About 2 to 3 pages long

COMPETENCIES

734.3.4 : Healthcare Utilization and Finance

The graduate analyzes financial implications related to healthcare delivery, reimbursement, access, and national initiatives.

INTRODUCTION

It is essential that nurses understand the issues related to healthcare financing, including local, state, and national healthcare policies and initiatives that affect healthcare delivery. As a patient advocate, the professional nurse is in a position to work with patients and families to access available resources to meet their healthcare needs. 

REQUIREMENTS

Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. An originality report is provided when you submit your task that can be used as a guide.

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

A. Compare the U.S. healthcare system with the healthcare system of Great Britain, Japan, Germany, or Switzerland, by doing the following:

1. Identify one country from the following list whose healthcare system you will compare to the U.S. healthcare system: Great Britain, Japan, Germany, or Switzerland.

2. Compare access between the two healthcare systems for children, people who are unemployed, and people who are retired.

a. Discuss coverage for medications in the two healthcare systems.

b. Determine the requirements to get a referral to see a specialist in the two healthcare systems.

c. Discuss coverage for preexisting conditions in the two healthcare systems.

3. Explain two financial implications for patients with regard to the healthcare delivery differences between the two countries (i.e.; how are the patients financially impacted).

B. Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.

C. Demonstrate professional communication in the content and presentation of your submission.

File RestrictionsFile name may contain only letters, numbers, spaces, and these symbols: ! – _ . * ‘ ( )
File size limit: 200 MB
File types allowed: doc, docx, rtf, xls, xlsx, ppt, pptx, odt, pdf, txt, qt, mov, mpg, avi, mp3, wav, mp4, wma, flv, asf, mpeg, wmv, m4v, svg, tif, tiff, jpeg, jpg, gif, png, zip, rar, tar, 7z
RUBRICA1:COUNTRY TO COMPARE

NOT EVIDENT

A country for comparison is not identified.

APPROACHING COMPETENCE

The identified country for comparison is not from the given list.

COMPETENT

The identified country for comparison is from the given list.

A2:ACCESS

NOT EVIDENT

A comparison of healthcare system access is not provided.

APPROACHING COMPETENCE

The comparison does not accurately describe access to healthcare systems in both the U.S. and the country chosen in A1 for one or more of the given groups of people, or the comparison does not logically describe both the similarities and differences between access to each of the healthcare systems for all of the given groups of people.

COMPETENT

The comparison accurately describes access to healthcare systems in both the U.S. and the country chosen in part A1 for children, people who are unemployed, and people who are retired. The comparison logically describes the similarities and differences between access to each of the healthcare systems for all of the given groups of people.

A2A:COVERAGE OF MEDICATIONS

NOT EVIDENT

A discussion of medication coverage in both healthcare systems is not provided.

APPROACHING COMPETENCE

The discussion of coverage is not accurate or is not relevant to one or more of the healthcare systems.

COMPETENT

The discussion of coverage for medications is accurate and relevant to both the U.S. healthcare system and the healthcare system of the country chosen in part A1.

A2B:REFERRAL TO SEE A SPECIALIST

NOT EVIDENT

A determination of specialist referral requirements is not provided.

APPROACHING COMPETENCE

The submission does not accurately determine the requirements to get a referral to see a specialist for one or more of the healthcare systems.

COMPETENT

The submission accurately determines the requirements to get a referral to see a specialist for both the U.S. healthcare system and the healthcare system of the country chosen in part A1.

A2C:COVERAGE FOR PREEXISTING CONDITIONS

NOT EVIDENT

A discussion of preexisting condition coverage is not provided.

APPROACHING COMPETENCE

The discussion of coverage for preexisting conditions is not accurate or does not relate to one or more of the healthcare systems.

COMPETENT

The discussion of coverage for preexisting conditions is accurate and relevant to both the U.S. healthcare system and the healthcare system of the country chosen in part A1.

A3:FINANCE IMPLICATIONS FOR HEALTHCARE DELIVERY

NOT EVIDENT

An explanation of 2 financial implications for the patient is not provided.

APPROACHING COMPETENCE

The explanation does not logically discuss 2 financial implications for the patient in regards to healthcare delivery differences, or the explanation does not include both the U.S. healthcare system and the healthcare system of the country chosen in part A1.

COMPETENT

The explanation logically discusses 2 financial implications for the patient in regards to the delivery differences in both the U.S. healthcare system and the healthcare system of the country chosen in part A1.

B:SOURCES

NOT EVIDENT

The submission does not include both in-text citations and a reference list for sources that are quoted, paraphrased, or summarized.

APPROACHING COMPETENCE

The submission includes in-text citations for sources that are quoted, paraphrased, or summarized and a reference list; however, the citations or reference list is incomplete or inaccurate.

COMPETENT

The submission includes in-text citations for sources that are properly quoted, paraphrased, or summarized and a reference list that accurately identifies the author, date, title, and source location as available.

C:PROFESSIONAL COMMUNICATION

NOT EVIDENT

Content is unstructured, is disjointed, or contains pervasive errors in mechanics, usage, or grammar. Vocabulary or tone is unprofessional or distracts from the topic.

APPROACHING COMPETENCE

Content is poorly organized, is difficult to follow, or contains errors in mechanics, usage, or grammar that cause confusion. Terminology is misused or ineffective.

COMPETENT

Content reflects attention to detail, is organized, and focuses on the main ideas as prescribed in the task or chosen by the candidate. Terminology is pertinent, is used correctly, and effectively conveys the intended meaning. Mechanics, usage, and grammar promote accurate interpretation and understanding.

Acute Bronchitis

 

Soap Note 1 Acute Conditions
Follow the MRU Soap Note Rubric as a guide: Use APA format and must include minimum of 2 Scholarly Citations.
Soap notes will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)
Turn it in Score must be less than 50% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 50%. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.

Must use the sample templates for your soap note, keep this template for when you start clinicals. 
The use of tempates is ok with regards of Turn it in, but the Patient History, CC, HPI, The Assessment and Plan should be of your own work and individualized to your made up patient.  

Nursing

Reflect on your current or prior practice setting.

·  Paragraph One: Briefly describe the type(s) of nursing health assessments you commonly perform. 

o  Explain how your nursing health assessments are focused or comprehensive.

o  Provide examples of key subjective and objective data collected by nurses in this setting.

·  Paragraph Two: Describe the typical patient population in your practice setting.

o  What are some special considerations that you have used for obtaining an accurate health history and physical assessment in this patient population?

§  Examples may include age, lifestyle, financial status, health status, culture, religion, or spiritual practices.

Utilizing Process Improvement Models in Saudi Healthcare Settings (110 points)

 Utilizing Process Improvement Models in Saudi Healthcare Settings (110 points)

You have been asked by the Board of Directors to persuade stakeholders in your healthcare organization to adopt Lean Six Sigma.

In this assignment, you will write an executive summary that can be distributed to inform stakeholders about Lean Sigma and how it will benefit your organization and your plan for implementation.

In each summary, you will include the following:

  • A succinct overview of the model
  • The impact of the model on quality
  • The impact of the model on cost
  • Barriers to implementation in your organization and how you would address them
  • Brief implementation plan

There are many formats for executive summaries, but they all include relevant headings and succinct descriptions.

Click on the following link to view an example of an executive summary, if desired:

Executive Summary Example Executive Summary Example – Alternative Formats

Your well-written executive summary should meet the following requirements:

  • Each executive summary should be 2-to-3 pages in length, excluding the cover and reference pages.
  • The summary should have its own reference page.
  • Provide full APA references for the articles selected and any additional sources used, along with appropriate in-text citations.
  • Provide support for your statements with in-text citations from a minimum of four scholarly articles. Two of these sources may be from the class readings, textbook, or lectures, but the others must be external.
  • Formatted per Saudi Arabia Electronic University and APA formatting guidelines.
  • Utilize headings to organize the content of your work.
  • Make sure headings correspond to the assignment requirements.

 In this assignment, you will write two executive summaries: one on Lean Six Sigma, and one on either Total Quality Management or Continuous Quality Management. You can always use the example in the assignment as a guide. 

Local Practice Problem Exploration

 

During this, last ten years, in the state of Texas, the prevalence of this practice problem “Diabetes Mellitus” shows an increased number of population affected and a higher cost for treatment (Johnson, E. P. et al., 2019). The overall percentage of mortality rate in Texas during these last two decades has increased by 2 % in females and 6 % in males due to communicable diseases, non-communicable diseases, and injuries. According to GBD (2018), Diabetes Mellitus ranked in seventh position in the year 1999 and ninth position in the year 2019, and the associated risk factors, which leads to mortality rate are high body mass index, high fasting plasma glucose, high blood pressure, kidney dysfunction, and high alcohol use.

Diabetes Mellitus, a chronic disease that affects multiple systems in patients often gets readmission due to the complications after the initial discharge. Nurses have to use critical thinking and proper judgment to assess the diabetic patients while they are in the hospital to identify the complications and to intervene without delaying the treatment. Nursing care becomes challenging especially with the “ic” population “geriatrics and pediatrics due to the age factor, inability to comprehend the education, memory-related issues (dementia) for the senior citizens, or the language itself. All these factors could become a barrier to do self-management care, which is the most priority education and intervention be done to maintain the targeted glycemic index. Health care Organizations, which has a partnership with the different national diabetic committees takes control of implementing policies and protocols and updates the data of the mortality rate. In Texas, the high mortality rate due to Diabetic Mellitus is because of kidney diseases, septicemia, heart diseases, and stroke. The quality of care be evaluated after a new intervention or a new policy is implemented.

One of the stakeholders who are extremely helpful to identify prediabetes, gestational diabetic, diagnosed diabetic patients are called as Diabetic Prevention Program (DPP) sites. DPP sites emphasize to take data from each county and provide education and preventive techniques towards this practice problem. The DPP considered one of the powerful tool for health care team members to educate and give attention to each county and employers and work partnership (Johnson, E. P. et al., 2019). Another stakeholder identified in the state of Texas is the Diabetic Education Program (DEP) sites. The difference between DPP and DEP is the DEP is a 12-month program including several workshops provided for the patients and does a quarterly follow-up. Every 3 months the patients are checked for the HbA1c and based on the outcome do the intervention and education modifications (Ory, M. G. et,. 2020). Other stakeholders identified are the nurses, patients, family members, ancillary services, health care providers,s, and pharmacists.

Our Organization identified a gap in knowledge in the patients doing self-management care focusing on diet and exercise. After identifying the patients with diabetes and complications of diabetes in the hospital there was, a team implemented which consists of diabetic educators, dietitians, nurse educators, wound care nurses, and dialysis managers. The team members as their role will meet with each patient and implement a plan in collaboration with the patient on self-care management. The feedback was great by the family members because this education provided the patients and the family members to think from a different perspective and helps to understand better and therefore one of the best continuing education topics to be included and explained by the team to the nurses and health care team during the meetings.

I need a comment for this discussion board in 2 paragraphs and use at least 2 sources. 

Applying Process Improvement Models

  

THIS IS A DISCUSSION: 

I will attach what information I already have for this project and the rubric…it is a 6 week project…currently wk 3

I work in hospice. It is expected that we evaluate and know when a patient is declining to be able to increase visits to monitor the patient more closely. Using the edmonten symptom assessment system allows you to trend the patients symptoms and thereby increasing visits as needed when the pt declines. Our numbers indicate that we are not increasing the visits on declining patients based on not having a skilled nursing visit 3-5 days before death.

Choose a Quality Improvement Model from Chapter 5 in the Spath (2018) textbook, and apply this model to your practice problem. Please do not choose Lean or Six Sigma as your quality model unless you have an expert in these quality models in your organization to guide you through the process.

Pick one of these:

PDSA (p.124). Plan do study act
RCI (p.127). rapid cycle improvement
FOCUS PDCA (p.128). focus-plan-do-check-act
FADE (p.129). focus analyze develop and execute

By Day 4

Post a Discussion entry describing the model that you selected and how each step of the model will be used to develop the plan for the Practice Experience Project. Continue to collaborate with the selected individuals in your practice environment as needed in the development of the Practice Experience Project, and share this information with your group.

Change Implementation and Management Plan

Create a PowerPoint presentation of 5 or 6 slides with video that presents a comprehensive plan to implement the change you propose.

Your Change Implementation and Management Plan should include the following:

  • An executive summary of the issues that are currently affecting your organization/workplace (This can include the work you completed in your Workplace Environment Assessment previously submitted, if relevant.)
  • A description of the change being proposed
  • Justifications for the change, including why addressing it will have a positive impact on your organization/workplace
  • Details about the type and scope of the proposed change
  • Identification of the stakeholders impacted by the change
  • Identification of a change management team (by title/role)
  • A plan for communicating the change you propose
  • A description of risk mitigation plans you would recommend to address the risks anticipated by the change you propose

Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). New York, NY: Springer.
Chapter 8, “Practice Model Design, Implementation, and Evaluation” (pp. 195–246)

Cullen, L., & Adams, S. L. (2012). Planning for implementation of evidence-based practice. Journal of Nursing Administration, 42(4), 222–230. Retrieved from https://medcom.uiowa.edu/annsblog/wp-content/uploads/2012/10/JONA-FINAL-Cullen-2012.pdf

Pollack, J., & Pollack, R. (2015). Using Kotter’s eight stage process to manage an organizational change program: Presentation and practice. Systemic Practice and Action Research, 28(1), 51-66.
Note: You will access this article from the Walden Library databases.

Seijts, G. H., & Gandz, J. (2016). Transformational change and leader character. Business Horizons, 61(2), 239-249. https://doi.org/10.1016/j.bushor.2017.11.005
Note: You will access this article from the Walden Library databases.

Tistad, M., Palmcrantz, S., Wallin, L., Ehrenberg, A., Olsson, C. B., Tomson, G., …Eldh, A. C. (2016). Developing leadership in managers to facilitate the implementation of national guideline recommendations: A process evaluation of feasibility and usefulness. International Journal of Health Policy and Management, 5(8), 477–486. doi:10.15171/ijhpm.2016.35. Retrieved from http://www.ijhpm.com/article_3183_5015382bcf9183a74ef7e79b0a941f65.pdf