Compare and Contrast Assignment

Purpose  

The purpose of this assignment is for learners to: 

Improve their knowledge base and understanding of disease processes in Neurology 

Have the opportunity to integrate  knowledge and skills learned throughout all core courses in the FNP  track and previous clinical courses. 

Demonstrate the ability to analyze the  literature be able to perform an evidenced-based review of disease  presentation, diagnosis and treatment. 

Demonstrate professional communication and leadership, while advancing the education of peers. 

Demonstrate the ability to take  information from assigned readings and translate it into the way you  would describe it to a patient or family member in your own words. 

Activity Learning Outcomes  

Through this discussion, the student will demonstrate the ability to:

1. Interpret  subjective and objective data to develop appropriate diagnoses and  evidence based management plans for patients and families with complex  or multiple diagnoses across the lifespan. (CO 1)  
2. Develop management plans based on current scientific evidence and national guidelines. (CO 4)

Requirements:  

For Week 1 of the course there is no case study given to you by the Faculty. Instead you will be assigned two  diseases to compare and contrast based on the first letter of your last  name. This information will be posted in the Course Announcements under  Week 1 Welcome as well as the “Assignment” portion of the Week 1 module  and will change every session. 

A comparison and contrast assignment’s focus is to identify and explore similarities and differences between two similar diseases. The goal of this exploration is to bring about a better understanding of both diseases. 

You will research the two areas of content assigned to you and compare and contrast them in a discussion  post. NOTE: A comparison and contrast assignment is not about listing  the info regarding each disease separately but rather looking at each  disease side by side and discussing the similarities and differences given the categories below. Consider how each patient would actually present to the office. Paint a picture of how that patient would look, act, what story they would tell.   Consider how their history would affect their diagnosis, etc.  Evaluation of mastery is focused on the student’s ability to demonstrate  specific understanding of how the diagnoses differ and relate to one  another. Address the following topics below in your own words:

• Presentation  
• Pathophysiology  
• Assessment  
• Diagnosis  
• Treatment

Compare and contrast the following diagnoses as assigned: 

Student Last Name -Topic

(Find the corresponding first letter of your last name to find your topic assignment for this discussion)

F-J – Dementia and Delirium

**To  see view the grading criteria/rubric, please click on the 3 dots in the  box at the end of the solid gray bar above the discussion board title  and then Show Rubric.

Post contributes unique  perspectives/insights applicable to the identified diseases.  Demonstrates course knowledge by thorough, thoughtful, specific,  evidence-based discussion of similarities and differences between  assigned diseases in reference to: 

 • Presentation (demographics, onset of symptoms, associated risk factors) 

• Pathophysiology (knowledge demonstrated in original dialogue) 

 • Assessment (physical assessment, diagnostic testing) 

 • Diagnosis 

 • Treatment 

Evidence Based References 

Discussion post supported by evidence from appropriate sources published within the last five years. Focus of journal articles represents a logical link between the article content and the case study information.  In-text citations and full references are provided. 

Overview

Write a 5–7-page a comprehensive analysis on an adverse event or near miss from your professional nursing experience. Integrate research and data on the event and use as a basis to propose a quality improvement (QI) initiative in your current organization.

Health care organizations strive for a culture of safety. Yet despite technological advances, quality care initiatives, oversight, ongoing education and training, laws, legislation and regulations, medical errors continue to occur. Some are small and easily remedied with the patient unaware of the infraction. Others can be catastrophic and irreversible, altering the lives of patients and their caregivers and unleashing massive reforms and costly litigation.

The goal of this assessment is to focus on a specific event in a health care setting that impacts patient safety and related organizational vulnerabilities and to propose a quality improvement initiative to prevent future incidents.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

• Competency 1: Plan quality improvement initiatives in response to adverse events and near-miss analyses.
  • Evaluate quality improvement technologies related to the event that are required to reduce risk and increase patient safety.
• Competency 2: Plan quality improvement initiatives in response to routine data surveillance.
  • Analyze the missed steps or protocol deviations related to an adverse event or near miss.
  • Analyze the implications of the adverse event or near miss for all stakeholders.
  • Outline a quality improvement initiative to prevent a future adverse event or near miss.
• Competency 3: Evaluate quality improvement initiatives using sensitive and sound outcome measures.
  • Incorporate relevant metrics of the adverse event or near miss incident to support need for improvement.
• Competency 5: Apply effective communication strategies to promote quality improvement of interprofessional care.
  • Communicate analysis and proposed initiative in a professional and effective manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling.
  • Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.

Competency Map

Check Your ProgressUse this online tool to track your performance and progress through your course.

Assessment Instructions

Preparation

Prepare a comprehensive analysis on an adverse event or near-miss from your professional nursing experience that you or a peer experienced. Integrate research and data on the event and use as a basis to propose a Quality Improvement (QI) initiative in your current organization.

Note: Remember, you can submit all, or a portion of, your draft to Smarthinking for feedback, before you submit the final version of your analysis for this assessment. However, be mindful of the turnaround time for receiving feedback, if you plan on using this free service.

The numbered points below correspond to grading criteria in the scoring guide. The bullets below each grading criterion further delineate tasks to fulfill the assessment requirements. Be sure that your Adverse Event or Near-miss Analysis addresses all of the content below. You may also want to read the scoring guide to better understand the performance levels that relate to each grading criterion.

1. Analyze the missed steps or protocol deviations related to an adverse event or near miss.
   • Describe how the event resulted from a patient’s medical management rather than from the underlying condition.
   • Identify and evaluate the missed steps or protocol deviations that led to the event.
   • Discuss the extent to which the incident was preventable.
   • Research the impact of the same type of adverse event or near miss in other facilities.
2. Analyze the implications of the adverse event or near miss for all stakeholders.
   • Evaluate both short-term and long-term effects on the stakeholders (patient, family, interprofessional team, facility, community). Analyze how it was managed and who was involved.
   • Analyze the responsibilities and actions of the interprofessional team. Explain what measures should have been taken and identify the responsible parties or roles.
   • Describe any change to process or protocol implemented after the incident.
3. Evaluate quality improvement technologies related to the event that are required to reduce risk and increase patient safety.
   • Analyze the quality improvement technologies that were put in place to increase patient safety and prevent a repeat of similar events.
   • Determine whether the technologies are being utilized appropriately.
   • Explore how other institutions integrated solutions to prevent these types of events.
4. Incorporate relevant metrics of the adverse event or near miss incident to support need for improvement.
   • Identify the salient data that is associated with the adverse event or near miss that is generated from the facility’s dashboard. (By dashboard, we mean the data that is generated from the information technology platform that provides integrated operational, financial, clinical, and patient safety data for health care management.)
   • Analyze what the relevant metrics show.
   • Explain research or data related to the adverse event or near miss that is available outside of your institution. Compare internal data to external data.
5. Outline a quality improvement initiative to prevent a future adverse event or near miss.
   • Explain how the process or protocol is now managed and monitored in your facility.
   • Evaluate how other institutions addressed similar incidents or events.
   • Analyze QI initiatives developed to prevent similar incidents, and explain why they are successful. Provide evidence of their success.
   • Propose solutions for your selected institution that can be implemented to prevent future adverse events or near-miss incidents.
6. Communicate analysis and proposed initiative in a professional and effective manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling.
7. Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.

Submission Requirements

• Length of submission: A minimum of five but no more than seven double-spaced, typed pages.
• Number of references: Cite a minimum of three sources (no older than seven years, unless seminal work) of scholarly or professional evidence that support your evaluation, recommendations, and plans.
• APA formatting: Resources and citations are formatted according to current APA style and formatting.

Note: Faculty may use the Writing Feedback Tool when grading this assessment. The Writing Feedback Tool is designed to provide you with guidance and resources to develop your writing based on five core skills. You will find writing feedback in the Scoring Guide for the assessment, once your work has been evaluated.

Adverse Event or Near Miss Analysis Scoring Guide

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Overview

Prepare an 8–10-page data analysis and quality improvement initiative proposal based on a health issue of professional interest to you. The audience for your analysis and proposal is the nursing staff and the interprofessional team who will implement the initiative.

“A basic principle of quality measurement is: If you can’t measure it, you can’t improve it” (Agency for Healthcare Research and Quality, 2013).

Health care providers are on an endless quest to improve both care quality and patient safety. This unwavering commitment requires hospitals and care givers to increase their attention and adherence to treatment protocols to improve patient outcomes. Health informatics, along with new and improved technologies and procedures, are at the core of virtually all quality improvement initiatives. The data gathered by providers, along with process improvement models and recognized quality benchmarks, are all part of a collaborative, continuing effort. As such, it is essential that professional nurses are able to correctly interpret, and effectively communicate information revealed on dashboards that display critical care metrics.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

• Competency 2: Plan quality improvement initiatives in response to routine data surveillance.
  • Outline a QI initiative proposal based on a selected health issue and supporting data analysis.
• Competency 3: Evaluate quality improvement initiatives using sensitive and sound outcome measures.
  • Analyze data to identify a health care issue or area of concern.
• Competency 4: Integrate interprofessional perspectives to lead quality improvements in patient safety, cost effectiveness, and work-life quality.
  • Integrate interprofessional perspectives to lead quality improvements in patient safety, cost effectiveness, and work-life quality.
• Competency 5: Apply effective communication strategies to promote quality improvement of interprofessional care.
  • Apply effective communication strategies to promote quality improvement of interprofessional care.
  • Communicate evaluation and analysis in a professional and effective manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling.

Reference

Agency for Healthcare Research and Quality. (2013). Preventing falls in hospitals. Retrieved from https://www.ahrq.gov/professionals/systems/hospital/fallpxtoolkit/fallpxtk5.html#tiptop

Assessment Instructions

Preparation

In this assessment, you will propose a quality improvement (QI) initiative proposal based on a health issue of professional interest to you. The QI initiative proposal will be based on an analysis of dashboard metrics from a health care facility. You have one of two options:

Option 1

If you have access to dashboard metrics related to a QI initiative proposal of interest to you:

• Analyze data from the health care facility to identify a health care issue or area of concern. You will need access to reports and data related to care quality and patient safety. If you work in hospital setting, contact the quality management department to obtain the data you need.
• You will need to identify basic information about the health care setting, size, and specific type of care delivery related to the topic that you identify. You are expected to abide by HIPAA compliance standards.

Option 2

If you do not have access to a dashboard or metrics related to a QI initiative proposal:

• You may use the hospital data set provided in the media piece titled Vila Health: Data Analysis. You will analyze the data to identify a health care issue or area of concern.
• You will follow the same instructions and provide the same deliverables as your peers who select Option 1.

Instructions

Analyze dashboard metrics related to the selected issue.

• Provide the selected data set in the proposal.
  • Assess the stability of processes or outcomes.
  • Delineate any problematic variations or performance failures.
• Evaluate QI initiatives on the selected health issue with existing quality indicators from other facilities, government agencies, and non-governmental bodies on quality improvement.
  • Analyze challenges that meeting prescribed benchmarks can pose for a heath care organization and the interprofessional team.
• Outline a QI initiative proposal based on the selected health issue and data analysis.
  • Identify target areas for improvement.
  • Define what processes can be modified to improve outcomes.
  • Propose strategies to improve quality.
  • Define interprofessional roles and responsibilities as they relate to the QI initiative.
  • Provide recommendations for effective communication strategies for the interprofessional team to ensure the success of the QI initiative. Briefly reflect on the impact of the proposed initiative on work-life quality of the nursing staff and interprofessional team.
• Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.

Note: Remember, you can submit all, or a portion of, your draft to Smarthinking for feedback, before you submit the final version of your analysis for this assessment. However, be mindful of the turnaround time for receiving feedback, if you plan on using this free service.

The numbered points below correspond to grading criteria in the scoring guide. The bullets below each grading criterion further delineate tasks to fulfill the assessment requirements. Be sure that your Quality Improvement Initiative Evaluation addresses all of the content below. You may also want to read the scoring guide to better understand the performance levels that relate to each grading criterion.

1. Analyze data to identify a health care issue or area of concern.
   • Identify the type of data you are analyzing (from your institution or from the media piece).
   • Discuss why the data matters, what it is telling you, and what is missing.
   • Analyze dashboard metrics and provide the data set in the proposal.
   • Present dashboard metrics related to the selected issue.
   • Delineate any problematic variations or performance failures.
   • Assess the stability of processes or outcomes.
   • Evaluate the quality of the data and what can be learned from it.
   • Identify trends, outcome measures and information needed to calculate specific rates.
   • Analyze what metrics indicate opportunities for quality improvement.
2. Outline a QI initiative proposal based on a selected health issue and supporting data analysis.
   • Identify benchmarks aligned to existing QI initiatives set by local, state, or federal health care policies or laws.
   • Identify existing QI initiatives related to the selected issue, and explain why they are insufficient.
   • Identify target areas for improvement, and define what processes can be modified to improve outcomes.
   • Propose evidence-based strategies to improve quality.
   • Evaluate QI initiatives on the selected health issue with existing quality indicators from other facilities, government agencies, and non-governmental bodies on quality improvement.
   • Analyze challenges that meeting prescribed benchmarks can pose for a heath care organization and the interprofessional team.
3. Integrate interprofessional perspectives to lead quality improvements in patient safety, cost effectiveness, and work-life quality.
   • Define interprofessional roles and responsibilities as they relate to the data and the QI initiative.
   • Explain how you would you make sure that all relevant roles are fully engaged in this effort.
   • Explain what non-nursing concepts would you incorporate into the initiative?
   • Identify how outcomes to measure the effect of the intervention affect the interprofessional team.
   • Briefly reflect on the impact of the proposed initiative on work-life quality of the nursing staff and interprofessional team. Describe how work-life quality is improved or enriched by the initiative.
4. Apply effective communication strategies to promote quality improvement of interprofessional care.
   • Identify the kind of interprofessional communication strategies that will be effective to promote and ensure the success of this performance improvement plan or quality improvement initiative.
   • In addition to writing, identify communication models (like CUS, SBAR) that you would include in your initiative proposal.
5. Communicate evaluation and analysis in a professional and effective manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling.
6. Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.

Submission Requirements

• Length of submission: 8–10 double-spaced, typed pages, not including title and reference page.
• Number of references: Cite a minimum of five sources (no older than seven years, unless seminal work) of scholarly, peer-reviewed, or professional evidence that support your evaluation, recommendations, and plans.

Note: Faculty may use the Writing Feedback Tool when grading this assessment. The Writing Feedback Tool is designed to provide you with guidance and resources to develop your writing based on five core skills. You will find writing feedback in the Scoring Guide for the assessment, once your work has been evaluated.

  Minimum of 300 words with at least 2 peer review reference in 6th edition APA style.  

 Health plans participating in the Affordable Care Act must be accredited; what is the difference between the National Committee for Quality Assurance (NCQA) and the Utilization Review Accreditation Commission (URAC)? Why would a health plan select one over the other? 

1) **********minimum 4 full pages**************************** (cover, table appendix page or reference page not included) 

2)¨**********APA norms 

3)********** It will be verified by Turnitin and SafeAssign 

4) **********References from the last 5 years   

5) The points don’t be must copied in the work. It must be identified by numbers. 

For example

1. The Community is…………………………..

2.  Community health status is………………………..

______________________________________________________

Community Health Assessment / Windshield Survey

Community Assessment

A community health assessment (sometimes called a CHA), also known as community health needs assessment (sometimes called a CHNA), refers to a state, tribal, local, or territorial health assessment that identifies key health needs and issues through systematic, comprehensive data collection and analysis. 

GUIDELINES:

(Select 1 City of USA)

1.  Community description (City and population) 

2. Community health status (must obtain from the department of health).

3. The role of the community as a client.

4. Healthy people 2020, lading health indictors in your community.

5. Conclusion.

Also, you must present a table as an appendix page with the following topics and description;

Housing

Transportation

Race and ethnicity

Open space

Service centers

Religion and politics