post a brief 1–2 page description of what you understand by holisitic nursing and a holistic nursing experience you have had to this Discussion Area.

Your description should also include the following:

  • How do you see this course enhancing your professional practice?
  • At least two things that you would like to get from this course.

Integration of Evidence-Based Practice and Research in Nursing

For this assignment, you will write a 3-5-page paper giving an overview of a selected nursing theorist and his/her work. You will discuss how it is applicable to your current workplace. Nursing theorist

This paper will be in APA format – it must include a title page, page numbers, running head, properly formatted headings, citations, and references. An abstract is not required. Please address the following questions:

Introduction Jean Watson’s Philosophy of Nursing – Caring Theory

  • Give a brief (1-2 paragraph) overview of the nursing theorist whose work you selected.

Body

  • Give an overview of the theory – basic assumptions and important points.
  • Discuss how this theory relates to your current work in the following metaparadigm concepts (include examples). 1-2 paragraphs for each metaparadigm concept:
    • Person
    • Environment
    • Health
    • Nursing
  • Discuss opportunities to incorporate this theory more fully into your nursing practice

Conclusion

  • Write a brief (1-2 paragraphs) conclusion that incorporates the main ideas from your paper

Note: Before completing this Assignment, please familiarize yourself with the Week 4 Assignment Rubric, located in the Course Information area of the course navigation menu.

Intermountain Healthcare is a high-performing integrated health system with facilities in Utah and Idaho. The health system has a long-standing clinical integration structure that encourages professional collaboration. Despite this, in 1999, many physicians at Intermountain Healthcare found it difficult to fulfill the needs of patients with co-occurring physical and mental health conditions. To efficiently and effectively address this issue, Intermountain Healthcare adopted a mental health integration model in many of its primary care facilities, as well as some of its specialty clinics and partner clinics. The team-based approach has improved the coordination of services, resulting in higher quality care at a savings of cost.

Consider the example above. What advantages does integration afford Intermountain Healthcare? Do other integrated health systems experience similar benefits? Are there disadvantages to integration? If so, what are they?

To prepare for this Assignment,review the information related to vertical and horizontal integration presented in the Learning Resources.

Select one of the following horizontally integrated health systems:

  • National Surgical Hospitals
  • Select Medical Healthcare
  • Sunrise Senior Living
  • Labcorp
  • Quest Diagnostics
  • Pfizer Pharmaceuticals

Also select one of the following vertically integrated health systems:

  • Kaiser Permanente
  • Mayo Clinic
  • Cleveland Clinic
  • MedStar Health
  • Memorial Hermann Healthcare System Houston

As an alternative, you may use Becker’s Hospital Review resource to identify a vertically integrated health system.

Using the Walden Library and credible sources on the Internet, research your selected health systems. Investigate the rationale for pursuing integration and the strategies each health system has used to achieve integration. Note information related to the size of each health system, settings/locations, and types of services it provides.

Based on your research, consider the ways in which the two health systems are similar to and/or different from one another.

Assess the business and health care-related implications of horizontal and vertical integration of your selected health systems. How does integration impact the management of your selected organizations and the patients/consumers they serve, especially in terms of cost, quality, and access?

Consider any applicable insights you have gained through the Discussion for this week.

The Assignment

Write a paper in which you:

  • Compare the horizontally integrated health system and the vertically integrated health system you have selected (e.g., size, settings/locations, and types of services).
  • Explain each health system’s rationale for pursuing integration and the strategies it has used to achieve integration.
  • Assess the business and health care-related implications of integration for your selected health systems, including how integration impacts the patients/consumers the organization serves.

General Guidance on Assignment Length: Your Assignment should be 3–4 pages, excluding a title page and references. Refer to the Week 4 Assignment Rubric for grading elements and criteria. Your Instructor will use the rubric to assess your work.

Required Resources

Readings

  • Shi, L., & Singh, D. (2015). Delivering health care in America: A systems approach (6th ed.). Burlington, MA: Jones & Bartlett.
    • Chapter 9, “Managed Care and Integrated Organizations” (pp. 361–368)
  • Cohen, A., Klein, S., & McCarthy, D. (2014). Hill Physicians Medical Group: A market-driven approach to accountable care for commercially insured patients. Retrieved from http://www.commonwealthfund.org/~/media/files/publications/case-study/2014/oct/1770_cohen_hill_physicians_aco_case_study.pdf
  • Cutler, D. M., & Morton, F. S. (2013). Special communication: Hospitals, market share, and consolidation. JAMA, 310(18), 1964–1970.
    Retrieved from the Walden Library databases.
  • Sanford, K. D. (2013). Integration requires new roles and responsibilities. Healthcare Financial Management, 67(3), 56–60.
    Retrieved from the Walden Library databases.
  • Summer, L. (2014). Research insights: Integration, concentration, and competition in the provider marketplace. Retrieved from http://www.academyhealth.org/files/publications/AH_R_Integration%20FINAL2.pdf

Use the following resources to select integrated health systems on which to focus for your Assignment. You may also use this list to develop background information as you research health systems in your area for the Discussion.

  • Rodak, S. (2013). 100 integrated health systems to know. Retrieved from http://www.beckershospitalreview.com/lists/100-integrated-health-systems-to-know.html

Vertically Integrated Health Systems

  • Cleveland Clinic. (n.d.). Retrieved March 27, 2015, from http://my.clevelandclinic.org
  • Kaiser Permanente. (n.d.). Retrieved March 27, 2015, from http://kp.kaiserpermanente.org/
  • Mayo Clinic. (n.d.). Retrieved March 27, 2015, from http://www.mayoclinic.org
  • MedStar Health. (n.d.). Retrieved March 27, 2015, from https://www.medstarhealth.org/
  • Memorial Hermann Healthcare System Houston. (n.d.). Retrieved March 27, 2015, from http://www.memorialhermann.org

Horizontally Integrated Health Systems

  • Labcorp. (2014). Retrieved March 27, 2015, from https://www.labcorp.com/
  • National Surgical Healthcare. (n.d.). Retrieved March 27, 2015, from http://www.nshinc.com
  • Pfizer Pharmaceuticals. (n.d.). Retrieved March 27, 2015, from http://www.pfizerrxpathways.com/
  • Select Medical. (n.d.). Retrieved March 27, 2015, from http://www.selectmedical.com
  • Sunrise Senior Living. (n.d.). Retrieved March 27, 2015, from http://www.sunriseseniorliving.com/
  • Quest Diagnostics. (n.d.). Retrieved March 27, 2015, from http://www.questdiagnostics.com/

A 68-year-old client lives alone and is independent with all ADLs, has no restrictions for mobility, and is competent, and oriented x4. The client is on a fixed income, but has enough to manage a modest lifestyle. The client has family and social supports but is very independent and is proud of her self-reliance. The client’s height is 5’ 6”, weight is 210 lb. / 95.25 kg.

Please answer the following:

  • What is the client’s BMI?
  • Identify what screening tools you would use to assess nutritional and exercise knowledge, and why?
  • Identify two client outcomes that are reasonable, measurable and realistic
  • Identify 3 nursing interventions for each client outcome and give rationales
  • Identify what weakness in the client’s life and supports may be impacting the client’s activity and diet?
  • What referrals would you make and why?
  • Identify your references in APA format. Use references not just opinion.

Assignment Expectations:

Length: 1500 to 1750 words in length

Structure: Include a title page and reference page in APA format.  These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) scholarly sources are required for this assignment.

  1.     Definitions of the quality of medical care are no longer left to clinicians who decide for themselves what technical performance constitutes “good care.”  Name one (1) other dimension of quality care and why is it important?
  2.            What is the primary method of continuous quality improvement (CQI) in health care, and what is its underlying premise?
  3.            Since an ever-increasing amount of research is funded by commercial companies, what is your opinion on a requirement for authors of scientific studies who receive income from these companies to disclose funding sources in their scientific publications?

Future of Health Care Questions:

  1.            Today’s not-for-profit hospitals and health systems are commonly multi-billion dollar tax-exempt organizations. What is your position on the new federal scrutiny upon, and reporting requirements for justifying the charitable missions of not-for-profit hospitals and health systems?
  2.            In 1999, the Institute of medicine report, To Err is Human, generated a brief flurry of concerns about avoidable hospital deaths.  While progress has been made in addressing system errors and deficiencies, it remains inconsistent across the nation’s hospitals.  Fourteen years after this report, is it time for the professions, payers and the public to demand corrections of system problems in an accountable, transparent and publicly disclosed manner?  What form can or should these demands take?

IF YOU WANT A SIM

QUESTION

Nursing

The essential goal of the RN is to provide information and resources to assist the patient and family with chronic illnesses or disabilities so they can manage their own care over the course of the illness or disability.

Initial Discussion Post:

  1. Compare and contrast the terms “disability” and “chronic illness”. What are the similarities and/or differences? Can they coexist? Give reasoning behind your evaluation.
  2. Discuss two (2) legal and/or ethical challenges or implications for patients and families with disabilities or with chronic illnesses, trying to achieve comprehensive self-management.
  3. Identify and state two (2) actions the RN can implement to help the patient and family achieve comprehensive self-management with a disability or with a chronic illness.

Base your initial post on your readings and research of this topic. Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250 word minimum.

 Lubkin’s Chronic Illness Impact and Intervention by Pamela Larsen (Chapter 14, Self-Management) may be of assistance with this topic.  Click on link to access.

LeBlanc, R., & Jacelon, C. (2016). Self-management. In P. Larsen (Ed.),   Lubkin’s chronic illness: Impact and intervention (9th ed.). Retrieved from ovidsp.tx.ovid.com

Choose two long-term care facilities”??one from nursing facilities, assisted living, or subacute care and another from adult day care, home health care, or hospice care”??on which you would want to base your research work. Research the South University Online Library and the Internet to read about your chosen long-term care facilities.

Assume you are responsible for the management and administration of the two facilities. You have to orient the newly appointed manager by providing an overview on managing long-term care. You also need to discuss the programs of the two facilities. From this perspective and based on your research about the facilities, prepare a Microsoft PowerPoint presentation of 10″?o15 slides including the following:

  • What are the various multidisciplinary departments (teams) included in your facilities?
  • Who comprise the target population being served by the various programs provided by your chosen facilities?
  • What are the major staffing and human resource issues faced by your chosen facilities?
  • What are the significant trends in long-term care likely to impact the operation of the various programs provided by your chosen facilities, and what is your plan of action to overcome them?
  • What are the various forms of cooperation and integration existing in your chosen facilities? Discuss the nature of management, financing, and quality issues related to integration and cooperation in the facilities?

Support your responses with examples.

Use the Notes section of the slides to provide additional information.

Cite any sources in APA format.

Thriving organizations see the value of cultivating both management and leadership competencies. For this Discussion, you consider two distinct “buckets” of competencies—management and leadership—and think about how these can be leveraged to successfully introduce a new product or service in an organization.

To prepare:

  • Think about a new product or service in your organization that was recently implemented.
    • Identify five leadership strategies you might use to address the implementation of the new product or service.
    • Think about the management competencies that were needed in order for this project to be successful. Why are these competencies important?
    • Consider the leadership competencies required for success, and reflect on the value of these competencies.

By Day 3

Post a description of the new product or service and how it aligns with organizational goals and professional standards. Describe the distinct management and leadership competencies that facilitated successful implementation of this project. Provide your rationale.

Assignment 1: Value Proposition in Patient Care

 
 Paradise Hospital, Inc. is a for-profit hospital. As the facility’s new  hospital administrator, you have been tasked with improving the service  value of the hospital. The administration has not done this process  since the hospital began operating in the year 1995. The investors are  not familiar with the value proposition strategies of hospitals in the  current day America.
 
Note: You may create and / or make all necessary assumptions needed for the completion of this assignment.
 
Write a four to six (4-6) page paper in which you:

Articulate the meaning of value-added service as it pertains to  patient care services, and argue the major reasons why it matters to add  value to patient services. Justify your response.
Outline a system for identifying the functional areas in which  changes might be necessary in order to improve the hospital’s service  value. Recommend the key methods that you would use to acquire the  information necessary to identify the specified functional areas.
Specify four (4) specific areas where you believe the administration  can add value in Paradise Hospital, and argue the most significant  reasons why such value proposition would improve the value of services  to the patients.
Use four (4) recent (within the last five [5] years) quality academic resources in this assignment.
Note: Wikipedia and other websites do not qualify as quality academic resources.

Your assignment must follow these formatting requirements:

Be typed, double spaced, using Times New Roman font (size 12), with  one-inch margins on all sides; citations and references must follow APA  or school-specific format. Check with your professor for any additional  instructions.
Include a cover page containing the title of the assignment, the  student’s name, the professor’s name, the course title, and the date.  The cover page and the reference page are not included in the required  assignment page length.

The specific course learning outcomes associated with this assignment are:

Propose methodologies that have been proven to increase value in health care delivery systems.
Use technology and information resources to research issues in health care management.
Write clearly and concisely about health care management using proper writing mechanics.

Grading for this assignment will be based on answer quality,  logic / organization of the paper, and language and writing skills,  using the following rubric.
Click here to view the gradig rubric.

When attempting to garner support for a quality improvement initiative, it is important to demonstrate how the initiative supports the organization’s mission, vision, and values, as well as external factors that influence an organization’s priorities. Delivering a proposal for a quality improvement initiative requires clear, concise communication of the plan.

By tomorrow Tuesday 01/09/18 by 10 pm, write a minimum of 550 words essay with at least 2 references in APA format. Include the level one headings as numbered below:

1) Choose a QI initiative which has been the subject of focus in any healthcare setting. Explain the rationale that your senior leaders used in selecting this initiative for attention and focus.

2) Explain how adverse events are handled in your organization from the public’s perspective and well as internally.

3) Find a scholarly article or one from the public press, published within the last 5 years which recounts a serious error. Relate this error to any organization with which you have some familiarity.

Required Readings

Joshi, M.S., Ransom, E.R., Nash, D.B., & Ransom, S.B., (Eds.). (2014). The Healthcare Quality Book, 3rd ed. Chicago, IL: Health Administration Press.

Chapter 11: “Patient Safety and Medical Errors”

Clarke, C. M., & Persaud, D. D. (2011). Leading clinical handover improvement: a change strategy to implement best practices in the acute care setting. Journal of Patient Safety, 7(1), 11–18. doi:10.1097/PTS.0b013e31820c98a8

Designed for leaders who want to improve quality care, this article focuses on clinical handovers that occur within acute care facilities. It provides a model for improvement and is intended to be a supplemental resource that can be used with the existing research and literature on this topic.

Sennett, C. (2010). Healthcare reform: Quality outcomes measurement and reporting. American Health & Drug Benefits. Retrieved from http://www.ahdbonline.com/article/healthcare-reform-quality-outcomes-measurement-and-reporting 

The article on this website discusses features of the Patient Protection and Affordable Care Act (PPACA), focusing on the outcomes and implications for quality outcomes measuring and reporting.

Lazarus, I.R. (2011). What will It take? Exploiting trends in strategic planning to prepare for reform. Journal of Healthcare Management, 56(2), 89–93.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Organizational and systems leadership for quality improvement: Organizational priorities for quality improvement. Baltimore: Author.

Note: The approximate length of this media piece is 9 minutes.

This video provides an overview of organizational factors that influence quality. Lillee Gelinas discusses the importance of teamwork and enlisting leadership to help move quality initiatives forward. Other topics addressed include the role of stakeholders in improving patient safety and the responsibility of hospital board members in setting the quality and safety agenda.