Assignment 2: Human Resources and Staffing Crisis at Blumberg’s Nursing Home

Due Week 10 and worth 250 points

Blumberg’s Nursing Home (BNH) is a 100-bed Medicare and Medicaid certified facility in suburban Philadelphia, PA. The administrator recently terminated the facility’s Director of Nursing (DON), receptionist, and dietary aid for inappropriate conduct. They had all been involved in purchasing and using illegal substances on facility grounds. Facility staff, as well as many of the more lucid residents, have found out about the incident.

The charge nurse has been appointed interim DON. The human resource manager has sent a memo to all staff informing them of a mandatory staff meeting to discuss BNH’s code of ethics and to provide additional training on workplace culture. Because federal law requires that there be at least one (1) registered nurse on duty for a minimum of eight (8) hours a day, seven (7) days a week, and that the DON must be a registered nurse (RN) – which the interim DON is not – BNH is out of compliance.

Write a four to six (4-6) page paper in which you:

Assess the immediate staffing needs at BNH. Prioritize the order in which BNH should fill the main unstaffed position(s). Justify your selection(s). Considering the reason behind the termination of the employees, formulate a human resources policy that addresses inappropriate conduct in the workplace, the process of reporting inappropriate conduct, and the consequences of violating the policy. Explain your rationale. Per the text, an effective long-term care facility administrator must have both leadership and management skills. Propose at least one (1) way the administrator in this case must demonstrate quality leadership skills, and one (1) way the administrator must demonstrate quality management skills in the aftermath of this crisis so as to improve and maintain staff and resident morale. Recommend a strategy for BNH to use the Quality Indicator Survey to improve administrative practices and ensure future compliance at the facility. Justify your recommendation. Use at least three (3) quality academic resources. Note: Wikipedia and other similar websites do not qualify as 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:

Differentiate the administrative functions of long-term care practices from those of other healthcare administrative services. Identify the factors that have led to the current realities of long-term care in the United States. Assess the various stakeholder groups of long-term care along with the nature of the relationship(s). Recommend how a company can use the Quality Indicator Survey to improve administrative practices. Use technology and information resources to research issues in long-term care management. Write clearly and concisely about long-term care management using proper writing mechanics.

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

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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:

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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.

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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.

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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.

Module 3 – SLP

For Module 3, conduct a literature search utilizing peer-reviewed journal articles, books, professional organization Web sites and articles, etc., to continue working on your program/intervention plan (which you started in Module 2) and propose appropriate evaluation measures to evaluate effectiveness of your program.

Write a paper (3 pages in length) including a complete workplan that shows your implementation procedures to address the health behavior and describing your methods to evaluate your program/intervention. A workplan sample can be found at http://www.cdc.gov/OralHealth/state_programs/pdf/workplans.pdf

The following items will be assessed in particular:

1. Use the feedback I gave you in the previous module to refine and update your goal and objectives.
2. Include a complete workplan with the following components: goals, objectives, activities, data measurement tools, timeframe, responsible person, and measures of success.
3. Describe how you will evaluate the effectiveness of your program. Make sure to include information on what evaluation tool you plan to use (e.g., questionnaire and survey).
4. Discuss how you will know if your program or intervention is effective. Refer back to your program goal and objectives.

SLP Assignment Expectations

Assessment and Grading: Your paper will be assessed based on the performance assessment rubric. You can view it under Assessments at the top of the page. Review it before you begin working on the assignment. Your work should also follow these Assignment Expectations.

• Module2SLPBHE.doc
• BHE418Module1SLPTeenPregnancy.doc

Introduction:

It is essential that nurses understand the issues related to healthcare financing, including local, state, and national healthcare policies and initiatives that affect healthcare delivery. As a patient advocate, the professional nurse is in a position to work with patients and families to access available resources to meet their healthcare needs.

Requirements:

Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. Use the Turnitin Originality Report available in Taskstream as a guide for this measure of originality.

COMPARE THE U.S. HEALTHCARE SYSTEM WITH THE HEALTHCARE SYSTEM OF GREAT BRITAIN, JAPAN, GERMANY, OR SWITZERLAND.You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.
 
A.  Compare the U.S. healthcare system with the healthcare system of Great Britain, Japan, Germany, or Switzerland, by doing the following:
1.  Identify one country from the following list whose healthcare system you will compare to the U.S. healthcare system: Great Britain, Japan, Germany, or Switzerland.
2.  Compare access between the two healthcare systems for children, people who are unemployed, and people who are retired.
a.  Discuss coverage for medications in the two healthcare systems.
b.  Determine the requirements to get a referral to see a specialist in the two healthcare systems.
c.  Discuss coverage for preexisting conditions in the two healthcare systems.
3.  Explain two financial implications for patients with regard to the healthcare delivery differences between the two countries (i.e.; how are the patients financially impacted).
 
B.  Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.
 
C.  Demonstrate professional communication in the content and presentation of your submission.

Question Description

In the Week 8 Discussion, you discussed the implementation of a new product or service, aligned with organizational goals and professional standards, and described the management and leadership competencies that would facilitate successful implementation of this project.

For this Discussion, think again about the new product or service discussed in week 8, now consider a new product or service that you would initiate adoption. Consider the importance of building a team of leaders from across the organization to implement the new product or service you are recommending.

To Prepare

• Think of a new product or service such as the one in the Week 8 Discussion.
• Consider the leaders across the organization you would work with to roll out the product or service. Which leadership styles and skills might you encounter as you work with various individuals?
• What opportunities and challenges may arise as a result of individuals with differing leadership styles and skills working together? How would you work on a team or in a group with those whose style differs from your own?

BY DAY 3

Post a description of how the leadership styles and skills of others you would work with to roll out the product or service would support, complement, or contrast your own. Describe challenges and opportunities that may arise as a result of working with individuals with differing leadership styles and skills in a team or group setting.

Read a selection of your colleagues’ responses.