Question Description

Complete Term Paper Due Week 4 (15 hours)

• Recent Health Care Legislature

(within 3 years)

• Literature review regarding issue (5

peer reviewed articles)

• Statistical data related to issue,

population impacted, and health

outcome of issue and legislature

• Nursing role in passing the legislature

• References within 5 years

• 15-Page Minimum •

APA Format

template of

Title in Upper and Lower Case

Your Name

Miami Regional College

MSN 5400: Health Care Policy and Delivery Systems

HEALTH CARE POLICY 2

Title of Paper in Upper and Lower Case (Centered, Not Bold)

Paragraph one is the introduction to the paper. It should begin with something that will grab the reader’s attention and provide a citation to support your opening sentence (Norwood, 2002). Next, support that opening sentence with discussion or explanation with one or multiple sentences which will make up the body of the introductory paragraph. The last sentence of the introduction should highlight areas to be covered in the paper. APA success requires knowledge of the format and skill in concise, clear written communication.

Literature Review

Select the information and summarize the purpose of your literature review. Explain why the literature is important to support your standpoint. Express in a few sentences here. Do not exceed more than one paragraph. Use only one or two references, none is acceptable. You will write the body of the information in detail below.

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Issue Overview

Select five scholarly peer reviewed articles that help support your concern/issue/problem. The articles cannot be textbooks or dictionaries. Select information relevant and convincing about your issue. Explain the issue or concern in lay terms. Type content of paper here. Use as many paragraphs as needed to cover the content appropriately.

Policy History

What has been done prior to this policy being built? What are prior policies or laws that affect this topic? Who wrote this policy? Why did they build it? When did they try to launch it? Was it rejected? When and why? Type content of paper here. Use as many paragraphs as needed to cover the content appropriately.

Beneficiaries / Outcomes

In order to pass a policy or a bill to become a law someone of interest must benefit. Who will benefit from this policy passing and converting into a bill? What benefits will this make on the community? On healthcare? How will this law affect the community? Type content of paper here. Use as many paragraphs as needed to cover the content appropriately. Adkjfasdojfa dfoasidfjaod. Aff fasdfjasod faosdijfaosdjfaodjfasdjdklfljkadf.

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Financial Impact

Nothing come to us for free (Personal communication, Calvo, 2017). Therefore, there must be a financial impact to this bill/policy. How much will this cost to pass? How much time will it take to pass? Does this affect the budget allotted to the implementation of the bill? How much is left in budget (usually it is public information). Type content of paper here. Use as many paragraphs as needed to cover the content appropriately. Ladkjfasdojfadfoasidfjaod. Aff fasdfjasod faosdijfaosdjfaodjfasdjdklfljkadf

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Support System

Are we alone in the fight for the cause of this bill? Who else supports the cause? What organizational group? What individuals? Are these support groups raising money? Making petitions? Do they have a vote or say in any other forum? Type content of paper here. Use as many paragraphs as needed to cover the content appropriately. Ladkjfasdojfadfoasidfjaod. Aff fasdfjasod faosdijfaosdjfaodjfasdjdklfljkadf

Adpapsdufas dfoaidfoakds. Lijaofijasdijfalsd adifasdiufa osdifuaosdfaisdufad fjsdif asdoif. Poiofapdfiasdpfoi asdpf poifpadofiadf.

Statistics

Numbers make an impact. Provide statistical findings here. Please obtain from a primary source. Example of primary sources are the Center for Disease Control and Prevention (CDC), U.S. Department of Health and Human Services (HHS), Florida Department of Health, Board of Nursing, Commission on Social Determinants of Health, World Health Organization, Center for Economic and Social Rights Human rights advocacy, American Nurses Association, and National League of Nursing (NLN). Use as many headings as necessary to organize your paper. Short papers may only have first level headings. Longer papers may require more organizational detail. See your APA Manual page 62 for instructions on formatting multiple levels of headings.

Nurse Practitioner Role

This section is for you to describe and explain why nurses and or NPs care about this issue. To inform Viewpoint readers about the most pressing legislative topics of interest to nurses. Describe how nurses’ influence on policy making and the legislative process takes place or how you plan or foresee this taking place. Why has this topic sparked nurses’ interest in the legislative process? Demonstrate the importance of nurses’ collective voice. Explain what nurses need to know about legislation and this bill. Illustrate why this knowledge is important to nurses.

Show how (and when) nurses can get involved in the legislative process to help support you.

Type content of paper here. Use as many paragraphs as needed to cover the content appropriately. Ladkjfasdojfadfoasidfjaod. Aff fasdfjasod faosdijfaosdjfaodjfasdjdklfljkadf

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Conclusion

Most papers should end with a conclusion or summary, which consists a short description of the key points of the paper. It should be concise and contain little or no detail. No matter how much space is left on the page, the References are always on the next page.

References (centered, not bold)

American Psychological Association. (2010). Publication manual of the American Psychological Association (6th ed.). Washington, DC: Author.

You next reference.

CHAPTER 2017-54

Committee Substitute for Committee Substitute for House Bill No. 249

An act relating to drug overdoses; providing legislative findings and intent; creating s. 401.253, F.S.; permitting certain entities to report controlled substance overdoses to the Department of Health; defining the term “overdose”; providing requirements for such reports; providing immunity for persons who make reports in good faith; providing that a failure to report is not a basis for licensure discipline; requiring sharing of data with specified entities; providing for use of such data; amending s. 395.1041, F.S.; requiring a hospital with an emergency department to develop a best practices policy to promote the prevention of unintentional drug over- doses; authorizing the policy to include certain processes, guidelines, and protocols; providing an effective date.

Be It Enacted by the Legislature of the State of Florida:

Section 1. (1) The Legislature finds that substance abuse and drug overdose is a major health problem that affects the lives of many people, multiple service systems, and leads to such profoundly disturbing con- sequences as permanent injury or death. Heroin, opiates, illegal drug, and accidental overdoses are a crisis and stress the financial, health care, and public safety resources because there are no central databases that can quickly help address this problem. Quick data collection will allow all agencies to focus on specific age groups, areas, criminal behavior, and needed public education and prevention with the maximum utilization of resources. Further, it is the intent of the Legislature to require the collaboration of local, regional, and state agencies, service systems, and program offices to address the needs of the public; to establish a comprehensive system addressing the problems associated with drug overdoses; and to reduce duplicative requirements across local, county, state, and health care agencies.

(2) It is the goal of the Legislature in this act to:

(a) Discourage substance abuse and accidental or intentional overdoses by quickly identifying the type of drug involved, whether prescription or illegal, the age of the individual involved, and the areas where drug overdoses pose a potential risk to the public, schools, workplaces, and communities.

(b) Provide a central data point so that data can be shared between the health care community and municipal, county, and state agencies to quickly identify needs and provide short and long-term solutions while protecting and respecting the rights of individuals.

(3) It is the intent of the Legislature in this act to maximize:

1

CODING: Words stricken are deletions; words underlined are additions.

Ch. 2017-54 LAWS OF FLORIDA Ch. 2017-54

(a) The efficiency of financial, public education, health professional, and public safety resources so that these resources may be concentrated on areas and groups in need.

(b) The utilization of funding programs for the dissemination of available federal, state, and private funds through contractual agreements with licensed basic life support service providers, advanced life support service providers, community-based organizations, or units of state or local government that deliver local substance abuse services in accordance with the intent of this act and s. 397.321(4), Florida Statutes.

Section 2. Section 401.253, Florida Statutes, is created to read:

401.253 Reporting of controlled substance overdoses.—

(1)(a) A basic life support service or advanced life support service which treats and releases, or transports to a medical facility, in response to an emergency call for a suspected or actual overdose of a controlled substance may report such incidents to the department. Such reports must be made using the Emergency Medical Service Tracking and Reporting System or other appropriate method with secure access, including, but not limited to, the Washington/Baltimore High Intensity Drug Trafficking Overdose Detection Mapping Application Program or other program identified by the department in rule. If a basic life support service or advanced life support service reports such incidents, it shall make its best efforts to make the report to the department within 120 hours after it responds to the incident.

(b) The data collected by the department shall be made available within 120 hours to law enforcement, public health, fire rescue, and emergency medical service agencies in each county.

(c) For purposes of this section, the term “overdose” means a condition, including, but not limited to, extreme physical illness, decreased level of consciousness, respiratory depression, coma, or death resulting from the consumption or use of any controlled substance that requires medical attention, assistance or treatment, and clinical suspicion for drug overdose, such as respiratory depression, unconsciousness, or altered mental status, without other conditions to explain the clinical condition.

(2)(a) A report of an overdose of a controlled substance under this section shall include:

1. The date and time of overdose.

2. The approximate address of where the person was picked up or where

the overdose took place.

3. Whether an emergency opioid antagonist, as defined in s. 381.887, was administered.

4. Whether the overdose was fatal or nonfatal.

2

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Ch. 2017-54 LAWS OF FLORIDA Ch. 2017-54

(b) A report of an overdose of a controlled substance under this section shall also include, if the reporting mechanism permits:

1. The gender and approximate age of the person receiving attention or treatment.

2. The suspected controlled substance involved in the overdose.

(3) A basic life support service or advanced life support service that reports information to or from the department pursuant to this section in good faith is not subject to civil or criminal liability for making the report.

(4) Failure to report an overdose under this section is not grounds for disciplinary action or penalties pursuant to s. 401.411(1)(a).

(5) The department shall produce a quarterly report to the Statewide Drug Policy Advisory Council, the Department of Children and Families, and the Florida FUSION Center summarizing the raw data received pursuant to this section. Such reports shall also be made immediately available to the county-level agencies described in paragraph (1)(b). The Statewide Drug Policy Advisory Council, the Department of Children and Families, and the department may use these reports to maximize the utilization of funding programs for licensed basic life support service providers or advanced life support service providers, and for the dissemina- tion of available federal, state, and private funds for local substance abuse services in accordance with s. 397.321(4).

Section 3. Subsection (6) of section 395.1041, Florida Statutes, is amended to read:

395.1041 Access to emergency services and care.—

(6) RIGHTS OF PERSONS BEING TREATED.—

(a) A hospital providing emergency services and care to a person who is being involuntarily examined under the provisions of s. 394.463 shall adhere to the rights of patients specified in part I of chapter 394 and the involuntary examination procedures provided in s. 394.463, regardless of whether the hospital, or any part thereof, is designated as a receiving or treatment facility under part I of chapter 394 and regardless of whether the person is admitted to the hospital.

(b) Each hospital with an emergency department shall develop a best practices policy to promote the prevention of unintentional drug overdoses. The policy may include, but is not limited to:

1. A process to obtain the patient’s consent to notify the patient’s next of kin, and each physician or health care practitioner who prescribed a controlled substance to the patient, regarding the patient’s overdose, her or his location, and the nature of the substance or controlled substance involved in the overdose.

3

CODING: Words stricken are deletions; words underlined are additions.

Ch. 2017-54 LAWS OF FLORIDA Ch. 2017-54

2. A process for providing the patient or the patient’s next of kin with information about licensed substance abuse treatment services, voluntary admission procedures under part IV of chapter 397, involuntary admission procedures under part V of chapter 397, and involuntary commitment procedures under chapter 394.

3. Guidelines for emergency department health care practitioners authorized to prescribe controlled substances to reduce the risk of opioid use, misuse, and addiction.

4. The use of licensed or certified behavioral health professionals or peer specialists in the emergency department to encourage the patient to seek substance abuse treatment.

5. The use of Screening, Brief Intervention, and Referral to Treatment protocols in the emergency department.

6. This paragraph may not be construed as creating a cause of action by any party.

Section 4. This act shall take effect October 1, 2017. Approved by the Governor June 2, 2017.

Filed in Office Secretary of State June 2, 2017.

Assignment: Academic Success and Professional Development Plan Part 6: Finalizing the Plan

At some point in every construction project, efforts turn from design and the focus moves to actual construction. With the vision in place and the tools secured, the blueprint can be finalized and approved. Then it is time to put on hardhats and begin work.
Throughout the course you have developed aspects of your Academic and Professional Development Plan. You have thought a great deal about your vision and goals, your academic and professional network of support, research strategies and other tools you will need, the integrity of your work, and the value of consulting the work of others. With your portfolio in place, it is now time to finalize your blueprint for success.
Much as builders remain cognizant of the building standards as they plan and begin construction, nurses must remain mindful of the formal standards of practice that govern their specialties. A good understanding of these standards can help ensure that your success plan includes any steps necessary to excel within your chosen specialty.
In this Assignment you will continue developing your Academic Success and Professional Development Plan by developing the final component–a review of your specialty standards of practice. You will also submit your final version of the document, including Parts 1–5.
To Prepare:

  • Review the scope and standards of practice or competencies related to your chosen specialty in the resources for this module.
  • Review the MSN specializations offered at Walden by viewing the module resource, Walden University. (n.d.). Master of Science in Nursing (MSN).
  • Examine professional organizations related to the specialization you have chosen and identify at least one to focus on for this Assignment.
  • Reflect on the thoughts you shared in the Discussion forum regarding your choice of a specialty, any challenges you have encountered in making this choice, and any feedback you have received from colleagues in the Discussion.

The Assignment:
Complete the following items and incorporate them into the final version of your Academic Success and Professional Development Plan.

  • With the resources specific to the MSN specialization and the, Walden University. (n.d.). Master of Science in Nursing (MSN), shared in this module, write a paragraph or make a Nursing Specialty Comparison table, comparing at least two nursing specialties that include your selected specialization and second-preferred specialization.
  • Write a 2- to 3-paragraph justification statement identifying your reasons for choosing your MSN specialization. Incorporate feedback you received from colleagues in this Module’s Discussion forum.
  • Identify the professional organization related to your chosen specialization for this Assignment, and explain how you can become an active member of this organization.

Note: Your final version of the Academic Success and Professional Development Plan should include all components as presented the Academic Success and Professional Development Plan template.Assignment: Academic Success and Professional Development Plan Part 6: Finalizing the PlanAssignment: Academic Success and Professional Development Plan Part 6: Finalizing the Plan

the first choice is a psychiatry mental Nurse practitioner and the second choice is geriatric NP.

  • attachment
I need an essay based on RTI and the benefit of: Continuous monitoring of student progress during the interventions, using objective information to determine if students are meeting goals.  The individual component consists of each group member presenting either a benefit or challenge to implementing RTI.
For this assignment, you will be required to review professional, peer-reviewed journal articles related to RTI. You must use in-text citations to reference your ideas and provide one references page that includes all sources used by the group (use APA 7th ed. formatting). I will attach the three peer-reviewed journals.

  • Describe RTI including an explanation of how this process is being used in K-12 schools. This section should conclude with a thesis statement that lets the reader know the focus of the paper (i.e., the discussion of benefits and challenges to follow).

o Paragraphs should begin with a key or topic sentence that states the main point of the paragraph simply. This sentence should provide a context for the reader to understand what is to follow. The paragraph should then be developed to include details explaining, and evidence supporting, the topic sentence. If a paragraph seems to have two key points and both are relevant to your argument, write one paragraph for each point.
 
Benefit #1: Continuous monitoring of student progress during the interventions, using objective information to determine if students are meeting goals.
Summary of a real and/or perceived benefit of using RTI. Identify a benefit of implementing RTI from the peer-reviewed professional literature. Information must be presented in paragraph form that includes a topic sentence that informs the reader of the focus of the discussion. You must have at least three peer-reviewed articles that present the benefit being discussed (include in-text citations to support your discussion).
Here are some websites to get information on RTI: https://www.missouriparentsact.org/resources/response-to-intervention/
http://www.rtinetwork.org/learn/research/progress-monitoring-within-a-rti-model
Here is the APA format that is needed for the essay: https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/general_format.html
 

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    RTI2.pdf
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Nursing help

2017-03-06 00:21 Chamberlain College of NursingNR 451RN Capstone Course

Capstone Project Milestone 1:

Practice Issue and Evidence Summary Guidelines

Purpose

Clear identification of the practice issue is the first step in evidence-based nursing. Next, the evidence is reviewed to determine the best intervention to change practice outcomes. Completion of the milestone will include identification of the practice issue using the ACE Star model of Knowledge Transformation and a review of the evidence that will support an intervention that will change outcomes. The evidence summary will be conducted through the ‘breaking down’ of a systematic review on your topic for your change project.

Course Outcomes

This assignment enables the student to meet the following course outcomes: 

• CO4: Develops and outlines a scientific, systematic decision-making process to integrate critical thinking with clinical judgment to assure safe and effective outcomes. (PO #4)

• CO8: Selects evidence for best practice when planning professional nursing care for individuals, families, aggregates, and communities. (PO #8)

Due Dates

Milestone #1 consists of the completion of two worksheets (Practice Issue Worksheet) and (Evidence Summary Worksheet). Submit the completed worksheets to the Dropbox by Sunday, 11:59 p.m. MT at the end of Week 3.

Points 

Milestone #1 is worth 175 points (75 points for the Practice Issue and 100 points for the Evidence Summary).

Practice Issue Worksheet Directions

1. Practice Issue Worksheet: 

a. Read the guidelines including the grading rubrics below.  You will use this worksheet to document the practice issue presented and approved by your instructor in the Week 2 Discussions.  

i. Your practice issue will be the same for all three Milestone assignments in this course. 

b. Please type your answers directly into the worksheet.

Evidence Summary Worksheet Directions

2. Evidence Summary Worksheet: 

a. Read the guidelines including the grading rubrics below.  You will use this worksheet to incorporate your evidence summary into your Week 4 Milestone 2 assignment. 

b. Find a systematic review article in the Chamberlain library on your topic. Your Systematic Review Article must be peer-reviewed and include a narrative summary.

i. Go to the Chamberlain Library, click on RNBSN; NR451 Capstone course. You can find systematic reviews from many databases within the library, or by searching from the library homepage main search bar. 

ii. To search, combine the phrase ‘systematic review’ with your topic using the Boolean search operator AND. For example, if you are looking for a systematic review on fall prevention, you would use this Boolean search phrase: systematic review AND fall prevention. 

c. Type in your practice issue in the search tab; choose a systematic review article with a narrative summary to complete your worksheet.   

d. Please type your answers directly into the worksheet.

Grading Criteria: Practice issue

Category

Points

%

Description

Practice issue statement, scope of practice, practice area

20

27%

Identifies a Practice issue statement that is an independent nursing decision. 

Describes the scope of practice issues.

Example: The number of falls in your facility has been increasing, especially during shift change. What do you believe may be causing this? Are there any new interventions that could be put into place that would lessen or eliminatethe falls? This is where you begin your initial search into the problem or practice issue identified. 

Identifies the practice area.

Practice issue identification, rationale for selections

35

46%

Identifies how rationale behind how the practice issue was selected as a practice issue/problem

Documents the practice issue in a logical manner.

Types of evidence to gather, rationale for selections

20

27%

Identifies and documents types of evidence that must be gathered for review of the Practice Issue.

Describes rationale for each type of evidence that is selected.

Total

75 points

100%

Grading Rubric: Practice Issue

Assignment Criteria

A (100%)

Exceptional

Outstanding or highest level of performance

B (88%)

Exceeds

Very good or high level of performance

C (80%)

Meets

Competent or satisfactory level of performance

NI (38%)

Needs Improvement

Poor or failing level of performance

F (0%)

Developing

Unsatisfactory level of performance

Practice issue statement, scope of practice, practice area

20 points

Practice issue is identified. 

Practice issue is an independent nursing decision.

Scope of practice issue is fully described. 

Practice area identified. 

20 points ☐

Practice Issue is identified but is not clear.

Practice issue is an independent nursing decision. 

Scope of practice issue is described in simple terms. 

Practice area identified.

18 points ☐

Practice Issue is identified but is not clearly related to a nursing practice issue. 

Practice Issue isnot an independent nursing decision.

Scope of practice issue is described but is not logical in comparison to Practice Issue described.

Practice area identified. 

16 points ☐

Practice Issue is unclear.

Practice Issue is not an independent nursing decision.

Scope of practice issue is not described. 

Practice area identified. 

8 points ☐

Practice Issue isnot identified; practice issue is not an independent nursing decision; scope of practice issue is not described; practice area is not identified.

0 points ☐

Practice issue identification, rationale for selections

35 points

Documents how the practice issue was identified. 

Rationale for responses islogical anddescribed thoroughly. 

35 points ☐

Documents howthe practice issue was identified. 

Rationale for responses islogical and brieflydescribed.

33 points ☐

Documents howthe practice issue was identified. 

Rationale for responses issomewhat logical and vaguely described.

30 points ☐

Vaguely describes how the practice issue was identified. 

Rationale for responses issomewhat logical and vaguely described. 

15 points ☐

Does not document how the practice issue was identified. 

Rationale is not completed.

This section of the form is blank.

0 points ☐

Types of evidence to gather, rationalefor selections

20 points 

Identifies and documents what types of evidence is needed for review. 

Thoroughlydescribes rationale for all checked types of evidence selected.

20 points ☐

Identifies and documents what types of evidence is needed for review.

Briefly describesrationale for all checked types of evidence selected. 

18 points ☐

Identifies and documents what types of evidence is needed but includes only a minimum description for rationale for selected evidence. 

16 points ☐

Does not document more than one type of evidence that is needed for reviewand does not include rationale for selected type of evidence. 

8 points ☐

Does not document types of evidence orrationale. 

0 points ☐

Total Points Possible = 75 points

Grading Criteria: Evidence Summary

Category

Points

%

Description

Practice Problem 

10

10%

States practice problem in own words, with reference to the population, setting, and magnitude and in measurable terms.

Describes practice setting in measureable terms

Example: Consider the example given in the evidence summary above. The setting is the long term care facility where falls have been increasing and a trend has been identified that it seems to occur mainly during shift change. What do you believe may be causing this? What can be done to lessen or eliminate the falls? How does this number of falls relate to other months that have been tracked?

Source of evidence

20

20%

Identifies a source of evidence that is a nursing topic that is the subject of a systematic review article. 

Identifies search terms.

Provides a complete reference for the systematic review article.

Objectives of the article/Statement of questions

20

20%

Identifies the objectives of the article.

Identifies questions being addressed by author/s.

Explains relationship to your practice issue.

Interventions/Main findings summary

30

30%

Summarizes, in own words, suggested interventions by the author/s to improve patient outcomes.

Summarizes main findings of the author/s including strength of evidence for each main outcome.

Describes the relevance to the Milestone 2 paper.

Evidence-based solutions and limitations

20

20%

Outlines evidence-based solutions to consider for the capstone project.

Discusses any limitations to the studies included in the systematic review that you believe may impact use of the evidence provided in your project.

Total

100 points

100%

Grading Rubric: Evidence Summary

Assignment Criteria

A (100%)

Exceptional

Outstanding or highest level of performance

B (88%)

Exceeds

Very good or high level of performance

C (80%)

Meets

Competent or satisfactory level of performance

NI (38%)

Needs Improvement

Poor or failing level of performance

F (0%)

Developing

Unsatisfactory level of performance

Practice Problem

10 points

-Practice problem is in own words, with reference to the population of interest.

-Setting of the problem is identified

-Magnitude of problem is discussed.

-The practice issue is stated in measurable terms.

Met all objectives as stated above

10 points ☐

-Practice problem is in own words, with reference to the population of interest.

-Setting of the problem is not discussed.

-Magnitude of problem is discussed.

-The practice issue is stated in measurable terms. 

Met 3 out of 4objectives

9 points ☐

-Practice problem is in own words, with reference to the population of interest.

-Setting of the problem is not discussed.

-Magnitude of problem is not discussed.

-The practice issue is stated in measurable terms. 

Met 2 out of 4objectives

8 points ☐

-Practice problem is in own words, with reference to the population of interest.

-Setting of the problem is not discussed.

-Magnitude of problem is not discussed.

-The practice issue is stated but notmeasurable.

Met only 1 out of 4 objectives

4 points ☐

-Practice problem is not in own words

-There are no references to the population of interest.

-Setting and magnitude of problem is not discussed

-The practice issue is not stated in measurable terms. 

Did not meet anyobjectives

0 points ☐

Source of evidence

20 points

-Source of evidence is nursing topic.

-Source is aSystematic Review article. 

-Search terms are identified.

-Complete reference is given for Systematic Review article.

Met all 4objectives as above

20 points ☐

-Source of evidence is nursing topic.

-Source is a Systematic Review article. 

-Search terms are identified.

-Complete reference is not given for Systematic Review article.

Met 3 out of 4objectives

18 points ☐

-Source of evidence is nursing topic.

-Source is not aSystematic Review article. 

-Search terms are identified.

-Complete reference is not given for Systematic Review article.

Met only 2 out of 2 objectives

16 points ☐

-Source of evidence is not nursing topic.

-Source is a Systematic Review article. 

-Search terms arenot identified.

-Complete reference is not given for Systematic Review article.

Met only 1 out of 4 objectives

8 points ☐

-Source of evidence is not nursing topic or Systematic Review article.

-Search terms arenot identified.

-Reference is missing.

No objectives were met.

0 points ☐

Objectives of the article/ Statement of questions

20 points

-Objectives of article are identified.

-Questions being addressed by author/s are thorough. 

-Relationship to your practice issue is explained.

20 points ☐

-Objectives of article are identified.

-Questions being addressed by author/s are explained but not thorough. 

-Relationship to your practice issue is explained. 

18 points ☐

-Objectives of article are identified.

-Questions being addressed by author/s are not thorough. 

-Relationship to your practice issue is vague. 

16 points ☐

-Objectives of article are identified.

-Questions being addressed by author/s is missing. 

-Relationship to your practice issue is not explained. 

8 points ☐

-Objectives of article are not identified.

-Questions being addressed in article and relationship toown practice is not identified.

0 points ☐

Interventions/ Main findings summary 

30 points

-Thoroughly summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes.

-Thoroughly summarized main findings of the author/s.

-Included strength of evidence for each main outcome.

30 points ☐

-Briefly summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes.

-Briefly summarized main findings of the author/s.

-Included strength of evidence for each main outcome.

27 points ☐

-Vaguely summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes.

-Vaguelysummarized main findings of the author/s.

-Included strength of evidence for most of main outcomes.

25 points ☐

-Summary of interventions is not in own words.

-Summarized main findings of the author/s is not apparent. 

-Did not include strength of evidence for any of the main outcome.

12 points ☐

-Summary of the interventions the author(s) suggest to improve patient outcomes is missing. 

-Summary of the main findings of the author is missing. 

-The strength of the evidence for outcomes are missing. 

0 points ☐

Evidence-based solutions and limitations 

20 points

-Outline of evidence-based solutions considered for project is documented and clear.

Discussed any limitations to the studies performed.

Documents limitationsbelieved may impact use in project.

20 points ☐

-Outline of evidence-based solutions beingconsidered for project is documented but not clear.

Discussed any limitations to the studies performed.

Documents limitations believed may impact use in project.

18 points ☐

-Outline of evidence-based solutions considered for project is documented but not clear.

Discussed most limitations to the studies performed.

Documents limitations believed may impact use in project.

16 points ☐

-Outline of evidence-based solutions being considered for project is not documented.

-Discussed mostlimitations to the studies performed.

Documents limitations believed may impact use in project.

8 points ☐

-Outline of evidence-based solutions, limitations of studies and potential impact to project is missing.

0 points ☐

Total Points Possible = 100 points

NR451 W3 Milestone1 Practice Issue & Evidence Summary Guidelines 2/16/17    GH

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 This is the guidelines 

2017-03-06 00:23Chamberlain College of NursingNR451 RN Capstone Course

Capstone Project Milestone 1:

Practice Issue and Evidence Summary Worksheets

Student Name: Date:

Directions

1. Refer to the guidelines for specific details on how to complete this assignment.

2. Type your answers directly into the worksheets below.

3. Submit to the Dropbox by the end of Week 3, Sunday at 11:59 p.m. MT.

4. Post questions about this assignment to the Q & A Forum. You may also email questions to the instructor for a private response.

Practice Issue Worksheet

What is the Practice Issue?

Define the scope of the Practice Issue:

What is the practice area?

___ Clinical

___ Education

___ Administration

___ Other (list)_________________________________

How was the practice issue identified?(check all that apply)

___ Safety/risk management concerns

___ Unsatisfactory patient outcomes

___ Wide variations in practice

___ Significant financial concerns

___ Difference between hospital and community practice

___ Clinical practice issue is a concern

___ Procedure or process is a time waster

___ Clinical practice issue has no scientific base

__ Other:

Describe the rationale for your checked selections:

What evidence must be gathered? (check all that apply)

___ Literature search

___ Guidelines

___ Expert Opinion

___ Patient Preferences

___ Clinical Expertise

___ Financial Analysis

___ Standards (Regulatory, professional, community)

___ Other

Describe the rationale for your checked selections: 

Evidence Summary Worksheet 

Directions: Please type your answers directly into the worksheet.

Describe the practice problem in your own words with reference to the identified population, setting and magnitude of the problem in measurable terms:

Find a source of evidence that is a systematic review article on a nursing topic that is relevant to your practice problem. Write the complete APA reference for the systematic review article you selected:

Define the search terms for your systematic review:

Identify the objectives of the article.

Provide a statement of the questions being addressed in the work and how they relate to your practice issue:

Summarize (in your own words) the interventions the author(s) suggest to improve patient outcomes.

Summarize the main findings by the authors of your systematic review including the strength of evidence for each main outcome.  Consider the relevance to your project proposal for the Milestone 2 project paper.

Outline evidence-based solutions that you will consider for your project.

Discuss any limitations to the studies performed that you believe impacts your ability to utilize the research in your project.

NR451 W3 MS1 Practice Issue and Evidence Summary Worksheets  2/16/17    GH

3

Clinical question

“The thoughtful development of a well-structured EBP question is important because the question drives the strategies used to search for evidence”. (Dearholt & Dang, 2012, p.64). My question is: Will Congestive Heart Failure patients discharged from the hospital increase the chance of not being readmitted within 30 days with follow up care that includes post discharge telephone calls for support? 

P- (Patient, Population)-Congestive Heart Failure Patients

I-(Intervention)-Follow up phone call at 48 and 72 hours post discharge

C-(Comparison with current practice)-No follow up telephone calls for support.

O-(Desired outcome)-Reduce the number of Readmissions

Cultural Safety Essay – The vision of the National Aboriginal and Torres Strait Islander Health Plan 2013-2023
Cultural Safety Essay
ORDER A PLAGIARISM-FREE PAPER NOW
Assessment Task 1
Assessment name: Cultural Safety Essay
Task description: The vision of the National Aboriginal and Torres Strait Islander Health
Plan 2013-2023 is:
“The Australian health system is free of racism and inequality and all
Aboriginal and Torres Strait Islander peoples have access to health
services that are effective, high quality, appropriate and affordable”
(Australian Government, 2013, p. 7).
For health professionals to be effective agents in realising this vision they
are required to be culturally safe practitioners, who are literate in the
dynamics of race and racism and their impacts on well-being.
Furthermore, health professionals must be knowledgeable of the
historical and political influences of Aboriginal and Torres Strait Islander
peoples’ well-being.
This reflective assignment requires you to first demonstrate your
understanding of the key concepts associated with cultural safety,
and then apply them to context of Aboriginal and Torres Strait
Islander peoples’ health and well-being.
In this assessment you will be required to utilise the 5Rs Reflection
Framework to discuss changes in your thoughts and feelings throughout
the initial learning process. Furthermore, discuss the application of
culturally safety to the Aboriginal and Torres Strait Islander peoples’
health and well-being context from a profession and individual
perspective.
Learning outcomes 1. Apply the principles of cultural safety to the context of Aboriginal
assessed: peoples and Torres Strait Islanders’ health and well-being to analyse and
advance your current position on the continuum of cultural safety.
2. Describe historical, social, and political issues and how they inform
current experiences of health and well-being, in order to realise
their significance as determinants of current health and well-being
of Aboriginal peoples and Torres Strait Islanders.
3. Discover the everyday experiences of Aboriginal peoples and Torres
Strait Islanders that inform their health care and apply this knowledge
to facilitate effective partnerships with individuals, families, and
communities.
What you need to do: Respond to the follow assessment tasks:
Step 1
Demonstrate your understanding of the following concepts:
a) Compare and contrast personal racism and systemic/institutional
racism (200 words).
b) Briefly discuss the power dynamics associated with the whiteness
of nursing (100 words).
c) Compare and contrast cultural safety and cultural awareness
training (200 words).
Page 2 of 7
Step 2 (100 words)
In accordance with the 5Rs of Reflection Framework, report and
respond to one (1) assumption that you became aware of through
developing new knowledge and understanding from the readings,
learning activities and reflective process.
Step 3 (400 words)
Discuss historical (including political) factors that contributed to
institutional racism and white privilege, particularly in regards to
Aboriginal and Torres Strait Islander peoples’ access to health care,
education and employment.
Step 4 (300 words)
Discuss how culturally safe nursing practice may challenge personal and
institutional racism that impact on Aboriginal and Torres Strait Islander
peoples’ access to health care.
Step 5 (500 words)
In accordance with the 5Rs of Reflection Framework, reflect on your
reactions (feeling and thoughts) to the learning materials (required and
recommended readings, videos, lectures and tutorial material). Report,
respond, relate, reason and reconstruct your perception of:
a) Aboriginal and Torres Strait Islander health and well-being; (250
words).
b) your role in ensuring cultural safe nursing care for Aboriginal and
Torres Strait Islander peoples (250 words).
Length: 1800 words +/-10% (word length includes in-text referencing and
excludes your reference list and appendices).
Estimated time to 30 hours
complete task:
Weighting: 40 %
Individual/Group: Individual
Presentation Your responses to the assessment tasks must adhere to the prescribed
requirements: formatting.
Format of assignment: Your assignment should be written in first-person
Page 3 of 7
style and prepared as follows:
• Has a cover sheet with the assessment title, your name, student
number, tutor name and total word count. Coversheet template is
recommended and available on your Blackboard site.
• Include a ‘footer’ on each page with your name, student number,
unit code and page number.
• 3cm margins on all sides, and double-spaced text.
• Times New Roman, font size 12.
• APA style referencing
• Include a complete reference list on a new page.
• Headings can be used for each step.
• Include the word count for each step.

What you need to One word document that contains the following items: submit:
1. Assignment Cover Sheet & your response to the assessment
tasks (above) written as per the presentation requirements
(above).
Resources needed to • Week 1 – 5 required and recommended readings,
complete task: videos, lectures and tutorial material.
• 5Rs Reflection Framework
•Page 4 of 7
Reflective Framework
This framework will enhance the quality of your reflections, the personal
entries that you choose to elaborate on in your assessment, your thinking
skills, your learning and your practice.
There are several different reflection models that can be used to guide the
writing of your reflections. One of the most popular reflection models is the 5 R’s
framework.
Reporting | Responding | Relating | Reasoning | Reconstructing
The table below provides exemplars that apply each of the Rs of the 5Rs
Reflection Framework.
Steps Content of Exemplar
reflection
Reporting What happened, what did I’ve been going to the lecture and tutorials for
the situation /issue 2 Aboriginal and Torres Strait Islander A brief descriptive involve?
. It’s not what I was account of a expecting. situation/issue (i.e. the
reflective trigger)
Responding Your observations, Concepts like ‘racism’ and ‘cultural safety’
Your emotional/ feelings, questions about promote ideas that are unknown to me, which
the situation/ issue makes me feel that they are not real issues. As personal response to for ‘whiteness’ and ‘white privilege’, these are the situation issue etc. concepts that make me feel uncomfortable.
Relating Making connections I thought that this unit was about learning
Personal and/or between the about the cultures of Aboriginal and Torres
theoretical situation/issue and your Strait Islander peoples in order to help them
understandings relevant experience, skills, better once I am a registered nurse. Instead
to the situation/ issue knowledge and there is consistent emphasis on learning my
understanding own culture. I didn’t think that my culture was
an important factor to consider.
Reasoning Explaining the situation/ I hadn’t thought about how powerful the
Your explanation of the issue in terms of the medical profession is in Australia and how
significant factors, much their perspective influences nursing and situation/ issue relevant theory and/or what I will have to do at work (Willis & Elmer
experience 2011).
Reconstructing Your deeper level of Apparently my culture and that of biomedicine
Drawing conclusions understanding about the and the health care system has strong impacts
situation/issue that is on people’s health outcomes (Willis & Elmer and developing a future used to 2011). Importantly, Aboriginal and Torres action plan reframe/reconstruct your Strait Islander peoples are often
future practice and further disadvantaged by these due to the inherent
develop your systemic/institutional racism (Sherwood &
understanding of Geia, 2014). When I think about it I can see
professional practice that the system is set up and benefits those
who control it and have the most power within
it.
Adapted from NSB102 Assignment 1 (Cox, 2017). Source of the 5 Rs: Bain, J.D., Ballantyne, R., Mills, C., and
Lester, N. C., (2002). Reflecting on practice: Student teachers’ perspectives. Post Pressed, Flaxton, Qld.
Page 5 of 7
Task 1 Rubric
Name: Cultural Safety Essay
Learning outcomes assessed:. Weighting: 40 %
Criteria 7 6 5 4 3 2 – 1
Theoretical Demonstrates Demonstrates a strong Demonstrates a sound Demonstrates an adequate Demonstrates partial Demonstrates limited to no understanding comprehensive understanding of key understanding of key understanding of key concepts understanding of key understanding of key
Cultural Safety Essay – The vision of the National Aboriginal and Torres Strait Islander Health Plan 2013-2023
Weighting: 30% understanding of key concepts genuinely based concepts based on learning based on learning material. concepts and little use of concepts and showed little concepts genuinely on learning material. material. the learning material. evidence of completing
LO: 1,2. based on learning and utilising any of the material. learning material.
Application of Demonstrate Demonstrate strong Demonstrate sound Demonstrate adequate Made general about the Demonstrate limited to no knowledge comprehensive understanding of the understanding of the understanding of the application of key understanding of the
Weighting: 30% understanding of the application of key application of key concepts to application of key concepts to concepts to the application of key application of key concepts to the Aboriginal the Aboriginal and Torres the Aboriginal and Torres Aboriginal and Torres concepts to the Aboriginal
LO: 1,2,3. concepts to the and Torres Strait Islander Strait Islander peoples’ health Strait Islander peoples’ health Strait Islander peoples’ and Torres Strait Islander Aboriginal and Torres peoples’ health context. context. context. health context. peoples’ health context.
Strait Islander peoples’
health context.
Demonstrate Demonstrated critical Demonstrated deep Demonstrated sound Demonstrated adequate Partially demonstrate self- Demonstrated limited to reflection on your reflection on one reflection on one personal reflection on one personal reflection on one personal reflection. no reflection on learning
learning and the personal assumption assumption that was assumption that was assumption that was Made general and implication for implications for that was emphasised or emphasised or challenged emphasised or challenged by emphasised or challenged by practice. observations in response
practice challenged by new by new knowledge gained new knowledge gained in this new knowledge gained in this to the assessment tasks. knowledge gained in this in this unit. unit. unit. Cultural Safety Essay – The vision of the National Aboriginal and Torres Strait Islander Health Plan 2013-2023.
Weighting: 30% unit. Demonstrated deep Demonstrated sound Demonstrated adequate
LO: 1,2,3.
Demonstrated critical reflection on personal reflection on personal reflection on personal
reflection on personal perceptions of: perceptions of: perceptions of:
perceptions of:
• Aboriginal and Torres • Aboriginal and Torres • Aboriginal and Torres Strait
• Aboriginal and Torres Strait Islander peoples’ Strait Islander peoples’ Islander peoples’ health and
Strait Islander health and well-being; health and well-being; and, well-being; and,
peoples’ health and and, • the individual role in • the individual role in delivery well-being; and, • the individual role in delivery culturally safe care culturally safe care to
• the individual role in delivery culturally safe to Aboriginal and Torres Aboriginal and Torres Strait
delivery culturally safe care to Aboriginal and Strait Islander peoples. Islander peoples. Cultural Safety Essay – The vision of the National Aboriginal and Torres Strait Islander Health Plan 2013-2023
care to Aboriginal and Torres Strait Islander
Torres Strait Islander peoples.
peoples.
Page 6 of 7
Communication in • Accurately met all • Met most aspects of • Met several aspects of • Met few aspects of • Met limited aspects of • Ignored presentation
writing incorporating presentation presentation presentation requirements. presentation requirements. presentation requirements, and
expected information requirements. requirements. • Mostly used professional • Sometimes used requirements. APA referencing
literacy standards • Consistently used • Almost always used non-discriminatory professional non- • Rarely used conventions.

Weighting: 10%
professional non- professional non- language. discriminatory language. professional non- Rarely used
discriminatory discriminatory • Generally correctly applied • Sometimes applied discriminatory professional nonlanguage.
language. APA style of APA style of referencing language. discriminatory
• • • language. Consistently and Almost always applied referencing. correctly. Rarely applied
accurately applied APA style of • • Mostly expressed ideas • Expressed ideas clearly. APA style of APA style of referencing. referencing correctly. clearly. referencing. • Sound spelling and • Expressed ideas clearly • Ideas were not clearly •

Mostly accurate spelling grammar. Expressed ideas and fluently. expressed. • Attempted to and grammar. clearly, concisely and • Kept to word limit. • • Was under or over the communicate your Almost always accurate fluently with accurate • Kept to word limit. ideas in writing. spelling and grammar. required word limit. spelling and grammar. •
• Kept to word limit. Was significantly under • Kept to word limit. or over the required
word limit. Cultural Safety Essay – The vision of the National Aboriginal and Torres Strait Islander Health Plan 2013-2023

1.Ancient MysteriesClick the linked activity title to access Assignment 1: Ancient Mysteries.Choose one of the topics below that explore an ancient mystery and develop an essay which adequately addresses the topic you have chosen.King TutankhamenTutankhamen died young, at approximately 18 years of age. However, his cause of death has been the subject of quite varied scholarly theories and conclusions. Did he die of an injury, of illness, of murder, or something else?• The Death of Tutankhamun: Accident, Disease, or Murder?Who Built the Pyramids?There have been many theories regarding how the pyramids at Giza were constructed. Most experts agree that they were constructed as monuments for pharaohs, but how these ancient people constructed monuments of such great size without modern machinery is a mystery being debated to this day.• Did the Hebrews Build the Pyramids?Assignment InstructionsUse the course textbook and provided sources related to the theories of how/why the topic remains an ancient mystery. Write a 3–4 paragraph essay (of at least 250–500 words) on the selected topic that includes the following (note each numbered topic in the list gets its own paragraph):3. Introduction:o Identify and describe the ancient mystery you selected. Provide a brief history.4. Summarize two theories:o Provide a brief summary of at least two reasonable and scholarly theories from your textbook or the linked articles which could explain the mystery. Because some theories may sound far-fetched, include the source or promoter of each theory—such as a scientist, a historian, a theologian, and so on.5. Select one theory:o Choose one of the theories about the ancient mystery you selected that you agree with.o Explain what it is that you agree with and why. Why is the theory you selected the best one to explain the mystery?6. Conclusion:o Reflect on what you learned and why it’s important to our understanding of ancient history and culture. Why is it considered a mystery? Why does it hold such fascination centuries after its discovery?Your assignment must follow these requirements:• This course requires use of Strayer Writing Standards (SWS) [PDF]. Please take a moment to review the SWS documentation for details.The specific course learning outcomes associated with this assignment are:• Describe a theory that provides a plausible explanation for an ancient mystery.Review the rubric on the assignment submission page.

Topic: Pollutants in Waterways
From the earliest days of civilization, mankind has realized the benefits of settling near reliable, clean drinking water supplies. Water has always been an important natural resource for cooking, drinking, cleaning, removal of wastes, and in the manufacturing of goods. It was often convenient to get rid of wastes by simply dumping them into a river since they would be carried downstream, away from the source. As populations grew, this practice led to increasing problems. More people equals more waste and downstream communities do not appreciate having someone else’s waste brought to their doorstep. Throughout history, cities have struggled with ensuring their populations had potable water.
One way to manage this important natural resource is to create legislation aimed at preserving the quality of the resource for years to come. In this week’s Discussion, you will look at water regulation in the United States and its impact on water quality. In the U.S., there have been governmental regulations created to protect the water supply dating back to 1886. In recent history, a major move to protect surface waters in the U.S. was the Clean Water Act (CWA) of 1972. This Act attempts to reduce pollutant discharges into waterways, promote municipal wastewater treatment facilities, and manage polluted runoff. In addition to reading your textbook, do some research to learn more about the Clean Water Act and think about the use of water throughout history using the following references.
Laws & Regulations: Summary of the Clean Water Act. EPA. Retrieved from https://www.epa.gov/laws-regulations/summary-clean-water-act
Knotts, J. A. (1999). A brief history of drinking water regulations. On Tap: Drinking Water News for America’s Small Communities, 8(4), 1–23. Retrieved from http://www.nesc.wvu.edu/ndwc/pdf/OT/OTw99.pdf
In most cases, water treatment involves the removal of solid materials from the water and killing bacteria that may cause disease. You can learn more about what happens during treatment at the following sites:
USGS. (n.d.). Wastewater treatment water use. Retrieved from http://ga.water.usgs.gov/edu/wuww.html
USGS. (n.d.). A visit to a wastewater-treatment plant: Primary treatment of wastewater. Retrieved from http://ga.water.usgs.gov/edu/wwvisit.html
Many communities are also concerned with the problem of excess nutrients like nitrogen and phosphorus (commonly found in fertilizers) entering waterways. Review the following link to see how these excess nutrients lead to fish kills and other problems when they make their way into the natural waterways:
Nutrient Pollution: EPA. Retrieved from http://www.epa.gov/nutrientpollution/problem
ESA. (n.d.). Hypoxia. Retrieved from http://www.esa.org/esa/wp-content/uploads/2012/12/hypoxia.pdf
In your posts this week, make sure you address the following questions:

  1. Who/what are the largest contributors of nitrogen and phosphorus into waterways?
  2. Think about all the products and materials you use every day.
    • What products and materials are commonly sent down the drain?
    • How do these products impact the environment?
  3. How do dead zones in the U.S. and abroad impact local economies, diets, recreation, and other aspects of a community?

Be sure to address all Discussion Board topics in an original, well-thought-out, respectful manner. Main posts should fully and completely discuss each question posed and make frequent, informed references to this unit’s material. Engage in ongoing, productive conversation by responding to a minimum of two classmates per topic. Responses to classmates should be at least 50 words. Remember, you will learn more by sharing ideas!
Please note: Borrowed material (quotes, summaries, or paraphrases) should make up no more than 10% of the total word count for all written assignments in this course, including Discussion. All writing must be in your own words and borrowed material must be properly cited and referenced.
References
Committee on Environment and Natural Resources. (2000). Integrated assessment of hypoxia in the Northern Gulf of Mexico. National Science and Technology Council. Retrieved from http://oceanservice.noaa.gov/products/hypox_final.pdf

Digestive system
I have a biology homework, it’s about digestive system, just need to label the parts and explain their functions
For this exercise, please label 1-10 AND tell me the function of each of the parts labeled.
1. Name – Function
2. Name – Function
3. Name Function
4. Name Function
5. Name Function
6. Name Function
7. Name Function
8. Name Function
9. Name Function
10. Name Function

9[Type a quote from the document or the summary of an interesting point. You can position the text box anywhere in the document. Use the Drawing Tools tab to change the formatting of the pull quote text box.]

  • Indirect Care Provider Roles:
    • Nurse Administrator
    • Nurse Informaticist
    • Nurse Educator
  • Direct Care Provider Roles:
    • NP (Adult, Gerontology, or Family Health)
  • To prepare for this assignment, review all core competencies and then provide a response in a 3- to 5-page paper (excluding the title and reference page) your review of these competencies considering the following:
    • Compare and contrast the core competencies of a direct care provider advanced role and indirect care provider advanced role. For example, if you are a nurse informaticist or nurse administrator student, compare your role’s core competencies to the NP core competencies. If you are a NP student, compare your role’s core competencies to that of the nurse informaticist or the nurse administrator.
    • Analyze the similarities and differences in implementation of the competencies within the selected roles.
    URLs to assist you in preparing your assignment:]]>

  • Present a patient case (this does not need to be detailed).
  • Describe the team that would deliver care and their individual roles.
  • Identify and describe the indicators and determinants of health that would influence or impact this case.
  • Describe the impact this team-based approach would have on management and line staff.
  • Provide an analysis of key financial and resource savings for consumers and insurance companies as they apply to this model.
  • From a leadership position, explain the advantages of using a team-based approach.
  • Your paper should contain the following parts:
    1. Introduction
    2. Body paragraphs (Possible headings include: Case Description, Health Care Delivery Team, Indicators and Determinants of Health, Financial and Resource Analysis, Team-Based Approach Advantages.)
    3. Conclusion
    ]]>