Review the case study below and code the correct procedure(s) using ICD-10-PCS. Provide the rationale for your code selection.

Review the case study below and code the correct procedure(s) using ICD-10-PCS. Provide the rationale for your code selection.
PREOPERATIVE DIAGNOSIS:
1. Left chest wall mass.
2. Ovarian cancer.
POSTOPERATIVE DIAGNOSIS:

1. Left chest wall mass.
2. Ovarian cancer.
PROCEDURE PERFORMED:

1. Bronchoscopy with evaluation of bronchial tree tube.
2. Left video-assisted thoracoscopy.
3. Resection of anterior chest wall mass with resection of pleura.
PROCEDURE :
After proper consent was obtained the patient taken to and placed on operating room table in supine position. General sedation was administered by oral endotracheal tube. The bronchoscope was inserted. Right upper lobe, middle lobe and lower lobe were normal. No endobronchial lesions seen. Scope was inserted in left upper lingula lobe segments were normal. The patient was placed in a right lateral decubitus position. Left chest prepped and draped in normal sterile fashion. Incision made and the thoracoscope inserted. Under direct vision additional lateral port placed. Dissection was then carried down. The mass identified within chest wall. It was confined to the pleura. This appeared to be a large plaque, approximately 10 x 4 cm. Separate satellite mass was present. Using the Bovie electrocautery, the pleura was then dissected from the chest wall. The entire chest wall mass was resected including the pleural lesion. It was then placed in EndoCatch, removed and sent to Pathology for analysis. No other areas were seen on the pleura. Meticulous hemostasis obtained. Chest tube placed to the apex and anchored with heavy silk. Lung re-expanded no significant air leak. Wound then closed in layers with absorbable suture. Chest tube anchored with heavy silk. Dermabond sterile bandage placed on the wound.
The patient tolerated procedure well, in stable condition.

research the current issues and present a recommendation on how to improve Global access to insulin.

This paper should research the current issues and present a recommendation on how to improve Global access to insulin. The research should include a discussion from sources such as WHO/ HHI/ACCISS – Major reports on pricing for insulin, Grassley-Wyden Insulin Report and competition price discussion (Shadow price/parallel pricing)

Identify and analyze the challenges of being legally compliant while observing ethical behavior.

Law and Ethics are taught as separate courses in this program, but their interrelationship is inescapable. Students will select one from several ethical dilemmas presented and opine about the situation from a purely legal perspective. The result will be an analysis that acknowledges the ethical challenge (completion of the Ethics course is not necessary) but looks at the legal issues raised in the scenario. You will need to do research, as the legal questions raised are challenging. In other words, ethics looks at whether something “should” be done; the legal question is whether it “can” be done. Here, those are two different analyses that ultimately be considered together. The result will be a two to three-page paper (double-spaced) that raises (and addresses to the extent possible) the pertinent legal questions for consideration. At least three peer-reviewed sources should be cited. Note that you are not expected to arrive at “the answer;” rather, the goal is identify and analyze the challenges of being legally compliant while observing ethical behavior. Your analysis (500 words) should rely upon at least three peer-reviewed sources.

Select one of the following scenarios for your analysis:

1. Your hospital has been selected to take part in a trial for a promising drug (Colocorrect) to treat a rare and fatal form of colon cancer. In initial trials, the 12-month morbidity rate declined by 80% for those receiving the drug. Quite coincidentally. your mother has developed this same form of cancer and has entered the trial at your hospital. Through a conversation with the clinical director for the trial, you learn that your mother has been placed in the control group. Given the progress of your mother’s cancer, you know that this is almost certainly a death sentence for her. Of course, your mother does not know this. Indeed, in your daily visits with her, her condition appears to improve, probably because of a placebo effect. She speaks glowingly of the miracle treatment that she believes she is receiving and thanks you for getting her in the trial. What can you do? What should you do? What will you do?

2. Your Director of Pathology comes to you with an idea for a great new revenue stream for your hospital. She wants to harvest tissue from aborted fetuses for sale to medical research labs. In fact, she has lined up a lucrative contract that should help pull the hospital out of a current cash crunch. Key to the agreement is a provision that precludes notification to the parent(s) of the fetus and by which your hospital confirms its ownership. Will you do this? What difference does it make regarding the notification? What will you tell your Board to sell this project?

3. Your facility has contracted with an independent group of Emergency Room doctors to provide emergent care and a separate group of Radiologists to provide imaging services and a separate group of pathologists to provide lab services. That means that patients coming through your ER will receive a bill for you regarding use of the facility, but separate bill for emergent care, radiology and pathology. Thus, there are four different billing sources. Other than Medicare, there is no common insurance provider between the four. You are about to preside over a Board meeting that will decide the process to be followed when a patient enters the ER. Must a patient be informed of the differing groups providing care? Must a patient be informed of differing insurance requirements? If requested, will your facility provide billing services for the other groups? Besides the legal requirement(s), is there a business/economic concern here that should be considered?

What significance does this have in your studies or personal life? How will this information help you in the future?

A critical analysis report is a comprehensive review of a written work and a personal reaction to this analysis. Experience in making critiques of written works is required for the following reasons:

Extensive critical reading helps the student achieve a more comprehensive understanding of the concepts included in the course.
Critical analysis of what is read aids one in becoming a more discerning consumer of the literature in the field.
Evaluations of what is read assist the student in the comprehension of the implications of the reading content of his particular course of interest and concerns.
The written critique helps the student develop the art of effective oral and written communication.
Critical analysis provides a factual basis to substantiate professional opinions.
B. General Requirements:

Each student is required to review (one) 1 article from a professional refereed international health care journal. The article must focus on relevant aspects of international comparative health care services and systems.

The article selected must be current and related to your country (My county is China ) and global health management. The articles must be published within the last 2 years. A copy of the article must be submitted along with the CAR assignment. Only use peer reviewed journals. Any exceptions require approval by the professor.

You must submit a copy of the journal article.

C. Guidelines for Review Format:

All papers are to be typed and double spaced. The paper is to be clear and concise; does not contain errors in spelling, punctuation, or syntax. The paper must be written using the publication style of the American Psychological Association, Publication Manual of the American Psychological Association, 6th edition, 2009. Failure to submit accurate and well written papers will result in a reduced grade.
All papers are to be submitted on time to meet specific due dates.
Identifying Information:
At the top of the first page the following information must be provided using the listed headings in sequence:
Applicable General Topic:
Title of Article:
Authors Name:
Name of Journal:
Date of Journal:
Volume:
Number:
Pages (on which article appears):
Publisher of Journal:
Synopsis and Summary: (1 page)
150-250 word description of the articles basic content.
General Theme:
A brief statement about what you felt was the author’s general theme of the article.
Point of View:
A brief statement about what you felt concerning the author’s point of view – Was the presentation objective and factual or was the presentation subjective and lacking of facts? Explain your opinion.
Issue Analysis: (1/2 page)
Provide a list of the issues presented in the article.
Conclusions and Recommendations: (1/2 page)
List of author’s conclusions and/or recommendations, as well as your own conclusions and/or recommendations.
Agreement or Disagreement: (1/2 page)
Based on the author’s conclusions and/or recommendations, do you agree or disagree; provide a brief justification regarding your opinion concerning your agreements and disagreements; use your professional experience(s) to develop this section, as well as class lecture and readings.
Professional Projections: (1/2 page)
Several paragraphs on what you learned from the article and how you will apply this experience (negative or positive) in your professional career. What significance does this have in your studies or personal life? How will this information help you in the future? Improve work performance?
D. Guide to Grading of the Critical Analysis Report:

Critique will be graded on a competency basis as follows (25 points):

Appropriate article (1 point)
Identifying information on first page (1 point)
Synopsis and Summary (5 points)
General theme stated (1 point)
Point of view stated (1 point)
Issue analysis stated (1 point)
Conclusions and recommendations stated (5 points)
Agreement or disagreement stated (5 points)
Professional projections stated (5 points)
E. Specific Requirements:

The article must relate to the content of this course. Articles must be selected from reputable and refereed health care journals. Articles taken from trade magazines are not acceptable, unless approved in advance by the professor.

F. Penalties:

Failure to submit reviews on specific due dates may result in the deduction of one full grade for each successive week that the review is not submitted. Failure to submit the review may result in an “incomplete” given at the time of final grades. Special circumstances requiring an extension of the due dates will be handled on an individual basis with appropriate justification, explanation and/or request stating the particulars and forwarded to the professor for approval.

Instructions

Submit your completed assignment to the drop box below. Please check the Course Schedule for specific due dates.

Explain in detail, and with professional insight, the importance of interdisciplinary collaboration to safeguard sensitive electronic health information.

Instructions: Develop a comprehensive, professional, and effective staff update that educates interprofessional team members about HIPAA and protecting the security, privacy, and confidentiality of patient data, particularly as it pertains to social media usage. Please use 3 peer-reviewed and 2 non-peer-reviewed scholarly resources no more than 5 years old.

Select from the following options, or a combination of options, for the focus of your interprofessional staff update:

  1. Social media best practices.
  2. What not to do: Social media.
  3. Social media risks to patient information.
  4. Steps to take if a breach occurs.

You MUST include the following content in the staff update:

  1. Provide a comprehensive and insightful summary of confidentiality laws related to protecting sensitive electronic health information that govern the interdisciplinary team. Additionally include:
  • What is protected health information (PHI)? Be sure to include essential HIPAA information.
  • Define and provide examples of privacy, security, and confidentiality concerns related to the use of the technology in health care.
  1. Explain in detail, and with professional insight, the importance of interdisciplinary collaboration to safeguard sensitive electronic health information.
  2. Identify multiple appropriate and well-researched evidence-based approaches to prevent or reduce risks to patients and health care staff related to sensitive electronic health information.

ADDITIONAL INFORMATION [not mandatory but might help with creating the staff update]:

Various government and regulatory agencies promote and support privacy and security through a variety of activities. Examples include:

  • Meaningful use of electronic health records (EHR).
  • Provision of EHR incentive programs through Medicare and Medicaid.
  • Enforcement of the Health Insurance Portability and Accountability Act (HIPAA) rules.
  • Release of educational resources and tools to help providers and hospitals address privacy, security, and confidentiality risks in their practices.

Nurses typically receive training on Best Practices for protecting patient information such as:

  • Keeping passwords secure.
  • Logging out of public computers.
  • Sharing patient information only with those directly providing care or who have been granted permission to receive this information.

 

Choose two strategies for summarizing and categorizing different types of information. What are the positive aspects and challenges of each?

MY CAPSTONE PROJECT IS ON HEALTHY LIFESTYLES, EDUCATIONAL PROGRAMS, DIETITIAN AND NUTRITIONIST.

Choose two strategies for summarizing and categorizing different types of information. What are the positive aspects and challenges of each? Describe the qualitative and quantitative data, information, and evidence you have gathered, or that you have proposed to be gathered for your project. Choose one strategy and explain how it aligns best with your data.

Identify a preventive action for each of the three types of prevention strategies.

Case Study #1

This Case Study refers to a case of leishmaniasis contracted by contestants on the Discovery Show’s Naked and Afraid. In order to completely answer the questions below, review the Case PowerPoint slide, and reputable sources (provide references using most recent AMA style).

  1. What type of leishmaniasis did the contestants contract?
  2. Identify three diagnosis methods.
  3. Identify the specific epidemiologic triad of disease factors presented in the leishmaniasis presentation.
  4. Calculate the attack rate (%) of the known population.
  5. Describe the host characteristics, types of agents, and environment risk factors.
  6. How does the CDC and WHO classify the occurrence of leishmaniasis?
  7. What was the treatment protocol for the contestants?
  8. What are possible complications for the administered treatment?
  9. What are the validity and reliability test values (percentages) for diagnosis?
  10. Identify a preventive action for each of the three types of prevention strategies.

Videos for Case Study I:

http://www.discovery.com/tv-shows/naked-and-afraid/bios/bo-stuart/

https://www.youtube.com/watch?v=hdXJqfH_unU

https://go.discovery.com/tv-shows/naked-and-afraid/bios/bo-stuart

https://www.news.com.au/entertainment/tv/naked-and-unafraid-the-question-i-never-imagined-id-need-to-ask/news-story/a9b2d06348513dde5226edf89341813a

https://www.youtube.com/watch?v=LMFuEs75uPs

https://www.apg-wi.com/ashland_daily_press/news/discovery-channel-s-naked-and-afraid-challenger-to-speak-the-spot/article_3e523258-ed6f-11e5-899c-b386f7ebeaea.html

 

Are there any good resources that can help us stay compliant to regulations in health care?

Reply to the following questions using at least 175 words. Be sure to reply to each post individually. Be constructive and professional. Be sure to use in-text citations and FULL APA references.

1. Can we/should we commercialize the selling of body parts? Is that ethical in and of itself? How do we currently pay for cells in this country and what is allowable? Any thoughts?

2. Are there any good resources that can help us stay compliant to regulations in health care?

To what extent does the heightened treatment barriers experienced by health care workers within medical facilities associated to the prevalence of COVID-19 correlate to the high mortality rate in Hampton Roads, Virginia?

Part I: Study Design Selection and Justification

  • Write your research question at the top of the page.
  • State the study design approach you have chosen.
  • Justify why you have chosen this approach by linking the approaches definition to your research question.                  

Part II: Subject Population

  • How will you identify your subjects? How will you recruit?
  • Who is eligible to participate? List your inclusion/exclusion criteria.
  • If you are conducting a retrospective review of records, what are the dates of inclusion?
  • If using vulnerable subject groups (under 18, over 89, prisoners, pregnant women, elderly, low income etc.), provide justification for your selection.

Prat III: Procedures

  • Provide a step-by-step account of what participants will be asked to do at each stage of the study.
  • What study tests/procedures will be performed?
  • Exactly what data/variables will you collect?

Part IV: Risk to Subjects / Minimization of Risks

  • What risks are present for subjects that participate in your study?  (Include risks such as breach of personally identifying information)
  • How will you minimize these risks?

Research Question:  To what extent does the heightened treatment barriers experienced by health care workers within medical facilities associated to the prevalence of COVID-19 correlate to the high mortality rate in Hampton Roads, Virginia?

  • Study Design:

Quantitative Study Design (Correlational Study)

 

Describe the rumor, legend, or hoax in your own words

Choose two (2) health-related urban legends, hoaxes, or health-related rumors. (Be sure to properly cite the webpage on which your choices appear).

Describe the rumor, legend, or hoax in your own words

Explain how this story was spread (e.g., email, publication word-of-mouth etc.).

Refer to the slides posted on our website. What populations might be most susceptible to paying attention to this story? Explain why these groups might find the information interesting or important to them. In other words, what kinds of people or people with which specific concerns may be most interested in this story?

Was the story demonstrated to be true, false, or partially true? How was this story validated or discounted (according to the authors of the websites you viewed, how was the story been shown to be true or false? For example, did anyone launch a formal investigation to determine if the story was true or not? What steps did they take to make this determination?

Refer to the lecture slides (make sure that you have read the notes that accompany the slides- you can read them in Notes view or go through the slides as slides not as a slide show). What are some of the reasons someone might initiate or spread these (i.e., the stories you chose) rumors/hoaxes/urban legends?

If a person believed these legends/hoaxes/rumors how in specific might their health or other behaviors be affected? Would anyone else be impacted by the spread of the story? For example, if a rumor started that the flu vaccine caused cancer and someone uncritically accepted this information how would he or she be likely to act on that information?. This might lead to that person contracting the flu. If the person had other illnesses or was elderly this could lead to more serious health problems or death. It is also possible that this person could spread the flu and contribute to an epidemic).

If you received an email message or someone told you a story that seemed like it might be an urban legend, hoax, or rumor, what are three things you could do to help you determine how true the story was?