part 1

When you hear the term “senior housing” what comes to mind?

What types of senior housing options are you familiar with?

If you had to choose a type of senior housing for yourself, what would it be and why?

part 2

Explore the Housing Continuum Padlet Activity: Activity: Continuum of Housing for Older Adults (Padlet)

• What would you like to see added (include links if appropriate)
• Where do you see yourself on the continuum at age 65? 75? 85? Look back at Discussion 1.2 – have any of your housing expectations changed? If so how/why?
• What types of housing, if any, do you find confusing? (Why?)
• part 3
  
  • What are 2 important “takeaways” (facts, information, lessons) that you learned from each selection?
  • Why are these takeaways important and what can we learn from them about housing for older adults?
  • In what ways does this information connect with material from earlier this semester?
  • part 4 :
  • My project topic is transportation and the elderly problem and progress in the rural areas.
  • What is your project and what you have accomplished so far?
  • What is left to do?
  • What, if any, assistance do you need?

In addition to the core EHR administrative and clinical functions, system applications are often acquired to support additional departments within the hospital or other healthcare organizations Health Information Technology. One application is a supporting Financial System with components to assist the billing and coding department in capturing and processing patient claims as part of the Revenue Cycle Management process.

It is recommended that you work on this assignment as you complete your Unit 3 activities, and view lectures and interviews. Your responses should be thorough, well-conceived college-level responses that are grammatically correct. When you answer these questions, justify your responses with facts and details from the readings, and with your conclusions. Please write your answers in complete sentences.

1. Identify three steps in the revenue cycle management process and apply its relationship to the billing and coding process
2. Discuss the responsible party and their role (ex: pre-registration, front desk, clinical, etc.) in executing each of the three steps.
3. Assess the impact of each of the three steps on the revenue cycle management process when not completed accurately. Recommend one method for revising inaccuracies in each step.

Description

• Explain your diagnosis for the patient, including your rationale for the diagnosis.
• Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.
• Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples.
• Please use the following case for this assignment:

DC is a 46-year-old female who presents with a 24-hour history of RUQ pain. She states the pain started about 1 hour after a large dinner she had with her family. She has had nausea and on instance of vomiting before presentation.

PMH: Vitals:

HTN Temp: 98.8^oF

Type II DM Wt: 202 lbs

Gout Ht: 5’8”

DVT – Caused by oral BCPs BP: 136/82

HR: 82 bpm

Current Medications: Notable Labs:

Lisinopril 10 mg daily WBC: 13,000/mm³

HCTZ 25 mg daily Total bilirubin: 0.8 mg/dL

Allopurinol 100 mg daily Direct bilirubin: 0.6 mg/dL

Multivitamin daily Alk Phos: 100 U/L

AST: 45 U/L

ALT: 30 U/L

Allergies:

• Latex
• Codeine
• Amoxicillin

PE:

• Eyes: EOMI
• HENT: Normal
• GI:bNondistended, minimal tenderness
• Skin:bWarm and dry
• Neuro: Alert and Oriented
• Psych:bAppropriate mood

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references

Background:

The 2019–2020 coronavirus pandemic is an ongoing disease that has devastated many countries all over the world. The outbreak was identified in Wuhan, China in December 2019. The World Health Organization declared the outbreak to be a Public Health Emergency of International Concern on January 30, 2020, and recognized it as a pandemic on March 11, 2020. As of April 27, 2020, more than 3 million cases of COVID-19 have been reported in 185 countries and territories, resulting in more than 208,000 deaths. More than 878,000 people have recovered.

Assignment: (See the Rubric for assignment grading)

Based on your knowledge of the pandemic and its effects on the United States (US), please provide a 3 page, double spaced APA format  written report of the following areas:

• ?  What is the role of politics during the pandemic, and its influence on healthcare, education, equity and economy.
• ?  If citizens are not well in a country, various industries may be negatively impacted because the citizens cannot work to produce goods. This is my definition of the country’s health. What is the role of the “country’s health” on the following industries: food & agriculture, automotive, and entertainment. How has the country’s health influenced these industries?
• ?  If you were currently employed as a public health professional in the US, what would be your recommendation to improve the current health crisis and get Americans back to work safely.

Read Chapter 14 in Alligood (2022).  Orem states there is a need for a nursing language that is enabling for thinking nursing and articulating with other disciplines and for communicating nursing to others in nursing practice situations.

Describe what you think it means to “think nursing?” 

Give an example of nursing language and describe how it is effective for nursing communication. 

What barriers have you experienced in communicating nursing to others?  

Read Chapter 15 in Alligood (2022).    King discusses the goal setting process.

Share a clinical experience where goal setting was or would have been helpful. 

What consequences did you experience because of missed goals? 

What level of insistence can a nurse use for pursuit of a goal? 

Reference in APA format and use NARRATIVE FORM. PLEASE USE RUBIC

Reference

Alligood, M.R. (2022). Nursing theorists and their work (10th ed.).  Elsevier.

NUR – 600Discussion Forum Rubric

Data Analysis and Quality Improvement Initiative Proposal

Prepare an 8-page data analysis and quality improvement initiative proposal based on a health issue of interest. Include internal and external benchmark data, evidence-based recommendations to improve health care quality and safety, and communication strategies to gain buy-in from all interprofessional team members responsible for implementing the initiative.

Instructions

Use your current role as Director of Nursing. Choose a quality improvement initiative of professional interest to you. Your current organization is probably working on quality improvement initiatives that can be evaluated, so consider starting there.

To develop your proposal, you will:

· Gather internal and external benchmark data about your quality improvement initiative proposal.

· Analyze the data you have collected.

· Make evidence-based recommendations about how to improve health care quality and safety relating to your chosen issue.

Remember, your initiative’s success depends on the interprofessional team’s commitment to the QI initiative. Think carefully about these stakeholders and how you plan to include them in the process, as they will help you develop and implement ideas and sustain outcomes. Also, remember how important external stakeholders, such as patients and other health care delivery organizations, are to the process. As you are preparing this assessment, consider carefully the communication strategies you will employ to include the perspectives of all internal and external stakeholders in your proposal.

The following numbered points correspond to the grading criteria in the scoring guide. The bullets below each grading criterion further delineate tasks to fulfill the assessment requirements. Be sure that your proposal addresses all of the content below. You may also want to read the scoring guide to better understand the performance levels related to each grading criterion.

1. Analyze data to identify a health care issue or area of concern.

. Identify the type of data you are analyzing from your institution or from the Vila Health activity.

. Explain why data matters. What does data show related to outcomes?

. Analyze the dashboard metrics. What else could the organization measure to enhance knowledge?

. Present dashboard metrics related to the selected issue that are critical to evaluating outcomes.

. Assess the institutional ability to sustain processes or outcomes.

. Evaluate data quality and its implications for outcomes.&

· Determine whether any adverse event or near-miss data needs to be factored in to outcomes and recommendations.

. Examine the nursing process for variations or performance failures that could lead to an adverse event or near miss.

. Identify trends, measures, and information needed to critically analyze specific outcomes.

. Specify desired outcomes related to prevention of adverse events and near misses.

. Analyze which metrics indicate future quality improvement opportunities.

· Develop a QI initiative proposal based on a selected health issue and supporting data analysis.

. Determine benchmarks aligned to existing QI initiatives set by local, state, or federal health care policies or laws.

. Identify any internal existing QI initiatives in your practice setting or organization related to the selected issue. Explain why they are insufficient.

. Evaluate external national or international QI initiatives on the selected health issue with existing quality indicators from other facilities, government agencies, and nongovernmental bodies on quality improvement.

. Define target areas for improvement and the processes to be modified to improve outcomes.

. Propose evidence-based strategies to improve quality.

. Analyze challenges that meeting prescribed benchmarks can pose for a health care organization and the interprofessional team.

· Communicate QI initiative proposal based on interdisciplinary team input to improve patient safety and quality outcomes and work-life quality.

. Define interprofessional roles and responsibilities relating to data and the QI initiative.

. Explain how to ensure all relevant interprofessional roles are fully engaged in this effort.

. Identify how outcomes will be measured and data used to inform interprofessional team performance related to specific tasks.

. Reflect on the impact of the proposed initiative on work-life quality of the interprofessional team.

. Describe how the initiative enhances work-life quality due to improved strategies supporting efficiency.

· Determine communication strategies to promote quality improvement of interprofessional care.

. Identify interprofessional communication strategies that will help to promote and ensure the success of the QI initiative.

. Identify communication models, such as SBAR and CUS, to include in your proposal.

. SBAR stands for Situation, Background, Assessment, Recommendation.

. CUS stands for “I am Concerned about my resident’s condition; I am Uncomfortable with my resident’s condition; I believe the Safety of the resident is at risk.”

· Communicate QI initiative proposal in a professional, effective manner, writing clearly and logically, with correct use of grammar, punctuation, and spelling.

· Integrate relevant sources to support arguments, correctly formatting citations and references using APA style.