Monthly Archives: May 2023

Reflect upon the selected practice problem in Weeks 1 and 2 and consider the following. Practice Problem is Diabetes Mellitus

• What are the common barriers to evidence translation in addressing this problem?
• What strategies might you adopt to be aware of new evidence?
• How will you determine which evidence to implement?
• How will you ensure continuation or sustainability of the change?

HA3220D – Health Information Systems

Assignment 07: Training Plan

Develop a training plan and evaluation of training for a hospital that is implementing a new health care information system. 

1. Training Plan In a roughly 1 page double-spaced training plan, include:

Introduction What will this training cover? In what mode/format will occur?  

Training Strategies What training strategies will you use, and why do you feel they will be effective for a system implementation training program?

Probable Issues / Roadblocks to System Implementation and how you will use the training process to reduce their likelihood.

Key Elements that must be included in training for users of a health care information system.

This training plan should be a minimum of 1 page double-spaced in Times New Roman or similar 12-point font.

2. Create an evaluation tool to measure user satisfaction with the training process. You may model it on common questions asked on a customer satisfaction survey, but you should also create questions that can be used to improve the training process and learn more about users’ needs, knowledge, and skills.

• Record a slide presentation with Script for the presentation, supported by 8–12-slides, for one of the stakeholder groups identified in your Assessment 2 Policy Proposal, which addresses current performance shortfalls, the reasons why new policy and practice guidelines are needed to eliminate those shortfalls, and how the group’s work will benefit from the changes.
  It is important that health care leaders be able to clearly articulate policy positions and recommendations and garner buy-in and support from stakeholder groups for policy and practice changes in their organizations. Unfortunately, effective communication is often lacking. Consequently, it is important for health care leaders, when leading change, to ensure that clear and open communication is ongoing and informative.
• An important aspect of change leadership is the ability to address diverse groups of stakeholders and create buy-in and support for your ideas and proposals for change. This assessment provides you with an opportunity to demonstrate and hone these skills.
• Assessment Instructions
• Record a slide presentation, with audio voiceover, for one of the stakeholder groups you identified in your Assessment 2 Policy Proposal. Inform the group of current performance shortfalls, introduce the proposed policy, explain why the policy is needed, and present policy-driven practice guidelines to resolve the performance issue. You must also obtain buy-in from the group by explaining the positive effects of the policy and practice guidelines on their work.
  Note: Remember that you can submit all, or a portion of, your draft presentation to Smarthinking for feedback, before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.
  Requirements
  The presentation requirements outlined below correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, be sure to note the requirements for presentation format and length and for supporting evidence.
  • Summarize your proposed organizational policy and practice guidelines.
    • Identify applicable local, state, or federal health care policy or law that prescribes relevant performance benchmarks that your policy proposal addresses.
    • Keep your audience in mind when creating this summary.
  • Interpret, for stakeholders, the relevant benchmark metrics that illustrate the need for the proposed policy and practice guidelines.
    • Make sure this is a brief review of the evaluation you completed in your Assessment 1 Dashboard Metrics Evaluation.
    • Make sure you are interpreting the dashboard metrics in a way that is understandable and meaningful to the stakeholders to whom you are presenting.
  • Explain how your proposed policy and practice guidelines will affect how the stakeholder group does its work.
    • How might your proposal alter certain tasks or how the stakeholder group performs them?
    • How might your proposal affect the stakeholder group’s workload?
    • How might your proposal alter the responsibilities of the stakeholder group?
    • How might your proposal improve working conditions for the stakeholder group?
  • Explain how your proposed policy and practice guidelines will improve quality and outcomes for the stakeholder group.
    • How are your proposed changes going to improve the quality of the stakeholder group’s work?
    • How will these improvements enable the stakeholder group to be more successful?
    • What evidence supports your conclusions or presents alternative perspectives?
  • Present strategies for collaborating with the stakeholder group to implement your proposed policy and practice guidelines.
    • What role will the stakeholder group play in implementing your proposal?
    • Why is the stakeholder group and their collaboration important for successful implementation?
  • Deliver a persuasive, coherent, and effective audiovisual presentation.
    • Address the anticipated needs and concerns of your audience.
    • Stay focused on key policy provisions and the impact of practice guidelines on the group.
    • Adhere to presentation best practices.
    • Proofread your presentation slides to minimize errors that could distract the audience and make it more difficult for them to focus on the substance of your proposed policy and practice guidelines.
  • Example Assessment: You may use the Assessment 3 Example [PDF] to give you an idea of what a Proficient or higher rating on the scoring guide would look like.
    Presentation Format and Length
    You may use Microsoft PowerPoint or other suitable presentation software to create your slides. If you elect to use an application other than PowerPoint, check with your faculty to avoid potential file compatibility issues.
    If using PowerPoint to create your presentation slides, you may use the SoNHS Professional Presentation Guidelines [PPTX] as a template.
    Be sure that your slide deck includes the following slides:
  • Title slide.
    • Presentation title.
    • Your name.
    • Date.
    • Course number and title.
  • References (at the end of your presentation). Apply current APA formatting to all citations and references.
  • Your slide deck should consist of 8–12 slides, not including a title and references slide.
    Note: If you have technical difficulties in recording your audio, you may, in place of the audio, provide a complete script of what you intended to say in the notes section of each slide. If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact [email protected] to request accommodations.
    Supporting Evidence
    Cite 3–5 sources of scholarly, professional, or policy evidence to support your analysis and recommendations.
    Portfolio Prompt: You may choose to save your presentation to your ePortfolio.
    Competencies Measured
    By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
  • Competency 1: Analyze relevant health care laws, policies, and regulations; their application; and their effects on organizations, interprofessional teams, and professional practice.
    • Explain how a proposed policy and practice guidelines will affect how a stakeholder group does its work.
  • Competency 2: Lead the development and implementation of ethical and culturally sensitive policies that improve health outcomes for individuals, organizations, and populations.
    • Summarize a proposed organizational policy and practice guidelines.
    • Explain how a proposed policy and practice guidelines will improve quality and outcomes for a stakeholder group.
  • Competency 3: Evaluate relevant indicators of performance, such as benchmarks, research, and best practices, to inform health care laws and policies for patients, organizations, and populations.
    • Interpret, for stakeholders, the relevant benchmark metrics that illustrate the need for a proposed policy and practice guidelines.
  • Competency 4: Develop strategies to work collaboratively with policy makers, stakeholders, and colleagues to address environmental (governmental and regulatory) forces.
    • Present strategies for collaborating with a stakeholder group to implement a proposed policy and practice guidelines.
    • Deliver a persuasive, coherent, and effective audiovisual presentation.

List 8  PROGRESS NOTES in SOAP format of the   Psychiatric Mental Health Nurse Practitioner Role  with  Child and Adolescents  . Describe the   activities you completed during this   time   period with patients.

NOTE: ( The progress notes has to be related with what the    Psychiatric Mental Health Nurse Practitioner do with Child and    adolescents with different psychiatric conditions). 8 different notes    with different patients scenarios. 

 Conflict in Ethical Principles  

Three to four ideas with a speaker note, a power point ( one slide) about  conflict in ethical principle regarding gender reassignment hormone treatment

I am a tutor of nursing 

Overview

For Assignment 2, you will assess the ethical aspects of a healthcare industry managerial practice.  This analytical paper provides you with an opportunity to think critically about the challenging ethical and moral issues routinely faced by healthcare managers and introduces you to the four principles of medical ethics and the ethical code of the American College of Healthcare Executives (ACHE).

Description

Background
You are a member of your organization’s ethics committee.  At this month’s meeting of the committee, two issues were discussed.  The CEO has asked you to brief the new board chair on the importance of ethics in healthcare, how they differ from other industries, and how they apply to these specific circumstances.  Select one of the two following scenarios as the focus of your analysis.

Case 1: Hospital Policy on Influenza Immunization
The Centers for Disease Control and Prevention (CDC) have issued an advisory that the coming “flu season” is expected to be unusually severe.  CDC projects a potentially historic level of illness and flu-related deaths.

Response to this, the president of the medical staff has recommended that hospital staff, employees, and volunteers receive mandatory influenza immunizations.  With exceptions for those who are allergic and anyone with a valid religious prohibition against vaccination, those who refuse the immunization would not be allowed to work. There is a small, but vocal, contingent of employees (including some nurses who are advocating for unionization of the nursing staff) who object to this policy, stating it is an infringement on individual rights and patient self-determination.

Three questions to answer are below.
1. What issues should be considered in establishing this policy?
2. To what groups is responsibility owed?
3. What will you recommend to the hospital Board and C-Suite?

Case 2: Balancing Needs
Your facility is a critical access hospital (CAH) serving a largely rural catchment area.  The next nearest hospital, a comprehensive medical center is several hours distant.

During the monthly utilization review, the emergency department medical director noted a marked increase in cases of renal distress and failure, and that many of these patients do not have health insurance.  They have been treated in accordance with the Emergency Medical Treatment and Active Labor Act (EMTALA), the federal statute that requires hospitals to assess and stabilize anyone presenting for emergency services, regardless of ability to pay.

The chief of medical services responds that end-stage renal disease requires ongoing evaluation and treatment, but that this is neither covered by EMTALA nor does the current medical staff have a specialist in this field.

Three questions to answer are below.
1. What issues should be considered in addressing this situation?
2. To what groups is responsibility owed?
3. What will you recommend to the hospital Board and C-Suite?

Paper Expectations and Requirements
The case scenarios reflect the types of situations you may encounter as a leader in health care. They are complex and offer no clear options or solutions. Therefore, your research should include at least five scholarly sources.

Overall, the paper should use separate major section headings. As necessary, sub-section headings should be included. The paper should include responses to the three points below.
1. Summarizes the relevant issues raised by the case.
2. An explanation of why those issues raise ethical concerns.
3. How the ACHE Code of Ethics or a similar professional code of ethics can be used to determine the proper response by a healthcare leader.

Also, whether select either Case 1 or Case 2, the paper should answer each of the questions identified under each case. Regarding the use of sections headings described above, here is a suggested to consider. You may want to use a major section heading and three subsection headings that provide answers to the three questions under either Case 1: Hospital Policy on Influenza Immunization or Case 2: Balancing Needs.

Paper Format
1. A title sheet, abstract, body of the paper, and reference list are all required for this paper.  The body of the paper should include 1,000 to 1,200 words.
2. The paper should use MS Word and in 7th Edition APA format, with 1-inch margins on all sides, double-spaced and 12 pt. Times New Roman font.

General Comments Regarding Grading
Assignment 2 is worth 20 points. Grading will be based on the requirements and expectations provided in the above sections and the Grading Rubric will be used as a guide.

 Discuss the differences between non-parametric and parametric tests. Provide an example of each and discuss when it is appropriate to use the test. Next, discuss the assumptions that must be met by the investigator to run the test 

Attention Wizard Kim Week 11 Finals on Capstone. Be Careful with this finals.

                  Week 11 Discussion: Job Search Application, and Interview Process 2 pages 

Week 11 Finals Assignment : Practicum Journal Entry 3 pages APA format 7th ed. 

The Medication Paper Final Draft

This week, you will submit a paper on a specific medication that has recently been approved for use (within the last two years) and is widely prescribed within the United States. ( Ubrelvy )

The medication should have been chosen by you during week 2 and approved by your instructor by week 3.

Your paper must be a minimum of seven pages, not including your title or reference pages. You should include at least five recent references (published within the last five years), and the paper must be presented in APA format (see rough draft requirements in week 6).

The paper must include the following content information:

• Manufacturing company
• Brand name
• Indication
• First in class, or not first in class
• Common side effects profile
• Known contradictions

Make sure you explain the special considerations that your chosen drug has on the unique populations/client groups listed below. Special considerations should include absorption, clearance/elimination, distribution, metabolism half-life, loading dose, route of drug administration, and steady state.

Pediatric Patients

Pediatric patients are not little adults. There are special pharmacokinetic and pharmacodynamics variations in this patient group. Their reaction to medication can be very unpredictable. Accurate dosing is the key due to their limited body mass.

Geriatric Patients

Geriatric patients have altered pharmacokinetic and pharmacodynamics responses to medication. The process of aging and disease will change how the body responds to drug therapy. Memory limitations and increased sensitivity to drug therapy may cause unique problems with this population.

Patients With Renal Dysfunction

Many medications are excreted through the renal glands or metabolized and excreted renally. Dosage adjustment is the key in this population. Many agents may cause nephrotoxicity.

Patients With Liver Dysfunction

Liver disease produces alterations in the physiology of the drugs’ pharmacokinetics in the body. Special attention should be given to all drugs used in this client population

Obese Patients

Obese patients have alterations in their pharmacokinetic and pharmacodynamic response to medication. Many comorbidities and altered nutritional status can be seen as responses to taking these medications. Accurate dosing is paramount.

Pregnancy/Lactation

Pregnancy and lactation can be challenging. Concerns of effects to the unborn fetus must be considered. Will treating the mother harm the unborn fetus or nursing infant?

FEEDBACK 

.do not forget your purpose statement which is always the last sentence of the introduction paragraph.