Archive for category: My Nursing Writer

You are a manager in a county clinic that provides care to Medicaid clients. Your department budget was recently cut by 15%.Describe how using the toolbox affects accountability, knowledge transfer, and a questioning organization. Be sure to include at least three references in your paper.

Resource:Rundall article in the Electronic Reserve Readings

Write a 1,050- to 1,400-word paper in which you evaluate how to make the following decision:
€¢ From a statewide health policy standpoint, given a defined budget constraint, what clinical services should be eliminated or introduced to best address healthcare needs of a Medicaid population?
€¢ Apply some of the tools and techniques available to aid decision- making described in the Rundall article located in the ERR links in Week Two. Evidence-informed management entails using the best evidence available to inform the decision at hand.
The development of the IDT is to assist healthcare managers with the task of compiling useful evidence for making decisions. (Rundall, et al. 2007). The IDT is a tool to help organize collected research information for making a decision; it is to be used as an adjunct with the tools that you used below.
Identify the tool selected from the course readings and our classroom discussions, such as, Considered Opinion and Devil’s Advocate, Factor Analysis Matrix, The Decision Tree, The No-Decision option, Operations Research, Simulation, Queuing Theory, or other tools that you would consider to be the best for your decision and explain why you would select it. This is not to be from Rundall’s Informed Decision Toolbox (IDT).

Describe how using the toolbox affects accountability, knowledge transfer, and a questioning organization.

Include at least three references in your paper.

Format your paper consistent with APA guidelines.

Decision-Making Case Study

You are a manager in a county clinic that provides care to Medicaid clients. Your department budget was recently cut by 15%. From a statewide health policy standpoint, given a defined budget constraint what clinical services should be eliminated or introduced to best address healthcare needs of a Medicaid population?

In a 1,050- to 1,400-word paper, use the tools described in the Rundall article located in the ERR links in Week Two to evaluate how you would make that decision. Identify the tool that you would consider to be the best for your decision and explain why you would select it.

Describe how using the toolbox affects accountability, knowledge transfer, and a questioning organization. Be sure to include at least three references in your paper.

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Create a visual depiction using any tool you wish (graphs, charts, figures, pictures or PowerPoint) to explain the process of how ideas become regulations and rules and how rules and regulations.

It is important to understand the process of how ideas become regulations and rules and how rules
and regulations become policy and laws for the nursing home industry. Imagine yourself as a public
speaker trying to simply explain this path on the local, state, and national level to a bipartisan group of nursing home administrators. Your explanation should show the story of how healthcare policy is
produced and how that policy affects the nursing home industry.

Instructions
Create a visual depiction using any tool you wish (graphs, charts, figures, pictures or PowerPoint) to
explain the process of how ideas become regulations and rules and how rules and regulations
become policy and laws on the local, state, and
national levels for the nursing home industry.
Research the path of how local, state, and national rules, regulations and laws are created and
include the knowledge you find from this research into the visual depiction you create. The depiction
should be concise and easy to understand. For example, no more than five PowerPoint slides if
PowerPoint is used or no more than 2 pages of graphs, charts, figures or pictures if that option is
used. APA is not required except for the references section.

Requirements
Writer visually depicts a clear and easy to understand path of how· ideas become healthcare policy on a local, state and national level.
Writer visually depicts how individuals or groups can impact this· process and their role in the
process.
Writer visually depicts how the process impacts the nursing home· industry.

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Answer each discussion. 1 paragraph. 200 words each. Be sure to apply concepts from the readings and research. Cite all references using APA format

Discussion 2)Discuss the following staffing/scheduling practices and how they can support patient care
• overtime
• mandatory staffing ratios
Discussion 3) Identify a time when you had to make a change in your personal or professional life. Describe a change theory that helps explain the process you used to approach this change situation.What were your priorities at the time that impacted your change decision? Was your change successful? If not, what lessons did you learn from the process?
Discussion 4) Briefly discuss one of the following sets of budget concepts:
• HMOs, PPOs
*In addition to your initial response, describe one or more strategies nurses can use to increase cost effective use of resources in a health care setting.

Discussion 5) Describe a situation related to patient advocacy. Discuss the ethical and legal components of the situation. Share how you would or did advocate for the patient in that situation. Discuss potential barriers to advocacy in the situation. How would you manage the barriers?

Discussion 6)Describe a time when you experienced a communication breakdown and with whom.
• What was the situation?
• What style of communication was used: assertive, aggressive, passive/aggressive, passive?
• What environmental, biological, or personal or cultural issues may have impacted the communication process (e.g. stereotypes, biases, difference in values, preferences, gender, race and age)?
• What efforts were made to improve the communication? Were the efforts effective? If not, what other strategies might have been used to improve the communication outcome?
In addition to your initial post, describe an example of effective (or ineffective) nursing delegation. What delegation principles were (or were not) followed? What can be learned from this example?
Discussion 7) Provide an example from your own experience of a conflict situation.
1. Describe the source(s)/reasons for the conflict.
2. Who was involved and what communication styles were used?
3. How did the conflict impact persons directly or indirectly involved?
4. What strategies were used to try to resolve the conflict? Were they effective?
5. What outcomes were achieved?

Discussion 8) Explain one or more ways nurses can become involved in setting and auditing patient care standards or participating in other quality control/improvement activities within their organization.

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Determine the average daily cost of nursing home care in your state. Discuss the funding options (public and private) that exist to pay for long-term care.

Long-Term Care in the U.S.
Determine the average daily cost of nursing home care in your state. Discuss the funding options (public and private) that exist to pay for long-term care. What policy and financing recommendations would you make to ensure that long-term care is available for everyone who needs the services in the U.S.? Please justify your answer.
Rationing of Healthcare Services
Healthcare services can be rationed by governmental rationing or by allowing those who can afford the services to purchase the services. If you were the chairperson of a medical ethics committee faced with the decision concerning which of the following patients would receive a heart transplant what decision would you make and what justification would you give to the families of each of the patients for making that decision?
Patient 1: A seventy-six-year-old nonsmoker with good pulmonary and renal function is a good candidate for a heart transplant and his life expectancy without the transplant is one month. The patient has the resources to pay cash for the transplant procedure and follow-up care.
Patient 2: A forty-six-year-old unemployed auto worker with a history of alcohol use and smoking suffered a heart attack and will die within one month if he does not receive a heart transplant. The patient does not have health insurance nor does he have the resources to pay for the procedure.
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