Analyze social and cultural aspects of MMC that could be exacerbating or helping resolve admission and discharge issues.

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CASE STUDY

Moreno Medical Center (MMC) is a 600-bed, full-service acute care facility located in the Northwest Kelsey community. The hospital is a physician-owned, for-profit hospital that takes pride in the provider-patient relationship. With recent changes in managed care, every dollar, process, and interest of the patient serves as a common ground for making an organization more efficient.

To remain competitive in the marketplace, the management team at MMC decided to take a look at various processes within the hospital and noted that the overall patient experience in the outpatient surgical clinic was less than satisfactory. The main problem seems to focus on long delays throughout the entire admission to discharge process. If the hospital wants to maintain its competitive position, the administration will have to redesign the current process to improve patient satisfaction.

The hospital administration appointed an internal quality consultant to facilitate the planning process. The quality consultant for this new organizational role is an experienced intensive care RN with a business degree. She understands that health care is a personal encounter and that patients and families expect to have their priority needs met when experiencing a health care issue.

The quality consultant decided to work closely with the surgical department RN administrator who would be a powerful change agent in leading the improvement process. During the review of the surgical department processes, the administrator and consultant identified several major issues:

· Surgeons delaying surgery times causing backlog of surgery schedule

· Other hospital departments (e.g., admitting, finance, lab) conducting separate encounters with surgical patients without regard to the surgery schedule

· Long wait times for patient transportation from surgical area to recovery room

· Ancillary staff providing patient discharge instructions when nurses are busy

· Nursing staff displaying a culture that the procedure, not the patient, is the priority

The surgical department RN administrator acknowledges that changes need to occur and the new process must be guided by what is in the best interest of the patient. He developed a new vision statement for the department with its first priority to provide a patient and family focused quality care culture.

Review the introduction videos and organizational charts.

Read the case study detailing key issues that have been identified at MMC.

Write a 1,050- to 1,400-word paper in which you:

Analyze MMC’s characteristics and organizational structure to determine how they could be affecting patient satisfaction in both positive and negative ways.
Could reorganization help drive better patient outcomes?
Does the current structure empower nurses to provide the best patient care possible?
Analyze social and cultural aspects of MMC that could be exacerbating or helping resolve admission and discharge issues.
Are the right individuals involved in the admission and discharge process or do roles and team dynamics contribute to the issue?
Assess the responsibilities of MMC leaders and managers to act as change agents in mitigating the patient satisfaction issues.
What actions have already been taken and what other actions would you suggest to make a greater impact?
Analyze how delegation is contributing to or improving MMC’s issues.
Analyze how MMC’s staffing and performance evaluations could help improve overall patient satisfaction.

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Give a brief overview of otitis media and otitis externa, including signs and symptoms of the most common causative agents for both.

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Give a brief overview of otitis media and otitis externa, including signs and symptoms of the most common causative agents for both.

Children and adults often present with complaints of ear pain. Your differential diagnoses should include otitis media and otitis externa, in addition to other possibilities such as foreign body obstruction and cerumen impactions. Give a brief overview of otitis media and otitis externa, including signs and symptoms of the most common causative agents for both. In addition, discuss the physical exam findings that you might see with the conditions when visualizing various parts of the ear such as ear canal or the tympanic membrane. How will your assessment of the ear differ in children versus adults? What would be essential health history questions to ask patients that present with ear pain and why? Support your answers with appropriate references.

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Explain the (6) steps of the needs assessment process.Analyze the first two steps of the marketing process(It is not enough to assess the needs of a community; our role as health educators requires us to address those needs as well):

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Explain the (6) steps of the needs assessment process.Analyze the first two steps of the marketing process(It is not enough to assess the needs of a community; our role as health educators requires us to address those needs as well):
1.Explain the (6) steps of the needs assessment process

discuss how health educators can utilize various data sources to infer needs for health education, design strategies and interventions for disease prevention, and prioritize health information.

2.Analyze the first two steps of the marketing process(It is not enough to assess the needs of a community; our role as health educators requires us to address those needs as well):

Using Marketing Research to Determine Needs and Desires, and Developing a Product that Satisfies the Needs and Desires of Clients from your textbook. How would you apply these principles to a program needs assessment for a youth intervention? Which questions should you consider?

It is not enough to assess the needs of a community; our role as health educators requires us to address those needs as well. One of the most effective ways to do this is through the marketing process. analyze the first two steps of the marketing process: Using Marketing Research to Determine Needs and Desires, and Developing a Product that Satisfies the Needs and Desires of Clients from your textbook. How would you apply these principles to a program needs assessment for a youth intervention? Which questions should you consider?

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Discuss, using ideas from the general model of stress, the causes (sources) of stress and thus how stress can be managed in the work place. In your response you must make reference to how the various causes of stress can be categorised.

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Discuss, using ideas from the general model of stress, the causes (sources) of stress and thus
how stress can be managed in the work place. In your response you must make reference to how the various
causes of stress can be categorised.

Leading and Managing in Organisations

There are four parts to the complete portfolio. The portfolio is about how people are managed and how they

lead. It also gives you an opportunity to understand yourself, and so helps you understand how you should
manage people.
Each Portfolio Assignment should be viewed from an academic perspective. You should consider each part of
the assessment not from an intuitive, that is a personal viewpoint, but by explaining, and referring to, the
theory you have met during the course of formal lectures and your personal reading of the literature
recommended. Above all it is what the literature tells you about effective personal or people management
practices that you should report on. In essence, make sure that you use appropriate theory supported by full
academic references. If you do not follow this advice you will either achieve a poor result or fail the
module.
The portfolio is split into for parts called Assignments. Portfolio Assignment 1 is about how people manage
themselves and interact with others; Portfolio Assignment 2 is about how people are led and how theory can
help us understand the leadership process; Portfolio Assignment 3 is about the factors which influence upon
how people are led, the personal values of people (leaders) and how organisational culture can, and does,
affect leadership; Portfolio Assignment 4 concerns approaches to the management of change.
As well as the core text: Whetten, D.A. and Cameron, K.S. (2011, 8th Edn.), Developing Management Skills.
Upper Saddle River: Pearson Education, supported by Mullins, L.J. (2010, 9th edn.) Management and
Organisational Behaviour. Harlow: Pearson Education and also Senior, B. and Swailes, S. (2010, 3rd edn.)
Organizational Change. Harlow: Financial Times Prentice Hall. ( both available as an ‘e’ book via the
Learning and Information Centre’s electronic database) you may wish to refer to the following texts for
guidance:

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The final paper will be a 8 page research paper but we are not there yet. I am breaking this down in parts as assigned by my professor. The final paper is due in December.

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The final paper will be a 8 page research paper but we are not there yet. I am breaking this down in parts as assigned by my professor. The final paper is due in December.

I submitted a proposal for the organization of this paper. Please see it below and note the Professor’s comments and suggestions in CAPS.

The main question this research paper will ask is, “How Do Asian Cultural Beliefs Negatively Affect their Response to Healthcare?“ To support this research topic/question, the following sub-questions will be considered:
1. What are common Asian beliefs that serve as barriers to healthcare? GOOD
2. How do they impact healthcare? BE CAREFUL ABOUT OVERLAPING THE FIRST TWO SECTIONS WITH THE SAME DISCUSSION
3. What are indicators (e.g., language, gestures, etc.) of refusal to healthcare? THIS WOULD GO INTO FIRST SECTION – YES?
4. How do healthcare providers deal with the barriers? THIS MIGHT GO IN A SECTION ON HEALTHCARE WORKDERS INABILITY TO HANDLE THESE CULTURAL ATTUTIDUES AND WHAT THEY SHOULD DO
5. What actions are effective in dealing with the barriers? SOLUTIONS IS GOOD SECTION
6. How do the patients respond to the solutions? PUT ALL SOLUTIONS INTO ONE SECTION
NEED TO HAVE ONLY THREE SECTIONS — NOT SIX —
To answer these questions, articles from journals such as, Cleveland Clinic Journal of Medicine andThe Online Journal of Issues in Nursing will be used. This research will benefit from library research to address the abovementioned issues. Books and peer-reviewed articles from medical and social work journals will bring light to the issues. Considering the broadness of the topic, the study will look into medical journals to find out earlier studies conducted in the field. GOOD
Presently, the organization of the paper is not finalized, but the paper might begin by stating what the cultural barriers are and what are the indicators of refusal to healthcare. Secondly, the paper will discuss the impacts of the cultural barriers then, it will discuss how healthcare providers deal with the barriers. Thirdly, the paper will attempt to show what actions are effective in dealing with the barriers and how patients respond to the solutions. This will allow the reader to have a true understanding of how cultural beliefs serve as a barrier when it comes to healthcare and how the issue is dealt with. THIS LOOKS LIKE A GOOD WAY TO ORGANIZE THE PARTS OF YOUR PAPER
THE FOLLOWING ARE SOME OF THE THEMES THAT YOU COULD DEVELOP EITHER IN A BP OR IN A SECTION OF YOUR PAPER:

• DESCRIPTION OF SPECIFIC ASIAN CULTURAL TRAITS THAT WOULD AFFECT EFFECTIVE HEALTH CARE COMMUNICATION — THIS MIGHT BE A SECTION OF YOUR PAPER
•
• HOW DO CULTURAL BELIEFS STOP PEOPLE FROM EVEN SEEKKING WESTERN STYLE HEALTH CARE?
•
• WHICH SPECIFIC DISEASES ARE PARTICULARLY DIFFICULT TO TREAT IN ASIAN COUNTRIES DUE TO CULTURAL BELIEFS
• WHAT CAN BE DONE ABOUT THIS — SOLUTION ONE >>>MORE INFORMED HEALTH CARE PROVIDERS REGARDING THIS PROBLEM
REQUIREMENT OF THIS ASSIGNMENT:

Based on the above proposal and comments, I need an outline according to the template below:

Main Research Question >>> How do Asian Cultural Beliefs Affect Their Response to Healthcare?
I. First Sub Question – Section Question
A. First Body paragraph theme will be >>>
B. Second Body paragraph theme >>>
C. Third Body Paragraph theme >>>
D. Fourth Body Paragraph Theme >>>

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Describe the structure of the living cell and investigate how the structures of cells are directly related to the functions that are important to life.

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Describe the structure of the living cell and investigate how the structures of cells are directly related to the functions that are important to life.

When you look around at the world, you can see many examples that demonstrate how an object’s or a system’s structure relates to its function. The structure of a highway system, for example, can affect traffic flow. You can, no doubt, think of many other examples.

In this Discussion Board assignment, you will look at the structure of the most basic unit of life, the living cell. You will also investigate how the structures of cells are directly related to the functions that are important to life.

Part 1

Your text describes the difference between the organelles in a eukaryotic cell and the more simple structure of a prokaryotic cell as an analogy between the chief executive officer’s (CEO’s) corner office and a cubicle. Organelles are like appliances or pieces of furniture that perform specific functions. Choose 1 organelle, and use an analogy to explain its function. For example, explain how a chloroplast is like a solar panel, or how a mitochondrion is like a furnace. Try to think of original analogies for other organelles or cell structures such as golgi, lysosome, cell wall, cell membrane, endoplasmic reticulum, ribosomes, nucleus, and so on. Include how your analogy may be less than perfect. Compare your analogy with those of your classmates.

Part 2

You will read that only plants, algae, and some bacteria are photosynthetic. There is an exception to this, though. One species of sea slug has found a way to steal chloroplasts, store them in cells lining its digestive tract, and live on the sugar that is produced (Milius, 2010). What benefit would there be for animal cells (including those of humans) to make their own food? Could cell, tissue, or genetic engineering allow humans to use chloroplasts this way? Describe 1 or 2 factors that would need to be considered for chloroplasts to function in an animal or a human.

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Use MS Word to complete “Questions to be Graded: Exercise 26” in Statistics for Nursing Research: A Workbook for Evidence-Based Practice.

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Use MS Word to complete “Questions to be Graded: Exercise 26” in Statistics for Nursing Research: A Workbook for Evidence-Based Practice.

Evidence-Based Practice
1. Use MS Word to complete “Questions to be Graded: Exercise 26” in Statistics for Nursing Research: A Workbook for Evidence-Based Practice. Submit your work in SPSS by copying the output and pasting into the Word document. In addition to the SPSS output, please include explanations of the results where appropriate.
2 .Complete Exercise 10 in Statistics for Nursing Research: A Workbook for Evidence-Based Practice.

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Compare and discriminate between the major sub-disciplines of toxicology and their roles in occupational safety and health.

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Compare and discriminate between the major sub-disciplines of toxicology and their roles in occupational safety and health.

Advanced understanding of toxicology in the occupational environment. Analysis of target organs, adverse health effects, and the systems/organs that are the targets of toxicants. Includes assessments of safety and risk of carcinogenic andnon-carcinogenic chemicals.
Course Textbook
Kacew, S., & Lee, B. M. (2013). Lu’s basic toxicology: Fundamentals, target organs, and risk assessment (6th ed.). New York, NY: Informa Healthcare.
Course Learning Outcomes
Upon completion of this course, students should be able to:
1. Compare and discriminate between the major sub-disciplines of toxicology and their roles in occupational safety and health.
2. Illustrate the mechanisms by which a toxicant passes through the cell membrane: routes of absorption, the distribution process, and routes of excretion of a toxicant.
3. Summarize and compare three types of Phase I reactions and the most common types of Phase II reactions.
4. Classify sub-cellular sites of action, types of molecular targets, and types of receptors that are responsible for being mediators of effects of toxins.
5. Compare and discriminate the different mechanisms of action that a toxin can use and the effects of chemical interactions among toxins.
6. Compare and discriminate the differences and similarities between chemical carcinogenesis, mutagenesis, and teratogenesis.
7. Summarize toxicants in human breast milk and adverse infant effects.
8. Discriminate common examples of toxins that affect the following systems or target organs in the human body: immune, respiratory, liver, kidney, skin, eye, nervous system, reproductive, and cardiovascular.
9. Describe the major toxicological concern of food additives, food contaminants, insecticides, metals, and over the-counter drugs on human health.
10.Summarize the toxic effects of common organic solvents, air pollutants, and water and soil pollutants.
11. Discriminate the toxic substances at workplaces and their toxic effects.
12. Explain the risk assessment procedures for non-carcinogenic and carcinogenic chemicals.

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Computer crimes have been increasing in the recent past as technology advances. Computer crimes require a specialist familiar in computer techniques to organize information and investigate to sue perpetrators.

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Computer crimes have been increasing in the recent past as technology advances. Computer crimes require a specialist familiar in computer techniques to organize information and investigate to sue perpetrators.

Therefore, a computer crime is an illegal act that affects other people. This discussion delineates on four categories of computer crimes and their mitigation.
The four categories of computer crimes include harassment, swindling or fraud, computer virus, and impersonation. These are cybercrimes perpetrated through a network. Computer viruses are one of the common and dangerous crimes in the present period (Hyman, 2013). Viruses and other computer threats are quickly spread from one computer to another. The viruses are transferred through different software and multiply rapidly causing damages to the computer contents. The viruses also cause malfunctioning of the computer, which causes inconveniences to the users. Examples of these viruses include Trojan and Worms among others.
Another category of computer crimes is impersonation. A person conceals his or her identity when committing a crime (Hussainat, 2013). This is a relatively dangerous crime and one of the difficult to detect if committed. This kind of crime is mostly committed through the use personal identification of another person illegally until it becomes complex to identify the personality of the offender. On the internet, it is difficult to identify the character on the other side, which makes it hard to curb such behaviors. Some of the options available to reduce escalation of such crimes are through use of security, passwords, and signatures among many other strategies.
Harassment is yet another category of computer crimes that is rampant in this time and age. Criminals use e-mail whereby they prosecute innocent people by sending threatening and intimidating letters. They do his by concealing or hiding their identity through communication (Hussainat, 2013). Sometimes, they use derogatory statements and direct obscenities focusing at specific individuals on basis of gender, religion, race, sexual orientation, and nationality among others. Examples of these crimes include cyber bullying, hate crime, cyber stalking, and online predators among many others (Eisenberg, 2013).
Fraud is yet another category of computer crimes. This kind of crime involves misrepresentation of facts aims at influencing an individual to do or refrain from doing something that causes loss (McQuade, 2009). Fraud is committed on computer in various ways such as by altering information in unauthorized way. False data is entered in a computer or using wrong processes. Other techniques include concealing of unauthorized transactions, deleting stored data, misusing or altering system tools or software among many others. Other kinds of fraud facilitated using computer systems include bank frauds, exhortation, identity theft, and theft of classified information among others.
Out of these crimes, fraud and harassments present greatest overall threat. This is because these kinds of crimes are sophisticated and not easy to detect. For instance, harassments, such as cyber stalking and hate, are highly committed through social platforms because people are able to hide their identities and personalities. Frauds are also a threat because they are done by specialists and not easy to detect.
Due to the increasing rates of crimes committed through computer, various governments have come up with different measures to curb the challenges. The U.S. Government through the court systems and law enforcement agencies has the responsibilities of helping reduce computer crimes. Some of the ways to reduce such crimes is to set laws that will see offenders and perpetrators face stiffer penalties. The government should also come up with programs that will help to detect such crimes (Hussainat, 2013). Other solutions include providing computer certificates to computer users to ensure that those who commit crimes are traced and charged. They should also create awareness about the appropriate measures that individuals and corporates should put into consideration to reduce cases of computer crimes.
In conclusion, computer crimes present one of the current challenges of technology. Various stakeholders such as governments should come up with suitable measures to reduce these crimes. People should also take the initiative of ensuring that they use computer in a better manner to reduce these crimes.

References
Eisenberg, L. (2013). Computer crimes, American Criminal Law Review, 50: 681
Hussainat, M. (2013). Computer Crimes in the Jordanian Society: Ajloun/Empirical Study, Asian Social Science, 9(9):85-93.
Hyman, P. (2013). Cybercrime: It’s Serious, But Exactly How Serious? Communications of the ACM, 56(3):18-20.
McQuade, S. (ed) (2009). Th

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Table 1: What are the levels of health care? Compare/Contrast/Methods of reimbursement for each/Will payment be impacted by ACA? 1. Primary 2. Secondary

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Table 1: What are the levels of health care? Compare/Contrast/Methods of reimbursement for each/Will payment be impacted by ACA?
1. Primary
2. Secondary
3. Tertiary

Table 2: Where is health care delivered?
Inpatient, outpatient, for profit, non-profit, community, VA, dentist, ophthalmologist, rehab, any others?
Description/key elements/advantages/disadvantages/ACA impact
(hint: www.healthcare.gov for ACA info) per instructions

Table 3: Who are the providers?
APRN’s, PA’s, MD’s, dentist, others?
Key characteristics, compare, constrast, ACA impact on practice, preparation, licensing

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