DQ#2 According to Lichtman (2011), “The Federal Government requires each nursing home facility to have a governing body, or designated persons functioning as a governing body” (para. 1). The governing body of a nursing home setting may be referred to as the board of directors, board of trustees, or “the board” (Singh, 2016, p. 332). Although it is necessary for both the board and the nursing home administrator (NHA) to have a good working relationship, they both serve their purpose for different responsibilities, and if there is lack of communication from either side, organizational functions, care quality, and employee morale will suffer as a result. The board functions include appointing a NHA, reviewing his or her performance, assisting the NHA in establishing goals and objectives that are in-line with the organization’s mission and vision, ensuring facility’s compliance, and establishing guidelines and support for the NHA, as well as policies to protect patient rights (Singh, 2016, p. 333). According to Singh (2016), “The NHA acts as the agent of the board and is responsible for the day-to-day management of the nursing facility” (p. 334). In other words, the NHA manages the business, employees, and represents the organization in the community. Because the board depends on the NHA to carry out tasks, and the NHA depends on the board for support and guidance, it is critical for the relationship to be positive with good interaction and communication.
References:
Lichtman, A., Ostreicher, A. (2011). The Governing Body: What is its role and who should Fill the Position? RYTES Company. Retrieved from RYTEScompany.com
Singh, D.A. (2016). Effective Management of Long-Term Care Facilities. (3rd. ed). Sudbury, MA: Jones and Bartlett Publishers.
The Assignment: (1- to 2-page Comparison Grid; 1- to 2-page Legislation Testimony/Advocacy Statement)
Part 1: Legislation Comparison Grid
Based on the health-related bill you selected, complete the Legislation Comparison Grid Template. Be sure to address the following:
- Determine the legislative intent of the bill you have reviewed.
- Identify the proponents/opponents of the bill.
- Identify the target populations addressed by the bill.
- Where in the process is the bill currently? Is it in hearings or committees?
- Is it receiving press coverage?
Part 2: Legislation Testimony/Advocacy Statement
Based on the health-related bill you selected, develop a 1- to 2-page Legislation Testimony/Advocacy Statement that addresses the following:
- Advocate a position for the bill you selected and write testimony in support of your position.
- Describe how you would address the opponent to your position. Be specific and provide examples.
- Recommend at least one amendment to the bill in support of your position.
Legislation Comparison Grid Template
Use this document to complete Part 1 of the Module 2 Assessment Legislation Comparison Grid and Testimony/Advocacy Statement
| Health-related Bill Name | H.R. 647: Palliative Care and Hospice Education and Training Act |
| Description | This bill came to fruition as the tool to amend the Public Health Service Act to increase the number of permanent faculty in palliative care at accredited allopathic and osteopathic medical schools, nursing schools, social work schools, and other programs, including physician assistant education programs, to promote education and research in palliative care and hospice, and to support the development of faculty careers in academic palliative medicine (H.R. 647). (2019, January 17). |
| Federal or State? | Federal |
| Legislative Intent | The Secretary, acting as a liaison of the Director of the National Institutes of Health, shall embark on a strategy to be applied across the institutes and centers of the National Institutes of Health to expand and augment national research programs in palliative care in order to address the quality of care and quality of life for the rapidly growing population of patients in the United States with serious or life-threatening illnesses, including cancer; heart, kidney, liver, lung, and infectious diseases; as well as neurodegenerative diseases such as dementia, Parkinson’s disease, or amyotrophic lateral sclerosis (H.R. 647). (2019, January 17). |
| Target Population | Those who have entered a graduate medical education program |
| Status of the bill (Is it in hearings or committees? Is it receiving press coverage?) | The aforementioned bill has entered the first phase in the legislative process. On January 17, 2019 the proposed bill was introduced to congress. |
| General Notes/Comments | Health professions schools with programs in psychology, pharmacy, nursing, social work, physician assistant education, chaplaincy, or other health disciplines, as approved by the Secretary. Such a fellowship shall be open to current faculty, and appropriately credentialed volunteer faculty and practitioners, who do not have formal training in palliative care, to upgrade their knowledge and clinical skills for the care of individuals with serious or life-threatening illness and to enhance their interdisciplinary and interprofessional teaching skills. |
Reference
Palliative Care and Hospice Education and Training Act (H.R. 647). (2019, January 17). Retrieved March 18, 2019, from https://www.govtrack.us/congress/bills/116/hr647
Legislation Comparison Grid Template
Nursing Quantitative Matrix
ARTICLE TO USE: Rowley, B., Kerr, M., Van Poperin, J., Everett, C., Stommel, M., & Lehto, R. H. (2015). Perioperative warming in surgical patients: A comparison of interventions. Clinical Nursing Research, 24(4), 432-441.
In this assignment, the student will read the quantitative study provided and complete a methodologic matrix utilizing the format presented below placing the information in the matrix.
1. Complete the quantitative methodologic matrix below utilizing the heading presented.
2.Information should be in bulleted format, not narrative paragraphs.
3.Include a title page and reference page.
4.The quantitative methodologic matrix should be in landscape page design whereas the title page and reference should be in portrait page design. Complete in Microsoft Word
5.APA format is required (attention to spelling/grammar, a title page, and reference page). The assignment does not require an introduction, purpose statement, or conclusion.
Quantitative Methodologic Matrix
Quantitative Matrix Grading Rubric
Welcome to the Week 3 discussion thread. This week, our discussion will take us to the topic of improving usability and interoperability in health information systems. Usability and interoperability are major issues to consider in the development of Healthcare Information Systems (HIS). How do your organization’s systems address these issues in terms of transfer of information versus re-entry at various points in the system (emergency department, inpatient, and home care)? With the knowledge you have gained from your readings, what evidence-based suggestions will you make to improve your system?
I am looking forward to your discussions and our dialogue in the threads.
Prepare a presentation to accompany the teaching plan and present the information to your community. Select one of the following options for delivery of the presentation:
- PowerPoint presentation – no more than 30 minutes – Slides should have speaker notes – A minimum of 3 refrences – intext citation should be used inslides and speaker notes if necessary – 12 to 15 slide presentation
Appropriate community settings include:
- Long-term care facility
APA format is required for essays only. Solid academic writing is always expected. For all assignment delivery options, documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
Question Description
Assignment 1: SWOT Analysis
The SWOT analysis is a major component of the strategic planning process. It provides leadership with an evaluation of organizational performance in relation to competitors and external forces. This evaluation helps leaders capitalize on organizational strengths and improve its weaknesses in order to differentiate itself from competitors. For this Assignment, you conduct a SWOT analysis for a health care organization.
To prepare:
- Review the Jasper Gardens Nursing Home case study in this week’s Learning Resources.
- Analyze strengths of the organization. Consider the following questions:
- What does this organization do particularly well? Does it have a specific and recognized niche?
- What resources does the organization have that might set it apart from its competition or position it for future growth?
- What does the market perceive as strengths of the organization?
- What financial considerations are relevant to its strengths?
- Analyze weaknesses of the organization. Consider the following questions:
- What needs improvement within the organization?
- What resource deficits might impact this organization?
- What does the market perceive as weaknesses of the organization?
- What financial considerations are relevant to weaknesses?
- Analyze opportunities of the organization. Consider the following questions:
- With strengths and weaknesses in mind, what opportunities are available to this organization?
- Are there current trends that might translate into opportunities?
- Analyze threats to the organization. Consider the following questions:
- What competitive threats exist for the organization?
- Do insufficient or outdated resources hamper the organization?
- Are there any current trends that might translate into threats?
- Do any market, regulatory, and/or legal issues present threats?
Note: Your Assignment should show effective application of triangulation of content and resources in your conclusion and recommendations.
The Assignment
Using the SWOT Analysis Template provided in this week’s Learning Resources, complete a 1-page SWOT analysis matrix. The matrix should include a bulleted list of strengths, weaknesses, opportunities, and threats for Jasper Gardens Nursing Home. Synthesize the information you have gathered from your analysis so that each bullet point clearly represents the most significant considerations within each category. While this is a 1-page document that might appear to be simple, each point must be the result of deep and critical thinking.
Note: Your Assignment must be written in standard edited English. Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources. Be sure to follow APA guidelines for your citations, title page, and reference page. Your matrix, however, does not need to follow APA formatting. Refer to the Essential Guide to APA Style for Walden Students to ensure that your in-text citations and reference list are correct. See the Week 3 Assignment Rubric for additional requirements related to research and scholarly writing.
Discussion: Operating and Financial Performance Indicators
Health care leaders depend on sound operating and financial performance indicators to make decisions regarding working capital management, capital budgeting, and resource allocation. These indicators help organizations maximize performance and strategically plan for new initiatives. For this Discussion, you select a health care organization and examine how its leaders and managers use operating and financial performance indicators in their decision making.
To prepare:
- Select a health care organization and locate its operating (i.e., utilization rate) and financial data. You may want to use a not-for-profit health care system, as they usually post their annual reports online.
- Identify one operating indicator (e.g., length of stay, admission, etc.) and two financial performance indicators (e.g., cash and cash equivalents, accounts receivable, accounts payable, short-term loans, etc.).
Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts and cannot post anonymously. Please check your post carefully before clicking Submit!
150 words no reference required. Respond to the post below peer responseAs students it looks like there are many ways we can be actively involved. We can take part in the AANA Student Writing Contest play in the Anesthesia College Bowl serve on different committees such as 1) education 2) practice public relations and health and wellness 3) the CRNA political action committee and attend the Nurse Anesthesia Annual Congress meetings (which combines networking evidence-based education and the latest technological advances in anesthesia in a new location every year). Something that I really support is the Student Mentoring Program that’s coordinated by the AANA Communications Committee. Every year at the AANA Mid-Year Assembly a group of SRNAs get to spend a day with experienced CRNA leaders. This allows networking which I think is really important for our profession and the primary goal of this program is to mentor and produce future leaders of the AANA . Past CRNAs have worked and lobbied so hard for our profession – we wouldn’t be where we are today if it weren’t for those who have fought and advocated for us.One of our classmates mentioned in DB #3 that since physician anesthesiologists make so much money they are probably able to put a lot more money into the ASA. While that is probably true we should not let that deter us. We could donate to the AANA as much as we can even if it’s $20 and we can have fundraisers to help raise money too. The RISE Above Campaign is seeking to do what we all as students agree on and wish the public were better informed on – to prove the value and worth of CRNAs. This is a three year campaign that aims to raise $1 million to fund Health Services Research that will inform healthcare policy affecting patient care processes and patient/provider interactions (RISE Above).There is a website called The Future of Anesthesia Care Today and it is awesome. It talks about who we are what our education and training is like and why we are the most cost-effective choice when it comes to choosing an anesthesia provider. This website has numerous research studies to back up what they are recommending. It would be nice if we could somehow direct a lot of traffic to this website and maybe distribute it on social media to help with public awareness.Something that interests me personally as far as gaps in the literature goes – I wasn’t able to find any publications or abstracts on CRNAs vs dental anesthesia providers regarding patient safety and outcomes. Ialso couldn’t find much research on neonates and the OB population – I’m sure after starting clinicals next year topics will come to mind that I might want to further explore.I agree with my classmate in that it wouldn’t hurt to have more CRNA research. After looking over the AANA website it looks like much research has been done or is happening currently. But I think we need to think of better ways to help distribute that research especially to the public and to politicians. As politicians and state laws have a direct influence on how we are allowed to practice where we can practice independently and whatnot maybe we can meet with the politicians of all the non opt-out states to see where they get their influences from how they came to their decision and what we can do to convince them that we should be allowed to practice independently (I believe one of our classmates came up with this idea first courtesy of John and I support his idea). Other classmates have mentioned using social media as that is something that is very popular and a good way to help reach millions. Johnson&Johnson has a Discover Nursing Campaign with TV commercials and a website dedicated to achieving a nursing career with information on how to become a nurse NCLEX study tips job interview advice and so much more. It would be nice to have a Discover CRNA Campaign. Maybe as student CRNAs we can volunteer at local high schools and introduce our profession on a career day or go to nursing schools and talk about who we are and what we do. Our research is strong and we have a lot of it but what good is it if we only circulate it amongst ourselves? I really think we should continue to advocate for our profession be active in the AANA and help educate the public on who we are.
- Based on the textbook’s summary of Timothy’s philosophy of continually striving for excellence, determine whether or not Scarlet Hospital was prepared to compete with the establishment in Salem even before the highway improvement mandated such an upgrade in delivery health care services.
- Examine the potential lessons that the “Stopping Outshopping” case could teach health care executives about complacency.
- Evaluate the potential value of Michael Porter’s Five Forces analysis and SWOT Analysis for effective decision making, in its ability to help Scarlet Hospital protect its market share and thus decrease the chance of losing patients to other institutions in Salem.
- Appraise the value of the Balanced Scorecard model in its ability to help Scarlet Hospital executives reinforce its defensive marketing strategy.
- Propose a one (1) page offensive marketing strategy (i.e. communication, branding, innovation, etc.) that Scarlet Hospital should deploy in order to turn the table on Salam-based health care providers and improve its competitive marketing position.
Fred, a fit and healthy 44-year-old, was working outside one warm summer afternoon. When he returned home by the end of the day, his lower back felt sore and he felt nauseated. His wife made him dinner, but he was not hungry and chose to go to bed instead. Fred’s symptoms progressed, and soon he was rolling on the bed with excruciating pain. He said his back hurt as well as his stomach and groin area. The pain would ease off only to return a short while later, and when it did, Fred would begin to sweat and run to the bathroom to vomit. His wife became concerned and she helped him into the car and rushed him to the hospital.
Please answer the following questions and submit your assignment via Blackboard by the due date.
1. At the hospital, an abdominal radiograph showed the presence of renal calculi in Fred’s right ureter (urolithiasis). What is the pathophysiological mechanism of stone formation in the kidney?
2. In the hospital, Fred’s urine is being strained for the presence of stones that he may have passed. What is the importance of this action?
3. What are the 4 primary types of renal calculi and what are the risk factors for each of these types of renal calculi?
4. Hydronephrosis can be a complication of renal calculi. Why is hydronephrosis such a serious complication?
5. View the following youtube video entitled “How do kidney stones form?” https://www.youtube.com/watch?v=kd1OgaoHkNk&ebc=ANyPxKpOSV5R2ZhGO16_RyRrOJqxvxX0LqasixjcubWhDn5frqXcvCZuFFZQG3nvVpZSTFL0HxuUpkycrKY94szkE_ucwYOCQg
Identify two key points that you learned about renal calculi in the video?
This is the grading criteria :
Grading:Subject Knowledge and Accuracy (6 points)
- Normal physiological principles, processes, and mechanisms are explained at the molecular, cellular, and organ levels.
- Physiological processes and mechanisms relating to the pathology are clearly explained.
- Answers focus on substantive ideas that are supported by relevant facts and examples.
- Explanations are clear and incorporate appropriate vocabulary.
- Thoughtful and convincing responses clearly demonstrate depth of subject knowledge.
- Information is derived from good quality, credible sources.
- All questions are answered completely.
- All content is current and accurate.
Bibliography / Citations / Writing (3 points)
- Two (2) or more sources used for the assignment (your textbook can be one of the sources).
- All material that is not considered “common knowledge” is cited.
- All quotations and/or paraphrasing are cited according to APA format.
- The full reference for each citation is found in the bibliography.
- References are listed alphabetically at end of assignment in the bibliography.
- Bibliography and citations follow APA format.
- Writing is free of grammatical errors.
- Sentences are complete, clear, and concise.
- Spelling is correct.
This book should be used as reference also:
Porth’s Pathophysiology: Concepts of Altered Health States (9th edition) ISBN-13: 978-1451146004ISBN-10: 1451146000
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