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Patient Satisfaction in Quality Improvement


Competency
Evaluate the role and importance of patient satisfaction.
Course Scenario
Chaparral Regional Hospital is a small, urban hospital of approximately 60 beds, and offers the following:
* Emergency room services
* Intensive care
* Surgical care
* Obstetrics
* Diagnostic services
* Some rehabilitation therapies
* Inpatient pharmacy services
* Geriatric services
* Consumer physician referral services
Recently, the CEO has been hearing complaints from both patients and staff, varying from long wait times to rude physicians. You have been hired to design and implement a Quality Improvement Plan to help uncover quality problems and to satisfactorily resolve them.
Scenario Continued
You started inviting various members of the organization to join you in the QI development team. You received an email back from the Chief Financial Officer who questioned the value of surveying patient satisfaction. You must craft an email response to her explaining the role of patient satisfaction in quality improvement and why it is important.
Instructions
Your email should use proper email formatting (including subject line description) and contain language appropriate to the receiver.
Emails are typically formatted in the following way:
1. Begin with a greeting
2. Thank the recipient
3. State your purpose
4. Add your closing remarks
5. End with a closing
Although an email does not typically include citations, you may have to provide support for your statements, particularly those that involve numerical statistics and quotes from other sources. You would cite this per APA in your email.
APA formatting for the email, and proper grammar, punctuation, and form is required.

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Discrimination related to mental illness

This is a research project. It should be included with all of the research technology, such as abstract, literature review, questionnaire, methodology, index citation and references etc.

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Models of Quality Improvement in Healthcare

Competency
Explain the basic models of quality improvement in healthcare.
Course Scenario
Chaparral Regional Hospital is a small, urban hospital of approximately 60 beds, and offers the following:
* Emergency room services
* Intensive care
* Surgical care
* Obstetrics
* Diagnostic services
* Some rehabilitation therapies
* Inpatient pharmacy services
* Geriatric services
* Consumer physician referral services
Recently, the CEO has been hearing complaints from both patients and staff, varying from long wait times to rude physicians. You have been hired to design and implement a Quality Improvement Plan to help uncover quality problems and to satisfactorily resolve them.
Scenario Continued
The CEO has met with you to let you know that some members of the Board of Directors are questioning the value of developing a quality improvement plan. She has asked you to create an executive summary and an information sheet to be included in the next Board packet.
Instructions
Topics for the executive summary should include:
1. What is a Quality Improvement plan?
2. Why do healthcare facilities create improvement plans?
3. Why would you recommend the facility create and implement a QI plan?
NOTE - APA formatting for the reference list, and proper grammar, punctuation, and form required.
After completing the Executive Summary, you will create a one-page information sheet for the Board that they can use to answer questions about QI plans.
* The information sheet should give your CEO and the Board of Directors enough information to have an educated conversation with patients and other stakeholders on the value of QI plans.
* Make sure to use audience-specific language and tone on your information sheet. Remember, you are writing this information sheet for your CEO and the Board of Directors.
* Be creative, and make your information sheet fun and organized.

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Write an Executive Summary Identifying the Risks and Benefits of Organizational Change

Competency
Identify concepts in organizational decisions, strategic alliances, and managing efficiency and effectiveness.
Instructions
As an outside healthcare consultant, you have been hired by Gotham City Hospital to conduct and write a risk analysis report about upcoming organizational changes at the hospital. The most important change being proposed by hospital leadership is allowing non-medically-trained staff greater decision-making powers and responsibilities in regards to management of medical staff, facility resources, and at times, treatments provided by the hospital.
Your role as an outside healthcare consultant is to develop a three-page executive summary to identify the risks and benefits of the organizational change at the hospital.
Write a three-page executive summary that will be sent to executive staff at the healthcare facility in order to make organizational changes and processes at the hospital.
Topics should include:
* The pros and cons of having non-medical staff making medical decisions.
* The importance of the management of resources, including staff, money, and inventory.
* Getting the buy-in of facility staff and administrators with suggested changes.
NOTE - APA formatting for the reference list and proper grammar, punctuation, and form are required. APA help is available from this link - APA.
For help writing executive summaries - How do I write and properly format an executive summary?

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Target:

Discuss the basic US healthcare system characteristics pros and cons 

Explore careers relevant to middle management roles in Healthcare

All assignments must target the content application while using two variables: your job choice and the case assigned by the faulty (Refer to the Announcements) MY JOB IS SUPPLY CHAIN COORDINATOR 

Once you have posted your selected role in the Managerial Response Team, you will write a 750-word minimum APA-style research paper (how to write a research paper guide:  https://owl.english.purdue.edu/owl/resource/658/01/) that includes the following:

1. A description of the role/position as you understand it, specifically

- The level of the management the position is on (please remember- none of the positions is about Chief Executive, Chief Financial or Chief Operations officers at hospitals or other HC organizations. Your roles are not performing at the senior executive level);

-Immediate supervisory and subordinate chains;

- The main skills that are necessary to be effective and efficient in this position.

2. An explanation as to how the role you have selected is vital to this particular case:

-Discuss two job-specific managerial points affecting your organizational performance from the position of the provider

For example,

Case: increased Tuberculosis incidence among the homeless population of Nsk.

Job: a financial/business officer.

Managerial issue: an inability to send payments to the vendors for the supplies due to the lack of funds.

Reason: a high number of rejected health care insurance claims or not insured population served; high supply utilization due to the contagious nature of the issue and requirements to its clinical management.

Organizational outcome: clinical services are lacking appropriate medicine and supplies>low patient satisfaction>people refuse to come to the clinic or follow the treaments> low service utilization>reduced clinic income.

Solution: The business officer seeks additional funding sources from government organizations and grant providers. The insurance claim process is reassessed and the insurance claim cycle optimization process is established.

***This example cannot be used in the students' submissions. 

3.  A description of how your role will interact with the other roles. What will the reporting structure look like? Who will you be working with and in what capacity?

The paper  (no more than 3 pages) should be formatted according to APA style requirements and include a minimum of two credible resources from the course readings, UMGC library or other credible sources. An abstract is not required

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In this project, you will explore new ways of treating cancer OR look at how stem cell technologies are being used and how they will allow us to solve problems that could not be solved previously.  The goal of this writing sample is to expose you to new/novel ways to treat cancer OR how stem cell technology is being used to treat patients and advance research.  In addition, you will describe the pros and cons of the new cancer treatments or stem cell application and research.  You will need to choose either new cancer treatment OR stem cell technology for this project, ideally selecting a topic that has some significance to you. Perhaps you know someone who has cancer or someone who has a disease that has no cure yet.  Feel free not to choose cancer if it is too close to you.
Essential Questions: 
How will new/novel treatment in cancer help reduce side effects and increase the cure rate?
How will stem cell technology help patients with disease and advance scientific research?
You can complete this project with an essay.  Your project must include all of the information below in the essay guidance.
Your essay must be clear, logical in structure and answers the question posed in the title.  
You must have supporting EVIDENCE in the form of data, statistics, and/or quotes from reliable sources.
Opening Paragraph
Make a claim about the answer to the essential question that you have chosen. 
Present up to three reasons for your claim and whether the issue/problem is local and/or global by providing multiple forms of evidence from differing sources. (Be sure to include proper in-text APA citations.) 
Body Paragraph(s)
Present reason(s) that supports your claim. 
What cancer cells or stem cells are.
The past and current knowledge of the subject matter.
Written description of current cancer treatments or stem cell use.
Provide a complete, correct explanation of the science behind your chosen reason.
Evaluate the strengths and limitations/pros and cons of the solution of new technology to treat cancer or using stem cell to do research or treat patients.
Explain how scientists and people think about the new cancer treatment or using stem cells for research or to treat patients.  One of these factors: ethical, social, economic, political, cultural, environmental, moral should be discussed.
Support your claim by providing multiple forms of evidence (data/statistics/quotes) from differing sources. (Be sure to include proper in-text APA citations.)
A relevant picture or diagram can be included which helps to explain the science.  
Be sure to include proper in-text APA image citation.
Closing Paragraph
Conclusion that summarizes what you have said and is a final evaluation of your arguments.
Proposes a course of action that should be taken on cancer treatment or stem cell technologies.

General Requirements (when your project is graded these are the things that your teacher will be looking for:)
A clear, logical structure, which answers the question.
A complete and accurate explanation of how science is used to address cancer in the past and today.
Well chosen, reliable sources which are fully referenced using including in text references.
Above all, your teacher is looking for EVIDENCE! You should have 3 sources of information to support the claim/reason in each paragraph.
700-1200 words excluding bibliography and in-text references.
Bibliography using APA format.
You need at least 3 types of sources and 5-7 different SCIENTIFIC or EDUCATIONAL sources in total.
Include your word count at the end of the essay.

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Paper Instructions:

Remember  the values , beliefs and professionalism you brought to this program as a beginning nursing student. You identified these in the beginning nursing courses.Through the undergraduate bachelors curriculum you have accomplished so much. You have proved competencies in knowledge , skills and attitudes.

As you have moved through the undergraduate nursing program you have developed as a student, person and professional. Through interactions with professors, nursing professionals in clinical experiences and with your peers you have gained knowledge, experience and skills.

Using reflection, think about those values , the  knowledge and skills you have gained  and discuss  an interaction or a time during the last year that you felt you were beginning to realize that you were preparing to transition to the professional role. This can be in a school clinical setting, a personal experience or a work experience.

At the end of the paper; identify 5-7 objectives/ goals for your final semester here at Salem State. You will be entering the professional role very soon. Use this last semester to fulfill all that you perceive you need to move forward.

Paper should be 2 pages maximum not including personal goals

APA format

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Write a 2 pages about this case study.

Until recently, Tyrell Dueck was a normal eighth grader in Canada, hoping that his favorite team would win the Stanley Cup for the third time. Then, early in the school year, he slipped climbing out of the shower an discovered a lump on his leg. He was then diagnosed with bone cancer.
After receiving two rounds of chemotherapy and being told that further therapy would mean the amputation of his leg, he announced that he wanted therapy stopped. He and his parents, devout fundamentalist Christians, decided to leave his health in God's hands and seek alternative therapy. The decision sparked a court battle between his parents, who supported Tyrell's decision, and the health care team, who sought to compel continued medical treatment and the planned amputation. The battle ultimately ended when doctors said that his cancer had spread to his lungs and  there was little more that could be done for Tyrell.

Does a child (specifically, this competent 14-year-old) have the right to determine what will happen to him?

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Share any leadership and management experience you have as a nurse.

Share any leadership and management experience you have as a nurse.
Reflect upon and describe your leadership style.  Critique the strengths and areas for improvement in your leadership style
After completing the readings for week one, describe what is your strength and an area you would like to improve related to your own Emotional Intelligence.
Include at least two citations and references in your initial discussion posting.  Use APA format.  Respond to a minimum of two other classmates regarding their post. Your responses to peers should be substantial.  Substantial postings are more than just saying "I agree."  Substantial postings add to the point made, provide more information, ask a probing question, or share an experience.  Also, see the discussion grading rubric.

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Case Study 4
MN551-2: Apply knowledge of tissue and organ structure and function to physiologic alterations in systems and analyze the cause and effect relationship in response to disease.

Select one of the case studies below. In your discussion be sure to include evidence of your knowledge of tissue and organ structure and function to physiologic alterations in systems and analyze the cause and effect relationship in response to disease.

Requirements

Make sure all of the topics in the case study have been addressed.
Cite at least three sources—journal articles, textbooks, or evidenced-based websites—to support the content.
All sources must have been written within five years.
Do not use .com, Wikipedia, or up-to-date, etc., for your sources.

Inflammation, Tissue Repair, and Wound Healing

Carlton, a six-year-old boy, was playing on a sandy beach with his mother. He began to run along the shoreline when he stepped on the sharp edge of a shell, giving himself a deep cut on his foot. His mother washed his foot in the lake and put on his running shoe to take him home. One day later, Carlton’s foot looked worse. The gash was red and painful. The foot was warm to touch and appeared swollen. Carlton’s mom put some gauze over the wound and prepared to take him to the local community health clinic.

What is the physiologic mechanism causing the wound to become red, hot, swollen, and painful? How is this different than the inflammatory response that might occur in an internal organ?
What are the immunologic events that are happening at the local level during Carlton’s acute inflammatory response?
Nutrition plays an important factor in wound healing. What stages of wound healing would be affected by a deficiency in vitamins A and C?

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MN507-1: Analyze U.S. healthcare policy structures and the role of the nursing leader as a change agent at the public policy table.

Directions

You will decide on a policy issue that needs to be addressed. You may choose a policy issue that interests you. Below are suggested topics for proposed policy change, however if you wish to address another topic please contact your instructor for approval:

Treatment of veterans after deployment and post-traumatic stress disorder (PTSD).
Cost of end of life care.
Costs of drugs in the United States as compared to other countries.
Quarantine of health care workers that have been exposed to communicable diseases.
Medical care for illegal immigrants.
Right to die with euthanasia methods.
Disclosure of medical records of pilots and other safety sensitive professionals and HIPAA violations.
Restrictions of roles of nurse practitioners and advanced practice nurses in certain states.
Health care reform.
Requirements of meaningful use to meet core measures.
ICD-10 issues.
Entry into practice issues.
Mandatory vaccination of children.
Allowing nurses educated in other countries to practice in the United States.
Faculty shortages in U.S. nursing education programs.
You will write a letter using professional business format to one of your Federal legislators outlining what the issue is and why it is important. The letter will address:

The current policy structure.
The need for the change.
The suggested change.
Cost implications if the change is implemented.
The role the nurse as a change agent will take at the policy table. 
Assignment Requirements

Before finalizing your work, you should:

be sure to read the Assignment description carefully (as displayed above);
consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
utilize spelling and grammar check to minimize errors.
Your writing Assignment should:

follow the conventions of Standard English (correct grammar, punctuation, etc.);
be well ordered, logical, and unified, as well as original and insightful;
display superior content, organization, style, and mechanics; and
use APA formatting and citation style. 
Submitting your work

You will submit your Assignment to the appropriate Dropbox before midnight on the last day of the unit. Make sure to save a copy of the Assignment you submit.

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.

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Complete a lifestyle assessment on yourself and construct a case conceptualization showing how your personality and several of your specific issues might be viewed and worked with from an existential perspective.

Discuss A lifestyle assessment is an essential aspect of health promotion.