Consider the ways HITECH and Meaningful Use mandates have impacted a health care setting with which you are familiar.

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Consider the ways HITECH and Meaningful Use mandates have impacted a health care setting with which you are familiar.

HITECH and Meaningful Use—A Real-World Debate

Though electronic health records (EHRs) may provide an abundance of information at faster speeds than paper-based records ever could, the cost and challenges related to implementation have prevented many organizations from adopting EHRs. The Health Information Technology for Economic and Clinical Health (HITECH) Act aims to increase the adoption rate by providing financial incentives for health care organizations that demonstrate “ meaningful use” of EHRs. In order to receive these funds, settings must meet a specific set of requirements identified by the HITECH legislation.
The adoption of an EHR can often be a frenzied process because of the incentives provided by the HITECH Act. In addition, the saturation of the technology market provides settings with an overwhelming amount of options from which to choose.
In this Discussion, you debate the effectiveness of the HITECH Act and Meaningful Use mandates.
To prepare:
Consider the ways HITECH and Meaningful Use mandates have impacted a health care setting with which you are familiar.
Conduct research in the Walden Library and through credible nursing organizations to assess how the nursing informatics community is addressing these mandates.
Create a list that documents the pros and cons that mandates such as these have on health care settings. Reflect upon your list, and determine whether you believe these mandates are beneficial or harmful to health care organizations and nursing practice.

Post tomorrow 6/27/2016 550 words in APA format with a minimum of 3 references
1) A brief scholarly commentary that describes your stance on issues related to HITECH and meaningful use.
2) Include in your commentary your personal beliefs on the issue, your experiences in a health care organization, and/or the pros and cons surrounding these initiatives.
3)Select at least one of the following to underscore your stance:
Mandating change. Do the HITECH Act and Meaningful Use mandates help to drive and equalize change across all health care settings, or do they lead to rapid and sloppy implementations?
The benefits or ramifications that stem from the use of incentives and disincentives.
The influence of across-the-board mandates on patient safety, ethics, and quality of care.
The allocation of funds specifically earmarked for HITECH and Meaningful Use. Is it worth it or wasted?

Required Resources

 

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Discussion of the kinds of leadership characteristics you believe are necessary to successfully manage change in organizations for the next decade.

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Discussion of the kinds of leadership characteristics you believe are necessary to successfully manage change in organizations for the next decade.

Discussion of the kinds of leadership characteristics you believe are necessary to successfully manage change in organizations for the next decade . Read Chapter 7,…

Discussion of the kinds of leadership characteristics you believe are necessary to successfully manage change in organizations for the next decade
. Read Chapter 7, “Aligning Strategy and Culture: Best Practices,” pages 259”“305.
2. Write your personal theory on about leading change in an organization.
a. As the culminating event of the course and the final evaluation, preparation for your personal theory for leading change should begin during preparation for Class One. This would also be an excellent topic of discussion in your learning team during the course.
b. Your personal theory should be five or six, double-spaced pages using 12-point font. Your position paper should contain the following elements:
i. A definition of change
ii. A discussion of the kinds of leadership characteristics you believe are necessary to successfully manage change in organizations for the next decade
iii. A brief description of the change strategy(ies) that you believe to be most generally effective for leading fundamental change and a defense of your preference(s)
iv. A clear description, in as much detail as possible, of the characteristics of a healthy organization prepared to address the issues of change in the 21st century
v. This paper should be completed using the APA format
The book i am using is Managing Organizational Change 2nd ed
Needs to be five to six pages apa 6th ed
A Abstract and referances page

 

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Describe the major stakeholders in the U.S. healthcare system. Explain the key areas of concern for major stakeholders in the U.S. healthcare system.Question 1

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Describe the major stakeholders in the U.S. healthcare system. Explain the key areas of concern for major stakeholders in the U.S. healthcare system.Question 1

Explain key trends in the medical and health information technology field moving forward.

Your response should be at least 200 words in length.

Question 2
Discuss key trends in personalization and patient participation in health care.

Your response should be at least 200 words in length.

Question 3

Describe the major stakeholders in the U.S. healthcare system. Explain the key areas of concern for major stakeholders in the U.S. healthcare system. Discuss at least three important concerns.

Your response should be at least 200 words in length

Question 4

Discuss key trends that will affect the care of patients in the United States over the next decade.

Your response should be at least 200 words in length.

 

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What are the short-term and long-term effects of childhood obesity? Your total response must be a minimum of 50 words and show comprehension of the topic through providing examples, text book related information, information gathered from research, etc.

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What are the short-term and long-term effects of childhood obesity? Your total response must be a minimum of 50 words and show comprehension of the topic through providing examples, text book related information, information gathered from research, etc.

Instructions: Answer each question thoroughly. Your total response must be a minimum of 50 words and show comprehension of the topic through providing examples, text book related information, information gathered from research, etc. Each question is worth 5 points equating to a possible total of 10 points. If you fail to answer one of the questions, you will not receive points for the unanswered question.

Question 1 (5 points): What are the short-term and long-term effects of childhood obesity?

Question 2 (5 points): According to your text book, list at least three causes and three consequences of bullying?

 

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Describe the metric that is currently used to measure the soundness of the workflow. Is it effective?

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Describe the metric that is currently used to measure the soundness of the workflow. Is it effective?

Workflow analysis aims to determine workflow patterns that maximize the effective use of resources and minimize activities that do not add value. There are a variety of tools that can be used to analyze the workflow of processes and clarify potential avenues for eliminating waste. Flowcharts are a basic and commonly used workflow analysis method that can help highlight areas in need of streamlining.

In this Assignment, you select a common event that occurs regularly in your organization and create a flowchart representing the workflow. You analyze the process you have diagrammed and propose changes for improvement.

To prepare:

Identify a common, simple event that frequently occurs in your organization that you would like to evaluate.
Consider how you would design a flowchart to represent the current workflow.
Consider what metrics you would use to determine the effectiveness of the current workflow and identify areas of waste.

To complete:

Write a 4- to 5-page paper which includes the following:

Create a simple flowchart of the activity you selected. (Review the Sample Workflow of Answering a Telephone in an Office document found in this week’s Learning Resources for an example.)

Next, in your paper:
o Explain the process you have diagrammed.

o For each step or decision point in the process, identify the following:

Who does this step? (It can be several people.)
What technology is used?
What policies and rules are involved in determining how, when, why, or where the step is executed?
What information is needed for the execution of this step?
o Describe the metric that is currently used to measure the soundness of the workflow. Is it effective?

o Describe any areas where improvements could occur and propose changes that could bring about these improvements in the workflow.

o Summarize why it is important to be aware of the flow of an activity.

PLEASE SEE THE SAMPLE WORKFLOW PAPER I ATTACHED.

P

Remember to include a cover page, introduction, and summary for your paper.
Submit the Assignment.

Note: This paper will serve as the Portfolio Assignment for the course.

 

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As part three of the evaluation project you began in Week 3 this week you will create a paper designing test administration and test grading strategies from the test blueprint that you developed in Week 1.

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As part three of the evaluation project you began in Week 3 this week you will create a paper designing test administration and test grading strategies from the test blueprint that you developed in Week 1.

You need to:
Describe exam security prior to the test
Develop a cover sheet with overall exam instructions and an academic integrity clause for the students to sign in regard to academic dishonesty (place in Appendix)
State how items will be arranged and formatted on the test with your rationale
Provide sample directions to the learner for each set of test items
Identify strategies to prevent any form of academic dishonesty
Explain three elements essential to test administration
Describe the procedure on how you will score the exam
Verify the appropriate time allotted to the learners for completing the test.
Identify the statistical analyses you will utilize for your exam and provide your rationale for your choice.
As you create your paper be sure that you follow APA guidelines for writing style spelling and grammar and citation of sources.
Name your document NSG6102_W5_A2_LastName_FirstInitial.doc. Submit this assignment to the W5: Assignment 2 Dropbox by Tuesday September 8 2015.
Assignment 2 Grading Criteria Maximum Points
Described exam security prior to the test. 15
Developed a cover sheet with overall exam instructions and an academic integrity clause. 20
Stated the strategies regarding the arrangement and formatting of the test items and provided rationale. 20
Provided sample directions for each set of test items mentioned in the test blueprint. 15
Identified strategies to prevent any form of academic dishonesty on the part of learners taking the test. 20
Explained at least three elements essential to test administration. 20
Described the procedure in which the tests will be scored. 20The learning activity goals are to provide the students with all the concepts necessary to be successful as a psychiatric nurse while assessing them to identify their strengths and weaknesses.
Verified the appropriateness of the time allotted to the learners for completing the test. 20
Identified the statistical analyses that will be utilized for the exam and provided a rationale for the choice. 20
General
Followed APA guidelines for writing style spelling and grammar and citation of sources. 15
Total: 185
Reginald Sincere
Learning Activity Goals: The learning activity goals are to provide the students with all the concepts necessary to be successful as a psychiatric nurse while assessing them to identify their strengths and weaknesses.
Blooms Taxonomy
Cognitive Domain
*Remembering Blooms Taxonomy
Cognitive Domain
*Understanding
Blooms Taxonomy
Cognitive Domain
*Applying
Blooms Taxonomy
Cognitive Domain
*Analyzing Blooms Taxonomy
Cognitive Domain
*Evaluating Blooms Taxonomy
Cognitive Domain
*Creating
Learning Objectives Formula to determine number of questions per domain:
(. 25 to .35) x Total number questions for the objective
Formula to determine number of questions per domain:
(.25 to .30) x Total number questions for the objective
Formula to determine number of questions per domain:
(.20 to .30) x Total number questions for the objective
Formula to determine number of questions per domain:
(.10 to .20) x Total number questions for the objective
Formula to determine number of questions per domain:
.05 x Total number questions for the objective
Formula to determine number of questions per domain:
.05 x Total number questions for the objective
Total Number of Questions per objective to add up to the total number of questions on the test (50) Percentage of Total
Objective 1: Upon completion of this course the student will demonstrate psychiatric-mental health nursing assessment of patients utilizing accepted mental health and physical assessment techniques. .25 is 25% of the 12 questions which is 24% of the total number of questions (50)
12 x .25 = 3
3 test questions need to be created in the cognitive domain of remembering for this objective in the test. .25 is 25% of the 12 questions which is 24% of the total number of questions (50)
12 x .25 = 3
3 test questions need to be created in the cognitive domain of understanding for this objective in the test. .20 is 20% of the 12 questions which is 24% of the total number of questions (50)
12 x .20 = 2.4/3
3 test questions need to be created in the cognitive domain of applying for this objective in the test. .10 is 10% of the 12 questions which is 24% of the total number of questions (50)
12 x .10 = 1.2/1
1 test question needs to be created in the cognitive domain of analyzing for this objective in the test. .05 is 5% of the 12 questions which is 24% of the total number of questions (50)
12 x .05 = 0.6/1
1 test question needs to be created in the cognitive domain of evaluating for this objective in the test. .05 is 5% of the 12 questions which is 24% of the total number of questions (50)
12 x .05 = 0.6/1
1 test question needs to be created in the cognitive domain of creating for this objective in the test. 12 24%
Objective 2:
Upon completion of this course the student will be able to provide nursing care that is supportive of the patients physiological functioning. .25 is 25% of the 13 questions which is 26% of the total number of questions (50)
13 x .25 = 3.25/4
4 test questions need to be created in the cognitive domain of remembering for this objective in the test. .25 is 25% of the 13 questions which is 26% of the total number of questions (50)
13 x .25 = 3.25/4
4 test questions need to be created in the cognitive domain of understanding for this objective in the test. .20 is 20% of the 13 questions which is 26% of the total number of questions (50)
13 x .20 = 2.6/3
3 test questions need to be created in the cognitive domain of applying for this objective in the test. .10 is 10% of the 13 questions which is 26% of the total number of questions (50)
13 x .10 = 1.3/1
1 test question needs to be created in the cognitive domain of analyzing for this objective in the test. .05 is 5% of the 13 questions which is 26% of the total number of questions (50)
13 x .05 = 0.65/1
1 test question needs to be created in the cognitive domain of evaluating for this objective in the test. .05 is 5% of the 13 questions which is 26% of the total number of questions (50)
13 x .05 = 0.65/1
1 test question needs to be created in the cognitive domain of creating for this objective in the test. 13 26%
Objective 3: Upon completion of this course the student will be able to utilize individualized therapeutic interaction techniques in communicating with diverse patient populations across the life span. 25 is 25% of the 12 questions which is 24% of the total number of questions (50)
12 x .25 = 3
3 test questions need to be created in the cognitive domain of remembering for this objective in the test. .25 is 25% of the 12 questions which is 24% of the total number of questions (50)
12 x .25 = 3
3 test questions need to be created in the cognitive domain of understanding for this objective in the test. .20 is 20% of the 12 questions which is 24% of the total number of questions (50)
12 x .20 = 2.4/3
3 test questions need to be created in the cognitive domain of applying for this objective in the test. .10 is 10% of the 12 questions which is 24% of the total number of questions (50)
12 x .10 = 1.2/1
1 test question needs to be created in the cognitive domain of analyzing for this objective in the test. .05 is 5% of the 12 questions which is 24% of the total number of questions (50)
12 x .05 = 0.6/1
1 test question needs to be created in the cognitive domain of evaluating for this objective in the test. .05 is 5% of the 12 questions which is 24% of the total number of questions (50)
12 x .05 = 0.6/1
1 test question needs to be created in the cognitive domain of creating for this objective in the test. 12 24%
Objective 4: Upon completion of this course the student will be able to Discusses and describes based upon the nursing process how mental health promotion and mental health nursing interventions are fundamental to the therapeutic resolution of physiologically based self-care deficits. .25 is 25% of the 13 questions which is 26% of the total number of questions (50)
13 x .25 = 3.25/4
4 test questions need to be created in the cognitive domain of remembering for this objective in the test. .25 is 25% of the 13 questions which is 26% of the total number of questions (50)
13 x .25 = 3.25/4
4 test questions need to be created in the cognitive domain of understanding for this objective in the test. .20 is 20% of the 13 questions which is 26% of the total number of questions (50)
13 x .20 = 2.6/3
3 test questions need to be created in the cognitive domain of applying for this objective in the test. .10 is 10% of the 13 questions which is 26% of the total number of questions (50)
13 x .10 = 1.3/1
1 test question needs to be created in the cognitive domain of analyzing for this objective in the test. .05 is 5% of the 13 questions which is 26% of the total number of questions (50)
13 x .05 = 0.65/1
1 test question needs to be created in the cognitive domain of evaluating for this objective in the test. .05 is 5% of the 13 questions which is 26% of the total number of questions (50)
13 x .05 = 0.65/1
1 test question needs to be created in the cognitive domain of creating for this objective in the test. 13 26%
50 100%
Please do not put your test questions in this Test Blueprint. Only calculate the number of questions per objective in each cognitive domain of Blooms Taxonomy. Once the test blueprint is completed it will serve as a guide to construct your test.
*Overbaugh R.C. & Schultz L. (n.d.). Blooms taxonomy. Retrieved from http://ww2.odu.edu/educ/roverbau/Bloom/blooms_taxonomy.htm
Heuristic. (n.d.). Psychiatric Mental-Health Nursing Syllabus. Retrieved from http://www.jccmi.edu/administration/deans/Syllabi2012/NUR/12FL/NURH272.50.51_MartinezKratzM_12FL13WN.pdf

 

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Describe capability of concept relationships to explain or predict outcomes of application of the theory.

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Describe capability of concept relationships to explain or predict outcomes of application of the theory.

NOVICE TO EXPERT BY PATRICIA BENNER

Analyze the applicability of the theory
A) structure
Explicitly and Implicitly describe concepts including the four metaparagigms of nursing.
Discuss concept relationships
Describe capability of concept relationships to explain or predict outcomes of application of the theory
B) Clarity
Specific or vague definitions of each concept, subconcept, and concept relationship
Presence/Absence of coined words and definitions if any
Gaps and ambiguity in the structure or application of the theory
Goodness of fit of all concepts within the theory
C) Complexity
Number of concepts, subconcepts in the theory
Primary outcomes of the theory application
D) Generality
Specific or general purpose of the theory
Narrow or broad definitions of some key terms
E) Strengths and weaknesses
Type of research studies completed to test application of the theory
Identify cases where theory is applicable and vice versa
F) Connection between author’s background and events of time in history when the theory was developed.

 

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Discuss the Ashford University institutional outcomes and the program outcomes by identifying their relevance to a profession in psychology.

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Discuss the Ashford University institutional outcomes and the program outcomes by identifying their relevance to a profession in psychology.

Prior to completing this assignment, read the Ashford University Institutional Outcomes located on the Syllabus page for this course. Additionally, read the Bachelor of Arts in Psychology Program Outcomes (Links to an external site.)Links to an external site. (pg. 248) located within the Online Undergraduate Programs section of the Ashford University 2013-2014 Academic Catalog.

After reviewing the information provided above, you will create a two- to three-page case study focusing on professional and personal scenarios (they can be real or hypothetical) in which you evaluate your learning as it contributes to the overall attainment of Ashford University’s institutional outcomes and the Bachelor of Arts in Psychology program outcomes.

In the body of your paper:

Discuss the Ashford University institutional outcomes and the program outcomes by identifying their relevance to a profession in psychology.
Create one personal life example and one career example in which you (or a fictitious person) struggle with personal challenges and an ethical dilemma (e.g., a client or research subject reveals compromising information about a friend or family member who also happens to be someone you know in a personal/social context).
After identifying the problem, include a section wherein you address each of the following prior to making a decision about a course of action:
From your point of view, what is the problem?
From the point of view of other individuals, what is the problem?
What are the options? What are potential consequences of the options?
What are the risks of each potential solution?
What are the risks of not resolving the challenges effectively?
What evidence/data do you have to assist you in decision making?
Apply the competencies gained at Ashford University (from the institutional and program outcomes) to identify the preferred resolutions to the situations you identified in #2 above. Select at least three competencies that are most relevant to your scenarios. Be specific in your discussion of the scenarios and provide details demonstrating professional problem solving in your case study.
Conclude the case study with how you resolved the problem (the outcome) and what you learned while at Ashford University that assisted you in deciding on an effective resolution. You may also identify additional competencies used to resolve the problem that are not included in the institutional and program outcomes.
Utilize at least one scholarly source as a basis for the evidence you will use to rationalize the decision-making process. All sources must be documented in APA style, as outlined by the Ashford Writing Center.
Writing the Case Study

 

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Why is it important for Betty to be on furosemide for her Congestive Heart Failure? What does this drug do?

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Why is it important for Betty to be on furosemide for her Congestive Heart Failure? What does this drug do?
Blood Pressure Woes

George is a 55 y.o. male who has had hypertension (HTN) for the last 5 years. His HTN is only partially controlled. He is trying to watch his diet, but does not exercise like he should due to his high-stress job. He is also on HTN medication. He monitors his blood pressure at home on a regular basis. For the past month he has noticed his blood pressure seems to be higher than usual and even harder to control, but figured it was due to the stress of a big project at work. In the past 2 weeks, however, he has noticed he does not feel like eating much; he is fatigued; he seems to be urinating more often; and he has been losing weight. He decides to go in to see the doctor.

George’s doctor decides to run several tests with the following results.

Blood Test Results:

RBC: 3.8 million cells/mcL

WBC: 10,000 cells/mcL

Hgb: 11.0 gm/dL

Urine Test Results:

GFR: 45 mL/min/1.73m

Creatinine: 3g/24 hr.

Protein: 3g/24 hr.

The diagnosis George received was Chronic Renal Failure.

a) What supports the diagnosis if chronic renal failure instead of acute renal failure? Give reasons from George’s history; his signs/symptoms.
b) Which of the blood test results are abnormal? Why would chronic kidney failure cause these abnormal results?
c) Which of the urine test results are abnormal? Why does chronic kidney failure cause these abnormal results?
d) If George was in the second stage of chronic renal failure, what percent of his nephrons have been lost? What changes will be seen in the GFR; urination; and percent of nephrons lost when George reaches end-stage renal failure?
e) How will George’s condition be treated? Is it curable?

Which Electrolyte?

Betty is a 69 y.o. woman who has been taking furosemide for the last two years to treat her Congestive Heart Failure. Lately she has noticed that her legs seem very weak and she has been feeling “pins and needles” in them. She has also felt nauseated lately, so has been eating very little the last two weeks. She goes in to see her doctor and he decides to do an EKG and run some lab tests to check for electrolyte imbalances. The findings are as follows.

 

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Develop appropriate critical thinking, clinical reasoning and sound clinical decision making processes and strategies essential for safe, evidence-based and competent nursing practice in medical/surgical settings.

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Develop appropriate critical thinking, clinical reasoning and sound clinical decision making processes and strategies essential for safe, evidence-based and competent nursing practice in medical/surgical settings.

Nursing practise

Assessment 1: Case Study
Nursing management of a patient requiring hospitalisation

Length: 2500 words

The aim and purpose of Assessment 1 is to provide students the opportunity to demonstrate they:
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• Are developing their ability to locate, interpret, integrate, synthesize and apply nursing knowledge from NUR243, other units they have comleted and a range of current, reliable sources to a patient or scenario they may meet in day to day nursing practice in medical/surgical settings
• Are developing appropriate critical thinking, clinical reasoning and sound clinical decision making processes and strategies essential for safe, evidence-based and competent nursing practice in medical/surgical settings
• Are able to focus their attention to the needs of the individual patient as the key concern of nursing practice in health care settings
• Have a developing understanding of the role and scope of practice of the registered nurse in the Australian health care context
• Are progressing towards the level of professional written communication required for nursing practice in Australia
• Are demonstrating ethical and professional practice by adhering to the University’s academic integrity standards and plagiarism policy

The format for Assessment 1 is objective, academic writing style in proper sentences and topic paragraphs under the headings below.
Note: An introduction and conclusion are not required in this assignment.
• Item 1: Clinical presentation
• Item 2: Nursing management – Adequate oxygenation
• Item 3: Nursing management – Medication management.
• Item 4: Nursing management – Rationale for prescribed treatments and nursing interventions.
• Item 5: Safe, effective nursing care
• Item 6: Health promotion
• Item 7: Culturally responsive nursing care
• References
Assessment 1 is to be presented:
• As a computer generated document in Word format. PDF documents will not be accepted
• 1.5 or double-spaced in either Arial, Times New Roman or Calibri font, size 11 or 12
• In clear, coherent Australian English that demonstrates progression towards the standard for written communication for professional nursing practice in Australia
• Using appropriate professional terminology and formal academic language and style
• With no acronyms and abbreviations
• With no dot points, lists, diagrams or tables
• No more that 10% over or under that stated word count
• The word counts for each items are a guide for the amount of content for each item
• Use of trade names is not acceptable. Only generic terms or names are to be used when referring to specific medications or other prescribed treatments or resources that may be used in nursing practice
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