Organizational awareness- Healthcare

PLEASE DONOT SELECT HIPAA VIOLATION OR THE FALSE CLAIMS ACT.

Select a topic from the list below [must be different topic from the one you chose for Assignment #l] or clear a topic with the instructor beforehand.

The purpose of this assignment is to raise the awareness of a specific employee group in a specific health care setting regarding a potentially critical aspect of their responsibilities.  Target the right issue, the correct employee population.  In other words you are either a head nurse or senior administrator thus your discussion should be as if you were lecturing specific employees on their specific responsibilities and the specific consequences of failing in those responsibilities.

For example: The False Credentials paper issue would be for HR offices while the Critical Event might be for operating room technicians. Patient Treatment Consent might be a good paper for a Palliative Care Organization or an Oncology Clinic discharge planning staff. The paper must discuss accurate information for the setting with full consideration of the relevant state and federal laws with citations that are accessible by the instructor.  The paper can ask questions and use graphics to deliver certain points of information but the graphics must be an addendum to the paper and not in the body of the paper.  -1pt if I have to reformat the paper because of inclusion of graphics in body of paper.  The paper should include in its conclusion “For more information about this issue…” and include a reference or references in your Conclusion.

  • The Genetic Information Nondiscrimination Act (GINA)
  • Elder abuse Mandatory Reporting
  • Child abuse Mandatory Reporting
  • HIV Mandatory Reporting
  • The False Claims Act- the civil penalties
  • TB Mandatory Reporting
  • Proper treatment of environmental hazards.
  • Medical error-Critical Incident
  • False credentials of health care personnel
  • Medical Charting violation
  • Violation of HIPAA- confidentiality
  • Failure to treat patients in a timely manner
  • Patient Choice and treatment consent

Outline:  Outline:  Must use the underlined headings from the outline below in your paper and the paper must be in narrative form not outline or bullet format. 5% penalty deducted from paper if underlined headings not used in your paper.

 

1. Purpose of Paper, topic chosen, applicable Federal and/or state laws

State the purpose of the paper and discuss why you chose the particular topic, and provide the official title of the applicable federal and/or state law, the statute and section number.  Must be either a federal/state statute and you must cite both, if applicable. Thus if there is both a federal and state law that covers the subject you selected, then you must cite both the applicable federal and a state law. Summarize in this paragraph the relevant language from the law that applies to your issue.  If there is a relevant health care organizational policy that you can find, then please add that also. Do not assume that there is just a federal and or state law. In most cases there is both a federal and state law. You must use the laws cited in this section throughout the rest of the paper.

2. The specific targeted employee group and specific health services setting

Pick a specific health care setting and specific employee group within the health care setting and then discuss in detail why you picked the specific employee group and the specific health care setting.  Examples of health care settings are the ER, the OR, nursing facilities, etc. Specific employee groups include doctors, nurses, program administrators, etc. Please be mindful to tailor your assignment to a specific employee group, specific health care setting and do not discuss your topic in general terms.

3. Discussion of Three Critical Aspects of Employee’s responsibilities

You are trying to improve the quality care in your health care organization. Thus, in this discussion area you are lecturing to specific employees, you discussed above, about their specific responsibilities and the specific consequences of failing in those three responsibilities. You must discuss at least three (3) specific employee critical responsibilities. You must also specifically relate the applicable federal and/or state law as to the specific consequences [you may also add relevant hospital policies as well if found] for failing in each of those responsibilities and provide citations to support the consequences. Be sure and include in the discussion the relevant law and hospital policies and how they each are relevant to the employees’ critical responsibilities. Outline below is to help you organize your thoughts but you must use a narrative format to discuss each area.  Be sure and use my underlined headings below.

a)     Discussion of Employee Specific Critical Responsibility 1

  1.        Discussion of specific consequence(s)  for failing in this responsibility
  2.        Discussion of specific statutory requirement
  3.  Specific real life case illustrating the consequences for violating the specific responsibility.

 

b)     Discussion of Employee Specific Critical Responsibility 2

  1.        Discussion of specific consequence(s)  for failing in this responsibility
  2.        Discussion of specific statutory requirement
  3. Specific real life case illustrating the consequences for violating the specific responsibility.

c)     Discussion of Employee Specific Critical Responsibility 3

  1.        Discussion of specific consequence(s)  for failing in this responsibility
  2.        Discussion of specific statutory requirement
  3. Specific real life case illustrating the consequences for violating the specific responsibility.

4. Conclusion – Provide a summary of employee’s critical responsibilities, consequences and the impact failing in those critical responsibilities may have on the quality of health care. Also add a statement  “For more information about this issue…” and include a reference or references for further information on the issue you discussed.

5. References

End of headings

The paper must be:

  • Late penalties: Paper is due by due date but if there occurs an extraordinary event beyond your control, then you need to contact me as to the reason and then we can discuss a new due date if I agree with your excuse. In every case of an extension you will be penalized 11% [no chance for an A on the paper] for the first day late and an additional -1pt for each day thereafter, no matter the excuse.   The rubric points are 100 so in the rubric you will lose -11pts if one day late.
  • Be sure and use the underlined headings found in the outline below in your paper. Paper must be in narrative format not outline or bullets.
  • Double spaced and be 4-5 pages in 12 point New Times Roman font.
  • Include a cover page [not counted as a page] which should have student name and title of your paper [Provide a short name for the legal responsibility the specific health care organization has for one type of patient right in a specific setting ]
  • A the end of the paper a list of references in APA Format [not counted as a page]
  • Be prepared using word-processing software and saved with a .doc, .docx, or .rtf extension. No pdf.
  • Be uploaded to your Assignments Folder by 23:59 p.m. eastern time on the due date.
  • The paper is to be posted in Assignment #3 drop box.
  • Must footnote all facts in the paper. For example use sequential numbers starting with “1” and this number should correspond to full citation at the end of the paper. Do not put footnote citations at end of each page but at end of entire paper.
  • Footnote example below

In the body of the paper example:

(Healthcare Financial Management Association (U.S.), Ernst, & Young, 2000).

At the end of the paper example:

References

Healthcare Financial Management Association (U.S.), Ernst, & Young. (2000). Health care system reform: A provider perspective : survey results. Westchester, Ill.: Healthcare Financial Management Association.

 

Paper will be 5-6 pages in length not counting cover page and footnote/bibliography pages.

The paper must be:

  • Late penalties: Paper is due by due date but if there occurs is an extraordinary event beyond your control, then you need to contact me as to the reason and then we can discuss a new due date if I agree with your excuse. In every case of an extension you will be penalized 11% [no chance for an A on the paper] for the first day late and an additional -1pt for each day thereafter, no matter the excuse.  The rubric points are 100 so in the rubric you will lose -11pts if one day late.
  • Be sure and use the underlined headings found in the outline below in your paper. Paper must be in narrative format not outline or bullets.
  • Double spaced and be 5-6 pages in 12 point New Times Roman font. [No deduction if paper exceeds a page or so.
  • Include a cover page which should have student name and title of your paper Provide a short name for the legal responsibility the specific health care organization has for one type of patient right in a specific setting.
  • At the end of the paper a list of references in APA Format [not counted as a page]
  • Be prepared using word-processing software and saved with a .doc, .docx, or .rtf extension. No pdf.
  • Be uploaded to your Assignments Folder by 11:59 p.m. Eastern time on the due date.
  • The paper is to be posted in Assignment #3 drop box.
  • Must footnote all facts in the paper. For example use sequential numbers starting with “1” and this number should correspond to full citation at the end of the paper. Do not put footnote citations at end of each page but at end of entire paper.
  • Footnote example below

In the body of the paper example:

(Healthcare Financial Management Association (U.S.), Ernst, & Young, 2000).

At the end of the paper example:

References

Healthcare Financial Management Association (U.S.), Ernst, & Young. (2000). Health care system reform: A provider perspective : survey results. Westchester, Ill.: Healthcare Financial Management Association.

Grading rubric for Paper Assignment 3 is with assignment in Assignment area of class.

 

 

Rubric Name: Assignment #3 Grading Rubric

Criteria

Provided comprehensive statement of the  purpose of paper, picked a critical health care issue, and  provided the title, statute and section number of applicable state and federal law.

Provided limited  statement of the  purpose of paper, picked a critical health care issue, and  provided the title, statute and section number of only the state or federal law.

Provided inadequate   statement of the  purpose of paper, and/or did not pick a critical health care issue, and/or failed to   provide the title, statute and section number of applicable state and/or federal law.

Accurately  targeted a correct employee group  and health care setting. Comprehensive discussion of why they picked the specific employee group and the specific health care setting.

Accurately  targeted a correct employee group  and health care setting. Limited  discussion of why they picked the specific employee group and the specific health care setting.

Failed to accurately  target a correct employee group  and health care setting. And/or inadequate  discussion of why they picked the specific employee group and the specific health care setting.

Comprehensive discussion of three critical employee responsibilities and the specific consequences for failing in each of those responsibilities. Accurately related the  applicable federal and/or state law as to the consequences and provided citation to support consequences.

Limited discussion of three or only two critical employee responsibilities and the specific consequences of failing in each of those responsibilities. And/ or limited discussion of the relationship of the  applicable federal and/or state law as to the consequences and provided citation to support consequences.

Provided inadequate discussion of three or less critical employee responsibilities and the specific consequences of failing in each of those responsibilities. And/or failed to accurately relate the  applicable federal and/or state law as to the consequences and provided citation to support consequences.

Provided a summary of employee responsibilities, consequences,  and the impact failing in these responsibilities may have on the quality of health care. Provided a  statement of “For more information about this issue…” to include a reference or references for further information on the issue.

Provided a limited summary of employee responsibilities, and/or consequences and/or the impact failing in these responsibilities may have on the quality of health care. Provided a  statement of “For more information about this issue…” but provided few  references for further information on the issue.

Inadequate summary of employee responsibilities, consequences and or the impact for failing in these responsibilities may have on quality of health care. Provided a  statement of “For more information about this issue…” and/or failed to include a reference or references for further information on the issue.

Paper is well written and  fully complies with length,  footnoting and referencing requirements

Paper is confusing in parts and or partially  complies with length,  footnoting and/or referencing  requirements

Paper is very confusing overall and/or fails to comply with length,  footnoting requirements and/or referencing requirements

The paper is free of obvious grammatical, typographical errors and follows all the formatting requirements. The sentence structure and diction are clear, effective, and diverse. The tone and style are appropriate for the intended audience

There are noticeable proofreading and/or grammatical errors [no more than 3], but the errors do not significantly detract from the readability of the paper. Follows some of the other formatting requirements. Sentence structure may be rigid and unvaried. The tone and style are appropriate for the intended audience

There are significant proofreading and/or grammatical errors [more than 3], which detract from the readability of the paper. Other formatting requirements not followed. There are major problems in sentence structure or the tone and style are not appropriate for the intended audience.

Overall Score

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Advanced Pathophysiology

Asthma

Complications of asthma can be sudden. Consider the case of Bradley Wilson, a young boy who had several medical conditions. He appeared in good health when he went to school, returned home, and ate dinner. However, when he later went outside to play, he came back inside wheezing. An ambulance took him to the hospital where he was pronounced dead (Briscoe, 2012). In another case, 10-year-old Dynasty Reese, who had mild asthma, woke up in the middle of the night and ran to her grandfather’s bedroom to tell him she couldn’t breathe. By the time paramedics arrived, she had passed out and was pronounced dead at the hospital (Glissman, 2012). These situations continue to outline the importance of recognizing symptoms of asthma and providing immediate treatment, as well as distinguishing minor symptoms from serious, life-threatening symptoms. Since these symptoms and attacks are often induced by a trigger, as an advanced practice nurse, you must be able to help patients identify their triggers and recommend appropriate treatment options. For this reason, you need to understand the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation.

To Prepare

· Review “Asthma” in Chapter 27 of the Huether and McCance text. Identify the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. Consider how these disorders are similar and different.

· Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Think about how the factor you selected might impact the pathophysiology of both disorders. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.

· 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 two mind maps—one for chronic asthma and one for acute asthma exacerbation. Consider the epidemiology and clinical presentation of both chronic asthma and acute asthma exacerbation.

To Complete

Write a 2- to 3-page paper that addresses the following:

· Describe the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. Be sure to explain the changes in the arterial blood gas patterns during an exacerbation.

· Explain how the factor you selected might impact the pathophysiology of both disorders. Describe how you would diagnose and prescribe treatment for a patient based on the factor you selected.

· Construct two mind maps—one for chronic asthma and one for acute asthma exacerbation. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper.

                                                               Learning Resources

Required Readings

Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.

  • Chapter 26, “Structure and      Function of the Pulmonary System”

This chapter provides information relating to the structure and function of the pulmonary system to illustrate normal pulmonary function. It focuses on gas transport to build the foundation for examining alterations of pulmonary function.

  • Chapter 27, “Alterations of      Pulmonary Function”

This chapter examines clinical manifestations of pulmonary alterations and disorders of the chest wall and pleura. It covers the pathophysiology, clinical manifestations, evaluation, and treatment of obstructive lung diseases such as asthma, chronic obstructive pulmonary disease (COPD), chronic bronchitis, and emphysema.

  • Chapter 28, “Alterations of      Pulmonary Function in Children”

This chapter focuses on alterations of pulmonary function that affect children. These alterations include disorders of the upper and lower airways.

Hammer, G. G. , & McPhee, S. (2014). Pathophysiology of disease: An introduction to clinical medicine. (7th ed.) New York, NY: McGraw-Hill Education.

  • Chapter 9, “Pulmonary      Disease”

This chapter begins with an overview of normal structure and function of the lungs to provide a foundation for examining various lung diseases such as asthma and chronic obstructive pulmonary disease (COPD).

Required Media

Laureate Education, Inc. (Executive Producer). (2012e). Mid-course review. Baltimore, MD: Author.

This media is an interactive mid-course review covering course content.

Optional Resources

American Lung Association. (2012). Retrieved from http://www.lung.org/ 

Asthma and Allergy Foundation of America. (2012). Retrieved from http://www.aafa.org 

Cystic Fibrosis Foundation. (2012). Retrieved from http://www.cff.org/ 

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Case Study Questions

CASE STUDY DISCUSSION QUESTIONS

1.       What diversity issues are present in the case?

2.        2. How would you define diversity? What makes an organization diverse?

3.        3. How should Ralph open up the diversity conversation to the Corporate Leadership Team (CLT) as a whole?

4.        4. What conflict management tools should Ralph use to address the perceived cultural bias issues with the Corporate Leadership Team (CLT)?

5.        5. What effect did promoting Roosevelt to Senior Vice President (SVP) have on the organization? Why?

6.        6. Why did Ralph promote Roosevelt to Senior Vice President (SVP)? What did that signal to the organization and CLT?

7.        7. Which team is more important to have as high performers, the Corporate Leadership Team (CLT) or the Corporate Diversity Department (COD)? Why?

8.        8. What impact will increasing diversity have on team performance? Why?

9.        9. What leadership traits will be important for Mikayla to develop for the Chief Diversity Officer (COO) position?

10.   10. Is the current workforce diverse? In all professions?

11.    11. How much does the composition of the Board of Directors contribute to Ralph’s decision-making?

 

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NURS WK 6 ASSGN

Week Six – Correlations Exercises

Correlations are used to describe the strength and direction of a relationship between two variables. A correlation between two variables is known as a bivariate correlation. In this module the Pearson Product-Moment Correlation will be used when running a correlation matrix. The Pearson correlation coefficient ranges from a value of -1.0 to 1.0. A correlation coefficient is never above 1.0 or below -1.0. A perfect positive correlation is 1.0 and a perfect negative correlation is -1.0. The size of the coefficient determines the strength of the relationship and the sign (i.e., + or -) determines the direction of the relationship. The closer the value is to zero the weaker the relationship and the closer the value is to 1.0 or -1.0 the stronger the relationship. A correlation coefficient of zero indicates no relationship between the variables.

A scatterplot is used to depict the relationship between two variables. The general shape of the collection of points indicates whether the correlation is positive or negative. A positive relationship will have the data points group into a cluster from the lower left hand corner to the upper right hand corner of the graph. A negative relationship will be depicted by points clustering in the lower right hand corner to the upper left hand corner of the graph. When the two variables are not related the points on the scatterplot will be scattered in a random fashion.

Using Polit2SetB dataset, create a correlation matrix using the following variables: Number of visits to the doctor in the past 12 months (docvisit), body mass index (bmi), Physical Health component subscale (sf12phys) and Mental Health component subscale (sf12ment). Run means and descriptives for each variable as well as the correlation matrix.

Follow these steps using SPSS:

1.Click Analyze, then correlate, then bivariate.

2.Select each variable and move them into the box labeled “Variables.”

3.Be sure the Pearson and two-tailed box is checked.

4.Click on the options tab (upper right corner) and check “means and standard deviations.” The exclude cases pairwise should also be checked. Click continue.

5.Click OK

To run descriptives for docvisit, bmi, sf12phys and sf12ment do the following in SPSS: 

1.Click Analyze then click Descriptives Statistics, then Descriptives.

2.Click the first continuous variable you wish to obtain descriptives for (docvisit) and then click on the arrow button and move it into the Variables box. Then click bmi and then click on the arrow button and move it into the Variables box. Then click sf12phys and then click on the arrow button and move it into the Variables box. Then click sf12ment and then click on the arrow button and move it into the Variables box.

3.Click the Options button in the upper right corner. Click mean and standard deviation.

4.Click continue and then click OK.

Assignment: Answer the following questions about the correlation matrix.

1.What is the strongest correlation in the matrix? (Provide correlation value and names of variables)

2.What is the weakest correlation in the matrix? (Provide correlation value and names of variables)

3.How many original correlations are present on the matrix?

4.What does the entry of 1.00 indicate on the diagonal of the matrix?

5.Indicate the strength and direction of the relationship between body mass index and physical health component subscale?

6.Which variable is most strongly correlated with body mass index? What is the correlational coefficient? What is the sample size for this relationship?

7.What is the mean and standard deviation for bmi and doctor visits?

Part II

Using Polit2SetB dataset, create a scatterplot using the following variables: x-axis = body mass index (bmi) and the y-axis = weight-pounds (weight).

Follow these steps in SPSS:

1.Click Graphs, then click on Legacy Dialogs, then click “Scatter/Dot”.

2.Click “Simple Scatter” and then click “Define.”

3.Click on weight-pounds and move it to the Y-axis box and then click on body mass index and move it to the x-axis box.

4.Click OK.

To run descriptives for bmi and weight do the following in SPSS:

5.Click Analyze then click Descriptives Statistics, then Descriptives.

6.Click the first continuous variable you wish to obtain descriptives for (body mass index) and then click on the arrow button and move it into the Variables box. Then click weight-pounds and then click on the arrow button and move it into the Variables box.

7.Click the Options button in the upper right corner. Click mean and standard deviation.

8.Click continue and then click OK.

Assignment:

1.What is the mean and standard deviation for weight and bmi?

2.Describe the strength and direction of the relationship between weight and bmi?

3.Describe the scatterplot? What information does it provide to a researcher?

References 3 references required

 

Required Media

Walden University. (n.d.). Correlations. Retrieved August 1, 2011, from http://streaming.waldenu.edu/hdp/researchtutorials/educ8106_player/educ8106_correlations.html

Required Readings

Gray, J.R., Grove, S.K., & Sutherland, S. (2017). Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Saunders Elsevier.

Chapter 23, “Using Statistics to Examine Relationships”

Statistics and Data Analysis for Nursing Research

Chapter 4, “Bivariate Description: Crosstabulation, Risk Indexes, and Correlation” (pp. 59–61 and 68–78)

Chapter 9, “Correlation and Simple Regression” (pp. 197–209)

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Assessment

S. T., a 24-year-old graduate student, visits the clinic to report “bad headaches.” She says that her headaches occur two to three times a month and last at least an entire day. The headache centers above and behind her eyes, throbs, and is not relieved by any over-the-counter medications. She says that they get worse when exams are near and she spends time in the library to study. She is worried that the headaches will cause her to fail graduate school.

Discuss the:

developmental,

age,

socioeconomic,

and cultural considerations

that should be considered during the gathering of subjective and objective data.

(Please be sure to cite in APA format and use the weekly readings and other sources to support your post)

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Nursing care

There are many videos on the Web that demonstrate culturally competent nursing care. Explore your favorite video archive, such as YouTube, and watch some of these videos (you can use the keywords “cultural care nursing”).
Identify the videos you watched. Provide a list of the titles and the URL. In a 1-2 page Word document, answer the following questions about the video(s) you viewed.

  1. What was the most surprising thing you learned about culturally competent nursing care from watching the videos?
  2. What was the most interesting thing you learned about culturally competent nursing from watching the videos?
  3. What are some challenges and/or barriers in being culturally competent in nursing practice?
  4. In what ways did the videos provide you with an understanding about the relationship between cultural competence and client quality and safety?
  5. After watching the videos, describe two areas of awareness you gained about being more open to cultural diversity in clients and populations?

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Determining Workflow Issues

Discussion: Determining Workflow Issues

 

Workflow is a term used to describe the interconnected steps and processes that nurses and other health care professionals complete on a day-to-day basis (McGonigle & Mastrian, 2012, p. 226). Many existing workflows contain inefficiencies and areas that could be improved using new technologies or evidence-based practice. Workflow issues are often referred to as “gaps” because they indicate a disparity between the current state and the optimal, future state. Many gaps in health care exist related to the implementation and optimization of electronic health records (EHRs). The Health Information Technology for Economic and Clinical Health (HITECH) Act was passed in 2009 to assist organizations in identifying these gaps and encouraging the “meaningful use” of EHRs. The meaningful use objectives seek to fulfill the IOM six aims of patient care (patient-centered, timely, effective, efficient, equitable, and safe).

 

In this Discussion, you examine scenarios that feature workflow issues related to the HITECH Act and its meaningful use objectives. You identify specific workflow gaps and consider how you would conduct a gap analysis to gather more information about the gaps. This Discussion allows you to explore workflow gaps and meaningful use objectives to prepare you for completing the Course Project, which is also centered on workflow gaps and their relevance to meaningful use objectives

 

Scenario

 

General Health Hospital is implementing new outreach programs and preventive care support groups for patients with certain conditions or health risks such as diabetes, smoking, and obesity. Philip, a nurse leader, is the manager of a team of nurses who have been asked to organize these programs and groups and to identify patients who would be eligible for and interested in being involved in these opportunities. However, Philip and his team have run into a variety of challenges and problems as they attempt to complete these tasks. In identifying patients to contact about the outreach programs and support groups, Philip’s team has had to browse the hospital’s EHR system. The team has also run across significant holes in the EHR system as they try to contact patients; many patients’ contact information is inaccurate or out of date. Furthermore, Philip’s team has partnered with the hospital’s Appointments Desk personnel in sending reminders about meeting dates and times to patients who express interest. However, the Appointments Desk often either neglects to send out these reminders or sends duplicate reminders to only a few patients because the personnel do not have a way of tracking who should be contacted and when.

 

 

 

To prepare

 

Your Instructor will have assigned you to respond to a specific scenario. Review this week’s Learning Resources on workflow, gap analysis, and meaningful use, and consider how they connect to the scenario you were assigned.

 

  • Determine the most prominent workflow gap you see in the scenario you were assigned. Where does the gap lie, what factors contribute to the gap, and what are the consequences of the gap?
  • Explore how this gap relates to one meaningful use objective. Refer to the articles in this week’s Learning Resources for more information on meaningful use.
  • If you were involved in the scenario, consider how you would go about conducting a gap analysis to gather more information about the gap you identified, and determine possible strategies for addressing the gap. How would you gather data? Who would you contact, interview, and/or observe? How would you determine strategies for addressing the gap?

 

 

 

Post by tomorrow Tuesday 9/13/16, 550 words essay in APA format with a minimum of 3 references from the list provided below. Include the level 1 headings as numbered below:

 

1) An explanation of the most prominent workflow gap in the scenario you were assigned, including who is responsible for the gap and the outcomes or consequences.

 

2) Identify the meaningful use objective to which the gap relates, citing specific points in the Brown article. (See Attached File)

 

3) Explain how you would conduct a gap analysis to gather further information and determine strategies for addressing the gap.

 

 

 

Required Readings

 

Dennis, A., Wixom, B. H., & Roth, R. M. (2015). Systems analysis and design (6th ed.). Hoboken, NJ: Wiley.

 

  • Chapter 2, “Project Selection and Management” (pp. 35–80)

 

This chapter describes the organizational steps involved in selecting an appropriate IT project, creating a viable project plan, and finally, managing and controlling the project once it is implemented.

 

 

 

McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.

 

  • Chapter 14, “Nursing Informatics: Improving Workflow and meaningful Use”

 

 

 

Better clinical outcomes, increased efficiency and improved care coordination are a few of the benefits afforded by the use of electronic medical records. In this chapter, the authors illustrate how nurses are actively supporting, developing and utilizing informatics to improve patient care and fulfill meaningful use standards by improving workflow in their respective health care organizations.

 

 

 

Brown, B. (2010). 25 steps to meaningful use. Journal of Health Care Compliance, 12(3), 33–34, 68–69.

 

Retrieved from the Walden Library databases.

 

As part of the implementation of the HITECH initiative, three different stages of implementation have been outlined. This article dissects the first phase and describes the different steps health care organizations must achieve to be in compliant with the meaningful use standards.

 

 

 

Blumenthal, D., & Tavenner, M. (2010). The “meaningful use” regulation for electronic health records. The New England Journal of Medicine, 363(6), 501–504.

 

Retrieved from the Walden Library databases.

 

The authors explain HITECH’s objective in creating the meaningful use policies in order to help create a consistently high quality nationwide system of EHRs. The article reviews the key regulations that are tied to meaningful use and what they mean to health care organizations.

 

 

 

Centers for Disease Control and Prevention. (2011). Meaningful use: Introduction. Retrieved from http://www.cdc.gov/ehrmeaningfuluse/introduction.html

 

This page offers an overview of meaningful use as outlined in the HITECH initiative. It highlights the rationale behind the meaningful use standards and how they relate to health outcomes policy priorities.

 

 

 

 

 

Healthcare Financial Management Association. (2008). Gap analysis helps nurses become better leaders. Retrieved from http://www.hfma.org/Content.aspx?id=3398

 

This article presents how gap analysis aids in optimizing unit performance and management. By examining a real-life example of how gap analysis was employed in this study, the authors demonstrate its real-world applications and benefits.

 

 

 

 

 

HealthIT.gov. (n.d.). Meaningful use. Retrieved January 2, 2014, from http://www.healthit.gov/policy-researchers-implementers/meaningful-use

 

The meaningful use initiative is part of the governmental agenda to further advance the use of electronic health records in the health care community. This article outlines the conditions and projected timeline of meaningful use’s national implementation.

 

 

 

Required Media

 

Laureate Education, Inc. (Executive Producer). (2012a). A discussion on meaningful use. Baltimore, MD: Author.

 

Note: The approximate length of this media piece is 7 minutes.

 

This audio interview provides an overview of the meaningful use component of the HITECH law and how it affects the use of electronic health records.

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Which of the following behaviors may be…

1. Which of the following behaviors may be: (1) ethical but illegal, (2) legal but unethical, (3) illegal and unethical, and (4) legal and ethical.

a) Working in a clinic that performs abortions.

b) Respecting the wishes of a client suffering from ALS that he be permitted to die with dignity and not placed on “breathing machines”

c) Respecting the health surrogate’s wishes regarding termination of life support of her friend.

d) Observing a coworker take out two tablets of oxycodone as ordered for pain management for his patient but keeping one for himself, administering only one tablet to the patient.

2. Differentiate among the following: deontological theories, utilitarianism, and principlism.

3. What do you think about health-care professionals disclosing information to clients about a poor prognosis, even though the information may cause severe distress.

4. What do they think about health-care professionals disclosing information to clients against family wishes?

5. You see a colleague use another nurse’s password to access the medication administration system and take out a narcotic. What would you do?

6. Your colleague’s child fell and was brought to the emergency department. She comes back up to the unit and tells you that they cleaned and debrided the wound, and she needs to change the dressings twice a day using a wet to dry method. You see her go into the supply system and remove the dressings and saline using a patient’s identification number. What would you do?

7. You are caring for a patient who has a terminal disease. He asks you if he is dying. Would you tell him? If yes, how? If no, what might you say? .

8. You are administering hydromorphone to a patient. The patient asks you what you are administering. Would you tell the patient about the medication?

Essentials of Nursing Leadership & Management 6th Edition  Sally A. Weiss  MSN, EdD, RN, CNE, ANEF   Ruth M. Tappen  EdD, RN, FAAN    ISBN-13: 978-0-8036-3663-7

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Communication in the Planning Process

Explore the functions of communication in the strategic and program planning processes for a health care organization. Consider the topics discussed thus far and clearly integrate at least five key concepts related to an effective and efficient strategic plan for organizational communication dissemination. Identify three challenges with organization-wide strategic plan communication dissemination and recommend communication strategies to ameliorate these challenges. Your paper must be three to five double-spaced pages (excluding title and reference pages) and formatted according to APA style as outlined in the Ashford Writing Center. Utilize a minimum of two scholarly sources that were published within the last five years. One source must be obtained from the Ashford University Library. All sources must be documented in APA style as outlined in the Ashford Writing Center.

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Root Cause Using Five Whys

Read the news report “Maryland Health Care Provider Sentenced to 10 Years in Federal Prison for Health Care Fraud Resulting in Patient Deaths.”

Use the Five Whys to conduct a root cause analysis to determine why the Medicare fraud occurred and Timothy Emeigh’s participation in the case.

Write a 525- to 700-word paper that identifies and evaluates the root cause for Medicare fraud in this case.

Include the following:

  1. List each of the Five Whys and your response.
  2. Speculate as to why Mr. Emeigh participated in the scheme.
  3. Explain what you might have done to prevent this from happening.

This is the link to the web site for this assignment

https://www.justice.gov/usao-md/pr/maryland-health-care-provider-sentenced-10-years-federal-prison-health-care-fraud

Cite 3 reputable references to support your assignment (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality).

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