. What is the impact of Centers for Medicare and Medicaid Services (CMS) payment denial on the healthcare system?

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In 250 to 350 words essay format, answer the level one headings in APA format as numbered below. Include at least 2 references.

1. What is the impact of Centers for Medicare and Medicaid Services (CMS) payment denial on the healthcare system?

2. What are the implications for our nursing practice related to use of standardized terminology for documentation?

3. How do evidence-based practice guidelines impact patient outcomes and necessitate improved practice care?

Required References

Website (required)

Healthcare Information and Management Systems Society. (2013). What is interoperability? http://www.himss.org/library/interoperability-standards/what-is-%20interoperability

Article (suggested)

Tastan, S., Linch, G. C., Keenan, G. M., Stifter, J., McKinney, D., Fahey, L., . . . Wilkie, D. J. (2014). Evidence for the existing American Nurses Association-recognized standardized nursing terminologies: A systematic review. International Journal of Nursing Studies, 51(8), 1,160–1,170. doi: 10.1016/j.ijnurstu.2013.12.004

Discuss      the challenges you might encounter in using mixed methods for the      situation you selected and how would you address these challenges. Required Media

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Many clinical practice issues are sufficiently complicated that neither a purely quantitative or qualitative approach can generate a comprehensive perspective of the issue. Particularly for investigating evaluative questions—such as the effectiveness of a program or treatment or the impact of a policy—some combination of quantitative and qualitative methods can be much more illuminating than relying on one method alone.

In this Discussion, you consider the use of a mixed-methods design in health care research studies.

To prepare:

  • With      the Learning Resources in mind, and reflecting on what you have explored      throughout this course, consider the benefits of using a mixed-methods      research approach.
  • Brainstorm      nursing practice situations in which using a      mixed-methods design would be beneficial. Select one situation to focus on      for the purposes of this Discussion. Consider how the quantitative and      qualitative data would complement one another to provide a richer analysis      and conclusion.
  • Also      consider the challenges you might encounter in using a mixed-methods      approach: data collection, analysis, or synthesis of qualitative and      quantitative findings.

By tomorrow November 7, 2017 write 550 words essay in APA format with at least 3 references from the list below. Apply the level one headings as numbered below:

Post a cohesive response to the following:

  1. Briefly      explain your selected situation and why utilizing a mixed-methods approach      would be beneficial.
  2. Evaluate      how the quantitative and qualitative data would complement one another.
  3. Discuss      the challenges you might encounter in using mixed methods for the      situation you selected and how would you address these challenges.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Research methods for evidence-based practice: Mixed methods: An example. Baltimore, MD: Author. 

Note: The approximate length of this media piece is 12 minutes.

In this week’s video, the presenter discusses the benefits of using mixed methods research and shares examples of studies she has conducted.

Required Readings

Chow, M. Y., Quine, S., & Li, M. (2010). The benefit of using a mixed methods approach—quantitative with qualitative—to identify client satisfaction and unmet needs in an HIV healthcare centre. AIDS Care, 22(4), 491–498.

This article offers insight into a cross-sectional study that utilizes both quantitative and qualitative research to assess HIV client satisfaction with health care.

Esposito, D., Taylor E. F., & Gold, M. (2009). Using qualitative and quantitative methods to evaluate small-scale disease management pilot program. Population Health Management, 12(1), 3–15.

This article describes a multi-method approach to stimulate interest in disease management programs by seeking to improve the quality of care for Medicaid beneficiaries with multiple chronic conditions.

Goboury, I., Boon, H., Verhoef, M., Bujold, M., Lapierre, L. M., & Moher, D. (2010). Practitioners’ validation of framework of team-oriented practice models in integrative health care: A mixed methods study. BMC Health Services Research, 10, 289.

This article discusses the methods and results of an empirical study attempting to validate the Models of Team Health Care Practice (MTHP) framework through the use of both qualitative and quantitative research techniques.

Onwuegbuzie, A. J., Johnson, R. B., & Collins, K. M. (2009). Call for mixed analysis: A philosophical framework for combining qualitative and quantitative approaches. International Journal of Multiple Research Approaches, 3(2), 114–139.

This article provides a philosophical justification of the use of mixed methods in research studies. The article compares solely qualitative or quantitative works to mixed research approaches to illustrate how mixed methods promote richer results and deeper analyses.

Ostlund, U., Kidd, L., Wengstrom, Y., & Neneh, R. (2011). Combining qualitative and quantitative research within mixed method research designs: A methodological review. International Journal of Nursing Studies, 48(3), 369–383. doi: 10.1016/j.ihnurstu.2010.10.005

This study explores the many popular approaches to mixed methods of health care research studies. These approaches are used to bridge the gap between theory and empirical findings and include parallel analysis, concurrent analysis, and sequential analysis.

Polit, D. F., & Tatano-Beck, C. (2010). Generalization in quantitative and qualitative research: Myths and strategies. International Journal of Nursing Studies, 47(11), 1451–1458. doi: 10.1016/j.inurstu.2010.06.004

This article discusses three models of generalization in both quantitative and qualitative research, including classic sample-to-population, analytics generalization, and case-to-case transfer. The article also recommends other approaches, such as planned replication, systematic reviews, and thick description.

Uhlig, T., Fongen, C., Steen, E., Christie, A., & Odegard, S. (2010). Exploring Tai Chi in rheumatoid arthritis: A quantitative and qualitative study. BMC Musculoskeletal Disorders, 11, 43.

This article explains the results of a mixed-methods study on the results of Tai Chi on the overall health of female rheumatoid arthritis patients. The results indicated improved muscle function as well as increased confidence in moving and balance and less pain in daily life among the 15 subjects studied.

3. Identify and describe the indicators and determinants of health that would influence or impact this case.

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Write a paper of 1,200 words that discusses the team-based approaches to the delivery of health services. The focus of the paper should be one type of health care environment, such a long-term care facility.

Within your paper, be sure to do the following:

1. Present a patient case (this does not need to be detailed).

2. Describe the team that would deliver care and their individual roles.

3. Identify and describe the indicators and determinants of health that would influence or impact this case.

4. Describe the impact this team-based approach would have on management and line staff.

5. Provide an analysis of key financial and resource savings for consumers and insurance companies as they apply to this model.

6. From a leadership position, explain the advantages of using a team-based approach.

Your paper should contain the following parts:

1. Introduction

2. Body paragraphs (Possible headings include: Case Description, Health Care Delivery Team, Indicators and Determinants of Health, Financial and Resource Analysis, Team-Based Approach Advantages.)

3. Conclusion

Revise your paper using suggestions from the peer reviewer.

Use the Library to find at least two peer-reviewed sources.

Prepare this assignment according to the APA guidelines.

Rubrics

Health Care Delivery Paper  

 

1
  Unsatisfactory
  0.00%

2
  Less Than Satisfactory
  65.00%

3
  Satisfactory
  75.00%

4
  Good
  85.00%

5
  Excellent
  100.00%

 

80.0 %Content

 

20.0 %Criteria

Description of the criteria is   not outlined or outlined poorly.

Ignores or superficially   describes the criteria. Draws unwarranted or erroneous conclusions.

Surface-level description of   criteria is offered. Claims and ideas of the criteria are supported.

Description is direct,   competent, and appropriate for the criteria.

Thoroughly describes major   points of the criteria. Draws warranted, judicious, accurate conclusions.   Information and evidence are accurate and appropriate.

 

40.0 %Analysis

Analysis of the criteria is not   outlined or outlined poorly.

Ignores or superficially   evaluates the criteria. Draws unwarranted or erroneous conclusions.

Surface-level evaluation of   criteria is offered. Claims and ideas of the criteria are supported.

Analysis is direct, competent,   and appropriate for the criteria.

Thoughtfully analyzes and   evaluates major points of the criteria. Draws warranted, judicious, accurate   conclusions. Information and evidence are accurate and appropriate.

 

20.0 %Content Comprehension

Content is incomplete or omits   most of the requirements stated in the assignment criteria.

Content is incomplete or omits   some requirements stated in the assignment criteria.

Content is complete but   somewhat inaccurate and/or irrelevant.

Content is comprehensive and   accurate, and definitions are clearly stated.

Content is comprehensive,   accurate, and persuasive. Definitions are clearly stated.

 

10.0 %Organization and Effectiveness

 

10.0 %Language Use and Audience Awareness (includes sentence   construction, word choice, etc.)

Inappropriate word choice and   lack of variety in language use are evident. Writer appears to be unaware of   audience. Writer either does not apply figures of speech or uses them   inappropriately.

Some distracting   inconsistencies in language and/or word choice are present. The writer   exhibits some lack of control in using figures of speech appropriately.

Language is appropriate to the   targeted audience for the most part.

The writer is clearly aware of   audience, uses a variety of appropriate vocabulary for the targeted audience,   and uses figures of speech to communicate clearly.

The writer uses a variety of   sentence constructions, figures of speech, and word choice in distinctive and   creative ways that are appropriate to purpose, discipline, and scope.

 

10.0 %Format

 

5.0 %Mechanics of Writing   (includes spelling, punctuation, grammar, language use)

Surface errors are pervasive   enough that they impede communication of meaning. Inappropriate word choice   and/or sentence construction are used.

Frequent and repetitive   mechanical errors distract the reader. Inconsistencies in language choice,   sentence structure, and/or word choice are present.

Some mechanical errors or typos   are present but are not overly distracting to the reader. Correct sentence   structure and audience-appropriate language are used.

Prose is largely free of   mechanical errors, although a few may be present. A variety of sentence   structures and effective figures of speech are used.

Writer is clearly in command of   standard, written, academic English.

 

5.0 %Research Citations (in-text   citations for paraphrasing and direct quotes, and reference page listing and   formatting are appropriate to assignment and APA style)

No reference page is included.   No citations are used.

Write  a justification for capital purchase (750-1,000 words) to your vice  president as to why this would be a good investment for the hospital.  Include the operating costs you took into consideration and what  facility considerations are involved regarding this new piece of  equipment.

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  1. Choose a major capital piece of equipment  to be used in the radiology department of a hospital (e.g., CAT scan,  MRI, nuclear medicine camera, etc.). Next, research and choose a vendor.  Vendors such as GE, Siemens, or others can be located on the Internet.
  2. Request information on cost justification and ROI from the vendor.
  3. Write  a justification for capital purchase (750-1,000 words) to your vice  president as to why this would be a good investment for the hospital.  Include the operating costs you took into consideration and what  facility considerations are involved regarding this new piece of  equipment.
  4. Cite a minimum of three references to support your rationale.

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.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

You  must use your own words with this assignment. When using someone  else’s, please cite using APA format. A minimum of three references must  be in place, the references should be within the last 10 years.

Describe the perils that the authors say lead to uncoordinated care and unnecessary waste and cost. How do communication and interdisciplinary collaboration prevent adverse events? 

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 In the assigned article, “Core Principles & Values of Effective Team-Based Health Care”(https://www.nationalahec.org/pdfs/VSRT-Team-Based-Care-Principles-Valures.pdf) the authors state that “the incorporation of multiple perspectives in health care offers the benefit of diverse knowledge and experience; however, in practice, shared responsibility without high-quality teamwork can be fraught with peril.” Describe the perils that the authors say lead to uncoordinated care and unnecessary waste and cost. How do communication and interdisciplinary collaboration prevent adverse events?

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.

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1) Contact the chair of a local  hospital’s bioethics committee and interview him/her regarding the use  of the committee at that facility, how the committee functions, how it  makes decisions and recommendations, and the chair’s views on the impact  the committee has had on the facility. If possible, attend one of the  committee’s meetings.

2) Write a paper (1,250-1,500  words) that describes your findings and observations. Include additional  resources that support, reinforce, or even challenge your findings and  observations.

3) 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.

4) This assignment uses a  grading rubric. Instructors will be using the rubric to grade the  assignment; therefore, students should review the rubric prior to  beginning the assignment to become familiar with the assignment criteria  and expectations for successful completion of the assignment.

Bioethics Interview 

What can you do to encourage collaboration and demonstrate stewardship?

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Consider your current work environment and your role as a member of the health care team. What can you do to encourage collaboration and demonstrate stewardship?

Describe how improved communication, collaboration, and teamwork can improve conditions in your department.

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Choose two issues or challenges that the leaders of today’s health care organizations face. Select from among the following topics:

  1. Staff Shortage (Physicians, Nurses, Allied Health Providers, Ancillary Services)
  2. Reorganization in Response to Merger or Consolidation of Services
  3. Layoffs as a Result of Declining Revenues
  4. Influx of Registry, Part-Time, and Temporary Contract Staff
  5. Poor Performance Outcomes Leading to a Reduction in Medicare Reimbursement Dollars
  6. Poor Job Satisfaction Rates Resulting in Turnover

You are the manager of an ancillary service department at a large, 500+ bed hospital. Develop a proposal (750-1,200 words) that is directed toward your staff, in which you address the following:

  1. Inform the staff of the two issues (from the topics provided) your organization is facing.
  2. Describe the impact of these issues on your department.
  3. Describe how improved communication, collaboration, and teamwork can improve conditions in your department.
  4. Identify at least two examples from the required or recommended readings of techniques found to foster inclusion and improve communication and collaboration.
  5. A minimum of three academic references from credible sources are required for this assignment.

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.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.

Describe the hypothetical disaster for your surveyed community that your plan will be addressing. Be sure to include details such as:  ◦Scope of the disaster. 

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For this assignment you will be developing a disaster plan to address a hypothetical disaster that could plausibly strike the community that you observed for your Windshield Survey.

A disaster can come in many forms. We might tend to associate disasters with mass natural disaster, like Hurricane Katrina or the 2011 earthquake and tsunami that struck Japan. However, disasters also include relatively small man-made disasters, such as a fire in an apartment building or a gas leak in a factory (Maurer & Smith, 2013).

You will also be asked to select one of the articles from the list below that addresses a response to a disaster, or provides guidelines for creating a disaster response plan. You will briefly evaluate the article’s disaster response practices and also explain aspects for the article’s disaster response that would be appropriate to incorporate into your plan, as well as aspects that would not be feasible to incorporate. By evaluating responses to disasters in communities outside of your own, you will be able to bring in global perspectives as well as gain a deeper understanding of aspects of disaster response plans that are universal, as well as aspects that are only primarily applicable to specific communities.

Choose one of the following articles (see the Resources area for links to these articles):

•Almutairi and Rondney’s 2013 article, “Critical Cultural Competence for Culturally Diverse Workforces: Toward Equitable and Peaceful Health Care,” from Advances in Nursing Science, volume 36, issue 3, pages 200–212.

•ÖztekÄ°n, et al.’s 2014 article, “Educational Needs Concerning Disaster Preparedness and Response: A Comparison of Undergraduate Nursing Students From Istanbul, Turkey, and Miyazaki, Japan,” from Japan Journal of Nursing Science, volume 11, issue 2, pages 94–101. •Yamashita & Kudo’s 2014 article, “How Should We Prepare Differently for the Next Disaster?” from Nursing and Health Sciences, volume 16, issue 1, pages 56–59.

•Zaré, et al.’s 2012 article, “Crisis Management of Tohoku; Japan Earthquake and Tsunami, 11 March 2011,” from Iranian Journal of Public Health, volume 41, issue 6, pages 12–20.

Your plan should address and include the following:

Section 1: Article Evaluation (1–2 pages)

•An evaluation of the disaster response presented in the article you selected from the provided list.

•An explanation of aspects of the article’s disaster response that you plan on incorporating into your own Disaster Response Plan. Please include your rationale for why you are choosing to incorporate these aspects into your plan.

•An explanation of aspects of the article’s disaster response that would not be appropriate or plausible to include in your disaster response plan. Please include your rationale for why these aspects would not be appropriate or plausible to incorporate these aspects into your plan.

Section 2: Community Disaster Response Plan (5–7 pages)

•Describe the hypothetical disaster for your surveyed community that your plan will be addressing. Be sure to include details such as:

◦Scope of the disaster.

◦Intensity of the disaster.

◾Effects on the community environment as a result of the disaster.

◾Immediate health impacts on people in the community.

◾Medium and long-term health impacts on people in the community.

•Communication procedures: When and how should public health department nurses communicate with each other in a disaster? When should they communicate with other first responders, law enforcement, and other resources/responders in a disaster?

•Communication procedures for coordinating care with hospitals and other resources.

◦Note: During disasters, acute care hospitals become overwhelmed—less critical patients may be treated at field hospitals, leaving room for critical patients in functioning acute care facilities. Identify who will communicate with whom.

•The triage system you would use for assessing victims.

•How will you address the needs of vulnerable populations (the elderly, children, mentally ill, homeless, and so on)?

•How will you address cultural groups and non-English speaking persons?

•Housing and shelter:

◦How will you let the residents of your community know where to go?

◦What system will you use to fill shelters?

◦How will you communicate shelter capacity to prevent overcrowding the shelters? What resources will you use to help staff shelters?

◦How many nurses will you allocate for shelters? Will you use nurses to staff shelters?

◦Will you use other nursing resources to staff shelters, such as Red Cross, U.S. Commissioned Corps, military nurses, and so on?

•What resources will you use to help provide food, water, and toilet facilities for victims?

◦Who will you call and when will you call?

•What procedures will you implement to prevent disease outbreak?

•How will you care for the needs of the public health department nursing staff?  Other requirements and considerations:

•Your plan should be as detailed as possible.

•Use a minimum of four peer-reviewed journal articles (the article you select from the provided list counts as one of the four) to support the effectiveness of your plan. Be sure to use proper APA style and formatting. •Include a title page.

•Include a reference page.

Be sure to use proper APA style and formatting.

•Times New Roman font, 12 pt.