DETERMINE POLICIES AND PROCEDURES TO MONITOR ABUSE OR FRAUDULENT TRENDS.You have been advised that there are serious concerns regarding the competence of the facility’s billing and coding staff. To address these concerns, you will develop an action plan.

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DETERMINE POLICIES AND PROCEDURES TO MONITOR ABUSE OR FRAUDULENT TRENDS.You have been advised that there are serious concerns regarding the competence of the facility’s billing and coding staff. To address these concerns, you will develop an action plan.

You are a healthcare executive of a large hospital, serving as director of health information. You have been advised that there are serious concerns regarding the competence of the facility’s billing and coding staff. To address these concerns, you will develop an action plan. Please complete your action plan as indicated below in Parts 13.

Part 1

Competency Assessed

Determine policies and procedures to monitor abuse or fraudulent trends

Instructions

Evaluate at least three (3) types of abuse or fraud that may occur during the course of medical coding and billing activities. Determine at least three (3) organizational policies and procedures that monitor such activities and critique the effectiveness of each policy/procedure.

Part 2

Competency Assessed Create and implement staff orientation and training programs

Instructions

Based upon the trends of abuse or fraud that you identified in Part 1, develop both a new employee orientation program and an ongoing training program for medical billing and coding employees. Design outlines of each training program and construct the learning activities involved. You should also indicate a leadership approach that you would use in the implementation of the programs.

Part 3

Competency Assessed

Evaluate initial and ongoing training programs

Instructions

Develop a plan to evaluate the training programs at “time of launch” and again at periodic times over the next two (2) years. Describe the methods used to evaluate the effectiveness of each training program.

Part 4

Competency Assessed

Facilitate the use of enterprise-wide information assets to support organizational

strategies and objectives

Background

An information asset is a body of information that is defined and managed as a standalone, single unit that can be shared and exploited to the organization’s benefit. It is referred to as an asset because it has financial value to the organization. Enterprisewide information assets that are common to large health care organizations include billing systems, EHR/EMR, master patient index, clinical automation systems, patient portals, personal health records, telemedicine, health information exchange (HIE), clinical applications (lab, pharmacy), etc.

The enterprise data warehouse (EDW) is a repository of high value data from different information assets and corporate systems/applications. The data contained in an EDW can be integrated for many strategic uses across the enterprise. Strategic objectives might include activities and initiatives designed to improve quality, safety, cost, productivity, etc.

To complete Part 4, conduct research into the topic of data warehousing in health care organizations and then answer the following:

1. List the benefits of an EDW to a health care organization. 2. Prepare a strategic objective and explain how it could be facilitated through use of a data warehouse. 3. Select two (2) information assets from the list above. Through a data warehouse, analyze and demonstrate how data from those two assets could be used to accomplish the identified strategic objective.

 

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Under the criminal code of your state (Mississippi), could criminal charges be brought against Pestinikas?

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Under the criminal code of your state (Mississippi), could criminal charges be brought against Pestinikas?

Pestinikas and his wife verbally agreed to provide food, medicine, and other necessities to a sick and elderly 92-year-old man. Unfortunately, Pestinikas and his wife failed to provide the food and medical care they had been paid to provide. The state can prove that the 92-year-old man’s death was caused by this failure and that the man died of malnutrition and exposure.
Under the criminal code of your state (Mississippi), could criminal charges be brought against Pestinikas? What possible charge could be issued?
250-300 words

 

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Compare your data output against the tables presented on the Week 7 Linear Regression Exercises SPSS Output document.

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Compare your data output against the tables presented on the Week 7 Linear Regression Exercises SPSS Output document.

Nursing research

• Review the Statistics and Data Analysis for Nursing Research chapters that you read as a part of the Week 7 Learning Resources. As you do so, pay close attention to the examples presented—they provide information that will be useful for you to recall when completing the software exercises. You may also wish to review the Research Methods for Evidence-Based Practice video resources.

• Refer to the Week 7 Linear Regression Exercises page and follow the directions to calculate linear regression information using the Polit2SetA.sav data set.

• Compare your data output against the tables presented on the Week 7 Linear Regression Exercises SPSS Output document.

• Formulate an initial interpretation of the meaning or implication of your calculations.

 

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What are palliative care patients and their carers perceptions of the quality of end of life care?Undertake an electronic search for primary source articles (Put evidence of search in appendix)

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What are palliative care patients and their carers perceptions of the quality of end of life care?Undertake an electronic search for primary source articles (Put evidence of search in
appendix)

WRITING A PROPOSAL FOR A DISSERTATION
An example of the structure.
1. Introduction of the study/Topic. The chosen topic should be NURSING related.
Background purpose and Justification of the Study. Provide a background to the topic
and your rationale for selecting this particular area for investigation.
3. LITERATURE SEARCH
(a) Formulate a research focussed question
(b) Using either PICO or SPICE Identify Key words from your questions (if there is any table
put in appendix)
(c) Undertake an electronic search for primary source articles (Put evidence of search in
appendix)
(d) Use inclusion and exclusion criteria to select the five PRIMARY articles for the lit review
4. LITERATURE REVIEW How to carry out a literature review.
(a) Summarize the content of the selected papers to demonstrate good understanding (Put table
in appendix an example is provided.)
(b) Review and critique the five articles. DO NOT REVIEW/CRITIQUE ONE ARTICLE AT
A TIME.
(c) Identify the knowledge gaps or weaknesses to be addresses by your proposed research
question.
(d) Evaluate and discuss the findings from the 5 primary articles and convince the reader of its
relevance to your own work especially how you intend to use this exercise for your dissertation
(Literature review) in year three.
5.Discussion/Proposed Outcome of the Literature review. Having done literature review coupled with your existing knowledge what do you hope your proposed dissertation will find?
6. Limitations of the study. Identify some of the possible limitations you may encounter whilst carrying out your proposed study. This could be lack of literature on the topic. The 5 articles selected may have weaknesses.
7.Implications for Nursing. Explain how you think the result of your literature review may influence nursing practice.
8. Time Plan. Provisional time plan for undertaking and completing your project:
9. Reference. Underpin your proposal with wide use of relevant and up to date
references as this will provide academic credibility.
You may use the above components of this proposal as heading or sub heading in your assignment.
Appendices are not part of the word count

 

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Explain what you believe the process for applying Scalable, Flexible, and Adaptable Operational. As noted in the NRF assigned reading document, “The Response mission area includes 14 core capabilities: planning,

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Explain what you believe the process for applying Scalable, Flexible, and Adaptable Operational. As noted in the NRF assigned reading document, “The Response mission area includes 14 core capabilities: planning,

2) As noted in the NRF assigned reading document, “The Response mission area includes 14 core capabilities: planning,
public information and warning, operational coordination, critical transportation, environmental response/health and safety,
fatality management services, infrastructure systems, mass care services, mass search and rescue operations, onscene
security and protection, operational communications, public and private services and resources, public health and medical
services, and situational assessment.”
Please
watch the video. Copy the URL below and paste it into your Internet browser for viewing. This is a YouTube
presentation. My suggestion is to take a few notes along the way about warning systems and response. There are also
elements of human interest, recovery and continuity to be observed and considered.

 

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Post an explanation of the physiological progression that occurs in anaphylactic shock.The treatment of anaphylactic shock varies depending on a patient’s physiological response to the alteration.

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Post an explanation of the physiological progression that occurs in anaphylactic shock.The treatment of anaphylactic shock varies depending on a patient’s physiological response to the alteration.

Discussion 2: Anaphylactic Shock
The treatment of anaphylactic shock varies depending on a patient’s physiological response to the alteration. Immediate medical intervention and emergency room visits are vital for some patients, while others can be treated through basic outpatient care.

Consider the January 2012 report of a 6-year-old girl who went to her school nurse complaining of hives and shortness of breath. Since the school did not have any medication under her name to use for treatment and was not equipped to handle her condition, she was sent to an emergency room where she was pronounced dead. This situation has raised numerous questions about the progression of allergic reactions, how to treat students with severe allergies, how to treat students who develop allergic reactions for the first time, and the availability of epinephrine in schools. If you were the nurse at the girl’s school, how would you have handled the situation? How do you know when it is appropriate to treat patients yourself and when to refer them to emergency care?

To Prepare

Review “Anaphylactic Shock” in Chapter 23 of the Huether and McCance text, “Distributive Shock” in Chapter 10 of the McPhee and Hammer text, and the Jacobsen and Gratton article in the Learning Resources.
Identify the multisystem physiologic progression that occurs in anaphylactic shock. Think about how these multisystem events can occur in a very short period of time.
Consider when you should refer patients to emergency care versus treating as an outpatient.
Select two patient factors different from the one you selected in this week’s first Discussion: genetics, gender, ethnicity, age, or behavior. Reflect on how the factors you selected might impact the process of anaphylactic shock.
By Day 4
Post an explanation of the physiological progression that occurs in anaphylactic shock. Then, describe the circumstances under which you would refer patients for emergency care versus treating as an outpatient. Finally, explain how the patient factors you selected might impact the process of anaphylactic shock.

Read a selection of your colleagues’ responses.

By Day 6
Respond to at least one of your colleagues who selected at least one different factor than you in one of the following ways:

 

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Whats the difference between the communication of men and women at work. There are many interesting topics such as: gender language in the boardroom.

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Whats the difference between the communication of men and women at work. There are many interesting topics such as: gender language in the boardroom.

 

Whats the difference between the communication of men and women at work. There are many interesting topics such as: gender language in the boardroom. communication when men report to women or women report to men. the communication of male teachers versus female teachers…particularly in the early grades. the communication of male versus female police officers or fire fighters. the communication between males and females in some other occupation or profession, or what happens when males enter professionals typically dominated by women (ex: nursing), or women enter male dominated professions (ex, firefighting).

 

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Discuss Interprofessional Organization and system leadership.For this Assignment, you apply systems theory to the examination of a problem in a department or a unit within a health care organization.

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Discuss Interprofessional Organization and system leadership.For this Assignment, you apply systems theory to the examination of a problem in a department or a unit within a health care organization.

(Note: You may use the same problem you identified for the Discussion as long as it meets the criteria for this assignment.)To prepare:Review the Meyer article, “Nursing Services Delivery Theory: An Open System Approach,” in this week’s Learning Resources. Focus especially on the information presented in Table 1 (p. 2831) and Figure 2 (p. 2833).Reflect on your organization or one with which you are familiar. Within a particular department or unit in this organization, identify a problem the staff is encountering.Using Table 1 in the Meyer article as a guide, analyze the department or unit, identifying inputs, throughput, output, cycles of events, and negative feedback. Consider whether the problem you have selected relates to input, throughput, output, cycles of events, and/or negative feedback.Think about how you could address the problem: Consider what a desired outcome would be, then formulate related goals and objectives, and translate those goals into policies and procedures.Research professional standards that are pertinent to your identified problem.Reflect on the organization’s mission statement and values. In addition, consider how addressing this problem would uphold the mission and values, while improving the organizational culture and climate. (Depending on the organization you have selected, you may have explored these in the Week 1 Discussion.)To complete:Write a 3- to 5-page paper (page count does not include title and reference page) that addresses the following:Describe a department or unit within a health care organization using systems theory terminology. Include a description of inputs, throughput, output, cycles of events, and negative feedback.Describe the problem you identified within the department or unit using an open- systems approach, and state where the problem exists using the systems theory model (input, throughput, output, cycles of events, or negative feedback).Based on this information, explain how you would address the problem as follows:Formulate a desired outcome.Identify goals and objectives that would facilitate that outcome.Translate those goals and objectives into policies and procedures for the department or unit.Describe relevant professional standards.Explain how your proposed resolution to the problem would uphold the organization’s mission and values and improve the culture and climate.The Assignment, Systems TheoryReminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Writing Center provides an example of those required elements.

 

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Address the benefits or detriments of the current GAAP treatment of the topic and GAAP/ IFRS development/discussion.

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Address the benefits or detriments of the current GAAP treatment of the topic and GAAP/ IFRS development/discussion.

Address the benefits or detriments of the current GAAP treatment of the topic and GAAP/ IFRS development/discussion. You may find helpful referencing specific company or industry treatment.

Address the benefits or detriments of the current GAAP treatment of the topic and GAAP/ IFRS development/discussion.
Address the benefits or detriments of the current GAAP treatment of the topic and GAAP/ IFRS development/discussion. You may find helpful referencing specific company or industry treatment.

 

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Interpret the extent to which public reporting and value-based purchasing improve healthcare quality. Healthcare Policy and Law class. Must be 250 words must cite work.

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Interpret the extent to which public reporting and value-based purchasing improve healthcare quality.
Healthcare Policy and Law class. Must be 250 words must cite work.

“Liability and Quality” Please respond to the following:

As a healthcare administrator, you have been tasked with researching your hospital’s compliance in the proper reporting of both medical and non-medical errors made by the staff. Compare the relationship of hospital’s corporate liability with that of each employee’s vicarious liability in the event of an error. Discuss the essential steps that your organization can take to reduce occurrences in both. Provide at least two (2) examples of the successful application of such steps to support your rationale.
Interpret the extent to which public reporting and value-based purchasing improve healthcare quality. Include a comparison of two to three (2-3) advantages to each reporting method. Support your response with two (2) examples of healthcare quality improvements that could have resulted from of an organization implementing each type of reporting method in question.

 

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