Examine a group based on either; age, education level, socioeconomics, gender, ethnicity, language, etc.,. Discuss how discriminatory behaviors, occurring recently or in the past, and/or either acted upon intentionally or from lack of knowledge, affect the health care outcomes for said group?

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Reference #745681

1. Examine a group based on either; age, education level, socioeconomics, gender, ethnicity, language, etc.,. Discuss how discriminatory behaviors, occurring recently or in the past, and/or either acted upon intentionally or from lack of knowledge, affect the health care outcomes for said group?

Requirements:

– Questions must be answered in relation to selected disparity

– Evidence based information is a must (i.e. medical journals, etc..)

– APA format (more than 1-citation)

– One paragraph per answer is minimum requirement

– Use terms covered in chapter when appropriate

What are providers/specialist doing well? What are they not doing right or enough of? Who can they focus on? or What program can be implemented or have been implemented improving outcomes? What are barriers affecting their objectives on improving outcomes? How can they address said threats?

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Diabetes

This assignment ask you to find some best practices and some common issues in healthcare outcomes that are either innovative or common theme that isn’t working. You are to consider how the success and set backs can be categorized as a strength, weakness. opportunity, and threats to improved health outcomes.

Improved health outcomes may look like the following. Improving on diabetes by reducing amputations. Improving on hypertension by holding health classes on eating healthy, etc…

Assignment:

Strength: What are providers/specialist doing well?

Weakness: What are they not doing right or enough of?

Opportunities: Who can they focus on? or What program can be implemented or have been implemented improving outcomes?

Threats: What are barriers affecting their objectives on improving outcomes? How can they address said threats?

Instructions:

  • One paragraph per acronym of S-W-O-T minimum
  • APA format
  •  More than one cite source
  • Answer questions according to your selected disparity not as a general statement

Identify how the selected tools (individually) are of value and a challenge in the health care industry, inclusive of public health where applicable. The response must explain how the 2 selected assessment tools measure an individual’s health literacy.

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Health Communication

Section #1: Part A & B:

Key: Plagiarism will result in 0 points earned/awarded for the assignment. As current/future health care industry professionals, learning to communicate information at a heightened level through understanding and application is vital to your success.

Question/Component #1: Chapter 3 (Health Literacy) of your course text outlined an array of assessment tools designed to enhance health literacy.
Select 2 of the 6 introduced and research the assessment tool. Do not merely repeat or copy the content from the course text. The focus is to provide a more in-depth overview of the 2 selected tools of choice and apply the importance to improving health literacy in the health care industry, inclusive of public health where applicable. Make certain you professionally introduce the assessment tool individually (Name), identify the purpose driven approach aligned with the value of the assessment tool, discuss the key elements, and target audience applicable to the selected tools.

Rapid Estimate of Adult Literacy in Medicine (REALM)
Test of Functional Health Literacy in Adults (TOFHLA)
Newest Vital Sign (NVS)
eHealth Literacy Scale (eHEALS)
Numeracy Understanding in Medicine (NUMi)
Health Literacy Skills Instrument (HLSI)

Question/Component #2: Identify how the selected tools (individually) are of value and a challenge in the health care industry, inclusive of public health where applicable. The response must explain how the 2 selected assessment tools measure an individual’s health literacy.

Question/Component #3: As a professional, include an example, setting, and target population/audience/individual in which each selected assessment tool would be beneficial to improving understanding and decision making.

Section #1: Part C

Pose 3 (or more) question(s) relating to a topic, concept, strategy, etc. in your professional review. All question submissions should be thought-provoking to encourage discussion.
Section #2: Reply Process

Students must reply to at least 3 posts after submitting their initial discussion post. Professional comments, connection to perspective shared, and critical thinking about the content are required. Use of outside sources beyond the textbook and supplemental materials provided by the professor are encouraged. All resources applied must be referenced in APA format. Plagiarism will not be tolerated and will result in action taken.

Create a new org chart that is a logical and effective way to organize the full staff (existing and new). Consider that although the managing physician is responsible for any clinical aspects of all of the physicians, it is common for physicians to report to a practice administrator for all non-clinical aspects of their job (payroll, benefits, scheduling, issues between two employees, attendance, etc).

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Healthcare organizations

For this assignment, there are 2 parts, combined into one assignment submission.

Part 1
Research organizational charts used in healthcare organizations. For example, see the org charts for Johns Hopkins:

https://www.google.com/search?sa=X&source=univ&tbm=isch&q=johns+hopkins+organizational+chart&client=firefox-b-1-d&ved=2ahUKEwjWiZKrtc_qAhWQVN8KHVZhBuYQsAR6BAgBEAE&biw=1366&bih=604

Now, assume the managing physician asked you to make a new organization chart containing all of the current staff that includes the managing physician, practice administrator, medical secretary, an office manager who oversees 2 coder/billers, a medical scribe, a medical receptionist, and a medical records clerk. The current practice also includes an ARNP clinical supervisor who oversees a PA, RN, 2 clinical medical assistants, and a radiology technician. The new org chart should include a full-service laboratory with a lab technologist and three lab technicians plus an imaging center for which they’ll hire a radiologist (a radiologist is a physician) and 3 more (you already have one) radiology technicians.

Create a new org chart that is a logical and effective way to organize the full staff (existing and new). Consider that although the managing physician is responsible for any clinical aspects of all of the physicians, it is common for physicians to report to a practice administrator for all non-clinical aspects of their job (payroll, benefits, scheduling, issues between two employees, attendance, etc). Use your own judgment – there is more than one acceptable way to do this assignment but it must be logical and effective as far as which positions report to the same supervisor and who reports to the practice administrator directly.

Part 2
Review Chapter 5 and do an Internet Search on short-term planning and long-term (strategic) planning. Specifically, look for planning for a health care facility. Based on your readings and your internet search, list and describe 3 resources, processes, tools, or strategies for long-term (strategic) planning and 3 different resources, processes, tools, or strategies for short-term medical office planning.

For example, a SWOT (Strengths, Weaknesses, Opportunities, and Threats) analysis is an example of a strategic/long-term planning process in which the top-level management conducts an environmental scan to determine the best approach to competing in their service area. An example of a short-term plan is an annual budget which guides each department in planning by providing a guide to how much they have to spend that year to achieve the goals for projects and productivity.

How has the two-midnight rule impacted the design and operations of healthcare? How effective has this policy been in curbing costs? Has it influenced what types of delivery structures healthcare systems are developing?

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Week 1. Operational Issues in Healthcare

Read:

Weekly overview (in Course Content)

Asch, D.A., & Volpp, K.G. (2012). What Is the Business of Health Care? Harvard Business Review

https://hbr.org/2012/09/what-is-the-business-of-health

Gennett, L.S., & Wood, I.E. (2017, May 8). Two-Midnight Rule: Where are we now? Health Care Compliance Association.

https://www.hcca-info.org/Portals/0/PDFs/Resources/Conference_Handouts/Compliance_Institute/2016/208print2.pdf

Kacik, A. (2018). Preparing for the Boomer Wave. Modern Healthcare. http://www.modernhealthcare.com/article/20180505/NEWS/180509944?utm_source=modernhealthcare&utm_campaign=financedaily&utm_medium=email&utm_content=20180505-NEWS-180509944

Merrild, P. (2015). The Biggest Challenges in Healthcare are Management Challenges. Harvard Business Review. https://hbr.org/2015/02/the-biggest-u-s-health-care-challenges-are-management-challenges

Rappleye, E. (2018). CMS releases 2019 IPPS proposed rule: 10 things to know. Becker’s Hospital CFO Report. https://www.beckershospitalreview.com/finance/cms-releases-2019-ipps-proposed-rule-10-things-to-know.html

Spitzer, J. (2018). CMS renames ‘meaningful use’ to ‘promoting interoperability’ and changes ensue. Becker’s Health IT & CIO Report. https://www.beckershospitalreview.com/ehrs/cms-renames-meaningful-use-to-promoting-interoperability-and-changes-ensue.html

Operational and financial viability

Managers take two approaches to this challenge. Try to save your way to success by being frugal, efficient, and effective. And to market to available sources of revenue, e.g., insurance, self-pay, and retail outlets. It is not an either-or as some may believe. You can’t save your way to success.

Over the past 15 years, trends are moving to more “retail medicine.” See attached PowerPoint while at the same time maintaining a steady, predictable income stream from insurers and other third-party payers. Hospitals are becoming a focus for the very ill or injured, while outpatient treatment and surgeries are more cost-effective and popular with patients. The Medicare “two-midnight” rule has been a key driver as to whether care is delivered inpatient or outpatient, and the Medicare rules are a key driver/influence as to how insurance companies design their products.

Medicare two-midnight rule

This rule established a Medicare payment policy regarding the benchmark criteria that should be used when determining whether inpatient admission is reasonable and payable under Medicare Part A. … Medicare Part A payment is generally not appropriate for hospital stays not expected to span at least two midnights.

Fact Sheet from CMS on 2 Midnight Rule
Medicare Learning Network 2-Midnight Rule Updated 2019 PDF

Example search for more in-depth on the two-midnight rule https://www.google.com/search?

Continue to explore and research the issues of planning and managing the business of healthcare throughout the course. We’ve selected key issues you will encounter in your profession in healthcare. There are others you will be introduced to or are already familiar with in your profession. Please take the initiative to explore them as a part of the discussions and in your assignments.

ASSIGNMENT: APA (no more than 500 words) References

1. How has the two-midnight rule impacted the design and operations of healthcare?
2. How effective has this policy been in curbing costs?
3. Has it influenced what types of delivery structures healthcare systems are developing?

What do you consider the most critical economic issues and the most important practice challenges impacting the nursing profession and our healthcare system today? Why? Explain your positions fully and articulately with supportive citations and correlating data / relevant information.

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Nursing Field by Diana Mason

Reflect on Review of the Nursing Field by Diana Mason at the beginning of the course text. What do you consider the most critical economic issues and the most important practice challenges impacting the nursing profession and our healthcare system today? Why?

Present your personal ‘pro’ and ‘con’ perspectives of Career Pathways — Entry Points and Academic Progression (2008). Explain your positions fully and articulately with supportive citations and correlating data / relevant information.

Should the federal government be responsible for providing taxpayer money to fund nursing education programs? Support your argument with appropriate and current research-based evidence.

What are the impacts on your life if you could not walk more than a distance of 50 feet? What modifications would you have to make in your home and work environments to maintain your independence? What would happen if you were unable to make those modifications?

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Week 4 Discussion

Respond to the following in a minimum of 175 words:

What are the impacts on your life if you could not walk more than a distance of 50 feet?
What modifications would you have to make in your home and work environments to maintain your independence?
What would happen if you were unable to make those modifications?

Identify all keys in each data table when applicable. List DBDL for each of your tables using the format described in the “Database Design Language (DBDL)” section (p. 181) in Chapter 6 of Concepts of Database Management.

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Database Design Language (DBDL).

In the design process, there must be a mechanism to represent tables and keys. The shorthand notation that you have used so far represents tables and primary keys but it does not represent other related keys. An approach to represent tables and keys including primary, alternate, secondary, and foreign keys is Database Design Language (DBDL).
In Module Four, you selected a topic for your Final Project and began designing your database. As of now, the tables should be normalized and not contain update anomalies. Depending on the business model or assumption, check what type of relationships the tables have. If one-to-one, treat it as one-to-many. If one-to-many, no need to change anything. If many-to-many, create a new table to handle the many-to-many relationship.

In this assignment, you will present your tables using database design language (DBDL). On a Word document:
Identify all keys in each data table (i.e., primary key, alternate key, secondary key, and foreign key) when applicable.
List DBDL for each of your tables using the format described in the “Database Design Language (DBDL)” section (p. 181) in Chapter 6 of Concepts of Database Management. For an example, review Figure 6-1.

 

What is NDNQI and how was it used in the study by Garrard et al.? What is the primary key for the Patient Table? What is the foreign key for the Patient Table? What is the primary key for the Fall Table? Assume that each fall code can be used for multiple patients and each patient can receive only one fall code. What kind of relationship exists between the Fall Table and Patient Table?

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NDNQI Injury Falls

For this assignment, refer to the article Reliability and Validity of the NDNQI Injury Falls Measure by Garrard et al. NDNQI fall measures provide a proper method for reporting injury falls, which could be useful for hospitals in comparing their data with reliable national comparison data to develop fall prevention plans.
Based on information presented in Table 1 (Garrard et al., pp. 116-117), an example of data tables that can be created is as follows:

Patient Table
PatientlD  LastName  FirstName  FallCode

001            Smith           Jane           2

002            Doe               John          2

003           Johnson        Mike         1

 

Fall Table
FallCode     Description

1                 None

2                Minor

3               Moderate

4                Major

5                Death

 

After reviewing this information, answer the following questions in a Word document:

  • What is NDNQI and how was it used in the study by Garrard et al.? Refer to the Module 6 Readings. A short paragraph is expected.
  • What is the primary key for the Patient Table?
  • What is the foreign key for the Patient Table?
  • What is the primary key for the Fall Table?
  • Assume that each fall code can be used for multiple patients and each patient can receive only one fall code. What kind of relationship exists between the Fall Table and Patient Table?

What is telemedicine? Telehealth? How would a health IT navigator assist with a patient? In your response, define and discuss the legal and ethical foundations related to navigating patient healthcare.

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Telehealth

What is telemedicine? Telehealth? How would a health IT navigator assist with a patient? In your response, define and discuss the legal and ethical foundations related to navigating patient healthcare.

Use the book “Navigating the US Healthcare System” by Nancy Niles to formulate the paper. Need for APA sources.