What’s the difference: LTC vs. Acute

What’s the difference: LTC vs. Acute

ABC Medical Center is building a long term care (LTC) facility (nursing home) that will be connected to the hospital. You have been invited to a planning meeting with the HIM Director who must plan for the patient record system in the new facility. The HIM Director has asked you to prepare a PowerPoint presentation on the differences between an acute care setting and a long term care setting. What are some of the first things you could do to be sure you understand how medical records might be managed differently in this type of facility? What are some of the obvious differences between a hospital and a long term care facility that will likely affect health information at this facility?
Your presentation should be a minimum of 8 slides (including a Title slide and References slide) and address the following:
Overview of an acute care facility versus a LTC facility.
Examples of services that are specific to a LTC facility.
Differences in chart documentation.
Differences in health care payers.
Overview of how medical records might be managed differently in LTC versus an acute care facility.
Include APA formatted citations for your references.

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Discuss how this approach to nursing care can promote positive client health outcomes?

As discussed earlier, nursing is both an art and a science. While your foundation of decision making and practice standards emphasize science, it is the art of nursing that is highlighted and showcased when practicing holistically.

Now that you have learned about holistic nursing, in this written assignment, think about yourself as a practicing “holistic nurse.” In no more than three pages:

  1. Describe the knowledge, values, and skills you will need to practice holistically?
  2. Discuss how this approach to nursing care can promote positive client health outcomes?
  3. Identify two possible challenges or issues you might face in practicing holistically and how you might overcome them
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Identify the approach that best fits your personal and professional philosophy of nursing and explain why the approach is suited to your personal leadership style.

Details:

In this assignment, you will be writing a 1,000-1,250-word essay describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following:

  1. Select an issue from the following list: nursing shortage and nurse turn-over, nurse staffing ratios, unit closures and restructuring, use of contract employees (i.e., registry and travel nurses), continuous quality improvement and patient satisfaction, and magnet designation.
  2. Compare and contrast how you would expect nursing leaders and managers to approach your selected issue. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.
  3. Identify the approach that best fits your personal and professional philosophy of nursing and explain why the approach is suited to your personal leadership style.
  4. Identify a possible funding source that addresses your issue. Consider looking at federal, state, and local organizations. For example: There are many grants available through the CDC, HRSA, etc.
  5. Use at least two references other than your text and those provided in the course.

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.

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.

RUBRIC:

1Unsatisfactory0.00%2Less than Satisfactory71.00%3Satisfactory79.00%4Good89.00%5Excellent100.00%80.0 %Content 35.0 %Compare and contrast how you would expect nursing leaders and managers to approach your selected issue. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.The comparison and contrast of how you would expect nursing leaders and managers to approach your selected issue is not provided.The comparison and contrast of how you would expect nursing leaders and managers to approach your selected issue is provided; however, relevant information is missing, such as not providing support for your rationale by using the theories, principles, skills and roles of the leader versus manager described in your readings, or not providing at least two references beyond your text.The comparison and contrast of how you would expect nursing leaders and managers to approach your selected issue is provided and meets the basic criteria for the assignment as indicated by the assignment instructions.The comparison and contrast of how you would expect nursing leaders and managers to approach your selected issue meets all criteria for the assignment, and is provided in detail.The comparison and contrast of how you would expect nursing leaders and managers to approach your selected issue meets all criteria for the assignment, is provided in detail. Higher level thinking is demonstrated by incorporating prior learning or reflective thought.35.0 %Identify the approach that best fits your personal and professional philosophy of nursing and explain why the approach is suited to your personal leadership style.The identification of the approach that best fits your personal and professional philosophy of nursing is not provided.The identification of the approach that best fits your personal and professional philosophy of nursing is provided; however, relevant information is missing, such as an explanation to why the approach is suited to your personal leadership style.The identification of the approach that best fits your personal and professional philosophy of nursing is provided and meets the basic criteria for the assignment.The identification of the approach that best fits your personal and professional philosophy of nursing, along with an explanation to why the approach is suited to your personal leadership style, is provided in detail.The identification of the approach that best fits your personal and professional philosophy of nursing meets all criteria for the assignment, and is provided in detail. Higher level thinking is demonstrated by incorporating prior learning or reflective thought.10.0 %Identify a possible funding source that addresses your issue.A source of funding is not identified.A source of funding is referenced, but does not meet the assignment criteria.A source of funding is discussed. Some assignment criteria are met. More information is needed.A source of funding is discussed. The overall assignment criteria are met. Some detail is needed for clarity.A strong source of funding is established. The assignment criteria are clearly met. How the source of funding will address the proposed issue is thoroughly discussed.15.0 %Organization and Effectiveness 5.0 %Thesis Development and PurposePaper lacks any discernible overall purpose or organizing claim.Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear.Thesis and/or main claim are apparent and appropriate to purpose.Thesis and/or main claim are clear and forecast the development of the pap. It is descriptive and reflective of the arguments and appropriate to the purpose.Thesis and/or main claim are comprehensive; contained within the thesis is the essence of the paper. Thesis statement makes the purpose of the paper clear.15.0 %Organization and Effectiveness 5.0 %Paragraph Development and TransitionsParagraphs and transitions consistently lack unity and coherence. No apparent connections between paragraphs are established. Transitions are inappropriate to purpose and scope. Organization is disjointed.Some paragraphs and transitions may lack logical progression of ideas, unity, coherence, and/or cohesiveness. Some degree of organization is evident.Paragraphs are generally competent, but ideas may show some inconsistency in organization and/or in their relationships to each other.A logical progression of ideas between paragraphs is apparent. Paragraphs exhibit a unity, coherence, and cohesiveness. Topic sentences and concluding remarks are appropriate to purpose.There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. Paragraph structure is seamless.15.0 %Organization and Effectiveness 5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used.Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register); sentence structure, and/or word choice are present.Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.Writer is clearly in command of standard, written, academic English.5.0 %Format 2.0 %Paper Format (use of appropriate style for the major and assignment)Template is not used appropriately or documentation format is rarely followed correctly.Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.Template is used, and formatting is correct, although some minor errors may be present.Template is fully used; There are virtually no errors in formatting style.All format elements are correct.3.0 %Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment)No reference page is included. No citations are used.Reference page is present. Citations are inconsistently used.Reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present.Reference page is present and fully inclusive of all cited sources. Documentation is appropriate and GCU style is usually correct.In-text citations and a reference page are complete. The documentation of cited sources is free of error.100 %Total Weightage

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Among patients with type-2 diabetes, does patient education improve compliance/self management?

Question Description

INSTRUCTION:Write a paper of a minimum of 12 pages in length, excluding title page, abstract, and references. The paper must be constructed according to APA format (APA, 2010). Headings are to be included (see below). See Rubric for point allocation & sample.

Introduction: (i) Purpose statement/research question· (ii) Significance of the patient problem, supported by the literature. (iii) Select one IOM/QSEN Nurse Competency (Cronenwett et al., 2007)

Review of the Research Literature: This section includes a review of the 5 articles relating the patient problem to an IOM/QSEN competency. (ie related to the purpose statement /research question, and to substantiate the significance of the patient problem )

Case Example: The case example must exemplify the problem statement/research question and be related to the identified IOM/QSEN competency. The case example should describe the patient condition, disease(s), clinical issues, medications, nursing care, etc.

Transition Theory (Im, 2006): frames the Capstone paper, and incorporating this theory is a required component of the paper. The following question(s) must be addressed when incorporating Transition Theory (Im, 2006):

a) What transition(s) is the patient in?

b) What are the facilitator’s and inhibitors?

c) What is or was the patient’s response?

d) What was the nursing intervention?

Conclusion: Integrate nursing implications from your literature review and relate them to your patient’s problem. Include nursing implications in these three areas:

(a) Practice: What is the best nursing practice for this issue?

(b) Education: What are the current guidelines for educating nurses, patients/families about care for this problem?

© Research: What are the priorities for further study (from a nursing perspective) related to this problem?

**PICO question: Among patients with type-2 diabetes, does patient education improve compliance/self management?

Article 1: Carpenter, R., Dichiacchio, T., & Barker, K. (2019). Interventions for self-management of type 2 diabetes: An integrative review. International Journal of Nursing Sciences, 6(1), 70-91.

Article 2: Bagnasco, A., Di Giacomo, P., Da Rin Della Mora, R., Catania, G., Turci, C., Rocco, G., & Sasso, L. (2014). Factors influencing self‐management in patients with type 2 diabetes: A quantitative systematic review protocol. Journal of Advanced Nursing, 70(1), 187-200.

Article 3: Brackney, D. (2018). Enhanced self‐monitoring blood glucose in non‐insulin‐requiring Type 2 diabetes: A qualitative study in primary care. Journal of Clinical Nursing, 27(9-10), 2120-2131.

Article 4: Chrvala, Sherr, & Lipman. (2016). Diabetes self-management education for adults with type 2 diabetes mellitus: A systematic review of the effect on glycemic control. Patient Education and Counseling, 99(6), 926-943.

Article 5: Boström, Isaksson, Lundman, Graneheim, & Hörnsten. (2014). Interaction between diabetes specialist nurses and patients during group sessions about self-management in type 2 diabetes. Patient Education and Counseling, 94(2), 187-192.

Article 6: Cronenwett, Sherwood, Barnsteiner, Disch, Johnson, Mitchell, . . . Warren. (2007). Quality and safety education for nurses. Nursing Outlook, 55(3), 122-131.

Article 7: ALLIGOOD, Martha R., TOMEY, Ann M. (2006). Nursing theorists and their work. 6th ed. Philadelphia: Mosby Elsevier. ISBN: 978-0323030106

FYI: Attached is the sample of a nursing capstone paper, and the last 2 articles the QSEN and the IOM/ transition articles

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Health Condition

Create a 10–12-slide PowerPoint presentation to identify medications  associated with a chosen disease or health condition, explain the  actions and side effects of the medications, and discuss any  controversies related to the medications. Explain a treatment regime,  including pharmacology, for the disease or health condition you  selected, along with how the treatment regime may affect a client’s  lifestyle.

By having a thorough understanding of pharmacology, nurses can  eliminate possible medication errors in their nursing practices. The  basic principles of pharmacology include pharmacokinetics (what the body  does to a drug) and pharmacodynamics (what a drug does to the body).  Pharmacology plays a significant role in the nursing profession, so it  is extremely important for nurses to understand the actions of the  pharmacological agents they will administer to patients in order to  intervene appropriately if necessary. 

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Another critical skill for a nurse is the ability to apply and  evaluate evidence-based practices, principles, models, and  pharmacological guidelines and protocols commonly used in nursing  practice. Understanding how specific protocols and guidelines are  developed will aid nurses in treating patients with a multitude of  physiological and psychological conditions.

Nurses must be able to measure outcomes of pharmacological  interventions when caring for patients. The effective use of  evidence-based practice guidelines, models, and principles is one way  that nurses can analyze quality outcomes for the pharmacological  treatments used for patients.

Pharmacology includes different categories of major drugs used in  the treatment of primary diseases. The same drug may be used to treat  more than one disease or condition, while two patients with the same  disease may require different drug treatments. In addition, the  professional nurse must be aware of what types of things can influence a  patient’s response to a drug. Some things are obvious—other  medications, for example—while some are less so. Things like age,  weight, herbs—even foods people eat every day—can influence how a person  responds to a particular drug. At times, even a strong cultural belief  can influence how a drug will react. Nurses who administer drugs have a  responsibility to assess patients for both the desired response, as well  as for any unwanted and potentially harmful reactions that may occur.

Imagine your supervisor has asked you to conduct a lunch and learn  session to educate your fellow nursing staff on pharmacological  interventions.

Preparation

Select a disease or health condition that requires pharmacological  intervention. You may choose any disease or health condition you wish,  but the disease or health condition must be relevant to nurses from a  variety of settings (for example: ER, pediatrics, public health, et  cetera).

Requirements

Once you have selected a disease or health condition, create a  PowerPoint presentation you could use in your lunch and learn session,  including the following:

  • Identify the disease or health condition you have chosen, along  with the areas where nurses are likely to see it. (Do this in the agenda  slide or next slide after the agenda.)
  • Identify the three drugs used most often in the treatment of the disease or health condition.
  • Explain the types of actions, side effects, indications, and  contraindications that could be expected from the pharmacological  treatment.
  • Describe the treatment regime most often prescribed for the  disease or health condition. This should include pharmacology but not be  limited to pharmacology.
  • Explain how the treatment regime (including pharmacology) may  impact a client’s lifestyle. Consider things such as finances, ease or  complexity of administration, instructions (frequency, duration), et  cetera.
  • Describe how a nurse should monitor a client being treated for  the disease or health condition in order to obtain a quality patient  outcome.
  • Explain any controversies associated with the drugs used in the  treatment. For example, is there a black box warning with any of the  drugs?

Use the notes section of each slide to expand your points or draft  your mock oral presentation (or both) and reference your resources. Use  at least 3 peer-reviewed or professional resources to support your work  in this assessment. Be sure your PowerPoint includes a title slide, a  slide with your agenda or list of topics to be covered, and a reference  slide. Follow current APA style and formatting guidelines for your  citations and references.

Additional Requirements

  • Number of slides: 10–12, not including the title and reference slides.
  • Be creative. Consider your intended audience.
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Dietary Needs for Patient with Heart Disease

Assignment Overview

For this assignment, you will answer questions about a client named Mr. Smith. You will analyze the dietary needs and risks for patients who are at risk for heart disease. Using your textbook and the internet you will identify the best recommendations, risks, and needs of a patient in Mr. Smith’s condition, based on the questions asked. You are required to include citations of your references.

This assignment is intended to explore differences between macronutrient and micronutrient concepts and describe their physiological functioning. Additionally, you will apply human nutritional theories and relevant research to formulate nutritional assessments and describe nutritional requirements corresponding to stages in the life span. You will also examine how effective nutritional counseling is contingent upon collaboration, organization, and concurrence among the members of the health care team.

Case Study:

Mr. Andrew Smith is a 50-year-old male, 5 feet 10 inches tall and weighs 265 lbs. He has gained 30 pounds in the past year. He has been diagnosed with heart disease. Testing revealed his total cholesterol is 225 mg/dL, and blood pressure is 150/95. Mr. Smith eats a diet that is high in saturated and trans fats. He also complains of shortness of breath when climbing stairs. Mr. Smith meets with his physician and is started on atorvastatin. Mr. Smith is concerned because he has never taken anything besides over-the-counter medicines before. He would like to explore dietary interventions to improve his heart health.

Assignment Details:

Perform the following tasks:

· Complete the reading assignment before attempting this assignment.

· Please review your reading for this week as well as the Case Study located in Week 9 of your online course.

· Use your text and the internet to respond (in approximately 250 words) to the following (provide your responses in the Assignment Worksheet section on page 2):

· Based on what you learned about Mr. Smith in your interview, briefly explain his modifiable risk factors for heart disease.

· Based on your client’s height and weight, what is his current body mass index? Based on his current BMI, how many pounds should your client lose to achieve a healthy weight?

· Discuss the recommendations that you would make for Mr. Smith’s fat intake (in grams) What foods should be limited to restrict saturated and trans fat intake (list 5)?

· Discuss heart healthy fats. What foods should be included to increase your clients intake of heart healthy fats? (list 5)?

· Briefly discuss three nutritional interventions that you would suggest to your client to improve his heart health.

· Submit the Week 9 Assignment via Blackboard by clicking on the “Week 9 Assignment” link.

· Include the proper file naming convention: SCI115_wk9_assn_jsmith_mmddyyyy.

Refer to the Writing Conventions in the Written Assignment Rubric for detailed grading information.

Grading:

Gradable items in assignmentPoints
Explain risk factors for heart disease.10
Discussion of clients Body Mass Index5
Discussion of saturated and trans fats5
Discussion of heart healthy fats5
Three dietary interventions for heart disease10
Adhere to the Writing Conventions.5
Total Points40

Assignment Worksheet:

Respond to the following (in approximately 250 words) in the spaces provided:

· Based on what you learned about Mr. Smith in your interview, briefly explain his modifiable risk factors for heart disease.

[Write your response here…]

· Based on your client’s height and weight, what is your clients body mass index (BMI)?

[Write your response here…]

· Discuss the recommendations that you would make for Mr. Smith’s intake of dietary fat. What foods should be limited in the diet (list 5)? Which heart healthy fats should be included? (list 5)

[Write your response here…]

· List three nutritional interventions that would improve the heart health of your client.

[Write your response here…]

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Identify the nursing care issue or problem and justify why it is a nursing care issue in need of implementation of evidence. Remember, this should not be a medical issue.

As the professional nurse, you realize that your nursing care area often sees patients with the same particularly challenging nursing care issue (not medical care issue). Include all of the following in your answer to this discussion.

  • Identify the nursing care issue or problem and justify why it is a nursing care issue in need of implementation of evidence. Remember, this should not be a medical issue.
  • Explain how you would search CINAHL for evidence on this topic (including search terms you would use) and how you would critically appraise the evidence found in your search. Note: You do not need to perform the search or provide an article for this discussion, but you may do so if you like.
  • I need about a half a page single space
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How will you know if staffing mix or schedule impacts patient outcomes?

Assessment : Heart Failure Clinic Resourcing Plan 
Details Overview Write a 3–4 page evidence-based resourcing plan for one component of the Heart Failure Clinic.  It is important for the nurse leader to have not only a basic understanding of the budget process, but to understand how to work with variances in staffing, patient loads, and supply costs in order to meet the needs of the patients, without compromising the funding process of the clinic.  SHOW LESS By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:  Competency 3: Apply management strategies and best practices for health care finance, human resources, and materials allocation decisions to improve health care delivery and patient outcomes. Apply evidence-based management strategies and best practices for resourcing health care services. Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes. Competency 4: Apply professional standards of moral, ethical, and legal conduct in professional practice. Apply legal and professional standards for resourcing outpatient services. Competency 5: Communicate in manner that is consistent with the expectations of a nursing professional. Write content clearly and logically, with correct use of grammar, punctuation, mechanics, and current APA style. Reference Kelly, P., & Tazbir, J. (2014). Essentials of nursing leadership and management (3rd ed.). Clifton Park, NY: Delmar.  Competency Map CHECK YOUR PROGRESS Use this online tool to track your performance and progress through your course. Toggle Drawer Context Health care delivery is a complex process and system that includes multiple delivery sites such as hospitals, ambulatory-care centers, private-provider offices, community-health facilities, home-care agencies, and extended-care facilities. Managed care is a method used to reimburse or pay for health care service. It includes more than just payment; it also controls the delivery services. Health care reform has been undertaken for a variety of reasons, not the least of which are access and health disparities issues. Nursing within an organization is a critical component of health care delivery and is an essential ingredient in patient outcomes (Kelly & Tazbir, 2014).  Toggle Drawer Questions to Consider To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community.  For the following questions, you may wish to review the Brown, Bornstein, and Wilcox article “Partnership and Empowerment Program: A Model for Patient-Centered, Comprehensive, and Cost-Effective Care,” listed in the Unit Resources.  Who makes you accountable for the delegation that you use in your organization, as well as on a state and national level? Are there ways you could initiate greater collaboration with the health care team by using delegation? What is the purpose of the National Council of State Boards of Nursing delegation decision-making tree? What is the long-term implication related to health care cost if the patient or patient population continues to have poor outcomes related to cost containment? How can you address cost within your organization, as a nursing leader, and how is this related to patient outcomes? Toggle Drawer Resources Suggested Resources The following optional resources are provided to support you in completing each assessment. They provide helpful information about the topics in this unit. For additional resources, refer to the Research Resources and Supplemental Resources in the left navigation menu of your courseroom.  Library Resources The following resources are provided for you in the Capella University Library and are linked directly in this course. These articles contain content relevant to the topics and assessments that are the focus of this unit.  Brown, C., Bornstein, E., & Wilcox, C. (2012). Partnership and empowerment program: A model for patient-centered, comprehensive, and cost-effective care. Clinical Journal of Oncology Nursing, 16(1), 15–17. Rundio, A. (2012). The nurse manager’s guide to budgeting & finance. Indianapolis, IN: Sigma Theta Tau International. Cranmer, P., & Nhemachena, J. (2013). Ethics for nurses: Theory and practice. Maidenhead, Berkshire, UK: Open University Press. Pynes, J. E., Lombardi, D. N. (2011). Human resources management for health care organizations: A strategic approach. San Francisco: Jossey-Bass. Simons, T., Leroy, H., Savage, G. T. (2013). Leading in health care organizations: Improving safety, satisfaction, and financial performance. Bingley, UK: Emerald Group. Zelman, W. N., McCue, M. J., Glick, N. D., Thomas, M. S. (2014). Financial management of health care organizations: An introduction to fundamental tools, concepts, and applications (4th ed.). San Francisco: Jossey-Bass. SHOW LESS Course Library Guide A Capella University library guide has been created specifically for your use in this course. You are encouraged to refer to the resources in the BSN-FP4012 – Nursing Leadership and Management Library Guide to help direct your research.  Internet Resources Mensik, N. (2013). What nurses need to know about nurse staffing today | Transcript. Retrieved from https://www.youtube.com/watch?v=mo5OFmGQQH0 American Nurses Association (ANA). (2015). Code of ethics for nurses. Retrieved from http://www.nursingworld.org/MainMenuCategories/EthicsStandards/CodeofEthicsforNurses.aspx National Council of State Boards of Nursing (NCSBN). (n.d.). Retrieved from https://www.ncsbn.org/index.htm Joint Commission. (2015, January 12). Hospital outpatient department. Retrieved from http://www.jointcommission.org/hospital_outpatient_department American Nurses Association (ANA). (n.d.). Scope of practice. Retrieved from www.nursingworld.org/EspeciallyForYou/AdvancedPracticeNurses/Scope-of-Practice-2 Bookstore Resources The resources listed below are relevant to the topics and assessments in this course. These resources are available from the Capella University Bookstore. When searching the bookstore, be sure to look for the Course ID with the specific –FP (FlexPath) course designation.  Kelly, P., & Tazbir, J. (2014). Essentials of nursing leadership and management (3rd ed.). Clifton Park, NY: Delmar. Chapters 8–10 Chapters 14–15. Assessment Instructions Preparation Refer to the Capella library and the Internet for supplemental resources to help you complete this assessment.  Instructions Deliverable: Develop one component of an evidence-based resourcing plan.  Scenario:  The hospital leadership team has already allocated the major capital expenditures for the heart failure clinic, such as the facility, legal services, IT, and security services. However, as a member of the nurse team, you have been asked to develop one component of a resourcing plan for the next leadership meeting.  You may use any combination of documents (for example, a spreadsheet or a table) in addition to explanatory information to convey information clearly and succinctly.  Choose one of the following:  Budget:  Apply evidence-based management strategies and best practices for resourcing health care services. Identify the business plan budget categories and subcategories (not necessarily the actual cost) to establish a new clinic. Start-up expenses. Examine fixed and variable costs. Capital budget items. Examples: salary and benefits, staffing mix, specialized equipment or materials, et cetera. Contingency fund and parameters. Apply legal and professional standards for resourcing outpatient services. Explain the alignment to best practices and professional standards for cost effective outpatient services. How will uninsured or underinsured patients be managed? Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes. What data resources and tools analyze costs, health insurance, and hospitalization services? How will billing be handled? How will you determine if outpatient management is cost-effective? How does transparency impact the consumer? Staffing Plan:  Apply evidence-based management strategies and best practices for resourcing health care services. Identify the disciplines and skill mix needed for appropriate staffing. Estimate staffing requirements by discipline and staffing ratios (evidence-based). Develop a sample staffing schedule. How will you staff to meet corporate diversity goals or the needs of diverse patients? Explain how delegation, collaboration, negotiation will affect staffing plan. How does a union contract affect the staffing plan or schedule? Examine the Nurse Practice Act for your state. How does the Nurse Practice Act affect your staffing plan? Apply legal and professional standards for resourcing outpatient services. Align your staffing plan to best practices, the Nurse Practice Act for your state, scope of practice, and the Joint Commission standards for outpatients. Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes. How will you know if staffing is cost-effective? How will you know if staffing mix or schedule impacts patient outcomes? Additional Requirements Written communication: Written communication should be free of errors that detract from the overall message. APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting. Length: The plan should be 3–4 pages in content length, double-spaced. Font and font size: Times New Roman, 12 point. Number of resources: Support your plan with a minimum of three peer-reviewed resources, in addition to professional standards. 

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Hazard Analysis and Risk Assessment Project

Select a serious workplace hazard with which you are familiar, or use Steps 1 and 2 of the Hazard Analysis and Risk Assessment Guide on page 114 of the course textbook to help you select one. Use Steps 3-10 of the guide to evaluate the hazard and its associated risks, and then use the Unit IV Hazard Analysis/Risk Analysis Project Form and fill out the form using the “Add Text” tool. To complete the Initial Risk Assessment and Post Control Risk Assessment sections on the form, use the following codes based on the Risk Assessment Matrix in Table 11 of the textbook:

SEVERITY:

1 – Catastrophic

2 – Critical

3 – Marginal

4 – Negligible

PROBABILITY (Likelihood of Occurrence):

A – Frequent

B – Probable

C – Occasional

D – Remote

E – Improbable

RISK CODE:

H – High

S – Serious

M – Medium

L – Low

BOS 3651, Total Environmental Health and Safety Management 3

All sections of the form must be completed. Note that the Post Control Risk Assessment Measures section reflects the risk assessment AFTER applying the Additional Control Measures. In a paragraph of at least 500 words, explain the reasoning behind how you filled out each section of the form. Insert the completed form into the same Word document with your paragraph, using APA formatting for the paper format as well as for all references and in-text citations.

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ANALYZE THE PROCESS FOR DEVELOPING AN IT BUDGET WITHIN A HEALTH CARE ORGANIZATION

From the first e-Activity, analyze the process for developing an IT budget within a health care organization, and select one (1) aspect of the budgeting process which is the most difficult to execute. Next, suggest one (1) technique which you could use to overcome the difficulty that you selected. Provide a rationale to support your response.

From the second e-Activity, determine the key reasons why change management in health care IT is a hot-button issue. Next, among the eight (8) fundamental stages for the process of change described by Kotter, select the most significant stage, and suggest one (1) way to complete the stage in question. Provide a rationale to support your response.

Eactivity – Use the Internet or the Strayer Library to research articles on IT budget development process within health care organizations. Be prepared to discuss.

Read the article titled, “Change Management in Health Care”, located at http://www.zzjzfbih.ba/wp-content/uploads/2012/11/Change-Management-in-Healtcare.pdf. Be prepared to discuss.

Q

Describe one of the contemporary models of health from another country, and explain its strengths and weaknesses. In addition, address how that country has integrated Complementary and Alternative Medicine (CAM) within their healthcare system.

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