Project: Promoting Health Care Quality  Section 3:    
Quality Measurement and Assessment  Measuring and assessing quality provides a foundation for identifying needs for improvement, developing effective interventions, and then monitoring progress toward desired results.   In the Sadeghi, Barzi, Mikhail, and Shabot text, the authors assert that an effort to improve quality “calls for setting outcome and performance targets (goals and expectations) beginning with the end in mind, and then formulating initiatives and actions (processes) that can serve as a bridge to take the organization from its current performance to its desired performance” (p. 182).   Having this “end in mind” can provide justification for dedicating valuable resources toward the effort, and help to lay a clear, concrete path that takes the organization from uncovering gaps between current performance and evidence-based targets to actually achieving those goals.  In this section of the Course Project, you focus on what you would measure—and how you would measure it—relative to your previously identified quality improvement issue. Note: This section of the Course Project will serve as the Portfolio Assignment for this course.       Course Project: Section 3: Quality Measurement and Assessment: write a 3-5 page paper to introduce your quality improvement plan. For more details on this project, see the Week 7 Project area for specifics to include for this paper.     I have attached my paper from week 4 for the continuation of the project.     To prepare: •Review the Learning Resources. Also conduct a search of the literature related to your selected quality improvement issue and complete the Evidence Matrix (provided in this week’s Learning Resources).   •Evaluate the evidence presented in the research literature and the quality standards proposed by various organizations, including the IOM’s six aims for quality improvement.   •Based on this review and your knowledge of the organization that you have selected, determine appropriate measures and indicators of performance related to your identified quality improvement issue.   •Consider how you could gather and use historical evidence of the organization’s performance related to the quality improvement issue. Also consider methods for gathering and assessing current quantitative and qualitative data, including those currently in use by the organization (e.g., chart audit data, staff surveys, quality indicators that are monitored, observations). If possible, examine actual data to assess your selected organization’s performance related to the issue.   •Think about what, specifically, you would like to achieve related to this issue. Establish realistic, evidence-based quality performance targets.   •Analyze gap(s) between the organization’s current performance and the performance targets.   •As you do this, you may wish to create a graphic organizer/alignment chart for your own use that illustrates:   •The measures and indicators that you would evaluate   •Current and historical data related to this quality issue—either actual data or methods for how you would collect and analyze the data   •Methods for collecting and analyzing data in the future (including when you would do this)   •Realistic, evidence-based targets

Instructions

Complying with legal requirements is an important function within human resources. These legal requirements may be compiled complex, and may change over time or based on a company location. A company’s compliance with these laws and regulations is generally considered a minimum standard for an HR department.
In this assignment, you will research legal regulations, the impact of these regulations regarding the HR processes and HRM.

  • Choose one of these regulations (e.g., the Civil Rights Act, the Equal Employment Opportunities [EEO] Act, the Immigration and Nationality Act, or affirmative action) that impacts HR processes.
  • Address the following questions in your paper:
    • How does your chosen regulation impact HRM?
    • How does the chosen regulation impact day to day operations in a organization? What amendments have been made to the chosen regulation in the past five to ten years? How have these amendments affected HRM?
  • Find peer-reviewed articles.
  • Weekly written assignments have a  requirement of 4 pages and 5 scholarly resources (this does not include the title or reference pages) in APA format on the information researched from the article and your views as well.

Each answer should be 3-5 paragraphs in length.  This final assessment is to be completed independently and without help from another student or person.  Each question has multiple parts. Please read the question carefully and answer all parts for full credit.  A minimum of two reference sources are required for each question.  All sources must be cited correctly using APA format.  Failure to cite reference sources will result in a reduced grade.

The format of the paper should include bolded sectional headings as follows:

•             Question 1

 

Question 1: Explain the differences between the following network devices: hub, bridge, switch, router, firewall.  Where would you utilize each device and why?  Where does each device reside within the OSI model?

Three page Journal

For this assignment, you will research risk management programs for health care facilities or organizations. Review the criteria below in order to select an exemplar that applies to your current or anticipated professional arena. (Note: Select an example plan with sufficient data to be able to complete the assignment successfully.)
In a 1,000-1,250 word paper, provide an analysis that includes the following:

Brief summary description of the type of risk management plan you selected (new employee, specific audience, community-focused, etc.) and your rationale for selecting that example.
Description of the recommended administrative steps and processes in a typical health care organization risk management program contrasted with the administrative steps and processes you can identify in your selected example plan. (Note: Select an example plan with sufficient data to be able to complete the assignment successfully.)
Analyze the key agencies and organizations that regulate the administration of safe health care and the roles each play in the risk management oversight process.
Evaluation of the selected exemplar risk management plan regarding compliance with the American Society of Healthcare Risk Management (ASHRM) standards relevant to privacy, health care worker safety, and patient safety.
Proposed recommendations or changes you would make to your selected risk management program example to enhance, improve, or to secure compliance standards.

In addition to your textbook, you are required to support your analysis with a minimum of three peer-reviewed references.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Types of Crime and Justification
Many crimes have changed over time, either to broaden the scope of prohibited behavior or in reaction to novel developments through the years. Looking specifically at two crimes, burglary and rape, discuss how the definitions and elements of the crimes have changed as the crimes have developed from common law crimes to statutory crimes. Using the Internet, find information on the Pennsylvania law. Refer to this law for the statutory definitions of burglary (18 Pa. Cons. Stat. § 3502) and rape (18 Pa. Cons. Stat. § 3121). On the basis of your analysis about crimes, share your response to the following question:
Do you feel that definitions of crimes should be changed to include new prohibited behaviors, or do you think new crimes should be created?
Affirmative defenses fall under the categories of justification and excuse. Choose one justification defense (self-defense, duress, etc.) and one excuse defense (infancy, mistake of fact, intoxication, etc.).
Explain how these defenses can be used at trial. Should these types of defenses relieve a person of his or her criminal responsibility?

I have a health information management assignment due on the health information exchange in the state of Maryland my budget is 12 and due by Monday.

Part one:
a. Define HIE.
b. List some benefits of a HIE.
c. Define and list an advantage/disadvantage for each HIE model.
· Centralized HIE architecture
· Decentralized/Federated HIE Architecture
· Hybrid HIE Architecture
· Health Record Banking HIE Architecture
d. Define and give one example of these exchange methodologies:
· DIRECT Exchange
· Query –based Exchange
· Consumer Mediated Exchange
e. List and explain two HIE initiatives that are currently going on in the United States.
f. Identify two issues/challenges in health information exchange.
Part two:
Write a 1-2 page paper (double-spaced) with a Reference list included (APA format preferred).
a. Using the State you have been assigned below, describe the progress made thus far in regard to health information exchange. Are there any current HIE initiatives in your state? What is the structure of their HIE? What are the successes and/or barriers thus far? If there are no initiatives, why do you think that is the case? Is there something specific about this State that would me an HIE more or less successful?

Drawing on relevant items from the required weekly readingprogram for this unit, the resources detailed below in the questionsand further research, you will undertake an analysis of a currenttopical health care issue in Australia following the detailed stepsbelow.You must examine the issue with reference to the principles ofperson-centered care, cultural safety, and professional codesrelevant to regulatory requirements.The assignment includes an analysis of the impact of socio-politicalissues on health and of consumers’ experience of health services byconsidering the impact of dominant values, assumptions andprocesses shaping health care in Australia.Learningoutcomesassessed1. Apply knowledge of regulatory requirements and ethicaland practice standards that underpin the nursingprofession, and explain how they relate to the provision ofperson-centred care.4. Apply knowledge of historical, social, and political issues toexplain the socio-political context of healthcare and theimpact of these structures on human health and consumerexperiences of health systems.5. Identify and analyse the dominant values, assumptions, andprocesses that shape health systems, care delivery models,and nursing practice in Australia.

NURSING

Daisy Hariharan
630 408 1264 ( Cell) / 630 985 4699 (home)
NRS-441V: Capstone Project
This the GCU Question for the Project
Using 800-1,000 words, discuss methods to evaluate the effectiveness of your proposed solution and variables to be assessed when evaluating project outcomes.

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Daisy Hariharan
630 408 1264 ( Cell) / 630 985 4699 (home)
NRS-441V: Capstone Project
This the GCU Question for the Project
Using 800-1,000 words, discuss methods to evaluate the effectiveness of your proposed solution and variables to be assessed when evaluating project outcomes.
Example: If you are proposing a new staffing matrix that is intended to reduce nurse turnover, improve nursing staff satisfaction, and positively impact overall delivery of care, you may decide the following methods and variables are necessary to evaluate the effectiveness of your proposed solution:
Methods:
Survey of staff attitudes and contributors to job satisfaction and dissatisfaction before and after initiating change.
Obtain turnover rates before and after initiating change.
Compare patient discharge surveys before change and after initiation of change.
Variables:
Staff attitudes and perceptions.
Patient attitudes and perceptions.
Rate of nursing staff turnover.
Develop the tools necessary to educate project participants and to evaluate project outcomes (surveys, questionnaires, teaching materials, PowerPoint slides, etc.).
Refer to the “Topic 4: Checklist.”
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.
Topic 4: Checklist
Developing an Evaluation Plan and Disseminating Evidence
Instructions:
This checklist is designed to help students organize the weekly exercises/assignments to be completed as preparation for the final, capstone project proposal. This checklist will also serve as a communication tool between students and faculty. Comments, feedback, and grading for modules 1-4 will be documented using this checklist.
Topic
Task
Completed
Comments / Feedback
Points
Developing an …
Attachments:

Details: Collaborative Decision Making Through Shared Governance
Attend a committee meeting in your health care organization
Attend a committee meeting in your health care organization. If you are not currently employed in a health care setting, you may elect to attend a committee meeting at another company, a community center, a local school, local chamber of commerce or other professional organization.
Observe the interactions between committee members and the process used by the committee to arrive at decisions.
In 500-750 words, describe the function of the committee and the roles of those in attendance. Describe your observations of the interactions between members of the committee and determine whether the process used to arrive at decisions is a form of shared governance.
Prepare this assignment according to the APA guidelines
In addition to your textbook,The Interprofessional Health Care Team: Leadership and Development”. A minimum of FOUR academic references from credible sources are required for this assignment.
Running head: Name of assignment 1
4
Name of Assignment

XXXXMeeting( name of assignment)
GCU Student
Grand Canyon University: AMP 450-V
4/22/18
XXXX Committee Meeting
A committee meeting is defined as, “A small group of people chosen to represent a larger organization and either make decisions or collect information for it (Committee, n.d.)”. Committees are an important factor for medical facilities all over the world. This paper discusses the role of the collaborative practice committee at Aspirus Wausau Hospital, the employees attending the meeting, the observation of interactions between them, and shared governance.
Functions of the Committee and Role of Attendees
Committees consist of employee participation in decision-making and a team work approach to decrease errors (Amirabadi, Maleki, Salehi, & Watankhah, 2016). The collaborative practice committee at XXXX Hospital meets on the first Wednesday of each month to discuss topics with staff on how to improve the unit. The function of the committee is to present topics such as falls, staff turnover, patient satisfaction, medication errors, and new information. Members of the unit attending the meeting have the ability to voice their opinions, questions, and concerns on how to go about changing and improving the unit. If needed, attendees will vote on new practices on the unit.
Personal Observation of Interactions
At the collaborative practice meeting, there were four main speakers, one manager, the clinical educator, the director, two respiratory therapist representatives, and over twenty floor staff including nurses, monitor tech, certified nursing assistants, and health unit coordinators. The collaborative practice president and vice president presented on the main scheduled topics and asked for audience feedback. Multiple staff joined in the conversation, some presenting additional issues to address. Employees took turns asking questions and adding to the conversation. At the end of the meeting, the two collaborative practice chairs spoke of surveys, when the next meeting would be, and where the next meeting would be.
Decisions of Shared Governance
Shared governance is a model that was introduced to improve the nurse work environment, satisfaction, and retention. The model was created to implement core values and beliefs that the professional nursing practice embraces while achieving quality care (Anthony, 2004). In the collaborative practice meeting, staff were able to ask questions, input their thoughts, present concerns, listen, and add to the overall conversation. In assessing the meeting to determine if shared governance was a factor, this writer believe that it was a part of the meeting. The reason being is because nurses with different roles and experience met to converse about how to make the cardiac unit a better place not only for patients, but staff as well.
Conclusion
Committees are an important aspect in medical organizations. They assist in breaking down issues in meetings by presenting them to staff. The meetings then accumulate information from staff members that are concerned, have questions, or simply want to place input. Meetings at Aspirus proudly uses shared governance because it is a vital role in committee meetings to help nurses feel that they are heard.

References

Amirabadi, H., Maleki, M., Salehi, M., & Watankhah, S. (2016, March 8). An Exploration of the Role of Hospital Committees to Enhance Productivity. Retrieved from US National Library of Medicine National Institutes of Health: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4804034/
Anthony, M. (2004, January). Shared Governance Models: The Theory, Practice, and Evidence. Retrieved from The Online Journal of Issues in Nursing: http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Volume92004/No1Jan04/SharedGovernanceModels.aspx
Committee. (n.d.). Retrieved from Cambridge Dictionary: https://dictionary.cambridge.org/us/dictionary/english/committee