Assessment 4

• Cost Savings Analysis
• OverviewPrepare 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 InstructionsPreparation
  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.

BE SURE TO READ ALL DIRECTIVES

Instructions for Answer to 2 Question

1- After Each DQ (question), write down references

2- 300 minimum words for every DQ, you can go up to 800 words but answer should be complete.

3- 2-3 Peer Reviewed/ scholarly references for each question

4- References should be within 4 years

5- I am in acute care nurse practitioner program.

6- The response to the DQ is expected to be a minimum of 300 words. A minimum of two peer reviewed/ scholarly  resources are expected. These need to be appropriate for a clinical professional to guide decisions about patient care. If a textbook is used for one of these responses, the other needs to be journal or professional-level website. The references need to be correctly formatted, as do the citations for those references.  “ Question words” don’t count towards 300 minimum count”

cause  and effect

Due December 1st

Create a PowerPoint presentation and answer the following question in 1-2 slide using each component of the MAP-IT project (mobilize, assess, plan, implement and track) the link to assess this is provided below.

PICOT QUESTION:  In adults living in assisted living, does participation in social activity positively impact feeling of loneliness?

Question: In adults living in assisted living, does participation in social activity positively impact feeling of lonlines?​

Population of interest (P) = Adults residing in assisted living facilities​

Variable of Interest = Different activities plan (dance group, movies, games)​

The Intervention or Interest (I) = The use of activities in adult residing in assisted living facilities to prevent loneliness​

Comparison of Interest (C) = No Activities​

Outcome of Interest (O) = To promote interaction and prevent loneliness in adult living in assissted living facilities​

Time (T) = Within 3 months of stay.​
 

Each MAP-IT segment  to follow

Mobilize,  

Questions to Ask and Answer:

• What is the vision and mission of the coalition?
• Why do I want to bring people together?
• Who should be represented?
• Who are the potential partners (organizations and businesses) in my community?

Assess 

 Questions to Ask and Answer:

• Who is affected and how?
• What resources do we have?
• What resources do we need?

Assess both needs and assets (resources) in your community.
This will help you get a sense of what you can do, versus what you would like to do.

Plan

Questions to Ask and Answer:

• What is our goal?
• What do we need to do to reach our goal? Who will do it?
• How will we know when we have reached our goal?

A good plan includes clear objectives and concrete steps to achieve them.
The objectives you set will be specific to your issue or community; they do not have to be exactly the same as the ones in Healthy People 2020.

Consider your intervention points.
Where can you create change?

Think about how you will measure your progress.
How will you know if you are successful?

When setting objectives, remember to state exactly what is to be achieved. What is expected to change, by how much, and by when? Make your objectives challenging, yet realistic.

Remember: Objectives need a target. A target is the desired amount of change (reflected by a number or percentage). A target needs a baseline (where you are now—your first data point).

Implement

 Questions to Ask and Answer:

• Are we following our plan?
• What can we do better?

First, create a detailed workplan that lays out concrete action steps, identifies who is responsible for completing them, and sets a timeline and/or deadlines.

Make sure all partners are on board with the workplan.

Next, consider identifying a single point of contact to manage the process and ensure that things get done.

Be sure to share responsibilities across coalition members. Do not forget to periodically:

• Bring in new partners for a boost of energy and fresh ideas.
• Check in with existing partners often to see if they have suggestions or concerns.

Get the word out: develop a communication plan.

Convene kick-off events, activities, and community meetings to showcase your accomplishments (and partners).

Tract 

Questions to Ask and Answer:

• Are we evaluating our work?
• Did we follow the plan?
• What did we change?
• Did we reach our goal?

Plan regular evaluations to measure and track your progress over time.

Consider partnering with a local university or state center for health statistics to help with data tracking. Some things to think about when you are evaluating data over time:

• Data Quality: Be sure to check for standardization of data collection, analysis, and structure of questions.
• Limitations of Self-Reported Data: When you are relying on self-reported data (such as exercise frequency or income), be aware of self-reporting bias.
• Data Validity and Reliability: Watch out for revisions of survey questions and/or the development of new data collection systems. This could affect the validity of your responses over time. (Enlist a statistician to help with validity and reliability testing.)
• Data Availability: Data collection efforts are not always performed on a regular basis.

Do not forget to share your progress—and successes—with your community.
If you see a positive trend in data, issue a press release or announcement.

Follow the above information provided and create a POWERPOINT PRESENTATION ADDRESSING THE ABOVE.

Please follow the link for program planning https://www.healthypeople.gov/2020/tools-and-resources/Program-Planning 

The rubric to follow is attached 

Provide references in APA format 7th edition

You have probably seen one or more of the many inspirational posters about decisions. A visual such as a forked road or a street sign is typically pictured, along with a quote designed to inspire.

Often decisions are not so easily inspired. Perhaps you discovered this when choosing a specialty within the MSN program. This decision is a critical part of your plan for success, and you no doubt want to get it right. This is yet another area where your network can help, as well as other sources of information that can help you make an informed choice.

To Prepare:

Reflect on your decision to pursue a specialty within the MSN program, including your professional and academic goals as they relate to your program/specialization.

By Day 3

Post an explanation of your choice of a nursing specialty within the program. Describe any difficulties you had (or are having) in making your choice, and the factors that drove/are driving your decision. Identify at least one professional organization affiliated with your chosen specialty and provide details on becoming a member 

Fair Standards and Procedures

For this discussion, research fair standards and procedures in the school online library and on the Internet.

• Describe common situations or experiences (e.g., in the workplace, among family members, in public settings such as shopping or eating at a restaurant) in which fair standards or practices would apply.
• Identify potential resolutions that would be acceptable for all parties.
• Explain your response and provide examples.

Cite and reference sources according to APA Style.

Pathological conditions that might affect the sexual responses in the elderly population

Sexuality is a very vital component of physical and emotional intimacy that women and men experience throughout their active lives. Female sexual dysfunction and male erectile failure increase with an individual’s age.  About 30 percent of older adults have at least a single complaint with their sexual function. However, about three-quarters of the older adults still expresses their interest to maintain their proper sexual function. Certain normal transformation tends to occur with aging, for example, in older men requiring more time and stimulation to obtain a complete erection. (Robert C. Dean, 2005)

In as much as sexual dysfunction is related to aging, it is important not to rule out the possibility of disease conditions or medication side effects as being related to sexual dysfunction. The most prevalent pathological disorders related to sexual dysfunction include lower urinary tract symptoms, diabetes, depression, and cardiovascular disorders. It has been established that the occurrence of erectile dysfunction can be reduced through early control of cardiovascular risk factors that help in improving endothelial function. And that modification of lifestyle-related risk factors such as obesity and treatment of the predisposing disorders may help curb sexual dysfunction in the elderly. 

Both chronic and acute conditions cause sexual dysfunction and decreased sexual interest. Pathological disorders lower tolerance to physical activity and mobility thus minimizing sexual desire. Cardiovascular disorders are the main cause of morbidity in older adults and more often associated with sexual dysfunction. The vascular system and the neurological systems should be intact for normal arousal in women and erection in men, however, the elderly often experience neurological degenerations. (Robert C. Dean, 2005)

The pathophysiology of erectile dysfunction can then be classified into; psychogenic dysfunction which is the most common. Psychogenic dysfunction occurs through alteration of the brain areas that control sexual behaviors such as the limbic system, hypothalamus, and cerebral cortex. The other classifications include the neurogenic (affecting the pudendal and cavernous nerves, spinal cord, and brain.), endocrinologic as a result of hypogonadism that occurs with old age, and arteriogenic such as structural changes, impaired endothelium-dependent vasodilation, and vasoconstriction. Diabetes has also been massively associated with sexual dysfunction among the elderly since these conditions seriously affect the vascular system. (Robert C. Dean, 2005)

Nutritional factors that affect immune systems

Older adults tend to develop nutritional deficiencies due to poor appetite caused by chronic conditions, loneliness, depression, or multiple medications that cause interference with normal nutrient absorption. Nutrient deficiency even a single nutrient may lead to alteration in the body’s immune response. Studies have indicated that deficiencies in selenium, iron, zinc, folic acid, copper, and vitamins can cause alteration in the immune response. The poorly nourished are therefore at a greater risk of infections. (CHAN)

Psychological factors that affect immune response among the elderly.

Studies carried on brain behavior and immunity indicates the correlation between psychopathology and personality to immunity, changes in immune responses induced by stress, and the behavioral conditioning of immunity. Empirical evidence suggests that psychological processes can impinge upon modulating immune responses. This is shown by a revelation of the fact that immune competence is malleable, a fact validated by the differences in responsiveness of cell functioning in elderly and young people. Older adults’ unstable psychological conditions, therefore, predispose them to immune incompetency. (Christopher L. Coe, 2017)

How drugs and alternative and complementary medications affect the immune system.

It has been realized that Complementary and Alternative medicine (CAM) is effective in boosting immune response. CAM, curcumin, and polyphenolic compounds obtained from common food colorant turmeric can enhance the antibody’s responses even at low doses. some drugs can, however, cause considerable damage to many systems including the immune system through intoxication. (Nilashi, 2020)

References

Beers, M., Fink, A., & Beck, J. C. (2016). Screening Recommendations for the. American Journal of Public Health, 81(9), 1131-1139.

Burke, S. A. (2016). Influence through policy: Nurses have a unique role. Retrieved from Sigma Nursing: https://www.reflectionsonnursingleadership.org/commentary/more-commentary/Vol42_2_nurses-have-a-unique-role

CHAN, H. T. (n.d.). The Nutrition Source. HAVARD T.H. CHAN. Retrieved from https://www.hsph.harvard.edu/nutritionsource/nutrition-and-immunity/#:~:text=A%20deficiency%20of%20single%20nutrients,E%20can%20alter%20immune%20responses.

Choi, S., Cheung, K., & Pang, S. (2015). A field study of the role of nurses in advocating for safe practice in hospitals. Journal of Advanced nursing, 70(7), 1584-93. doi:10.1111/jan.12316

Christopher L. Coe, M. L. (2017). Psychosocial influences on immunity, including effects on immune maturation and senescence. HHS Public Health Access. doi: 10.1016/j.bbi.2007.06.015

Nilashi, M. (2020). Can complementary and alternative medicines be beneficial in the treatment of COVID-19 through improving immune system function? J Infect Public Health. doi:doi: 10.1016/j.jiph.2020.05.009

Robert C. Dean, M. a. (2005). Physiology of Penile Erection and Pathophysiology of Erectile Dysfunction. HHS Public Access. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1351051/

Torrey, T. (2020, March 09). End of Life and Advance Directive Documents. Retrieved from Verywell Health: https://www.verywellhealth.com/advance-directives-documents-2615080

REPLY 2

Cardiovascular diseases and osteoporosis as well as dementia are the common chronic conditions that occur in adults especially those at the age of above 85 years. There are many other conditions as well that affect adults even those not at old age. In this study, we will focus on those pathological conditions that affect that affect the sexual responses in older adults, whether or not the nutritional factors, psychological factors, drugs as well as complementary and alternative medications affect the immune system in older adults.

The sexual disorders include; one lacking sexual desires or not having any interest for sex. The person develops disorders in arousal process, meaning the person cannot be physical aroused or even get excited during sex. There is also a problem when it comes to orgasm, that is, the person can delay or even absence of orgasm. There are those who also experience pain during sex, a condition referred to as pain disorder. The conditions that affect the sexual response in adults are grouped into two categories, the physical causes and psychological causes.

There are many physical or medical conditions that can affect the sexual response in older adults; they include conditions such as diabetes, heart as well as vascular diseases, the neurological disorders, the hormonal imbalances, some chronic infections such as liver and kidney failure. Alcoholism as well as drug abuse can also affect the sexual conditions in adults.

  There are also some medications that may have side effects like the side effects of antidepressants that can affect the sexual function.  Some antidepressants can reduce the sexual desire and this can interfere with one’s ability to orgasm, examples of these drugs are Prozac and Zoloft. These same effects can as well occur with SNRI antidepressants such as cymbalta. Other medications that can as well affect the sexual desire are the drugs to curb anxiety like diazepam, the antifungal like ketoconazole, the blood for blood pressure like the atenolol as well as the heartburn drugs such as famotidine (Obos 2014).  

The psychological conditions are mainly the work related problems such as stress, being anxious, some are concerns on sexual performance, the marital as well as problems related to relationships, depression, the guilt feeling, having concerns on the body image and also being affected by the past sexual trauma can also lead to effects on sexual response among adults.

In the line of nutrition, there are also foods that can reduce ones sex drive, they make one to have a reduction in the level of sex demand. This foods include, processed food like bread, diet soda, the microwave popcorns, marijuana as a food and drug, shrimps, alcohol as a drug especially beer, edamame, cheese, sugar, canned soup, licorice and many others just to mention but a few (Stoddard 2017).

To conclude, from the research, it is clear that drugs, nutrition, the psychological factors as well as medications can affect the sex response of a person. The effects can be positive or negative effects, a person can either have high desire for sex or low desire for sex. One can even end up not in need of sex at all. The best way to know if what you eat or the medications you take affect your sexual desire is by continuous monitoring of what you take and the effects it’s having on you with time.  

References

Grant Stoddard, (2017), 27 Foods that Kill your Sex Drive.

Obos Sexuality and Relationship Contributors, (2014), Medications that can affect sexual desire and pleasure.

All replies must be constructive and use literature where possible.

Your assignment will be graded according to the grading rubric.

Give your opinion about the advantages and disadvantages of the EHR, remember that the technology has made it possible to access a patient’s information in seconds through computer technology, however this technology may be vulnerable in terms of privacy so the confidential information of the patients could be in danger.

The format must be APA, give at least two references from 2016 to 2020, a minimum of 250 words.

As a nurse leader, it is important to understand a variety of leadership models and styles. This will help you adapt to different settings and apply strategies to support and inspire others. It may also be necessary to apply models in different professional settings to satisfy certification requirements. Write a 1,000-1,250 word paper about your personal model of leadership, including the following:

1. How might your personal model of leadership be applied in your professional setting?
2. Compare your personal leadership model to servant leadership, transformational leadership, and at least one other model of leadership.
3. Describe your personal worldview, including the religious, spiritual, and cultural elements that you think most influence your personal philosophy of practice and attitude towards leadership.
4. Describe how your professional leadership behaviors can inspire others.

Use a minimum of three peer-reviewed resources (published within the last 5 years) as evidence to support your views.

Prepare this assignment according to the APA guidelinea. An abstract is not required.