Research a self-help / support/ treatment group of your choosing. The support group can address any type of addiction including substance and behavioral addiction.

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  • You are to research a self-help / support/ treatment group of your choosing. The support group can address any type of addiction including substance and behavioral addiction.
  • After researching the program prepare a 3 – 4 page report about the program that covers the following areas
  • Thoroughly describe the program. The name of the agency or organization, where it is located address contact information, hours of operation etc.
  • What are the requirements for individuals to access this program? Is there an intake process individual should be aware of and prepare for? Does the program have a specific length or is it on going? Is its status for in-patient, out-patient, or offered to the general community?
  • Is it free to access, require payments, accept donations? Is there a waiting list, if so how long and how would you support someone on this waiting list?
  • How are the programs run, what are the main intentions, desired outcomes, approach and modality of delivery to support individuals accessing this program?
  • How accessible is the location?
  • Based on your research, if you needed to access this program do you feel it would be beneficial? Explain why.
  • As a practitioner, how would you prepare a person you are supporting so that the they would be more likely to attend the group and increase the possibility that they would continue attending after the first visit? Would this support be ongoing, as needed or one time support? Explain why.

Identify indicators related to these precursor-related objectives that can be used in the baseline assessment and for evaluation. Identify the data sources for these indicators. Describe how and when you will access and collect the secondary data.

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Identify all possible precursors or antecedent factors that are linked to the prioritized behavioral and/or environmental determinants from Module 3. Be sure to explore precursors from all levels of the social ecological model, as well as both risk and protective factors. If you are using the PRECEDE model, specific whether the precursors are predisposing, enabling, or reinforcing factors.
Include a conceptual model of your health issue, which clearly depicts the assumptions underlying the relationships among your behavioral and environmental determinants and their associated precursor and your targeted health issue. Be sure to give a brief description of the conceptual model in the text to clarify the causal pathways and describe how the model is grounded in social/behavioral science theory.
Rate each precursor on importance/changeability and other criteria (if any) you have selected, using evidence from the empirical and grey literatures and (if applicable) theory.
Set priorities within the categories or organizational framework (e.g. PRECEDE) for the precursor/factors that you listed. You may want to use a table to show your inventory, your ratings, related literature, and your priorities. At the end of the process, you should have a coherent set of interrelated precursors upon which to focus your intervention activities.
Include at least one goal and one objective for each of your prioritized precursors. Make sure the goals and objectives are linked.

Identify indicators related to these precursor-related objectives that can be used in the baseline assessment and for evaluation. Identify the data sources for these indicators. Describe how and when you will access and collect the secondary data.

Look for common cues or themes. Utilize the IHI.org Deming’s System of Profound Knowledge (System, Theories, Variations and Human Behavior) as the framework in consideration of needed change for improvement.

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You are a new DNP working in an outpatient multi-specialty corporate owned setting, the same center your scholarly project was completed in: Medical Center of the West (MCW).  Providers are employed by the healthcare system.  During your coursework and scholarly project completion, you observed some concerning scenarios among colleagues in the workplace that collectively require strong leadership intervention.

36 yr old male APRN in neurology:  newly dx with pre-DM, has gained 20# over past 3 yrs since taking job at MCW.  Attributes this to long days, eating on the run, and no longer time for exercise.  States he hardly ever gets to see his wife and children due to demands of work, including several hours every night charting in the EMR.  He states he feels shorter tempered with administration lately as new initiatives are rolled out.  He states, “we are merely employees…they don’t seem to care about our expertise anymore, just tell us what to do”.

48 yr old endocrinologist: Previously owned and operated own practice with physician spouse, spouse fell ill necessitating closure of practice.  In addition to the MD degree, holds a master’s in social work giving her a highly relational, high touch/high care approach to patient care.  Hired as medical director of new Endo department.  During the 15 month tenure became increasingly frustrated at unanswered requests for support staff, inability to get standard of care devices such as professional continuous glucose monitors, and modern computers for insulin pump downloads. Staying until 7pm most nights, sometimes until 9pm.  No longer able to play organized sports after work, and states hardly ever saw her 12 yr old son.  After several frank and open discussions with administration without a mutually agreeable plan to address the issues, endo leaves the practice.

60 yr old Family Practice Physician/PCP: In practice x 25 years.  Quality of care, personal outlook on the medical system and self-care began slipping the past 2 years.  At the same time, elderly father’s health was slowly failing.  While previously the PCP would handle complex patients, he started referring common primary care health problems to specialists in effort to manage schedule and make it through the day.  Despite this, would have to take work home every night.  Decided to retire, notified administration, and was not allowed to work out notice due to “attitude.”

32 yr old Physician Assistant/PCP:  Worked 3 years for MCW straight out of school.  Satisfied and challenged the first 2 years.  Year 3 told had to see 4 more patients per day:  2 new, 2 established, resulting in longer days, less evening time with family.  The new patients were mostly medically complex and part of the state’s ACA Medicaid expansion, or patients seeking pain management.  Increasing regulations around pain medication prescribing due to the nationwide opiod crisis were forcing many providers in the state to stop pain management services.  The PA was verbally assaulted several times in year 3, and twice physically punched by patients who were denied opiods.  The 2nd physical assault in addition to the longer hours were cited as reasons to change employers to a private dermatology practice.

50 yr old Physical Therapist: “I left the healthcare field.  I was expected to see the same number of patients with increasing paperwork and documentation time. I was spending double the time documenting as I was giving care”.

 

As you write your 12-15-page paper focusing on leadership and change theory, please consider the scenarios as a group.  You do not need to analyze each one individually, but rather look for common cues or themes.  Utilize the IHI.org Deming’s System of Profound Knowledge (System, Theories, Variations and Human Behavior) as the framework in consideration of needed change for improvement.

  • What is likely going on here (and how do you know)?
  • What are the clinicians experiencing?
  • What (2) leadership theories would help guide you in addressing this problem?  Specifically apply them.
  • From a healthcare system perspective what are potential contributing factors?  While you may not know everything about the system, research some known healthcare system issues.  As discussed in the IHI video, consider variations and human behaviors (including but in no way limited to VABEs).
  • Choose a change theory and formulate a change plan to address and improve the problem.

Describe whether the addition of each ASC would be considered saturation of facilities or appropriate for the area. Explain what indicators should be used to decide if these areas could use an ASC.

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Research two existing urban ambulatory surgical centers (ASCs) and an existing rural ambulatory surgical center. These ASCs should be in different locations.

Create an 8- to 10-slide voice-over presentation to respond to the following prompts based on the facilities you researched. Your team can create a voice-over presentation using Microsoft® PowerPoint® or another program, such as Prezi® or similar.

Explain whether each of the three areas could use an additional ASC.
Consider using an online map of the areas to review the different facilities offered in the area.
Describe whether the addition of each ASC would be considered saturation of facilities or appropriate for the area.
Explain what indicators should be used to decide if these areas could use an ASC.

Cite at least 4 reputable references used to complete your assignment. One reference must be from the journal/magazine listed in the weekly resources (i.e., Modern Healthcare, Healthcare Design). Reputable references include trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality.

Assess the ethical aspects of a healthcare industry managerial practice and think critically about the challenging ethical and moral issues routinely faced by healthcare managers

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Assess the ethical aspects of a healthcare industry managerial practice.  This analytical paper provides you with an opportunity to think critically about the challenging ethical and moral issues routinely faced by healthcare managers and introduces you to the four principles of medical ethics and the ethical code of the American College of Healthcare Executives (ACHE).

You are a member of your organization’s ethics committee.  At this month’s meeting of the committee, two issues were discussed.  The CEO has asked you to brief the new board chair on the importance of ethics in healthcare, how they differ from other industries, and how they apply to these specific circumstances.  Select one of the two following scenarios as the focus of your analysis.

  1.  Hospital policy on influenza immunization.

The Centers for Disease Control and Prevention (CDC) have issued an advisory that the coming “flu season” is expected to be unusually severe.  CDC projects a potentially historic level of illness and flu-related deaths.

Response to this, the president of the medical staff has recommended that hospital staff, employees, and volunteers receive mandatory influenza immunizations.  With exceptions for those who are allergic and anyone with a valid religious prohibition against vaccination, those who refuse the immunization would not be allowed to work.  There is a small, but vocal, contingent of employees (including some nurses who are advocating for unionization of the nursing staff) who object to this policy, stating it is an infringement on individual rights and patient self-determination.

What issues should be considered in establishing this policy?  To what groups is responsibility owed?  What will you recommend to the hospital Board and C-Suite?

  1. Balancing Needs

Your facility is a critical access hospital (CAH) serving a largely rural catchment area.  The next nearest hospital, a comprehensive medical center is several hours distant.

During the monthly utilization review, the emergency department medical director noted a marked increase in cases of renal distress and failure, and that many of these patients do not have health insurance.  They have been treated in accordance with the Emergency Medical Treatment and Active Labor Act (EMTALA), the federal statute that requires hospitals to assess and stabilize anyone presenting for emergency services, regardless of ability to pay.

The chief of medical services responds that end-stage renal disease requires ongoing evaluation and treatment, but that this is neither covered by EMTALA nor does the current medical staff have a specialist in this field.

What issues should be considered in addressing this situation?  To what groups is responsibility owed?  What will you recommend to the hospital Board and C-Suite?

Write analysis of the selected scenario.

The paper should include separate sections that summarize the relevant issues raised by the case, an explanation of why those issues raise ethical concerns, and how the ACHE Code of Ethics or a similar professional code of ethics can be used to determine the proper response by a healthcare leader.

The suggested topics reflect the types of situations you may encounter as a leader in health care.  They are complex and offer no clear options or solutions.  Your research, therefore, should include at least five scholarly sources.

What will a growing share of healthcare dollars mean to the healthcare workforce in a stagnant or slow-growing general economy?

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While the US healthcare system represents around $3 trillion in annual spending and is the largest single sector of the overall economy, it also sits inside larger “macro trends” that help define the landscape of jobs.

Such factors as globalization, the state of the general economy, the rapid pace of innovative handhold and genomic technology (like the latest iPhone or Android and mapping the human genome), 78 million Americans hitting retirement age (and higher healthcare utilization) at the same time, and radically changing values and beliefs are all working together to create a larger context for skills and people needed in the healthcare system.

What difference do all these big changes mean to us?How will healthcare systems evolve to best leverage a global market for their services?

What will a growing share of healthcare dollars mean to the healthcare workforce in a stagnant or slow-growing general economy?

How will smartphones or other technologies create new jobs in healthcare?

Will genomic research eliminate certain diseases by modifying a person’s DNA? What ethical issues might this raise?

How will the massive chronic care needs of older people create new career opportunities?

What new jobs may be created to best meet new consumer demands for more patient-focused care? Less institutionalization of the elderly? And better access to culturally appropriate caregivers?

What do you think? What human resources needs are you likely to be encountering – and managing — in ten or so years?

Should the US ultimately implement a National Health Insurance (Canada) or National Health system (Britain) for example? Choose a country with a different health care delivery and financing system as an example and state your opinion. Why or why not?

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Should the US ultimately implement a National Health Insurance (Canada) or National Health system (Britain) for example? Choose a country with a different health care delivery and financing system as an example and state your opinion. Why or why not?

As part of your analysis, be sure to compare the structure and function of the international public health care systems, with that in the US.

What is the one interest which influences the US healthcare industry the most and which impacts all stakeholders?

-Access

-Money/Cost

-Quality/Safety

-Public Health

  1. Do you think that hospital integration can deliver better care to the patients and community? Why or what are the advantages to integration?
  2. Do you believe that gate keeping by a primary care physician should play a greater role in the provision of health care services to patients? Should more insurance carriers make gate-keeping a requirement so that it is not just solely a part of managed care plans?

Currently, the White House wants to repeal and replace the ACA.

How did the ACA improve access and quality, and contain some costs?

Should the ACA be completely replaced or just improved and modified?

Research W.E.B. Dubois’, his contribution to public health, and how his work helped shape the public health system that serves the community. Describe your selected person’s biographical background (i.e., experience)

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For this assignment, you will be researching W.E.B. Dubois’, his contribution to public health, and how his work helped shape the public health system that serves the community. Furthermore, you will be analyzing how his contribution from the past continues to contribute to today’s public health system, and how it might guide future work within the industry.
Formulate a well thought out analysis with logical transitions as you would a professional paper or presentation. The grading rubric will be your guide for all the points you need to address in your final submission. Research and critical thinking is a large component of this project.
1. Describe your selected person’s biographical background (i.e., experience).
TIP: Research the individual’s background. This can include resume elements such as birthdate, location, education, and brief statement of their contribution to public health. (Reminder: biographical information can be easily plagiarized. Please do not copy from your biographical websites. Paraphrase or quote and cite everything according to APA.)
2. Analyze the climate of the time period in terms of political, socioeconomic, environmental, and technological context in which this person worked.
TIP: Research the barriers and issue of the time. Think about whether this person was up against resistance or if the work this person did was welcomed. (For example, if you were writing on Abraham Lincoln and the abolition of slavery, you would note that slavery was prevalent and accepted at the time, and the change was welcomed by some and rejected by others.)
3. Examine the personal beliefs of your person that prompted this work.
TIP: You are basically addressing the question: “Why did this person get involved with the issue at the time?” (In continuing the Lincoln example above, you would note that black people were considered property, not people; yet Lincoln believed everyone had equal rights regardless of skin color.)
4. Examine how this individual overcame or confronted any adversities.
TIP: Think about how this person overcame the barriers and issues. Questions to consider: What did the person specifically do? Did they have any allies? How did their actions succeed or fail?
5. Describe the final outcome of this individual’s contribution to community or public health.
TIP: Think about the importance of the contribution to community or public health at the time. Think about this question: What occurred as a result of this person’s action?
6. Explain what the individual’s contribution did for overall community or public health at the time.
TIP: Think about this question: What was the purpose for the community or nation? (In the Lincoln example, the explanation would involve a national recognition of human rights of all people, regardless of skin color.)
7. Explain why this contribution was so important at that particular point in history.
TIP: Think about this question: What made this important for our nation? (In the Lincoln example, you would answer the question: Why was it so important that Lincoln freed the slaves?)

What are the key differences between national health service (NHS) and national health insurance (NHI) systems? How do NHI and NHS systems compare with the health care system in the United States?

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What are the key differences between national health service (NHS) and national health insurance (NHI) systems? How do NHI and NHS systems compare with the health care system in the United States? How do most countries with similar levels per capita income differ from and resemble the United States with respect to provider payments, coordination of care, workforce and information technology, and health system performance.

Select a social issue/social problem that you believe is prevalent in today’s society/world.Discuss the origins and impacts of that issue/problem.

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1. Select a social issue/social problem that you believe is prevalent in today’s society/world. 2.Discuss the origins and impacts of that issue/problem.
3. Develop a response to this problem with the assumption that you have the resources and power to promote change.”

HEALTHCARE is the social issue/social problem prevalent in today’s society/world.

Provide citations for all sources used in your essay, including, but not limited to, expert opinion, scholarly articles, and media sources (APA, MLA, Chicago, etc.).