Learning Objectives:
· Understanding what is included in the cost of care.
· Being able to define incentive-based (pay for performance) care.
· Recognizing the impact of Medicaid reimbursement on the quality of care.
· Explaining the Medicare reimbursement system.
· Differentiating Quality mix
· Patient Value
Readings
o An Evaluation of Performance Thresholds in Nursing Home Pay-for-Performance – Werner
o Explaining state nursing home reimbursement – Harrington
o How Medicare reimbursement works in skilled nursing facilities – Kander
o Incremental cost of post acute care in nursing homes – Spector
o Medicaid Capital Reimbursement Policy – Miller
o Payer source for single elderly women in nursing homes – Nakagawa
o The Cost of care – Candrian
o Impact of Nursing Home Pay for Performance … – Grabowski
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Assignments:
These assignments are due on Thursday July 2nd.
1. Write a 4 page (100 words) paper describing the overall reimbursement structure in the post acute world. Recognizing that the average SNF in New York loses between $20-$40 per patient per day for a Medicaid patient, include in the paper, an evaluation of the Medicaid reimbursement process and identify how you would overcome the challenge of caring for a population of Medicaid patients and still keep the facility operational.
2. Write no more than a 1 page (250 words) paper on whether a facility should consider a patient’s payer source when deciding to accept or deny the patient for care.
Evaluation Of Care Plan
An evaluation of plan effectiveness is now due. In the evaluation component of the Capstone project, you are expected to evaluate the effectiveness of the intervention. Some questions you should seek answers to are: 1.What barriers might you anticipate when implementing the intervention as planned? 2.What visible signs of success would you look for (for example, reduced health issues)? Describe them. The evaluation component of the final paper should describe your evaluation of the implementation. Include responses to points 1and 2 above. The evaluation component of the final Microsoft Word submission document should be a minimum of 2 pages. The complete summary document should use the Mobilize, Assess, Plan, Implement, Track (MAP-IT) steps used in pulling together your project. Over the past nine weeks, you selected an aggregate and conducted a risk assessment of its health, developed a care plan to address those health risks, planned an implement one intervention in a small group from the aggregate, and considered the effectiveness of the intervention on the health of the small group. It’s time now for you to present your final submission of this Capstone project. Your final submission comprises the documentation of the work accomplished through your Capstone project, a Microsoft Word Document that contains the evaluation and summary, a Microsoft PowerPoint presentation highlighting the main aspects of the project including the key things learned during the 10 weeks of working with this project. The summary document should use the Mobilize, Assess, Plan, Implement, Track (MAP-IT) steps used in pulling together your project. The complete documentation of the work accomplished over the course of the project should contain a minimum of 6–7 pages in a Microsoft Word document and should include the following information: •A detailed description of the aggregate •A description of the aggregate’s strengths and weaknesses •A risk assessment of the aggregate •Diagnoses based on the risk assessment •A detailed care plan for the aggregate •A description of how at least one intervention was implemented in the aggregate to address an identified issue •An evaluation of how you would identify the effectiveness of the intervention The Power Point presentation should be concise and should include the highlights of the Capstone project and the key things learned over the course of this project, from developing, implementing, and evaluating the care plan. Your presentation should not exceed 15 slides.
MODULE 4
M4 ASSIGNMENT 1 DISCUSSION
DISCUSSION: DOES IT MATTER?
DUE 8/11/18
This week, you learned about various theories surrounding the determination of one’s sexual orientation. In addition, you learned about some of the limitations and criticisms of the research.
· Explain briefly (in 1-2 paragraphs) your understanding of the research on origins of sexual orientation.
· Why is it important to understand what determines one’s sexual orientation? Consider ethical, legal, and social implications. If you do not think it is important to understand the origins, please explain.
· Based on what you have learned in your readings within the class and your textbook, make a hypothesis as to where you think the research might lead.
Write your initial response to each part in 3–4 paragraphs. Support your arguments with research, applying APA standards to citation of sources.
M4 ASSIGNMENT 2 SUBMISSION
ASSIGNMENT 2: SEXUAL DISCONNECT
DUE 8/15/18
Imagine that you are working as a counselor in an elementary school. A teacher has come to you, concerned that a student in her class might have been sexually abused. She explains that she became concerned when two of her 5-year old male students did not come out of the restroom after she called to them several times from the door. When she went in to check on them, she saw the boys facing each other, with Kyle’s pants around his ankles. Brandon was touching Kyle’s penis and both boys were laughing. In addition to her concern about abuse, the teacher is wondering if the boys could be gay.
· As the counselor, explain to the boys’ teacher whether their behavior is indicative of sexual abuse. Remember to reflect on the research you have learned about, and give details to demonstrate why you might come to that conclusion.
· How would you respond to the teacher’s question about the boys’ sexual orientation, based on research?
· What recommendations should you, as the counselor, give to the teacher? Keep in mind research pertaining to the promotion of healthy sexual development by parents and schools.
Your response should be at least 3 pages long, not counting the cover page and reference page.
Psychology homework help
Assignment
- Submit summaries on two more articles on your topic, using the questions outlined previously (Week 2)
- Click the Submit Assignment button below to upload your assignment to Turnitin
- This assignment is worth 30 points
Plagiarism
Three common types of plagiarism you need to be aware of as a student:
- Recycling a paper; “double-dipping”; self-plagiarism: Reusing a paper you have written for a previous course
- Copying directly from a source without proper quotations or paraphrasing: When you try to pass something off as your own work
- Not using proper citations
topic to focus on the impact of bullying behaviors on children both as bullies and victims/Questions to be answered in Summary
· Was the study correlational, experimental, or some combination of both?
· How do you know?
· Was it done in the laboratory or the field?
· What conclusions can be drawn from the study?
· What conclusions cannot be drawn from the study?
· What are some strengths and limitations of the research design?
· Name two areas for future research based on the article (either those listed in the paper or your own ideas)
References to be summarized
- Dake, J. A., Price, J. H., & Telljohann, S. K. (2003). The nature and extent of bullying at school. The Journal of School Health, 73(5), 173-80.
- Juvonen, J., & Graham, S. (2014). Bullying in schools: The power of bullies and the plight of victims. Annual Review of Psychology, 65, 159.
USING NURSING KNOWLEDGE TO APPLY NURSING THEORY TO PRACTICE
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Using Nursing Knowledge to Apply Nursing Theory to Practice
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Nurses are increasingly considered knowledge workers. We are valued for what we know and how we think rather than what we do. Select one of the nursing theories from your readings this week (or another nursing theory from your textbook). How can you apply your selected theory of professional nursing to your nursing care? Provide specifics using terminology from the theory you selected to explain your use.
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Unit 9 Assignment
Unit outcomes addressed in this Assignment:
· Develop logic model to develop programs in the administration of health care.
Course outcome assessed/addressed in this Assignment:
HS499-5: Health Care Administration: Demonstrate an understanding of the forces impacting health delivery systems and the effective management of health care administration.
Instructions
There are many forces that impact health delivery systems. Choose one aspect that influences how health delivery systems are challenged, and describe the issue. Examples include, but are not limited to, access to care, quality health care improvement, lack of coordinated care, continuity of care (medical home), etc.
After reviewing the Logic Model Development Guide from the readings, create a logic model for a new program you would like to fund to address this impact on the health delivery system. Discuss how the program can be applied to reduce the impact on the health delivery system.
Requirements
· The paper should be at least 975 words in length
· Your paper must include a logic model that you create (explaining the content of a logic model is insufficient)
· Include a list of references in APA format, including the information used from the modules.
THE ROLE OF PERSONAL HEALTH RECORDS
The My Health Record system was first introduced by the Australian Government in 2012 and allows people seeking health care in Australia to register for a My Health Record. My Health Record is an online summary of the key health information of all Australian Citizens. It contains key health information drawn from the existing electronic records of multiple healthcare providers involved in a patient’s care, including their general practitioner. The patient can control what information goes into it and which organisations have access to their record. Over the past few weeks there has been much contentious debate about this e-Health Solution relating to privacy, security and a vigorous discussion whether or not the system should be ‘opt in’ or ‘opt out’. When one “opts in” to a program, they expressly give their consent to being part of the program. When one “opts out” of a program, they are expressly indicating that they DO NOT wish to be part of the program. Visithttp://www.abc.net.au/news/science/2018-07-18/my-health-record-opt-out-confusion/10000008 for some background on this issue.
Once you have done that, have a look at this article and video…
Stay or go? My Health Record
You will need to undertake some additional research on the issue of ‘opt in’ or ‘opt out’ approaches to e-Health and argue the point for or against (an opt in or opt out system).
The word counts: 150 words
Number of references: 1 – Use the style APA 6th Edition referencing
Assessment and Care of Patients With Conditions of the Head, Neck, Esophagus, and Diaphragm
Health conditions involving the head, neck, esophagus, and diaphragm can disrupt patients’ daily lives, making surgical interventions necessary. Consider Janice Savage-Martin, who frequently experienced impaired breathing, congestion, and headaches. These symptoms and the pain associated with them put a strain on her normal routine and ability to work. After being diagnosed with turbinates and a deviated septum, providers recommended surgery to shrink the blood vessels in the turbinates. Like many surgical patients, however, Janice was concerned that her recovery would be painful and might lead to further health complications (Methodist Health System, 2015). As an advanced practice nurse who cares for surgical patients like Janice, you will play significant role in educating patients, easing concerns, and providing evidence-based care. Assessment and Care of Patients With Conditions of the Head, Neck, Esophagus, and Diaphragm
ORDER A PLAGIARISM-FREE PAPER NOW
This week, as you explore the pre- and post-operative care of patients with conditions related to the head, neck, esophagus, and diaphragm, you examine strategies for assessment, diagnosis, and treatment.
Learning Objectives
By the end of this week, students will:
- Evaluate medical and surgical patients with conditions related to the head, neck, esophagus, and diaphragm
- Develop differential diagnoses for medical and surgical patients with conditions related to the head, neck, esophagus, and diaphragm
- Develop treatment plans for medical and surgical patients with conditions related to the head, neck, esophagus, and diaphragm
Photo Credit: Mario Gh/EyeEm/EyeEm/Getty Images
Learning Resources
Required Readings
Colyar, M. R. (2015). Advanced practice nursing procedures (1st ed.). Philadelphia, PA: F. A. Davis Company.
- Chapter 69, “Occipital Nerve Block”
- Chapter 72, “Corneal Abrasion and Foreign Body Removal—Eye”
- Chapter 73, “Eye Drop Insertion”
- Chapter 74, “Eye Irrigation”
- Chapter 75, “Eye Trauma Stabilization”
- Chapter 78, “Auricular Hematoma Evacuation”
- Chapter 81, “Epistaxis Control”
- Chapter 82, “Laryngoscopy”
- Chapter 83, “Nasal Lavage”
- Chapter 84, “Removal of Foreign Body—Ear and Nose”
- Chapter 85, “Frenotomy for Ankyloglossia”
- Chapter 86, “Lip Laceration Repair”
- Chapter 87, “Tongue Laceration Repair”
Doherty, G. M. (2015). Current diagnosis and treatment: Surgery (14th ed.). New York, NY: McGraw Hill.
- Chapter 15, “Otolaryngology—Head & Neck Surgery”
- Chapter 16, “Thyroid and Parathyroid”
- Chapter 20, “Esophagus & Diaphragm”
- Chapter 37, “The Eye & Ocular Adenxa”
Weber, E. C., Vilensky, J. A., & Fog, A. M. (2013). Practical radiology: A symptom-based approach. Philadelphia, PA: F. A. Davis Company.
- Chapter 5, “EENT Imaging”
Javan, R., Machin, J. E., McGinnis, R. S., Moinuddin, M., & Sarti, M. (2013). Thyroid ultrasound top 10 pathology. Retrieved from http://www.med-ed.virginia.edu/courses/rad/Thyroid_Ultrasound/index.html, Assessment and Care of Patients With Conditions of the Head, Neck, Esophagus, and Diaphragm
Wipperman, J. L., & Dorsch, J. N. (2013). Evaluation and management of corneal abrasions. American Family Physician, 87(2), 114–120. Retrieved from http://www.aafp.org/afp/2013/0115/p114.html
Required Media
i-Human Patient Cases. (2014). Retrieved from https://ih2.i-human.com/users/sign_in
Seger, D. (2010). EGD (upper endoscopy) [Video file]. Retrieved from https://www.youtube.com/watch?v=ZvudWuvMjtA
Assignment 1: Assessing, Diagnosing, and Treating Pre- and Post-Operative Care Patients – Head, Neck, Esophagus, and Diaphragm
There are many common health conditions associated with the head, neck, esophagus, and diaphragm. Although these conditions and their related symptoms usually are managed easily, a delay in treatment can result in sensory debility such as hearing loss or sight loss. For this Assignment, as you examine this week’s i-Human patient case study, consider how you might evaluate and treat pre- and post-operative patients who present with health conditions related to the head, neck, esophagus, and diaphragm.
To prepare:
- Review this week’s Learning Resources. With the head, neck, esophagus, and diaphragm in mind, consider how to assess, diagnose, and treat patients in pre- and post-operative care.
- Review this week’s i-Human case study. Based on the patient information provided, think about the health history you would need to collect from the patient.
- Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. Reflect on how the results would be used to make a diagnosis.
- Identify three to five possible conditions to consider in a differential diagnosis for the patient.
- Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.
- Develop a treatment plan for the patient that includes health promotion and patient education strategies for medical and surgical patients with conditions related to the head, neck, esophagus, and diaphragm.
To complete:
As you interact with this week’s i-Human patient, complete the assigned case study. For guidance on using i-Human, refer to the i-Human Patients Case Player Student Manual in the Week 2 Learning Resources.
By Day 7
This Assignment is due.
Grading Information
Week 3 i-Human Rubric
Assignment 2: Fitzgerald Health Education Associates (FHEA) AGPCNP 150 University Exit Comprehensive Exam
The Fitzgerald Health Education Associates (FHEA) AGACNP 150 University Exit Comprehensive Exam is a learning activity used to guide your preparation for your national certification exams. The results of the exam will help you understand how well prepared you are for your national certification exams and the areas in which you need to further prepare.
In Weeks 1 or 2 of this course, you should have received an email from Fitzgerald Health Education Associates (FHEA) explaining how to access the Fitzgerald Health Education Associates (FHEA) AGACNP 150 University Exit Comprehensive Exam. Please follow the directions FHEA provided and complete the exam. Assessment and Care of Patients With Conditions of the Head, Neck, Esophagus, and Diaphragm
This exam is graded on a S/U basis. You must complete the exam by Day 7 of Week 3 to receive the grade of ‘S’.
By Day 7
Complete the Fitzgerald Health Education Associates (FHEA) AGACNP 150 University Exit Comprehensive Exam.
Week in Review
This week you evaluated medical and surgical patients with head, neck, esophagus and diaphragm conditions/injuries with the realization that delays in treatment could result in hearing or sight loss, and developed differential diagnoses and treatment plans for these conditions.
Next week you will study the pre- and post-operative care of patients with cardiovascular conditions and examine strategies for assessment, diagnosis, and treatment.
Assessment and Care of Patients With Conditions of the Head, Neck, Esophagus, and Diaphragm
THE REASONS WHY BSN NURSING EDUCTION AND ABOVE IS IMPORTANT
Writing on a scenario where you are presenting to a board the reasons why BSN nursing eduction and above is important. Ethical, financial and social details required. A rubric would be given to writer that needs to be followed exactly. No exact word count or number of pages required, just meet every aspect on the rubric.
Group Discussion # 2 – Smoking Cessat
Part 1:
Review the American Lung Association’s Web site: www.lungusa.org
Examine the information this website presents for the consumer or health care provider.
Study the information and post a reply for each of the below:
1. Review smoking cessation programs in particular. Discuss the information the American Lung Association offers regarding smoking cessation assistance.
2. Discuss the importance of smoking cessation for people who are chronic smokers and how stopping smoking also benefits non-smoking people.
3. Research the cost of smoking to the population, the employer, and especially the cost
to the health care system.
Cite the source or sources you used. Compose your message as a reply to this posting in more than 150 words.
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