Assessment 4

MUST GET DIDTINGUISHED IN SLL CATEGORIES OR EDIT

Cost Savings Analysis

• Overview; Prepare a spreadsheet of cost savings data showing efficiency gains attributable to care coordination over the course of one fiscal year, and report your key findings in an executive summary, 4–5 pages in length. Information plays a fundamental role in health care. Providers such as physicians and hospitals create and process information as they deliver care to patients. However, managing that information and using it productively poses an ongoing challenge, particularly in light of the complexity of the U.S. health care sector, with its many diverse settings for care and types of providers and services. Health information technology (HIT) has the potential to considerably increase the productivity of the health sector by assisting providers in managing information. Furthermore, HIT can improve the quality of health care and, ultimately, the outcomes of that care for patients.  
• The use of HIT has been upheld as having remarkable promise in improving the efficiency, quality, cost-effectiveness, and safety of medical care delivery in our nation’s health care system. This assessment provides an opportunity for you to examine how utilizing HIT can positively affect the financial health of an organization, improve patient health, and create better health outcomes. By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:  
  • Competency 1: Apply care coordination models to improve the patient experience, promote population health, and reduce costs. 
    • Describe ways in which care coordination can generate cost savings.
  • Competency 2: Explain the relationship between care coordination and evidence-based data. 
    • Describe ways in which care coordination efforts can enhance the collection of evidence-based data and improve quality through the application of an emerging health care model.
  • Competency 3: Use health information technology to guide care coordination and organizational practice. 
    • Explain how care coordination can promote improved health consumerism and effect positive health outcomes.
  • Competency 4: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards. 
    • Present cost savings data and information clearly and accurately.
    • Support main points, claims, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.
  • Competency Map CHECK YOUR PROGRESSUse this online tool to track your performance and progress through your course.
  • APA Module.
  • Academic Honesty & APA Style and Formatting.
  • APA Style Paper Tutorial [DOCX].
  • Capella Resources  
  • ePortfolio.
  • Research Resources You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid. The MSN-FP6612: Emerging Health Care Models and Care Coordination Library Guide can help direct your research. The Supplemental Resources and Research Resources, both linked from the navigation menu in your courseroom, provide additional resources to help support you. As you review these resources, you may want to consider the following questions:  
  • What is the main focus of information gathering in health care?
  • How can care coordination efforts enhance the collection of evidence-based data and improve quality?
  • What governmental entities are leading care coordination practices?
  • What influence does data analysis have on the development and advancement of health care policy?

• Asssessment Instructions

• Preparation As the senior care coordinator in your organization, your manager has asked you to examine and report on how care coordination can generate cost savings, improve outcomes, enhance the collection of evidence-based data, and improve health care quality for the community. She would like you to compile cost savings data in a well-organized spreadsheet and present your key findings in an executive summary. Note:Remember that you can submit all or a portion of your draft spreadsheet and executive summary to Smarthinking for feedback before you submit the final version of this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback. Requirements Determine how care coordination can reduce costs. Compile your cost savings data in a spreadsheet, using Microsoft Excel or a suitable application of your choice. (If you elect to use an application other than Excel, check with faculty to avoid potential file compatibility issues.) Your spreadsheet should containat least fourcost-saving elements. Identify the cost-saving element, current costs, and anticipated savings. Then create an executive summary using theAPA Style Paper Template [DOCX]. Discuss your cost-saving elements and report key findings from your analysis. Analyzing Cost Savings The requirements outlined below correspond to the grading criteria in the scoring guide. Be sure that your analysis addresses each point, at a minimum. You may also want to read the Cost Savings Analysis Scoring Guide to better understand how each criterion will be assessed.  
  • Describe ways in which care coordination can generate cost savings.
    • What are your primary evidence-based sources of information?
    • Are your conclusions substantiated by the data?
    • What assumptions, if any, underlie your analysis?
  • Explain how care coordination can promote improved health consumerism and effect positive health outcomes.
    • What evidence do you have to substantiate your claims?
  • Describe at least five ways in which care coordination efforts can enhance the collection of evidence-based data and improve quality through the application of an emerging health care model. 
    • Choose any emerging health care model.
  • Present cost savings data and information clearly and accurately.
  • Support main points, claims, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.
  • Additional Requirements Executive Summary Format and Length Format your executive summary using APA style:  
  • Use theAPA Style Paper Template [DOCX]provided. Be sure to include:
    • A title page and references page. An abstract is not required.
    • A running head on all pages.
    • Appropriate section headings.
  • See also theAPA Style Paper Tutorial [DOCX]to help you in writing and formatting your executive summary.
  • Your summary should be 4–5 pages in length,not includingthe title page and references page.
  • Supporting Evidence  
  • Cite 4–5 sources of relevant and credible scholarly or professional evidence to support your cost savings analysis.
  • Apply APA formatting to all in-text citations and references.
  • Submit both your spreadsheet and your executive summary. Portfolio Prompt: You may choose to save your spreadsheet and executive summary to your ePortfolio.

Basic concept: Hypoxia

system disorder: anemia

Assignment:

Roy and Neuman

Create a PowerPoint presentation that addresses each of the following points/questions. Be sure to completely answer all the questions for each bullet point. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least one (1) source and the textbook using APA citations throughout your presentation. Make sure to cite the sources using the APA writing style for the presentation. Include a slide for your references at the end. Follow best practices for PowerPoint presentations related to text size, color, images, effects, wordiness, and multimedia enhancements. Review the rubric criteria for this assignment.

Create a PowerPoint Presentation to discuss the following…

Sgt. Eddie Johns leaned back against the chair in the outpatient orthopedic clinic. His head was killing him! He wasn’t sure which was worse, the “morning after” headache or not being able to sleep at night. At least when he had a few beers under his belt so he could catch a few hours of sleep. It had been like this since he was air evacuated back stateside from Afghanistan after the roadside bomb went off. He was thankful that he had only broken his leg in a couple of places and gotten a bad bump on the head. They called that traumatic brain injury but he didn’t know what that was and really didn’t believe them anyway. He was still thinking just fine. His friend Joe wasn’t so lucky! How was Joe going to learn to walk on those artificial legs? He was still in the hospital in Washington, DC. That was pretty far from his home. Eddie wished he could visit Joe. They had been in the same platoon for 9 months. But, Eddie was glad that he had been able to come back to his own home town for outpatient treatment. It took an hour to get here but at least he could see his girl almost every day. Sure he had moved back in with his mom but it was easier to have someone to help him get around and cook for him. It was a bummer that he couldn’t work right now. He guessed it didn’t matter much since he really didn’t have a job to go back to. He had been replaced at the plant. They said they would find something for him to do once he could get around more easily. Eddie sure hoped the doc would take the pins out of his leg today and give him a clearance to work.

• How would the use of the Roy Adaptation Model assist the nurse in planning the continuation of care for Sgt. Johns?
• Describe the influence of Roy’s Theory in guiding the nurse’s actions in promoting Sgt. Johns adjusted self-concept.
• From the perspective of the Roy Adaptation Model, why is it important for the nurse to listen to Sgt. Johns’ “story” in his own words and not just base her interactions on information from the chart, fellow colleagues, or his family?
• Based on Neuman System’s Model, identify at least 4 stressors from the case study. Create a plan of care based on Neuman Systems Model for Sgt. Johns.

Assignment Expectations:

Length: 10-15 slides

Structure: Include a title slide, objective slide, content slides, reference slide in APA format. Title/Objective/Reference slides do not count towards the minimum slide count for this assignment.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of one (1) outside scholarly sources and the textbook are required for this assignment.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Format: Save your assignment as a Microsoft PPT document (.pptx) or a PDF document (.pdf)

File name: Name your saved file according to your first initial, last name, and the assignment number (for example, “RHall Assignment 1.docx”)

M5 Assignment UMBO – 1, 2, 3

M5 Assignment PLG – 1, 6

M5 Assignment CLO – 1, 2, 4

Ethics and Evidence-Based Research

Write  a 1250-1500 word essay addressing each of the following  points/questions. Be sure to completely answer all the questions for  each bullet point. There should be three main sections, one for each  bullet below. Separate each section in your paper with a clear heading  that allows your professor to know which bullet you are addressing in  that section of your paper. Support your ideas with at least two (2)  sources using citations in your essay. Make sure to cite using the APA  writing style for the essay. The cover page and reference page in  correct APA do not count towards the minimum word amount. Review the  rubric criteria for this assignment.

Part 1: Describe  why ethical safeguards designed for clinical research may not be  feasible or appropriate for evidence-based practice or evidence-based  practice implementation projects.

Part 2:  Review the sectioned headed, Two Ethical Exemplars  in Chapter 22 of the textbook (Melnyk and Fineout-Overholt, 2015, pages  518-519). Discuss three main ethical controversies related to  implementing Evidence-Based Quality Improvement (EBQI) Initiatives.  Describe how these controversies relate to the four core ethical  principles. 

Part 3: Identify which ethical principles may be in conflict with the concept of “patients having an ethical responsibility in improving healthcare.” Discuss how these conflicts may be resolved. 

Assignment Expectations:

Length: 1250 – 1500 words
Structure:  Include a title page and reference page in APA format. These do not  count towards the minimum word count for this assignment. Your essay  must include an introduction and a conclusion.
References:  Use appropriate APA style in-text citations and references for all  resources utilized to answer the questions. A minimum of two (2)  scholarly sources are required for this assignment.

Design a newspaper article explaining to people why they should learn CPR and First Aid.  Pretend you are a reporter and writer for the Bristol Herald Courier and write the article.  Remember your deadline is the end of the day Thursday, November 19th.  Please feel free to have an editor (family member) profread your article document.

 The DNP scholar, who is seeking to learn more about the different types of inquiry, Research, Quality Improvement, and Evidence-based practice, will bridge the gap between knowledge, research, application, and translation of evidence to nursing practice. There will be interrelationships between nursing practice, education, theory, and research. A systematic review is an important tool for the DNP scholar who is seeking evidence (Polit & Beck, 2017). Dang & Dearholt inform us that systematic reviews utilize meta-synthesis and meta-analysis to analyze the results of several studies. Therefore, these two most reliable methods and the highest standards in evidence-based care could lead the DNP scholar; further determine the effects of nursing interventions, prevention, treatment, and rehabilitation. Case-controlled studies, case series, and case reports make the DNP do in depth research of individual units, which gives insight into the specific intervention. Cohort studies considered observational studies where the DNP scholar can be able to answer questions on the disease etiology, diagnosis, and prognosis except interventions. DNP scholar uses random control trials to measure the different interventions therefore make the best clinical decision on the outcome of each intervention. Critically appraised individual articles are less reliable however, it helps to assess the outcomes for evidence doing an individual study. Critically appraised topics help to understand the strength of evidence provided and creates an understanding on how to evaluate and synthesize multiple research studies. The least reliable evidence yet helpful for the DNP scholar is the ideas, opinions anecdotes, and editorials. It is crucial as a DNP scholar to understand the pyramid of evidence (all seven levels) and to identify the levels needed for their study. 

A serotonin reuptake inhibitor, such as Fluoxetine, may be prescribed for this patient because she has a disturbed sleep pattern, fatigue, and difficulty concentrating. These three symptoms could correlate with an altered mood. Prozac works by blocking the reabsorption of the serotonin neurotransmitter and causing an increase of the amount of serotonin in the brain. It is believed to increase the client’s mood, improve sleeping patterns, and enhance the thought process. This medication is commonly used to treat major depressive disorders (Henry et al., 2016).

Some important teachings to give the client when administering the first dose are to avoid caffeine, monitor daily weights because weight loss is a common adverse effect in the early stages of therapy, monitor for the signs and symptoms of serotonin syndrome such as increased body temperature, fast heart rate, frequent loose stools, sweating, tremors, and/or anxiety, watch for bleeding or bruising if the medication is given with a blood thinner, and advise the client that fatigue or dizziness can occur (Henry et al., 2016). Serotonin syndrome can occur when there’s an excessive amount of serotonin in the body and can cause changes in mental status and heart function. If the patient observes any of the symptoms listed above, she should notify the physician and nurse immediately

Some changes I expect to see with the client after 2 months of treatment are increased appetite, reduced fatigue, return to a normal sleep pattern, improved concentration and thought process, reduced thoughts of guilt, improved mood, and the patient appears to be content with her appearance, mood, and thoughts. If the client is not displaying the expected outcomes, the physician may prescribe an SNRI such as Venlafaxine, an atypical antidepressant such as Bupropion, or a monoamine oxidase inhibitor such as Phenelzine.

see attachments.

1) Minimum 9 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

              Part 1: Minimum 1 page

              Part 2: minimum 3 pages

              Part 3: minimum 1 page

              Part 4: minimum 3 pages 

              Part 5: minimum 1page

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

           Part 2: Minimum 6 references per part not older than 5 years (Blogs and encyclopedias are not admitted)

           Part 4: Minimum 6 references per part not older than 5 years (Blogs and encyclopedias are not admitted)

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1: Community Nursing

You are a school nurse in a middle school when Jamal comes to the nurse’s office requesting medication for a headache. You notice that his eyes are red, and it appears as if he has been crying. You ask if he is hurt, but he denies it. The phone rings in the office, and a teacher tells you that a female student has approached her concerned about Jamal. The teacher tells you that Jamal sent her a text message saying that he flunked his biology examination and wished he was dead.

1. If Jamal shared with you a suicide plan that includes harming himself with a weapon, what would be your first nursing intervention?

2. What educational program would you develop for the middle school to educate students about ways to cope with stress and how to respond if a friend needs support?

Part 2: Community Nursing 2

 Topic: Severe Acute Respiratory Syndrome  

a. Introduction (general)

b. Introduction of the disease / problem 

c. Signs and symptoms and diagnosis of the disease

d. Factors that may have contributed to the emergence or reemergence of this infectious diseases

e. Mention the goals of Healthy People 2020 to reduce this infection / Prevention and control of the disease / Infection Control Guidelines.

f. CDC (priority for public health) response to this specific infectious disease 

g. Thought about emerging antibiotic -resistant microorganisms

h. Role as a community health nurse 

i. Explain  3 Research studies (eviewed journal articles) about Severe Acute Respiratory Syndrome  

j. Conclusion

Part 3: Complementary nursing

 Topic:  Shamans, Faith and Prayer

1. Do you consider yourself a spiritual or religious person? Explain why? 

2. What is the importance of your faith in your daily life?  

Part 4: Crisis Nursing Intervention

 Topic:   PTSD 

1. What is PTSD?

2. Statistics 

3. Diagnostic criteria / Categorization

4. Physiological Responses

5. Maladaptive Patterns 

6. Interventions / Treatments (pharmacological and non-pharmacological)

7.  Other considerations in the management of _________ (including but not limited to management of behaviors, family considerations, challenges in the care of patients with this disorder.

8. conclusion

Part 5: Nursing and aging

 Topic:  Mobility and Neurologic Function

1. Describing two (2) of the normal age-related changes that produce challenges in maintaining physical activity in the elderly.

      a. Discuss two (2) physical activities that can enhance health in this population about point 1.

2. Identify two (2) signs and symptoms of TIA versus CVA. 

     a. How are your interventions the same or different?

Describe and discuss the pathological conditions that might affect the sexual responses in older adults.

• How and why do you think Nutritional factors, psychological factors, drugs and complementary and alternative medications affect the immune system in older adults.
•  Post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.