Job Redesign For Expanded HIM Functions Case Study...

Job Redesign For Expanded HIM Functions Case Study...
Case Study Analysis: Job Redesign for Expanded HIM Functions Written Assignment Unit 7
University of the People In partial fulfillment of the requirements for BUS 1101 – Section (Unit 7)–
Principles of Management Professor M. Robertson M.Ed. 12/28/2015 Abstract I analized and
described how the principles of goal setting were applied to the case study conducted by Elizabeth
Layman, PhD., regarding Job Redesign for Expanded HIM Functions and what was the impact and
outcome of job enrichment in this case. Case Study Analysis: Job Redesign for Expanded HIM
Functions How are the principles of goal setting applied in this case? The case study attempts to
identify and provide solutions regarding the need for the redesign of work and job processes in order
to adapt to the increased use of electronic health records and changes in the health care delivery
system. Elizabeth Lyman set four specific goals, which are: re–engineering, restructuring, work
redesign and job redesign. She explains each one of these goals and how they can be implemented in
order to be achievable. It's realistic because the problems that may arise ... Show more content on
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Over the span of 28 months various new roles were described for health information professionals.
Approximately 29 new roles were identified which were related to information and electronic record
organization. This led to adding more tasks and responsibilities to current health care professionals
which if not carefully implemented may result in fragmentation. The addition of all those roles led
to a lot of decision making in terms of how to distribute the new workload among departments.
Depending on how many roles were added, the importance of how to properly assign them was a
huge task in itself. It had to be carefully done without compromising the ability of employees to
actually to perform their current job
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Epic is an Electronic Health Record EHR integrated...
Epic is an Electronic Health Record EHR integrated software system. Epic is a computerized
electronic version of patients chart. Epics applications support functions related to patient care,
including registration and scheduling; clinical systems for doctors, nurses, emergency personnel,
and other health care providers; systems for lab technicians, pharmacists, and radiologists; and
billing systems for insurers. Epic is the "one record, one patient" approach that improves care in the
healthcare systems. Epic EHR makes information available right away. The system contains
information about patient's medical history, progress notes, vital signs, diagnosis, allergies,
immunizations, medications, radiology images, lab data and test results. ... Show more content on
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It ensures that clinical decisions are based on the most up to date information and promotes care that
is safe and well organized. Clinical decision support system CDSS helps healthcare providers make
clinical decisions. Healthcare professionals use a CDSS to prepare a diagnosis and to review the
diagnosis to improve final results. The clinical system can help prevent errors, which can range from
disease symptoms to drug interaction. The clinician would input the information and wait for the
CDSS to output the "right" choice and the clinician would simply act on that output. In addition, the
CDSS has a number of important benefits, including improved efficiency, cost benefits, and
provider and patient satisfaction, avoidance of errors and adverse events, increased quality of care
and enhanced health outcomes. Epic system comes in handy for several departments in the hospital,
Emergency, Radiology, Operating Room, Intensive Care Unit, Nurse Triage and the Clinical
Laboratory. In the Emergency Room Epics clinical application can give instant access to
comprehensive patient information. Having access to this information can reduce patients wait times
and provide faster and better care in a busy emergency room. EHR for Radiology has great features,
advanced visualization tools for volumetric image visualization, well organized radiology reports,
speech recognition, PACS, and Image tracking to track films and

Summary: The Role Of Surveillance In Healthcare
According to the textbook, the control function includes assessment and intervention activities,
quality assurance and management, and patient safety (Fleming, 2015). According to the Author, it
may be on of the most critical components of the job. If there is no control function, there is no
assurance that what is planned will actually get accomplished. The need for information systems to
collect and distribute critical information to decision makers is due to the control function being data
driven. The concept of control involves monitoring, assessment, feedback, and regulation, and infers
that there are standards, ideals, or objectives to which the organization is compared (Fleming, 2015).
Inputs, processes, and outputs are standards to ... Show more content on Helpwriting.net ...
An organization can determine the effectiveness of a new case manager program by measuring the
quality of care. If the quality of care is high, the program is effective. Performance measures of
physicians can be found in the Healthcare Effectiveness Data and Information Set (HEDIS). This
contains 80 performance measures in five different areas (Fleming, 2015). These five areas include
effectiveness of care, access to care, experience of care, utilizations of resources used, and health
plan descriptive information. The purpose of this is to judge the strengths and weaknesses of various
MCOs in order to improve quality of care. In order to save medical cost, and improve quality and
access, preventing hospital trips is of utmost importance. In particular, hospital visits related to
ambulatory care–sensitive conditions (ACSCs), where treatment, monitoring, and follow–up outside
the hospital may prevent visits to the hospital (Fleming, 2015). If trips to the hospital are being
reduced, that we assume that the new case manager program is effective.
What is total quality management? Why do these concepts matter in a health care

Nursing Care Collaboration Paper
Patients with complex chronic conditions can benefit from nurse–led care coordination in
ambulatory care settings in the aspect of reductions in ED visits and hospitalizations. Nurses provide
guided–care and facilitate cross setting communication and transition between specialty and primary
providers (Haas & Swan, 2014). Nurses support patient decision–making and self–care
management. Nurses hear concerns and goals of patients and enhance their engagement in care
interventions. Nurses empower patients and families in understanding health care resources and
seeking consultation prior to increased severity of the disease (Forbes III, 2014). Care coordination
is the deliberate organization of patient care activities and information between participants

Effective Approaches in Leadership
Running Head: EFFECTIVE APPROACHES
Margaret Russell
November 28, 2012
Grand Canyon University
NRS–451V–O103
Nursing Leadership and Management
An increase in patient acuities, readmissions, and requirement for patient satisfaction among other
issues has created a greater need for more registered nurses in the hospital setting. Quality and safe
patient care is a direct correlation to the number of staff. With the demand of nurses on the rise,
some health care institutions have not readjusted the nurse–patient ratios and the result is decreased
patient satisfaction, increased mortality/morbidity in patients, more health care associated infection,
and decreased employee satisfaction; leading to burnout and decreased staff ... Show more content
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A leadership approach to staffing issues may focus on how the current staff can work together to
provide quality care that is necessary for patient satisfaction, without experiencing burnout. While a
leader should keep budget and costs in mind, their focus should be using the available resources and
staff to attain the same goal as management. A leadership approach would be "optimizing nursing
intensity based on actual patient needs to address the perceived nursing shortage by creating a better
fit between patient demands and the available nursing resources used in the clinical setting."
(Welton, 2007).
The approach that fits the author's personal and professional philosophy of nursing would be that of
leadership. Patient satisfaction has a direct correlation with employee satisfaction. While there is an
issue of lack of staffing related to current hospital census and patient's increased needs, the best
solution that is available to all facilities is creating a positive environment in which the available
staff is motivated to provide the best possible care to all patients. Hiring a team that is willing to
work together in a busy, hectic setting is the key to providing quality care. Leaders are able to
motivate staff, enhance interpersonal relationships between staff and management, offer incentives
for hard work, and provide positive feedback. Staff members who feel appreciated on a regular basis
for

Personal Statement On Health Assessment Essay
INTRODUCTION We had 12 modules (each with 3 MCQS) from block –1 (Health assessment). I
wil be identifying 10 concepts from them and thoroughly scrutinize how they would apply to my
personal life and other contextual settings such as social context, coupled with current related
researches on these concept. However, their applications to my current work place (Havana
specialist Hospital, Surulere, and Lagos, Nigeria) and their usefulness to the current world will also
be discussed. The concepts are as follows: Communication in Health Assessment (Module1),
Management planning in Nursing Process (Module 3), leadership and leadership style, Data
collection in health assessment , nutritional assessment, vital signs, Depression and its assessment,
substance abuse assessment and lastly assessing skin diseases: Skin cancer. 1. Communication in
health assessment According to Wikipedia, Health Assessment is a plan of care that identifies the
specific needs of a person and how those needs will be addressed by the health care system or
skilled nursing facility. It involves physical assessment, nutritional assessment, self care assessment,
mental assessment and results. Thus, all these must take place between the patient and the person
delivering the health care service. Communication is thus a serious vital tool in this field and thus
could be defined as a means by which a nurse establishes a relationship with the patient to help him
acquire health behaviours. Actually

Outcomes And Competency
Describe the role of outcomes and competencies in curriculum frameworks
Globally nurse educators are being challenged in redesigning curriculum in an effort to prepare
nurses to perform efficiently with in the current healthcare tends and establish teaching that will
promote the success of graduates. In designing a curriculum it is essential to determine the content
that is necessary to be taught, its' effectiveness and the environment to achieve maximum outcomes.
Currently nursing curriculum need to transition to a broad scope of proficiencies incorporating use
of evidence base practice to investigate teaching and learning beyond the traditional didactic
methodology to convey courses (Billings & Halstead, 2016, p.130).
Creating competencies ... Show more content on Helpwriting.net ...
Students in the Associate degree nursing have been taught in Bloom taxonomy of knowledge and
understanding with limited emphasis on applying, analyzing, evaluating, and creating. This will
yield competent nurses that will affect mortality and morbidity in health care (American Association
of Colleges of Nursing, 2015, p. 1).
Learning outcomes must be evaluated with capstone course, promoting incorporation of community
health, nursing leadership or management, and research– and evidence–based practice, while
facilitating professionalism such as communication skills, health care ethics, and health policy.
Which should include preceptorship to ensure the student is well prepared to apply theory to
practice in every health care environment (Billings & Halstead, 2016, p.136). It is evident that the
education level of Bachelor and graduate nurses has resulted in a decrease of mortality rates,
medication errors and improved patient recovery. It is essential to create educational programs that
are aimed towards producing competent nurses to enter the workforce which will have direct impact
on patient recovery and global health care (American Association of Colleges of Nursing, 2015, p.

Home Health Care
HOME HEALTH CARE Lesson notes prepared by : Major(mrs) Mrunalini.JS Lecturer
RAKMHSU(10–11–08) INTRODUCTION: The health care management not only involves the
patient but also family members friends and other resources, To regain the optimal health to function
within their limitations, and remain in the home environment. Success lies on quality of nurse–client
relationship. OBJECTIVES 1. Understand the key terms and their meaning 1. Describe the
management of health care needs in the home from a system prospective. 2. Identify the factors that
influence client's ability 3. Identify the client's ability to manage healthcare within the home 4.
Explain the major areas of assessment by homecare nurse 5. ... Show more content on
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| |From Green, K. (1998). Home care survival guide. Philadelphia: Lippincott–Raven. | |Types of
Home Healthcare Agencies | |Type |Description | | | | |Official or public agencies |These agencies are
operated by state or local governments and primarily financed by tax funds. Most offer home | | |care
and disease–prevention programs in the community | |Voluntary or private not–for–profit agencies
|These agencies are supported by donations, endowments, charities (such as the United Way), and
insurance | | |reimbursements. They are governed by a board of directors, usually representing the
community they serve |

Hris Project
Information Systems for Human Resources Management
Information is an essential tool for managers in the retention, recruitment, utilization and evaluation
of human resources in health services organizations. Since they support the goals and objectives of
the organization, information systems play an important role in planning and management of human
resources. These systems will serve as an important personnel administration operational programs,
including employee record keeping, budget control, compensation, benefits management, and
government reporting.
This paper will discuss the project plan overview of human resources information systems (HRISs)
and their strategic and operational use in a health care organization. Certain ... Show more content
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The system will become an action tool to help lead the organization toward transforming and
redesigning the health care within the community.
Human resources planning and allocation are critical links between the human resources strategy
plan and the organizational business plan. Assessing the future needs will require information about
current employee levels and their skills, along with projections of patient needs. Another
requirement are analytical tools for asking the "what if "questions when exploring alternative service
strategies.
The health care organization will utilize the computerization within its function to experience a
number of strategic advantages. The three advantages are;
• HRIS enables the hospital 's human resource department to make a more active role in
organizational planning. Computerization will make forecasting more timely, cost effective, and
efficient.
• Integration and storage in a single database all of the human resources information
• HRIS will accelerate the process of comparing costs and benefits of human resources activities.
The need for analysis, collection and management of human resources information has outpaced the
development of human resources information systems in many health care organizations.

The Anatomy And Pathophysiology And Treatment Of...
Introduction
Degenerative disorder is a condition that leads to progressive loss of function. Osteoarthritis is the
most common form of degenerative disease and its prevalence is significantly increasing. According
to Block and Scanzello (2016) says in next 2030, there will be 67 million people affected with
osteoarthritis, as the global population age in united states. This topic has been chosen for discussion
because population ages are increasing and osteoarthritis negatively impact onto their daily activities
and social life. So, this discussion will be focusing on the anatomy and the pathophysiology and
treatment of osteoarthritis and also how it will impact onto their daily life. This discussion will
further highlight on how to assist patient with the degenerative disorder; to achieve the maximum
level of independency with education and preventive measure, as it is essential with the
pharmacological, non–pharmacological and surgical treatment.
Definition of degenerative disease
Osteoarthritis is a progressive disease of the joint, representing failed repair of the joint damage that
resulted from intra–articular stresses. Intra–articular stresses maybe initiated by abnormalities in
articular cartilage, sub–chondral bone, ligaments, menisci, peri–articular muscles, peripheral
nervous and synovium. Ultimately, this result in the break down in the cartilage and bone, leads to
the symptoms of pain, stiffness, crepitus and functional disability. As a disease, it is

Increasing Speed Movement Towards The Electronic Health...
Increasing speed movement towards the electronic health records has additional complexity of the
preference from among choices process, in that the number of systems on the market has raised.
However, appointing a system does not have to be a frighten task. The first and most understandable
questions that needs to be acknowledge is placed. Where do we start? Well you do not start with the
merchant. To obtain any major systems investments must being with a process. Why will you need
to set up a method? The act of founding a method or way underrate financial risk to your facility and
prepares you for the migration from paper to the electronic record. The health care manufacturing is
dedicated to goal of improved quality of health care, cost effectiveness, and patient safety.
Applications of the EHR is high on the records of first concern and is looked at the tools that will far
provide to manage this goal. In a conclusion there has been a thrust by the federal government,
professional and physician health care system and alliance, as well as the health information
technology cooperation, to boost doctors and their usual procedures to transition from paper to an
electronic medical records within the EHR form. Also in the middle those who identify the value of
the EHR to accomplish the goals of safety cost effective and quality, the (AHIMA) American Health
Information Management Association, (HIMSS) Health care Information Management Systems
Society and the National Alliance

Nurse Administrator Research Paper
Roles and Functions of the Nurse Manager
The nature of modern medical services requires nursing leadership professionals who can establish
and maintain an efficient atmosphere for the health care delivery. The position of a nurse
administrator has a managerial function within a medical setting.
Working on a nursing leadership post requires a strong educational background. The most widely
accepted way to become a nursing administrator is a Master of Science in Nursing or a Master of
Health Administration with an emphasis on leadership, management or administration
(Graduatenursingedu.org, 2016). Moreover, the unique qualification that is inherent for the nurse
administrators is that they can mix business and leadership skills with their health

Challenges of Implanting Devolved Health Care in the...
Kenya's health care system has remained largely centralised with decisions taken at MOH
headquarters from where they are conveyed top–down through the provincial medical officers to the
district level. Centralised functions at the headquarters include policy formulation, coordinating
activities of all health players (government and non–governmental organizations), initiating and
managing implementation of policy changes on various issues including charging of user fees, and
undertaking monitoring and evaluation of impact of policy changes at the district level.nb
MOH through the various health sector strategic plans has expressed commitment to
decentralisation intended to provide increased authority for decision making, resource ... Show more
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Specifically, County Health Services will be responsible for health facilities and pharmacies at
Levels 1 to 4; ambulance services; and promotion of primary health care. However, within the
situation highlighted above it is obvious that some of the counties will be hard pressed fulfilling this
mandate. Such counties may benefit from experiences derived from elsewhere, where health
services have been provided with some measure of success at low cost.
The draft Kenya Health Sector Strategic & Investment Plan[v](KHSSP)July 2012 – June 2018
proposes: Partnership, Governance and Stewardship– which taken together should address the health
agenda towards the fulfillment of the right to health. The strategic plan proposes that within the
counties, the stewardship responsibilities for health services will be exercised at three levels: the
National Directorates for Health, the County health management teams, and County Health facility
management teams. However, scrutiny of the prescribed responsibilities, functions and roles[vi] of
these bodies portrays a continuation of dominance by MOH headquarters in matters to do with
policy formulation, planning and priority setting, which leaves the county management teams to be
purely concerned with programme implementation (under

Life Function
Roles and Functions Paper
By: LaTreena Alexander
HCS/325
November 26, 2012
Samuel Steinberg
In many different types of health care settings there will be a chain of management and four major
functions of management that will help the business flow smoothly in the right direction for the
managed care of the patients that they will receive from the facility, and this structure will also allow
the organization to grow as a team, and benefit the facility and the community at the same time in a
cost effective way. This paper will identify the major functions, and how it applies to managing
others, and it will also explain what the most important role for a health care manager and leader in
the diversified health care industry. I will ... Show more content on Helpwriting.net ...
The most important role for a health care manger and leader in the diversified health care industry is
to make sure the patient safety and health care needs are met, organize, plan, control, and lead the
employees in their work responsibilities, and keep the company running effectively and comfortably
for all people involved for the success of the organization. The most significant aspect related to
health care management that I would like to gain by taking this course of study would be to learn the
job of a health care professional, and a health care manager while being able to obtain clarity to each
separate function and utilize both the experience and knowledge gained throughout my health care
profession, and how to keep everyone involved an on track in the care of patients health within the
organization. In conclusion the health care field has many steps it goes through on a daily basis so
that the organization can function correctly and effectively. In this paper the four major functions of
management have been identified, and applied to managing others in the industry, the most
important role for a health care manager and leader in the diversified health care industry have been
explained, and what the most significant aspect related to health care management that I want to
gain in this course of study is.
References

Case Study Management : Case Management
According to the CMSA (Case Management Society of America) and several others organizations
that case management alone means that it is a collective system that helps the patient and their
family needs through the communication, available resources of promoted quality, and cost–
effective outcomes.
In 1980s, case management started to expand all throughout in different settings. Case management
had no boundaries of what was consider being case management. Many other professions such like
nursing, social workers, and vocational specialists can be case management based on their level of
skills. Their main goals are to provide patients with safe care and cost –effective price. In 1990,
Case Management Society of America was the support and development for those who wanted to
pursue the role as case management.
There are many areas that you case management work can work. Case management in the acute care
setting is focused mostly in hospitals and sub–acute facilities. To be an acute care case management
is training and continuing education for social workers, nurses, counselors and professionals of the
medical or social services fields. Some considers nursing case management to be a productive and
efficient, collective approach of giving and coordinating. But the main purpose of a case manager as
a registered nurse in an acute care setting is to advocate for the patient, give quality care in a cost–
effective manner and to promote positive health care outcomes. Now this is

Public Health Board Research Paper
Pushpa Guddappa
Reflective Journal 10
The class about health boards was very good topic to know and essential for public health. The
boards are dominant model for federal grant funding for primary care in the country for public
safety. They have health care professionals willing to provide services to nations uninsured and
underserved population.
The History of board health is important component of public health. I have learned about board of
health, how it was established through public health act in the New York city of board. Board had
the program for prevention of cholera and they have broad spectrum health departments have local
board of health started to appoint the employees to work in the board, currently they are 3200 boards
of health across the united states. Their function to address the advocate for public health. There are
different boards to operate entire nation includes advisory, governing, policy making. Advisory
boards report their county, city and township commissions on public ... Show more content on
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The local health departments have more responsibilities under federal, local or state laws to enforce
laws to protect the community and environmental health. I have learned about board governing
body, functions, funding and hierarchy. Board approves budget and salary adjustment then they
solve the issues, senior management have largely responsible for the success and failure of the
agency. A senior management have several functional areas includes budget, Human resources,
Administration, Legal services, Medical and Nursing but in Middle management less budget in the
organization and they try to eliminate the middle management. Divisions ensures qualified
professionals to managed by the people with similar background then they provide career to
employees with their own budget. I have learned about team work which is very essential to get
success and avoid conflict in the

Why Is Advanced Training Necessary For Nurse Anesthetists...
Nurse Anesthetist
Why is advanced training necessary to Nurse Anesthetists provide specialized care? Nurse
anesthetists work in a wide variety of healthcare settings, including hospitals, physicians ' offices,
schools, and clinics. Most APRNs work full time. To become a nurse anesthetist must earn at least a
master's degree in one of the APRN roles. They must also be licensed in their state and pass a
national certification exam. Employment for nurse anesthetist is said to grow about 31 percent from
2014 to 2024.
Certified Registered Nurse Anesthetists (CRNAs) are advanced practice nurses who safely provide
more than 32 million anesthetics for surgical, obstetrical and trauma care each year in the United
States. They administer every type ... Show more content on Helpwriting.net ...
CRNAs carry a heavy load of responsibility and are compensated accordingly. The reported average
annual salary in 2012 was approximately $157,000 with more experienced CRNAs earning up to
$214,000 each year.
The prospects for finding a good job in this field are excellent for the foreseeable future: According
to the U.S. Department of Health and Human Services, there is a significant and growing need for
CRNAs across the country.
In order to be accepted into an accredited nurse anesthesia program, you must be a currently
licensed RN with a Bachelor of Science in Nursing (BSN) or other appropriate baccalaureate degree
and at least one year of experience in an acute care setting. Certified Registered Nurse Anesthetist
(CRNA) programs, which lead to a master's or doctoral degree, take two to three years and include
clinical training in university–based or large community hospitals. Following graduation, you must
pass the national certification exam before you can begin practice. However, certification is not a
one–time accomplishment: In order to maintain their certification standing, CRNAs must obtain a
minimum of 40 hours of continuing education every two years.
Generally, the path to becoming a CRNA begins with a 4–year undergraduate degree in nursing or
another field. Although it is not required to possess a degree in nursing, a current license as a
registered nurse

Health Information Management And The Veterinary Delivery...
Health Information Management in the Veterinary Setting
When working in the veterinary health information management field, what becomes apparent is
that; just the same for humans, animals also do not like change without their consent. This research
term paper will focus on the health information management and documentation requirements that
are present in the veterinary delivery setting. Additional information will be provided that will help
towards defining the role and function of the health information management professional in the
veterinary delivery setting. Following key points will be directly explained, such as; regulations that
relate to the veterinary facility and the health information management professional, establishing
and maintaining the veterinary medical documentation, as well as, coding and information systems
that are used by the health information management professional in the veterinary delivery setting.
Before delving straight in to the aforementioned key points, it is important to lay out the ground
foundation as to what type of environment a health information management professional will find
himself or herself in when working in a veterinary delivery setting.
Introductions to the Veterinary Setting
Types of Patients
Animals. In a veterinary delivery setting, the types of patients that are admitted and receive patient
care are animals. The owner or caretaker, if any, of an animal who arranges for its veterinary care or
treatment is termed the

Case Management : An Effective Component Of Health And...
Case management can be traced back to 1890 –1910 during the Settlement House era where
professionals guided families through public services, mobilized communities, and empowered
people to seek a better quality of life. These early professionals pioneered the practice of building
relationships, negotiating fractured services, and educating individuals; all critical aspects of case
management today (Dziegielewski, 2013, p. 312).
Since 1975 case management services have been gaining support and being recognized as an
effective component of health and behavioral health service delivery (Dziegielewski, 2013, p. 312).
A review of the literature reveals that case management services in healthcare settings can be a
fragmented service with a ... Show more content on Helpwriting.net ...
Second, legislative initiatives gained ground leading to case management being considered as a
primary way of integrating services. Third, employers began creating case management programs
for medical claims aimed at cost containment. Fourth, the rise of chronic illnesses as a leading
health problem made the coordination of multiple systems of care a necessity. Finally, acute illness
prevention efforts can be coordinated by case management providers (as cited in Corcoran &
Roberts, 2015, p. 867).
Professor Berger identifies five models of case management in the hospital setting; primary care
case management, medical case management, social case management, medical–social case
management, benefit case management, and case management team. Slight differences separate the
models, but they share commonalities. Of significance is sequencing activities for effectiveness and
efficiency, facilitating high–quality care, and cost–effectiveness (as cited in Corcoran & Roberts,
2015, p. 869).
Medical–social case management is the model that most aligns with social work professional values
and ethics. Professor Berger explains that "medical and social case management are integrated to
provide a more holistic approach to managing health care delivery. This is premised on an
ecological approach in which medical, social, economic, and cultural factors are synthesized to
frame the case management process" (as cited in Corcoran & Roberts, 2015, p.

Respiratory Therapy Research Paper
The respiratory system is one of the main bodily systems which function–is to maintain adequate
airflow from the environment to the lungs and to provide the oxygen the human body needs to
maintain normal function. The respiratory system includes the nasal cavity, pharynx, larynx, trachea,
bronchus and lungs. In 1974, the designation "respiratory therapist" became standard, and the role of
the respiratory therapist as a health professional is concerned with assessment, diagnostic testing,
treatment, education, and patients with problems with cardiopulmonary system. The therapies
available for respiratory therapists to perform include aerosol drug therapy, humanity therapy, gas
therapy, airway clearance therapy and lung expansion therapy. As ... Show more content on
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The primary function of upper airway is to exchange heat and moisture. The ISB (isothermic
saturation boundary) is the point that divides the airway by temperature which is constant below this
point and is variable during inhalation and exhalation above this point. The shifts of the ISB can
provide the proper heat and moisture in the upper airway to meet the needs in the lower airway.
Without providing the correct heat moisture exchange between the upper and lower airway can lead
to serious problems within the lungs. Humidification of dry medical gases which are administrated
by inhaling is very important to keep the lower airway in a normal physiology condition; therefore,
the proper heat and humidity helps maintain the normal function of the mucociliary transport
system. Humidity therapy is also used to manage hypothermia and treat bronchospasm caused by
cold air. Bland Aerosol Therapy involves the delivery of sterile water or saline aerosols by using
large volume jet nebulizers and ultrasonic nebulizers to treat upper airway edema, provide proper
heat and humidity in patients with tracheal airway, and help obtain sputum

Case Study Management : Case Management
In late 1980s, in order to curve the increasing medical expenses, American government have
launched case management. Case management not only effectively decreased the medical expenses,
but also guaranteed the patients can get the necessary medical service they need. According to
American Case Management Association, a non–profit organization that support the practice of case
management, case management is "a collaborative process of assessment, planning, facilitation, care
coordination, evaluation, and advocacy for options and services to meet an individual's and family's
comprehensive health needs through communication and available resources to promote quality cost
effective outcomes"(ACMA, 2015). The personnels involve in the case management system are
called case managers. Case manager is a professional with nursing qualifications holding a case load
with responsibility for overseeing and/or delivering the processes of case finding, assessment, care
delivery, monitoring and review for, and with, a patient and their family carer(s) (Goodman et al.
2010). Case management was first found in early twentieth century by social workers and public
health nurses(Patricia, 2011). For this model, nurses, social workers, and other disciplines can work
as case managers. However, in this article, I will focus on the nurse care case managers. In the
Nursing case management model, all patients are assigned to a nurse case manager. For example, all
the pediatric patients are assigned to

Governance of a Healthcare Setting
Governance of a Health Care Setting: As one of the major national issues, the governance of a health
care setting is an important aspect, especially for health care administrators. The significance of
governing a health care setting is fueled by the existence of proper documentation regarding
inadequate health care quality. This process involves the understanding that health care coverage is
offered through a combination of private, public, and non–profit system. As health care
administrators engage in the process, their actions have implicit and explicit implications based on
legal provisions. While discharging their duties, any omissions in the conduct of these health
professionals are also governed by law. Therefore, the legal system plays a critical role in the basic
governance of a health care setting, especially on the roles health care administrators.
Physician–patient and Hospital–patient Relationships: One of the major cornerstones of health care
services is the physician–patient relationship because it involves the data collection medium,
development of diagnoses and plans, achievement of compliance, patient activation, healing, and
provision of support (Goold & Lipkin, 1999, p.26). In managed care organizations, the significance
of physician–patient relationship is also based on market savvy i.e. determination of individuals'
decisions to join and stay with a particular organization. The importance of this relationship is
evident in the fact that it has

Bhs312 Module 2 Case
BHS312 – Principles of Management Introduction to Management Module 2 – Case Planning and
Organizing: The Management Function of Organization Me TUI University Dr. Someone, PhD
Summer 2012 Module 2: Case Assignment: The Management Function of Organization In this
module we look at organizing as a managerial function. As one of your readings indicted "the
purpose of the organizing function is to make the best use of the organization's resources to achieve
organizational goals." One of the major resources of an organization is its staff to whom work must
be assigned and delegated. Case Study Assignment Expectations: After reading the background
materials, conduct additional research and respond to the following: 1. ... Show more content on
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Delegation vs. Empowerment To delegate means to choose or elect a person to act as a
representative for another. To empower someone means to give power or authority to someone else
(Runn, 2010). Delegating a task is essentially having someone do a task on your behalf; although
someone else is doing the work, you have all the responsibility. Empowering someone means to
give them enough power and authority to act on their own behalf. To truly empower someone you
must grant them authority, proper resources, and hold them accountable to organizational values and
principles (Runn, 2010). Describe and analyze the potential dangers of delegation. A manager who
neither delegates or empowers, or does them poorly will seem disorganized and will spend a lot of
time catching up on work. This could cause dissention in the ranks that could affect the subordinate's
view of authority in the manager, and could cause problems in productivity, which would result in
negative outcomes, whatever the product. Delegation and empowerment work best when it is done
in small increments. Delegating too much could overburden others, and leads to perceptions that you
are uninterested, unavailable, detached, disinterested or that you'd rather have someone else do the
job while you sit back and take the credit and the pay (Eikenberry, n.d.). Not delegating

The Seven Functions Of Management
For any organization (in this case, health organization) to succeed, survive or thrive, there must be
effective and efficient management on the part of the leadership. Management is an essential
component of any organization because it is the component that directs and coordinates the current
activities of the organization and also makes provisions on the plans for the future.
Business dictionary.com (2015) defines management as organizing and coordinating the activities of
business with the sole aim of achieving its defined objectives. It is the act of bringing people
together in other to achieve the desired objectives and goals in an effective and efficient way.
Management can also be defined as the ability or procedures made to achieve the goals of an
organization by bringing people together, coordinating them ... Show more content on
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These fourteen principles are still in use till date as He (Fayol) is still considered as one of the most
powerful contributors to the present–day management concept (Mind tools, 2015).
2.1.2 Functions of Management
For management to be effective, it should be able to creatively solve problems, motivate
employees/workers and be able to achieve the organizational goals and objectives. It consists of
various components and activities which are useful to every manager without regard to their level or
status.
There are seven functions of management that I will like to discuss below; each functions are
inseparable because each one depend on the other. These management functions are:
Planning: It is a process which involves setting the aims, mission statement and objectives of the
organization and how they will be achieved. Nothing can be achieved without proper planning.
Planning outlines what tasks to do, when to do it and how to perform the tasks. Planning is based on
the short and long term successes of the organization (Purnell,

COPD Patient Education
Background Information
Encompassed primarily by two conditions, emphysema and chronic bronchitis, Chronic Obstructive
Pulmonary Disease (COPD) refers to a group of diseases of a debilitating and progressive nature
that cause inflammation of the airway and interferes with the ability to breathe (National Heart,
Lung, and Blood Institute [NHLBI], 2013). The diseases in COPD have some shared characteristics,
including a progressive and irreversible limitation of the airflow associated with an abnormal
inflammation of the peripheral bronchioles and considerable damage to lung parenchyma (NHLBI,
2013). In the United States (US), there are approximately 15.7 million adults diagnosed with COPD,
although estimates suggest that these figures are higher ... Show more content on Helpwriting.net ...
This NP–led education would be inclusive of disease management strategies, including smoking
cessation, strict adherence to prescribed medications, strategies to avoid air pollutants or triggers,
and recognition of worsening symptoms that may lead to a COPD exacerbation (CDC, 2016). The
educational intervention would be comprised of evidence–based strategies geared towards symptom
management and decreasing the incidence of COPD exacerbations that would require inpatient
management. Additional benefits of the intervention would include an increase in the patient's
tolerance to physical activity as well as an increased quality of life that has been associated with a
reduction in the incidence of depression and isolation (Corbridge et al., 2012). An educational
intervention is better suited for an evidence–based project as it is more subjective in nature and
requires less manipulation of the research variables (University of Southern California, 2017). In
contrast, the NP–led educational intervention proposed is less suited for a research project, such as a
randomized controlled trial (RCT) as it would be the case if the effectiveness of medications were
being researched (University of Southern California, 2017). Lastly, the expected outcome would be
a properly educated patient who is able to participate actively in the management of the condition
and, as a result, would maximize his of health status and decrease the incidence of COPD
exacerbations that would require ED visits or inpatient hospital

The Conceptual-Theoretical-Empirical (CTE)
Introduction The Conceptual–Theoretical–Empirical (CTE) structure for this evidence based project
(EBP) highlights the importance of self–management from a self–regulation and health promotion
standpoint. The conceptual component of the CTE framework for this EBP refers to a set of
relatively abstract ideas that address the phenomenon of clinical interest to the project as well as to
the discipline of nursing. The concept of interest for this EBP is self–management (SM).
Improvements in self–management (SM) as a result of an evidence based depression care
management intervention will be assessed. The theoretical structure is utilized to provide
propositions that narrow down and describe the concept in relatively concrete and specific terms ...
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Baptist et al. (2013) indicated empirical adequacy of this theory by conducting a randomized trial of
self–regulation intervention for older adults with asthma. Participants participated in a six–session
program which was conducted over the telephone and in group sessions. They selected an asthma–
specific goal, identified problems, and addressed potential barriers. At the end of the trial, the
authors concluded that a self–regulation intervention can improve asthma control, quality of life,
and healthcare utilization in older

Imogene King Essay
a) How would you answer the questions below that were posed by King based on what you know
about current nursing practice?
Imogene King's theory of goal attainment focused on the cooperation between nurses and patients
(Masters, 2015). Both parties would share information, set a common goal, and work to achieve the
set objectives. King was convinced that nurses had to help people to maintain fundamental aspects
of their health and hence ensure wellness (Masters, 2015). The questions posed by King would be
answered by considering the points of synergy between the current practice and perceived health
outcomes. In this manner, the focus of the nursing will be on the patient.
b) What is the scope of practice of nurse practitioners, nurse educators and nurse leaders, and in
what kind of settings do these nursing professionals perform their functions?
The scope of practice for medical practitioners includes all systems–levels of care (Masters, 2015).
Hence, nursing professionals participate in both direct and indirect care. Besides, nursing ... Show
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About this, the system seeks to reduce the differences in health outcomes among diverse populations
(Masters, 2015). Admittedly, the level of disparities continues to rise with increasing diversity.
Hence, current nursing goals may place more emphasis on reducing existing differences in medical
care outcomes (Masters, 2015). Nevertheless, disparities have always limited the effectiveness of
health care programs. Furthermore, current nursing goals intend to promote excellence in practice.
The medical system in the past half century was also focused on improving patient and population
health outcomes systems (American Association of Colleges of Nursing, 2014). Although nursing
goals may be similar to those in the past 50 years, more resources have been provided to fulfill
current

Quality Management Assessment Summary Essay
Quality Management Assessment Summary HCS/451 – Health Care Quality Management and
Outcomes Analysis Monday February 18th, 2013 Darlene Cantu Quality Management Assessment
Summary A quality management plan is employed by an organization to define how processes are
conducted, organize how procedures that make up processes are done, and evaluate past
performance to determine what should be done differently to enhance future performance and
outcomes. The process of an evaluation helps to ensure that the highest potential is reached in each
set of circumstances. A quality management plan should pursue to oversee how complications are
dealt with and to reassess such impediments afterwards to ascertain if alterations or modifications to
... Show more content on Helpwriting.net ...
As the hospital seeks to deliver exceptional patient care, a quality management program must also
confirm that laws and regulations are obeyed, liability and losses are controlled, and that revenues
progressively grow. In the process of creating this plan, the administration sets short–term goals that
will lead to the realization of defined long–term goals. Short–Term Goals 1. Increase and sustain
patient care ratings 2. Improve productivity 3. Develop and execute a defined strategy to be in
compliance with approaching government regulation and law changes that affect the health care
industry Long–Term Goals 1. Earn and preserve a positive reputation with excellence in patient care
and safety 2. Lower losses from incurred liability below a defined limit 3. Grow net profit at a
sustained pace Fundamental Quality Management Policies To create, launch, and sustain an
effective quality management program it is crucial that a ground work of fundamental policies be
established and adhered to. Policies direct everyone within the hospital in order to accomplish the
organization's goals and mission. Fundamental Quality Management Policies 1. The safety of patient
and employees is always the primary priority and is the responsibility of everyone

Inpatient Outpatient Hospital Care
Inpatient Hospitalization To Ambulatory Care Services (2010) from the Researchomatic. Retrieved
on 09/05 , 2014 noted ambulatory care Sensitive situation are those "for which good outpatient care
can possibly avert the need for hospitalization, or for which early intervention can avert difficulties
or more critical disease" Although hospitalization rates are leveraged by socioeconomic components
for example scarcity .
I will discuss and compares inpatients care and ambulatory care on bases of scope and level of
service, venues for care deliver, impact o health care finance, and future trends in medicine and care
delivery.
There are direct personal involvement within the level of services in the practice of ambulatory ...
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Impact on health care finance: the cost and quality of health care services are directly related to the
success of the system's management.
Future trends in medicine and care delivery: Among the range of activities detail day to day
management, strategic planning , contract negotiation and expanse of personnel management
alongside quality evaluation and legal compliance has examples of variety of responsibilities and
duties. Health care now, focuses on strategic planning, budgeting, financial decision making,
physician an staff recruitment, retention, evaluation, cash–flow analysis, capital expense planning,
development and application of information systems for financial reporting. Contract are about
practice patterns, fee discounts, reporting requirements, quality assessment and credentialing,
dispute resolution through arbitration, and many other complex provisions.
Scope of the Industry/ Hospital/Inpatient
Small number of hospital are owned and operated by the federal government or for profit business.
Veteran's administration hospitals and military facilities are operated by the federal government, the
ones that are owned by for profit business can be publicly or privately held by means of issue stock
and equity position and can be affect by a accountability, registration rules and regulations. For
profit hospital are part of large multihospital chains/publicly traded, generally administered by the
securities and

Introduction To Quality Assurance Essay
Introduction to Quality Assurance The Utilization Management Program of the Naval Hospital
Guam facility is one which is designed to ensure that high quality, cost efficient health care is
delivered to all members of the community. The Utilization Management Division is responsible for
implementing a Utilization Management Plan which will monitor the appropriate usage of the health
care facilities, services and its resources. These services may include utilization reviews, case
management, discharge planning and outcome–based evaluations. The Utilization Management
Program is completely planned and put into action by this division. It is also responsible for
coordinating and monitoring access to care, developing programs, and evaluating ... Show more
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These requests are reviewed on an individual basis. Determinations are made based on the patient's
medical needs and the availability of services to meet these needs within the provider. Tertiary Care
Services– All referrals to plan tertiary care centers are reviewed on an individual basis. The
member's medical needs and the availability of requested services within the non–tertiary care
network are taken into consideration. Discharge Planning – Patients who require continuing care
after release from the hospital are identified and the appropriate services are arranged through
participating home care, medical equipment and other providers. COMPARISON AND REVIEW
The facility's Utilization Management Program may need continued review on a periodic basis in
order to keep it on par with the model Utilization Management Program as described by the
HealthCare Advisory Council. In keeping with these lines, the program is updated, reviewed and
approved annually by a team from the HealthCare Advisory Council itself. The different types of
reviews and how they lead to improvements in the quality of care is now outlined below:
Prospective Review – Using InterQuals' Level of Care Criteria all elective inpatient

The Organizational Setting Of The Health And Wellness Center
The organizational setting of the Health and Wellness Center is a recent service line added to a large,
well–known behavioral health organization. The Health and Wellness Center offers a variety of
integrated care services to a small community, and surrounding towns in Connecticut. The concept
of integrated care is one of the newest healthcare trends; designed to support the overall public
health goals of providing quality healthcare services while eliminating disparities and reducing
healthcare costs. Services provided in this setting include primary care along the lifespan
continuum, preventive dental services, behavioral health services offered for individual and group
treatments, as well as psychiatric evaluations and medication ... Show more content on
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To advance to this level of management, the healthcare administrator must show evidence of
professional skills and judgment through performance of key competencies in being a leader.
Healthcare administrators must first be comfortable and confident in managing themselves in order
to be an effective leader. Team members will align their trust with an administrator who leads by
example. Important skills to manage include: their time with tasks and people, their responsiveness
and follow through on the challenges, their capability to be relational and motivational with a
positive presence, and the ability to recognize and validate the team members contributions to the
overall organizations goals and values. The healthcare administrator needs to continuously stay on
top of healthcare trends and management techniques to be adaptable in the growing and expanding
role.
Leadership Styles Leadership styles are an important quality in healthcare administrators.
Transformational leadership is a popular style that is used to "encourage the group to pursue
innovative and creative ideas and actions" (Blanken, 2013, para. 42). Leaders engage, mentor, and
motivate their followers to change by utilizing the qualities that make them their leader, such as
listening to them and including them in the decision making process, and showing interest in their
work day while acknowledging their achievements and being honest (Giltinane, 2013). By treating
the followers as they wish

Core Functions Of A Counselor
Introduction
This paper will discuss the following 4 Core Functions of a Counselor: Case Management, Client
Education, Crisis Intervention, Referral and their primary purposes.
Discussion
Case Management
According to IC & RC, Case Management is defined as, "activities intended to bring services,
agencies, resources, or people together within a planned framework of action toward the
achievement of established goals. It may involve liaison activities and collateral contacts"
(Herdman, John W., 6th Ed.). Case management is a concerted effort of various professionals in the
human social services network that assess', plans, implements, coordinates, monitors and evaluates
options required to meet the client's health and human service needs. It is characterized by advocacy,
communication, resource management and promotes quality cost–effective intervention outcomes.
The Case Management Process centers on the client and the client's support system. It is holistic in
its approach to the management of the client's individual and specific situation and that of the
client's support system. It is adaptive both to the case manager's practice setting and to the
healthcare setting in which the client receives services. Case management is not a profession unto
itself however; it is a cross–disciplinary and interdependent specialty practice within the health and
human services profession. Everyone directly or indirectly involved in healthcare benefits when
healthcare professionals and

Why Is Advanced Training Necessary For Nurse Anesthetists...
Why is advanced training necessary to Nurse Anesthetists provide specialized care? Nurse
anesthetists work in a wide variety of healthcare settings, including hospitals, physicians ' offices,
schools, and clinics. Most APRNs work full time. To become a nurse anesthetist must earn at least a
master's degree in one of the APRN roles. They must also be licensed in their state and pass a
national certification exam. Employment for nurse anesthetist is said to grow about 31 percent from
2014 to 2024.
Certified Registered Nurse Anesthetists (CRNAs) are advanced practice nurses who safely provide
more than 32 million anesthetics for surgical, obstetrical and trauma care each year in the United
States. They administer every type of anesthetic, ... Show more content on Helpwriting.net ...
CRNAs carry a heavy load of responsibility and are compensated accordingly. The reported average
annual salary in 2012 was approximately $157,000 with more experienced CRNAs earning up to
$214,000 each year.
The prospects for finding a good job in this field are excellent for the foreseeable future: According
to the U.S. Department of Health and Human Services, there is a significant and growing need for
CRNAs across the country.
In order to be accepted into an accredited nurse anesthesia program, you must be a currently
licensed RN with a Bachelor of Science in Nursing (BSN) or other appropriate baccalaureate degree
and at least one year of experience in an acute care setting. Certified Registered Nurse Anesthetist
(CRNA) programs, which lead to a master's or doctoral degree, take two to three years and include
clinical training in university–based or large community hospitals. Following graduation, you must
pass the national certification exam before you can begin practice. However, certification is not a
one–time accomplishment: In order to maintain their certification standing, CRNAs must obtain a
minimum of 40 hours of continuing education every two years.
Generally, the path to becoming a CRNA begins with a 4–year undergraduate degree in nursing or
another field. Although it is not required to possess a degree in nursing, a current license as a
registered nurse is required to

Continuous Quality Improvement Model
The Continuous quality improvement (CQI) is very essential component of public health. The
quality management is focused not only on product and service quality, but also on the means to
achieve it. It was good explanation about healthcare delivery systems in the US, public health
agencies and national public health performance standard program (NPHPSP) and they should have
responsibility to achieve CQI. I have perceived CQI key concepts, aims of public health delivery
system and how core and support system functions based on methods. Six sigma is significant role
in public health management for process improvement to eliminating the defects. I learned six sigma
process improvement model which help to improve quality care. However, many hospitals and
healthcare practices have adopted six sigma management tools to help achieve goals. Employing six
sigma principles in healthcare settings can help eliminate defects and variations in processes and it
can help make procedures more streamlined, less cost and help ... Show more content on
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It was interesting to meet board people and meet their criteria's. The board visit all domains in the
hospital will see facility for patient care, medical equipment's, quality care and many more questions
to meet accreditation. It is not easy to get accredited and fulfill their criteria's because questions are
typical to reach their requirements. The administration to provide background information and other
positives about the institution. Specific questions regarding participation in budget planning and
describe day to day involvement in the program. The accreditation is beneficial for the hospital to
get international recognition, critical access and high quipped facility. Understand that program may
be nervous for follow up questions since asking back and forth questions to make sure how
confident we are. This is beneficial for the organization to reach high quality critical

Behavioral Health Counselor Roles and Responsibilities
BEHAVIORAL HEALTH COUNSELOR ROLES AND RESPONSIBILITIES Useful Traits Of
Primary Care Behavioral Health Counselors Behavioral health counselors must be able to function
in the face–paced primary care environment. To be effective, they should: * be flexible enough to
deal with noise, frequent interruptions, and constant changes in scheduling; * be able to offer brief,
targeted interventions usually lasting less than 30 minutes; * be comfortable with short–term
counseling, often lasting less than eight visits; * function well in a team–approach accept the fact
that they are not in charge of the clients' care; * be behaviorally, rather than personality, focused; *
be able to perform consultations and give ... Show more content on Helpwriting.net ...
sists the primary care provider in recognizing, treating and managing mental health and
psychosocial issues and acts as a contributing member to the primary care team; * conducts client
intakes, focusing on diagnostic and functional evaluations, then makes recommendations to the
primary care provider concerning the * clients' treatment goals and plan; * provides consultation and
training to the primary care providers to enhance their skill and effectiveness in treating mental
health problems; * provides brief, focused intervention for clients who are in need of mental health
services; * gives primary care providers timely feedback the client's about care, treatment
recommendations and progress via documentation in the client's record and verbal feedback; *
advises the primary care provider about which clients are better served at the primary care setting
and which should be referred to specialty mental health facilities or elsewhere; * initiates follow–up
to ascertain how clients are doing and to determine if any changes in treatment approaches are
indicated; * develops, where indicated, relapse prevention plans and helps clients maintain stable
functioning; * assists in the detection of "at risk" clients and in the development of plans to prevent
worsening of their condition; * monitors and coordinates the delivery of health services for clients
as related to behavioral health care, including linking with other treatment

Essay on Legal Article Review
* Article or Case Law Search Resource: Article or Case Law Search Grading Criteria Find an article
or a current legal case involving one of the following: * A critical regulatory issue in health care * A
critical regulatory issue specific to institutional health care
––––––––––––––––––––––––––––––––––––––––––––––––– Write a 700– to 1,050–word analysis
of the article or legal case and prepare to present how the issue in the article or legal case relates to
the nature, sources, and functions of the law. References Health Care Issues Brief– Acute Care
(1997–2012). Retrieved from http://www.asha.org/slp/healthcare/acute_care.htm Changes Impacting
Speech–Language Pathology Practice In An Acute Care Medical Setting ... Show more content on
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1. Aging Population * People are living longer. * End of life is being prolonged through medical
advances and technology. * Different issues are being considered: quality versus quantity of life and
risks versus benefits; e.g., eating for pleasure despite risks. 2. Acuity * Patients with acute illnesses
are surviving longer due to expanded medical knowledge, available procedures and medical
technology. Therefore speech–language pathologists are seeing patients with higher acuity levels. *
Speech–language pathologists are being asked to address increasingly complex questions (e.g.,
managing a patient with dysphagia following a gastric pull–up procedure). 3. Advances in Medicine
and Technology * Medical advances are leading to decreased sequelae after initial trauma/insult;
e.g., sequelae of neurologic deficits following stroke are declining. * Surgical, pharmacological, and
prosthetic interventions are reducing and replacing the need for behavioral therapy; (e.g., laryngeal
surgery, tracheoesophageal prosthesis, Mestinon, thymectomy.) 4. Culturally Diverse Population * A
more culturally diverse patient population is requiring providers to establish cultural competency by
having improved knowledge of different cultural perspectives

Roles and Function of Health Care
Roles and Function of Health Care Mangers Shelly Williams Hughes HCS/325– health Care
Management Shawn Matheson February 18, 2013 Introduction In the new health care work place
everybody must respond and adapt to rapid changes in sociality, science as well as the shifting need
of today's patient(). These changes have also changed the role of health care managers. The four
major functions of health care managers are organizing, planning, controlling and leading. How
these functions are carried out can affect the internal and external environments of an organization.
All though the health care manager is responsible for the four major functions delivery of services is
his/her most important role. The most important aspect ... Show more content on Helpwriting.net ...
This is just a few ways on how these functions apply to others THE MOST IMPORTANT HEALTH
CARE MANAGERS AND LEADERS IN THE DIVERIFIED HEALTH CARE INDUSTRY Due to
the diversified health care industry the most important role of manage is delivery of services.
Americans are more informed and concerned about the quality and quantity of services. Healthcare
managers are now task with keeping up with the demands of society. There is a raising concern
about the care they receive: how accurate, reliable and how responsive and convenient (Lagance,
2009). Employee's and patient expect better out comes, less errors and better value for services
provided. Health care manager have to keep up with the demands by continual integration of new
technology and services provided while maintaining the quality of care. WHAT I WANT TO GAIN
BY TAKING THIS CLASS What I would like to walk away with from this class is the ability to
apply the functions of a health care manager. The ability to remain calm in crisis situations, control
the environment of the origination while achieving goals and objectives and to be looked to as a
leader. CONCLUSION: In the new health care work place everybody must respond and adapt to
rapid changes in sociality, science as well as the shifting need of today's patient. These changes have
also changed

Health History
Introduction Health assessment thus plays an important role to provide information about one's
health. Assessment is the first step in the nursing process and includes collection, verification,
organization, interpretation and documentation of data.(Sue C.DeLaune and Patriciak .Ladner,2011)
Almost every admitted patient the first time required the implementation of the health assessment to
determine their health condition to enable healthcare plans and implementation what they need to
do. On way of organizing the information that nurse need to collect is by using a nursing framework
.A framework for assessment , the nurse systematically collecting the physical, psychological, socio
cultural and different aspects of the activities of ... Show more content on Helpwriting.net ...
Sexuality and Reproduction. It's focused on the person's satisfaction or dissatisfaction with sexuality
patterns and reproductive functions. Coping–Stress Tolerance Pattern. its focused on the person's
perception of stress and coping strategies Support systems, evaluated symptoms of stress,
effectiveness of a person's coping strategies. Value–Belief Pattern it's focused on the person's values
and beliefs.(Janet Weber, Jane Kelly ,1998) Indeed, Gordon's functional health pattern can reflect
the potential of the patient health problem. The assessment from health care setting is less
comprehensive than Gordon's patterns. The assessment from health institution reflect the patient's
admission status, previous health status, daily habits and risk assessment. The form are lack of
assess such as congnitive and percepyual, sexuality and reproductive, role and relationship, self–
perception and self concept, coping and stress. It is not difficult to find Gordon functional
assessment are more detailed than assessment form health care setting. For example, Gordon
functional assessment including nutritional metabolic that it contain skin examination. Mucous
membranes, edema status, thyroid status, gag reflex and assess jugular vein distention etc. On the
contrary, the assessment from health institution about nutritional status can only choose normal or
abnormal. It is lack of sufficient information than Gordon's patterns. In addition, the case of

Managed Care Essay
Managed care dominates health care in the United States. It is any health care delivery system that
combines the functions of health insurance and the actual delivery of care, where costs and
utilization of services are controlled by methods such as gatekeeping, case management, and
utilization review. Different types of managed care plans came into development by three major
factors. These factors include choice of providers, different ways of arranging the delivery of
services, and payment and risk sharing. Types of managed care organizations include Health
Maintenance Organizations (HMOs) which consist of five common models that differ according to
how the HMO is related to the participating physicians, Preferred Provider Organizations ... Show
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Case managers also provide support and information to patients and their families. Next, is
utilization review. `Its main objective is to review each case and determine the most appropriate
level of services, the most appropriate settings in which the services be delivered, the most cost
efficient methods for care delivery and the need for planning of subsequent care. Other methods
used for utilization and control are choice restriction and practice profiling' (Douglas, 2003, p.328).
The types of managed care are differentiated by definition, operation, structure, and information
needs. `HMOs were the most common type of MCO until commercial insurance companies
developed PPOs to compete with HMOs' (Douglas, 2003, p.331). `HMOs are business entities that
either arrange for or provide health services to an enrolled population after prepayment of a fixed
sum of money, called a premium' (Peden, 1998, p.78). There are three characteristics that an HMO
must have. The first is a health care financing and delivery system that provides services for
members in a particular geographic area. Second, is ensured access to a complete range of health
care services, health maintenance, treatment, and routine checkups. Last, health care must be
obtained from voluntary personnel that participate in the HMO. The five HMO models related to the
participating physicians are the Staff

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