What are the implications of resource use in terms of planning for and implementing your proposed evidence-based change?

What are the implications of resource use in terms of planning for and implementing your proposed evidence-based change?

Use of Resources to Promote Translation of Evidence into Practice

Using correct APA 6th edition format write a two discussion will include citations from a minimum of five sources, three peer-reviewed sources from the readings provided in the resource area and a minimum of two additional sources of your choosing.
For this Discussion, you are asked to evaluate the use of a health information system and other resources in your practicum setting. What are the implications of resource use in terms of planning for and implementing your proposed evidence-based change?

To prepare:

Consider the benefits and limitations of the use of a health information system within your practicum setting. What impact do you think this might have for your proposed evidence-based change? Draw upon at least one relevant example of a current or previous change initiative at your setting as you assess this. (If your setting does not have a health information system, you can still discuss the benefits and limitations of not having a health information system as it relates to this change.)
What other resources (e.g., financial, staffing, materials) are important to consider as well? Why?
Be prepared to support your Discussion postings with evidence from the literature and specific examples related to your practicum setting.
Write a two cohesive response that addresses the following:
Within your practicum setting, what are the benefits and limitations of using a health information system? How might this impact planning for and implementing your proposed change?
Describe three potential resource considerations that could facilitate or inhibit your proposed change and explain your rationale.
Read a selection of your colleagues’ responses.
By Day 3 of Week 7 respond to at least one of your colleagues in one or more of the following ways:
Ask a probing question, substantiated with additional background information, evidence, or research.
Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
Offer and support an alternative perspective using readings from the classroom and/or from your own research in the Walden Library.
Validate an idea with your own experience and additional research.
Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.


 

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What are the features that distinguish public health ethics from conventional medical ethics or bioethics? Public Health Ethics

What are the features that distinguish public health ethics from conventional medical ethics or bioethics?
Public Health Ethics

Public health practice involves working with issues of illnesses and diseases of populations. Because of this, unique ethical issues are involved. Generally, public health practices and policies try to improve the overall health of the public; this position often conflicts with the principle of autonomy for individuals. This conflict might be clinical, as in the case of immunization, or legal, as in the case of required medical reporting and treatment of communicable diseases. Furthermore, public health involves recognizing health and illness in the wider context of social, environmental, political, and economic factors, while ensuring that the ethical principles are not violated.

Considering this, respond to the following:

What are the features that distinguish public health ethics from conventional medical ethics or bioethics?
Are ethical principles and values, or the methods of ethical analysis, materially different when applied to populations rather than to individuals?
Give examples and reasons in support of your responses.

Support your answers with examples and research. Your responses should clarify your understanding of the topic. They should be your own, original, and free from plagiarism. Follow the APA format for writing style, spelling and grammar, and citation of sources.


 

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Define job analysis, job description, job specification, and skills inventory.

Human resources are very important to all organizations. What are some processes involved in human resource planning to determine the right number of employees with the right kind of capabilities? How does diversity play a part in this Human Resources planning process? Please cite your sources.

Ans:

Outline the human resource planning process.

Ans:

Define job analysis, job description, job specification, and skills inventory.

Ans:

There are many theories on how to motive employees. Let’s consider two of the theories: goal-setting and reinforcement. Define each of these theories and cite your sources. Do you agree with either of these theories? Why are they important or not important in today’s organizations? What is Herzberg’s theory? Please cite your sources.

Ans:

Define job satisfaction and organizational morale.

Ans:

Explain the importance of trust in management in motivation.

Ans:

One of the primary goals of Normalization is to reduce redundant data.

What is the problem with redundant data?

Ans:

What is normalization and what role does it play in database design?

Ans:

When is a database in 1st Normal Form?

Ans:


 

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The 1999 landmark study titled To Err Is Human: Building a Safer Health System highlighted the unacceptably high incidence of U.S. medical errors and put forth recommendations to improve patient safety.

The 1999 landmark study titled To Err Is Human: Building a Safer Health System highlighted the unacceptably high incidence of U.S. medical errors and put forth recommendations to improve patient safety.

The 1999 landmark study titled To Err Is Human: Building a Safer Health System highlighted the unacceptably high incidence of U.S. medical errors and put forth recommendations to improve patient safety. Since its publication the recommendations in To Err Is Human have guided significant changes in nursing practice in the
United States.
In this Discussion you will review these recommendations and consider the role of health information technology in helping address concerns presented in the report.
To prepare:
Review the summary of To Err Is Human presented in the Plawecki and Amrhein article found in this weeks Learning Resources.
Consider the following statement:
The most significant barrier to improving patient safety identified in To Err Is Humanis a lack of awareness of the extent to which errors occur daily in all
health care settings and organizations (Wakefield 2008).
Review The Quality Chasm Series: Implications for Nursing focusing on Table 3: Simple Rules for the 21st Century Health Care System. Consider your current
organization or one with which you are familiar. Reflect on one of the rules where the current rule is still in operation in the organization and consider another
instance in which the organization has effectively transitioned to the new rule.
Post on or before Day 3 your thoughts on how the development of information technology has helped address the concerns about patient safety raised in the To Err Is
Human report. Summarize in one page how informatics has assisted in improving health care safety in your organization and areas where growth is still needed.
References (mandatory)
PLAWECKI L; AMRHEIN D. Clearing the err. Journal of Gerontological Nursing. 35 11 26-29 Nov. 2009. ISSN: 0098-9134.
Wakefield M. K. (2008). The Quality Chasm series: Implications for nursing. In R. G. Hughes (Ed.) Patient safety and quality: An evidence-based handbook for nurses
(Vol. 1 pp. 4766). Rockville MD: U. S. Department of Health and Human Services.
Legal Issues
Ive made a mistake. This
simple statement or its mere
thought is enough to strike fear
within the most experienced and
knowledgeable of health care professionals.
No matter how many
times a procedure has been done or
a medication administered there is
always the likelihood of preventable
error. Each year the public
is reminded of the potential for
mistakes as the media report medical
horror stories where for example
unknowing patients have surgery
performed on the wrong body part
a wrong medication administered
or a foreign object errantly left
inside their bodies. These reports
highlight the biggest fear of health
care workerstheir own fallibility.
Through carelessness assumption
overt act or omission the health
care professional can easily err
and cause harm to the patient. In
addition to the pain caused to the
patient health care providers also
understand the devastating impact
that such errors can wreak on their
own personal and professional lives.
The purpose of this article is to
About the Authors
Mr. Plawecki is Registered Nurse
Rehabilitation Hospital of Indiana Indianapolis
and Dr. Amrhein is Resident
Physician Family Practice Medicine Ball
Memorial Hospital Muncie Indiana.
The authors disclose that they have no
significant financial interests in any product
or class of products discussed directly
or indirectly in this activity including
research support.
Address correspondence to Lawrence
H. Plawecki RN JD LLM Registered
Nurse Rehabilitation Hospital of
Indiana 4141 Shore Drive Indianapolis
IN 46254; e-mail: Lawrence.plawecki@
gmail.com.
doi:10.3928/00989134-20091016-01
Clearing the Err
Reporting Serious Adverse Events and Never Events in Todays Health Care System
Lawrence H. Plawecki RN JD LLM; and David W. Amrhein MD
Abstract
Absent an infinitesimal percentage most Americans seek health care services
due to a legitimate health issue. Fundamental within this relationship
is the understanding that health care professionals will do everything within
their power and expertise to alleviate the suffering of each patient they
treat. Unfortunately preventable medical errors do occur and the innocent
patient is left to suffer. In 1999 the Institute of Medicine
released To Err Is Human: Building A Safer Health System the
first mainstream publication calling for a change in the
culture of health care and the eradication of preventable
medical errors. In the 10 years since its publication
federal and state governments and agencies
have been proactive in attempting to meet the
recommendations originally proposed in To Err Is
Human. This article will review what has been accomplished
in this time frame.
iStockphoto.com/ Ireneusz Skorupa
26 JOGNonline.com
discuss the trend in todays health
care systems toward the reporting
of serious adverse events or never
events as well as the impactboth
impending and currenton the role
of geriatric nurses.
Refocusing and
Rebuil ding a Sa fe Heal th
Ca re System
In November 1999 the Institute
of Medicine (IOM) released a
profound call to action for everyone
involved in the health care community.
This statement entitled To Err
Is Human: Building A Safer Health
System began with a grim statistic
estimating that between 44000 and
98000 people died per year from
preventable medical errors as hospital
patients. The IOM (1999) report
defined medical error as the use of a
wrong plan of action to achieve an
aim or the planned actions failure
to be completed as intended. In
economic terms these errors were
estimated to cost between $17 billion
and $29 billion per year across the
country (IOM 1999). These financial
estimates include the costs of lost
income lost household productivity
and the cost of the additional health
care necessitated by the errors (IOM
1999). The more specific recommendations
posited by the IOM (1999)
for the prevention of medical errors
are discussed below.
The IOM (1999) report recommended
a four-tiered approach to
achieve a better safety record:
l Establishing a national focus
to create leadership research
tools and protocols to enhance the
knowledge base about safety.
l Identifying and learning from
errors by developing a nationwide
public mandatory reporting system
and by encouraging health care
organizations and practitioners to
develop and participate in voluntary
reporting systems.
l Raising performance standards
and expectations for improvements in
safety through the actions of oversight
organizations professional groups
and purchasers of health care.
l Implementing safety systems
in health care organizations to ensure
safe practices at the delivery level.
As a result of these broad recommendations
state and federal
governments agencies and health
care institutions were given notice
about the increased focus on the
prevention of medical errors and
consequently the improved safety
of the patient receiving treatment.
During the 5 years following the
IOM (1999) report progress began
to be made.
In 2001 the U.S. Congress appropriated
an annual budget of $50
million for patient safety research
(Leape & Berwick 2005). From
this appropriation the Agency for
Healthcare Research and Quality
(AHRQ) was codified as the federal
agency to oversee patient safety and
its improvement (Leape & Berwick
2005). AHRQ became an important
player in the new patient safety
movement by evaluating health care
practices to determine effectiveness
educating health care institutions
about how to best report errors and
adverse events and creating a roadmap
of evidence-based best practices
(Leape & Berwick 2005).
Using the roadmap created
by AHRQ the National Quality
Forum (NQF) (2007) created a
list of 27 serious reportable events
also referred to as never events
which were offered as the basis
for a potential national reporting
system chronicling patient safety.
The serious reportable events may
be divided into six separate categories
including surgical events
product or device events patient
protection events care management
events environmental events and
criminal events (NQF 2007). For
the purposes of this article however
the individual events will not be discussed
as the focus is to remain on
the implementation and evolution of
patient safety standards.
In 2005 the American Medical
Association (AMA) released
a report by Leape and Berwick
detailing the effects of the original
IOM publication. The AMA
report while admitting there had
been little measurable effect after
the release of the IOM report and
that no comprehensive nationwide
system for monitoring had been
put into existence discussed how
the focus of patient care had shifted
from fixing blame to implementing a
culture of safety (Leape & Berwick
2005). This alone can be considered
an impressive feat in todays increasingly
litigious society. Furthermore
Leape and Berwick (2005) identified
the four areas the health care system
needed to advance in the following 5
years to facilitate the transition to a
patient safety focus.
First Leape and Berwick (2005)
recommended the implementation
of electronic medical records. It is
argued that this implementation although
a substantial initial cost will
save the facility and pay for itself
due to the decrease in charges of adverse
events and increase in efficien-
Journal of Gerontological Nursing Vol. 35 No. 11 2009 27
cy of staff. Second as more methods
are implemented newer and safer
practices will be proven. The final
two advancements named in the
IOM (1999) recommendations can
be met as newly learned information
is disseminated through the health
care system and ultimately training
of health care workers continues
to evolve and improve. Last health
care professionals should then be
able to admit mistakes apologize
and improve communication with
patients as it has been found that
full disclosure of a mistake does not
increase the risk of a lawsuit being
filed (Leape & Berwick 2005).
Where are we now?
As the tenth year following To Err
is Human (IOM 1999) is drawing
to a close health care professionals
can readily see and appreciate
the changes being made to improve
patient safety and their own practice.
An inexhaustive list comparing several
states their attempts to improve
patient safety and new federal guidelines
are discussed below.
Minnesota
In 2003 Minnesota became the
first state to adopt a never events
law (Minnesota Department of
Health 2008). Initially this law
required Minnesotas hospitals
regional treatment centers and freestanding
outpatient surgical centers
to report these never events to the
Minnesota Department of Health
(2009). These events were then
reported to the public by the Minnesota
Department of Health (2008)
on an annual basis. In 2005 however
an amended law took effect
requiring Minnesota hospitals to report
the occurrence of a never event
publicly to the Minnesota Hospital
Associations web-based Patient
Safety Registry (Dotseth 2004).
In addition Minnesota Statutes
144.7065 (2005) requires applicable
facilities to investigate each reported
event report the underlying cause
of each event and take corrective
action to prevent the recurrence of
such an event. Lastly an annual report
required by Minnesota Statutes
144.7069 (2005) is published by the
Minnesota Department of Health
thereby providing a forum for hospitals
to share information and learn
from each others errors.


 

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Define happiness and how do they interfere with the happiness of others?this is a diagnostic essay, about happiness or meaning, related somehow to people who wear night guards for tmj disorders. i will upload a file for reference.

Define happiness and how do they interfere with the happiness of others?this is a diagnostic essay, about happiness or meaning, related somehow to people who wear night guards for tmj disorders. i will upload a file for reference.

happiness or mening

Order Description

this is a diagnostic essay, about happiness or meaning, related somehow to people who wear night guards for tmj disorders. i will upload a file for reference.
Also it should have an opening literary quote.
Diagnostic Essay on Happiness. Read it carefully and relate it to your research topic. (topic: TMJ disorders, different treatment options and patients using nighguards)
Read the following passage carefully, analyze it, and apply it the claims of value of your subjects, patients, texts, physicians, or corporations to explain how their ideals of happiness cloud, disrupt, or illuminate your claims progression.
For example, fossil fuels CEOs, dentists, or physicians may feel happiness comes from money so they will jeopardize treatment or promote things that are bad for the environment to fulfill their goals; patients whose happiness comes from drinking alcohol or eating junk food may jeopardize their health; a patient whose idea of happiness is passionate love all night may have trouble wearing the dental guard you prescribe; a child with cancer may be treated more effectively if his ideal of happiness is understood. Macbeth’s witches are harbingers of evil but how do they define happiness and how do they interfere with the happiness of others?
Happiness is one important value so let us start with this diagnostic.
Try to write a first draft in 90 minutes as they do in on site class but proofread carefully and pay attention to grammar, word choice, sentence structure, and paragraph progression as this is a writing test.
“The research covered at the Greater Good Science Center is often referred to as “the science of happiness,” yet our tagline is “The Science of a Meaningful Life.” Meaning, happiness—is there a difference?
New research suggests that there is. When a study in the Journal of Positive Psychology tried to disentangle the concepts of “meaning” and “happiness” by surveying roughly 400 Americans, it found considerable overlap between the two—but also some key distinctions.
Based on those surveys, for instance, feeling good and having one’s needs met seem integral to happiness but unrelated to meaning. Happy people seem to dwell in the present moment, not the past or future, whereas meaning seems to involve linking past, present, and future. People derive meaningfulness (but not necessarily happiness) from helping others—being a “giver”—whereas people derive happiness (but not necessarily meaningfulness) from being a “taker.” And while social connections are important to meaning and happiness, the type of connection matters: Spending time with friends is important to happiness but not meaning, whereas the opposite is true for spending time with loved ones. . . “
—“Forget Happiness, Find Meaning”
by Jason Marsh, Devan Davison, Bianca Lorenz, Lauren
Klein, Jeremy Adam Smith, Emiliana R. Simon-Thomas


 

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Write a feature story about the steps you should take when fraud and abuse cases are reported to a facility. Assignment 1: LASA 2— Corporate Compliance

Write a feature story about the steps you should take when fraud and abuse cases are reported to a facility.
Assignment 1: LASA 2— Corporate Compliance

You are a corporate compliance officer for a hospital. You are also a feature writer for The Medical Reporter, an online health magazine. The editor asks you to write an 8-10 page feature story about the steps you should take when fraud and abuse cases are reported to a facility. This is very timely as you recently received a call on your “hotline” regarding a potential fraud and abuse issue. The caller indicated that Dr. Greedy was billing for services that had not been provided. You are in danger of losing reimbursement for Medicare and Medicaid programs if this behavior is not stopped. Your feature should address the ethical and moral components that healthcare providers and healthcare facilities face with fraud and abuse issues. Your research should include the following aspects:

How to conduct an investigation. It should include the following elements:
Reviewing the initial complaint: What are the items you should look for in a compliant to determine validity?
Notifying the appropriate upper management of the complaint unless they are implicated in the complaint: What are the steps to take to determine who is involved?
Obtaining additional information as necessary and developing a plan for the investigation: What other items are important to the investigation?
Conducting interviews with staff, residents and/or management: Delineate the types of questions to ask in the interview.
Determining if the allegations are substantiated or unsubstantiated: Identify criteria to determine if substantiated or unsubstantiated.
How to develop a correction action plan. The plan may suggest:
A recommendation for a subsequent audit or follow-up to the complaint and determination of when this is necessary.
A recommendation to refund any overpayments to federal government, insurance company or individual payer and when that may be the best course of action.


 

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Explain the connection between each theoretical orientation used by Dr. Bank’s and the interventions utilized in the case. If Kelly nyc from Student of fortune is on here please answer!!

Explain the connection between each theoretical orientation used by Dr. Bank’s and the interventions utilized in the case.
If Kelly nyc from Student of fortune is on here please answer!!

Case Analysis – Treatment Format
Prior to beginning work on this week’s journal, read the PSY650 Week Four Treatment Plan , Case 15: Borderline Personality Disorder in Gorenstein and Comer (2014), and Borderline Personality Disorder in Sneed et al., . (2012). Please also read the Rizvi, et al. (2013), “An Overview of Dialectical Behavior Therapy for Professional Psychologists,” Harned, et al. (2013), “Treatment Preference Among Suicidal and Self-Injuring Women with Borderline Personality Disorder and PTSD,” Miller (2006), “Telehealth Issues in Consulting Psychology Practice,” and Luxton, et al. (2011), “mHealth for Mental Health: Integrating Smartphone Technology in Behavioral Healthcare” articles.

Assess the evidence-based practices implemented in this case study. In your paper, include the following.

Explain the connection between each theoretical orientation used by Dr. Bank’s and the interventions utilized in the case.
Describe the concept of dialectical behavior therapy, being sure to include the six main points of this type of treatment.
Explain Dr. Banks’s primary goal during the pre-treatment stage and how Dr. Banks related this to Karen in her initial therapy sessions.
Describe the two formats that Dr. Banks told Karen would be part of her treatment program.
Describe the focus of the second and third stages of treatment.
Assume the role of a consulting clinical or counseling psychologist on this case, and recommend at least one technology-based e-therapy tool that would be useful. Explain liability issues related to delivering e-therapy consultation, supporting your response with information from the Miller (2006), “Telehealth Issues in Consulting Psychology Practice” article.
Evaluate the effectiveness of the treatment interventions implemented by Dr. Banks supporting your statements with information from the case and two to three peer-reviewed articles from the Ashford University Library, in addition to those required for this week.
Recommend three additional treatment interventions that would be appropriate in this case. Use information from the Sneed, Fertuck, Kanellopoulos, and Culang-Reinlieb (2012), “Borderline Personality Disorder” article to help support your recommendations. Justify your selections with information from the case.
The Case Analy


 

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ANALYZE AND INTEGRATE THE IMPACT OF CULTURAL COMPETENCE AND ETHICAL DECISION MAKING MODELS ON CLINICAL REASONING, HEALTH POLICY.

ANALYZE AND INTEGRATE THE IMPACT OF CULTURAL COMPETENCE AND ETHICAL DECISION MAKING MODELS ON CLINICAL REASONING, HEALTH POLICY.

Evaluating the necessity of a more comprehensive understanding of pathophysiology, pharmacology, and physical assessment skills for the role NP in contrast to the role of the RN. Analyze and integrate the impact of cultural competence and ethical decision making models on clinical reasoning, health policy and practice in regard to this more comprehensive understanding in the role of the NP.

2-3 pages


 

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Select two trade theories that best explain why GEH expanded its operations of developing new drugs to India, and manufacturing X-ray business to China.

Select two trade theories that best explain why GEH expanded its operations of developing new drugs to India, and manufacturing X-ray business to China.

Background

Markets in developed economies are approaching saturation level. Therefore, MNCs are searching for new untapped markets in emerging countries such as India and China. Since the healthcare industry will continue to grow in the future due to the size of the global population and its age composition, General Electric Healthcare (GEH) is trying to capitalize on these trends. It is expanding its operations and development of new drugs and manufacturing of the medical equipment in India and China.

Directions

Read the following articles:

At least one peer-reviewed article related to the trade theories in general as well as for China and India
Articles related to the human resource management for MNCs, cross-cultural management, expatriate training, and expatriates’ success/failure in overseas assignments
Articles related to GEH
Then, respond to the following:

Select two trade theories that best explain why GEH expanded its operations of developing new drugs to India, and manufacturing X-ray business to China.
Explain the selected theories, and then evaluate GEH’s reasoning.
Explain possible pitfalls for such strategy from GEH’s perspective.
Identify solutions to the possible pitfalls for the strategy.
For each operation (India and China), evaluate GEH’s human resource strategy.
Identify how you would design training for preparing expatriates for their assignments to India and China if you were in charge of their training prior to the overseas assignment.


 

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Explain which hormones are involved in maintaining pregnancy, and how they do this. Do the same for those hormones involved in initiating birth and lactation.

Explain which hormones are involved in maintaining pregnancy, and how they do this. Do the same for those hormones involved in initiating birth and lactation.

Biology Explain which hormones are involved in maintaining pregnancy, and how they do this. Do the same for those hormones involved in initiating birth and lactation. Explain the role of hormones in maintaining a)Pregnancy b)Initiating birth c)Lactation Order for your custom written PAPER now!


 

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