What is Coding in Healthcare? How important is it to nursing and health care that we have accurate coding of patient care?

What is Coding in Healthcare? How important is it to nursing and health care that we have accurate coding of patient care?

1) How important is it to nursing and health care that we have accurate coding of patient care?
2) What can you do in your role to and quot;hard wire and quot; complete and accurate documentation for coding?
3) What do you think the effects will be to healthcare and your setting if we don’t achieve accuracy?


 

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evidence and the patient data is to search for the best evidence (Fineout-Overholt et al., 2010). The search for evidence to inform clinical practice is tremendously streamlined when questions are asked in PICOT format.

question needed answered:

You are a NP in a leadership role on an Inpatient Adult/Gero psychiatric unit. In the past 4 months you have noticed a pattern of elderly female patients falling and injuring themselves in the middle of the night. Using the 3 major components of Evidence Based Practice (Melnyk & Fineout-Overholt, 2011, page 4 figure 1.1) Discuss the following in relation to your decision to make a practice change on the Unit:

Identify the best type of evidence to use to solve this patient care issue
Name the level of the evidence,
Briefly discuss Why you would use that particular type of Research Evidence.
Name and describe how you would use the other 2 Components essential for Evidence-based Clinical decision making and describe what changes you might institute on this unit.
example of how the answer should look:

I am a PMHNP in a leadership role on an inpatient adult/gero psychiatric unit. In the past four months I have noticed a pattern of elderly female patients falling and injuring themselves in the middle of the night. This is unacceptable. My goal is to improve the falls rate on the unit and to accomplish this I will utilize evidenced based practice (EBP). Evidenced based practice is a problem-solving approach to the delivery of health care that integrates the best evidence from well-designed studies and patient care data, and combines it with patient preferences and values and nurse expertise (Melnyk et al., 2010). Evidenced based practice is aimed at hardwiring current knowledge into common care decisions to improve care processes and patient outcomes and holds great promise for producing the intended health outcome (Stevens, 2013).

The first step in integrating the best evidence and the patient data is to search for the best evidence (Fineout-Overholt et al., 2010). The search for evidence to inform clinical practice is tremendously streamlined when questions are asked in PICOT format. Inquiries in this format take into account the patient population of interest (P), intervention or area of interest (I), comparison intervention or group (C), outcome (O), and time (T). Once articles are selected for review, they must be rapidly appraised to determine which are most relevant, valid, reliable, and applicable to the clinical question. Rapid critical appraisal uses three important questions to evaluate a study’s worth: 1) are the results of the study valid (level of evidence), 2) what are the results and are they important (how well was the study conducted), and 3) will the results help me care for my patients (how useful it is to practice)?


 

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Which of the following has largely been excluded from Canadian nursing history?

Which of the following has largely been excluded from Canadian nursing history?

Chapter 02: Historical Overview of Psychiatric Mental Health Nursing Test Bank
1. Which of the following has largely been excluded from Canadian nursing history?

a.

Female nurses’ role in psychiatric nursing

b.

Mental health field of study

c.

Male attendants’ role in institutions

d.

Generalist registered nurses’ role

2. Which is true of asylums?

a.

Short-term stays

b.

Cognitive-behavioural therapy experts

c.

Place where people with mental illness could be cured

d.

Middle to upper socioeconomic status patients with mental illness received treatment

3. Which of the following represented a seventeenth– to eighteenth–century societal view of people with mental illness?


 

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EVALUATE TWO MIDDLE RANGE OR INTERDISCIPLINARY THEORIES AND APPLY THOSE THEORIES TO A CLINICAL PRACTICE PROBLEM. YOU WILL ALSO CREATE A HYPOTHESIS BASED UPON EACH THEORY FOR AN EVIDENCE-BASED PRACTICE PROJECT TO RESOLVE A CLINICAL PROBLEM.

EVALUATE TWO MIDDLE RANGE OR INTERDISCIPLINARY THEORIES AND APPLY THOSE THEORIES TO A CLINICAL PRACTICE PROBLEM. YOU WILL ALSO CREATE A HYPOTHESIS BASED UPON EACH THEORY FOR AN EVIDENCE-BASED PRACTICE PROJECT TO RESOLVE A CLINICAL PROBLEM.

iddle Range or Interdisciplinary Theory Evaluation
As addressed this week, middle range theories are frequently used as a framework for exploring nursing practice problems. In addition, theories from other sciences, such as sociology and environmental science, have relevance for nursing practice. For the next few weeks you will explore the use of interdisciplinary theories in nursing.

This Application Assignment, due in Week 10, asks you to evaluate two middle range or interdisciplinary theories and apply those theories to a clinical practice problem. You will also create a hypothesis based upon each theory for an evidence-based practice project to resolve a clinical problem.

NOTE: This Application will serve as your Major Assessment for this course.

To prepare:
• Review strategies for evaluating theory presented by Fawcett and Garity in this week’s Learning Resources.
• Select a clinical practice problem that can be addressed through an evidence-based practice project. NOTE: You may continue to use the same practice problem you have been addressing in earlier Discussions and in Assignment #4.
• Consider the middle range theories presented this week, and determine if one of those theories could provide a framework for exploring your clinical practice problem. If one or two middle range theories seem appropriate, begin evaluating the theory from the context of your practice problem.
• Formulate a preliminary clinical / practice research question that addresses your practice problem. If appropriate, you may use the same research question you formulated for Assignment #4.
You will continue working on this Application in Weeks 8, 9, and 10 using material presented in those weeks to consider interdisciplinary theories that may be appropriate for exploring your practice problem and research question.
To complete:


 

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Identify strategies for the implementation of evidence-based nursing practice.

Identify strategies for the implementation of evidence-based nursing practice.

Describe the importance of evidence-based nursing care.
Identify barriers to the implementation of evidence-based nursing practice.
Identify strategies for the implementation of evidence-based nursing practice.


 

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Describe the characteristics that inform your perception, and explain which ones you would integrate into your own leadership style, as well as which ones you would prefer not to integrate.

Describe the characteristics that inform your perception, and explain which ones you would integrate into your own leadership style, as well as which ones you would prefer not to integrate.

Leadership Style

Throughout your career, you will work with many people who display differing leadership styles. As a nurse leader, it is imperative that you communicate well and get along with those whose leadership style does not align with your preferences. It is also important to understand your own leadership style, as this can prompt insight into how others relate to you and what skills you may need to develop as your leadership responsibilities grow.
To prepare:
· Review the information in the Learning Resources, including the leadership styles identified in Chapter 2 of the course text.
· Bring to mind a leader in your organization or one with which you are familiar. Would you describe his or her style as authoritative, democratic, or laissez-faire? Why?
· Which characteristics or approaches demonstrated by this person would you integrate into your own leadership style? Which ones would you prefer not to integrate?
· Think about how this leader’s style and resulting interactions may impact health care quality and patient outcomes.
On the Week 9 Discussion Board, post 1 page response APA format
1. A description of a leader, distinguishing his or her style as authoritative, democratic, or laissez-faire.
2. Describe the characteristics that inform your perception, and explain which ones you would integrate into your own leadership style, as well as which ones you would prefer not to integrate.
3. Explain at least one potential effect of this leadership style on health care quality and patient outcomes.
Course Reading
· Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.
o Review Chapters 2 and 3
· Azaare, J., & Gross, J. (2011). The nature of leadership style in nursing management. British Journal of Nursing, 20(11), 672–676, 678–680.

Retrieved from the Walden Library databases.

The authors examine the different styles of leadership that nurse managers use and discusses how staff nurses in their study preferred managers who use a proactive, articulate, and independent leadership style.
· Benoliela, P. & Somecha, A. (2014). The health and performance effects of participative leadership: Exploring the moderating role of the Big Five personality dimensions European Journal of Work and Organizational Psychology, 23(2), 277-294. doi:10.1080/1359432X.2012.717689

Abstract excerpt: This study suggests that participative leadership may yield different results depending on employees’ personality traits from the Big Five typology. The proposed model aimed to investigate the moderating role of the Big Five traits on the participative leadership–in role performance relationship and on the participative leadership–psychological strain relationship.
· Graham, S., & Melnyk, B. M. (2014). The Birth of a Healthcare Leadership Academy: Lessons Learned From The Ohio State University. Nurse Leader, 12(2), 55-74. doi:10.1016/j.mnl.2014.01.001

Abstract excerpt: The ultimate goal of a leadership institute/initiative is to strengthen leadership confidence and competence for the ultimate purpose of improving healthcare quality and patient outcomes, as well as of reducing costs.
· Zydziunaite, V, & Suominen, T. Leadership styles of nurse managers in ethical dilemmas: Reasons and consequences. Contemporary Nurse 48(2):150-16. doi:10.5172/conu.2014.48.2.150

Abstract excerpt: To explain the associations between different leadership styles, reasons for their application and its consequences when nurse managers make decisions in ethical dilemmas.
· Wall Street Journal staff. (n.d.). Leadership Styles. Retrieved fromhttp://guides.wsj.com/management/developing-a-leadership-style/how-to-develop-a-leadership-style/?mod=WSJBlog


 

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Explain what types of addiction were addressed and how the film’s characters became addicted, if known. Choose and research a movie that deals with the topic of addiction and obtain facilitator approval.

Explain what types of addiction were addressed and how the film’s characters became addicted, if known.
Choose and research a movie that deals with the topic of addiction and obtain facilitator approval.

Write a 700- to 1,050-word paper in which you answer the following:

Explain what types of addiction were addressed and how the film’s characters became addicted, if known.
How did this addiction physically affect the individuals involved?
In what way did the addiction affect work and relationships?
What were the long-term health problems associated with the addiction, if any?
How would you confront the addiction to bring attention to the problem? Explain.
Does the addicted individual blame his or her addiction on anyone? Do they take personal responsibility for their addiction?
What treatments are available for the individuals? Would this work for all types of addictions? Consider, for example, alcoholism with drug addiction or smoking and


 

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You currently work as a marketing coordinator for New City Home Care, a private home health company that offers nursing care and therapy services to the elderly residents of a medium-sized Midwestern city with a population of about 55,000 people.

You currently work as a marketing coordinator for New City Home Care, a private home health company that offers nursing care and therapy services to the elderly residents of a medium-sized Midwestern city with a population of about 55,000 people.

You currently work as a marketing coordinator for New City Home Care, a private home health company that offers nursing care and therapy services to the elderly residents of a medium-sized Midwestern city with a population of about 55,000 people. The neighboring town, about 10 miles away, has a much smaller population, but as the population ages, this town is seeing an increase in retirees.explain how the following will used in your team’s marketing plan:
You currently work as a marketing coordinator for New City Home Care, a private home health company that offers nursing care and therapy services to the elderly residents of a medium-sized Midwestern city with a population of about 55,000 people. The neighboring town, about 10 miles away, has a much smaller population, but as the population ages, this town is seeing an increase in retirees. The chief executive officer (CEO) of New City Home Care has decided that it would be beneficial to expand into this town by opening a satellite office. She is eager to be the first home health company to open a physical office in this new territory and has tasked you with developing a marketing plan. You have been asked to provide an executive summary to the management team of the marketing plan. The summary needs to explain how the following will used in your team’s marketing plan:


 

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Obesity occurs when the body has too much fat. Obesity increases your risk of heart disease, stroke, diabetes, arthritis, and cancer. A loss of any amount of weight can help to prevent these things from happening.

Obesity occurs when the body has too much fat. Obesity increases your risk of heart disease, stroke, diabetes, arthritis, and cancer. A loss of any amount of weight can help to prevent these things from happening.

Obesity occurs when the body has too much fat. Obesity increases your risk of heart disease, stroke, diabetes, arthritis, and cancer. A loss of any amount of weight can help to prevent these things from happening. For Mr. C, some of the health risks that he has accompanying his obesity includes diabetes, hypertension, sleep apnea and high cholesterol.

Qualifications for bariatric surgery in most areas include:

BMI ≥ 40, or more than 100 pounds’ overweight (ASMBS, n.d.).

BMI≥35 and at least two obesity-related co-morbidities such as type II diabetes (T2DM), hypertension, sleep apnea and other respiratory disorders, non-alcoholic fatty liver disease, osteoarthritis, lipid abnormalities, gastrointestinal disorders, or heart disease (ASMBS, n.d.).
Inability to achieve a healthy weight loss sustained for a period with prior weight loss efforts. (ASMBS, n.d.)
In this scenario, Mr. C’s BMI is 47.65. He has a history of hypertension and sleep apnea. Based on these observations Mr. C would be a candidate for bariatric surgery. However, a contraindication to the bariatric surgery would be his diagnosis of peptic ulcer disease (ASMBS, n.d.).
Mr. C. has been diagnosed with peptic ulcer disease and the following medications have been ordered:

1. Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO 1 hour before bedtime and 3hours after mealtime and at bedtime.

2. Ranitidine (Zantac) 300 mg PO at bedtime

3. Sucralfate/Carafate 1 g or 10ml suspension (500mg / 5mL) 1 hour before meals and at bedtime.

The patient reports eating meals at 7 a.m., noon, and 6 p.m., and a bedtime snack at 10 p.m. Plan an administration schedule that will be most therapeutic and acceptable to the patient. For administration of the medications provided to Mr. C for his peptic ulcer it is important to know how the medications interact with one another. Zantac and Carafate need to be given with a gap of 2 hours between the doses. Mylanta and Zantac need to be given in between the doses of Carafate. With the schedule the patient follows for his meal plan it would be most beneficial if he took the Mylanta at 10 am, 3 pm, 9pm. The Zantac can be taken at 10pm. The Carafate can be taken at 6am, 11am, 5pm, and 8pm.

Health management- Based on the information gathered Mr. C states he has always been overweight even as a child and he has gained 100 pounds in the past 2-3 years, seeking this surgery to help with his sleep apnea.

Nutritional/Metabolic- Based on his meal times he has a healthy meal plan, it would be good to get an idea of the food that he is consuming at these meals. He did state that he tries to maintain a low sodium diet to help with his high blood pressure.

Elimination- getting a thorough report on his elimination and how often would help get a better understanding.

Activity-exercise- based on the information received he is not an active man, he recently has a desk job that does not help with his inactivity.

Sleep-rest- The information gathered mentions that he has sleep apnea, this can cause him to not get enough rest throughout the night and cause him to be sleepy during the day.

Cognitive health perception- He appears to aware of his health condition and wanting to change to prevent his diagnosis’s from getting worse. Five potential problems:1. Medication errors if not taken at the time they are prescribed due to the medications not fully working when interacting with other medications.

2. Since he has a history of obesity since childhood, it’s important to make sure the patient has an understanding of a diet and the importance of following a diet to maintain weight loss.

3. Education to this patient that bariatric surgery alone is not a “fix” to obesity it is to help get you to where you need to be along with a proper diet and exercise regimen.

4. Making sure he is continuing to work on treating his underlying health problems such as hypertension and the elevated blood glucose levels. This can prevent these disease processes from getting worse.

5. Sleep apnea is not just going to go away after the procedure, proper management of his sleep apnea must be continued until the diagnosis has been taken away by a physician.


 

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DEVELOP A SPREADSHEET MODEL FOR CALCULATING NET REVENUE, AND USE DATA TABLES TO STUDY HOW REVENUE IS AFFECTED BY CHANGES IN THE NUMBER OF APPOINTMENTS ACCEPTED AND PATIENT DEMAND.

DEVELOP A SPREADSHEET MODEL FOR CALCULATING NET REVENUE, AND USE DATA TABLES TO STUDY HOW REVENUE IS AFFECTED BY CHANGES IN THE NUMBER OF APPOINTMENTS ACCEPTED AND PATIENT DEMAND.

Koehler Vision Associates (KVA) specializes in laser assisted corrective eye surgery. Prospective patients make appointments for prescreening exams to determine their candidacy for the surgery, and if they qualify, the $300 charge is applied as a deposit for the actual procedure. The weekly demand is 175, and about 15% of prospective patients fail to show up or cancel their exam at the last minute. Patients that do not show up do not pay the prescreening fee. KVA can handle 125 patients per week and is considering overbooking its appointments to reduce the lost revenue associated with cancellations. However, any patient who is overbooked may spread unfavorable comments about the company; thus, the overbooking cost is estimated to be $125, the value of a referral. Develop a spreadsheet model for calculating net revenue, and use data tables to study how revenue is affected by changes in the number of appointments accepted and patient demand.


 

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