Project pressure ulcer reduction
Running head: HEALTH CARE CHANGE PROJECT MATRIX
1
HEALTH CARE CHANGE PROJECT MATRIX
4
Health Care Change Project Matrix
Objective:
To reduce the incidence of newly acquired pressure ulcers development in California Health Medical Center (CHMC) to 10% within six months of implementing the new evidence-based protocol.
Objectives
Content
Describe the methods to be used to implement the proposed solution
An electronic system to document pressure ulcer risk assessment and incidence will be created within the hospital’s current electronic medical record system, EPIC.
The system facilitates recording pressure ulcer incidence that would trigger wound consult nurses to provide timely advice on and validation of the categories of pressure ulcers.
Staff charge nurses will conduct pressure ulcer assessments in admission. Instead of documenting in paper form, they will directly record these findings on an initial risk assessment electronic form and simultaneously make an e-referral to the wound consult nurse if a patient has a pressure ulcer that is a stage 2 or higher.
Having an electronic pressure ulcer risk and incidence form for each patient allows various healthcare professionals and members of the interdisciplinary team to have secure access to reliable and current information in real-time (Plaskitt, Heywood, and Arrowsmith, 2015).
Develop a plan for implementing the proposed solution
Per Wager et al (2009), it is crucial that a team is organized that serves “to plan, coordinate, budget, and manage all aspects of the new system implementation” (p. 244). A team will be assembled to gain much-needed support for the program. This implementation team is vital in engaging various stakeholders in providing support and commitment to the project. The team members include charge nurses, wound consultant nurses, quality improvement nurses, an MD champion and department managers from areas such as education, equipment and information technology (IT) and administration.
An immersion event will be launched to inform and engage all staff members in the project. The event will allow necessary information to be disseminated, share goals and desired outcomes as well as the rationale behind the project.
Shedenhelm et al (2010), states that providing education through a variety of methods allows training to be received well for recipients with diverse learning styles. Furthermore, ongoing training should be developed and advertised through educational newsletters and emails that provide education reminders and other important information. Shedenhelm et al (2010), also emphasizes provision of multiple opportunities through multiple sites locations at varied times increases turnout. Furthermore, each nursing units will be provided pressure ulcer training bundles that including competencies will be presented.
Regular communication with various constituent groups such be conducted and a means for reporting problems.
You will collaborate with two of your classmates to share ideas and walthamcoretta
You will collaborate with two of your classmates to share ideas and offer feedback and suggestions to one another in an informal setting. This collaboration within your group will assist you in further developing your Change Proposal to be submitted for feedback from your instructor next week.
Peers submission attached below.. please provide feedback and suggestions individually!!
Peer 1:
Victoria Lyons posted
IV. Implementation Plan
Assess the factors that are likely to affect the implementation of your recommended activities
Many stroke patients require rehabilitation after their hospitalization and many patients get readmitted from post-acute care facilities, educating these facilities could decrease the readmission rate however rehabilitation facilities are often short-staffed and may not have money for education amongst the staff
Identify evidence-based rationales to propose how you will address them, incorporating your identified change theory. Your plan should encompass the following with evidence to support your rationale:
Technological challenges
Stroke patients require adequate follow-up care with their health provider team, tele-health is a great way to provide these follow-up appointments however stroke patients may not be able to navigate computers to be able to do these appointments as they frequently have deficits.
Stroke health care providers would have to learn how to use tele-health and there may be push back to using it due to health care providers typically using hands on assessment skills, they may not find assessing patients this way adequate. Finding a group of health care providers that are willing to start treating patients this way is the first step.
Institutional structures
Changes in hospitals do not happen overnight. At my state run hospital it seems to take forever to get any changes made. Implementing education regarding how to reduce stroke readmissions would require research and then approval from many different committees to even be approved for implementation. Once approved then it has to be sent all to all hospital staff involved. Examples of committees that a hospital will have and that any changes would have to go through are finance, safety and quality, strategic planning, and audit and compliance committee (Price, 2018).
Strategies for building buy-in-among different stakeholders, including nursing
Doctors, nurse practitioners, physician assistants, physical therapists, social workers, and case managers will need to be on board with the change process. Historically nurses have a hard time with change.
Financial trends and anticipation of the availability of human resource and project funding
Implementing tele-health and training to decrease stroke readmission, mostly education and new ways to check that everything a patient needs, will cost money which the institution will have to be prepared to put into their budget. Institutions get penalized financially for readmis ...
12Plan for Evaluating the Impact of the Inte.docxmoggdede
1
2
Plan for Evaluating the Impact of the Intervention
Anne Marie WouapetName
Walden University
NURS 8310 Section 03, Epidemiology and Population HealthClass
April 29, 2018Date
Plan for Evaluating the Impact of the Intervention
Hospital-acquired infections have been determined throughout this project to be a significant problem in the United States health care system. Epidemiologic data show that there is still a considerable number of patients who die as a result of infections that they have acquired while receiving care (Umscheid et al., 2011). The older population was found to be at a higher risk of acquiring these infections because of their deteriorating immune systems (Sievert et al., 2013). Therefore, a proposed intervention to eliminate the dangers of infection was created. The intervention proposes that nurses go through hand washing education for an extended period to enhance their compliance to hand hygiene after the education program. In studying the potential impacts of this intervention, it was determined that hand washing education is usually effective in changing perceptions and behaviors with regards to hand hygiene, but the compliance to what has been learned is often not maintained. Therefore, this intervention suggests that the education is based on the practice environment and that the nurses are monitored for an extended period. The following is an evaluation plan aiming at assessing the potential outcomes of the proposed intervention.
Evaluation Plan
This evaluation plan is designed to assess the expected outcomes from the implementation of the program (Friis & Sellers, 2014). This plan will investigate the extent to which the hand washing intervention plan will help to reduce the rate of hospital-acquired in infections in the healthcare facilities in which the intervention will be implemented. The plan includes an evaluation of the short-term, medium-term, and long-term changes expected to occur after the implementation of the intervention.
Stakeholders Involved in the Intervention
For the expected outcome to be achieved, the following stakeholders will be required to participate in the intervention program. Evaluating the participation of the stakeholders is essential in determining their contribution to the outcome of the program (Centers for Disease Control, 2011). The program will require the participation of the Director of Nursing, who will be responsible for guiding the nurses included in the intervention to ensure that they participate in the program as required. The intervention will also require the participation of the Directors of the respective health care facilities where the intervention will be implemented to ensure that they provide the resources needed for the program to be implemented and approve the use of the hospital data to evaluate the outcomes of the program. The hospitals included will also need to employ super ...
DQ1Sierra CossanoMy change proposal is being implemented in thDustiBuckner14
DQ1
Sierra Cossano
My change proposal is being implemented in the ICU. The intervention is implementing communication tools and processes that are evidence based to improve nursing sensitive indicators in the ICU. The internal stakeholders are the ICU staff and the hospital. The external stakeholders are the community that is served by the hospital. Our hospital works off of a relationship-based care (RBC) model. RBC is a culture transformation model and an operational framework that improves safety, quality, patient satisfaction, and staff satisfaction by improving every relationship within an organization (Gallison & Kester, 2018). The core of workforce engagement is the reignighting of joy and meaning for nurses. The joy and satisfaction in having a sense of accomplishment and significance in the work through processes leading to successful outcomes. RBC speaks to how we treat patients, family, and each other. Internal stakeholders all work off this model in this organization. However, covid greatly challenged relationship based care principles by limiting how we interact with each other and our patient families. That in person piece is missing for many patients still. In this organizational transition back to pre-covid practices, meetings, and policies staff are looking for guidance to unify and strengthen the workforce. It is a good segway into external stakeholders. Our nurses and other staff are also members of the community served by the hospital. Therefore, the internal stakeholders all face the real fact that they too receive their care here and have an interest in the quality of care provided. This community funded hospital has been influenced by local donors, architects and artists. Donors play a large role in celebrating the staff and creating this sense of meaning and significance for hospital staff. In a relationship based care model, these gestures serve a huge purpose and allow the hospital to recognize staff in unique ways. The positive factor here is that the nurses have come out of this powerless feeling covid left them with. Small gestures that build trust between nursing and management create a more productive work environment. This is done through clear concise communication, open discussion, and acting on feedback from staff.
Gallison, B., & Kester, W. T. (2018). Connecting Holistic Nursing Practice With Relationship-based Care: A Community Hospital’s Journey. Nurse Leader, 16(3), 181–185. https://doi-org.lopes.idm.oclc.org/10.1016/j.mnl.2018.03.007
DQ1
Virginia Gallardo
Stakeholder involvement is crucial for the successful implementation of the change proposal project. Stakeholders are those who are interested in the change proposal project, such as nurses, patients, and suppliers. They can affect or be affected by the organization's actions, objectives, and policies (Lubbeke et al., 2019). We must assess our work environment to identify all relevant stakeholders. Failure to do so can negatively affect the project ...
Physician resistance as a barrier to implement clinical information systems b...Healthcare consultant
In summary, physician resistance toward implementation of clinical information systems is a major barrier. Strategies acknowledged under various categories to overwhelm this barrier provide hope to organizations that are eager to take on this adventure. Decision makers carry the chief responsibility to put in advance clear rules to facilitate physicians’ participation in the implementation process to eliminate their later on opposition.
HIUS 341Primary Source Paper InstructionsThe student will writSusanaFurman449
HIUS 341
Primary Source Paper Instructions
The student will write a 3–5-page paper analyzing assigned primary sources on the size, scope, and power of the central government. The paper will focus on pertinent and assigned sections of Tocqueville. The student will use parenthetical citations as needed, and will provide a bibliography in proper current Turabian format. Tocqueville must be the only source. The paper must begin with the student’s name and the date in the upper right hand corner, followed by a space, and then the beginning of the paper itself. Do not include a title page.
In the body of the paper, the student must key in on what he/she believes are the 2–3 most important issues in the assigned excerpts of Tocqueville. These issues will generally fall under the aegis of the size/scope/power of the central government. The student must very briefly (in no more than 1.5 pages) overview Tocqueville’s content and ideas and then apply what he/she has learned about this era of American politics to his/her views. According to Tocqueville, what is the American conception of government? What is its role in the lives of citizens? Is his assessment is accurate? This is an academic paper, and the student must follow academic standards of writing. Furthermore, this is not a summary. The student is not simply restating what Tocqueville wrote. The student are breaking it down and assessing its strengths and weaknesses.
Submit this assignment by 11:59 p.m. (ET) on Monday of Module/Week 2.
1
Nursing Informatics and Patient Outcomes and Care Efficiencies
Ariel Cordova Lopez
Walden University
N6051: Transforming Healthcare Through Information Technology
Dr. Karen Robson DNP, RN-BC, RAC-CT
March 27, 2021
Nursing Informatics and Patient Outcomes and Care Efficiencies
Introduction
Information technology has changed nursing landscape and how the profession is moving in the current time. Nursing informatics is slowly revolutionizing healthcare, where capabilities to offer remote care has been implemented, while making patient integration in health delivery. Informatics has enabled the nurses to identify new healthcare risks and develop early interventions before they become public health concerns by controlling them on time. Adoption of nursing informatics in healthcare will transform the nursing profession and lead to better patient outcomes. Nursing informatics makes the healthcare patient based, more patient integration, and better patient outcomes. This project proposal highlights the impact of nursing informatics on patient outcomes by ensuring the preferred plan of care is accessible and all patient needs are accommodated.
Project
The project proposes a more system integrated approach for improving patient symptoms, illnesses that correspond to patient symptoms, and offering the appropriate plan of care. This will improve patient care making it easier to maneuver and ensure care systems are tracked within and without the healthcare system. ...
The Use of Health Information Technology to Improve Care and .docxpelise1
The Use of Health Information Technology to Improve Care and
Outcomes for Older Adults
Kathryn H. Bowles, PhD, FAAN, FACMI,
van Ameringen Professor in Nursing Excellence, Director of the Center for Integrative Science in
Aging, University of Pennsylvania School of Nursing, Philadelphia, PA
Patricia Dykes, PhD, FAAN, FACMI, and
Senior Nurse Scientist, Director of the Center for Patient Safety Research and Practice; Director
of the Center for Nursing Excellence, Brigham and Women’s Hospital, Boston, MA
George Demiris, PhD, FACMI
Alumni Endowed Professor in Nursing; Professor in Biomedical and Health Informatics, School of
Medicine; Director, Clinical Informatics and Patient Centered Technologies; Graduate Program
Director, Biomedical and Health Informatics University of Washington, Seattle, Washington
Introduction
Using health information technology (HIT) to improve care and outcomes for older adults is
a growing program of research propelled by recent transformative policies such as the
Health Information Technology for Economic and Clinical Health (HITECH) Act
(Blumenthal, 2010; Institute of Medicine, 2011) and the Institute of Medicine report, "The
Future of Nursing: Leading Change, Advancing Health." (Institute of Medicine, 2010). Both
documents call for the implementation of electronic health records (EHR) and HIT solutions
to improve the safety, quality and efficiency of care. Several nurse scientists are at the
forefront of advancing this work, particularly using electronic health records, decision
support and telehealth. This commentary highlights examples of recent research (2010–
2014) led by nurse scientists using HIT to improve patient safety, and the quality and
efficiency of patient care. We also discuss future opportunities for Gerontological nurse
scientists interested in blending the care of older adults and HIT and suggest strategies to
increase our capacity to engage in such innovative research.
Using the EHR to improve outcomes for older adults
Recent incentives provided by the HITECH Act have resulted in rapid growth in the
development and implementation of the EHR. Nurse led studies are beginning to
demonstrate that effective use of the EHR can improve outcomes of relevance to older
adults such as pressure ulcers and falls. Dowding and colleagues evaluated the impact of an
integrated EHR in 29 Kaiser Permanente hospitals on process and outcome indicators for
patient falls and hospital acquired pressure ulcers (Dowding, Turley, & Garrido, 2012).
They found that the EHR system was associated with improved documentation of both fall
and pressure ulcer risk assessments and statistically significant improvements for pressure
ulcer risk assessment documentation. They demonstrated that improved documentation
using the EHR was associated with a 13% decrease in hospital acquired pressure ulcer rates.
HHS Public Access
Author manuscript
Res Gerontol Nurs. Author manuscript; avai.
You will collaborate with two of your classmates to share ideas and walthamcoretta
You will collaborate with two of your classmates to share ideas and offer feedback and suggestions to one another in an informal setting. This collaboration within your group will assist you in further developing your Change Proposal to be submitted for feedback from your instructor next week.
Peers submission attached below.. please provide feedback and suggestions individually!!
Peer 1:
Victoria Lyons posted
IV. Implementation Plan
Assess the factors that are likely to affect the implementation of your recommended activities
Many stroke patients require rehabilitation after their hospitalization and many patients get readmitted from post-acute care facilities, educating these facilities could decrease the readmission rate however rehabilitation facilities are often short-staffed and may not have money for education amongst the staff
Identify evidence-based rationales to propose how you will address them, incorporating your identified change theory. Your plan should encompass the following with evidence to support your rationale:
Technological challenges
Stroke patients require adequate follow-up care with their health provider team, tele-health is a great way to provide these follow-up appointments however stroke patients may not be able to navigate computers to be able to do these appointments as they frequently have deficits.
Stroke health care providers would have to learn how to use tele-health and there may be push back to using it due to health care providers typically using hands on assessment skills, they may not find assessing patients this way adequate. Finding a group of health care providers that are willing to start treating patients this way is the first step.
Institutional structures
Changes in hospitals do not happen overnight. At my state run hospital it seems to take forever to get any changes made. Implementing education regarding how to reduce stroke readmissions would require research and then approval from many different committees to even be approved for implementation. Once approved then it has to be sent all to all hospital staff involved. Examples of committees that a hospital will have and that any changes would have to go through are finance, safety and quality, strategic planning, and audit and compliance committee (Price, 2018).
Strategies for building buy-in-among different stakeholders, including nursing
Doctors, nurse practitioners, physician assistants, physical therapists, social workers, and case managers will need to be on board with the change process. Historically nurses have a hard time with change.
Financial trends and anticipation of the availability of human resource and project funding
Implementing tele-health and training to decrease stroke readmission, mostly education and new ways to check that everything a patient needs, will cost money which the institution will have to be prepared to put into their budget. Institutions get penalized financially for readmis ...
12Plan for Evaluating the Impact of the Inte.docxmoggdede
1
2
Plan for Evaluating the Impact of the Intervention
Anne Marie WouapetName
Walden University
NURS 8310 Section 03, Epidemiology and Population HealthClass
April 29, 2018Date
Plan for Evaluating the Impact of the Intervention
Hospital-acquired infections have been determined throughout this project to be a significant problem in the United States health care system. Epidemiologic data show that there is still a considerable number of patients who die as a result of infections that they have acquired while receiving care (Umscheid et al., 2011). The older population was found to be at a higher risk of acquiring these infections because of their deteriorating immune systems (Sievert et al., 2013). Therefore, a proposed intervention to eliminate the dangers of infection was created. The intervention proposes that nurses go through hand washing education for an extended period to enhance their compliance to hand hygiene after the education program. In studying the potential impacts of this intervention, it was determined that hand washing education is usually effective in changing perceptions and behaviors with regards to hand hygiene, but the compliance to what has been learned is often not maintained. Therefore, this intervention suggests that the education is based on the practice environment and that the nurses are monitored for an extended period. The following is an evaluation plan aiming at assessing the potential outcomes of the proposed intervention.
Evaluation Plan
This evaluation plan is designed to assess the expected outcomes from the implementation of the program (Friis & Sellers, 2014). This plan will investigate the extent to which the hand washing intervention plan will help to reduce the rate of hospital-acquired in infections in the healthcare facilities in which the intervention will be implemented. The plan includes an evaluation of the short-term, medium-term, and long-term changes expected to occur after the implementation of the intervention.
Stakeholders Involved in the Intervention
For the expected outcome to be achieved, the following stakeholders will be required to participate in the intervention program. Evaluating the participation of the stakeholders is essential in determining their contribution to the outcome of the program (Centers for Disease Control, 2011). The program will require the participation of the Director of Nursing, who will be responsible for guiding the nurses included in the intervention to ensure that they participate in the program as required. The intervention will also require the participation of the Directors of the respective health care facilities where the intervention will be implemented to ensure that they provide the resources needed for the program to be implemented and approve the use of the hospital data to evaluate the outcomes of the program. The hospitals included will also need to employ super ...
DQ1Sierra CossanoMy change proposal is being implemented in thDustiBuckner14
DQ1
Sierra Cossano
My change proposal is being implemented in the ICU. The intervention is implementing communication tools and processes that are evidence based to improve nursing sensitive indicators in the ICU. The internal stakeholders are the ICU staff and the hospital. The external stakeholders are the community that is served by the hospital. Our hospital works off of a relationship-based care (RBC) model. RBC is a culture transformation model and an operational framework that improves safety, quality, patient satisfaction, and staff satisfaction by improving every relationship within an organization (Gallison & Kester, 2018). The core of workforce engagement is the reignighting of joy and meaning for nurses. The joy and satisfaction in having a sense of accomplishment and significance in the work through processes leading to successful outcomes. RBC speaks to how we treat patients, family, and each other. Internal stakeholders all work off this model in this organization. However, covid greatly challenged relationship based care principles by limiting how we interact with each other and our patient families. That in person piece is missing for many patients still. In this organizational transition back to pre-covid practices, meetings, and policies staff are looking for guidance to unify and strengthen the workforce. It is a good segway into external stakeholders. Our nurses and other staff are also members of the community served by the hospital. Therefore, the internal stakeholders all face the real fact that they too receive their care here and have an interest in the quality of care provided. This community funded hospital has been influenced by local donors, architects and artists. Donors play a large role in celebrating the staff and creating this sense of meaning and significance for hospital staff. In a relationship based care model, these gestures serve a huge purpose and allow the hospital to recognize staff in unique ways. The positive factor here is that the nurses have come out of this powerless feeling covid left them with. Small gestures that build trust between nursing and management create a more productive work environment. This is done through clear concise communication, open discussion, and acting on feedback from staff.
Gallison, B., & Kester, W. T. (2018). Connecting Holistic Nursing Practice With Relationship-based Care: A Community Hospital’s Journey. Nurse Leader, 16(3), 181–185. https://doi-org.lopes.idm.oclc.org/10.1016/j.mnl.2018.03.007
DQ1
Virginia Gallardo
Stakeholder involvement is crucial for the successful implementation of the change proposal project. Stakeholders are those who are interested in the change proposal project, such as nurses, patients, and suppliers. They can affect or be affected by the organization's actions, objectives, and policies (Lubbeke et al., 2019). We must assess our work environment to identify all relevant stakeholders. Failure to do so can negatively affect the project ...
Physician resistance as a barrier to implement clinical information systems b...Healthcare consultant
In summary, physician resistance toward implementation of clinical information systems is a major barrier. Strategies acknowledged under various categories to overwhelm this barrier provide hope to organizations that are eager to take on this adventure. Decision makers carry the chief responsibility to put in advance clear rules to facilitate physicians’ participation in the implementation process to eliminate their later on opposition.
HIUS 341Primary Source Paper InstructionsThe student will writSusanaFurman449
HIUS 341
Primary Source Paper Instructions
The student will write a 3–5-page paper analyzing assigned primary sources on the size, scope, and power of the central government. The paper will focus on pertinent and assigned sections of Tocqueville. The student will use parenthetical citations as needed, and will provide a bibliography in proper current Turabian format. Tocqueville must be the only source. The paper must begin with the student’s name and the date in the upper right hand corner, followed by a space, and then the beginning of the paper itself. Do not include a title page.
In the body of the paper, the student must key in on what he/she believes are the 2–3 most important issues in the assigned excerpts of Tocqueville. These issues will generally fall under the aegis of the size/scope/power of the central government. The student must very briefly (in no more than 1.5 pages) overview Tocqueville’s content and ideas and then apply what he/she has learned about this era of American politics to his/her views. According to Tocqueville, what is the American conception of government? What is its role in the lives of citizens? Is his assessment is accurate? This is an academic paper, and the student must follow academic standards of writing. Furthermore, this is not a summary. The student is not simply restating what Tocqueville wrote. The student are breaking it down and assessing its strengths and weaknesses.
Submit this assignment by 11:59 p.m. (ET) on Monday of Module/Week 2.
1
Nursing Informatics and Patient Outcomes and Care Efficiencies
Ariel Cordova Lopez
Walden University
N6051: Transforming Healthcare Through Information Technology
Dr. Karen Robson DNP, RN-BC, RAC-CT
March 27, 2021
Nursing Informatics and Patient Outcomes and Care Efficiencies
Introduction
Information technology has changed nursing landscape and how the profession is moving in the current time. Nursing informatics is slowly revolutionizing healthcare, where capabilities to offer remote care has been implemented, while making patient integration in health delivery. Informatics has enabled the nurses to identify new healthcare risks and develop early interventions before they become public health concerns by controlling them on time. Adoption of nursing informatics in healthcare will transform the nursing profession and lead to better patient outcomes. Nursing informatics makes the healthcare patient based, more patient integration, and better patient outcomes. This project proposal highlights the impact of nursing informatics on patient outcomes by ensuring the preferred plan of care is accessible and all patient needs are accommodated.
Project
The project proposes a more system integrated approach for improving patient symptoms, illnesses that correspond to patient symptoms, and offering the appropriate plan of care. This will improve patient care making it easier to maneuver and ensure care systems are tracked within and without the healthcare system. ...
The Use of Health Information Technology to Improve Care and .docxpelise1
The Use of Health Information Technology to Improve Care and
Outcomes for Older Adults
Kathryn H. Bowles, PhD, FAAN, FACMI,
van Ameringen Professor in Nursing Excellence, Director of the Center for Integrative Science in
Aging, University of Pennsylvania School of Nursing, Philadelphia, PA
Patricia Dykes, PhD, FAAN, FACMI, and
Senior Nurse Scientist, Director of the Center for Patient Safety Research and Practice; Director
of the Center for Nursing Excellence, Brigham and Women’s Hospital, Boston, MA
George Demiris, PhD, FACMI
Alumni Endowed Professor in Nursing; Professor in Biomedical and Health Informatics, School of
Medicine; Director, Clinical Informatics and Patient Centered Technologies; Graduate Program
Director, Biomedical and Health Informatics University of Washington, Seattle, Washington
Introduction
Using health information technology (HIT) to improve care and outcomes for older adults is
a growing program of research propelled by recent transformative policies such as the
Health Information Technology for Economic and Clinical Health (HITECH) Act
(Blumenthal, 2010; Institute of Medicine, 2011) and the Institute of Medicine report, "The
Future of Nursing: Leading Change, Advancing Health." (Institute of Medicine, 2010). Both
documents call for the implementation of electronic health records (EHR) and HIT solutions
to improve the safety, quality and efficiency of care. Several nurse scientists are at the
forefront of advancing this work, particularly using electronic health records, decision
support and telehealth. This commentary highlights examples of recent research (2010–
2014) led by nurse scientists using HIT to improve patient safety, and the quality and
efficiency of patient care. We also discuss future opportunities for Gerontological nurse
scientists interested in blending the care of older adults and HIT and suggest strategies to
increase our capacity to engage in such innovative research.
Using the EHR to improve outcomes for older adults
Recent incentives provided by the HITECH Act have resulted in rapid growth in the
development and implementation of the EHR. Nurse led studies are beginning to
demonstrate that effective use of the EHR can improve outcomes of relevance to older
adults such as pressure ulcers and falls. Dowding and colleagues evaluated the impact of an
integrated EHR in 29 Kaiser Permanente hospitals on process and outcome indicators for
patient falls and hospital acquired pressure ulcers (Dowding, Turley, & Garrido, 2012).
They found that the EHR system was associated with improved documentation of both fall
and pressure ulcer risk assessments and statistically significant improvements for pressure
ulcer risk assessment documentation. They demonstrated that improved documentation
using the EHR was associated with a 13% decrease in hospital acquired pressure ulcer rates.
HHS Public Access
Author manuscript
Res Gerontol Nurs. Author manuscript; avai.
· Analyze how healthcare reimbursement influences your nursing praLesleyWhitesidefv
· Analyze how healthcare reimbursement influences your nursing practice.
Health care is significantly changing with time, and one of these changes is how health care facilities and providers are compensated for offering service. One of these ways is through reimbursement. Health care reimbursement is the payment given to a health care facility or a health care provider for offering medical service to a patient (Torrey, 2020). This cost is often covered by a patient’s health insurer or a government payer. In health care reimbursements are beneficial because they discourage DNP-prepared nurses from establishing their own independent practices. This is because at their own practices they would receive less reimbursement under their own number than under that of a physician. If the reimbursement rates were equal more DNP-prepared nurses would establish their own practices and this would increase competition.
Due to healthcare reimbursement, models that emphasize cost-effective decisions by DNP-prepared nurses are developed. These decisions are offer patients with quality medical care rather than sacrificing the patient service quality. Innovations such as price transparency tools as well as patient engagement apps help the nursing practice during the implementation of healthcare reimbursement. The patient outcome as well as the low-cost care provided by health care providers has an influence on the reimbursement received. Health care reimbursement tends to motivate health care providers because they earn more when the care they provide is of high quality as well as low cost.
DNP- prepared Nurses' role helps Nurse Practitioners to prepare for the advancement they will encounter in their nursing career in health care. This enables them to be more competent and have more knowledge when offering quality health care. The main goal of the health care reimbursement system is to pay health care providers based on their performance. This means that being more advanced and competent is beneficial for a DNP in order to provide high-quality care to patients. This simply means that if they offer high-quality care, the reimbursement will reflect this and they will be paid more. And if they are not competent, then the reimbursement will be vice versa.
2- Examine how the value-based insurance design (VBID) influences clinical outcomes and cost issues.
The aim of value-based insurance design is to increase the quality of health care while decreasing the cost by using financial incentives to promote cost-efficient health care services and consumer choices. In order to remove roadblocks as well as maintain and improve a person’s health, health benefit plans can be developed. These plans tend to save money by reducing future expensive medical procedures. They do this by covering treatments such as prescribed drugs at a low cost or no cost, preventive care as well as wellness visits (Lexchin, 2020).
The healthcare industry is making a shif ...
Implement a Direct-to-Patient Approach to Increase Patient Engagement and Ret...John Reites
Article by MM&M (Medical, Marketing & Media) on 25 Mar 2015 with John Reites discussing direct-to-patient approaches to conduct innovation research models that increase engagement and retention.
Weblink: http://www.mmm-online.com/pharmaceutical/implement-a-direct-to-patient-approach-to-increase-patient-engagement-and-retention/article/405443/
Alycia Albers
CTU
Phase 4 IP
Healing Hands Hospital’s Future
Future Health care Trends
Reform Realities:-Pay-for-performance systems are set to be implemented.
IT upgrades:- better care delivery is accompanied by offering patients technology which supports that care.
Involves the introduction of electronic medical records.
It’s now shifting to ORs.
Introducing patients to personalized medicine.
Reform Realities-Pay-for-performance systems are set to be implemented meaning hospitals along with health systems will have to be more accountable than they have been. Every hospital facility has to come up with better strategies of tracking performance and the manner in which it provides its services.
IT upgrades-making better care delivery is accompanied by offering patients technology which supports that care. This has already begun with the introduction of electronic medical records and it’s now shifting to hybrid ORs. Besides, hospitals have to introduce patients to personalized medicine such as using their smart phones in tracking their heart rate and sending the data to their care providers’ mobile devices (In Geisler, In Krabbendam & In Schuring, 2003).
2
Contd.
Billing will shift to value from volume-in future.
New payment mechanisms:-risk sharing, capitation agreement, bundling agreements.
Health systems super-size- consolidation of various health care units.
Billing will shift to value from volume-in future, healthcare systems will have to focus on high quality, improved outcomes, as well as, greater satisfaction. There will be new payment mechanisms which will include risk sharing along with capitation agreement, as well as, bundling agreements.
Health systems super-size-it is projected that as a result of the lower costs, increased efficiencies and better quality; the hospitals, pharmaceutical suppliers, health systems and other participants within the health care are set to consolidate within the next decade. The resultant mega-sized entities are set to cause the end of stand-alone hospitals (Spekowius & Wendler, 2007).
3
Technologies
Telemedicine-is expected to facilitate the delivery of cost effective health care in the coming future.
This is due to the fact that technology is not only cheaper but also much easier to utilize.
Electronic health data evolution- it is now possible to work with outside apps.
The easy accessibility of medical data makes greater the knowledge depth.
Telemedicine-is expected to facilitate the delivery of cost effective health care in the coming future. This is due to the fact that technology is not only cheaper but also much easier to utilize and various options are becoming available for every patient. Medical staff can connect with their patients through the internet by utilizing webcams.
Electronic health data evolution-as health records become electronic, it is now possible to work with outside apps, which play a significant role in cap.
Paper Assignment # 2 Using your exploration from paper 1, .docxbunyansaturnina
Paper Assignment # 2
Using your exploration from paper 1, choose one (1) way to use health information
technology to address your identified community health related issue and describe
the process of implementation in a chosen context. Paper should be approximately
5-6 pages, (not including title or reference pages). It is to be written in APA format.
The following information needs to be included in the paper:
1. Introduce your idea and identify the context of how your HIT idea will be used
2. Discuss theoretical support for your idea
3. Identify a goal for your idea and three (3) objectives
4. Detail strategies you will take to implement your idea
5. Discuss anticipated barriers to implementation
Limited Developing Mastery
Introduction and
identification of
context
No introduction or
elementary
introduction with no
context or
supporting evidence
provided
Basic introduction
with limited
details and
minimal context or
supporting
evidence
Detailed introduction
of topic with context
and supporting
evidence provided.
Theoretical support,
goal statement and
objectives (Total 3
objectives must be
provided)
No theoretical
support, goal
statement or less
than 3 objectives
for proposed idea
Basic discussion of
theory, basic goal
statement and non-
specific objectives
Detailed, in-depth
discussion of how
theory applies to idea,
detailed goal
statement and (3)
specific measurable
objectives.
Process for
implementation and
anticipated barriers
No process of
implementation
presented or no
barriers identified
Limited process of
implementation
discussed with few
examples and
minimal discussion
of barriers
Detailed Process
of implementation
discussed,
multiple
examples, and
substantial
discussion of
barriers
Conclusion No conclusion
paragraph included
Basic conclusion Detailed conclusion of
topic
References 0-2 references 3-4 references 5 or more references
Paper Assignment #1
Some of the health related issues from the community commons report include being
overweight and obesity. These conditions increase a person's chances of dying from type 2
diabetes, hypertension, coronary heart disease, stroke, osteoarthritis, respiratory issues, and sleep
apnea, and breast, colon, and prostate cancers. Research shows that maintaining physical fitness
can help stop or decrease some to the chances in getting some of these illnesses.
Using the EHR System to Improve Outcomes for Older Adults
Studies conducted by nurses show that the effective use of Electronic Health Record
System (EHR) can progress results of significance to older adults suffering from pressure ulcers
and falls. Bowles and colleagues assessed the effect of an assimilated EHR in various hospitals
on the course and outcome indicators for patient falls and pressure ulcers acquired from the
hospitals. They discovered that the EHR system was linked with improved fall and pressure u.
Running head PROJECT PLAN1PROJECT PLAN 5Proje.docxtodd581
Running head: PROJECT PLAN 1
PROJECT PLAN 5
Project Plan
Nicholas Calhoun
Project Management
South University
January 21, 2020
Project Plan
Industry: Healthcare
Project: “Implementation of Electronic Medical Record (EMR) systems”
Project Overview
The growth in technology has seen the inception of healthcare informatics whereby hospitals are required to utilize software systems to “facilitate workflow and improve the quality of patient care and patient safety” (Chang & Choi, 2016). Following the enactment of Affordable Care Act in 2010, the demand for healthcare services has increased drastically. Consequently, hospitals across United States serve a huge number of patients in a single day –hence making it hard for healthcare providers, clinical staff, and physicians to handle patients’ medical records manually.
Considerably, some level or organization is required in order to facilitate process of documentation and easy retrieval of patient records. Acquisition and implementation of a EMR system helps to capture, manage, and retrieve patient data like demographic information, lab results, medical history, among others with a single click. According to Coleman et al. (2015), “a strong EMR system can effectively acquire and centralize vital patient information” –something that is effective and efficient service delivery.
Thus, this project involves the process acquiring and implementing EMR to facilitate workflow and enhance service delivery in hospitals.
Synopsis
The project success is entirely anchored on proper “planning and management” of the activities and processes involved (Serra & Kunc, 2015). As a course, project management has a number of objectives which must be fulfilled and this project is fully aligned those objectives. First, there is need to ensure that projects are aligned to the organizational strategy and hence, this project is in line with the need to provide quality care to patients. The project plan will involve the process of creating a WBS that will act as a point of reference as far as project planning and control is concerned. Developing a network diagram for the project is also key in managing this project. Cost and time estimation is a key element of this project is essential in ensuring that the implementation team works within the required timeframe and budget. Values and risk analysis also forms is a key element of project plan to ensure that its implementation does not result into losses. The acquisition of high performing team is critical in ensuring that the necessary knowledge, skills, and expertise is acquired to spearhead the implementation process. Understanding procurement process is necessary in order to acquire all the relevant materials and equipment to facilitate the installation and maintenance of EMR. Finally, assessment and evaluation of the project is essential to ensure that it meets the required standards (Clarizen, 2018).
Project Scope
Rouse notes that “project scope is the part of p.
The Application of Data to Problem-SolvingIn the modern era, the.docxtodd801
The Application of Data to Problem-Solving
In the modern era, there are few professions that do not to some extent rely on data. Stockbrokers rely on market data to advise clients on financial matters. Meteorologists rely on weather data to forecast weather conditions, while realtors rely on data to advise on the purchase and sale of property. In these and other cases, data not only helps solve problems, but adds to the practitioner’s and the discipline’s body of knowledge.
Of course, the nursing profession also relies heavily on data. The field of nursing informatics aims to make sure nurses have access to the appropriate date to solve healthcare problems, make decisions in the interest of patients, and add to knowledge.
In this Discussion, you will consider a scenario that would benefit from access to data and how such access could facilitate both problem-solving and knowledge formation.
To Prepare:
Reflect on the concepts of informatics and knowledge work as presented in the Resources.
Consider a hypothetical scenario based on your own healthcare practice or organization that would require or benefit from the access/collection and application of data. Your scenario may involve a patient, staff, or management problem or gap.
By Day 3 of Week 1
Post
a description of the focus of your scenario. Describe the data that could be used and how the data might be collected and accessed. What knowledge might be derived from that data? How would a nurse leader use clinical reasoning and judgment in the formation of knowledge from this experience?
By Day 6 of Week 1
Respond
to at least
two
of your colleagues
* on two different days
, asking questions to help clarify the scenario and application of data, or offering additional/alternative ideas for the application of nursing informatics principles.
Click on the
Reply
button below to reveal the textbox for entering your message. Then click on the
Submit
button to post your message.
*Note:
Throughout this program, your fellow students are referred to as colleagues.
Will be posting additional discussion replies that will require two replies which will be included in this discussion post.
Each requires at least three references and all need to be in APA format.
Monicas discussion
Discussion #1- Initial Post
All healthcare workers are trained to share the common goal of providing the best quality of care to their patients. Regardless of what role one may serve on the multidisciplinary team, they all have an obligation to accurately assess the needs of the patient, to efficiently collect and record data, to contribute to diagnosing, and to treat/ evaluate properly. “Informatics blend technology and information to blend something new that people, organizations and society can make use of” (Laureate, 2018). Advancement in technologies such as, electronic health records (EHR), electronic medication administration records (EMARS), computerized physician order entry (COPOE) and.
MHA6999 SEMINAR IN HEALTHCARE CASES-- WEEK 2 LECTURE, DISCUSSION, DioneWang844
MHA6999 SEMINAR IN HEALTHCARE CASES-- WEEK 2 LECTURE, DISCUSSION, AND PROJECT INSTRUCTIONS
Page | 1
Quality
Nearly fifteen years ago, the Institute of Medicine published the “To Err Is Human” report, which exposed the substantial impact of medical errors in the US healthcare system and called for a dramatic system change, including an improved understanding of those errors (McCarthy, Tuiskula, Driscoll, & Davis, 2017). Medical errors are considered to be failure to achieve the original goal or plan of action, and these errors may range from a patient falls to a mistake in the operating room. Not only do medical errors cause harm to the patient and jeopardize the patient’s trust, but they also cause a financial strain for the health system (“To Err is Human,” 1999). One of the contributing factors to medical errors is the lack of effective communication between doctors who are treating the same patient. This results in healthcare providers overprescribing medications for patients as well as increases the possibility of a patient having unnecessary tests or procedures performed. The report’s four-tiered approach includes:
· Focusing on creating a stronger foundation of education on patient safety
· Mandating a nationwide reporting system to encourage timely reporting of errors
· Increasing the standards of performance for healthcare providers
· Taking advantage of the security that safety systems offer (“To Err is Human,” 1999)
Creating a strong educational foundation for patient safety is most important. Healthcare personnel are much more likely to actively participate in reporting systems, encourage one another to perform at a higher level, and take advantage of safety systems when they are well educated on patient safety and the implications of medical errors. The reporting system seems to provide the least amount of impact on patient safety as they can result in losing patient trust in certain healthcare systems. The healthcare system as a whole has made progress in establishing a safe environment for patients when they are in need of care.
Challenges for Patient Safety and Steps for Improvement
Despite continuing evidence of problems in patient safety and gaps between the care that patients receive and the evidence about what they should receive, efforts to improve quality in healthcare show mostly inconsistent and patchy results.
Tap each image to know more.
Data Collection and Monitoring Systems
This always takes much more time and energy than anyone anticipates. It is worth investing heavily in data from the outset. Assess local systems, train people, and have quality assurance.
Tribalism and Lack of Staff Engagement
Overcoming a perceived lack of ownership and professional or disciplinary boundaries can be very difficult. Clarify who owns the problem and solution, agree roles and responsibilities at the outset, work to common goals, and use shared language.
Convince People That There's a Problem
Use hard data to secure emotional e ...
Scheduling Of Nursing Staff in Hospitals - A Case Studyinventionjournals
International Journal of Mathematics and Statistics Invention (IJMSI) is an international journal intended for professionals and researchers in all fields of computer science and electronics. IJMSI publishes research articles and reviews within the whole field Mathematics and Statistics, new teaching methods, assessment, validation and the impact of new technologies and it will continue to provide information on the latest trends and developments in this ever-expanding subject. The publications of papers are selected through double peer reviewed to ensure originality, relevance, and readability. The articles published in our journal can be accessed online.
MARKETING PRINCIPLES
MKTG 305
SWOT Assignment – CSUSB
Purpose:
In this assignment you will apply what you have learned from Chapters 2 and 3 by conducting a SWOT analysis of CSUSB.
Instructions
1. Use the layout template provided in the assignment details. Save it as a Word document and submit it to Blackboard.
2. Begin by populating the Strengths section of your chart. Identify what you perceive to be the strengths of CSUSB as compared to other universities. For example, answering the following questions should provide you with a start, but this list is not meant to be exhaustive:
a. What advantages does CSUSB have that others don’t have?
b. What does CSUSB do better than anyone else?
c. What resources can CSUSB access?
d. What do other people see as the strengths of CSUSB?
e. What accomplishments should CSUSB be most proud of?
f. What are the values of CSUSB and are they a strength or a weakness?
g. What is the reputation/brand of CSUSB and is it a strength or a weakness?
3. Continue to fill in the other three sections in your chart by:
a. Identifying the weaknesses of CSUSB compared to other universities.
b. Identifying opportunities that exist or will exist in the future (think environmental scan from Chapter 3) that CSUSB might be well positioned to take advantage of.
c. Identifying threats that exist or will exist in the future (again, think environmental scan from Chapter 3) that CSUSB will need to take steps to address in order to avoid.
4. Follow the layout example below. Use well written, bulleted sentences and make sure that you provide clear support for each of your bullet points. For example, you cannot simply state that the school has a good/bad reputation without providing a sentence or two to support your position.
RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE
WALDEN UNIVERSITY
JULY 28, 2019
Recommending an Evidence-Based Practice Change
My Facilityl is focused on providing quality healthcare to all patients regardless of their differences.
The facility is has a culture of embracing change as long as it helps in improving the patients’ health outcomes.
However, since our hospital is a community-based health service facility, there are some of things that need to be changed.
The healthcare facility offers cancer services including screening and management services. Screening is offered to the community occasionally when the facility organizes cancer awareness where they get more cancer professionals from other hospitals to help provide screening services to the people.
Recommending an Evidence-Based Practice Change
The problem facing the healthcare facility currently is the lack of cancer screening awareness among the community members and enough oncologists.
Cancer screening services require advanced technology and machines to ensure detection and diagnosis of cancer.
Cancer is one of the top diseases causing high mortality rates around the world presently.
The federal and national government are the .
Chapter 4 Information Systems to Support Population Health Managem.docxketurahhazelhurst
Chapter 4 Information Systems to Support Population Health Management Learning Objectives To be able to understand the data and information needs of health systems in managing population health effectively under value-based payment models. To be able to discuss key health IT tools and strategies for population health management including EHRs, registries, risk stratification, patient engagement, and outreach, care coordination and management, analytics, health information exchange, and telemedicine and telehealth. To be able to discuss the application and use of data analytics to monitor, predict, and improve performance. The enactment of the Affordable Care Act (ACA) brought about sweeping legislation intended to reduce the numbers of uninsured and make health care accessible to all Americans. It also ushered in an era in which changing reimbursement and care delivery models are driving providers from the current fragmented system focused on volume-based services to an outcomes orientation. As a result, the health care system now taking shape is one in which value-based payment models financially reward patient-centered, coordinated, accountable care. Against this backdrop, providers' increasing use of evidence-based medicine and growing capabilities in managing volumes of clinical evidence through sophisticated health IT systems will mean that treatments can be tailored for the individual and interventions can be made earlier to keep patients well. Furthermore, patient engagement is fast becoming a critical component in the care process, particularly in the area of population health management (PHM). Health care providers' interest in improving population health appears to be increasing because of the sudden ubiquity of the phrase, because many are participating in accountable care organizations (ACOs), and because even hospitals not participating in an ACO increasingly have incentives to reduce their number of potentially unavoidable admissions, readmissions, and emergency department visits (Casalino, Erb, Joshi, & Shortell, 2015). In this chapter we'll not only seek a common understanding of PHM but also explore how the advent of shared accountability financial arrangements between providers and purchasers of care has created significant focus on PHM. We'll also review the core processes associated with accountable care and examine the strategic IT investments and data management capabilities required to support population health management and enable a successful transition from volume-based to value-based care. PHM: Key to Success Although the ACO model is still new and evolving, approximately 750 ACOs are in operation today, covering some 23.5 million lives under Medicare, Medicaid, and private insurers. Although not all ACOs have demonstrated success in delivering better health outcomes at a lower cost, many have achieved promising results (Houston & McGinnis, 2016). As such, significant ACO growth is expected. In fact, it is predicte ...
Marita Schifalacqua, RN, MSN, NEA-BC, FAAN,
Chris Costello, MEng, MBA, and Wendy Denman, RNC, BBM, BSN, MSN
Roadmap for Planned Change, Part 2
Bar-Coded Medication Administration
hange—savored by some and feared by many.
How do you as nurse leaders use your
knowledge and insight to move forward and transfer
your vision for quality and safety into reality? What do
you need to do to get key stakeholders on the bus and,
in some cases, even drive the bus? The roadmap for
planned change allows for an infrastructure of thought
brought to increase the likelihood for successful
change. Successful change is important to our patients
and to us as providers of that care.
This article, the second of a two-part series,
focuses on the application of change theory and the
elements of project management most critical to
successfully implementing a bar-coded medication
administration (BCMA) program. Examples will be
from one hospital’s experience, Saint Francis Medical
Center in Grand Island, Nebraska, to a health
system’s (Catholic Health Initiatives, Denver, Colorado)
approach to planning for 30 hospitals.
The definition of the BCMA program includes a
consistent, integrated information technology strategy,
with a focus on point-of-care BCMA to ensure that the
right person receives the right medication, in the right
dosage, via the right route, at the right time (five
rights). The bar code on medication is scanned before
administration to patients.
C
April 200932 Nurse Leader
Nurse Leader 33www.nurseleader.com
APPLICATION OF CHANGE THEORY AND
PROJECT MANAGEMENT
The first article discusses concepts and tools of both change
leadership and project management that lend support in plan-
ning and managing large- or small-scale change. Change lead-
ership is a common methodology of theory and tools that,
when used routinely, are central to integrating a change man-
agement model with the people side of change.
Project management is an application of knowledge, skills,
tools, and techniques customized to the initiative.The project
management elements discussed in the first article that are
most critical to successfully implementing planned change are
project charter, project budget and budget management, proj-
ect plan and schedule management, project staff organization,
project communications management, and project risk and
issue management.
CURRENT STATE ANALYSIS
Changing a process as complex as BCMA can and will
impact a variety of stakeholders. It is important to review
the process of medication administration from the time the
medication enters the facility through the time that the med-
ication is billed to the patient. Employees working in depart-
ments that will experience change with BCMA need to
know that their role is important and that their viewpoint
is valued.
Leadership
The chief nursing officer and vice president of ancillary services
were the executive cosponsors of the project.There was a
BCMA stee ...
You have collected the following documents (unstructured) and pl.docxbriancrawford30935
You have collected the following documents (unstructured) and plan to apply an index technique to convert them into an inverted index.
Doc 1?Information retrieval is the activity of obtaining information resources relevant to an information need from a collection of information resources. Searches can be based on full-text or other content-based indexing.
Doc 2?Information retrieval is finding material of an unstructured nature that satisfies an information need from within large collections.
Doc 3?Information systems is the study of complementary networks of hardware and software that people and organizations use to collect, filter, process, create, and distribute data.
In the process of creating the inverted index, please complete the following steps:
Remove all stop words and punctuation, and then apply Porter’s stemming algorithm to the documents. Thelist of stop words for this task is provided as follows:
Is, The, Of, To, An, A, From, Can, Be, On, Or, That, Within, And, Use
Create a merged inverted list including the within-document frequencies for each term.
Use the index created in part (b) to create a dictionary and the related posting file.
You may like to test the inverted index by using the following keywords:information, system, index
.
You have been working as a technology associate the information .docxbriancrawford30935
You have been working as a technology associate the information systems department at Corporation Techs for a while now. You have discovered so far that all of Corporation Techs’ computer systems share the same Class C public IP address range, including workstations along with servers providing authentication, e-mail, and both secure and public Web sites.
Your next task in this project is to construct a basic network design. An important requirement for the network design is to reduce the number of public addresses needed as the subnet lease results in very high ISP costs.
Tasks
Construct a basic network design, separating private and public services within the Corporation Techs’ network. To do so, you must:
Access the PCAP files using NetWitness Investigator, and browse the Nmap scan (XML format), topology fisheye chart (PDF format), and Nessus report (HTML format).
Identify vulnerabilities and clear-text information transfer.
Conduct research and determine the best network design to ensure security of internal access while retaining public Web site availability.
Identify any opportunities for reduced ISP costs through port redirection or address translation.
Design a network configuration, identifying network gateways, port or address redirection systems, and the location of hosts within private and protected network segments.
Create a professional report detailing the information above as supportive documentation for the network security plan.
Create a report that includes a basic network diagram and research results.
.
More Related Content
Similar to Project pressure ulcer reductionRunning head HEALTH C.docx
· Analyze how healthcare reimbursement influences your nursing praLesleyWhitesidefv
· Analyze how healthcare reimbursement influences your nursing practice.
Health care is significantly changing with time, and one of these changes is how health care facilities and providers are compensated for offering service. One of these ways is through reimbursement. Health care reimbursement is the payment given to a health care facility or a health care provider for offering medical service to a patient (Torrey, 2020). This cost is often covered by a patient’s health insurer or a government payer. In health care reimbursements are beneficial because they discourage DNP-prepared nurses from establishing their own independent practices. This is because at their own practices they would receive less reimbursement under their own number than under that of a physician. If the reimbursement rates were equal more DNP-prepared nurses would establish their own practices and this would increase competition.
Due to healthcare reimbursement, models that emphasize cost-effective decisions by DNP-prepared nurses are developed. These decisions are offer patients with quality medical care rather than sacrificing the patient service quality. Innovations such as price transparency tools as well as patient engagement apps help the nursing practice during the implementation of healthcare reimbursement. The patient outcome as well as the low-cost care provided by health care providers has an influence on the reimbursement received. Health care reimbursement tends to motivate health care providers because they earn more when the care they provide is of high quality as well as low cost.
DNP- prepared Nurses' role helps Nurse Practitioners to prepare for the advancement they will encounter in their nursing career in health care. This enables them to be more competent and have more knowledge when offering quality health care. The main goal of the health care reimbursement system is to pay health care providers based on their performance. This means that being more advanced and competent is beneficial for a DNP in order to provide high-quality care to patients. This simply means that if they offer high-quality care, the reimbursement will reflect this and they will be paid more. And if they are not competent, then the reimbursement will be vice versa.
2- Examine how the value-based insurance design (VBID) influences clinical outcomes and cost issues.
The aim of value-based insurance design is to increase the quality of health care while decreasing the cost by using financial incentives to promote cost-efficient health care services and consumer choices. In order to remove roadblocks as well as maintain and improve a person’s health, health benefit plans can be developed. These plans tend to save money by reducing future expensive medical procedures. They do this by covering treatments such as prescribed drugs at a low cost or no cost, preventive care as well as wellness visits (Lexchin, 2020).
The healthcare industry is making a shif ...
Implement a Direct-to-Patient Approach to Increase Patient Engagement and Ret...John Reites
Article by MM&M (Medical, Marketing & Media) on 25 Mar 2015 with John Reites discussing direct-to-patient approaches to conduct innovation research models that increase engagement and retention.
Weblink: http://www.mmm-online.com/pharmaceutical/implement-a-direct-to-patient-approach-to-increase-patient-engagement-and-retention/article/405443/
Alycia Albers
CTU
Phase 4 IP
Healing Hands Hospital’s Future
Future Health care Trends
Reform Realities:-Pay-for-performance systems are set to be implemented.
IT upgrades:- better care delivery is accompanied by offering patients technology which supports that care.
Involves the introduction of electronic medical records.
It’s now shifting to ORs.
Introducing patients to personalized medicine.
Reform Realities-Pay-for-performance systems are set to be implemented meaning hospitals along with health systems will have to be more accountable than they have been. Every hospital facility has to come up with better strategies of tracking performance and the manner in which it provides its services.
IT upgrades-making better care delivery is accompanied by offering patients technology which supports that care. This has already begun with the introduction of electronic medical records and it’s now shifting to hybrid ORs. Besides, hospitals have to introduce patients to personalized medicine such as using their smart phones in tracking their heart rate and sending the data to their care providers’ mobile devices (In Geisler, In Krabbendam & In Schuring, 2003).
2
Contd.
Billing will shift to value from volume-in future.
New payment mechanisms:-risk sharing, capitation agreement, bundling agreements.
Health systems super-size- consolidation of various health care units.
Billing will shift to value from volume-in future, healthcare systems will have to focus on high quality, improved outcomes, as well as, greater satisfaction. There will be new payment mechanisms which will include risk sharing along with capitation agreement, as well as, bundling agreements.
Health systems super-size-it is projected that as a result of the lower costs, increased efficiencies and better quality; the hospitals, pharmaceutical suppliers, health systems and other participants within the health care are set to consolidate within the next decade. The resultant mega-sized entities are set to cause the end of stand-alone hospitals (Spekowius & Wendler, 2007).
3
Technologies
Telemedicine-is expected to facilitate the delivery of cost effective health care in the coming future.
This is due to the fact that technology is not only cheaper but also much easier to utilize.
Electronic health data evolution- it is now possible to work with outside apps.
The easy accessibility of medical data makes greater the knowledge depth.
Telemedicine-is expected to facilitate the delivery of cost effective health care in the coming future. This is due to the fact that technology is not only cheaper but also much easier to utilize and various options are becoming available for every patient. Medical staff can connect with their patients through the internet by utilizing webcams.
Electronic health data evolution-as health records become electronic, it is now possible to work with outside apps, which play a significant role in cap.
Paper Assignment # 2 Using your exploration from paper 1, .docxbunyansaturnina
Paper Assignment # 2
Using your exploration from paper 1, choose one (1) way to use health information
technology to address your identified community health related issue and describe
the process of implementation in a chosen context. Paper should be approximately
5-6 pages, (not including title or reference pages). It is to be written in APA format.
The following information needs to be included in the paper:
1. Introduce your idea and identify the context of how your HIT idea will be used
2. Discuss theoretical support for your idea
3. Identify a goal for your idea and three (3) objectives
4. Detail strategies you will take to implement your idea
5. Discuss anticipated barriers to implementation
Limited Developing Mastery
Introduction and
identification of
context
No introduction or
elementary
introduction with no
context or
supporting evidence
provided
Basic introduction
with limited
details and
minimal context or
supporting
evidence
Detailed introduction
of topic with context
and supporting
evidence provided.
Theoretical support,
goal statement and
objectives (Total 3
objectives must be
provided)
No theoretical
support, goal
statement or less
than 3 objectives
for proposed idea
Basic discussion of
theory, basic goal
statement and non-
specific objectives
Detailed, in-depth
discussion of how
theory applies to idea,
detailed goal
statement and (3)
specific measurable
objectives.
Process for
implementation and
anticipated barriers
No process of
implementation
presented or no
barriers identified
Limited process of
implementation
discussed with few
examples and
minimal discussion
of barriers
Detailed Process
of implementation
discussed,
multiple
examples, and
substantial
discussion of
barriers
Conclusion No conclusion
paragraph included
Basic conclusion Detailed conclusion of
topic
References 0-2 references 3-4 references 5 or more references
Paper Assignment #1
Some of the health related issues from the community commons report include being
overweight and obesity. These conditions increase a person's chances of dying from type 2
diabetes, hypertension, coronary heart disease, stroke, osteoarthritis, respiratory issues, and sleep
apnea, and breast, colon, and prostate cancers. Research shows that maintaining physical fitness
can help stop or decrease some to the chances in getting some of these illnesses.
Using the EHR System to Improve Outcomes for Older Adults
Studies conducted by nurses show that the effective use of Electronic Health Record
System (EHR) can progress results of significance to older adults suffering from pressure ulcers
and falls. Bowles and colleagues assessed the effect of an assimilated EHR in various hospitals
on the course and outcome indicators for patient falls and pressure ulcers acquired from the
hospitals. They discovered that the EHR system was linked with improved fall and pressure u.
Running head PROJECT PLAN1PROJECT PLAN 5Proje.docxtodd581
Running head: PROJECT PLAN 1
PROJECT PLAN 5
Project Plan
Nicholas Calhoun
Project Management
South University
January 21, 2020
Project Plan
Industry: Healthcare
Project: “Implementation of Electronic Medical Record (EMR) systems”
Project Overview
The growth in technology has seen the inception of healthcare informatics whereby hospitals are required to utilize software systems to “facilitate workflow and improve the quality of patient care and patient safety” (Chang & Choi, 2016). Following the enactment of Affordable Care Act in 2010, the demand for healthcare services has increased drastically. Consequently, hospitals across United States serve a huge number of patients in a single day –hence making it hard for healthcare providers, clinical staff, and physicians to handle patients’ medical records manually.
Considerably, some level or organization is required in order to facilitate process of documentation and easy retrieval of patient records. Acquisition and implementation of a EMR system helps to capture, manage, and retrieve patient data like demographic information, lab results, medical history, among others with a single click. According to Coleman et al. (2015), “a strong EMR system can effectively acquire and centralize vital patient information” –something that is effective and efficient service delivery.
Thus, this project involves the process acquiring and implementing EMR to facilitate workflow and enhance service delivery in hospitals.
Synopsis
The project success is entirely anchored on proper “planning and management” of the activities and processes involved (Serra & Kunc, 2015). As a course, project management has a number of objectives which must be fulfilled and this project is fully aligned those objectives. First, there is need to ensure that projects are aligned to the organizational strategy and hence, this project is in line with the need to provide quality care to patients. The project plan will involve the process of creating a WBS that will act as a point of reference as far as project planning and control is concerned. Developing a network diagram for the project is also key in managing this project. Cost and time estimation is a key element of this project is essential in ensuring that the implementation team works within the required timeframe and budget. Values and risk analysis also forms is a key element of project plan to ensure that its implementation does not result into losses. The acquisition of high performing team is critical in ensuring that the necessary knowledge, skills, and expertise is acquired to spearhead the implementation process. Understanding procurement process is necessary in order to acquire all the relevant materials and equipment to facilitate the installation and maintenance of EMR. Finally, assessment and evaluation of the project is essential to ensure that it meets the required standards (Clarizen, 2018).
Project Scope
Rouse notes that “project scope is the part of p.
The Application of Data to Problem-SolvingIn the modern era, the.docxtodd801
The Application of Data to Problem-Solving
In the modern era, there are few professions that do not to some extent rely on data. Stockbrokers rely on market data to advise clients on financial matters. Meteorologists rely on weather data to forecast weather conditions, while realtors rely on data to advise on the purchase and sale of property. In these and other cases, data not only helps solve problems, but adds to the practitioner’s and the discipline’s body of knowledge.
Of course, the nursing profession also relies heavily on data. The field of nursing informatics aims to make sure nurses have access to the appropriate date to solve healthcare problems, make decisions in the interest of patients, and add to knowledge.
In this Discussion, you will consider a scenario that would benefit from access to data and how such access could facilitate both problem-solving and knowledge formation.
To Prepare:
Reflect on the concepts of informatics and knowledge work as presented in the Resources.
Consider a hypothetical scenario based on your own healthcare practice or organization that would require or benefit from the access/collection and application of data. Your scenario may involve a patient, staff, or management problem or gap.
By Day 3 of Week 1
Post
a description of the focus of your scenario. Describe the data that could be used and how the data might be collected and accessed. What knowledge might be derived from that data? How would a nurse leader use clinical reasoning and judgment in the formation of knowledge from this experience?
By Day 6 of Week 1
Respond
to at least
two
of your colleagues
* on two different days
, asking questions to help clarify the scenario and application of data, or offering additional/alternative ideas for the application of nursing informatics principles.
Click on the
Reply
button below to reveal the textbox for entering your message. Then click on the
Submit
button to post your message.
*Note:
Throughout this program, your fellow students are referred to as colleagues.
Will be posting additional discussion replies that will require two replies which will be included in this discussion post.
Each requires at least three references and all need to be in APA format.
Monicas discussion
Discussion #1- Initial Post
All healthcare workers are trained to share the common goal of providing the best quality of care to their patients. Regardless of what role one may serve on the multidisciplinary team, they all have an obligation to accurately assess the needs of the patient, to efficiently collect and record data, to contribute to diagnosing, and to treat/ evaluate properly. “Informatics blend technology and information to blend something new that people, organizations and society can make use of” (Laureate, 2018). Advancement in technologies such as, electronic health records (EHR), electronic medication administration records (EMARS), computerized physician order entry (COPOE) and.
MHA6999 SEMINAR IN HEALTHCARE CASES-- WEEK 2 LECTURE, DISCUSSION, DioneWang844
MHA6999 SEMINAR IN HEALTHCARE CASES-- WEEK 2 LECTURE, DISCUSSION, AND PROJECT INSTRUCTIONS
Page | 1
Quality
Nearly fifteen years ago, the Institute of Medicine published the “To Err Is Human” report, which exposed the substantial impact of medical errors in the US healthcare system and called for a dramatic system change, including an improved understanding of those errors (McCarthy, Tuiskula, Driscoll, & Davis, 2017). Medical errors are considered to be failure to achieve the original goal or plan of action, and these errors may range from a patient falls to a mistake in the operating room. Not only do medical errors cause harm to the patient and jeopardize the patient’s trust, but they also cause a financial strain for the health system (“To Err is Human,” 1999). One of the contributing factors to medical errors is the lack of effective communication between doctors who are treating the same patient. This results in healthcare providers overprescribing medications for patients as well as increases the possibility of a patient having unnecessary tests or procedures performed. The report’s four-tiered approach includes:
· Focusing on creating a stronger foundation of education on patient safety
· Mandating a nationwide reporting system to encourage timely reporting of errors
· Increasing the standards of performance for healthcare providers
· Taking advantage of the security that safety systems offer (“To Err is Human,” 1999)
Creating a strong educational foundation for patient safety is most important. Healthcare personnel are much more likely to actively participate in reporting systems, encourage one another to perform at a higher level, and take advantage of safety systems when they are well educated on patient safety and the implications of medical errors. The reporting system seems to provide the least amount of impact on patient safety as they can result in losing patient trust in certain healthcare systems. The healthcare system as a whole has made progress in establishing a safe environment for patients when they are in need of care.
Challenges for Patient Safety and Steps for Improvement
Despite continuing evidence of problems in patient safety and gaps between the care that patients receive and the evidence about what they should receive, efforts to improve quality in healthcare show mostly inconsistent and patchy results.
Tap each image to know more.
Data Collection and Monitoring Systems
This always takes much more time and energy than anyone anticipates. It is worth investing heavily in data from the outset. Assess local systems, train people, and have quality assurance.
Tribalism and Lack of Staff Engagement
Overcoming a perceived lack of ownership and professional or disciplinary boundaries can be very difficult. Clarify who owns the problem and solution, agree roles and responsibilities at the outset, work to common goals, and use shared language.
Convince People That There's a Problem
Use hard data to secure emotional e ...
Scheduling Of Nursing Staff in Hospitals - A Case Studyinventionjournals
International Journal of Mathematics and Statistics Invention (IJMSI) is an international journal intended for professionals and researchers in all fields of computer science and electronics. IJMSI publishes research articles and reviews within the whole field Mathematics and Statistics, new teaching methods, assessment, validation and the impact of new technologies and it will continue to provide information on the latest trends and developments in this ever-expanding subject. The publications of papers are selected through double peer reviewed to ensure originality, relevance, and readability. The articles published in our journal can be accessed online.
MARKETING PRINCIPLES
MKTG 305
SWOT Assignment – CSUSB
Purpose:
In this assignment you will apply what you have learned from Chapters 2 and 3 by conducting a SWOT analysis of CSUSB.
Instructions
1. Use the layout template provided in the assignment details. Save it as a Word document and submit it to Blackboard.
2. Begin by populating the Strengths section of your chart. Identify what you perceive to be the strengths of CSUSB as compared to other universities. For example, answering the following questions should provide you with a start, but this list is not meant to be exhaustive:
a. What advantages does CSUSB have that others don’t have?
b. What does CSUSB do better than anyone else?
c. What resources can CSUSB access?
d. What do other people see as the strengths of CSUSB?
e. What accomplishments should CSUSB be most proud of?
f. What are the values of CSUSB and are they a strength or a weakness?
g. What is the reputation/brand of CSUSB and is it a strength or a weakness?
3. Continue to fill in the other three sections in your chart by:
a. Identifying the weaknesses of CSUSB compared to other universities.
b. Identifying opportunities that exist or will exist in the future (think environmental scan from Chapter 3) that CSUSB might be well positioned to take advantage of.
c. Identifying threats that exist or will exist in the future (again, think environmental scan from Chapter 3) that CSUSB will need to take steps to address in order to avoid.
4. Follow the layout example below. Use well written, bulleted sentences and make sure that you provide clear support for each of your bullet points. For example, you cannot simply state that the school has a good/bad reputation without providing a sentence or two to support your position.
RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE
WALDEN UNIVERSITY
JULY 28, 2019
Recommending an Evidence-Based Practice Change
My Facilityl is focused on providing quality healthcare to all patients regardless of their differences.
The facility is has a culture of embracing change as long as it helps in improving the patients’ health outcomes.
However, since our hospital is a community-based health service facility, there are some of things that need to be changed.
The healthcare facility offers cancer services including screening and management services. Screening is offered to the community occasionally when the facility organizes cancer awareness where they get more cancer professionals from other hospitals to help provide screening services to the people.
Recommending an Evidence-Based Practice Change
The problem facing the healthcare facility currently is the lack of cancer screening awareness among the community members and enough oncologists.
Cancer screening services require advanced technology and machines to ensure detection and diagnosis of cancer.
Cancer is one of the top diseases causing high mortality rates around the world presently.
The federal and national government are the .
Chapter 4 Information Systems to Support Population Health Managem.docxketurahhazelhurst
Chapter 4 Information Systems to Support Population Health Management Learning Objectives To be able to understand the data and information needs of health systems in managing population health effectively under value-based payment models. To be able to discuss key health IT tools and strategies for population health management including EHRs, registries, risk stratification, patient engagement, and outreach, care coordination and management, analytics, health information exchange, and telemedicine and telehealth. To be able to discuss the application and use of data analytics to monitor, predict, and improve performance. The enactment of the Affordable Care Act (ACA) brought about sweeping legislation intended to reduce the numbers of uninsured and make health care accessible to all Americans. It also ushered in an era in which changing reimbursement and care delivery models are driving providers from the current fragmented system focused on volume-based services to an outcomes orientation. As a result, the health care system now taking shape is one in which value-based payment models financially reward patient-centered, coordinated, accountable care. Against this backdrop, providers' increasing use of evidence-based medicine and growing capabilities in managing volumes of clinical evidence through sophisticated health IT systems will mean that treatments can be tailored for the individual and interventions can be made earlier to keep patients well. Furthermore, patient engagement is fast becoming a critical component in the care process, particularly in the area of population health management (PHM). Health care providers' interest in improving population health appears to be increasing because of the sudden ubiquity of the phrase, because many are participating in accountable care organizations (ACOs), and because even hospitals not participating in an ACO increasingly have incentives to reduce their number of potentially unavoidable admissions, readmissions, and emergency department visits (Casalino, Erb, Joshi, & Shortell, 2015). In this chapter we'll not only seek a common understanding of PHM but also explore how the advent of shared accountability financial arrangements between providers and purchasers of care has created significant focus on PHM. We'll also review the core processes associated with accountable care and examine the strategic IT investments and data management capabilities required to support population health management and enable a successful transition from volume-based to value-based care. PHM: Key to Success Although the ACO model is still new and evolving, approximately 750 ACOs are in operation today, covering some 23.5 million lives under Medicare, Medicaid, and private insurers. Although not all ACOs have demonstrated success in delivering better health outcomes at a lower cost, many have achieved promising results (Houston & McGinnis, 2016). As such, significant ACO growth is expected. In fact, it is predicte ...
Marita Schifalacqua, RN, MSN, NEA-BC, FAAN,
Chris Costello, MEng, MBA, and Wendy Denman, RNC, BBM, BSN, MSN
Roadmap for Planned Change, Part 2
Bar-Coded Medication Administration
hange—savored by some and feared by many.
How do you as nurse leaders use your
knowledge and insight to move forward and transfer
your vision for quality and safety into reality? What do
you need to do to get key stakeholders on the bus and,
in some cases, even drive the bus? The roadmap for
planned change allows for an infrastructure of thought
brought to increase the likelihood for successful
change. Successful change is important to our patients
and to us as providers of that care.
This article, the second of a two-part series,
focuses on the application of change theory and the
elements of project management most critical to
successfully implementing a bar-coded medication
administration (BCMA) program. Examples will be
from one hospital’s experience, Saint Francis Medical
Center in Grand Island, Nebraska, to a health
system’s (Catholic Health Initiatives, Denver, Colorado)
approach to planning for 30 hospitals.
The definition of the BCMA program includes a
consistent, integrated information technology strategy,
with a focus on point-of-care BCMA to ensure that the
right person receives the right medication, in the right
dosage, via the right route, at the right time (five
rights). The bar code on medication is scanned before
administration to patients.
C
April 200932 Nurse Leader
Nurse Leader 33www.nurseleader.com
APPLICATION OF CHANGE THEORY AND
PROJECT MANAGEMENT
The first article discusses concepts and tools of both change
leadership and project management that lend support in plan-
ning and managing large- or small-scale change. Change lead-
ership is a common methodology of theory and tools that,
when used routinely, are central to integrating a change man-
agement model with the people side of change.
Project management is an application of knowledge, skills,
tools, and techniques customized to the initiative.The project
management elements discussed in the first article that are
most critical to successfully implementing planned change are
project charter, project budget and budget management, proj-
ect plan and schedule management, project staff organization,
project communications management, and project risk and
issue management.
CURRENT STATE ANALYSIS
Changing a process as complex as BCMA can and will
impact a variety of stakeholders. It is important to review
the process of medication administration from the time the
medication enters the facility through the time that the med-
ication is billed to the patient. Employees working in depart-
ments that will experience change with BCMA need to
know that their role is important and that their viewpoint
is valued.
Leadership
The chief nursing officer and vice president of ancillary services
were the executive cosponsors of the project.There was a
BCMA stee ...
You have collected the following documents (unstructured) and pl.docxbriancrawford30935
You have collected the following documents (unstructured) and plan to apply an index technique to convert them into an inverted index.
Doc 1?Information retrieval is the activity of obtaining information resources relevant to an information need from a collection of information resources. Searches can be based on full-text or other content-based indexing.
Doc 2?Information retrieval is finding material of an unstructured nature that satisfies an information need from within large collections.
Doc 3?Information systems is the study of complementary networks of hardware and software that people and organizations use to collect, filter, process, create, and distribute data.
In the process of creating the inverted index, please complete the following steps:
Remove all stop words and punctuation, and then apply Porter’s stemming algorithm to the documents. Thelist of stop words for this task is provided as follows:
Is, The, Of, To, An, A, From, Can, Be, On, Or, That, Within, And, Use
Create a merged inverted list including the within-document frequencies for each term.
Use the index created in part (b) to create a dictionary and the related posting file.
You may like to test the inverted index by using the following keywords:information, system, index
.
You have been working as a technology associate the information .docxbriancrawford30935
You have been working as a technology associate the information systems department at Corporation Techs for a while now. You have discovered so far that all of Corporation Techs’ computer systems share the same Class C public IP address range, including workstations along with servers providing authentication, e-mail, and both secure and public Web sites.
Your next task in this project is to construct a basic network design. An important requirement for the network design is to reduce the number of public addresses needed as the subnet lease results in very high ISP costs.
Tasks
Construct a basic network design, separating private and public services within the Corporation Techs’ network. To do so, you must:
Access the PCAP files using NetWitness Investigator, and browse the Nmap scan (XML format), topology fisheye chart (PDF format), and Nessus report (HTML format).
Identify vulnerabilities and clear-text information transfer.
Conduct research and determine the best network design to ensure security of internal access while retaining public Web site availability.
Identify any opportunities for reduced ISP costs through port redirection or address translation.
Design a network configuration, identifying network gateways, port or address redirection systems, and the location of hosts within private and protected network segments.
Create a professional report detailing the information above as supportive documentation for the network security plan.
Create a report that includes a basic network diagram and research results.
.
You have chosen to join WHO. They are particularly interested in.docxbriancrawford30935
You have chosen to join WHO. They are particularly interested in your microbiology skills since there have been many outbreaks of disease around the world. Now that you have reviewed your microbiology, you have been notified that you will be sent to one of two areas, West Africa, or the Middle East. In preparation, the Peace Corp would like you to choose one of these areas and complete a plan to deal with outbreaks or potential outbreaks in the area.
Choose an outbreak from those below to investigate.
Ebola or Middle East respiratory syndrome coronavirus (MERS-CoV)
Locate resources that will provide information about the infection, causing microbe, mode of infection, mode of spread, group or groups specifically susceptible, where outbreak occurred and when, clinical evaluation and diagnosis, infection control.
Find first person reports such as interviews or personal reports or journals on the outbreak. If you need help work with the librarian.
Design and submit an outline of the information you have uncovered. You will use this information to complete the project.
The outline should contain information and cited resources for:
Name of the disease chosen
Causing microbe
Mode of infection
Mode of spread
Group or groups specifically susceptible
Where outbreak occurred and when
Clinical evaluation and diagnosis
Infection control.
.
You have been tasked to present at a town hall meeting in your local.docxbriancrawford30935
You have been tasked to present at a town hall meeting in your local town or city to present the details about a new local policy that is being proposed. The presentation will need to define the problem, proposed solutions, risks, challenges, and funding opportunities/challenges. Topics may include local government changes to communities (for example, transportation, commercial enterprise effects on nearby townships, affordable housing construction, environmental effects of new/old business operations, addressing homelessness support, and others).
Using the
Policy Identification and Analysis Assignment Template [PPTX],
develop an 8–10 slide presentation in which you:
Analyze and define the problem to include possible political conflicts.
Identify risks and challenges.
Identify and construct policy alternatives and solutions.
Identify stakeholders and key roles.
Identify funding opportunities, challenges, and budget cost factors, to include saving measures.
Select supportive and evaluative criteria.
Identify incentives, subsidies, and potential benefits.
Draw conclusions in a thorough summary, including lessons learned.
Use the Internet or Strayer databases at the
Strayer Library
to locate at least three quality resources in this assignment.
Note
: Wikipedia and similar websites do not qualify as quality resources.
Use the
Policy Identification and Analysis Assignment Template [PPTX]
.
.
You have been tasked as the health care administrator of a major hos.docxbriancrawford30935
You have been tasked as the health care administrator of a major hospital to create a financial plan for your organization. What would you include in your financial plan? Compare an operating budget versus a capital budget? Include examples of each budget in a hypothetical department or unit of a hospital. Cite and reference your resources.
.
You have been tasked to devise a program to address the needs of.docxbriancrawford30935
You have been tasked to devise a program to address the needs of crime victims. To better understand what type of program to devise, you need to review some crime data. The crime data will help you to identify the various types of crimes being committed and how the various types of crime victims are impacted by their offenders. Select a source that compiles crime data. Describe why you selected that particular source and what type of data that source contains. Secondly, describe the basic goals of your proposed program and what types of services the program would provide to crime victims based on the various types of crimes. For example, what would be a program goal for a rape victim, and what type of program(s) or service(s) would be devised to address the victim’s needs (this could include gender, age, and group counseling sessions).
Assignment Guidelines
Select a source that compiles crime data.
Address the following in 750–1,000 words:
Why did you select that particular source? Explain in detail.
What type of data does that source contain? Describe in detail.
What are the basic goals of your proposed program? Explain in detail.
What types of services would the program provide to crime victims with regard to the various types of crime? Explain in detail.
Be sure to reference all sources using APA style.
.
You have been successful in your application for the position be.docxbriancrawford30935
You have been successful in your application for the position below and are invited to interview – time and date to be arranged.
Job Title: Social Care Worker – Residential services Panel
The social care worker will…
· work with children / young people, families and / or significant others, Social Work teams, other healthcare providers and agencies, schools, training agencies and community groups.
· care for, protect, and support vulnerable or dependent clients, individually or in groups, in conjunction with the wider multidisciplinary team and other relevant agencies. S/he will ensure the welfare of those under his / her care and will act as an advocate as appropriate.
· contribute to the planning and evaluation of individualised and group programmes of care, which are based on needs, identified in consultation with the client and others and delivered through day-to-day shared life experiences.
· work as part of a team to provide a safe, caring environment for resident clients/ children / young people with the primary aim of providing the intervention necessary to address the issues that are preventing them from fulfilling their outcomes.
· treat clients/ children/ young people and their families with dignity and respect, promoting a culture of unconditional positive regard at all times.
· recognise clients/ children / young people as expert through experience, promoting their participation in care planning, placement planning, decision-making and service delivery.
· contribute to the promotion of good links with neighbours, local community resources, i.e. schools, employment schemes and clubs, local Gardai and any other appropriate service.
· engage in reflective and evidence based practice
. That guideline to use to answer this question 1 to 3
1. Creative practice, reflective practice and team skills
It is important that the Social Care Worker can work independently as well as part of a wider healthcare team, building and maintaining relationships and understanding and valuing individuals and their respective professional roles. S/he should be able to identify the limits of their practice and know when to seek advice and additional expertise or refer to another professional. S/he should be able to give and receive feedback and to input their learning into their practice.
In the space below, please give an example of a situation where you were responsible for an individual piece of work with a service user/group of service users and which demonstrates your ability in the above areas
2
.
Flexibility, resilience and ability to deal with challenges.
An effective Social Care Worker demonstrates a commitment to providing a quality service. S/he is innovative and open to change in striving to ensure high standards in service delivery. Challenges can arise in many ways in the course of Social Care practice and an ability to manage adversity when it arises is an important professional skill.
In the space below, please give an.
You have been hired as a project management consultant by compan.docxbriancrawford30935
You have been hired as a project management consultant by company XYZ to review the status of a CRM (Customer Relationship Management) implementation by their internal project manager. Project Manager has spent allot of time with stakeholders on request for additional features being added to the project, resulting in 7 CRs (total potential project impact of $400,000). You are to review and assess the available current data on the project and provide specific recommendations and prioritized next steps to the executive committee.
Start Date: March 2021
Planned Finish Date: September 2021
Current Phase: Implementation
Overall Percent Complete: 40%
Overall Approved budget: $1,000,000
Actual Cost to date: $650,000
Number of Change Requests submitted by stakeholders: 7
CPI = 0.45
SPI = 0.65
EV = $400,000
.
You have been hired to manage a particular aspect of the new ad.docxbriancrawford30935
You have been hired to manage a particular aspect of the new adult addictions center. It is your job to write a proposal to bring to the next board meeting so that funds can be allocated to initiate your plans. This is the brainstorming stage of the planning. Your proposal will need to be scrutinized by the board before it approves it. It is important to be as specific and detailed as possible to justify the needs of your department before going forward. It is also important to be realistic, but at the same time expand your ideas, goals, and aspirations into doable actions because this board wants you to think outside of the box.
MY ASSIGNED ROLE IS COMMUNITY RESOURCES
Community referrals and other needs (e.g., working with the justice system, local businesses, and nonprofit organizations)
Write a 900–1,200 word paper that addresses the following:
What is the department’s role within the organization, and what are its responsibilities?
What are the client needs or services that are addressed by this department?
What individuals and resources are needed to provide those services?
**** Paper must include ****
Abstract
Introduction
Conclusion
References for all of the sections, in APA style
.
You have been hired by Red Didgeridoo Technologies. They know th.docxbriancrawford30935
You have been hired by Red Didgeridoo Technologies. They know that they need to have network storage technologies, but their IT is a little lost. They want to have a scalable infrastructure to be able to expand and shrink the servers in their infrastructure when needed. In order to do this, they have purchased a license for VMware vSphere 6 Enterprise Plus.
NOTE:There must be at least 1 to 2 paragraphs per question.
1. Find and describe 2 distinct uses for a File Sharing Server which uses the sharing protocol named NFS (at least one of these must be a use specifically involving VMware vSphere 6 Enterprise Plus). List the advantages of using these implementations instead of using SMB or CIFS.
2. Find and describe 2 distinct uses (at least one of these must be a use which specifically involve VMware vSphere 6 Enterprise Plus) for iSCSI technology.
.
You have been hired by TMI to design an application using shell scri.docxbriancrawford30935
You have been hired by TMI to design an application using shell script programs. TMI
Case
Projects
needs you to design and create a new directory structure.
The company has several departments: accounting, sales, manufacturing, information tech-
nology, and headquarters. The accounting department has accounts receivable, accounts
payable, and payroll functions within it. The manufacturing department runs three shifts
and a weekend shift.The information technology department has five projects in progress.
The sales department has offices located in the West, East, North, and South.
First, design the Linux file system hierarchy on paper. Keep in mind that the depart-
ments, functions, shifts, regions, and projects need to translate into directories. Next, you
need to create this hierarchy on the Linux system. Create at least one empty file in each
directory. Use the department, function, shift, region, or project name as the filename
and include an extension of .dat.
.
You have been hired to evaluate the volcanic hazards associated .docxbriancrawford30935
You have been hired to evaluate the volcanic hazards associated with a dormant volcano. The volcano has no historically recorded eruptions, but is showing signs of stirring to life. Assuming that future volcanic activity would be similar to the prehistoric eruptions, what information would you seek out in the field as a part of your evaluation, and why would you collect this information?
.
You have been hired as an assistant to the public health officer for.docxbriancrawford30935
You have been hired as an assistant to the public health officer for the state. The budget deficit has impacted your state, and with elections high on the list of worries, legislators are concerned about their public image and are contemplating reducing the public health budget for the state. You are being asked to prepare a presentation to persuade legislators not to cut public health spending.
Select a public health program/service that will be impacted by a recently proposed state budget cut.
Prepare a PowerPoint presentation to persuade legislators not to cut public health funding. Present the cost/benefit of the public health program/service, the expected impact of the proposed cut, and conclude with an alternative proposal.
The presentation should have a minimum of 15 slides (not including the reference slides).
Notes should be present with each slide describing the information on the slide.
Provide supporting information.
Use charts, graphs, and other visuals.
Please make sure to present some state and local data of the community that will be impacted by the cuts.
REQUIREMENTS:
- Length: Assignment should be at least 15 slides, not counting reference slides.
- Cite your sources and include reference slides.
.
You have been engaged to develop a special calculator program. T.docxbriancrawford30935
You have been engaged to develop a special calculator program. The requirements for this program are very specific, and are as follows:
Create a Windows Forms application in Visual Studio using C#. The interface should look similar to the following:
Create the following controls, as shown above:
Labels for “Enter Information,” “Name,” “Input 1,” and “Input 2”
3 textboxes, as shown in the picture above
Buttons for addition, subtraction, multiplication, and division
Buttons for calculating sine, cosine, and tangent (based on the first input textbox only)
A button that calculates modulus
A button that clears the textboxes
Write a method for each of these calculations that will accept the incoming numbers from the two input fields and return the calculated value.
This value should be displayed in a MessageBox window, which should also display the user’s name from the first textbox.
Please submit your zipped Visual Studio project.
.
You have now delivered the project to your customer ahead of schedul.docxbriancrawford30935
You have now delivered the project to your customer ahead of schedule, but slightly over budget. Now, it is time to reflect on what went well and what didn’t go so well. Based on feedback throughout the course, what would you have done differently in terms of scope, resources, and / or schedule, and why?
.
You have now delivered the project to your customer. The project was.docxbriancrawford30935
You have now delivered the project to your customer. The project was delivered ahead of schedule, as requested by your project sponsor, but over budget by 20 percent. Now, it is time to reflect on what went well and what didn’t go well. Based on feedback throughout the course, what would you have done differently in terms of scope, resources, and schedule, and why?
.
You have now experienced the work of various scholars, artists and m.docxbriancrawford30935
You have now experienced the work of various scholars, artists and musicians who have connected words to social justice.
Now, it is your turn. Write a poem, song, spoken word, lecture, or rap that captures the struggle, action or hope that exists in a social issue of black lives matter. Be creative; this is your opportunity to express your reflections and ideas in a personal and compelling way.
.
You have learned that Mr. Moore does not drink alcohol in the mornin.docxbriancrawford30935
You have learned that Mr. Moore does not drink alcohol in the mornings. He does not binge drink, and he does not drink on Sundays. He does, however, drink the other 6 days of the week. Mrs. Moore explains his pattern of drinking Monday through Friday with his partners as stated in the scenario above, but he does not drink at home on those days. She also informs you that he does drink on Saturdays at home, often starting in the afternoon and passing out by dinnertime. He has a history of being loud, frightening, and angry when under the influence of alcohol. You also learn that Mr. Moore’s father was a winemaker from Italy.
Your supervisor, Officer Steve, suggests that you apply your knowledge of issues surrounding alcohol abuse and alcohol addiction to this case and write a memo to him. The memo should include the proper headings: "To," "From," "Date," and "Re:." The docket number and probation case file number should be included in the "Re:" section. You are beginning to determine whether Mr. Moore has an issue with alcohol that needs to be further addressed.
In the memo, do the following:
Submit the assignment in the format of a memo.
Include the proper headings: "To," "From," "Date," and "Re:." The docket number and probation case file number need to be included in the "Re:" section.
Apply the facts of Mr. Moore's case to the definitions of alcohol abuse and alcohol addiction.
Apply these facts to the differences between alcohol use and abuse.
Apply these facts to the DSM-IV criteria for a diagnosis of alcohol abuse.
Apply these facts to the disease model of alcohol abuse.
Apply these facts to the role genetics and heredity may play in the transmission of alcohol abuse from one generation to another
.
.
You have been hired by a large hospitality firm (e.g., Marriot.docxbriancrawford30935
You have been hired by a large hospitality firm (e.g., Marriott International, Hilton, Sheraton, Best Western, etc.) to be the project manager of the firm’s HQ office relocation project. You have been asked to speak to the HQ HR staff about the project. Many of the staff have very little understanding of project management. Also, they are fearful that this project will end up being a failure since other projects have failed at the firm. Explain to them the key elements of project management by comparing it to something they do understand well - human resources management (HRM). Be sure that your explanation addresses their fears of project management.
.
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
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.
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.
Francesca Gottschalk - How can education support child empowerment.pptxEduSkills OECD
Francesca Gottschalk from the OECD’s Centre for Educational Research and Innovation presents at the Ask an Expert Webinar: How can education support child empowerment?
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.
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...
Project pressure ulcer reductionRunning head HEALTH C.docx
1. Project pressure ulcer reduction
Running head: HEALTH CARE CHANGE PROJECT MATRIX
1
HEALTH CARE CHANGE PROJECT MATRIX
4
Health Care Change Project Matrix
Objective:
To reduce the incidence of newly acquired pressure ulcers
development in California Health Medical Center (CHMC) to
10% within six months of implementing the new evidence-based
protocol.
Objectives
Content
Describe the methods to be used to implement the proposed
solution
An electronic system to document pressure ulcer risk
assessment and incidence will be created within the hospital’s
current electronic medical record system, EPIC.
The system facilitates recording pressure ulcer incidence that
would trigger wound consult nurses to provide timely advice on
2. and validation of the categories of pressure ulcers.
Staff charge nurses will conduct pressure ulcer assessments in
admission. Instead of documenting in paper form, they will
directly record these findings on an initial risk assessment
electronic form and simultaneously make an e-referral to the
wound consult nurse if a patient has a pressure ulcer that is a
stage 2 or higher.
Having an electronic pressure ulcer risk and incidence form for
each patient allows various healthcare professionals and
members of the interdisciplinary team to have secure access to
reliable and current information in real-time (Plaskitt,
Heywood, and Arrowsmith, 2015).
Develop a plan for implementing the proposed solution
Per Wager et al (2009), it is crucial that a team is organized that
serves “to plan, coordinate, budget, and manage all aspects of
the new system implementation” (p. 244). A team will be
assembled to gain much-needed support for the program. This
implementation team is vital in engaging various stakeholders
in providing support and commitment to the project. The team
members include charge nurses, wound consultant nurses,
quality improvement nurses, an MD champion and department
managers from areas such as education, equipment and
information technology (IT) and administration.
An immersion event will be launched to inform and engage all
staff members in the project. The event will allow necessary
information to be disseminated, share goals and desired
outcomes as well as the rationale behind the project.
Shedenhelm et al (2010), states that providing education
through a variety of methods allows training to be received well
for recipients with diverse learning styles. Furthermore,
ongoing training should be developed and advertised through
3. educational newsletters and emails that provide education
reminders and other important information. Shedenhelm et al
(2010), also emphasizes provision of multiple opportunities
through multiple sites locations at varied times increases
turnout. Furthermore, each nursing units will be provided
pressure ulcer training bundles that including competencies will
be presented.
Regular communication with various constituent groups such be
conducted and a means for reporting problems and issues should
be established. According to Bebow (2011), having a structure
and well-planned communication provides all involved with a
roadmap of what to do, when to do it, and how it will be
accomplished. During the system implementation, the flow of
communication will need to be multi-directional: upward,
downward, and horizontally.
Wager et al (2009) also emphasize the importance of
evaluations in minimizing the effects of a project failure.
Evaluating is an on-going process throughout the entire
implementation. "No matter how well the system was designed
and tested, errors and problems will be detected, and changes
will need to be made" (Wager et al, 2009, 266).
An on-going assessment and evaluation of the status of the
project will be conducted. Barriers will be identified and plan
to eliminate barriers will be tested.
Incorporate a theory to develop the implementation plan and
explain how it is used to develop the plan.
Reinforcement theory suggests that individual behavior may be
4. changed through reinforcement or punishment. Rewards, in this
case, are used to reinforce behavior while penalties are used to
discourage unwanted behavior. Extinction can also be used, as a
means of preventing the occurrence of behavior. The theory
states that organization readiness for change is a multilevel
contrast. Each nurse and management need to be adequately
involved and be willing to portray actions aimed at supporting
change and rewards are to be used as a form of motivation. The
theory recommends the need to ensure that end users and front
line staff are not sidelined in this process. Per reinforcement
theory, there is a need to incorporate reward systems,
simultaneous staffing, and workflows to facilitate various
effective decision-making routines. In applying reinforcement
theory, providing positive feedback and recognition to nurses
and units that have successful completion of risk assessment
tests can be used. Furthermore, performance scorecard that
shows decreased pressure ulcers rates can provide visual
reinforcement of achieved outcomes as compared to national
average or previous data. Scorecards can also be used as
reinforcement to administrative stakeholders to garner
continued support and provision of resources to the project.
Identify resources needed for the proposed solution’s
implementation and how you plan to gather and incorporate
them.
Resources needed for the proposed solution include
administrative support as well as educational materials and
training. The program will also require a change in workflow,
using assessment tool and documenting it in the electronic
format instead of paper. These resources will be available by
engaging administration and upper management by adequately
involving designing, planning, and change implementation.
With the availability of these resources, the change initiative
will be successful, and the project will be appropriately
introduced in the entity for maximum effectiveness. On-going
communication with an avenue for feedback and multi-way
communication will be available. There is a need to inform all
5. the personnel of the change in advance to provide a clear
direction and is engage actively in the project (Cummings,
2002).
Describe outcome measures aligned with planned outcomes
The expected result of the change implementation in California
Health Medical Center (CHMC) is to have a reduction in the
incidence of newly acquired pressure ulcers development from
the current rate of 15% to 10% in all patients in the hospital
within six months. This outcome measure is supported by
Plaskitt, Heywood and Arrowsmith’s study in 2015 which
showed a decreased incidence rate in hospital-acquired pressure
ulcers after it implemented an electronic system that recorded
harm events and documented initial pressure ulcer risk
assessment.
Discuss the feasibility of the implementation plan.
Literature supports the need to have this plan implement in
efforts to reduce pressure ulcer rates in California Health
Medical Center (CHMC). Support and buy-in from stakeholders
are guaranteed as the project aligns with the hospital's
commitment to providing excellent quality of care to the
patients it serves. Many resources needed are in the form of
staff education and time needed to provide training. While the
project will need up-front costs, successful implementation will
yield a great return on initial investment. The risks of not
implementing a sound pressure ulcer reduction plan in CHMC is
too high, creating pain, impaired function, infections, increased
hospital days, and rise in expenses.
CHMC will receive CMS performance-based incentives, and the
program will lead to safe patient outcomes that equate to long-
term, efficient use of CHMC’s resources in the use of less
pressure ulcer supplies, expensive treatment, and extensive
staffing workload, significantly reducing later costs (Mallah,
Nassar, & Badr, 2014).
6. References
Bebow, G. L. (2011). The CEO's role in small and rural
hospitals' EMR implementation.
Frontiers of Health Services Management, 28(1), 31-4.
Retrieved from
http://search.proquest.com/docview/892261324?accountid=
458
Cummings, T. (2002). Organization Development and Change.
New York, NY: John Wiley and Sons.
Mallah, Z., Nassar, N., and Badr, L. (2014). The effectiveness
of a pressure ulcer intervention program on the prevalence of
hospital acquired pressure ulcers: Controlled before and after
study. Applied Nursing Research, 28, p. 106-113. Retrieved
from http://dx.doi.org/10.1016/j.apnr.2014.07.001
Pittman, J., Beeson, T., Kitterman, J., Lancaster, S. and Shelly,
A. (2015). Medical device–
related hospital-acquired pressure ulcers. Development of
an evidence-based position
statement. Journal Wound Ostomy Continence Nurse,
42(2), 151-154.
DOI: 10.1097/WON.0000000000000113
7. Plaskitt, A., Heywood, N., & Arrowsmith, M. (2015). Recording
pressure ulcer risk assessment
and incidence. Nursing Standard (2014+), 29(46), 54.
doi:http://dx.doi.org/10.7748/ns.29.46.54.e10013
Wager, K. A., Lee, F. W., & Glaser, J. P. (2009). Health care
information systems: A practical
approach for health care management. San Francisco, CA:
John Wiley & Sons, Inc.
Nursing Research Utilization Project Proposal: xxxxx
Name
Evidence-Based solution
Extension
Revision & Termination
Communication & Feedback
dissemination
Overcoming Barriers
References
Image: Ohio State University, 2013
http://stars.csc.ncsu.edu/project/all/#sthash.R692Wh8S.dpbs
8. Image: Page, 2010
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A goal of Standing Strong is to provide ongoing programs,
including advanced Standing Strong classes along with an
individual maintenance goal to reduce falls and increase regular
physical activity in older adults (Page, 2010). Standing Strong
will maintain a successful project solution through the Safety of
Senior Act of 2007. Several method will allow the successful
maintenance of this project solution. Safety of Senior Act of
2007 authorizes the Secretary of Health and Human Services to
oversee and support a national education campaign focusing on
reducing falls among older adults and preventing repeat falls;
and award grants, contracts, or cooperative agreements to
design and carry out local education campaigns (Govtrack,
2008). Conducting research funded by the Safety of Senior Act
of 2007 will allow continual maintenance of Standing Strong
through facts that support this project solution. Through
9. research conducted will allow for improvements in the
identification of older adults who have a high risk of falling;
along with improving data collection and the analysis to
identify fall risk and protective factors (Govtrack, 2008). The
dissemination of proven, effective fall prevention intervention
from research will maintain a successful project solution
(Govtrack, 2008). These methods and specific plans will
maintain a successful project solution.
Plans to extend Standing Strong to other communities and
facilities will include financial support from the Safety of
Senior Act of 2007. Extension will support this project solution
is effective in the reduction of falls in older adults in the
communities through physical exercise and education. The act
will aid in continual research to implement, and evaluate the
most effective approaches to reduce falls among high-risk older
adults living in communities (Govtrack, 2008). Extension of
this solution will be done by the design, implementation and
evaluation of fall prevention programs using proven
intervention strategies along with carrying out a multistate
demonstration project (Govtrack, 2008). The multistate
demonstration project include several communities adopting the
Standing Strong program with results from the implementation.
This plan will also include reports to Congress on the effects of
falls on health care costs and the most effective strategies for
reducing associated health care costs related to falls in older
adults in the communities (Govtrack, 2008). Documented
effectiveness of this project solution will serve as a marketing
tool for other programs similar to Standing Strong. Page (2010)
the Safety of Senior Act of 2007 will provide new opportunities
for communities to implement evidence based fall prevention
programs as well as for researchers to investigate the translation
of the program for widespread dissemination.
Revisions of an unsuccessful project solution starts with
10. analyzing the reviews and comments about the project. When
analyzing, look for consistency in comments and the problems
that are identify. This will allow the focus of the revision. Once
this revision topic is chosen seek an expert opinion. The
Program Officer should be contacted to discuss the possible
revisions. Reassessments of the proposed solution and
components that need revision will be completed. Decisions on
whether the project is important and relevant; once this decision
is made continue the project solution revision or move on
(Piechowski, 2010).
Terminating the proposed solution of Standing Strong will be
done with termination by extinction. These are projects brought
to an end often before completion because they are
unsuccessful, fail to meet end-user objectives, are superseded
by technical advances that make the project obsolete, or because
cost escalations destroy economic viability of the project
(Project Man, 2015). Expectations to end the project abruptly
should not occur. Administration closure and processes within
the organization should be made to end the project properly. A
final report will be drafted along with dissemination of lesson
learned (Project Man, 2015). Lesson learned will allow the
team to overview everything and prevent the termination from
happening again. Administrative closure will involve bringing
to completion of all internal aspects of the project concerning
team members, management, stakeholders, financials, and
equipment (Project Man, 2015). This will ensure that all loose
end are brought to an end. The first step should begin early in
the process and it will include contacting the team members and
managers to prepare them for the termination. Two important
actions should include the managers determining the team
members’ next assignments and the project manager
communicating staff-members performance to the resource
manager (Project Man, 2015). These steps will allow proper
termination of the unsuccessful solution through termination
11. through extinction.
Standing Strong will disseminate evidence through community
meetings. Even though there are many ways to disseminate
information like handouts, oral presentation, and social media;
community meetings were the most appropriate for this setting.
Presenting this information can be challenging due to the
variety of audience members. Before making this presentation,
it is important to collaborate with the community leaders about
culturally sensitive information of potential participants of the
meeting (Mazurek Melnyk, 2011). Presenting to a mixed
audience can be difficult but it is best not to use abbreviations;
all acronyms should be defined. There should be ample time for
questions and answers during the presentation as well as an
allotted time for questions after the presentation. The use of
slides and corresponding handouts are useful in keeping
participants engaged and focused on the presentation (Mazurek
Melnyk, 2011) pp. 367).
Feedback will help to strengthen the proposed study and
facilitate the professional growth of the investigator (Mazurek
Melnyk, 2011). The Safety of Senior Act of 2007 committee
will act as a reviewer for the proposed solution resulting in
possible funding for the project. Reviewers typically judge the
significance of a project whether it addressed an important
problem or extends what is known in the area (Mazurek Melnyk,
2011). Feedback from the reviewer can include supportive or
non-supportive feedback in regards to the proposed solution.
Mazurek Melnyk, (2011) Feedback can include comments such
as the literature does not capture the entire body of information
on the selected concepts; the argument for why an intervention
in this particular population is needed is not strong; or it is not
clear how this study or project builds on prior work in the area
(pp. 465). Feedback will be considered carefully and the
proposed solution will be altered accordingly.
12. Communication is vital to the success of a proposed solution.
Communicating the project and its results to external
professional groups Involving individuals will facilitate their
buy-in and commitment to the project (Mazurek Melnyk, 2011
pp. 286). Clear and effective communication to external
profession groups such as community centers and senior living
facilities will facilitate communication.
There are several barriers that may affect the project solution
but there are ways to overcome those barriers. Exercise
programs similar to Standing Strong are proven effective in the
research setting but are difficult to disseminate and implement
in the community (Page, 2010). It is pointless and useless to
have an evidence based program that is only effective on paper
and unsuccessful in communities. Several issues and barriers to
deliver fall prevention programs in senior centers including
space, staffing and recruitment of participants (Page, 2010). A
major issue is replicating the research into the communities to
aid in the reduction of falls among older adults. The plan to
overcome these barriers will include the use of RE-AIM which
was developed to enhance the interpretation of research into the
communities. RE-AIM is a strategy to evaluate an evidence
based program’s success in the community through variables
including reach, effectiveness, adoption, implementation and
maintenance (Page, 2010). Reach as many targeted individuals
that are 49 years old and older without severe cognitive
impairment; retaining these individuals throughout the program
(Page, 2010). Effectiveness is reaching the goals of Standing
Strong to reduce falls and fall related injuries as well as
improving physical activities. Adoption is used as the steps
necessary to get started with the program before it is actually
implemented (Page, 2010). This step includes ordering supplies,
developing a schedule for the classes and education component
while training the staff members. Implementation ensure the
fidelity of the program including the program schedule,