· Reflect on the reactions of others during the implementation process. Were concerns handled effectively?

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Electronic health records (EHRs) are at the center stage of the effort to improve health care quality and control costs. In addition to allowing medical practitioners to access and record clinical documentation at much faster rates, EHRs are also positively influencing care delivery and nurse-patient interaction. Yet despite the potential benefits of EHRs, their implementation can be a formidable task that has broad-reaching implications for an entire health care organization.

In this Discussion, you appraise strategies for obtaining the benefits and overcoming the challenges of implementing and using electronic health records.

To Prepare:

· Review the focusing on the implementation of EHRs in an organization. Reflect on the various approaches used.

· If applicable, consider your own experiences with implementing EHRs. What were some positive aspects of the implementation? What suggestions would you make to improve the process?

· Reflect on the reactions of others during the implementation process. Were concerns handled effectively?

· If you have not had any experiences with an EHR implementation, talk to someone who has and get his or her feedback on the experience.

· Search  for examples of effective and poor implementation of EHRs.

Instructions:

Post an overview of at least three challenges in the implementation of electronic health records and provide an example of each challenge. Develop strategies for addressing each challenge based on what has been demonstrated to be successful. Cite your resources.

Due 26th September 2017 at 1400Hrs, 2-3 pages of detailed information please, citations within text, reference page required, no need for cover page.

What are the various components of the selected health care system? How does it rank in terms of reduced mortality and infection rates?

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Conduct a research on one of the top fifteen health care organizations in the U.S.

Your research should include the following questions:

  • How will you find listings of the top fifteen health care systems?
  • What are the various components of the selected health care system? How does it rank in terms of reduced mortality and infection rates?
  • What are the services provided by the healthcare delivery system?
  • What are the current trends contributing to the high ranking and the future path of this health care organization?
  • How does the organization manage and distribute resources for improved patient care?

In a Microsoft Word document, create a 2- to 3-page report, on the basis of your research.

Provide at least two resources or journal articles referring to the selected organization.

Support your responses with examples.

Cite any sources in APA format.

• Explain at least three differences between CBT and REBT. Include how these differences might impact your practice as a mental health counselor. 

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While cognitive behavioral therapy (CBT) and rational emotive behavioral therapy (REBT) have many similarities, they are distinctly different therapeutic approaches. When assessing clients and selecting one of these therapies, you must recognize the importance of not only selecting the one that is best for the client, but also the approach that most aligns to your own skill set. For this Assignment, as you examine the similarities and differences between CBT and REBT, consider which therapeutic approach you might use with your clients.

 

Learning Objectives Students will: • Compare cognitive behavioral therapy and rational emotive behavioral therapy   • Recommend cognitive behavioral therapies for clients

To prepare: • Review the media in this week’s Learning Resources.   • Reflect on the various forms of cognitive behavioral therapy.

 

The Assignment

In a 1- to 2-page paper, address the following:

• Briefly describe how cognitive behavioral therapy (CBT) and rational emotive behavioral therapy (REBT) are similar.

• Explain at least three differences between CBT and REBT. Include how these differences might impact your practice as a mental health counselor.

• Explain which version of cognitive behavioral therapy you might use with clients and why. Support your approach with evidence-based literature.

Note: This paper must include an introduction, summary, and references.

Learning Resources

Required Readings:

(1) Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company. • Chapter 8, “Cognitive Behavioral Therapy” (pp. 313–346)

(2)American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Required Media:

(1) Sommers-Flanagan, J., & Sommers-Flanagan, R. (2013). Counseling and psychotherapy theories in context and practice [Video file]. Mill Valley, CA: Psychotherapy.net.

(2) Beck, A. (1994). Aaron Beck on cognitive therapy [Video file]. Mill Valley, CA: Psychotherapy.net.  Eysenck, H. (n.d.). Hans Eysenck on behavior therapy [Video file]. Mill Valley, CA: Psychotherapy.net.

What is the current health status of this minority group? How is health promotion defined by the group?

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Analyze the health status of a specific minority group. Select a minority group that is represented in the United States (examples include: American Indian/Alaskan Native, Asian American, Black or African American, Hispanic or Latino, Native Hawaiian, or Pacific Islander.)

In an essay of 750-1,000 words, compare and contrast the health status of the minority group you have selected to the national average. Consider the cultural, socioeconomic, and sociopolitical barriers to health. How do race, ethnicity, socioeconomic status, and education influence health for the minority group you have selected? Address the following in your essay:

  1. What is the current health status of this minority group?
  2. How is health promotion defined by the group?
  3. What health disparities exist for this group?
  4. Describe at least one approach using the three levels of health promotion prevention (primary, secondary, and tertiary) that is likely to be the most effective given the unique needs of the minority group you have selected. Provide an explanation of why it might be the most effective choice.

Cite a minimum of three references in the paper.

You will find important health information regarding minority groups by exploring the following Centers for Disease Control and Prevention (CDC) links:

  1. Minority Health: http://www.cdc.gov/minorityhealth/index.html
  2. Racial and Ethnic Approaches to Community Health (REACH): http://www.cdc.gov/chronicdisease/resources/publications/aag/reach.htm
  3. Racial and Ethnic Minority Populations: http://www.samhsa.gov/specific-populations/racial-ethnic-minority

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

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Discuss how you would correct mistakes in a medical chart and the formatting of your documentation when witnessing an adverse patient occurrence (APO)

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Topic 1: Documentation and Regulatory Compliance

Based on the information you have learned in the course so far and the readings, analyze the advantages and disadvantages of charting by exception when faced with a malpractice lawsuit. Discuss how you would correct mistakes in a medical chart and the formatting of your documentation when witnessing an adverse patient occurrence (APO). What APOs have to be reported in your state? How would charting corrections be perceived in a court of law? What are the implications for handling of forensic issues?

 

Topic 2: Impaired Nurses

Assume that you have knowledge that the nurse working with you on your unit has been illegally using drugs. What are your obligations to disclose this? What are your obligations to the institution you work for? Are there any places you could refer the nurse to? What are the implications for this nurse’s license? Are there any potential risks to your license? If so, what?

Discussion Board:  Minimum 200 words, APA Style, Time New Roman, Font 12, 

(3 references- in text citations) not older than (2012-2017). No Plagiarism please.

How can the formation of Accountable Care Organizations improve quality of care and make providers more responsible for cost of care? Give an example of a study that has addressed coordination of care and has had documented success. Describe the study and its implications for care.

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There are 2 discussions: Topic 1 & Topic 2 (They both require references please)

Discussion Topic 1: Accountable Care Organizations Improve Quality of Care

How can the formation of Accountable Care Organizations improve quality of care and make providers more responsible for cost of care? Give an example of a study that has addressed coordination of care and has had documented success. Describe the study and its implications for care.

Discussion Board:  Minimum 200 words, APA Style, Time New Roman, Font 12, 

(3 references- in text citations) not older than (2012-2017). No Plagiarism please.

Discussion Topic 2: The Nurse’s Role in the Accountable Care Act

Discuss the advanced practice nurse’s role in the Affordable Care Act. How will health care improve, using advance practice nurses under the Affordable Care Act?

Discussion Board:  Minimum 200 words, APA Style, Time New Roman, Font 12, 

(3 references- in text citations) not older than (2012-2017). No Plagiarism please.

Analyze nursing and counseling theories to guide practice in psychotherapy* · Develop goals and objectives for personal practicum experiences*

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As a future advanced practice nurse, it is important that you can connect your classroom experience to your practicum experience. By applying the concepts, you study in the classroom to clinical settings, you enhance your professional competency. Each week, you complete an Assignment that prompts you to reflect on your practicum experiences and relate them to the material presented in the classroom. This week, you begin documenting your practicum experiences in your Practicum Journal.

Learning Objectives

Students will:

· Analyze nursing and counseling theories to guide practice in psychotherapy*

· Develop goals and objectives for personal practicum experiences*

· Create timelines for practicum activities*

In preparation for this course’s practicum experience, address the following in your Practicum Journal:

· Review the media Clinical Interview: Intake, Assessment, & Therapeutic Alliance in your Learning Resources.

· Select one nursing theory and one counseling theory to best guide your practice in psychotherapy.

Note: For guidance on nursing and counseling theories, refer to the Wheeler textbook in this week’s Learning Resources.

· Explain why you selected these theories. Support your approach with evidence-based literature.

· Develop at least three goals and at least three objectives for the practicum experience in this course.

· Create a timeline of practicum activities based on your practicum requirements.

Note: Be sure to use the Practicum Journal Template, located in this week’s Learning Resources.

Required Readings

Wheeler, K. (Eds.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.

  • Chapter 1, “The Nurse Psychotherapist and a      Framework for Practice” (pp. 3–52)

Required Media

Sommers-Flanagan, J., & Sommers-Flanagan, R. (2012). Clinical interview: Intake, assessment, & therapeutic alliance [Video file]. Mill Valley, CA: Psychotherapy.net.

PLEASE SEE THE ATTACHED Practicum Journal Template AND JOURNAL SAMPLE (TIME LOG & JOURNAL ENTRIES) FOR WRITING THIS ASSIGNMENT…..ALSO FOR THE TIME LOG AND JOURNAL ENTRIES, JUST MAKE UP A REASONABLE INFORMATION AND CLIENT INFORMATION

· Describe the client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.

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Assignment: Practicum – Week 4 Journal Entry

Learning Objectives

Students will:

· Develop diagnoses for clients receiving psychotherapy*

· Evaluate the efficacy of cognitive behavioral therapy for clients*

· Analyze legal and ethical implications of counseling clients with psychiatric disorders*

Select a client whom you observed or counseled this week. Then, address the following in your Practicum Journal:

· Describe the client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.

· Using the Diagnostic and Statistical Manual of Mental Health Disorders, 5th edition (DSM-5), explain and justify your diagnosis for this client.

· Explain whether cognitive behavioral therapy would be effective with this client. Include expected outcomes based on this therapeutic approach. Support your approach with evidence-based literature.

· Explain any legal and/or ethical implications related to counseling this client.

· NOTE: PLEASE SEE THE ATTACHED Practicum Journal Template AND JOURNAL SAMPLE (TIME LOG & JOURNAL ENTRIES) FOR WRITING THIS ASSIGNMENT…..ALSO FOR THE TIME LOG AND JOURNAL ENTRIES, JUST MAKE UP A REASONABLE INFORMATION AND CLIENT INFORMATION

What are the various  components of the selected health care system? How does it rank in terms  of reduced mortality and infection rates?

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Health Care Organizations in U.S.

Conduct a research on one of the top fifteen health care organizations in the U.S.

Your research should include the following questions:

  • How will you find listings of the top fifteen health care systems?
  • What are the various  components of the selected health care system? How does it rank in terms  of reduced mortality and infection rates?
  • What are the services provided by the healthcare delivery system?
  • What are the current trends contributing to the high ranking and the future path of this health care organization?
  • How does the organization manage and distribute resources for improved patient care?

In a Microsoft Word document, create a 2- to  3-page report, on the basis of your research. Provide at least two  resources or journal articles referring to the selected organization.

Support your responses with examples.

Cite any sources in APA format.