L2 Environmental Health and Health Effects of Environmental Change

 

Environmental Health and Health Effects of Environmental Change

Graded Icon Lesson 2 – Assignment

Instructions:

  1. Write a 2-3 page paper on environmental health, the environmental factors that impact health, and your role with improving/ eliminating environmental barriers to health. Use the following organization:
    1. Title page: Environmental Health and Health Effects on Environmental Change
    2. Introduction: One paragraph (minimum of 4 to 5 sentences).
    3. Synopsis: (include all pertinent information obtained in this lesson (Lesson 2).
    4. Sub-Titles:
      • Environmental Factors that Impact Health
      • My role in Improving/ Eliminating Environmental Barriers to Health (give specific examples of how you can make a difference).
    5. Summary and Conclusion: (minimum of one paragraph of 4 to 5 sentences). 
    6. References: Must use a minimum of 3 reference besides the textbook that is 5 years or newer (2013-2018). 
  2. Your paper should:
    • be typed in a WORD document.
    • be 2-3 or more pages (excluding the title page and reference page).  In other words, the body of your paper should be 2 to 3 pages long.
    • include a Title page and a Reference page.
    • Must use a minimum of 3 reference besides the textbook that is 5 years or newer (2013-2018). 
    • use factual information from the textbook and/or appropriate articles and websites.
    • be original work, and will be checked for plagiarism.
  3. Upload your file by clicking “Browse My Computer” for Attach File.

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assignment 2

    

ACCT-361: Assignment #2 Business Process Modeling: 

 

Fall 2020 

 

Creating the Logical Model from an Event-Driven IT Application Required: 

  1. From the solution provided for Assignment 1 (REA Model), create the Logical Model. Be sure to show all tables required by the conceptual model – complete with key attributes of primary keys, foreign keys, and non-key attributes as appropriate. Use proper notation as described in class. Must be typewritten.
     
  2. Submit with a Cover page including full name, class and Assignment title; a page with your Logical Model – not handwritten. Professional presentation counts.
     
  3. Give yourself enough time to complete this assignment. In order to do well on the midterm, you must think this through on your own.
     

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Big Data Risks and Rewards

Please follow the instruction below

Zero plagiarism

5 references

When you wake in the morning, you may reach for your cell phone to reply to a few text or email messages that you missed overnight. On your drive to work, you may stop to refuel your car. Upon your arrival, you might swipe a key card at the door to gain entrance to the facility. And before finally reaching your workstation, you may stop by the cafeteria to purchase a coffee.

From the moment you wake, you are in fact a data-generation machine. Each use of your phone, every transaction you make using a debit or credit card, even your entrance to your place of work, creates data. It begs the question: How much data do you generate each day? Many studies have been conducted on this, and the numbers are staggering: Estimates suggest that nearly 1 million bytes of data are generated every second for every person on earth.

As the volume of data increases, information professionals have looked for ways to use big data—large, complex sets of data that require specialized approaches to use effectively. Big data has the potential for significant rewards—and significant risks—to healthcare. In this Discussion, you will consider these risks and rewards.

To Prepare:

  • Review the Resources and reflect on the web article Big Data Means Big Potential, Challenges for Nurse Execs.
  • Reflect on your own experience with complex health information access and management and consider potential challenges and risks you may have experienced or observed.

By Day 3 of Week 5

Post a description of at least one potential benefit of using big data as part of a clinical system and explain why. Then, describe at least one potential challenge or risk of using big data as part of a clinical system and explain why. Propose at least one strategy you have experienced, observed, or researched that may effectively mitigate the challenges or risks of using big data you described. Be specific and provide examples.

NOTE!!!!!!!!!!!!!!

 For 7th edition APA – which is what we are using – one of the big changes is in the use of et al – you have to use it now if you have MORE than two authors.  Previously it was more than five 

  In general, scholarly sources have clear authors and dates.  So try to avoid sources with no apparent author and no date. Usually this is a problem for web site materials – not so much for sources in the library. Rule of thumb – use the library most of the time.  Remember if there is no author noted, the website owner is the author – so the American Nurses Association is considered the author of the Code of Ethics, for example. 

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6501 Assignment wk 10

  

Assignment 2: The Pathophysiology of Disorders

During the last 5 weeks, you have explored various body systems: neurological, cardiovascular, respiratory, and hematological. These four systems work together along with other body systems to complete a myriad of functions. For this reason, when disorders occur within one body system, it can create potentially devastating effects throughout the entire body. For instance, Parkinson’s disease is a disorder of the central nervous system, yet its alterations actually affect multiple body systems from the cardiovascular system to the gastrointestinal system. In this Assignment, you examine alterations associated with disorders, as well as the impact of the alterations on multiple body systems.

To Prepare

· From the list below, select a disorder of interest to you: 

o Alzheimer’s disease

o Asthma in children

o Chronic obstructive pulmonary disease (COPD)

o Congestive heart failure

o Hepatic disease (liver disease)

o Hypertension

o Hyperthyroidism and hypothyroidism

o Seizures

o Sepsis

· Identify alterations associated with your selected disorder. Consider the pathophysiology of the alterations. Think about how these alterations produce pathophysiological changes in at least two body systems.

· Reflect on how patient factors such as genetics, gender, ethnicity, age, and behavior might impact the pathophysiology of the alterations you identified, as well as the diagnosis and treatment of your selected disorder. 

· Review the “Mind maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct a mind map for the disorder you selected. Consider the epidemiology and clinical presentation of your selected disorder.

To Complete

Develop a 5- to 10-slide PowerPoint presentation that addresses the following:

· Describe your selected disorder, as well as associated alterations. Explain the pathophysiology of the alterations, including changes that occur in at least two body systems.

· Explain how genetics, gender, ethnicity, age, and behavior might impact the pathophysiology of the alterations you identified, as well as diagnosis and treatment of your selected disorder.

· Construct a mind map for the disorder you selected. Include the epidemiology, pathophysiology of alterations, risk factors, and clinical presentation, as well as the diagnosis and treatment of the disorder.

Please do SEPSIS

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Social Service

Topic: Social Services Share what social services are available in your community and give examples of when it is important to involve social services in the management of your patients in the primary care setting? Please give examples of what you have done in your clinic setting involving social services. Support your discussion with evidence based practice and recommendations.

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nursing health promotion/discussion/wk2

 

Epidemiology’s Role in Infectious and Communicable Diseases

As you discovered in this week’s lecture and readings, epidemiology studies various occurrences and health-related states or events that effect the general population. Epidemiologists examine the dispersion of health events in populations and use this knowledge to control and prevent future health problems.

Topic 1: Disease Outbreak

Select an infectious disease and research the CDC website for information about the disease, its natural history, presenting symptoms, and outbreak characteristics. Identify an occurrence of the disease by searching the Internet for recent reports of this disease and compare that episode or occurrence with information from the CDC website.

  • How closely did that outbreak resemble the case definition?

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Mayor assignment. ONLY TWO SLIDES One for each. This is a group job. PROS and CONS

PROS and CONS (ONE SLIDES FOR EACH ) AND REFERENCES NEDEED of  IMPACT ON COMPETENCY.

This is a Collaborative Learning Community (CLC) assignment. 

In your CLC group, create a PowerPoint presentation of 10-15 slides in which you compare the pros and cons of continuing nursing education related to the following:

  1. Impact on competency (THIS IS MY PART)PROS AND CONS

Take a position with your CLC group: Should continuing nursing education be mandatory for all nurses? Support your position with rationale.

A minimum of three scholarly sources are required for this assignment. 

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

RUBRIC:

Compare the pros and cons of continuing nursing education related to the impact on competency, and use the comparison to support group opinion of mandatory continuing nursing education.

Thoughtfully compares most of the pros and cons of continuing nursing education related to the impact on competency, and supports comparisons with logical reasoning and research. Clearly and persuasively presents group’s position on continuing nursing education, and draws support from specific examples from the pro/con comparison.

Compare the pros and cons of continuing nursing education related to the impact on knowledge and attitudes, and use the comparison to support group opinion of mandatory continuing nursing education.

Thoughtfully compares most of the pros and cons of continuing nursing education related to the impact on knowledge and attitudes, and supports comparisons with logical reasoning and research. Clearly and persuasively presents group’s position on continuing nursing education, and draws support from specific examples from the pro/con comparison.

Compare the pros and cons of continuing nursing education, as it relates to professional certification, and use the comparison to support group opinion of mandatory continuing nursing education.

Thoughtfully compares most of the pros and cons of continuing nursing as it relates to professional certification, and supports comparisons with logical reasoning and research. Clearly and persuasively presents group’s position on continuing nursing education, and draws support from specific examples from the pro/con comparison

Compare the pros and cons of continuing nursing education related to the ANA Scope and Standards of Practice, and use the comparison to support group opinion of mandatory continuing nursing education.

Thoughtfully compares most of the pros and cons of continuing nursing education related to the ANA Scope and Standards of Practice, and supports comparisons with logical reasoning and research. Clearly and persuasively presents group’s position on continuing nursing education, and draws support from specific examples from the pro/con comparison.

Compare the pros and cons of continuing nursing education related to the ANA Code of Ethics, and use the comparison to support group opinion of mandatory continuing nursing education.

Thoughtfully compares most of the pros and cons of continuing nursing education related to the ANA Code of Ethics, and supports comparisons with logical reasoning and research. Clearly and persuasively presents group’s position on continuing nursing education, and draws support from specific examples from the pro/con comparison.

Layout

The layout is visually pleasing and contributes to the overall message with appropriate use of headings, subheadings, and white space. Text is appropriate in length for the target audience and to the point. The background and colors enhance the readability of the text.

Language Use and Audience Awareness (includes sentence construction, word choice, etc.

The writer uses a variety of sentence constructions, figures of speech, and word choice in distinctive and creative ways that are appropriate to purpose, discipline, and scope.

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

Writer is clearly in control of standard, written academic English.

Evaluating and Documenting Sources(in-text citations for paraphrasing and direct quotes, references page listing and formatting, as appropriate to assignment and style)

Title slide is complete. References section includes correctly cited sources. Correct citations are included within the body of the presentation.

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Please Answer According The Comments. Thanks. Remember 100 Words For Each. Reference Between 2013-2018.

Comment 1

The Center for Medicare and Medicaid (CMS) reimbursement rules establish payment rules related to health conditions happening during the hospital stay that are not present upon admission. These conditions are generally known under the terms “never events” (Stone, W., P.; Glied, A., S.; McNair, D.,P.; Matthes, N.; Cohen, B., Landers, F.; T.; & Larson, L., E.

 (2010).  

                 This policy addresses preventable health conditions such as infections, inpatient morbidity and mortality. Regulations resulting from CMS policy reject payment for the previously mentioned conditions.

The particularity of this policy is that it brings a shift in the patient care delivery model in inpatient facilities. Notably, physicians, healthcare management, and other inpatients interested parties carry the risk of becoming liable of any person providing inpatient care. With liability risk for inpatient care delivery, physicians are become more careful while they are performing any types of medical interventions on patients. They are compelled to be attentive in monitoring patients’ health conditions.

The innovative and intended goal of this shift is to improve the quality of care received during a hospital stay. Particularly, CMS policy is targeted at averting hospital-acquired conditions 

Comment 2

Never Events as termed by the Center for Medicare and Medicaid Services (CMS), are complications that are “preventable by following evidence-based guidelines and thus CMS no longer reimburses for medical services rendered to treat them” (O’Rourke & Hershey, 2009). These are injuries or illnesses, 28 in all, that could have been prevented if the hospital had taken proper prevention, some examples are catheter associated infections, air emboli, falls, and pressure ulcers. When these types of injuries occur, the burden is now on the health care provider to prove they occurred in absence of negligence. Health care providers must know and follow the evidence base protocols when it comes to these ‘Never Events’ to prevent them and get reimbursed. Private health insurance companies are also following CMS and notifying hospitals about not paying for hospital mistakes. To counter act these ‘Never Events’ patients may experience more testing before admission to hospitals to prove they did or did not have any infection prior to. Or “infected patient may be discharge too soon to only come back with the infection and then CMS has to pay for the newly admitted patient that arrived with an infection” (Torrey, 2018). So, basically these ‘Never Event’ still mean cost are passed on to the patients. Either by treatment prices going up that are passed on to the patient or by not being ‘cured’ prior to discharge only to come back again and now being billed for that infection. Even though the ‘Never Events’ was design to protect the patient from certain consequences it definitely produced other consequences like cost and sometimes death.

Comment 3

The Centers for Medicare and Medicaid Services (CMS) adopted the non-reimbursement policy for certain hospital acquired conditions or occurrences which have been deemed as never events by explaining that these events are reasonably preventable through evidence based practice (Lembitz & Clarke, 2009). The Centers for Disease Control (CDC) estimated costs of healthcare-associated infections in U.S. hospitals to be between $28 and $45 billion per year with the top three leading causes being pressure ulcers, postop infections and mechanical complication if a device such as graft (Preventing Never, 2011). Such non-reimbursable events are used to motivate hospitals to make changes to better care for patients by implementing standardized protocols (Lembitz & Clarke, 2009). Also, such events deemed reasonably preventable by provided adequate care limit the ability for hospitals to bill Medicare for adverse events and complications (Lembitz & Clarke, 2009). Such events include wrong surgery on patient or wrong site, death or disability due to incompatible blood products, pressure ulcers post admission, fall within the facility and well as hospital acquired infections such as CAUTI, surgical site infection post CABG or bariatric surgery or orthopedic surgery as well as post knee or hip replacement surgery DVT or PE (Lembitz & Clarke, 2009).  Hospitals are implementing protocols to encourage staff to assist in preventing never events therefore preventing non-reimbursement events (Lembitz & Clarke, 2009). These include identifying fall risks and labeling the patients appropriately so all staff are aware, double nurse checks on blood administration, time-outs taken in surgery and reducing hospital acquired infections by using evidence based practice guidelines (Lembitz & Clarke, 2009). Another factor that can affect avoiding never events is adding one staff RN to the nurse-to-patient ratio. One additional patient per RN per shift was associated with increased risk of: failure to rescue cases (7% increase), hospital acquired pneumonia (7% increase), pulmonary failure (53% increase), unplanned extubation (45% increase), medical complications (17% increase) (Preventing Never, 2011).

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Health care assignment

 

  1. Due DateSunday, October 18, 2018 11:59 PMPoints Possible100
  2. Vila Health: Market Analysis
    Welcome  to Vila Health, your virtual health care organization. Congratulations  on being selected to serve as the health care administration intern to  the vice president of operations at St. Anthony Medical Center! In this  role, you will interface with a variety of virtual leaders to construct a  new marketing plan for St. Anthony’s Labor and Delivery service line.
    Currently,  there are two major competitors in the Minneapolis marketplace. Your  role is to examine St. Anthony Medical Center’s current Labor and  Delivery service line, describe how this service is marketed to the  public, and to make recommendations for future improvement. St. Anthony  is at break-even status with respect to profitability, and the board of  directors is wondering if this is a service line worth continuing, given  that it does not appear to directly contribute to the bottom line:  profit.
    To start your strategic health care marketing and  consumerism activities, it may be helpful to scan a widely used  approach for marketing planning. Marketing expert Philip Kotler has  developed an eight-step plan that can greatly simplify and streamline  your efforts (Fortenberry, 2010).
    Overview
    It  is necessary for all members of a health care leadership team to  contribute to the overall success of the organization. For this reason,  strategic plans are utilized to focus on service offerings of a health  care organization. Part of this process involves determining the  direction in which the organization is headed, including positioning the  organization for optimal results. To customize an organization’s  service offerings to prospective consumers, considerable market  assessment must precede development of plans. In this assignment, you  will engage in an assessment of the overall health care marketplace, and  then assess a subset of the marketplace. Specifically, you will analyze  the service offering for Labor and Delivery at St. Anthony Medical  Center in Minneapolis, Minnesota.
    Part of your market  analysis will include use of a tool for external environmental  assessment, followed by application of a tool for internal analysis of  the Labor and Delivery service line. Additionally, you will examine the  features, advantages, and benefits of the Labor and Delivery service  line relative to competitors, along with a short list of important  issues that are relevant for marketing plan development. Finally, you  will share insights regarding critical success factors for labor and  delivery services in the Minneapolis marketplace, return on investment,  and organizational viability. As the intern to the CEO at St. Anthony  Medical Center, you will be asked to seek information across various  departments, and to explore existing internal resources for various  tasks.
    Instructions

    • Conduct  an external environmental assessment of the health care labor and  delivery marketplace. Utilize at least one situational or environmental  assessment tool from your studies or research.
    • Using an  internal assessment tool (such as SWOT), analyze St. Anthony Medical  Center’s Labor and Delivery service, and provide an executive summary  and analysis of the internal organization.
    • Integrate  the external environmental and internal organizational analyses, and  propose a list of relevant health care marketing issues.
    • Share any insights regarding critical success factors, return on investment, and organizational viability.
    • Communicate  your response in a professional manner that is consistent with a  master’s degree level of scholarly work (clear flow of logic, analysis,  integration of evidence based and authoritative sources, coherent  sentences, correct spelling, use of TurnItIn source verification  software, succinct/substantive use of language).
    • This assignment corresponds with step three of Kotler’s Marketing Plan as presented in Health Care Marketing.
      Before  you get started on the assignment, be sure to carefully read the  scoring guide. This is your roadmap for success. Also, it is expected  that successful interns will conduct research on model programs and best  practices to include as recommendations (accompany recommendations with  APA formatted citations and references in the list).
      You  may consider exploring accreditation for hospitals and nursing  services. How does St. Anthony Medical Center stand? Do they have  certifications, and if so are they visible on the Web site to consumers?  What about patient satisfaction? Is this data on the Web site? Do they  share medical and nursing expertise, and showcase innovative technology  or services? How can St. Anthony Medical Center position itself as a  unique leader in Labor and Delivery and women’s health in general? Be  creative, and think like a C-suite executive; try to imagine how growing  this service line might positively impact the rest of the organization.
      Submit your assignment by Sunday of this week. Remember to use APA format and style throughout.
      Reference
      Fortenberry, J. L., Jr. (2010). Health care marketing: Tools and techniques (3rd ed.). Sudbury, MA: Jones and Bartlett Publishers.
      Resources
    • Vila Health: Market Analysis Scoring Guide.
    • APA Style and Format.
    • Capella Writing Center.
    • Writing Feedback Tool.
    • Vila Health: Market Analysis | Transcript.
    • APA Paper Template.
    • APA Paper Tutorial.

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DQ

4 DQ due asap for Prof Harvey

 DQ 1} 

Internal Assessment

Using an internal assessment tool (such as SWOT), analyze St. Anthony  Medical Center’s Women’s Center and provide an executive summary and  analysis of the internal organization. You will want to focus on the  service line for labor and delivery. To gather information, it may be  helpful to visit the Web site and examine various facets of the  operation (for example, prenatal consumer service offerings,  innovations, differentiating competitive advantages, the use of social  media, and so forth). Concisely summarize your findings in the  Discussion space and, as you did for the external assessment, answer the  following question:

  • Which aspect of your assessment stood out for you? Why?

DQ 2}

Relevant Health Care Marketing Issues

Integrate the external environmental and internal organizational  analyses and, making connections to the results of that integration,  propose a concise list of relevant health care marketing issues. Share  any insights regarding critical success factors, return on investment,  and organizational viability.

Response Guidelines

Respond to your fellow learners according to the Faculty Expectations  Response Guidelines in light of your own list of health care marketing  issues. Where do you see similarities? Where do you see differences?  What do you think are the underlying causes? Be sure to support your  response with the results of your own analyses.

 DQ 3}

Benchmarking

Benchmarking is described as “the process of collecting and analyzing  data to identify trends in performance, and, when compared with other  collectors of the same data, identifying best performers” (Youngberg,  2011, p. 24).

Consider the possibility of yourself in a new role as a risk manager.  Research risk management topics in the Capella Library or other  reputable online sources. Develop your own description of critical  success factors for the establishment of a systems-based risk management  program. This program must involve interpretation of performance data.

In your initial post to this discussion, include the following:

  • Your own description of critical success factors for the establishment of a systems-based risk management program.
  • The types of benchmarking data that are important to consider.
  • Roles within your organization that need to be involved in the proactive risk management program.
  • A short 3–5 sentence summary, with references, regarding  considerations or caution in interpretation of internal and external  benchmarking data.

An outline format is acceptable for your initial post as long as at  least one in-text APA reference is included, along with an accompanying,  congruent APA-formatted reference. Posts should be based upon  peer-reviewed, evidence-based literature; these sources do not include  those in the courseroom.

Reference

Youngberg, B. J. (2011). Principles of risk management and patient safety. Sudbury, MA: Jones and Bartlett.

DQ 4}

Industry Requirements and the Quest for Excellence

The foundation upon which excellence is delivered within health care  includes legal, regulatory, and industry standards, as well as  performance measurement and quality improvement. Research one of the Web  sites introduced in the study activity for this unit. They are also  linked in the Resources for your convenience.

In your initial post for this discussion:

  • Describe the material you found in your research that relates to legal, regulatory, industry, or quality content.
  • Share two or three new insights or resources that describe how to  meet a basic legal requirement versus how to strive for excellence.

Initial posts should be based upon peer-reviewed, evidence-based  literature. A minimum of one outside, peer-reviewed or quality-related  Web site is required for this post; this source is not limited to those  in our courseroom. In your initial post, include APA-formatted in-text  citations and accompanying, congruent APA-formatted references.

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