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Articulately summarize the growth and impact of health care costs. Primary Discussion Response is due by Friday (11:59:59pm Central), Peer Responses are due by Tuesday (11:59:59pm Central).

Articulately summarize the growth and impact of health care costs.
Primary Discussion Response is due by Friday (11:59:59pm Central), Peer Responses are due by Tuesday (11:59:59pm Central).

Primary Task Response: Within the Discussion Board area, write 400–600 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.

For several decades, the rapid increase of health spending in the United States has been the subject of many discussions and great scrutiny. For additional background on this subject, read the following articles:

Article 1
Article 2
Article 3
Based on the information that you gained from these articles and in this course, how does the growth of health care cost impact the government and employers? Complete the following:

Articulately summarize the growth and impact of health care costs.
Analyze the essential indicators of economic benefits per unit on the country’s gross domestic product (GDP) and on employment.
Based on your research, give recommendations for improvement or change.
Ensure that you integrate economic terms, frameworks, and models throughout the review.

Responses to Other Students: Respond to at least 2 of your fellow classmates with at least a 100-word reply about their Primary Task Response regarding items you found to be compelling and enlightening. To help you with your discussion, please consider the following questions:

What did you learn from your classmate’s posting?
What additional questions do you have after reading the posting?
What clarification do you need regarding the posting?
What differences or similarities do you see between your posting and other classmates’ postings?
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Research and write a research paper about environmental policies.For this assignment, you will research and write an APA research paper about environmental policies, including the following: Choose 1 U.S. environmental law.

Research and write a research paper about environmental policies.For this assignment, you will research and write an APA research paper about environmental policies, including the following: Choose 1 U.S. environmental law.

State the name of the law and the date the law was passed. Summarize the major provisions of the law that you chose. Describe the economic impact of the law. Provide specific economic data from credible references. Has the law improved the environment or situation? Provide specific data from credible references. Do you think that sound science has proven that global warming is a credible threat or not? Should the United States adopt additional policies or laws to curb greenhouse gas emissions? What should these policies or laws regulate or encourage? Use specific facts to defend your position.


 

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The post Research and write a research paper about environmental policies.For this assignment, you will research and write an APA research paper about environmental policies, including the following: Choose 1 U.S. environmental law. appeared first on MY NURSING WRITER.

Write a series of recommendations to management regarding the necessary next steps to be successful n the event of a financial crisis.

Write a series of recommendations to management regarding the necessary next steps to be successful n the event of a financial crisis.

ANALYSIS DISCUSSION—FINANCIAL CRISIS

Organizations can experience crises due to changes in economic conditions. In an economic downturn where individuals lose their jobs, many also lose their medical insurance coverage. With fewer employees on the payroll, states receive less revenue from taxes and thus have less money to pay for Medicaid and other services. This compounds the problem of healthcare funding. Hospitals lose out on high-margin procedures and, at the same time, see an increase in charity care in less profitable areas of the hospital.

Pick a hospital or healthcare setting
Write a summary of the strategic analysis of a hospital or healthcare setting including an analysis of management, mission, vision, marketing strategies, and operational considerations
Write a financial analysis including a discussion of current and projected earnings, cash flow, and financing needs.
Write a series of recommendations to management regarding the necessary next steps to be successful n the event of a financial crisis. For your paper, you will consider the following two scenarios:
Scenario 1: The nursing union has begun bargaining and has demanded a 10 percent increase in salaries, a guarantee of no lay-offs, and an increase in pension benefits. The increase in pension benefits has a $1 million annual impact.
Scenario 2: Your community is suffering a significant decrease in employment. Employees are losing their health insurance. You anticipate a 10 percent decrease in patient revenue. However, your costs will not decrease to the same extent. You anticipate many of these individuals will continue to visit your emergency room (ER) and consume resources. The net impact is a significant increase in bad debt.


 

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The authors of the article “Stone Agers in the Fast Lane: Chronic Degenerative Diseases in Evolutionary Perspective”, Eaton, Kroner, and Shostak, provide an argument for the increasing diseases in modern societies.

The authors of the article “Stone Agers in the Fast Lane: Chronic Degenerative Diseases in Evolutionary Perspective”, Eaton, Kroner, and Shostak, provide an argument for the increasing diseases in modern societies.

They build an evolutionary model to justify their argument, which suggests that biocultural evolution promotes chronic illnesses such as cancer, atherosclerosis, obesity, and diabetes mellitus among others. These diseases result from the interaction between genetically controlled biochemical processes and many biocultural influences (Eaton, Kroner, and Shostak 739). The genetic composition of modern people is not different from that of their ancestors. However, their culture has greatly transformed since the industrial revolution.
According to Eaton, Kroner, and Shostak (746), industrialization has resulted in many changes. Every person’s health is now dependent on the interaction between genetically controlled biochemistry and lifestyle factors. For instance, chemically manufactured foods have altered people’s nutrition. In addition, environmental evolution has resulted in congestion and lack of exercise, and people are continuously exposed to harmful substances such as alcohol and tobacco. The article by Eaton, Kroner, and Shostak reflects some of the health challenges for peri-urban slum dwellers. These challenges are discussed in an article “The 21st Century Health Challenge of Slums and Cities” by Sclar, Garau, and Carolini. The 21st century industrialization has facilitated proliferation of urban centers, and their ever increasing population has resulted in health challenges, especially for slum dwellers.
Health problems are common in urban populations of developing countries, which experience socio-economic hardships. According to Sclar, Garau, and Carolini (901), close to half the urban population in Africa, Asia, and Latin America have health problems. Economic challenges have forced millions of people in these countries to live in slums, which are characterized by inadequate safe drinking water, poor housing, inadequate access to sanitation, insecurity of tenure, and overcrowding. Slum dwellers are constantly faced with a threat from communicable diseases caused by the deplorable conditions. Inadequate water and sanitation leads to diseases such as diarrhoea, typhoid, and worm infections, and overcrowding facilitates their fast spread.
Furthermore, the economic challenges deny slum dwellers proper nutrition and access to a quality health care. This leads to low body resistance, accelerating transmission of these diseases. Poor drainage systems increase the risk of malaria by forming breeding grounds for mosquitoes. High levels of poverty, harsh physical standards, and poor social conditions lead to chronic stress. According to Sclar, Garau, and Carolini (902), depression affects many urban adults, with poor urban residents suffering the most. Sexually transmitted diseases such as HIV are high in cities, particularly in slums, where poverty has led to a high rate of sex workers.
Eaton, Kroner, and Shostak’s proposed evolutionary model justifies the increasing diseases in the modern society. These diseases are unusual, rare, or almost unknown in cultures, with features almost the same as those of Late Paleolithic ancestors. However, their prevalence changes suddenly when the previously unaffected society adopts a changing lifestyle. Sclar, Garau, and Carolini identified urbanization as one cause for their increased presence. This is facilitated by socio-economic changes, where the poor population lives in deplorable conditions in slums, which encourage proliferation of diseases such as diarrhoea, typhoid, and worm infections. People’s lives in slums is dependent on the interaction between genetically controlled biochemistry and lifestyle factors. The latter is caused by economic hardships, which force people to live in conditions that increase disease prevalence.

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Determine key roles that human resource management plays in the health care field. Assignment 1: Human Resource Management Overview

Determine key roles that human resource management plays in the health care field.
Assignment 1: Human Resource Management Overview

Due Week 4 and worth 200 points

Using the course readings, articles, and your personal experiences, address the role of human resource management.

Write a six to eight (6-8) page paper in which you:

Assignment 1: Human Resource Management Overview
Due Week 4 and worth 200 points

Using the course readings, articles, and your personal experiences, address the role of human resource management.

Write a six to eight (6-8) page paper in which you:

Determine key roles that human resource management plays in the health care field.
Evaluate three to five (3-5) functions of human resource management in terms of their level of support to the health care field, and then select which one you believe is the primary function in furthering the health care field.
Analyze the role of human resource management in an organization’s strategic plan.
Use at least three (3) quality academic resources in this assignment. Note: Wikipedia and other Websites do not qualify as academic resources.
Your assignment must follow these formatting requirements:

Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.
The specific course learning outcomes associated with this assignment are:

Appraise the aspects of managing human resources (HR) in health care organizations.
Use technology and information resources to research issues in health care human resources management.
Write clearly and concisely about health care human resources management using proper writing mechanics.
Click here to view the grading rubric for this assignment.

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Develop an action plan to share with the hospital staff and CDC local office to address and contain the outbreak in an effective and efficient manner at the hospital.

Develop an action plan to share with the hospital staff and CDC local office to address and contain the outbreak in an effective and efficient manner at the hospital.

Apply major organizational perspectives and theories to real problems facing health services organizations.
Identify concepts in organizational decisions, strategic alliances, and managing efficiency and effectiveness.
Analyze decisions that impact the healthcare delivery system.
Analyze leadership challenges in healthcare.
Analyze operational decisions of healthcare organizations and the impact on business performance outcomes.
Apply principles of organizational learning, innovation, and change in healthcare organizations.
Introduction

Public health problems are diverse and can include infectious diseases, chronic diseases, emergencies, injuries, environmental health problems, as well as other health threats. The following project will allow you to demonstrate your ability and skill in applying major organizational healthcare theories, innovation, and change concepts that impact leaders and the decisions they make when facing operational challenges in the healthcare industry.

Scenario

Acting as the president of a local hospital in an economical and socially deprived county in the US, you have just received a phone call from the state’s CDC office advising the hospital of an outbreak of Whooping Cough. As of now, a majority of the state is being affected by the outbreak and resources are becoming scarce. Your hospital is the only medical center that serves the county. Based on trends and tracking, the CDC believes that your county in which can expect a major increase in patients in the next 48-72 hours with the disease. As the president of the 300-bed hospital which serves a diverse population of 50,000 citizens, it is the president’s responsibility to create a plan of action to help address and treat patients of the county who might become ill in the next 48-72 hours.

The first task you will undertake is to research the disease, its course of treatments, and cures to help effectively treat the potential outbreak. Once you have done so, you will create a presentation that you can give to the county board and CDC showing how your hospital will combat the disease, treat patients, and develop strategies to prevent the spread of the outbreak.

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Instructions

Create an executive summary addressing how best to successfully manage the problem outlined in the scenario. This plan has two parts. First is the executive summary followed by a PowerPoint presentation with audio.

Step 1 – Write an Executive Summary covering the following:

Develop an action plan to share with the hospital staff and CDC local office to address and contain the outbreak in an effective and efficient manner at the hospital.
Outline the process of developing alliances and partnerships to help treat and contain the outbreak through the use of efficient and effective approaches to the healthcare delivery systems.
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Summarize innovative processes needed to address the outbreak given the shortage of resources and time to implement a strategy.
Outline any ethical considerations that should be addressed as part of the strategy in treating and containing the outbreak due to the shortage of resources such as money, manpower, and medicine.
Write a conclusion on the process changes needed to help improve reaction time and containment from the standpoint of the hospital.


 

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Appraise attributes of knowledge from an advanced nursing practice perspective.

provide to the following two questions:
• Substantial and doctoral critical thinking responses that add to the question asked
• No incomplete sentences, use of vague terms
• APA 6th ed/ grammar / spelling and punctuation to be 100% correct
• Sources no more than 5 years old / from Evidence –Based articles
• Citations / Scholarly evidence based sources in text and more than 3 sources for each question
• Citations to be no abbreviations e.g Journal names, include page # and volumes
• Avoid inadequate citations; using one citation at the end of a paragraph and not citing every evidence based sentences in the paragraphs
• Writer to be Doctoral nurse practitioner credential , expert in Nursing informatics,
• No Title page required

Q1. Nursing Informatics and Advanced Nursing Practice
Derived from acute care or homehealth healthcare experience, describe the relationships among computer science, information science, and nursing

science from an advanced nursing practice perspective.
Q2. Nursing Information Systems and Advanced Nursing Practice
Derived from acute care or homehealth healthcare experience, describe the impact of a selected nursing information system on a selected healthcare

stakeholder (patient, family, or nurse) from an advanced nursing practice perspective.

Objectives:
• Define nursing informatics from an advanced nursing practice perspective.
• Describe the potential of nursing information systems in advanced nursing practice.
• Analyze the Foundation of Knowledge model from an advanced nursing practice perspective.
Explain nursing informatics from a DNP-prepared nurse perspective.
• Appraise attributes of knowledge from an advanced nursing practice perspective.
• Examine potential relationships among nursing science, information science, and computer science in advanced nursing practice

Overview
( i) Explore nursing informatics and nursing information systems. (ii) Consider basic concepts of nursing informatics and then apply them to the

perspective of advanced nursing practice (nurse practitioner. (iii) Examine how the development of nursing science has influenced the development of

nursing informatics. (iv) Explore nursing information systems, in relation to the Foundation of Knowledge model, and its potential contribution to

Doctoral Nursing practice-prepared practice (DNP) . As the DNP-prepared nurse is suited well to translate knowledge into practice, explain about how

nursing informatics can lead to improved advanced nursing practice!
Following Readings Taken directly from literature ( Do not copy and paste any of this information into writers response)
Overview of Informatics and Information Systems in Nursing

Introduction
Writer stop and reflect on the reading by Choi and Zucker (2013). This is an important reading in which doctoral graduates will want to consider

the degree to which manifest nursing informatics competencies. Remember that self-report may be considered a limitation in research but no more of

a limitation than the influence of the Hawthorne effect when one is observed. Stop for a moment, and consider what is perceive to be informatics

skills, knowledge, and integrative abilities for nurse practitioner/ doctoral graduates. You will want to revisit this article again for a question

I will pos in the coming weeks to you. This will determine the degree to which nurse practitioner perceived competencies have improved!

The Internet has become a major influence on U.S. healthcare. As Internet use has become commonplace, healthcare consumers turn to it for

interactive health assessments; personalized diet and fitness programs; accessing healthcare information; and shopping for pharmaceuticals,

insurance plans, and medical supplies and equipment. In addition to public-use computer applications in health services, information systems include

administrative and clinical information systems and decision-support systems. Administrators, boards of directors, and medical and nursing staff

members depend on information systems for the timely management of data in all areas of the healthcare organization (Shi & Singh, 2008). From the

perspective of advanced nursing practice, nothing has been as dramatic in patient care as the recent influence of nursing informatics.
Nursing Science Versus Nursing Informatics
Through the years, nursing science has come to be thought of as a blended science, combining evidence-based practice, nursing research, and nursing

theory. To the same extent, nursing informatics has emerged as a blended science, combining computer, information, and nursing sciences. In their

early classic work, Graves and Corcoran (1989) defined nursing informatics as a “combination of computer science, information science, and nursing

science, designed to assist in the management and processing of nursing data, information, and knowledge” (p. 227). In the early 1980s, nursing

informatics emerged as a specialty that was initially centered around the application of computer science to nursing. With the rapid growth of

information science, nursing informatics has greatly benefited from emerging hardware and software applications for practice. Data can now be

isolated and communicated to construct information, which, in turn, can be further integrated into new knowledge and wisdom (Turley, 1996).
Nursing Informatics
Data:Information:Knowledge: Wisdom:
Wisdom:
Wisdom is defined as “understanding, applying, and applying with compassion”
(Englebardt & Nelson, 2002, p. 13).
The process of data ⇒ information ⇒ knowledge ⇒ wisdom is known as the Foundation of Knowledge model (Englebardt & Nelson, 2002). According to

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Theory Development and Nursing Information Systems
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with input, throughput, and output and ends with the closure of the feedback loop—connects with traditional communication theory, which begins with

the sender and then processes the message through to the receiver.
Early behavioral theories further influenced the development of nursing informatics. For example (i) the emphasis on all levels of nursing theory

abstraction (i.e., Nursing Philosophies, Grand Theories, Conceptual and Theoretical Models, Theories, and Middle-Range Theories). (ii) Then change

theories. One example is of Lewin’s (1951) change theory, whereby change is facilitated by unfreezing, introducing change, and refreezing, but other

change theories addressed included Lippitt, Watson, and Westley’s (1958) seven phases of planned change; Havelock’s (1973) six phases of planned

change; Rogers’ (1995) diffusion of innovation model; Prochaska, Redding, and Evers’ (2002) transtheoretical model; Kotter’s (1995) process for

leading change; or Berwick’s (2003) from description to prescription.
Popular systems theory has also had an impact on the development of nursing informatics. Simpson (2000) states that “systems theory is about

connectedness, interdependency, integration, the value of the individual, and the power of the collective . . . . So, too, is healthcare information

technology, which brings together systems to gather and generate data and knowledge for assessment and decision making” (p. 80). The abstracting of

nursing theory and informatics theory into new formalizations for advancing the nursing profession may be the answer to bringing theory, practice,

and research together to form a unified whole for the future.
Another theoretical contribution comes from the field of cognitive science. According to Sease (2008), cognitive science offers nursing information

systems the explanation of how human behavior interacts with computers. One outcome is the recognition that more workflow-driven systems are needed,

rather than data-driven systems (Murphy, 2010).
Human-Factor Issues in Nursing Informatics
The relationship between humans and their computers is called human-computer interaction. It sounds more like the relationship between humans and

their pets, but if you have ever encountered a computer on the fritz, you know that this relationship is tenuous at best! Human factors with regard

to human-computer interaction include (a) physical aspects, such as ergonomics and environment; (b) software aspects, such as visual display design,

user interfaces, and data representation; and (c) user satisfaction.
Much of people’s resistance to constant computing change falls under the category of usability factors. In the area of physical aspects, people need

an adequate workspace for data entry and retrieval, and they need ergonomically fit and adjustable computing stations. Moreover, the aspects of the

computing system that people interface with needs to promote satisfaction as opposed to frustration. The simple approach to understanding computer

technology is to think of hardware, software, processing, and communications. At the minimum, hardware includes input devices, output devices,

processors, and storage. Computer literacy suggests that one might readily comprehend input devices, such as point-of-service terminals that nurses

use to input data on the unit and the personal digital assistants (PDA) people carry to input information. Output devices include such things as

monitors and printers. Processors encompass the central processing unit (CPU), whereas storage is frequently described in terms of memory, such as

RAM for temporary storage and ROM for the memory that remains stored after the power source is shut down.
Reflection
The rapid changes that have taken place in computer technology over the last couple of decades certainly steal the show! Consider the following

reflection on doctoral education and informatics.
Reflection
I recall taking my first Computers in Nursing course as a part of my master’s degree in 1984. When I went on for my doctoral degree in nursing at

Texas Woman’s University, I was inspired by the computer technology provided to the students. At the time, the institution had a mainframe computer

(called Pandora) that seemed to occupy the equivalent space of a small house!
As doctoral nursing students, we were required to enroll in a variety of language courses to support our doctoral research, and computer languages

were accepted as one of our two language requirements. I soon discovered that computer languages had developed generations, just like antibiotics!

Although the first generation was a binary machine language, I found myself enrolled in third-generation languages, such as BASIC in my Computers in

Education course; FORTRAN in my Computer Science I course (where I learned to program GoFish); Pascal in my Computer Science II course; and I

ultimately moved onto fourth-generation applications, such as SPSS.
In just under two decades, advanced nursing practice has moved from supercomputers to mainframes; personal computers; laptops; PDAs; and natural

languages, such as the artificial intelligence now evolving in the new millennium. With thousands of health-related Internet sites and healthcare

providers scrambling to keep up with information-savvy patients who self-diagnose before scheduling their office visit, the influence of technology

on advanced nursing practice is unsurpassed! Yet, lest you think that the playing field is level, consider the phenomena known as the digital

divide, referring to the diverse populations that do not have access to the Internet, whether it is due to a lack of equipment, knowledge, personal

awareness, or outright stubbornness.
Nothing is changing more rapidly than healthcare, other than computer technology, in the new millennium. Nurses in all practice areas will,

therefore, have an ongoing need to upgrade their computing skills, knowledge, and integrative abilities to keep abreast of the changes in computing

technology, telecommunications, and networking. According to Szalma (2009), just as diversity exists among the patient population, variation among

computer users will continue to drive the need for technological adjustments among nurses in advanced nursing environments. Although setting the

stage for such ongoing technological change has become the constant, DNP-prepared nurses will need to develop themselves as leaders of technological

change in the interface between patient care and nursing informatics (Lorenzi & Riley, 2010).


 

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What are the components of a successful diabetes care team? Is this something that is practiced where you currently work?

1.

Reflect upon the diagnostic exercise you participated in this week. Select one of the individuals you interacted with, and based on his or her

health assessment, develop a health plan to help them prevent the disease and improve their quality of life. Your plan should include health

care recommendations, educational materials, support systems for making lifestyle changes, and tools and resources for managing and monitoring

symptoms.

As part of your plan, include the following:

Provide a brief summary of the individual’s health assessment, the physiologic signs and symptoms of the individual’s highest disease risk,

and the impact of that disease on his/her functional health status.
Provide a health plan for risk prevention addressing diet, exercise, health monitoring recommendations, pharmacological aids, diagnostic

testing recommendations, and additional lifestyle changes. Clearly explain the interrelationships between pathophysiology, pharmacology,

diagnostic testing, and management on the individual’s health and the disease.
Identify and summarize at least one current pharmacological advancement or a key piece of substantiated research in the treatment or

prevention of the disease. Cite your source(s).
Identify two or more websites to aid in the physical and mental well-being of the individual. Include the web links and a summary of the

features and benefits of each site in a brief paragraph. Explain how specific components/features of the site can benefit your individual’s

health care.

2.

What are the components of a successful diabetes care team? Is this something that is practiced where you currently work? Of the best

practices shared in this week’s video clips, which do you think is most important? How would you incorporate this into your practice?


 

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The post What are the components of a successful diabetes care team? Is this something that is practiced where you currently work? appeared first on MY NURSING WRITER.