient records. Some of the complaints include incomplete chart files, disorganized records, illegible information because of multiple handwriting styles, and quality of printing with the copy or fax transmissions. In addition, many of the complaints concern the vast amount of time waiting until the files can be located, assembled, copied, and delivered. Some wait times were up to 3 weeks in length, delaying patient treatment. Lastly, the complaints also center on the $0.75 per-page fee that the patients and physician offices pay for the hard copies created from the original pages. Even with this charge, the medical records department remains a large cost expenditure for the health care facility because of break downs in the chart retrieval machinery, personnel costs, supplies, and maintenance of equipment that is associated with creating hard copies of the original charts.

 

Part 1 Task:

 

As manager of this health care facility, create a presentation from a cost-savings point of view to address the following questions:

 

  • What steps could be taken to streamline the medical records department process?
  • How could this department be incorporated into the Health Level Seven (HL7) electronic system in terms of application, collection, warehousing, and evaluation regarding the storing and retrieval of patient charts?

 

Explain the differences between Excel and Access and the advantage of Access.

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12/6/16 @12:00 p.m. 750-850 words 100 percent original with at least 2 references APA format

 

As the project manager of the newly designed system for the oncology department, you are asked to provide a memo for the upcoming meeting with the chief executive officer (CEO) and a few senior managers. They are unaware of the features that have been designed and need a quick refresher prior to implementation. Therefore, you will provide and explain the details of the following:

 

  • Explain the differences between Excel and Access and the advantage of Access.
  • Outline the purpose of data analysis, data transformation, and visualization.
  • Give an overview of business intelligence and data warehousing.
  • Explain the basics of building tables.
  • Evaluate the use of pivot tables.
  • Identify the database to be used.
  • Explain the concept of functions and expressions.

 

The use of APA style is expected.

How would an electroencephalogram (EEG) look like during the sleep condition of this patient?

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Neurological System Case Study

A 35-year-old male is admitted to a hospital following a minor car accident. He was driving home and fell asleep at the wheel. This is the third accident he has had in the past year. He also falls asleep regularly at work, at the dinner table, at church, and, in fact, anywhere. When he becomes excited or enraged, he suddenly becomes weak and falls. At night, he often has bizarre, terrifying dreams. During these dreams, he feels as if he were paralyzed.

Based on the scenario given above, answer the following questions:

  • Describe how a nerve impulse is transmitted from one neuron to the next.
  • Compare the structure and functions of the CNS and PNS.
  • What is the probable diagnosis for this man’s condition?
  • What parts of the person’s brain could have been affected?
  • What sleep state do these symptoms resemble?
  • How would an electroencephalogram (EEG) look like during the sleep condition of this patient?
  • What type of treatments (physical or chemical) would you prescribe for the patient?

Discuss two barriers that might hold nursing practice from achieving this goal. In your responses to course colleagues, suggest ways in which identified barriers may be addressed.

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The Institute of Medicine has stated a goal that 90% of practice be evidence-based by 2020. We are currently at approximately 15%. Discuss two barriers that might hold nursing practice from achieving this goal. In your responses to course colleagues, suggest ways in which identified barriers may be addressed.

2)      Explain which ideas/accomplishments you found to be most compelling, and why.

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Second-Generation HIT Informaticists

Great discoveries can transform the world. In 400 BC, Hippocrates theorized that the body was composed of four “humors”—blood, phlegm, black bile, and yellow bile. Now think of the impact of the seminal work of William Harvey, who, in the 1600s, accurately described the circulation system and the role of the heart for the first time. It was not until the early 1900s that the Austrian biologist Karl Landsteiner identified four distinct blood groups. Today, knowledge about the nature and properties of blood is so complicated that the entire field of blood chemistry is devoted to its study.

This same type of expansion of knowledge within a scientific field is mirrored within the field of informatics. As new technologies develop, subsequent changes occur in the fiel that are, built upon the earlier work of others. In this Discussion, you examine the continuing evolution of the field of health informatics and assess how researchers built on the work of preceding scientists.

You will focus on the following individuals:

  • Joan Ash
  • Nancy Lorenzi
  • Ben Shneiderman
  • Diane Forsythe
  • Chuck Friedman
  • Sue Bakken
  • Patty Brennan
  • Diane Skiba
  • Danny Sands
  • Lucian Leape

To prepare:

  • Select and read at least one article from this week’s Learning Resources for at least five individuals listed above.
  • Consider how the work of each individual has built upon the work of earlier pioneers in the informatics field.
  • Assess the areas of growth in informatics research from the informatics pioneers you researched last week to the individuals you read about this week, and the ways in which health informatics has continued to evolve.
  • Select one individual from this week you found to be of particular interest, and read at least one additional article written by him or her from the list provided in the Learning Resources.
  • Conduct further research to determine recent contributions or additions to the individual’s research.

By Tomorrow 12/06/16, post a minimum of 550 words in APA format with a minimum of three references from the list provided below. Include the level one headings as numbered below:

1)      A brief summary of key contributions of the individual you selected.

2)      Explain which ideas/accomplishments you found to be most compelling, and why.

3)      Assess the evolution of the field of nursing informatics from the first group of pioneers (Week 1 Discussion) to the second generation of HIT nurse informaticists.

4)      Provide specific examples of how this evolution is evident in the field.

Discuss how you used the three components inherent to Evidence-Based Practice inquiry to direct your clinical question database search.

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Topic 1: EBP and PICOT

Discuss how you used the three components inherent to Evidence-Based Practice inquiry to direct your clinical question database search.

The PICOT question: Does repositioning of bed bound patients every two hours decrease the risk of pressure ulcer versus repositioning every 5 hours?

Please adhere to nursing information that is related to my PICOT question

Needs to be 1 page

Use Peer reviewed nursing articles that are less than 5 years old

Please give 4 references

Additional information

The three components inherent to any evidence-based practice change are validity, reliability, and credibility. These three components are the check system to determine whether the practice is based on evidence-based research.

What strategies would you propose to prevent a similar situation from occurring in your unit, department, or organization?

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Discussion: Preventing Discrimination in the Workplace

 

Consider your rights as an employee or job applicant. What do you know about the laws that prevent unfair treatment and discriminatory practices in the workplace?

Prior to 1964, employees and job applicants had few rights. Many employers used skin color, religion, or gender as a sole basis to hire or fire employees. Title VII of the 1964 Civil Rights Act aimed to protect employees from the prejudices of employers. In fact, after its passing it became the core foundation of workplace discrimination law because it protected five categories, or “classes,” of citizens from unfair employment practices. As time progressed, legislators supplemented Title VII with more anti-discrimination acts and policies. Today, employees or applicants who feel discriminated against due to race, color, religion, gender, national origin, age, disability, pregnancy, veteran status, or genetics can seek grounds for legal representation.

As a leader in the nursing field, you must take all necessary precautions to ensure that you and your unit, department, and/or organization adhere to the laws outlined and associated with Title VII of the Civil Rights Act.

 

To prepare

 

Review Chapter 3, “The Legal Environment and Diversity Management,” in the course text, Human Resource Management: Functions, Applications, & Skill Development. Examine how Title VII protects classes of employees across all organizations and professions.

Review this week’s media, “Legal Issues,” and the laws that address employment discrimination.

Conduct research to learn more about applicable laws and regulations pertaining to the protected class assigned by your Instructor.

Select one of the following options:

Option 1: Conduct research via the Walden Library and other scholarly sites (such as the ones listed below) to locate an authentic discrimination case involving the protected class that you were assigned.

Option 2: Recall an instance of discrimination you have personally experienced or witnessed related to your assigned protected class. Consider the events leading up to and the resolution of this instance.

Note: The case/instance that you choose for this Discussion may be from an organization in any field (not just health care) and must have occurred within the last 10 years.

Once you have selected your option and case/instance, reflect upon the following questions:

What legal issues (i.e., Title VII and other applicable laws) were relevant to this case or instance?

What strategies would you propose to prevent a similar situation from occurring in your unit, department, or organization?

 

Websites

 

Cornell University Law School. (n.d.). Legal Information Institute. Retrieved September 21, 2012 from http://www.law.cornell.edu/supct/search/

 

Search for recent Supreme Court decisions on employment discrimination. Enter your assigned Title VII protected class into the search bar to access court cases by topic.

Equal Employment Advisory Council. (2012). Amicus activity. Retrieved from http://www.eeac.org/web/amicus/index.asp

 

Use the categorized hyperlinks to access court cases by issue, area, court, or year.

U.S. Department of Labor. (n.d.). Search results. Retrieved September 21, 2012 from http://webapps.dol.gov/search/?search/Search.aspx

 

To find recent employment discrimination decisions, include in your search terms the type of discrimination or the employment law and the word(s) “decisions” or “case decisions” (e.g., “racial discrimination decisions,” “gender discrimination decisions,” “American Disability Act (ADA) case decisions,” “Family and Medical Leave Act (FMLA) case decisions,” etc.)

Note: Before you submit your initial post, replace the subject line (“Week 2 Discussion”) with the protected class you were assigned and the case or instance you selected, for example, “Protected Class: Case”.

 

 

Post a brief summary of the discrimination case/instance you selected and how the events impacted the individual(s) and/or the work environment. Describe the key legal issues involved and explain how Title VII legislation applied. Discuss at least one strategy you would employ in an effort to mitigate this type of discrimination from occurring in your unit, department, or organization. Include the APA reference and a hyperlink to your case example (if applicable).

 

Read a selection of your colleagues’ responses.

 

Respond to at least two of your colleagues on two different days using one or more of the following approaches:

Provide an additional strategy that could help your colleague mitigate discrimination issues in his or her health care setting.

Share an insight from having read your colleague’s posting, synthesizing the information to provide new perspectives.

 

Validate an idea with your own experience and additional research.

 

Required Readings

Lussier, R. N., & Hendon, J. R. (2016). Human resource management: Functions, applications, & skill development (2nd ed.). Thousand Oaks, CA: Sage Publications.

 

Chapter 3, “The Legal Environment and Diversity Management” (pp. 78–117)

 

Chapter 3 provides an in-depth overview of the laws that mandate equal employment opportunities in the workplace. The authors define discrimination and sexual harassment and explain how knowledgeable managers can detect and mitigate these behaviors in their workplaces.

Cogin, J., & Fish, A. (2009). Sexual harassment – A touchy subject for nurses. Journal of Health Organization and Management, 23(4), 442–462.

Retrieved from the Walden Library databases.

 

This article describes a mixed-methods research study that was conducted to analyze the prevalence of sexual harassment in clinical settings. Findings indicated that patients and physicians are the primary instigators of sexual harassment. The article highlights ethical decision making and intervention techniques.

MacKusick, C. I., & Minick, P. (2010). Why are nurses leaving? Findings from an initial qualitative study on nursing attrition. Medsurg Nursing, 19(6), 335–340.

Retrieved from the Walden Library databases.

 

For this study, the researchers interviewed nurses who decided to leave the profession after only a few years of service. Study participants commonly cited one or more of the following reasons for leaving: unfriendly workplace (i.e., bullying and/or sexual harassment), emotional distress, and fatigue and exhaustion. Participants shared authentic examples and feelings about each factor.

Vessey, J. A., DeMarco, R., & DiFazio, R. (2010). Bullying, harassment, and horizontal violence in the nursing workforce: The state of the science. Annual Review of Nursing Research, 28, 133–157.

Retrieved from the Walden Library databases.

 

Over the years, bullying, harassment, and horizontal violence (BHHV) among nurses has increased in health care settings. The authors of this article illustrate BHHV situations and solutions through the use of models and authentic examples.

Required Media

Laureate Education, Inc. (Executive Producer). (2012). Legal issues. Baltimore, MD: Author.

 

Note: The approximate length of this media piece is 16 minutes.

 

This week’s presenters explain how they use employment law to ensure legality of procedures that are used in their health care settings. The media piece highlights discussion of anti-discrimination legislation and the hiring process.

 

 

Accessible player

Optional Resources

Cornell University Law School. (n.d.). Legal Information Institute. Retrieved September 21, 2012 from http://www.law.cornell.edu/supct/search/

 

Search for recent Supreme Court decisions on employment discrimination. Enter your assigned Title VII protected class into the search bar to access court cases by topic.

Equal Employment Advisory Council. (2012). Amicus activity. Retrieved from http://www.eeac.org/web/amicus/index.asp

 

Use the categorized hyperlinks to access court cases by issue, area, court, or year.

U.S. Department of Labor. (n.d.). Search results. Retrieved September 21, 2012 from http://webapps.dol.gov/search/?search/Search.aspx

 

To find recent employment discrimination decisions, include in your search terms the type of discrimination or the employment law and the word(s) “decisions” or “case decisions” (e.g., “racial discrimination decisions,” “gender discrimination decisions,” “American Disability Act (ADA) case decisions,” “Family and Medical Leave Act (FMLA) case decisions,” etc.)

 

U.S. Equal Employment Opportunity Commission. (2012). Retrieved from http://www.eeoc.gov/