Assignment Requirements 

1. Utilizing the list below, choose two research methods.  
2. Next, find two articles, one on each of the chosen methods, from the Chamberlain College library, or you may use one that is provided within the course and one you find from the library. The articles should be related to population health and infectious disease, chronic health, occupational health, global health, genomics, or environmental health: 
   • Randomized Control Trial 
   • Cohort Study 
   • Case-Control Study 
   • Cross-Sectional
   • The articles you choose should be completely in English (this includes the reference list). They should be related to population health and speak to one of the following elements from the course: Infectious disease, chronic health, occupational health, global health, genomics or environmental health.
3. Read each article and answer the following questions with detail for each article, include succinct definitions/examples or rationale as fitting to the question. Organize your answers using the number of the question you are answering (1-8). Your answers should provide more than a “yes” or “no”, your answers should provide examples, critical thinking, definitions, and examples. 
   1. Does the study design specify a question, goal, of the study? 
   2.  Why is this important? 
   3. Explain the methodology (Randomized Control Trial, Cohort Study, Case-Control Study).
   4. Describe the participant information, include recruitment. Is selection bias present? 
   5. How is data collected? 
   6. Are the variables identified? If yes, discuss. If no, how does this impact your interpretation of the study? 
   7. How was the data analyzed, what statistics are provided? What are potential errors related to the study design? 
   8. What are the weaknesses of the type of study design/method? 
   9. Discuss the outcomes and the implications for implementation. 
   10.   Your analysis should have in-text citations and utilize a scholarly voice with APA formatting. 
   11.  a minimum of two paragraphs of 4-5 sentences for each question answered. You should integrate in-text citation(s) and be formatted with APA and a scholarly voice.  
   12.  integrate course content (such as data and correctly used course terminology) related to the study method as well as an integration of in-text citations along with a scholarly voice and APA formatting. The textbook may be utilized as a resource. 

 Curley, A.L. & Vitale, P.A. (2016). Population-Based Nursing: Concepts and Competencies for Advanced Practice (2nd ed.). 

 HEALTH LAW AND ETHICS

FIND THE REGULATIONS THAT APPLY FOR EACH AND CITE THEM

1. You are a physician in a four doctor group practice. You would like the group to purchase an X-Ray machine as an ancillary diagnostic service to their medical practice. The group agrees but insists that all fees for the technical component billed to Medicare for the X-Rays should be split up based solely upon who ordered the test. (The technical component is the charge for the X-Ray itself and is not for the professional part of the radiologist or other doctor who reads or interprets the X-Ray.) Also, there is not enough space at the office building where the group practices to house the MRI machine so they want to lease space in the building next door for the MRI. What is your response to these proposals.

(I suggest looking to the fraud and abuse regulations to find support for your answers i.e. Stark and the Anti-Kickback Act. First, determine whether the laws apply and then see if there is a Stark exception or Anti-Kickback safe harbor that addresses this ancillary service and if the proposals are compliant with those exceptions or safe harbors. If not, why not?)

1. You are the compliance officer of a Medicare certified hospice. In reviewing this month’s claims submitted for payment to Medicare you discover that of the 15 new hospice admissions, for the first 90 days of hospice coverage, the medical records contain 10 written certifications of terminal illness signed by the hospice medical director within 48 hours of the initiation of service; 2 were written and signed but only after 5 days from the initiation of service and 3 have no written certifications at all, however, your staff confirms that for those last three, each of the patient’s attending physician verbally certified the terminal illness. All of the written certifications state the time frame for life expectancy for the newly admitted patients, however, the staff forgot to verify the time frame of life expectancy in their verbal conversations with the 2 attending physicians who gave verbal certificates. You decide to call the two attending physicians. What time frame of life expectancy do you need to confirm? Also, of these 15 new claims, how many do you think could be denied for payment by Medicare and why?

(This problem requires a careful analysis of the Medicare reimbursement coverage issues).

1. You sister would like to start a new personal care attendant healthcare business. A personal care attendant (“PCA”) business is licensed by the State of Louisiana as part of the Home and Community Based Service Providers. Essentially, a PCA company provides direct service workers to go to people’s homes who have disabilities to help them with Activities of Daily Living, and some very basic medication management. Your sister has asked you to help her with some licensing questions, as follows:
2. Is it OK to base the company out of her home until she makes enough money to rent an office?
3. She can secure financing from her bank through a line of credit but only for $50,000, is that enough?
4. Your sister would like for her boyfriend to be a co-owner, he has a prior misdemeanor conviction for possession of marijuana. Would that prohibit him from being an owner?
5. Once the PCA company starts making money and she moves it into a new office, she would like to sell her home and establish residency in Bay St. Louis, Mississippi, just across the border. She doesn’t mind the commute and plans to continue to serve as the PCA company’s administrator. She has a college degree and use to work for five years for the Council for the Aged in Slidell providing service to the elderly. Is that OK?

(I suggest looking to licensing regulations to find support for your answers).

1. You are the hospital administrator of one of three large hospitals in Metropolis, Louisiana. You would like to institute a new policy to help the city’s ambulance company by replenishing the ambulances that transport patients to your hospital’s emergency room with drugs, linens and other supplies that the ambulance EMT crew may have used in stabilizing the patient prior to transfer. You need to establish a policy that is compliant with the Anti-Kickback Act to avoid having a problem with Medicare should the other hospitals complain that you are giving the ambulance company a kickback to steer patients to your emergency room. Draft a policy to replenish the ambulances that is compliant with the Anti-Kickback Act.

(This is obviously a Federal Healthcare Program Anti-Kickback problem. Is there an applicable safe harbor?)

1. You are psychologist. Your last patient just left your office. She had just been fired from her position as a school counsellor and she was extremely bitter. During the therapy session she said that she wanted to “get even” with the school administration and “make them pay” for firing her which she believes was completely unjustified. You were unable to get any more details regarding her feelings about being fired. Can you disclose what she said and if so, to whom?

(Consult the Privacy Rules under HIPAA, and determine what one must do under the law in a case like this).

CHI is devoted to informatics from the perspectives of general consumers and patients. The focus is on empowering consumers and patients to manage their own health information through health information, PHR, and Internet-based tools and resources.

Tasks:

Using the South University Online Library, research CHI based on your readings and understanding, create a 5- to 6-page Microsoft Word report using at least five references that provides the answer to the following tasks.

• Compare and contrast the goal and functionality of PHR and EHR.
• Differentiate the role of other applications Social Networking, Home Telemedicine, and Smart Phone Technology in CHI from that of PHR.
• Describe and explain the challenges Consumer Informatics face in regard to health literacy.
• Critique the role of health professionals and healthcare organizations in CHI.
• Construct three recommendations for future development of CHI.

1.  Discuss the process implemented in the investigation of the outbreak of a communicable disease.

2.  Discuss the difference between infectious and communicable diseases. Give one example of each one. 

3.  Identify the factors that influence the emerging and reemerging of infectious diseases

4.  Identify and describe a recent emerging and reemerging infectious diseases from the global perspective.  (I know every is going to describe COVID 19 for the emerging).

As stated in the syllabus present your assignment in an APA format word document. A minimum of 3 evidence-based references no older than 5 years must be used.  A minimum of 800 words not to exceed 1,000 are required without counting the first and last page.  

The benchmark assesses the following competency:

4.2 Communicate therapeutically with patients.

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

Note:  The teaching plan proposal developed in this assignment will be used to develop your Community Teaching Plan: Community Presentation due in Topic 5. You are strongly encouraged to begin working on your presentation once you have received and submitted this proposal.

Select one of the following as the focus for the teaching plan:

1. Primary Prevention/Health Promotion
2. Secondary Prevention/Screenings for a Vulnerable Population
3. Bioterrorism/Disaster
4. Environmental Issues

Use the “Community Teaching Work Plan Proposal” resource to complete this assignment. This will help you organize your plan and create an outline for the written assignment.

1. After completing the teaching proposal, review the teaching plan proposal with a community health and public health provider in your local community.
2. Request feedback (strengths and opportunities for improvement) from the provider.
3. Complete the “Community Teaching Experience” form with the provider. You will submit this form in Topic 5.

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 LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. 

Attachments 

Planning has a number of advantages for healthcare organizations. For instance, planning can help organizations adapt, take advantage of opportunities, reach agreement on major issues, or even assign responsibilities for tasks.

Think about a healthcare organization you know (or have researched) and describe one advantage that this organization can gain by planning.

Identify disparities in health among populations for a Healthy People 2020 health issue. For this assignment:

1. Describe the chosen Healthy People 2020 topic area and specific health issue.

2. Contrast causes of disparities related to this health issue within populations.

3. Propose a public health communication strategy to reduce disparity and promote health.

4. Outline a plan for the communication.

5. Describe an evaluation plan for the communication.

6. Create targeted communication for each population.

7. Reflect on learning through this project.

Submission Instructions:

· The paper is to be formatted per current APA, be clear and concise and students will lose points for improper grammar, punctuation and misspelling.

· The paper is to be 5 – 7 pages in length, excluding the title, abstract and references page.

· Incorporate a minimum of 3 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.

· Journal articles and books should be referenced according to current APA style

Developing a Culture of Evidence-Based Practice

As your EBP skills grow, you may be called upon to share your expertise with others. While EBP practice is often conducted with unique outcomes in mind, EBP practitioners who share their results can both add to the general body of knowledge and serve as an advocate for the application of EBP.

In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry.

To Prepare:

• Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.
  • This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.
• Reflect on which type of dissemination strategy you might use to communicate EBP.

Post at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified.

Reflect upon the selected practice problem in Weeks 1 and 2 and consider the following. (Obesity was my practice problem in the week 1 and 2)

1-What are the common barriers to evidence translation in addressing this problem?

2-What strategies might you adopt to be aware of new evidence?

3-How will you determine which evidence to implement?

4-How will you ensure continuation or sustainability of the change?

Please answer each question separated and use 3 sources at least no later than 5 years.

You can use this sources:

-Chamberlain NR701 Week 7 Lesson: Translation of Evidence: Overcoming Barriers

-Dang and Dearholt (2018) Chapter 9: Creating a Supportive EBP Environment

-White, Dudley-Brown, and Terhaar (2016) Chapter 15: Best Practices in Translation: Challenges and Barriers in Translation.

-Chamberlain College of Nursing. (2019). NR-701 Week 7: Translation of Evidence: Overcoming Barriers [Online lesson]. Downers Grove, IL: Adtalem.

-Dang, D., & Dearholt, S. L. (2018). Johns Hopkins nursing evidence-based practice: Model and guidelines (3rd ed.). Indianapolis, IN: Sigma Theta Tau International.

-White, K. M., Dudley-Brown, S., & Terhaar, M. F. (2016). Translation of evidence into nursing and health care (2nd ed.). New York, NY: Springer Publishing Company.

The benchmark assesses the following competency:

4.2 Communicate therapeutically with patients.

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

Note:  The teaching plan proposal developed in this assignment will be used to develop your Community Teaching Plan: Community Presentation due in Topic 5. You are strongly encouraged to begin working on your presentation once you have received and submitted this proposal.

Select one of the following as the focus for the teaching plan:

1. Primary Prevention/Health Promotion
2. Secondary Prevention/Screenings for a Vulnerable Population
3. Bioterrorism/Disaster
4. Environmental Issues

Use the “Community Teaching Work Plan Proposal” resource to complete this assignment. This will help you organize your plan and create an outline for the written assignment.

1. After completing the teaching proposal, review the teaching plan proposal with a community health and public health provider in your local community.
2. Request feedback (strengths and opportunities for improvement) from the provider.
3. Complete the “Community Teaching Experience” form with the provider. You will submit this form in Topic 5.

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