Patient often has at least some anxiety
Fear of diagnosis
Discomfort with lack of privacy
Fear of high costs/ time off work
Fear of pain or discomfortDifficult for MD’s and nurses
Administrative role to provide a supportive environment
Patient judge medical care based upon their entire experience, not just physician quality
Parking
Registration
BillingDemeanor of manager may dispel complaints
Listen, empathize, change what you can, however….
Medical decisions are still the MD’s responsibility
Timeliness
Respect that their time is as important as yoursProvider attitude
Happy doctors and nurses, good “bedside manner”Complaints may be a symptom of a larger problem
Patient anxiety
Financial concerns
Too little time with MDMD didn’t listenStaff was rude, uncaringWait too longMD took calls during examPoor teaching, no explanation for testsPoor explanation of billing, insurancePoor communication between specialist and primary care
Top complaints revolve around time, respect, and patient instructionGather facts, information
Remember subjective patient information is only one side of the story
Patients may be misunderstanding the purpose for tests or MD decisionsEasier to resolve when organizational systems are in place
Identification of the problem
Reactive: Complaints
Proactive: Data collection such as surveysAnalyze data to identify trendsCommunicate information in an impartial way to staff, leadersImplement actions to reverse trendsContinuous evaluation to assure effectiveness
Inform patients of why the survey is being done
What the data will be used for
Confidentiality; that answers won’t affect future medical careProvide a stamped envelope
Put no burden on the patient
If a patient puts their name and a personal note provide a personal responseCommunicate results to staff
Complaint resolution/ patient relations is an area where an administrator can make a tremendous impact
May reduce malpractice claimsNeed MD support
Establish peer review processes for MD’s
MD’s should be evaluated by other MD’s
Put in place a formal , objective complaint resolution systemCommunicate continuously with staff
Hca 346 ambulatory care administration
Professor Haislip
Chapters 3 & 5
Basis of any quality program is to figure out what the customer wants and needs while meeting or exceeding their expectations.
Driven from theme of customer-driven market
Customer service principles (ex: Six Sigma) and the common methodologies, combined with the ten commonsense principles (CSPs) and personal experiences, will deliver a customer-focused culture.
Figure 3.1
Chapter 3: Engineering the customer connection
Quality Function Development (QFD)- an effective team approach to designing products and services that involves key stakeholders from the organizations that are responsible for what the customer uses or purchases
notably called the voice of the customer
QFD and voice of the consumer refers to development of prioritized set of customers wants and nee.
ISSUES IN HEALTH MANAGEMENT AND ITS CURRENT NEEDSrithi12
The Indian healthcare scenario presents a spectrum of contrasting landscapes. At one end of the spectrum are the glitzy steel and glass structures delivering high tech medicare to the well-heeled, mostly urban Indian. At the other end are the ramshackle outposts in the remote reaches of the “other India” trying desperately to live up to their identity as health subcenters, waiting to be transformed to shrines of health and wellness, a story which we will wait to see unfold. With the rapid pace of change currently being witnessed, this spectrum is likely to widen further, presenting even more complexity in the future.
Streamlining Your Medical Practice for Profitability and SuccessConventus
Conventus webinar video providing key success strategies and tactics for improving productivity, profitability, and patient care. The one-hour video features host Susan Lieberman of Conventus and Stevie Davidson of Health Informatics Consulting.
ISSUES IN HEALTH MANAGEMENT AND ITS CURRENT NEEDSrithi12
The Indian healthcare scenario presents a spectrum of contrasting landscapes. At one end of the spectrum are the glitzy steel and glass structures delivering high tech medicare to the well-heeled, mostly urban Indian. At the other end are the ramshackle outposts in the remote reaches of the “other India” trying desperately to live up to their identity as health subcenters, waiting to be transformed to shrines of health and wellness, a story which we will wait to see unfold. With the rapid pace of change currently being witnessed, this spectrum is likely to widen further, presenting even more complexity in the future.
Streamlining Your Medical Practice for Profitability and SuccessConventus
Conventus webinar video providing key success strategies and tactics for improving productivity, profitability, and patient care. The one-hour video features host Susan Lieberman of Conventus and Stevie Davidson of Health Informatics Consulting.
Eminence Revenue Cycle Management for physicians includes patient verification, eligibility verification, prior-authorization, claim billing, payment posting, AR and Denial Management, Physician Billing Service. Eminence help physicians practice efficiently, while increasing their cash flow.
The cost of claims drives the cost of employer health plans. See a sample proposal on of a specialized, self-funded health plan that lowers claim costs and makes health care work for employees and employers.
Principles of Surgical Audit presented by Meeran Earfan, Kurdistan Board Trainee/General Surgery in Sulaimaniyah Teaching Hospital, As Sulaimaniyah, Iraq
Quality Medical Care presentation made to a major Pharm mfgr in 1998 at a national meeting. Purpose is to explain how pharm company could use gov mandates to add value to contracts with MCOs.
Nursing leadership and management course / Total Quality MnagementMouad Hourani
What is Quality?
Definition of Quality in healthcare?
Quality Evolution .
Quality control.
Quality Assurance.
Total Quality Management.
Old vs. TQM Approach.
The Deming, Juran and Crosby philosophies.
Quality Principles.
Why Quality?
Quality perspectives.
Key Dimensions of Quality.
Good Managers (Leaders)
Power Point Presentation made to a major pharmaceutical manufacturer in 1998. Identifies cause of Medical Crisis and how Pharm mfgrs can use regulations to add value to their contracts with MCOs.
Workplace productivity is an estimate of how efficiently organizations utilize their resources to accomplish business objectives. Improving productivity is important because increasing it can increase revenue using the same or fewer resources.
Assessment 3 Instructions Professional Product Develop a .docxgalerussel59292
Assessment 3 Instructions: Professional Product
Develop a professional product to improve care or the patient experience related to the identified health problem with a 2-4 page summary of intervention findings, evidence, and best-practice basis for the professional product.
Important:
You must complete all of the assessments in order for this course.
For this assessment, you will develop and deliver a professional product to address the health problem defined in your first assessment to improve care and the patient experience. This will be delivered remotely rather than face-to-face to the individual or group (who can be friends and family) that you have identified. Appropriate examples include development of a community education program focused on a particular health issue or a handout to help the elderly and their families understand their Medicare and Medicaid options.
The product must be useful in a practice setting, relevant to your project, and designed to improve some aspect of care or the patient experience.
A brief summary of the findings of your intervention and evidence-based support for your professional product should accompany your product.
Reminder:
For this assessment, you are required to log in
CORE ELMS
the hours that you spend in remote contact with a patient (who could be a friend or family member).
Three hours of remote contact is the minimum
total amount of time required in this course. Planning time is not included and need not be logged.
As a baccalaureate nurse, you can enhance the experience, health, and lives of patients, families, and community members through personal interactions as well as by developing products to educate or improve the care experience. The ability to identify an appropriate product for improving the quality, safety, cost, and experience of care is an important skill. It also allows a BSN-prepared nurse to demonstrate mastery of patient-centered care delivery. These skills are critical as medicine becomes more personalized and nurses advance in their career and practice leadership.
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
Competency 1: Lead people and processes to improve patient, systems, and population outcomes.
Explain ways in which leadership of people and processes was utilized while designing an intervention and implementation plan.
Competency 2: Make clinical and operational decisions based upon the best available evidence.
Justify decisions related to developing a professional product with relevant research, evidence, and best practices.
Competency 3: Transform processes to improve quality, enhance patient safety, and reduce the cost of care.
Demonstrate process improvements in the quality, safety, or cost of care as a result of a direct clinical intervention and a d.
.
Key Assignment Draft
Part 1 Tasks (Week 4 )
Training Manual
In this assignment, you will develop a training manual that will be utilized for training new employees (certified medical administrative assistants [CMAAs]) who join the clinic.
Physicians are hiring more CMAAs to help manage the increasing complexities of patient care and practice management, while also helping to implement cost-effectiveness and efficiency. The responsibilities of a CMAA can be tailored to the needs of the practice. You will manage front-office functions, manage patient flow, and handle a wide range of tasks that have been discussed in the past few weeks. As a CMAA, you may convey clinical information on behalf of the physician and follow clinical protocol when speaking with patients, but you cannot exercise independent medical judgments. You will also help to optimize patient flow, enabling the physician to see more patients with efficiency, all while following your State’s scope of practice and working under the supervision of a licensed physician.
Note:
Content from Weeks 1
–
3 IPs and DBs can be wholly or partially used as necessary to address the specific Key Assignment tasks shown below. You should take into account any instructor feedback from those IPs and DBs.
The project deliverables are as follows:
Training Manual
Title page
Course number and name
Project name
Your name
Date
The training manual should include the following topics:
An introduction to the health care system
The organization’s structure
The process of checking patients in and out
Scheduling patients
Various community and patient resources
Processes for how to interact with patients
Health insurance plans
Financial procedures related to the policies of the organization
Clean claims
Financial procedures related to the organization’s cash flow
Billing policy and procedures
Protecting patients' privacy
Accounting and bookkeeping procedures and processes
Office procedures for various forms of documentation (release of information, electronic health record)
Health Insurance Portability and Accountability Act (HIPAA) rules and regulations
HIPAA forms
Advance directives
Medical record responsibilities
Obtaining patient demographics and insurance information
Receive, triage, and route phone calls
Review records for medical necessity
Release of information guidelines
...
OverviewConduct a health information technology needs assessment.docxjacksnathalie
Overview
Conduct a health information technology needs assessment. Then, present your findings and recommendations, in a 4–5-page executive summary, regarding a new or upgraded telehealth technology for your organization or practice setting.
Note:
Each assessment in this course builds upon the work you have completed in previous assessments. Therefore, complete the assessments in the order in which they are presented.
SHOW LESS
Nurse leaders play a key role in the decision-making processes associated with the purchase of a health information technology and any subsequent technology upgrades and improvements. A thorough and accurate needs assessment establishes a foundation for evaluating the overall value to an organization of the various technologies that can be used to support nursing and improve patient care.
The needs assessment you will conduct in your first assessment enables you to take a systematic approach to developing knowledge about a new or upgraded telehealth technology that would impact nursing practice. The needs assessment also identifies assessment work that may already have been completed and any gaps that still exist and must be addressed. The goals of completing the needs assessment are to:
Identify gaps in practice that must be addressed to improve patient care.
Understand the nature and scope of needed changes and identify associated opportunities and challenges.
Enable a thoughtful and systematic approach to change implementation and management.
This assessment provides an opportunity for you to work through the needs assessment process and present your findings in a way that will help you gain the support of executive leaders.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 1: Evaluate technologies used to gather patient data; inform diagnoses; and enhance care quality, safety, and outcomes.
Explain the relevance and importance of a needs assessment.
Identify the safety requirements and regulatory considerations when using a new or upgraded telehealth technology.
Competency 2: Develop a collaborative technology integration strategy.
Describe the potential impact of internal and external stakeholders and end users on the acquisition of a new or upgraded telehealth technology.
Competency 3: Develop a strategy for managing technology use that enhances patient care and organizational effectiveness.
Identify the key issues in nursing care affecting patient outcomes that a new or upgraded telehealth technology will address.
Competency 4: Promote effective technology use policies that protect patient confidentiality and privacy.
Identify the patient confidentiality and privacy protections that a new or upgraded telehealth technology must address.
Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable o.
Develop a professional product to improve care or the patient exmackulaytoni
Develop a professional product to improve care or the patient experience related to the identified health problem with a 2-4 page summary of intervention findings, evidence, and best-practice basis for the professional product.
Important:
You must complete all of the assessments in order for this course.
For this assessment, you will develop and deliver a professional product to address the health problem defined in your first assessment to improve care and the patient experience. This will be delivered remotely rather than face-to-face to the individual or group (who can be friends and family) that you have identified. Appropriate examples include development of a community education program focused on a particular health issue or a handout to help the elderly and their families understand their Medicare and Medicaid options.
The product must be useful in a practice setting, relevant to your project, and designed to improve some aspect of care or the patient experience.
A brief summary of the findings of your intervention and evidence-based support for your professional product should accompany your product.
Reminder:
For this assessment, you are required to log in
CORE ELMS
the hours that you spend in remote contact with a patient (who could be a friend or family member).
Three hours of remote contact is the minimum
total amount of time required in this course. Planning time is not included and need not be logged.
As a baccalaureate nurse, you can enhance the experience, health, and lives of patients, families, and community members through personal interactions as well as by developing products to educate or improve the care experience. The ability to identify an appropriate product for improving the quality, safety, cost, and experience of care is an important skill. It also allows a BSN-prepared nurse to demonstrate mastery of patient-centered care delivery. These skills are critical as medicine becomes more personalized and nurses advance in their career and practice leadership.
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
Competency 1: Lead people and processes to improve patient, systems, and population outcomes.
Explain ways in which leadership of people and processes was utilized while designing an intervention and implementation plan.
Competency 2: Make clinical and operational decisions based upon the best available evidence.
Justify decisions related to developing a professional product with relevant research, evidence, and best practices.
Competency 3: Transform processes to improve quality, enhance patient safety, and reduce the cost of care.
Demonstrate process improvements in the quality, safety, or cost of care as a result of a direct clinical intervention and a developed professional product.
Competency 7: Implement patient-centered c ...
Your initial post should be 2-3 paragraphs in length.Inclu.docxdanhaley45372
Your initial post should be
2-3 paragraphs
in length.
Include one peer reviewed journal article to support your post. You can search for a journal article from Welder Library EResources. (Ex: Risk of social media or social media polices, etc.).
Your
initial post is due by Thursday
. This allows you and your classmates time to read and reply.
Make sure to demonstrate critical thinking and analysis by using research and personal work experiences.
For full credit, you are required to
respond
to a minimum of two classmates
. Please begin your reply by addressing the student by name. Your
responses
must be completed by Sunday at midnight
.
Please refer to the rubric for the grading requirements. You can view the rubric by clicking on the wheel in the upper right corner and selecting "show rubric."
Scott Lefor,
The release of information to the public – including through social media – can impact everything from a company’s image before the public to an individual’s image before a company. Jackson et al. (2020) note that while “strategic HR use of social media can build the employer’s reputation in the labor market and help HR professionals to reach candidates and current employees,” the use of social media can also “lead to the disclosure of trade secrets” or present a negative image of the company (p. 21). While companies place substantial hours and dollars into cultivating a favorable brand image before the public, a careless comment or complaint by an employee or contractor on social media can go viral and counteract such marketing efforts. In such cases, companies may find themselves forced to address such comments or complaints before the public in an attempt to save the brand image they have worked so hard to build.
In addition to impacting the image of a company, careless social media posts can also impact potential and current employees before the company. According to Melton and Miller (2015), while “most students appear to know that the content they post” on social media could be viewed negatively by “potential employers,” many students continue to do so (p. 678). Through social media, what would have been a careless comment if spoken aloud becomes a permanent statement viewable by countless individuals. Furthermore, comments and images referencing illegal activities or poor decision-making and communicating abilities become enshrined for potential and current employers to reference and base hiring and firing decisions upon.
It is worth noting that careless comments via social media can go beyond “negative,” and can sometimes involve trade secrets (as noted). While negative comments can cast a shadow over a company’s brand, comments revealing trade secrets can jeopardize long-term strategies, losing hard-won competitive edges. As referenced above, Melton and Miller (2015) assert that even though individuals know of such risks, many continue to post comments that can be understood to be “careless.”
In short, informa.
Your initial post should be made during Unit 2, January 21st at 4.docxdanhaley45372
Your initial post should be made during
Unit 2, January 21st at 4:00 pm.
Submissions after this time will not be accepted.
Please respond to the following questions:
In 6-7 sentences, compare and contrast one of the dance television shows referenced in this unit (try to choose a show that has not already been referenced by another student) to that of the American Dance Marathons, considering such questions as:
How does the socioeconomic and sociopolitical climate of the time affect how dance is presented and how the participants are treated/portrayed?
Discuss the Issue of exploitation, who was exploited, who did the exploiting, and how?
What aspects were theatre, and what aspects were real? How were these exaggerated?
What are the reinforced stereotypes present in the competitions?
Tell us about the idea that drama sells.
Use specific terminology and concepts discussed in class thus far. Make sure that you are citing all sources, or being clear that your statement is your idea/belief/observation.
.
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Eminence Revenue Cycle Management for physicians includes patient verification, eligibility verification, prior-authorization, claim billing, payment posting, AR and Denial Management, Physician Billing Service. Eminence help physicians practice efficiently, while increasing their cash flow.
The cost of claims drives the cost of employer health plans. See a sample proposal on of a specialized, self-funded health plan that lowers claim costs and makes health care work for employees and employers.
Principles of Surgical Audit presented by Meeran Earfan, Kurdistan Board Trainee/General Surgery in Sulaimaniyah Teaching Hospital, As Sulaimaniyah, Iraq
Quality Medical Care presentation made to a major Pharm mfgr in 1998 at a national meeting. Purpose is to explain how pharm company could use gov mandates to add value to contracts with MCOs.
Nursing leadership and management course / Total Quality MnagementMouad Hourani
What is Quality?
Definition of Quality in healthcare?
Quality Evolution .
Quality control.
Quality Assurance.
Total Quality Management.
Old vs. TQM Approach.
The Deming, Juran and Crosby philosophies.
Quality Principles.
Why Quality?
Quality perspectives.
Key Dimensions of Quality.
Good Managers (Leaders)
Power Point Presentation made to a major pharmaceutical manufacturer in 1998. Identifies cause of Medical Crisis and how Pharm mfgrs can use regulations to add value to their contracts with MCOs.
Workplace productivity is an estimate of how efficiently organizations utilize their resources to accomplish business objectives. Improving productivity is important because increasing it can increase revenue using the same or fewer resources.
Assessment 3 Instructions Professional Product Develop a .docxgalerussel59292
Assessment 3 Instructions: Professional Product
Develop a professional product to improve care or the patient experience related to the identified health problem with a 2-4 page summary of intervention findings, evidence, and best-practice basis for the professional product.
Important:
You must complete all of the assessments in order for this course.
For this assessment, you will develop and deliver a professional product to address the health problem defined in your first assessment to improve care and the patient experience. This will be delivered remotely rather than face-to-face to the individual or group (who can be friends and family) that you have identified. Appropriate examples include development of a community education program focused on a particular health issue or a handout to help the elderly and their families understand their Medicare and Medicaid options.
The product must be useful in a practice setting, relevant to your project, and designed to improve some aspect of care or the patient experience.
A brief summary of the findings of your intervention and evidence-based support for your professional product should accompany your product.
Reminder:
For this assessment, you are required to log in
CORE ELMS
the hours that you spend in remote contact with a patient (who could be a friend or family member).
Three hours of remote contact is the minimum
total amount of time required in this course. Planning time is not included and need not be logged.
As a baccalaureate nurse, you can enhance the experience, health, and lives of patients, families, and community members through personal interactions as well as by developing products to educate or improve the care experience. The ability to identify an appropriate product for improving the quality, safety, cost, and experience of care is an important skill. It also allows a BSN-prepared nurse to demonstrate mastery of patient-centered care delivery. These skills are critical as medicine becomes more personalized and nurses advance in their career and practice leadership.
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
Competency 1: Lead people and processes to improve patient, systems, and population outcomes.
Explain ways in which leadership of people and processes was utilized while designing an intervention and implementation plan.
Competency 2: Make clinical and operational decisions based upon the best available evidence.
Justify decisions related to developing a professional product with relevant research, evidence, and best practices.
Competency 3: Transform processes to improve quality, enhance patient safety, and reduce the cost of care.
Demonstrate process improvements in the quality, safety, or cost of care as a result of a direct clinical intervention and a d.
.
Key Assignment Draft
Part 1 Tasks (Week 4 )
Training Manual
In this assignment, you will develop a training manual that will be utilized for training new employees (certified medical administrative assistants [CMAAs]) who join the clinic.
Physicians are hiring more CMAAs to help manage the increasing complexities of patient care and practice management, while also helping to implement cost-effectiveness and efficiency. The responsibilities of a CMAA can be tailored to the needs of the practice. You will manage front-office functions, manage patient flow, and handle a wide range of tasks that have been discussed in the past few weeks. As a CMAA, you may convey clinical information on behalf of the physician and follow clinical protocol when speaking with patients, but you cannot exercise independent medical judgments. You will also help to optimize patient flow, enabling the physician to see more patients with efficiency, all while following your State’s scope of practice and working under the supervision of a licensed physician.
Note:
Content from Weeks 1
–
3 IPs and DBs can be wholly or partially used as necessary to address the specific Key Assignment tasks shown below. You should take into account any instructor feedback from those IPs and DBs.
The project deliverables are as follows:
Training Manual
Title page
Course number and name
Project name
Your name
Date
The training manual should include the following topics:
An introduction to the health care system
The organization’s structure
The process of checking patients in and out
Scheduling patients
Various community and patient resources
Processes for how to interact with patients
Health insurance plans
Financial procedures related to the policies of the organization
Clean claims
Financial procedures related to the organization’s cash flow
Billing policy and procedures
Protecting patients' privacy
Accounting and bookkeeping procedures and processes
Office procedures for various forms of documentation (release of information, electronic health record)
Health Insurance Portability and Accountability Act (HIPAA) rules and regulations
HIPAA forms
Advance directives
Medical record responsibilities
Obtaining patient demographics and insurance information
Receive, triage, and route phone calls
Review records for medical necessity
Release of information guidelines
...
OverviewConduct a health information technology needs assessment.docxjacksnathalie
Overview
Conduct a health information technology needs assessment. Then, present your findings and recommendations, in a 4–5-page executive summary, regarding a new or upgraded telehealth technology for your organization or practice setting.
Note:
Each assessment in this course builds upon the work you have completed in previous assessments. Therefore, complete the assessments in the order in which they are presented.
SHOW LESS
Nurse leaders play a key role in the decision-making processes associated with the purchase of a health information technology and any subsequent technology upgrades and improvements. A thorough and accurate needs assessment establishes a foundation for evaluating the overall value to an organization of the various technologies that can be used to support nursing and improve patient care.
The needs assessment you will conduct in your first assessment enables you to take a systematic approach to developing knowledge about a new or upgraded telehealth technology that would impact nursing practice. The needs assessment also identifies assessment work that may already have been completed and any gaps that still exist and must be addressed. The goals of completing the needs assessment are to:
Identify gaps in practice that must be addressed to improve patient care.
Understand the nature and scope of needed changes and identify associated opportunities and challenges.
Enable a thoughtful and systematic approach to change implementation and management.
This assessment provides an opportunity for you to work through the needs assessment process and present your findings in a way that will help you gain the support of executive leaders.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 1: Evaluate technologies used to gather patient data; inform diagnoses; and enhance care quality, safety, and outcomes.
Explain the relevance and importance of a needs assessment.
Identify the safety requirements and regulatory considerations when using a new or upgraded telehealth technology.
Competency 2: Develop a collaborative technology integration strategy.
Describe the potential impact of internal and external stakeholders and end users on the acquisition of a new or upgraded telehealth technology.
Competency 3: Develop a strategy for managing technology use that enhances patient care and organizational effectiveness.
Identify the key issues in nursing care affecting patient outcomes that a new or upgraded telehealth technology will address.
Competency 4: Promote effective technology use policies that protect patient confidentiality and privacy.
Identify the patient confidentiality and privacy protections that a new or upgraded telehealth technology must address.
Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable o.
Develop a professional product to improve care or the patient exmackulaytoni
Develop a professional product to improve care or the patient experience related to the identified health problem with a 2-4 page summary of intervention findings, evidence, and best-practice basis for the professional product.
Important:
You must complete all of the assessments in order for this course.
For this assessment, you will develop and deliver a professional product to address the health problem defined in your first assessment to improve care and the patient experience. This will be delivered remotely rather than face-to-face to the individual or group (who can be friends and family) that you have identified. Appropriate examples include development of a community education program focused on a particular health issue or a handout to help the elderly and their families understand their Medicare and Medicaid options.
The product must be useful in a practice setting, relevant to your project, and designed to improve some aspect of care or the patient experience.
A brief summary of the findings of your intervention and evidence-based support for your professional product should accompany your product.
Reminder:
For this assessment, you are required to log in
CORE ELMS
the hours that you spend in remote contact with a patient (who could be a friend or family member).
Three hours of remote contact is the minimum
total amount of time required in this course. Planning time is not included and need not be logged.
As a baccalaureate nurse, you can enhance the experience, health, and lives of patients, families, and community members through personal interactions as well as by developing products to educate or improve the care experience. The ability to identify an appropriate product for improving the quality, safety, cost, and experience of care is an important skill. It also allows a BSN-prepared nurse to demonstrate mastery of patient-centered care delivery. These skills are critical as medicine becomes more personalized and nurses advance in their career and practice leadership.
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
Competency 1: Lead people and processes to improve patient, systems, and population outcomes.
Explain ways in which leadership of people and processes was utilized while designing an intervention and implementation plan.
Competency 2: Make clinical and operational decisions based upon the best available evidence.
Justify decisions related to developing a professional product with relevant research, evidence, and best practices.
Competency 3: Transform processes to improve quality, enhance patient safety, and reduce the cost of care.
Demonstrate process improvements in the quality, safety, or cost of care as a result of a direct clinical intervention and a developed professional product.
Competency 7: Implement patient-centered c ...
Your initial post should be 2-3 paragraphs in length.Inclu.docxdanhaley45372
Your initial post should be
2-3 paragraphs
in length.
Include one peer reviewed journal article to support your post. You can search for a journal article from Welder Library EResources. (Ex: Risk of social media or social media polices, etc.).
Your
initial post is due by Thursday
. This allows you and your classmates time to read and reply.
Make sure to demonstrate critical thinking and analysis by using research and personal work experiences.
For full credit, you are required to
respond
to a minimum of two classmates
. Please begin your reply by addressing the student by name. Your
responses
must be completed by Sunday at midnight
.
Please refer to the rubric for the grading requirements. You can view the rubric by clicking on the wheel in the upper right corner and selecting "show rubric."
Scott Lefor,
The release of information to the public – including through social media – can impact everything from a company’s image before the public to an individual’s image before a company. Jackson et al. (2020) note that while “strategic HR use of social media can build the employer’s reputation in the labor market and help HR professionals to reach candidates and current employees,” the use of social media can also “lead to the disclosure of trade secrets” or present a negative image of the company (p. 21). While companies place substantial hours and dollars into cultivating a favorable brand image before the public, a careless comment or complaint by an employee or contractor on social media can go viral and counteract such marketing efforts. In such cases, companies may find themselves forced to address such comments or complaints before the public in an attempt to save the brand image they have worked so hard to build.
In addition to impacting the image of a company, careless social media posts can also impact potential and current employees before the company. According to Melton and Miller (2015), while “most students appear to know that the content they post” on social media could be viewed negatively by “potential employers,” many students continue to do so (p. 678). Through social media, what would have been a careless comment if spoken aloud becomes a permanent statement viewable by countless individuals. Furthermore, comments and images referencing illegal activities or poor decision-making and communicating abilities become enshrined for potential and current employers to reference and base hiring and firing decisions upon.
It is worth noting that careless comments via social media can go beyond “negative,” and can sometimes involve trade secrets (as noted). While negative comments can cast a shadow over a company’s brand, comments revealing trade secrets can jeopardize long-term strategies, losing hard-won competitive edges. As referenced above, Melton and Miller (2015) assert that even though individuals know of such risks, many continue to post comments that can be understood to be “careless.”
In short, informa.
Your initial post should be made during Unit 2, January 21st at 4.docxdanhaley45372
Your initial post should be made during
Unit 2, January 21st at 4:00 pm.
Submissions after this time will not be accepted.
Please respond to the following questions:
In 6-7 sentences, compare and contrast one of the dance television shows referenced in this unit (try to choose a show that has not already been referenced by another student) to that of the American Dance Marathons, considering such questions as:
How does the socioeconomic and sociopolitical climate of the time affect how dance is presented and how the participants are treated/portrayed?
Discuss the Issue of exploitation, who was exploited, who did the exploiting, and how?
What aspects were theatre, and what aspects were real? How were these exaggerated?
What are the reinforced stereotypes present in the competitions?
Tell us about the idea that drama sells.
Use specific terminology and concepts discussed in class thus far. Make sure that you are citing all sources, or being clear that your statement is your idea/belief/observation.
.
Your initial post should be at least 450+ words and in APA forma.docxdanhaley45372
Your initial post should be at least
450+ words
and in APA format (including Times New Roman with font size 12 and double spaced). Post the actual body of your paper in the discussion thread then attach a Word version of the paper for APA review
2 Replies each with minimum
100 words
.
.
Your initial post should be made during Unit 2, january 21st at 4.docxdanhaley45372
Your initial post should be made during
Unit 2, january 21st at 4:00 pm.
Submissions after this time will not be accepted.
Please respond to the following questions:
Using the “Tools to Analyze Dance on Screen” document (based off of the video about film analysis), find and provide a link to a music video (not yet shown in class or by another student). Analyze how the video is representing the “brand” for the artist, what the video is representing, and how dance is used to accomplish this. What does this video say about their values and interests and who they are?Analyze by focusing on some of the following: the use of the camera, editing, and art direction, in addition to the dancing/movement and use of the body. Use specific terminology and concepts discussed in class thus far. Make sure that you are citing all sources, or being clear that your statement is your idea/belief/observation.
.
Your initial post should be made during, Submissions after this time.docxdanhaley45372
Your initial post should be made during, Submissions after this time will not be accepted.
Please respond to the following questions:
Consider the movie caricature assigned to your last name, provide a brief description/definition of the caricatures and provide a movie/television/cartoon/internet character that fits this caricature, and one that counters it. Provide a brief explanation of how both do/do not fit. Make sure that you are citing all sources, or being clear that your statement is your idea/belief/observation.
Last names starting with A-E:
The Tom Caricature
Last names starting with F-J:
The Mammy Caricature
Last names starting with K-O:
The Brute/Buck Caricature
Last names starting with P-S:
The Coon Caricature
Last names starting with T-Z:
The Jezebel
.
Your essay should address the following.(a) How is the biologic.docxdanhaley45372
Your essay should address the following.
(a) How is the biological and social elements distinguished in Language?
(b) Explain briefly the phonology, syntax and semantics of language.
(c) The common features of language and pre linguistic mentality.
(d) What has language got that prelinguistic mentality lacks?
(e) What are the features of consciousness tat language lacks?
(f) What are the functions of language and explain the difference between representation and expression.
(g) Show the features of language that is active in creating society.
(h) Sho how commitments are part and parcel of using langue.
(i) How does language enable us to construct social institutions?
The essay should be written in nontechnical, straightforward, ordinary language. The essay should be a approximately a 1000 words, without errors that might impede their understanding as a reader. If you use a technical term please immediately say how the term is to be understood.
.
Your initial post is due by midnight (1159 PM) on Thursday. You mus.docxdanhaley45372
Your initial post is due by midnight (11:59 PM) on Thursday. You must write at least 400 words on Olive Senior's "The Pain Tree" and Ana Menéndez's "Her Mother's House" (in other words, at least 200 words for each story).
Instead of relying on plot summary you will support your interpretation by using and analyzing textual evidence. When you quote the story make sure you cite the page number: for instance, after the quotation put the page number in parenthesis (60). Avoid writing out "on page 60". When you quote a passage from the story make sure you introduce the context and that you are analyzing the meaning of what you quoted.
I encourage your own formulations, but address the following prompts (you can address them in any order and be sure to write at least three or more paragraphs):
In the short stories, you are going to encounter protagonists attempting to reconnect and remember (as in "putting together again") their Caribbean "home" spaces. How have their perceptions of their Caribbean homelands been shaped by their parents? What new perceptions do they gain and how does this transform their view of themselves and their history?
Victor Shklovsky argues that
ostranenie
("making strange" in Russian, and also translated as estrangement/defamiliarization) is the essence of literature. Where in the two stories do we encounter descriptions of estranged perception? Analyze the significance of these moments in the stories. Be sure to consult and cite Shkovsky's essay (especially his definition of
ostranenie
on page 80) to support your analysis.
For our annotation assignment, we learned how to notice patterns and overlooked meanings that helped us understand "Sonny's Blues" more fully. In "The Pain Tree" and "Her Mother's House" what patterns, connections or implied meanings did you notice structuring the stories?
.
Your individual sub-topic written (MIN of 1, MAX 3 pages)You.docxdanhaley45372
Your individual sub-topic written (MIN of 1, MAX 3 pages)
Your portion of the White Paper must include one of the following:
1. Introduction/Summary
2. History/Background and Context
3. Problem (Defined)
4. Discussion to relate point of view from sources used
5. Writer takes a position
6.
Solution
/s
7. Conclusion.
.
Your HR project to develop a centralized model of deliveri.docxdanhaley45372
Your HR project to develop a centralized model of delivering HR services has progressed through very critical stages of the project thus far. It is now time to present actionable, decision-making information to project leaders. This can be best accomplished when projects have been successfully managed, devoid of any major risks, and have been properly closed out and finalized.
Write a five to six (5-6) page paper in which you:
1. Explain what it means to successfully direct and manage project work and identify and discuss 3-4 strategies you might use to manage and sustain progress in your HR project. Be specific.
2. Identify and discuss a minimum of 3 strategies that could be used to address and resolve any risks within the control of the project. HINT: See Exhibit 14.5 in the textbook. Is any one of the strategies you selected more important than the others? Why?
Exhibit 14.5
RISK EVENT RESOLUTION STRATEGIES RISKS WITHIN PROJECT CONTROL
Understand and control WBS
Closely monitor and control activity progress
Closely manage all project changes
Document all change requests
Increase overtime to stay on schedule
Isolate problems and reschedule other activities
Research challenging issues early
RISKS PARTIALLY WITHIN PROJECT CONTROL
Establish limits to customer expectations
Build relationships by understanding project from client’s perspective
Use honesty in managing client expectations
Work with client to reprioritize cost, schedule, scope, and/or quality
Carefully escalate problems
Build team commitment and enthusiasm
RISKS OUTSIDE PROJECT CONTROL
Understand project context and environment
Actively monitor project environment
Understand willingness or reluctance of stakeholders to agree to changes
3. Describe 2-3 actions a project manager may take as they begin to close out the project. Be sure to justify using the actions you discuss.
4. Review Project Management in Action: The Power of Lessons Learned (pages 518-520 in the textbook) and provide an overview to the project team on the significance of the information. Be specific.
Pg 518-520 from book
PROJECT MANAGEMENT IN ACTION The Power of Lessons Learned Projects are discrete. They have a beginning and an end, at which time the project team disbands and moves on to other things. Despite the fact there has inevitably been significant tacit learning during the project, there is often only a limited capture of this into a sharable form for future reuse. Too often, as the project team dissolves, the learning fades into the memories of individuals minds. This makes it extremely difficult for others to benefit in the future from the insights learned. The usual excuses for this loss echoing through the corridors include just too hard, not enough time, team disbanded before we had the chance, and many more. The key error here is the incorrect assumption that learning during or from projects is an added bonus or a nice- to-have luxury. This is not the case in best.
Your Immersion Project for this course is essentially ethnographic r.docxdanhaley45372
Your Immersion Project for this course is essentially ethnographic research. When you hear the words
ethnography
or
ethnographic research
, you may think of Margaret Mead or Franz Boas performing their research on cultures outside their own countries and living among their research subjects. Contemporary ethnographic research includes many other types of research scenarios, such as urban ethnography, neighborhood studies, and even microstudies of groups as small as families and individuals.
Ethnography
is any systematic study of people and cultures, usually conducted through observation, interviews, dialogues, participation, and historical research. Ethnography is used across disciplines as varied as anthropology, linguistics, sociology, advertising, and of course, human services and social work.
Your Immersion Project is just that—a study of a population group with the goal of better understanding the culture of the group. As you complete this project over the course of the semester, keep in mind one of the classical hallmarks of ethnographic research, pioneered by Boas: The beliefs and activities of humans have to be interpreted within their own cultural terms and not evaluated or judged through the cultural lens or terms of the observer or researcher. That is, human beliefs and behavior are culturally relative.
This week, you submit your Immersion Project Paper, one of two culminating parts of your Final Project for this course (along with your narrated PowerPoint, which is due in Week 10).
This 7- to 10-page paper will be a culmination of what you have experienced and explored throughout your work on this project. Since everyone’s experience will be different, the content of the paper will vary for each student; however, there are two sections that everyone should include:
Reflection on your Immersion Project:
Observation: What observational activity did you attend and what insight did it give you into your selected population?
Dialogue: How did you carry out your dialogue? Reflect on your experience and what insight it gave you into your selected population.
Reaction and Critical Analysis of your experience: This section should incorporate your reflections on your experiences, what you learned about the group, what you learned about yourself, and how your perceptions of this group have changed over time.
Several areas to address in this section:
Description of the group
Values/belief orientation
Social interactions (relationships within and between group members)
Religious/spiritual beliefs
Roles and expectations
Language and communication
.
Your country just overthrew its dictator, and you are the newly .docxdanhaley45372
Your country just overthrew its dictator, and you are the newly elected President. Unfortunately, due to the divisions in the country and the years of war, economic, military, and political structures are non-existent. A group of loyalists to the old dictator have been detonating bombs, murdering civilians, assassinating leaders, and terrorizing towns with help from a neighboring country's dictator.
Create a comprehensive plan for your new government. While creating this government identify 1) the governing style of your government and the principles that govern your leaders (see rubric); 2) the functions of various branches of government; 3) how to maintain public good in domestic areas through at least two programs; 4) an economic structure that is most beneficial to your citizens; 5) ways to create national unity; 6) ways to combat terrorism and violence; and, 6) international organizations to join
.
Your have been contracted by HealthFirst Hospital Foundation (HHF),.docxdanhaley45372
Your have been contracted by HealthFirst Hospital Foundation (HHF),?
Your have been contracted by HealthFirst Hospital Foundation (HHF), a charitable organization that provides services to community clinics in Atlanta, Georgia. Due to the organization's tremendous growth, it will need to computerize its operations. By doing so, HHF will be able to continue to meet the needs of both its benefactors and their employees. To this end, it has decided to move its operation to a more modern facility, where it will install a Local Area Network (LAN), and you will be managing the network implementation.
Department # of Employees
Administration 18
Human Resources 9
Accounting 13
Hospital Relations 12
Media Relations 4
Board Room 0
MIS 6
Total 62
Feasibility of the proposed change
HHF has examined its resources and budgetary constraints and determined that the installation of the LAN is feasible. There is a need to maintain as low a budget as possible.
Project Goals
The goals for the LAN project are as follows:
Fully functional networked system
Design a boardroom in which any department's information can be accessed and expressed
Illustrate the complete network and boardroom design
Maintain as low a price as possible
Current state
The new facility consists of 5 six-cubicle work areas and a separate MIS Department and a boardroom. (See the schematic below) Each work area also includes a closed office for the department head.
Deliverables
The deliverables are outlined below:
Begin compiling your project plan by choosing network servers, routers, and hubs. Describe your network model, topology, and selections with an explanation of your choices in a memo to Roger Chen, the chief information officer at HHF. Be sure to use terms and concepts that you have learned in this course.
.
Your group presentationWhat you need to do.docxdanhaley45372
Your group presentation
What you need to do
Your presentation
groups
You can self-select groups (no more than 6)
Or I will put you into groups
Each group will present for a maximum of 20 minutes
You can self-select your topic
Everyone gets the same mark
Do not complain to me about the social loafers
Your presentation
Follow the rubric
Follow the format as presented in the applied cultural proficiency lectures
Let’s review..
How to get the most marks: (part a)
How to get the most marks in part b
During your tutorials, you will be required to peer review the other presentations. You need to demonstrate an understanding of the determinants of health in the presentation (0/10) and to demonstrate an understanding of the APIE system (0/10). See the rubric to get the best points:
Putting it all together
For your group assignments…
Choosing your topic:
Go to Australian Indigenous HealthInfoNet (http://www.healthinfonet.ecu.edu.au/)
Choose a topic that interests you
Choose a program that interests you
Your presentation might look like this:
6
Pick one of these
https://healthinfonet.ecu.edu.au/
Aunty Kerrie & Papa Ron
Aunty Kerrie & Papa Ron
Then you work your way
through the APIE
Check it out to see if you want to do it…
Your presentation MIGHT look like this…
Using the tools from the lectures…
assessment
How did the programmers decide it was a problem?
Eg, did they measure anything with the ABS? use any of the other assessment tools?
if the programmers did not demonstrate it, how do you think they should/might have assessed this problem?
Examples from the lectures:
Y
feel
hear
see
e.g. did the programmers ask the community?
Should they have?
How did they know it was a problem?
Did they do a holistic assessment?
Why was there a need in this community?
Why was there .
Your contribution(s) must add significant information to the dis.docxdanhaley45372
Your contribution(s) must add significant information to the discussion. Your reply should be a very minimum of 250 words.
Research, read, and then write in your own words. Explain examples and incorporate evidence. Cite your sources within your sentences.
Provide complete citations at the end of your posts. A complete citation includes both the website’s title and
Do not copy and paste stuff….that will cause you to lose points and far more importantly, you will have lost the richness of understanding this information.
ADD COMMENT AND INFORMATION TO THE TEXT BELOW
Many people are skeptical that climate change is even occurring on our beautiful planet. Some places worldwide feel its effects through increased temperatures, which is desirable to some. However, many other places, like the lovely island Fiji, are suffering from the effects of climate change. A Youtube video, “Climate Change Fiji,” posted by the user
UN Climate Change
describes the terrible circumstances faced by civilians who are forced to flee their homes due to rising sea levels (www#1). The loss of beach shores has resulted in a drastic decrease in marine life and land species who rely on coastal areas to survive. According to an article posted by author Sarah Taylor, to the site
EuroNews,
titled “Fiji prepares for ‘Climate Refugees’,” since the 19th century, sea levels have risen by around 25 centimeters worldwide (www#2). This rise in sea levels is attributed to the seemingly neverending rise of greenhouse gas emissions into our atmosphere. Another Youtube video, “Climate Change and Fiji,” posted by the user
COP23fj
emphasizes that Fiji is only one of many other Pacific Islands to be battling climate change (www#3). However, Fijians have taken the lead as the spokespeople for all Pacific Islanders to feel protected and not neglected.
These negative biological implications seem to occur in other places around the world, right? Wrong. Our very own city, San Diego, has been facing and will continue to tackle the negative effects of climate change. A typed interview conducted by the Environmental Health Coalition with Kayla Race exemplifies the many ways climate change appears in our communities, including prolonged heat waves, more intense wildfires, increased water costs, and disruptions on electricity (www#4). My family and I have personally been affected by the increased water (and energy) costs and the interruptions on our electricity. We don’t use our AC system and rely on fans for a cool down from our heatwave, yet are charged more than during the year and face blackouts quite often. A video posted in 2017 by the San Diego Union-Tribune, explains the differences between catastrophic and existential climate change (www#5). Catastrophic damage is survivable by humans, while existential climate change threatens the immediate safety of humans. Many still do not believe that these repercussions are created by car emissions into the air, affecting our atmospher.
Your good friends have just adopted a four-year-old child. At th.docxdanhaley45372
Your good friends have just adopted a four-year-old child. At this point, the only socialization decision they have made is that the child is going to preschool. Imagine that you are an expert in your chosen field. Your friends have come to you for advice and to devise a plan to raise their child. They ask you to be frank with them and give them specific examples to support your opinions. They are determined to raise this child to the best of their ability. Since they are new parents, they need advice on everything!
The summative assignment is to develop a user-friendly PowerPoint handbook of suggestions. The handbook will demonstrate your understanding of the material by applying the major topics discussed in the course to a real situation.
The PowerPoint presentation for the Final Project must include:
Title slide (one slide)
Introduction of the material for the new adoptive parents (one to two slides)
At least 15 slides summarizing each of the items listed below (one to two slides for each item). Please note that the content of each slide should appear in the notes section, while the slide itself should contain the information that would be presented to the parents.
An image that represents each item
Conclusion slide that clearly explains why the parents should review this material (one to two slides)
Reference slide with at least three scholarly sources and the course text properly cited (one slide)
Writing the PowerPoint Presentation of the Final Project
Summarize Bronfenbrenner's ecological model and describe why it is important for them to be aware of this theory (one to two slides).
Suggest and explain a parenting style/philosophy (authoritarian, authoritative, or permissive) that you believe will be most beneficial for the child and the family (one to two slides).
Explain which childcare (nanny, center-based, or family-based care) option (before/during/after preschool) you think is best for the child and why (one to two slides). Be sure to include discussion of the social factors that influence the likelihood of the family selecting a particular form of childcare.
Share specific suggestions, including at least two to implement safe technology use in the home. Explain how the media can (both positively and negatively) influence the child (one to two slides).
Discuss the importance of culture and ethnicity in the development of the self-concept. Share your ideas of ways that the new parents can create opportunities for the child to learn about his or her culture (one to two slides).
Describe at least two researched methods to increase the child's self-esteem and positive attitude (one to two slides).
Differentiate between the importance of socialization that occurs in the home and at school. Explain the importance of each venue as a positive haven for the child (one to two slides).
Explain the importance of the teacher’s role in the child's life. Give examples of how the school and the teacher will affect the child's soci.
Your good friends have just adopted a four-year-old child. At this p.docxdanhaley45372
Your good friends have just adopted a four-year-old child. At this point, the only socialization decision they have made is that the child is going to preschool. Imagine that you are an expert in your chosen field. Your friends have come to you for advice and to devise a plan to raise their child. They ask you to be frank with them and give them specific examples to support your opinions. They are determined to raise this child to the best of their ability. Since they are new parents, they need advice on everything!
The summative assignment is to develop a user-friendly PowerPoint handbook of suggestions. The handbook will demonstrate your understanding of the material by applying the major topics discussed in the course to a real situation.
The PowerPoint presentation for the Final Project must include:
Title slide (one slide)
Introduction of the material for the new adoptive parents (one to two slides)
At least 15 slides summarizing each of the items listed below (one to two slides for each item). Please note that the content of each slide should appear in the notes section, while the slide itself should contain the information that would be presented to the parents.
An image that represents each item
Conclusion slide that clearly explains why the parents should review this material (one to two slides)
Reference slide with at least three scholarly sources and the course text properly cited (one slide)
Writing the PowerPoint Presentation of the Final Project
Summarize Bronfenbrenner's ecological model and describe why it is important for them to be aware of this theory (one to two slides).
Suggest and explain a parenting style/philosophy (authoritarian, authoritative, or permissive) that you believe will be most beneficial for the child and the family (one to two slides).
Explain which childcare (nanny, center-based, or family-based care) option (before/during/after preschool) you think is best for the child and why (one to two slides). Be sure to include discussion of the social factors that influence the likelihood of the family selecting a particular form of childcare.
Share specific suggestions, including at least two to implement safe technology use in the home. Explain how the media can (both positively and negatively) influence the child (one to two slides).
Discuss the importance of culture and ethnicity in the development of the self-concept. Share your ideas of ways that the new parents can create opportunities for the child to learn about his or her culture (one to two slides).
Describe at least two researched methods to increase the child's self-esteem and positive attitude (one to two slides).
Differentiate between the importance of socialization that occurs in the home and at school. Explain the importance of each venue as a positive haven for the child (one to two slides).
Explain the importance of the teacher’s role in the child's life. Give examples of how the school and the teacher will affect the child's socializa.
Your goals as the IT architect and IT security specialist are to.docxdanhaley45372
Your goals as the IT architect and IT security specialist are to:
Develop solutions to the issues that the specified location of IDI is facing.
Develop plans to implement corporate-wide information access methods to ensure confidentiality, integrity, and availability.
Assess risks and vulnerabilities with operating IT facilities in the disparate locations where IDI now functions and develop mitigation plans and implementation methods.
Analyze the strengths and weaknesses in the current systems of IDI.
Address remote user and Web site user’s secure access requirements.
Develop a proposed budget for the project—consider hardware, software, upgrades/replacements, and consulting services.
Prepare detailed network and configuration diagrams outlining the proposed change to be able to present it to the management.
Develop and submit a comprehensive report addressing the learning objectives and your solutions to the issues within the scenario.
Prepare a 10- to 15-slide PowerPoint presentation that addresses important access control, infrastructure, and management aspects from each location.
.
Your essay should address the following problem.(a) What is .docxdanhaley45372
Your essay should address the following problem.
(a) What is the idea of power and specifically the idea of political power?
(b) What is bio-power, what is French thinkers Foucault ideas of power.
(c) What is the idea of a background/network power?
(d) How does the existence of background/network power explain who or what is exercising this power?
(e) State the paradox in political power.
(f) Can democratic societies be made consistent with religious societies?
(g) What in summary is the conclusion of the discussion of political power in the text book?
.
Your future financial needs will be based on the income you can reas.docxdanhaley45372
Your future financial needs will be based on the income you can reasonably expect to receive in your field and planning.
Assignment Information
Using the
template provided
, estimate what your budget may look like in the future. Include expenses such as:
Computer hardware and software
Continuing education
Certification and Recertification
Field or Lab Equipment
Any other needs to maintain professional credibility and marketability
This is the Template
CS204 Budget Worksheet
Monthly Expenses
Amount
Mortgage or rent
Taxes: property
Money to Savings Account
Food
Insurance
Health bills (not covered by insurance)
Car loan
Car expenses
Credit card bills
School loans
Other loans
Professional equipment expenses
Other professional development expenses
Child care
Clothing
Children's Education
Entertainment
Vacations
Charity
Miscellaneous
Total Monthly Expenses:
Yearly Income:
Monthly Income from Job:
Any other monthly income (child support, dividends, and interest):
Total Monthly Income*:
Total Monthly Income:
Total Monthly Expenses:
Difference:
.
Your friend Lydia is having difficulty taking in the informati.docxdanhaley45372
Your friend Lydia is having difficulty "taking in" the information in her history class, so she asks you to use your expertise in psychology to offer some suggestions on how to improve her memory performance.
Discuss how attention, deep processing, elaboration, and the use of mental imagery can affect the encoding process. Utilize your readings, lecture, and powerpoints and examples that you might have to help with your post.
Please submit a minimum of 250 words and cite your resources. Turnitin will be utilized. Please make sure, you write your post in your own words.
.
A Strategic Approach: GenAI in EducationPeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Acetabularia Information For Class 9 .docxvaibhavrinwa19
Acetabularia acetabulum is a single-celled green alga that in its vegetative state is morphologically differentiated into a basal rhizoid and an axially elongated stalk, which bears whorls of branching hairs. The single diploid nucleus resides in the rhizoid.
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdfTechSoup
In this webinar you will learn how your organization can access TechSoup's wide variety of product discount and donation programs. From hardware to software, we'll give you a tour of the tools available to help your nonprofit with productivity, collaboration, financial management, donor tracking, security, and more.
Embracing GenAI - A Strategic ImperativePeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Biological screening of herbal drugs: Introduction and Need for
Phyto-Pharmacological Screening, New Strategies for evaluating
Natural Products, In vitro evaluation techniques for Antioxidants, Antimicrobial and Anticancer drugs. In vivo evaluation techniques
for Anti-inflammatory, Antiulcer, Anticancer, Wound healing, Antidiabetic, Hepatoprotective, Cardio protective, Diuretics and
Antifertility, Toxicity studies as per OECD guidelines
Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
This presentation provides a briefing on how to upload submissions and documents in Google Classroom. It was prepared as part of an orientation for new Sainik School in-service teacher trainees. As a training officer, my goal is to ensure that you are comfortable and proficient with this essential tool for managing assignments and fostering student engagement.
Palestine last event orientationfvgnh .pptxRaedMohamed3
An EFL lesson about the current events in Palestine. It is intended to be for intermediate students who wish to increase their listening skills through a short lesson in power point.
Introduction to AI for Nonprofits with Tapp NetworkTechSoup
Dive into the world of AI! Experts Jon Hill and Tareq Monaur will guide you through AI's role in enhancing nonprofit websites and basic marketing strategies, making it easy to understand and apply.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
Patient often has at least some anxietyFear of dia.docx
1. Patient often has at least some anxiety
Fear of diagnosis
Discomfort with lack of privacy
Fear of high costs/ time off work
Fear of pain or discomfortDifficult for MD’s and nurses
Administrative role to provide a supportive environment
Patient judge medical care based upon their entire experience,
not just physician quality
Parking
Registration
BillingDemeanor of manager may dispel complaints
Listen, empathize, change what you can, however….
Medical decisions are still the MD’s responsibility
Timeliness
Respect that their time is as important as yoursProvider attitude
Happy doctors and nurses, good “bedside manner”Complaints
may be a symptom of a larger problem
Patient anxiety
Financial concerns
Too little time with MDMD didn’t listenStaff was rude,
uncaringWait too longMD took calls during examPoor teaching,
2. no explanation for testsPoor explanation of billing,
insurancePoor communication between specialist and primary
care
Top complaints revolve around time, respect, and patient
instructionGather facts, information
Remember subjective patient information is only one side of the
story
Patients may be misunderstanding the purpose for tests or MD
decisionsEasier to resolve when organizational systems are in
place
Identification of the problem
Reactive: Complaints
Proactive: Data collection such as surveysAnalyze data to
identify trendsCommunicate information in an impartial way to
staff, leadersImplement actions to reverse trendsContinuous
evaluation to assure effectiveness
Inform patients of why the survey is being done
What the data will be used for
Confidentiality; that answers won’t affect future medical
careProvide a stamped envelope
Put no burden on the patient
If a patient puts their name and a personal note provide a
personal responseCommunicate results to staff
Complaint resolution/ patient relations is an area where an
administrator can make a tremendous impact
May reduce malpractice claimsNeed MD support
Establish peer review processes for MD’s
MD’s should be evaluated by other MD’s
3. Put in place a formal , objective complaint resolution
systemCommunicate continuously with staff
Hca 346 ambulatory care administration
Professor Haislip
Chapters 3 & 5
Basis of any quality program is to figure out what the customer
wants and needs while meeting or exceeding their expectations.
Driven from theme of customer-driven market
Customer service principles (ex: Six Sigma) and the common
methodologies, combined with the ten commonsense principles
(CSPs) and personal experiences, will deliver a customer-
focused culture.
Figure 3.1
Chapter 3: Engineering the customer connection
Quality Function Development (QFD)- an effective team
approach to designing products and services that involves key
stakeholders from the organizations that are responsible for
what the customer uses or purchases
notably called the voice of the customer
QFD and voice of the consumer refers to development of
prioritized set of customers wants and needs in support of new
program, service, or care delivery systems.
Also works to improve existing programs
Kaizen- improvement
Quality function deployment
Lean improvement methodologies capitalize on the elimination
of waste within work and personal space.
1. Muda- is an activity that is wasteful & doesn’t add value to
4. the customer or to the organization.
Exercises: profound & concentrate on reducing and eliminating
seven wastes: overproduction, unnecessary transportation,
inventory, motion, defects, overprocessing, and waiting.
Determine what adds value & what doesn’t to clean and
streamline processes.
Ex: eliminating med errors, reducing wait times
2. Mura- refers to inconsistency in process, people, or human
spirit. Just-in-time inventory and systems play a big part in
eliminating mura.
Kanban is an effective way of communicating inventory control.
Tells you what to produce, when, and how much to produce.
Table 3.1 & 3.2
3. Muri- based on unreasonableness or absurdity in work &
system processes. Concentrating on making processes logical is
necessary for success.
Reduces process steps to the simplest elements and knowing
how handoffs and next steps work produces systems that
patients, staff, and physicians can easily navigate
Three types of waste
1. Keep wait times to a minimum
2. Make a good impression
3. Be open and honest
4. Don’t blame the customer
5. Ask questions
6. It’s not a meat market
7. Follow through
8. No Medical Mumbo Jumbo
9. Work as a team
10. Relate to the person
10 commonsense principles
Make a point to know who the customers are for your outpatient
5. program
Keep customer-mindedness on the agenda when speaking to
staff
Walk in your customer’s shoes. Know what its like to sit in
your waiting room. Are your front desk staff warm and open,
making strong, positive first impressions? Do you project a
healing environment? Is your service setting age appropriate?
Be critical and truly assess your organization from your
customer’s eyes and experience.
Key points
Human Resource Factor in outpatient settings promotes a
preventative and systematic people program that results in
successful outcomes for the patients we serve.
Covers employees, physicians, allied health professionals,
contract workers, vendors, and volunteers
Each group requires different levels of oversights and
management when it comes to meeting state, federal, &
regulatory requirements
Finding and retaining the right people in any organization is
vital
Take time to create well-thought-out policies, procedures, job
descriptions & other documents to adequately articulate what is
expected
Make sure HR links with your mission, vision, & values
Chapter 5:
the human resource factor
Recordkeeping is most important function of any human
resource department
File contains a record of every action that was taken for
employment or credentialing. Keep a file for everyone
associated with facility
Files that concern medical examinations & information,
6. disability, worker’s comp, and other related items are to be kept
separate
Employee’s HR files include personnel docs related to
employee’s job description & responsibilities, performance
evaluations, employment application, salary adjustments, and
other associated docs
Access should be limited to supervisors or those with regulatory
or legal need
Creating complete hr files
Health Care Quality Improvement Act of 1986
Vendor and contract services can contribute to a quality
program in an outpatient setting
Do due diligence when selecting providers
Contract with a vendor is a legal document. Read each contract
in detail to ensure proposal matches what the contract ends up
saying
Determine who signs contracts. All clinical contract services
need to go before medical staff and governing body for
approval, as they potentially impact patient care
Clinical Contract Employee Requirement & Files
Pg 70-71
Chapter 5: the human
resource factor
OSHA requires that employees & individuals affiliated with the
facility complete training before starting work and yearly
thereafter.
If done correctly, training and education can facilitate a safer
environment, leading to improved and sustained quality
outcomes
Training consists of following:
Infection prevention
Personal Protective Equipment (PPE)
7. Ergonomics
Workplace Violence
Harassment
Fire Safety
Portable Fire Extinguisher Use
Bloodborne Pathogens
Hazard Communication & Emergency Preparedness
Radiation Safety
OSHA requires businesses keep records showing compliance.
By keeping maintained, should be able to avoid heavy fines that
accompany noncompliance
Hr training to promote safety & quality
Next week: exam 1!
Discussion board due by 5:00pm on FRI. 2/21
study guide posted. Please contact me with questions.
Definitions of service or outputs:Value= providing the most
effective and appropriate care given the available
resourcesEfficacy=ability to produce the desired
effectAppropriate=applied to the right patient at the right
timeEffective=combination of efficacy and appropriateness
Definitions of organizational performance:Productive=ratio of
outputs to inputsEfficient=costs per unit of output
8. Brought in the patient experienceSafeTimely EffectiveEfficient
EquitablePatient centered
5 interrelated domains:Consumer satisfactionEmployee
satisfactionWorkforce stabilityClinical outcomesRegulatory
performanceRegulation is a legal mandate for minimum level of
qualityAccreditation aims for a higher standard
A difficult aspect of quality
managementStructureProcessOutcomeReliance on structure and
process due to difficulty in measuring outcomesAre outcomes
always related to structure and process?
Stakeholders may want emphasis on what they have most
control
of:Management=structureProviders=processClients=outcomesCh
allenge to account for factors outside of provider controlWhat is
the ‘baseline’ or starting pointWhat is influenced by factors
apart from the organization
Quality assurance focuses on eliminating poor providersHas
resulted in a documentation driven system; providers need to
“cover themselves”Little effectiveness, a minimum
standardLittle focus on changing processesQuality improvement
seeks to continuously move forwardDemands cultural change
and engaged leadership
Key concepts:Organizational work is process driven Quality is
obtained by altering processesThe customer is centralLack of
9. quality is costlyInvolve every workerSet high standardsFocus
on priorites
Management that lacks focusLittle feedback or rewards for
progressDifficulties of culture change decrease moraleLack of
time for QI activitiesOnly involving upper
managementEvangelistic devotion to QI, irrationality
What is assessed and why based upon the purpose (mission) and
future goals (vision) of the organizationEx: a organization
designed to produce cars would rely heavily on measures of
efficiencyManagers balance between a business model and
meeting a larger social needAlso level of openness and
interconnectednessInternal and external measures of
improvement
Motivate Set criteria for evaluationLegitimize
activitiesRemember the balance between organizational goals
and legitimized means; are all activities working toward the
goal, or have some become ritualSend a message to those
outside the organization
What is measured should reflect organizational goalsShould be
easy to answer the “ why” questionsNeed to know which
stakeholders are getting the informationPhysicians want
different info than consumersHealth care organizations may
perform well in one domain, poorly in anotherNeed a
representative view
Remember complexity theory…Improving each subunit may not
10. improve the whole; based in interaction between the partsSmall
changes can have large effectsMeasurement should assess the
big picture, not is lab meeting it’s productivity goals but is the
patient experiencing a quality experience
Goals may be incompatibleEfficiency versus customer
satisfactionRestraints: safety or QOLSome change may be
ineffective currently but needed for future
adaptabilityPreventative carePresence of subunits that are
affected differently by QI
Multiple StakeholdersSome more powerful than othersNeeded
peer review among physiciansHx of MD’s evaluating MD’sCan
lead to dual lines of authorityNeed for both standardized
procedures and procedural flexibilityMost measures do not
address the complexity of the care giving situationFrustrating
for employees
Well trained professional staffHigh organizational
standardsExperienceCoordination of professional staffs,
including conflict resolution proceduresCulture of employee
participation, diverse inputTimely and accurate feedback Active
management of work environmentCompensation mechanisms
Assess for areas of needed improvementFacilitate team
approaches to change, diverse inputAllow professionals
flexibilityAssure adequate resources for data collection and
analysisReward performanceDon’t blame individuals, however,
for process failuresMaintain outside relationships to acquire
resources
11. Know:Why get accredited?What do you need to be eligible for
accreditation?
Understand:Standard=the goalRationale=why the goal is
importantElements=process to meet goalThe survey process4
steps to gather information
Hca 346 ambulatory care administration
Professor Haislip
Ambulatory services, for the “walking patient”, have the most
contact with patients
Part of the evolution of the health care system reflects changes
in the role of the physician. Used to be a supporter and
occasionally effective curative interventions. Today, role is to
treat symptoms and cure diseases
With the dramatic changes in diseases over time, doctors are no
longer able to carry their supplies in a little “black bag” and
move from home to home. Rather, they need advanced
institutional support to cure disease
Overview of Ambulatory care:
Ambulatory care encompasses all services used by the
noninstitutionalized patient
Central role is the initial and continuing point of contact with
the health care system
Continuing= follow-up, routine, ongoing care, and referral
source for specialized services
Especially important component= primary care
Serves to provide coordination, rationalization, and rationing of
healthcare (gatekeeper)
Important for managed care
12. Don’t want you to go directly to a specialist
Overview of Ambulatory care:
Group Practice- affiliation of providers, usually physicians, who
share incomes, expenses, facilities, equipment, medical records,
and support through a formal, legally constituted organization
Group practice came about due to :
Increased specialization in medicine (one person couldn’t be
specialized in all areas)
Formal structure for sharing costs
Promote high-quality care, because group members able to
discuss patient problems
Physician advantages (more flexible hours, less financial risk)
Growth in HMOs since the 1980s also impacted
Managed care works with contracts. Easier to contract with
groups than individuals
Overview of Ambulatory care:
Hospital moved throughout history to a provider of full range
health services, from primary to tertiary care (services have
expanded and multiplied)
This increased demands on hospital and lowered their ability
respond with the resources they possessed
Thus, most have responded by expanding outpatient services
and hiring full-time providers to staff redesigned hospital
ambulatory facilities
Also, ambulatory surgery centers developed for one-day
surgical care
Patients are screened by surgeons then assigned a date for
surgery
Patient is discharged 1-3hrs after surgery when anesthesia
recovery is complete
13. Some physicians used to do surgery in their office, but stopped
after malpractice suits (oral, plastic, and ophthalmology
surgeons still do)
Furthers the need for group management practice
Overview of Ambulatory care:
-What characteristics should a healthcare executive possess?
- How important is patient safety from a healthcare executive
perspective?
- Why should staff engagement start at the top?
Discuss last week’s article:
Measuring what matters is fundamental because success, failure,
and mediocrity are identified only when using a measurement
program
Necessary for formation & continuation of effective and high
performance quality & safety program
Scorecard measures need to be aligned with mission, vision, and
values of organization
What is learned from data helps leaders with their future
strategies
Some data is not numerical
Ex: customer murmurs (“It would make my life easier if you
were open on Saturdays.” “Why does it take so long to get an
appt?”)
Murmurs are an example of very valuable feedback
Chapter 6- measuring quality & safety
Induction and deduction are both needed for critical thinking
and logic
A scientific method consists of the collection of data through
observation and experimentation, and the formulation and
14. testing of hypotheses
Common method in healthcare:
PDCA cycle (plan, do, check, and act)
Figure 6.1 & Figure 6.2
Induction, deduction, & scientific method
8
Figure 6.3-6.8 show the results of a study initiated by staff
members to reduce patient cancellations.
Figure 6.8- shows significance because the p value is less than
.05
Figures 6.5 &6.7 lend important information regarding the days
of the week which cancellations occurred most frequently,
helping to point improvement efforts in the right direction
Case study
When creating a scorecard, think about what’s important from
financial, operations, salaries & benefits, clinical, customer
feedback, benchmarking, regulatory, licensing, and safety
perspectives
All are important, but keep it streamlined and consistent
Figure 6.9- sample scorecard
Once collect data, reuse but input a timeframe (months or
weeks) so you can compare results within an organization
Lists of example measures on pgs. 88-92
Sample: Financial measures:
Profitability
Revenue per patient
Rate per case by specialty and procedure type
Cost per case by physician
15. Payor mix
Supply cost
Collections as a percent of billings
Scorecards for outpatient services
Many times in healthcare, practices, leaders, employees,
physicians, and shareholders are rewarded based on results of
the measures put into place.
Thus, if scorecard results are used to financially reward, its
important to develop a nonbiased approach
Also needs to include some type of audit approach
Weave in checks and balances and do not leave in the hands of
one
Rewarding based on performance
Next week:
Chapters 3 & 5
HCA 346
Ambulatory Care administration
Keep structure simple.
No need for layers of committees or layer of employees
Ambulatory programs benefit from being small
Employees & physicians must play many roles
Pick the right people
Tie your quality strategy to your mission, vision, and values
Susan G. Komen for the Cure
16. If mission, vision, and values are nonexistent, engage a
committee to create your purpose, direction, and beliefs
Table 2.1
Chapter 2: Creating a structure for quality & safety
To meet MCR, licensing, and other guidelines, most ambulatory
clinics should have a governing body that takes on full legal &
fiduciary responsibility for policies that govern the program’s
operation and to ensure that policies are in implemented &
administered so that high quality & cost-effective care is
delivered in a safe environment
Table 2.2
Creating a structure for quality & safety
A physician or group of physicians may own the ambulatory
service program, but identification of someone to serve as an
administrator or manager is crucial for success
Governing body must clearly communicate expectations and
updates the expectations to match changing environments
Expectations should include: measurement results from
physicians, financial viability & profitability; clinical & quality
measures, and growth & business development
Figure 2.1 & Table 3.3
To keep the number of committees low, combine the Medical
Executive Committee and the quality committees.
Leader selection
When an outpatient program allows physicians and
nonphysicians practice within the services provided, the
guidelines for privileges and membership need clearly outlined.
Physician must agree to directly supervise these non-physician
providers & that all will work in the scope of their licenses
17. Sanctions for practicing outside limits
Nurses must not complete tasks outside the scope of their
license
The defined scope and services of the program defines what can
and cant be done in each facility where the practitioner will
practice
Health professionals
Numerous ways to set up quality studies, reporting, and
outcome measures
In order to set up,
First, define scope
Then define what categories require ongoing measures,
preventative strategies, and innovation opportunities exist
Finally, implement strategies
Categories for quality programs include:
Preventative quality efforts
Medication safety and practices
Utilization management of resources
Infection prevention
Surgical and procedural case review
Clinical documentation
Medical staff processes and peer review
Competency, skills training, and knowledge based assessments
See complete list on pg. 31
Quality program topics
Staying true to your mission, vision, and values
Ex: Dolly Parton
Important to provide easily readable and comprehendible
documents for your staff and patients
Written documents should reflect the organization’s mission,
vision, and values. If written correctly, policies and procedures
will help improve, sustain, or revamp processes within an
18. organization.
Procedures represent a realization of policy & will vary over
time
Policies replicate the standards governing the execution of the
facility’s processes
Plans offer a series of steps. Attached to goals and define what
the organization is to accomplish
Chapter 4: policies, procedures & plans
Users of documents include clinical and nonclinical staff, and
customers of services
Make widely accessible
Don’t reinvent the wheel. Use other resources to create
documentation
Users of policies & plans
When outpatient service is accredited, licenses, or given status
by Medicare, document review is required
Evaluate policies, procedures, and plans yearly if possible
If documents are kept electronically, allowing easy access for
staff and physicians, make sure you have at least one hard copy
available
Assess any written document against a set base of criteria such
as:
Application to your mission, vision, & values
Necessary to meet state, federal, or regulatory requirements
Need to enhance competency
Requirement to define quality and safety for the organization
Ability to guide employees and physicians on how to care for
patients
Documents to create and have on hand
19. Read chapters 2 & 4 with this lesson and complete the
Discussion Board homework assignment
HCA 346
Ambulatory Care administration
Professor Haislip
What is the difference in Acute care & ambulatory care?
2
Two myths about Outpatient care (in comparison to Acute Care)
Easy & Safe
Any provider can do it
Instead, rich with quality offerings, accrediting agencies, &
leadership credentialing to promote excellence.
Overall, still needs more investment in mandatory licensing,
standards across states, & outpatient service lines
But the hope is that consumers will use the information they
receive to only choose the best, thus ridding the industry of
subpar care
Preface
Apprehension, uncertainty, waiting, expectation, fear of
surprise, do a patient more harm than any exertion. -Florence
Nightingale
20. Easier to take the “Bad Apple” Approach- reacting only to
errors & bad outcomes
Crisis Management
Poor Communication
Ostrich quality- burying head to avoid tough issues
Groupthink behavior
Apple Pie Strategy is using “Good Apples” (good qualities) to
make the most desirable pie.
Prevention is practiced
Process oriented
Innovated, passionate, realistic
Huddles daily with staff
Benchmarks against the best of the best
Don’t waste time putting bad apples in your apple pie
Bad apples & apple pie
Outpatient Care
Growing rapidly
Movement of care from inpatient to outpatient
More than 1billion outpatient encounters every year (National
Quality Forum)
Quality
Wide variation in quality practices
Inconsistent oversight by regulatory, licensing, accreditation &
benchmarking agencies
Mostly rely on honor system
Economic prosperity depends on reducing variations, improving
efficiencies, & implementing predictive models
Chapter 1:
Defining outpatient healthcare
21. What are some outpatient services?
Consists of treatment performed without requiring an inpatient
stay
Also known as ambulatory care
Settings:
Ambulatory Surgery Centers (ASCs)
Minute clinics
Urgent Care Facilities
Physician practices
Imaging centers
Oncology centers
Dialysis centers
Homecare
Freestanding emergency centers
Endoscopy centers
Chiropractors
Aesthetician and health spas
Emergency departments
outpatient services
Centers for Disease Control and Prevention (CDC) & National
Center for Health Statistics (NCHS) conducts surveys of
healthcare providers and facilities, including hospitals,
ambulatory surgery centers, and physicians.
The results have shown the following:
Steady increase in ambulatory visits
Need for medication therapy (need for continuum of care)
Individuals can obtain in several sources. Can lead to drug
interactions and overdoses
Increase by 300% in freestanding Ambulatory Surgery Centers
since 1996
Due to demonstrated efficiencies, ease of access, and
attractiveness to consumers
22. National health Statistics reports
Ambulatory Medical Care UtilizationResultsRate of Visits
(annually in 2006)1.1 billion visits to physician offices, EDs,
hospital outpatient deptsVisit rates to medical specialty
offices29% increase from 1996-2006Hospital outpatient
department visitsFrom 25.4 per 100 persons in 1996 to 34.7 in
2006Emergency Dept. VisitsIncreased from 34.1 per 100
persons in 1996 to 40.4 in 2006Ambulatory Care Visits18.3% of
all visits in 2006 were for conditions such as routine checkups
& pregnancy examsMedications7 of 10 ambulatory visits had at
least one medication provided, prescribed, or continued in 2006.
Amounted to 2.6billion overall
National health Statistics reports
National health Statistics reportsAmbulatory Surgery
UtilizationResultsRate of visits to freestanding ASCsIncreased
300% from 1996-2006Rate of visits to hospital-based surgery
centersRemained unchanged from 1996-200634.7million ASC
visits w/53.3 million surgical & nonsurgical procedures
performed in 2006Of those, 19.9million occurred in hospitals
and 14.9 in freestanding ASCsGenderFemales had significantly
more ASC visits at 20million versus 14.7 million for
malesDischarge disposition93.1% routine discharge w/.8%
admitted as inpatients for 2006PayorsMore than half of
outpatient surgery visits were paid by private insurance
54%ProceduresProcedures performed most often in an ASC:
endoscopies of the large & small intestine
Payors are pressuring for reduction of costs
Consumers are demanding more outlets
Technology & medications will continue to evolve
Hard to handle the above without improved quality measures!
23. Why?
Need for stronger quality programs
Outpatient programs are attractive to physicians and
administrators because of:
Advanced technology, speed, improved medication options,
shorter medical procedure duration, and cost effectiveness
But it’s not highly supported by payor sources
The goal is to demonstrate superb quality & financial outcomes.
Then, it would be appealing to a wider provider and payor base.
Think about any situation where quality matters. You buy
something at the store. Would you buy that item again if it was
junk? If you had heard negative feedback or had a negative
experience with a service provider would you go back?
Insurers are the same way. They don’t want to pay for
outpatient services, if the person is just going to end up in the
hospital for a medical error or “bad” job.
Quality begins at the facility level!
Outpatient quality initiatives
The Hospital Outpatient Quality Data Reporting Program ( HOP
QDRP) includes 7 clinical performance and 4-MCR fee-for-
service claims-based measures.
So that facilities can increase their payment rate from
Outpatient Prospective Payment System (OPPS), hospitals must
publically report this data using standardized measures to CMS.
Intent of CMS is to provide consumers with data so that better
decisions can be made about healthcare choices and care at the
hospital level
Doesn’t apply to freestanding clinics
Examples: Pg. 7
Cardiovascular disease
24. Aspirin at arrival
Median time to electrocardiogram (ECG)
Cms outpatient initiatives
Healthcare reform initiatives are looking at improving
efficiency & effective care models for outpatient services
What is an ACO?
If successful, ACOs will push inpatient & outpatient entities
together to share MCR reimbursement
Savings for MCR
Quality & safety is necessary to make outpatient programs
affordable & accessible
Why????
Ambulatory care & health reform
Accountable Care organization- part of health reform 2010. A
local network of providers that can manage the full continuum
of care of patients, with the goal of improving health quality
outcomes & reducing healthcare costs. It is believed by some
that an ACO could change the healthcare system because ACO
healthcare provider participants would receive payment for
improving the quality of healthcare & reducing costs
14
National Quality Forum endorsed 34-medical safe practices
Errors that create & contribute harm are due to:
Organizational system failures
Leadership failures
Predictable human behavioral failures
Must stop & think before doing!
Ex: foot in mouth when speaking
How can we cut down on errors?
Safe practices for better healthcare
25. Answers:
Creating & sustaining a culture of safety
Informed consent, life-sustaining treatment, disclosure, and care
of caregiver
Facilitating information transfer & clear communication
Medication management
Prevention of healthcare-associated infections
Condition and site-specific practices
15
Check out the website for the Kentucky Ambulatory Care
licensing
Website located in Appendix I
Find and Read the Kentucky Regulation on Ambulatory Surgery
Centers
101 Facility specifications; ambulatory surgical center
Assignment for next class:
This is 1 exam
Patients judge medical care based upon their entire experience,
not just physician quality
26. · Question 2
4 out of 4 points
Ambulatory Care involves several different settings. Name four
types of outpatient/ambulatory care facilities.
· Question 3
2 out of 2 points
Which of the following is not included in the PDCA cycle?
· Question 4
2 out of 2 points
27. Users of documents in a facility include:
· Question 5
5 out of 5 points
Why is important to have a governing body?
· Question 6
2 out of 2 points
Why is there a need for stronger quality programs?
28. · Question 7
2 out of 2 points
Nurses may complete tasks outside the scope of their license as
long as the physician requests it.
· Question 8
2 out of 2 points
Written documents should reflect the organization’s mission,
vision, and values.
29. · Question 9
2 out of 2 points
Ambulatory care encompasses all services used by the non-
institutionalized patient.
· Question 10
5 out of 7 points
What characteristics should a healthcare executive possess?
How important is patient safety from a healthcare executive
perspective?
· Question 11
2 out of 2 points
30. ______________ simply means improvement.
· Question 12
2 out of 2 points
Lean improvement methodologies capitalize on the elimination
of waste within work.
· Question 13
18 out of 25 points
–Three part question! You must answer all three for full credit.
As a healthcare manager, it is likely that you will be in contact
31. with an unhappy patient at one time. 1). Name 5 of the Top 8
customer complaints. 2). How would you go about handling
these complaints as the manager of an ambulatory care facility?
3).What procedures and characteristics would you include in
your facility’s complaint management system?
· Question 14
2 out of 2 points
Which does not make clients happy?
· Question 15
2 out of 2 points
_______________ replicate the standards governing the
execution of the facility’s processes.
32. · Question 16
2 out of 2 points
Apple Pie Strategy is using “bad apples” to react only to errors
and bad outcomes.
· Question 17
2 out of 2 points
A contract with a vendor is a legal document.
33. · Question 18
2 out of 2 points
Employee HR files should include all of these items, except:
· Question 19
2 out of 2 points
Which of these does not make measuring quality difficult?
· Question 20
2 out of 2 points
34. It is not necessary to identify a leader to serve as the manager
of a group practice of physicians.
· Question 21
5 out of 5 points
What does OSHA do in healthcare facilities?
· Question 22
2 out of 2 points
Which of following acts as the gatekeeper to care?
35. · Question 23
2 out of 2 points
Group practice came about due to:
· Question 24
2 out of 2 points
The central role of ambulatory care is the initial and continuing
point of contact with the health care system.
36. · Question 25
2 out of 2 points
What needs to be in place for rewarding based on performance
to work?
· Question 26
2 out of 2 points
Outpatient services are attractive to physicians because
· Question 27
2 out of 2 points
37. Quality Improvement includes all of these concepts, except:
· Question 28
2 out of 2 points
Why did physicians stop performing surgery in their offices?
· Question 29
2 out of 2 points
The role of today’s physician is to be a supporter and
occasionally effective curative interventions.
38. · Question 30
3 out of 4 points
Some data is not numerical. What are Customer murmurs and
why are they so important?
· Question 31
2 out of 2 points
In lean improvement concepts, which is not a type of waste?