Staffing in Behavioral Healthcare FacilitiesThere are different types of behavioral healthcare facilities. Some are stand-alone facilities while others are part of a larger healthcare system. Many larger healthcare systems include a department or behavioral health unit as part of their comprehensive set of services. In these large healthcare systems there is integration and sharing of services at all levels.Describe the similarities and differences between staffing for a stand-alone behavioral healthcare facility and a behavioral healthcare unit that is a part of a larger healthcare system. What are the reasons for these differences? Does behavioral healthcare have unique staffing needs or is it similar to the staffing needs of a hospital in general? Why or why not?Provide specific examples of both types of healthcare facilities. You may also refer to information shared on the Internet. Which healthcare system among these two would you prefer more and why? Justify your answers with appropriate research and reasoning.Referral Process in Behavioral Healthcare ServicesBehavioral healthcare like most healthcare services has seen a change in focus from a didactic relationship between the physician and the patient to that of a group effort involving an interdisciplinary team of professionals as well as active participation by the consumer.The team concept stems from several factors but mainly from the comorbidity of diseases and conditions. In most instances the consumer is not just faced with mental illness but psychosocial issues such as family and work challenges as well as other medical issues such as addictions and overall poor health. This is when a team operating in a disease management capacity is the best course of action especially for individuals with persistent mental illness and comorbidity.How does a primary care physician integrate the need for further behavioral health services such as referring to a psychiatrist or psychologist for therapy or counseling?Search the Internet to look for a hospital system providing behavioral healthcare services. Review the information shared on the hospital’s Web site regarding the functioning of the department providing behavioral healthcare services. Explain the referral process and the protocol followed in hospitals when a patient requires behavioral healthcare services. Justify your answers with appropriate research and reasoning.
This week you continue your work on your course project by completing an outline. Falls, pressure ulcers, nursing turnover, nursing retention, catheter associated urinary tract infections (CAUTI’s), central line associated bloodstream infections (CLABSI’s), patient education, communication (be a little more specific…shift-to-shift report, bedside report, nurse-to physician communication, etc.), call light management, hourly rounding, alarm management, bar-coding medication administration, etcRemember, this is only an outline, and not a paper; it does not need to be in paragraph format. You may use bullets or an outline formatting within Microsoft Word. Remember to create a title page and a reference page (if you cite any sources). For this outline, 1-page is the minimum, but it can certainly be more than that. Here is an example outline to get started:
- Define your project
- What is it? Many people do not know what pressure ulcers, CAUTI or CLABSI, etc. are.
- Statistics – What is the prevalence/incidence rates across the US or in your state/region?
- Causes (what are some of the causes?)
- List one cause here
- List another cause here, etc.
- Benefits for preventing/fixing/decreasing
- List reasons here
- How to prevent
- List
- Methods
- Here
- Nursing Interventions
- What are things nurses can do to help with this topic?
- List them here
- Define your project
In this assignment, you will select a program, quality improvement initiative, or other project from your place of employment. Assume you are presenting this program to the board for approval of funding. Write an executive summary (850-1,000 words) to present to the board, from which they will make their decision to fund your program or project. The summary should include:
- The purpose of the program or project.
- The target population or audience.
- The benefits of the program or project
- The cost or budget justification.
- The basis upon which the program or project will be evaluated.
Share your written proposal with your manager, supervisor or other colleague in a formal leadership position within a health care organization. Request their feedback using the following questions as prompts:
- Do you believe the proposal would be approved if formally proposed?
- What are some strengths and weaknesses of the proposal?
Submit the written proposal along with the “Executive Summary Feedback Form.”
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.
Human Pathophysiology and Pharmacology Assignment
Case study scenario:
Adina, a 43-year-old woman comes in for her first visit at your clinic. She is a Kunjen woman from Kowanyam, in far north Queensland. Her past medical history is notable for long-standing asthma. She takes budesonide (inhalation) most days and prednisolone (orally) for severe exacerbations; this has been the case for much of her adult life. She is married with six children; her husband is an interstate truck driver. Her first sexual contact was at age 14, and she has had six sexual partners in her lifetime, but took the pill to prevent pregnancy. She has been smoking one pack of cigarettes per day for the last 30 years. She reports vaginal bleeding, particularly after intercourse which has become painful; she thinks is related to vaginal dryness after menopause. Adina, also reports of fatigue, weight loss and pelvic pain over the past 2-3 months.
Adina is subsequently diagnosed with cervical cancer and is positive for human papilloma virus
The 1999 landmark study titled “To Err Is Human: Building a Safer Health System” highlighted the unacceptably high incidence of U.S. medical errors and put forth recommendations to improve patient safety. Since its publication, the recommendations in “To Err Is Human’ have guided significant changes in nursing practice in the United States.
In this Discussion, you will review these recommendations and consider the role of health information technology in helping address concerns presented in the report.
To prepare:
Review the summary of “To Err Is Human” presented in the Plawecki and Amrhein article found in this week’s Learning Resources.
Consider the following statement:
“The most significant barrier to improving patient safety identified in “To Err Is Human” is a “lack of awareness of the extent to which errors occur daily in all health care settings and organizations (Wakefield, 2008).”
Review “The Quality Chasm Series: Implications for Nursing” focusing on Table 3: “Simple Rules for the 21st Century Health Care System.” Consider your current organization or one with which you are familiar. Reflect on one of the rules where the “current rule” is still in operation in the organization and consider another instance in which the organization has effectively transitioned to the new rule.Post your thoughts on how the development of information technology has helped address the concerns about patient safety raised in the “To Err Is Human” report. Summarize how informatics has assisted in improving health care safety in your organization and areas where growth is still needed.
QUESTION
nursing
Instructions:
- After reading three or more of the articles/resources referenced in Lesson 3 and others you have researched, post the following in this discussion board:
- In your estimation: What role should nurses play in global health?
- What is your belief regarding the global migration/recruitment of nurses?
- Include your citations in the posting with a reference list at the end. (APA style).
- Comment on two of your classmates’ postings
- View grading rubric.
if possible try to use these two
2010 Health Care Reform Bill Impact Review- Serious Inquiries1) Scenario: Pursuant to the 2010 Health Care Reform Bill, the United States will be challenged to bring into its health care population some 32 million more patients. Formerly, many of these patients were uninsured. Some of these patients were seen and treated in safety-net hospitals, but mostly in emergency rooms. Reliable, independent studies have shown that this population is low income and is disproportionately made up of ethnic and racial minorities; however, it is important to point out that due to the economic downturn at the turn of the decade surrounding 2010, this 32 million will include a significant number of non-minority unemployed individuals. Consider that health care institutions must move beyond simply taking in and treating the sick and injured who come through the door. In the near future, the health of the community will be measured in terms of low disease burden, high vaccination rates, controlled chronic disease rates, healthier life styles, and a better educated public. Clearly, the impacts to the health care system will have to be addressed.2) Write a paper (1,250-1,500 words) that describes the roles and responsibilities of health care management in addressing this pressing dilemma. Apply the following questions to generate your conclusions about how you would proceed:a) How do the considerations under the concept of governance apply?b) What are the major financial issues being faced?c) What are the major physical issues being faced?d) What are the major demographic issues being faced?
QUESTION
Nursing
Juanita is a 10-year-old Hispanic child with severe persistent asthma. She has had multiple Emergency Department admissions for asthma exacerbations. Juanita lives in low income housing in the inner city along with her mother, grandmother, and an older sibling.
Initial Discussion Post:
- How will Juanita’s cultural and socioeconomic factors influence the development of an asthma education plan?
- What interventions should the RN implement to empower Juanita to manage her asthma?
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.
A year after declaring bankruptcy and moving with her daughter back into her parents’ home Nancy Silbermann is about to get a degree in nursing. As she starts out in a new career she also wants to begin a new life. One built on a solid financial base. Nancy will be starting out as a full-time nurse at a salary of $52 000 a year and she plans to continue working at a second (part-time) nursing job with an annual income of $10 500. SheII be paying back $24 000 in bankruptcy debts and wants to be able to move into an apartment within a year and then buy a condo or house in five years. Nancy won’t have to pay rent for the time that she lives with her parents. She also will have child care at no cost which will continue after she and her daughter are able to move out on their own. While the Jiving arrangement with her parents is great financially the accommodations are tight and Nancy’s work hours interfere with her parents’ routines. Everyone agrees that one more year of this is about all the family can take. However before Nancy is able to make a move-even into a rented apartment she will have to re-establish credit over and above paying off her bankruptcy debts. To rent the kind of place she’d like she needs to have a good credit record for a year; to buy a home she must sustain that credit standing for at least three to five years. 1. In addition to opening checking and savings accounts what else might Nancy do to begin establishing credit with a bank? 2. Although Nancy is unlikely to be able to obtain a major bank credit card for at least a year how might she begin establishing credit with local merchants? 3. What’s one way she might be able to obtain a bank credit card? Explain. 4. How often should Nancy monitor her credit standing with credit reporting services
Question Description
Discussion: Application of Health Care Quality Concepts
In order to apply health care quality concepts to a health care issue or a facility using the measurement-related concept of structure, process, or outcome, it is necessary to understand that the three complement each other. In other words, one is not more important than the other. Criteria and standards are essential to evaluating the three. A criterion is typically evidence driven and based on efficacy. Standards should be set at a “minimal, ideal, or achievable level to meet the goals behind specific quality of care evaluations” (Joshi et al., 2014, p. 44).
For this Discussion, you will select a health care quality concept; apply that concept to a real health care issue; identify the issue as structure, process, or outcome; and apply it to the Six Quality Dimensions you read about in Crossing the Quality Chasm.
To prepare:
- Review the Learning Resources on health care quality concepts.
- Select a health care quality concept from the Learning Resources.
Note: For this Discussion you are required to complete your initial post before you will be able to view and respond to your colleague’s postings. Begin by clicking on the “Post to Discussion” 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!
Assignment: Improving Population Health—Letter to the Editor
There are mechanisms in place that are used to improve population health, including (1) health statuses and outcomes, (2) determinant factors, and (3) interventions that address determinant factors and improve outcomes (Joshi et al., 2014 p. 549). How health care is provided and how it can be improved is the focus of this assignment, which lends itself to a perfect opportunity for you to put your analysis skills into practice. The Learning Resources section this week provides you with data from the patient experience of care that also sheds light on expectations that have and have not been met. The Healthy People 2020 data provides measurements and goals for health care into the future, along with reasons for achieving those goals.
For this Assignment, you will read a scenario, analyze an existing problem using the data/resources provided, and make recommendations to address the issues.
To prepare:
Review all Learning Resources for the week that relate to improving population health
The Assignment:
Read the following scenario:
The community of Springfield (population approximately 100,000) is made up of hardworking, mostly older, factory laborers who contributed to both the city and county growth from the late 1950s through early 2005. Since the plant closed, many of the former workers have little to look forward to. There are few jobs available and they are now aging; most are 60 years of age or older.
The Memorial Hospital has been in existence since the mid-1950s and has several primary care physicians and nurse practitioners, a couple of general surgeons, and one cardiologist, but no cardiac surgeons.
Many nurses are recruited from the nearby community college, and the hospital serves as the facility for clinical rounds in their education.
The community is pretty sedentary, with the exception of an occasional game of horseshoes. Cigarette smoking is prominent.
Serious concerns surround the continued existence of the hospital because many residents seek and obtain health care services elsewhere.
Compare the population of this city to other problem areas using the Healthy People sources. The town’s population is approximately 100,000, making the comparison fairly straightforward.
Using the information provided in the scenario and the:HCAHPS Data and Healthy People 2020 DataFrom this week’s Learning Resources, write a 2-page Letter to the Editorof the local paper that includes:An evaluation of the issues that would be the focus on need for quality improvementAn analysis of existing problems/issues based on data/resources provided2 or 3 recommended strategies to address each quality improvement issue
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