Discusion Question #110

Discover which agencies, in your state, are responsible for public health of citizens.

·         Research if there are centralized or decentralized management of state responsibilities?

·         Determine minimum 3 key indicators of health.

·         Review the agency sites 

Discussion Question:

Develop your vision of the ideal health care system.

List some of the characteristics that constitute such a system. What would be the goal or goals of your ideal system?

Think about how you would go about implementing your ideal system.

Consider some of the problems you are likely to encounter.

Must address all of the topics.

50-word minimum/250-word maximum without the references.

Minimum of two references (the course textbook can be one of the references, as well as the organizational website) in APA format. If additional articles chosen, they must have been published within last 3-5 years.

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Reply 1 and 2 ,150 words each by 05/23/2021

Reply1

Re: Topic 1 DQ 2

Topic 1 DQ 2

The inclusion of evidence-based practice provides nurses with the scientific research and experience to make a comprehensive decision. The practice enables the nurses to re-evaluate the risks and only adopt the best mechanism to ensure an improved patient outcome. Patients are also able to receive the best available outcomes. It is very advisable to move the nursing practice to be evidence-based to ensure that there is patient-centered care that is safe, inclusive, and effective. However, there have been barriers towards this progress since only 15% of U.S practice is evidence-based. One of the barriers which have led to lagging behind in adopting evidence-based practice is nurse shortage. Evidence-based practice requires massive documentation and research together with increased testing and experience. This requires a large human resource which is not available due to nurse shortage across the united states (Stavor et al., 2017). This has acted as a barrier towards the goal of moving practice to evidence-based. The government should employ more nurses and also dedicate some of the workforces specifically to matters to do with shifting traditional caregiving to EBP.

The second barrier is unsupportive administration. Research indicates that over 70% of nurses know about evidence-based practice, but the barriers to the practice in a clinical setting make it hard for them to adopt it. To move practice to EBP requires active collaboration from all stakeholders and more so from the administration of the healthcare setting. However, most administrations have been termed as unsupportive for the move due to the challenges of resources involved in the move. EPB presents a huge cost in the beginning due to its data requirements. However, it is able to reduce the cost of healthcare by 35% after its implementation. Lack of support from the management makes it hard to move nursing practice to EBP in a clinical setting since it’s a collaborative activity that requires dedicated and goal-oriented leadership (Duncombe, 2018). Policies and regulations should be created which force the push to enable the administration of various healthcare to have no otherwise but to comply in the shift.

References

Stavor, D. C., Zedreck-Gonzalez, J., & Hoffmann, R. L. (2017). Improving the use of evidence-based practice and research utilization through the identification of barriers to implementation in a critical access hospital. JONA: The Journal of Nursing Administration, 47(1), 56-61.

Duncombe, D. C. (2018). A multi‐institutional study of the perceived barriers and facilitators to implementing evidence‐based practice. Journal of Clinical Nursing, 27(5-6), 1216-1226.
Reply 2

aur 1 postsRe: Topic 1 DQ 2

As unprecedented development in the diagnosis, treatment, and long-term management of disease bring Americans closer than ever to the promise of personalized health care, we are faced with similarly unprecedented challenges to identify and deliver the care most appropriate for individual needs and conditions. Care that is important is often not delivered. Care that is delivered is often not important. In part, this is due to our failure to apply the evidence we have about the medical care that is most effective a failure related to shortfalls in provider knowledge and accountability, inadequate care coordination and support, lack of insurance, poorly aligned payment incentives, and misplaced patient expectations. Increasingly, it is also a result of out limited capacity for timely generation of evidence on the relative effectiveness, efficiency, and safety of available and emerging interventions. Improving the value of the return on our healthcare investment is a vital imperative that will require much greater capacity to evaluate high priority clinical interventions, stronger links between clinical research and practice, and reorientation of the incentives to apply new insights. We must quicken out efforts to position evidence development and application as natural outgrowth of clinical care to foster health care that learns. “ Evidence-based nursing practice is a process created by the gathering, interpretation, and incorporation of legitimate, significant, and applicable research. The purpose of EBP is to use the data produced by scientific research in clinical practice.” ( Manal Hamed Mahmoud, 2019)

Reference: https://sciendo.com/article/10.2478/FON-2019-0019

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Educational, Narrative PowerPoint

  

F‌‍‍‍‌‍‍‌‌‍‍‍‌‍‍‍‍‌‍‍or this assignment, you will be developing and presenting an Educational, Narrative PowerPoint. In the presentation of your chosen topic, be sure to examine the pathophysiological factors that influence the incidence and manifestations of acute, episodic, and chronic diseases in populations across the lifespan (MN551-3). Narrative, PowerPoint Assignment Requirements Make sure all of the content topics of the assignment have been addressed. Cite at least three references in your PowerPoint; this may include peer-reviewed journal articles, textbooks, or evidence-based practice websites to support the content. All reference sources must be within 5 years.

Do not use sources such as Wikipedia or UpToDate as a reference. Design and develop a 8- to 12-slide PowerPoint presentation using voice/narrative feature on each slide (the title and reference slides do not count in the slide count, but must be included in the assignment), that will be used to educate the community about one of the following topics: Type II Diabetes Narrative, http://bestofassignment.com PowerPoint Contents to include, but not be limited to: Risk factors and causes Possible consequences Prevention Strategies Treatment Modalities PowerPoint Format: Follow APA 7th edition format for PowerPoint presentations.

Use the slide notes section in the presentation to include information that follows your narration, being sure to follow the conventions of Standard English. Slide content should include brief points that identify the areas that will be addressed in the narration. In-text citations should be included with any brief points that were research‌‍‍‍‌‍‍‌‌‍‍‍‌‍‍‍‍‌‍‍ed from outside sources, and the narration should fully explain the points. Reference all sources on a separate reference slide at the end of the presentation and cite each source in the body of the presentation using 7th edition APA format. Identify the sources of any pictures you use, being sure to cite them correctly in 7th edition APA style, using in-text citations. https://homeworkhelpersblog.com/blog/

Narration Guidelines: Maintain a professional tone by summarizing observations and evaluations for each slide. Ensure that your presentation is highly ordered, logical, and unified. Words should be clearly enunciated and professional tone should be sustained throughout the presentation narration. Audio recording should be free of background noise and interruptions. Before finalizing your work, it is important to: Review Narrative PowerPoint Assignment Requirements (described above) and the Narrative PowerPoint Grading Rubric (under the Course Resources), to ensure you have completed all required elements of the assignment.

Make sure to review your chosen topic carefully to make sure you have answered all content effectively. Utilize spelling and grammar checks to minimize errors. Follow the conventions of Standard English (correct grammar, punctuation, etc.). Make sure your presentation is original, insightful, and utilizes your logic and critical thinking skills; that your presentation is well-organized, with superior content, style, and mechanics. Utilize APA 7th edition format. Be diligent about APA formatting including paraphrasing and direct quotations, utilizing appropriate in-text citations, and referencing your sources‌‍‍‍‌‍‍‌‌‍‍‍‌‍‍‍‍‌‍‍.

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H‌‍‍‍‌‍‍‌‌‍‍‍‌‍‍‍‍‌‍‍ealth History

  

H‌‍‍‍‌‍‍‌‌‍‍‍‌‍‍‍‍‌‍‍ealth History This paper is regarding a the Health History a Nurse Practitioner should use to gather information, and assess a new patient. A Health history provides the Nurse Practitioner a background on the patient, covering everything from their current health conditions, their parents, their environment, spirituality, occupation, everything that will provide the Nurse Practitioner with a well round view of the patient, so they may provide the appropriate care, and teachings for the patient. This paper MUST include the following: o Provide an overview of interviewing techniques for the Nurse Practitioner to use when obtaining a Health History from a new patient.

o Construct relevant health history questions for all body systems as included on the review of systems (ROS). o Provide the expected‌‍‍‍‌‍‍‌‌‍‍‍‌‍‍‍‍‌‍‍ normal subjective findings for each body systems on the ROS. o Advanced interview techniques. o Analyze and discuss how you might adapt your interviewing techniques to accommodate each of the following specific populations: 1. Infant/pediatric 2. Pregnancy 3. Geriatric o Identify one disease process or condition that may significantly hinder conducting a Health History interview. https://prohomeworkhelpers.com/essayquestions/

o Synthesis and discuss the expected abnormal physical examination findings that may be associated with this disease or disease process. o Summarize the key points. o References in correct APA format Scholarly sources:Only scholarly sources are acceptable for citation and reference in this course. These include peer reviewed publications, government reports, or sources written by a professional or scholar in the fiel‌‍‍‍‌‍‍‌‌‍‍‍‌‍‍‍‍‌‍‍d

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Week 2 assignment

Title: Understanding Diversity

Purpose:  To reflect on our own understanding of diversity.

Resources: This essay is a reflection exercise.

Activity Instructions:

After reading chapter 5 of the textbook, complete this activity. You have learned about the skill of understanding and managing diversity – what it is, why it is important, and how to improve your skill in these areas.

Answer the questions below in comprehensive, complete sentences. Do not provide brief answers. Instead, compose at least 4-5 full sentences (i.e., a complete paragraph) that answer each of the posed thought-provoking discussions.

Please remember that your task is to not only write your own assessment, but to show that you are able to draw connections between your readings and your reflection. Use concepts and theories from the appropriate chapters, explain your understanding of their application, and show how they help you understand yourself. Remember to cite properly in-text (Author, YEAR) and at the end of your reflection with a fully formatted APA reference. 

I have provided you with a template where these questions are already entered. All you need to do is enter your own information by typing it right into the template.

After you have completed and proofread your assignment, I encourage you to send it to the Writing Lab for extra checking (see announcement). Using the OWL will help you earn a higher grade on all written assignments submitted in the class.

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Assignment 08.1: For Profit Joint Venture

HA4070D – Regulatory Environment in Health Care 

Assignment 08.1: For Profit Joint Venture

 

Directions

In a one to two-page paper complete this assignment, using the Problem presented on page 403 (also below) in the text.  See the description and background on the Marcus Welby Hospital here.

To seek shelter from the competitive storm, Marcus Welby Hospital (MWH) is considering forming a joint venture with an existing for-profit HMO. MWH would be given 30 percent ownership of the privately held HMO, and each of its five board of trustees members would be given 1 percent ownership, in exchange for MWH contributing $10 million in capital funds, which is 35 percent of the HMO’s appraised net worth. Since the HMO already owns its own nursing home, MWH will raise the capital by selling its nursing home. MWH will receive 30 percent of whatever profit distributions the HMO board chooses to make from time to time and the trustees will receive their 1 percent shares. MWH also hopes to increase its patient base for hospital admissions and to secure a better bargaining position for reimbursements from the HMO, but the HMO is making no promises about where its subscribers will be sent for hospital care, nor how it will pay MWH for hospital services to its subscribers.

Assume that MWH has articles of incorporation similar to Queen of Angels’ only covering nursing home as well as hospital services, and that it has received only general, unrestricted gifts from donors. Also, assume there is no other management or personal connection between MWH and the HMO.

• What issues would you want to alert the hospital board to concerning whether this is a permissible venture, and how the HMO can use its capital funds?

• Would these parties be advised to have the HMO pledge some portion of its revenues to pay for charity care services at MWH?

The Law of Health Care  Finance & Regulation–Vitalsource [email protected]#magicMAN61

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• Choose two health resource/education websites that you might recommend to patients

  

Not all websites are created equal. When recommending a health resource/education website to patients, you must make sure that the website is reliable and addresses the issues correctly. This assignment will assist you in determining whether a website is one you would recommend.

In this assignment you will have an opportunity to evaluate a health resource/education website according to website evaluation standards.

Using the attached Evaluating Websites Checklist downloadto complete the following:

· Choose two health resource/education websites that you might recommend to patients.

· To assist you in evaluating the websites, please refer to the information below:

o Accuracy

o Authority

o Objectivity

o Currency

o Coverage

o Audience

· Write a summary comparison of the two websites. Be sure to include your recommendations for the websites as they relate to patient education.

· This is not a formal paper. You only need to submit your two checklists and your summary.  

Not all websites are created equal. When recommending a health resource/education website to patients, you must make sure that the website is reliable and addresses the issues correctly. This assignment will assist you in determining whether a website is one you would recommend.

In this assignment you will have an opportunity to evaluate a health resource/education website according to website evaluation standards.

Using the attached Evaluating Websites Checklist downloadto complete the following:

· Choose two health resource/education websites that you might recommend to patients.

· To assist you in evaluating the websites, please refer to the information below:

o Accuracy

o Authority

o Objectivity

o Currency

o Coverage

o Audience

· Write a summary comparison of the two websites. Be sure to include your recommendations for the websites as they relate to patient education.

· This is not a formal paper. You only need to submit your two checklists and your summary.

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Agencies, Regulations, Technology, and Electronic Health Records

Assignment Content

  1. Create a 12- to 15-slide Microsoft® PowerPoint® presentation. Complete the following in your presentation:

    Explain how Electronic Health Records (EHR) are used.

    • Identify types of information found in an EHR.
    • Describe 1 technology that has an impact on health care delivery.
    • Include possible concerns or considerations regarding this technology and patient health data.
    • Describe 1 regulation that has an impact on health care delivery.
    • Include how this regulation affects the use of patient health data and technology.
    • Include consequences of noncompliance with this regulation.
    • Describe 1 government agency with oversight of healthcare delivery.
    • Identify whether this agency is available at the federal, state, or local level.
    • Identify a healthcare structure that must comply with this agency
    • Describe the effect this agency has on health care delivery.
    • Summarize the importance of compliance for patient health data and technology.

      Note: Provide speaker notes for each slide. Refer to the tutorial “Adding Speaker Notes to Your PowerPoint® Slides” from Microsoft® for more information on how to add speaker notes to your presentation.

      Cite any references to support your assignment.

      Format your assignment according to APA guidelines.

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Peer respond!!!

Megan Dixon

WednesdayMay 19 at 8:52pmManage Discussion Entry

Dr. Bartelt and class,

Identify the information hub and topic selected. Provide a brief summary of the practice problem:

Unintentional injury is a category within the global burden of diseases that affect millions of people every year. In 2017, 55.9 million people died from a global disease burden (Roser & Ritchie, 2016). Some of the global burden of diseases include cardiovascular disease, cancers, unintentional injuries (falls, fire, and drowning), communicable diseases, respiratory diseases, and diabetes. In particular, falls greatly affect older individuals resulting in increased emergency room visits, hospitalizations, and death among this population. Globally, falls are the second leading cause of death for unintentional injury death resulting in approximately 684,000 fall deaths each year and 37.3 million falls that required medical attention (World Health Organization, 2021).

Compare and contrast national and state levels of data. Use the state of your residence as a basis for the comparison:

On a national level, millions of people aged 65 and over are treated in the emergency department due to falls. Approximately three million people were treated in the emergency room due to a fall, and over 950,000 people were hospitalized for falls costing more than $50 billion in 2015 (Moreland et al., 2018; Florence et al., 2018). The death rate for falls among older adults has increased by 31% from 2007 to 2016 in 30 states and the District of Columbia (Burns & Kakara, 2018).

In South Carolina, 26.8% of older adults age 65 and older had a fall in 2018 compared to 27.5% of adults in the United States (Moreland et al., 2018; Centers for Disease Control and Prevention, 2020). The age-adjusted fall death rate for individuals 65 and over in South Carolina was 67 deaths per 100,000 in 2018. The total costs of falls in South Carolina were $671 million in 2014 (Centers for Disease Control and Prevention, 2020).

Describe how data from your home state compare to data from other states:

In analyzing the 2014 data for total costs of falls, other states spent a larger amount of money on doctor’s visits, hospitalizations, nursing home care, rehabilitation, and other services compared to South Carolina’s total cost of $671 million. For example, the cost of falls in Florida and California were $3.9 billion and $4.4 billion, respectively (Haddad et al., 2019). While states such as Alaska and North Dakota spending on falls were less than South Carolina, totaling $48 million and $91 million, respectively (Haddad et al., 2019).

Identify one national organization or intervention related to your selected topic that is addressing the burden of this disease. Describe the impact of the organization or intervention to improve outcomes:

The Administration for Community Living (ACL) is an agency under the Health and Human Services division that supports older adults and adults with disabilities by working with community-based organizations to provide health and wellness education to the adults they serve. The ACL is committed to investing in evidence-based fall prevention community-based programs for older adults to implement fall prevention strategies to decrease the incidence of falls. In 2014, the ACL found the National Fall Prevention Resource Center, which provides education on fall prevention and implements evidence-based community fall prevention programs, resulting in a decrease in the incidence of falls among older adults (Kulinski et al., 2017). Some of these community programs include “Stay Safe, Stay Active,” “Tai Chi for Arthritis,” and “Stepping On.”

Share your professional experience related to the topic:

As the designated falls champion nurse on my unit, I worked with other staff members to implement strategies and interventions to decrease the fall rate on my unit. We assessed each patient’s risk for falls. If patients met the criteria, the nurse would place a special armband on them, so everyone was aware that the patient was a high risk for falls. Also, we would place those patients who were very high risk on special low beds. Patients were rounded every hour by either the nurse or nurse tech and constantly educated during every encounter to use the call light before getting out of bed. These, along with other interventions, helped to decrease the fall rates some on the unit.

References:

Burns, E. & Kakara, R. (2018). Deaths from falls among persons aged ≥65 years- United States, 2007-2016. Morbidity and Mortality Weekly Report, 67(18), 509-514. https://doi.org/10.15585/mmwr.mm6718a1

Centers for Disease Control and Prevention. (2020, July 9). Cost of older adult falls. https://www.cdc.gov/homeandrecreationalsafety/falls/data/fallcost.html

Centers for Disease Control and Prevention. (2020, July 9). Older adult falls reported by state. https://www.cdc.gov/homeandrecreationalsafety/falls/data/falls-by-state.html

Florence, C. S., Bergen, G., Atherly, A., Burns, E., Stevens, J., & Drake, C. (2018). Medical costs of fatal and nonfatal falls in older adults. Journal of the American Geriatrics Society, 66(4), 693-698. https://doi.org/10.1111/jgs.15304 (Links to an external site.)

Haddad, Y. K., Bergen, G., & Florence, C. S. (2019). Estimating the economic burden related to older adult falls by state. Journal of Public Health Management and Practice, 25(2), 17-24. https://doi.org/10.1097/PHH.0000000000000816 (Links to an external site.)

Kulinski, K., DiCocco, C., Skowronski, S., & Sprowls, P. (2017). Advancing community-based falls prevention programs for older adults- The work of administration of community living/administration on aging. Frontiers in Public Health, 5(4). https://doi.org/10.3389/fpubh.2017.00004 (Links to an external site.)

Moreland, B., Kakara, R., & Henry, A. (2020). Trends in nonfatal falls and fall-related injuries among adults aged ≥65 years- United States, 2012-2018. Morbidity and Mortality Weekly Report, 69(27), 875-881. https://doi.org/10.15585/mmwr.mm6927a5

Roser, M. & Ritchie, H. (2016). Burden of disease. Our World in Data. https://ourworldindata.org/burden-of-disease#citation

World Health Organization. (2021, April 26). Falls. https://www.who.int/news-room/fact-sheets/detail/falls (Links to an external site.)

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two page paper

There are three trends that are “hot topics” in how health IT can be  utilized. These are Mobile Health, Telemedicine, and Personalized Medicine. Of these, which one do you think has the biggest potential  impact in the next decade? 

In two pages or less (double spaced 12 point font; not including  title page or reference list), try to convince the reader why the option  you chose will be more impactful than the other two options. You must  include at least two scholarly references in support of your argument. 

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