Considering legislation and quality improvement measures, what challenges do you see on the horizon for strategic planning, and how would you meet them as a manager?
Surgical Resident Physician PGY2, excels in teamwork and dedication while using her medical knowledge and surgical skills to provide exemplary care to her patients. Consistently demonstrates the ability to work collaboratively with fellow residents and attendings, while working to hone her surgical skills. Continues to develop keen leadership skills necessary for a successful surgeon. Demonstrates ability to quickly assess situations and apply sound medical knowledge in the care of her patients. Provides thorough consultations in the Emergency room and hospital settings adding valued service to patient care and the other medical teams. Committed to hard work and continued success while providing compassionate care to her patients. Dedicated to advancing the field of surgical oncology through clinical and translational research.
This week’s discussion prompt was inspired by the textbook content covered in Weeks 1 & 2. You are encouraged to use supporting details from the textbook and other credible sources to support your points. Remember to cite the source (e.g., Introduction to Public Health textbook; website link that can be easily accessed; peer-reviewed article) using APA 7 formatting style. With the exception of terminology and data, avoid using quotes. Responses should be in your own words..
Public health measures such as sex education in schools and the provision of contraceptive services are not widely accepted. What are at least two implications (negative and/or positive) for providing these types of measures in some states/counties and not having them in others?
Part A [20 points]
Choose any 10 of the following terms. Describe each term that you selected in your own words and provide a real-life healthcare application of this concept.
1. Probability:
2. Variable:
3. Sample:
4. Mean:
5. Discrete variable:
6. Continuous variable:
7. Incidence Rate
8. Control and treatment groups
9. Clinical Trial
10. External validity
11. Dichotomous variable
12. Survey research
13. Prospective study
Part B [20 points]
For this section, you will need to use the BMI Data Excel file and the CDC BMI Group Calculator Excel file.
• Read the Instructions located in the first tab of the CDC BMI Group Calculator Excel file. Then input the raw data from the BMI Data Excel file into the Measurements tab.
• Review the results that are generated by the template in the Group Summary tab. Prepare a short memo of the key findings (in less than 10 sentences) to the County Health Board stating the extent of the obesity problem. How severe would you describe the obesity problem in the county to be? What recommendations would you make to the County to address their problem?
Part C [10 points]
Copy and paste the following table into Excel. Use Excel in order to compute the relative frequency or the probabilities associated with each class interval and fill in the rest of the table. Then answer the questions that follow.
Class Interval Frequency Relative Frequency or Probability Relative Frequency or Probability Expressed as a Percentage
0-4.99 10
5-9.99 15
10-14.99 5
15-19.99 10
20-24.99 10
25-29.99 10
1. What percentage of the measurements are in the range of 10 and 14.99?
2. What percentage of the measurements are more than 15?
3. How many of these measurements are between 10 and 19.99?
4. What is the probability that a randomly selected number will be in the range of 5 and 15?
Part D [10 points]
The following table shows 1,000 nursing school applicants, classified according to scores made on a college entrance exam and the quality of the high school from which they graduated. Use the data in the table to answer the questions that follow.
Score Poor (P) Average (A) Superior (S) Total
Low (L) 105 60 55 220
Medium (M) 70 175 145 390
High (H) 25 65 300 390
Total 200 300 500 1000
• Calculate the probability that an applicant picked at random…
o …made a high or low score on the exam
o …made a low score on the exam and graduated from a superior high school
o …made a medium score or graduated from an average high school
o …graduated from an average high school
• Compare and comment on the probability that an applicant picked at random…
o …made a high score on the exam given that they graduated from a poor high school
o …made a high score on the exam given that they graduated from a superior high school
• Calculate the following probabilities:
o P (AP)
o P (L)
oP(AM)
Part E [20 points]
Literature Review
With the help of Google Scholar, select 5 articles on the topic of childhood obesity in the United States published in the last 5 years and provide the findings in the form of a matrix. After you’ve completed the literature review matrix, provide three separate summary sentences about the key findings of these articles.
Name of the Article Methods used Participants Outcome or dependent variable Independent variables Results
APA Citation
Contact details of lead author Study Design, Qualitative or quantitative
Cross-section or longitudinal
International Review Board (IRB) Number of participants
Key characteristics of the sample (age, sex, etc.)
Country
Method of sampling Outcome definition
Time points for outcome data collection Key Independent variable of interest
Treatment or control group used
Specific intervention Summary of the major themes, summary of findings
1:
2:
3:
4:
5:
Key Findings of the Literature Review Articles:
1) [Add your summary statement here]
2) [Add your summary statement here]
3) [Add your summary statement here]
Part F [20 Points]
Article Review
Read the article from the CDC, Falls and Fall Injuries Among Adults Aged ≥65 Years — United States, 2014. Then, answer the following questions:
1. What type of a study was conducted by the authors of this report? What was the source of their data?
2. Provide two key findings of this report.
• [Add your key finding here]
• [Add your key finding here]
3. What was the key dependent variable or the survey questions that were central to this study?
4. In one sentence each, describe how falls varied based on the following patient categories:
• Gender:
• Age-groups:
5. How are these findings relevant to nurses or other clinicians? What role can nurses’ or clinicians play after reading this article?
1.You need to communicate with the public regarding your Point of Dispensing (POD). Using the Message Map Template provided in the file, write one (1) key message with 3 supporting facts and either 27 word or Triple T on the following:
Write a post on what you view as the benefits and drawbacks of at least two (2) Point of Dispensing (POD) models from the readings.
Considerations should minimally include:
Part 1. [50 Points]
On a separate sheet in your Excel file, complete questions 1-6.
1) Classify each variable into the following types of variables: Categorical, Discrete and Continuous variables.
2) Classify each variable into the following levels of measurement: Nominal, Ordinal, Ratio, and Interval.
3) Sort the Data by Reason for Visit [RFV1]
4) Use the Filter and COUNTIF function in EXCEL and report the number of ED visits due to the following reasons:
a. Abdominal Pain, cramps, spasms, NOS
b. Accident
c. Back pain, ache, soreness, discomfort
d. Chest pain
e. Headache, pain in head
f. Fever
5) Create a frequency distribution table using the COUNTIF function in excel:
-Number of visits
-Abdominal Pain, cramps, spasms,
-NOS
-Accident
-Back pain, ache, soreness,
-discomfort
-Chest pain
-Headache, pain in head
-Fever
6) Using the IMMEDIACY OR TRIAGE LEVEL variable, report how many of the abdominal pain and chest pain cases were “Emergent”, “Urgent”, “Semi-urgent”.
–Abdominal Pain Chest pain
-Emergent
-Urgent
-Semi-urgent
Part 2. [50 Points]
On a separate sheet in your Excel file, complete questions 1 and 2.
You should have already downloaded the Excel Analysis ToolPak. If you haven’t, follow these steps: go to File, Options, Add-ins, Analysis ToolPak. Under Manage, select Go. Select Analysis ToolPak and click Ok. In your Excel file, when you select the Data tab, on the far right, you will see “Data Analysis” appear.
1. Using this, provide the mean age of those patients visiting the ED in the United States in 2016.
a. Using the Data Analysis ToolPak, provide the descriptive summary of the “Age Variable” including mean, median, minimum and maximum. Describe your results in 3-4 sentences.
2. Provide the frequency distribution of the following age categories. Calculate the percentage and cumulative percentages associated with each of the categories.
Age group Frequency Percentage Cumulative
percentage
Under 15 years
15-24 years
25-44 years
45-64 years
65-74 years
75 years and over
• Complete the assignment in Excel and submit the Excel file
Write a 3- to 4- page essay (double spaced, APA format in style and references ) analyzing your own health and wellness from an exercise science standpoint by addressing the following:
Evaluate your own current health status by as many of the health status categories included below as you can and describe the results:
Medical history review – Thyroid cancer, hypothyroidism and diabetes
Risk factor identification and stratification
Prescribed medications Synthyroid and Metformin
Level of physical activity – I go to the gym 3 times a week
Fitness testing you can perform on yourself
Next, write 3 – 4 paragraphs summarizing your current health status, including cardiorespiratory health, muscular strength and endurance, and flexibility. Write 1 – 2 paragraphs specifying your personal fitness goals as they relate to your overall health. Explain why achieving these goals will be beneficial to you. Now, create an exercise plan for yourself that reflects your current health status and personal fitness goals. Be sure to explain how your exercise plan reflects total fitness. Support your exercise prescription and the expected health benefits by discussing properly cited information from at least two peer- reviewed articles.
Conclude your paper with a short summary of why fitness is important to health and how attaining the goals you have set will be beneficial to your personal health and wellness. Be sure to include specific examples from the course readings to support your points and to cite in the proper APA style. You must discuss cited information from two peer-reviewed articles found in the Library to support and validate the ideas and information shared in your paper.
Topic for your response:
As you have seen in this module, Medicare has different payment systems associated with various healthcare settings. In this chapter, you have learned about the hospital-based outpatient setting. This system is not used in the Ambulatory Surgical Center (ASC) setting; rather a modified version of this payment system is used and is called the ASC payment system. Both systems use APCs, but provisions, adjustments, and payment rates are different. Medicare designates which procedures are safe for the ASC setting. In this exercise, we examine a cataract procedure (CPT code 66984) which is one of the most performed procedures for Medicare beneficiaries. This procedure is approved for both the hospital outpatient and ASC settings.
Genie is a 68-year-old female who presents with age-related incipient cataract of the right eye (ICD-10-CM code H25.011). She recently met with her physician about cataract surgery. The physician indicated that she needs extracapsular cataract removal with insertion of an intraocular lens prosthesis (CPT code 66984). Dr. Williams told Genie that she could have the procedure in an outpatient hospital facility or an ambulatory surgical center (ASC).
Let’s examine the reimbursement and cost sharing amounts for each setting.
Attached a screen shot of information below because it did not paste correctly in details.
CPT Code
Outpatient Hospital Facility
Ambulatory Surgical Center
Reimbursement
Cost-Sharing
Reimbursement
Cost-Sharing
66984
$2,021.86
$404.38
$1,012.72
$202.54
Rates as of January 2020
As you can see, the reimbursement and cost sharing amount for the hospital-based outpatient facility is almost twice the amount required for the ASC facility. It is the same procedure, provided by the same physician (Dr. Williams) regardless of setting.
Before you answer the discussion question below, consider the following:
Is the quality of care two times better in the outpatient hospital facility setting?
Are the outcomes of care two times better in the outpatient hospital facility setting?
Are the costs of providing services and care that much lower in the ASC setting?
Are Medicare beneficiaries aware of the disparity of cost-sharing amounts in different surgical settings?
Is it fair to charge different cost-sharing amounts for the same service?
Do you think the difference in cost-sharing would influence your decision about where to have surgery?
Discuss the disparity between the reimbursement and cost-sharing levels of the outpatient hospital facility and ASC. Why is parity and disparity an important topic to discuss? How does it affect the average Medicare beneficiary? What do you think Genie should do? Are there additional questions that Genie should ask Dr. Williams before she makes her decision?
More questions to you should include in your response:
– Is the quality of care two times better in the outpatient hospital facility setting? Is the quality of care any better in the outpatient hospital facility setting?
– Do you think Medicare beneficiaries are aware of the disparity of cost-sharing amounts in different surgical settings? How could they be better educated?
– Do you think the difference in cost-sharing would influence your decision about where to have surgery?
(10 points) What would you do? You are a health educator responsible for the employee health promotion program at the Northridge Clinic. Based on the results of the health risk appraisals you administered, you are aware that one of the department managers is a consistent abuser of alcohol. The employee in question is well liked at the Clinic and is a good employee. To the best of your knowledge, alcohol has not impacted this person’s work performance, but you feel it has the potential to do so. What should you do with this information? What is the ethical dilemma in this case? Word limits: 200 words (Acceptable range: from 100 to 300 words)
(7 points)
If a patient’s family member asks how their loved one is doing, what can the treating physician or nurse disclose? Briefly discuss your answers. Word limits:150 words (Acceptable range: from 100 to 300 words)
(3 points)
May a healthcare professional access a patient record if that patient is not under the professional’s direct care? Briefly discuss your answers. Word limits: 150 words (Acceptable range: from 100 to 300 words)
Required and Recommended readings
Chapter 2
Health Education Code of Ethics. (updated 2020)
https://www.nchec.org/code-of-ethics (Links to an external site.)
HIPAA-101. (2015). Welcome to HIPAA 101. Retrieved March 13, 2018 from http://www.hipaa-101.com (Links to an external site.)
State of California. (2017). Health Insurance Portability and Accountability Act. Retrieved March 13, 2018 from http://www.dhcs.ca.gov/formsandpubs/laws/hipaa/Pages/1.00WhatisHIPAA.aspx (Links to an external site.)
You are an EHR training specialist at a hospital. A recent audit has revealed there are many errors in the MPI, including duplicate patients and demographic errors. You are tasked with meeting with the registration staff to provide education on registration errors and review the appropriate procedures for registering patients. Answer the following questions:
Identify common errors made in the registration process.
How could these errors be avoided or minimized?
What is the impact of these errors on patient care?
Create a procedure for registering patients, including a checklist to determine whether a patient is new or established.
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