Describe your strategy for coding. List any pre-identified codes you expect to find and how you plan to arrive at themes.

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Using this research question (Did the prevalence of COVID-19 treatment barriers experienced by health care workers significantly contribute to the morality rate in Hampton Roads, Virginia?)

part one:
1. Write your qualitative research question at the top of the page.
2. Describe the field notes you will collect in advance to inform the questions.
3. Based on your qualitative research question design a GENERAL Interview Guide of at least 10 questions and at least one prompt per question.

part two:
1. Describe your strategy for coding. List any pre-identified codes you expect to find and how you plan to arrive at themes. (powerpoint and video provided for examples and additional info if needed)

Are there any known wishes from Mr. Parker? What would he want? What are his values?

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Develop 2-4 pages Memorandum to evaluate the managerial issue and to answer the questions. Make sure to provide credible evidence supporting your recommendations and conclusions. Do not copy the case in the memo, but make sure to refer to its number for the faculty to have a reference for grading.

Mr. Parker is an 88-year-old resident of your LTC home with end-stage Alzheimer’s.He is wheelchair bound and spends most of his days sleeping in his wheelchair near a window facing the garden. He needs to be spoon fed but has recently started to refuse to eat. Mr. Parker has three children, one of whom is very involved in the care of her father. The team approaches the daughter about her father refusing to eat, and feels that his refusal is legitimate. Thus, they propose changing the plan of care to palliation. The daughter absolutely refuses, claiming that “you cannot kill my father, I want everything done to keep him living!”
1) What are some of the ethical issues in this case?
2) Do we know whether the resident is capable to make his own health care decisions?
3) Are there any known wishes from Mr. Parker? What would he want? What are his values?
4) Is his daughter the substitute decision-maker? Can she, in this role, demand treatment and expect that you comply?

Develop a complete three-generation genogram for this person using standardized symbols and a key. Create a non-binary gender symbol if appropriate.

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1) Interview an unrelated member of your community, ideally an older person who has a medical history.
2) Develop a complete three-generation genogram for this person using standardized symbols and a key. Create a non-binary gender symbol if appropriate.
3) Use either the guide in Jarvis Physical Examination & Health Assessment under The Complete Health History or My Family Health Portrait ( ) to construct the genogram. If you choose to hand draw the genogram you must use a scanning app such as Genius Scan to scan the image and upload it. Photos will not be accepted.
4) Be mindful of HIPAA: Do not include dates of birth, names, or other identifying information. Label each person’s symbol with current age or age at death, diagnoses and/or cause of death.
NOTE; Same instructions are in the browse disk below and a word doc sample genogram.

Discuss the impact of substance use disorders.

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This assignment requires you to specifically discuss the impact of substance use disorders.
You will utilize all modules in this assignment. You are all aware of how the brain is involved with individuals behaviors use this knowledge in your responses. Remember the focus is impact meaning how is the individual who is the substance user, the family, and the community effected by SUD’s. This paper should take into consideration the needs of special populations such as neonates, children, and older adults as well as cultural and racial considerations. More often than not, an addict/alcoholic will also have a co-occurring mental health diagnosis(es), how does this play out? Impact is the key word. Just a reminder from your early school years, making an outline will help you to include everything you need to follow as well as keeping the flow of the paper running smooth.

How did you work through your ambivalent feelings to move towards a solution?

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Reflect on a time in your life where you have experienced ambivalence about a situation.

How did you work through your ambivalent feelings to move towards a solution? How would you assist a client who felt ambivalent work through their uncertainty?

Calculate the percentage of ill employees that are male/female. Determine the mean age of the ill employees.

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On February 7, 2018, a nurse employed at the Flinn Corporation noticed an increase in the number of employees who were sick. She was concerned that there may be a Salmonella outbreak at the company. She has interviewed each of the employees at the corporation. She has taken samples and sent them out for testing but has not received the results. She asks you, the local epidemiologist, to investigate to see if an outbreak exists and if so what the source of the outbreak is. You follow the Center for Disease Control and Prevention’s steps in outbreak investigation (https://www.cdc.gov/csels/dsepd/ss1978/lesson6/section1.html) and report your findings to her. Please note that we will not address all outbreak investigation steps in this assignment.
Use the attached Excel worksheet to produce graphs and statistics to answer the questions below. Submit your report as a Word doc (or PDF) and include figures and tables you generate. The report should be easy to follow and interpret and should be written as an academic paper in proper APA formatting.
1. Look at the Excel Spreadsheet attached. There are 3 worksheets (see tabs on bottom of page – “Nurse’s Interview”, “Epi Curve”, “Retrospective Cohort Study”). The first sheet “Nurse’s Interview” has a line list of employees who work at Flinn Corporation. This sheet represents the data the nurse has collected from those employees in an interview. Do you think that an outbreak exists? Why would you recommend to further investigate? Discuss your reasoning. (Step 2: Establish outbreak)
2. Research salmonellosis using academic sources. Are the symptoms that the ill employees exhibit consistent with salmonellosis? Provide a brief summary (1-2 paragraphs) of the disease and discuss the chain of infection for this disease. Use in-text citations in proper APA format and include all sources in your reference section. (Step 3: Verify diagnosis)
3. Identify the percentage of ill employees with each symptom. For example, 1 out of 12 ill employees had blood in stool (Bs) = 8.3%. (Step 4: Working case definition)
4. Conduct descriptive epidemiology (Step 6). Describe the characteristics of the ill employees to determine trends and risk factors.
a. Person – Calculate the percentage of ill employees that are male/female. Determine the mean age of the ill employees.
b. Place – What percentage of ill employees ate at the cafeteria? What percentage of well employees ate at the cafeteria?
c. Time – Using the data collected in the Nurse’s Interview, fill in the column “# of cases” in the “Epi Curve” worksheet. Use 0 if there are no cases. As you fill in the data, the graph will automatically generate. Choose an appropriate title for the graph. Copy and paste graph into your report. What type of epidemic curve is it ? (Hint: read https://www.cdc.gov/csels/dsepd/ss1978/lesson6/section2.html#step6)
5. Based on the information you have gathered, you have developed an hypothesis that there is a food being served at the cafeteria that is causing the employees to become ill. You need to further test this hypothesis by conducting a retrospective cohort study (Step 8). Use the worksheet “Retrospective Cohort Study” to calculate attack rates and risk ratios. The first food item Baked Chicken is done for you. You can also consult https://www.cdc.gov/csels/dsepd/ss1978/lesson6/section2.html#step8 for help. Report the Risk ratio for each food item. Based on risk ratios, which is food is most likely to be the source of the illness? Explain.
6. Based on your findings, what would you recommend for prevention and control measures? Apply food safety principles from academic sources to discuss further prevention of Salmonella outbreaks in the cafeteria. (Step 11) Use in-text citations and include sources in reference section.
7. Include a properly formatted reference section in APA format that includes at least 3 academic sources (popular sources should not be used).

Analyze the role of public policy with regard to your project. What policies and processes should be in place to create an effective program?

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Feasibility Study Topic and Area of Interest
The topic must be related to health care delivery.
Create a document that includes the following:
• Title: Proposed title for the feasibility study
• Topic: Topic of the feasibility study
• Description: A brief description (250-500 words) of how the proposal will impact the quality, availability, accessibility, and affordability of care
• List of Resources: A list of five scholarly sources that you plan to use as you complete your feasibility study

Writing the Feasibility Study Topic and Area of Interest
The Paper:
• Must be at least one to two double-spaced pages in length, excluding the title and reference pages, and formatted according to APA style
• Must include a title page with the following:
o Title of paper
o Student’s name
o Course name and number
o Instructor’s name
o Date submitted
• Must address the topic with critical thought.
• Must include the listed headings with the content required under each.
• Must use at least five scholarly sources that were published within the last five years,
Example:

Hospital at home: feasibility and outcomes of a program to provide hospital-level care at home for acutely ill older patients

Background: Acutely ill older persons often experience adverse events when cared for in the acute care hospital.
Objective: To assess the clinical feasibility and efficacy of providing acute hospital-level care in a patient's home in a hospital at home.
Design: Prospective quasi-experiment.
Setting: 3 Medicare-managed care (Medicare + Choice) health systems at 2 sites and a Veterans Administration medical center.
Participants: 455 community-dwelling elderly patients who required admission to an acute care hospital for community-acquired pneumonia, exacerbation of chronic heart failure, exacerbation of chronic obstructive pulmonary disease, or cellulitis.
Intervention: Treatment in a hospital-at-home model of care that substitutes for treatment in an acute care hospital.
Measurements: Clinical process measures, standards of care, clinical complications, satisfaction with care, functional status, and costs of care.
Results: Hospital-at-home care was feasible and efficacious in delivering hospital-level care to patients at home. In 2 of 3 sites studied, 69% of patients who were offered hospital-at-home care chose it over acute hospital care; in the third site, 29% of patients chose hospital-at-home care. Although less procedurally oriented than acute hospital care, hospital-at-home care met quality standards at rates similar to those of acute hospital care. On an intention-to-treat basis, patients treated in hospital-at-home had a shorter length of stay (3.2 vs. 4.9 days) (P = 0.004), and there was some evidence that they also had fewer complications. The mean cost was lower for hospital-at-home care than for acute hospital care (5081 dollars vs. 7480 dollars) (P < 0.001).
Limitations: Possible selection bias because of the quasi-experimental design and missing data, modest sample size, and study site differences.
Conclusions: The hospital-at-home care model is feasible, safe, and efficacious for certain older patients with selected acute medical illnesses who require acute hospital-level care.

Concept Paper

The Concept Paper is a draft version of your Final Paper with the initial list of relevant scholarly sources.
You must include a preliminary Strengths, Weaknesses, Opportunities, and Threats (SWOT) analysis for your chosen project.
Remember, your concept paper is a draft,
Be sure to review the article, “Assessing the Feasibility, Performance of Geriatric Clinics,” for further information as you complete your assignment. Be certain to include your list of references with your draft.
Writing the Feasibility Study Concept Paper
The Paper:
• Must be a minimum of three double-spaced pages in length, excluding title and reference pages, and formatted according to APA style

• Must include a title page with the following:
o Title of paper
o Student’s name
o Course name and number
o Instructor’s name
o Date submitted
• Must begin with an introductory paragraph that has a succinct thesis statement.
• Must address the topic of the paper with critical thought.

• Must include the listed headings with the content required under each.

Evaluating Feasibility
The concept of a feasibility study is central to viability, the “worth to the effort” ratio, and return on investment (ROI). What needs to be taken into consideration to create a feasibility study (e.g., human resources, community needs, and technological advances, federal and state regulatory issues)? Within this section, you will research and design an economical health care service that is responsive to a given market. This research stems from understanding your target population and present need in health services. Furthermore, as you have seen from the Daniels and Dickson (1990) article, you must appraise your human resources, capital investment, and how your effort will yield a return on investment from a facilities perspective as well as the tangible greater good of providing healthcare to a community.

Strategic Effect
Analyze the role of public policy with regard to your project. What policies and processes should be in place to create an effective program? How will you measure the effectiveness of your program and your provision of health care services? Develop a microeconomic model that is responsive to the specific health care service demands of your target population. For example, the current trend of the medical home model, which allows for the coordination of care, allows for better communication among service providers as well as convenience for patients. Is the population a market priority? How does your program serve a need for your target population?

Market Analysis
Within this section you will identify the population demographics, who your competitors are, and whether or not a real need for the services you are proposing exists in the community. As you examine the demographic and population needs using Census data and other reliable sources, you must also consider what competitors, if any, exist in the present climate. This requires an evaluation of the present socioeconomic and cultural trends influencing how people make decisions in health care. In addition, in this analysis you will need to compare and contrast economic challenges and incentives among health care’s organization models. This comparison requires an understanding of past challenges and incentives that other organizations have implemented.

Financial Analysis
This section includes the revenue, expenses, and net income. Compare and contrast economic challenges and incentives by finding and describing multiple sources of public and private funding (e.g., grants, donations, awards, special projects) for this project. Include a reference list for your funding sources that is formatted in APA as outlined in the Ashford Writing Center. Next, identify the funding constraints for each source. Include limitations of monies awarded, timing issues, fitting the needs of the funding sources, difficulties of connecting with private funders, etc. Finally, specify the internal ramifications of moving forward using SWOT analysis. What are the fixed and variable costs associated with your project? What are the annual maintenance and operation costs? Elaborate on how you arrived at your sensitivity analysis conclusions.

Operations Performance
This section examines the incremental effect of how your proposed service will impact all aspects of health services. This portion of the study explores how the statistical data you have researched affects the proposed service in terms of efficiency and value. This can be difficult to measure initially. However, through incremental and ongoing evaluation of operations, you can begin to see what constitutes the best performance in this instance and how it serves the target population. In this section, you will further illustrate the incentives and challenges faced by a health organization and communicate the relevance of economics within the U.S. health care system as it pertains to your proposed services.

Inpatient
If your proposed study has an inpatient component, this section will analyze on volume of patients, types of payers, and how utilization rates impact your proposed study. In addition, you will further explain how your new inpatient service will add value for patients and improve the financial viability of the institution. This section will require you to use both qualitative and quantitative data to justify the plan. Hospitals operate in terms of how many beds are occupied relative to how many are empty. Most CEOs want to see that a unit is running at near full capacity and that volume is increasing year to year. Analyze how your proposal will meet these demands by explaining the data you have collected and predicting potential financial outcomes. Finally, evaluate and explain how value-based care will impact your ability to maintain margins within this newly proposed service.

Outpatient
If your proposed study has an outpatient component, examine how admissions, revenue, and workflow of staff will improve the efficiency of your proposed service. Analyze how your outpatient service will add value for patients and improve the financial viability of the institution. Justify your plan with appropriate data. As stated in the inpatient section, the content here applies much the same way. However, the caveat for outpatient services lies in the ambulatory setting. This aspect should be most interesting under conditions created by the Affordable Care Act. The new paradigm shift will be toward more preventative, primary, and outpatient care settings to reduce the numbers of patients being admitted to hospitals. Please explain how your proposal takes these conditions into consideration. In this section, you will further compare and contrast economic challenges and incentives among health care’s organization models in an outpatient setting. You will also further augment your design in an economic framework that is responsive to your market.

Outlook
This section examines future implications of your proposed services and how they will impact the future health outcomes of the community and financial health of the services being provided. Analyze economic theories that are germane to the provision of your proposed health services. What adjustments might you need to make in terms of what the “unintended consequences” may be? For example, Baylor Hospital in Houston proposed and spent 250 million to create a brand new hospital that currently stands empty because it was built during the U.S. economic downturn, the loan was no longer able to finance the construction, and the initial examination of its necessity did not play out as expected. Provide conclusions and implications of how your feasibility study fits within the larger context of the system of services currently being provided. How do they work with one another within the larger health care system?

• Must end with a conclusion that reaffirms your thesis.
• Must list at least six scholarly sources that were published within the last five years
• Must document all sources in APA

Evaluate the social issues in your community as well as the economic culture that is influencing this type of pricing competition.

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Imagine that you own a pharmacy in your area. One of your competitors launches a “We will not be undersold” campaign, which promises consumers 150 % of any difference between its prices and the advertised prices of other pharmacies.
Evaluate the social issues in your community as well as the economic culture that is influencing this type of pricing competition. Develop and describe a microeconomic model that is responsive to the service demands of your market.
Based on your conclusions, how would you react to this situation and with what business strategy would you approach this? How might you apply game theory to the creation of your strategy?

Evaluate the social-cultural issues that might influence health economics in your state based on the diversity of the board in question.

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Research one of the health profession licensing agencies in your state.
Analyze and comment on the role this professional licensing group plays in the creation of policy within the profession as well as the impact those policies potentially have on the economics of health services.
Then, specifically look at the composition of the licensing agency’s board of directors. Describe the present composition of the board membership.
Evaluate the social-cultural issues that might influence health economics in your state based on the diversity of the board in question. Is the present composition a fair representation of the community the board is supposed to serve?
What, if any, consumer representation exists on the board? Compare and contrast economic challenges and incentives among health care’s organizational models such as the licensing agency you have selected.