Month: May 2018

Part I: Medicaid is not just for low-income people. The American middle class benefits significantly from the Medicaid program. In a 5 page synopsis, analyze a specific Medicaid program that seeks to benefit the middle class in the state in which you reside. Please keep in mind the position and facility you selected. Make sure to include the following:
Discuss the purpose of the program.
Describe whether the program is effective and offer evidence to support your rationale.
Discuss other viewpoints or opposing viewpoints to the program.
This portion of your assignment will require you to research and examine information from various sources. Use a minimum of five credible sources for your paper, with three being an academic source from the Rasmussen College Online Library (don’t forget to include in-text citations throughout your paper with paraphrasing or quoting)
Make sure to include your APA formatted reference page.
Part II: It’s tough for healthcare professionals to keep up with all the programs offered through the government. Based on the position and facility you selected( Director of Admissions @ Rasmussen Region Hospital), create a one-page information sheet for our staff that they can use to answer questions.
The information sheet should give your staff enough information to have an educated conversation with a patient about their healthcare coverage options through Medicaid.
Make sure to use audience specific language and tone in your information sheet. Remember, you are writing this information sheet for your staff.
Be creative and make your information sheet fun and organized.

In this unit, you were introduced to functional EHR systems and began practicing using EHR software. For this assignment, you will complete an exercise using the Quippe software in the MyHealthProfessionsLab located in Blackboard, and then you will compose a reflection paper that details your experience.
First, use the instructions for “Exercise 3G: Another Cause of a Headache” on page 118 of your textbook to complete this exercise in the MyHealthProfessionsLab. Note: You do not have to complete Step 4 because you are not actually submitting the exercise itself.
After completing the exercise, write a reflection paper about your experience that applies what you have learned in this unit. In your reflection paper, be sure to include the following:
How was your overall experience using the software to document the patient encounter? Did you experience any issues while using the software?
Differentiate between the features and structure of Medcin software (used in this exercise) and SNOMED-CT. Which nomenclature do you feel would better serve patients?
Who owns the patient data entered into the EHR? What are your thoughts on this?
Discuss the strengths and limitations of different health information exchange organizations and methods.
Explain ICD-10-CM and CPT-4. How are these codes used in billing?
Describe how this exercise will affect or influence your future learning. What will you do differently next time? What worked well?
Your reflection paper must be at least two pages in length You are not required to use any outside resources, but if you choose to incorporate information from outside resources, including your textbook, you must cite and reference them in APA format.
Information about accessing the grading rubric for this assignment is provided below.

There are several factors that can influence the access to and usage of health care.
Write a 350- to 700-word paper that discusses the factors and their effect on health care usage.
Address the following in your paper:
Identify one or two health factors that influence the usage of health care.
Explain the impact the factor or factors have on health care access.
Explain how a lack of or delayed access to health care has an impact on an individual’s health status.
Cite at least 3 peer-reviewed or scholarly reference and your textbook to support your information.
Format your paper according to APA guidelines. Your paper must include an introduction, conclusion, and a reference page.

Wellness visits are an important part of pediatric primary care. During these visits, patient growth and development are assessed. As an advanced practice nurse who performs these assessments, you must be able to distinguish between normal and abnormal growth and development to recognize red flags. While some patients may not meet milestones due to differences in rates of development, abnormal development might also be a red flag of an underlying problem. In this Discussion, you examine the following case studies and consider potential developmental red flags:
Case Study 1
A mother brings in her 16-month-old, Brittany, for treatment of an acute illness. During the history, the mother reports that her mother-in-law is concerned about the toddler’s development. Further questioning reveals the following:
Brittany was a term infant born vaginally with no intrapartum complications. Birth weight was 8 pounds 1 ounce and current weight is 26 pounds 9 ounces.
She was breastfed until 12 months of age and now drinks 24 ounces of whole milk and eats table foods daily.
Physical milestones are as follows: Rolled front to back at 6 months, developed pincer grasp at 11 months, crawled at 8 months, and began cruising at 10 months. She does not walk independently.
Social development includes mimicking adult behavior, four-word vocabulary (mama, dada, baba, and no), follows one-step commands, and quiets easily when comforted.
Case Study 2:
You see a 30-month-old named Brian for a well-child visit. His mother reports the following development:
Physical: Walks independently, runs, able to climb stairs alternating feet, makes a tower of nine cubes, and is able to button his pants.
Social: Follows one-step commands, uses one-word sentences, and has a vocabulary of approximately six words. He is resistant to nighttime and feeding routines, he has marked temper tantrums, and Mom states he does not calm when she tries to comfort him.
Case Study 3
Jose is a 36-month-old who presents for a preschool evaluation. His father reports the following development:
Physical: Walks, runs, and jumps independently, walks up stairs alternating feet, pedals a three-wheeler, scribbles, copies circles and squares, and is able to balance on one foot for 2 to 3 seconds.
Social: Recognizes three colors; speech is 75% understandable; uses three- to four-word sentences; talks about friends, favorite activities, and family; frequently engages in imitative play; has an imaginary friend; does stutter on occasion when excited or when intent on getting something said. Will typically repeat the first word in a sentence three to four times, but does not repeat syllables or consonants. This happens three to four times a week.
To prepare:
Review this week’s media presentations, as well as “Developmental Management of Infants” and “Developmental Management of Toddlers and Preschoolers” in the Burns et al. text.
Think about how physical, social, and cognitive development vary during infancy, toddlerhood, and the preschool years. Reflect on normal versus abnormal growth and development and consider the decision-making process of identifying and managing red flags of abnormal development.
Select one of the three case studies provided. Reflect on the patient information included in the case study and consider any developmental red flags.
Reflect on standardized screening tools, clinical guidelines, and management strategies that would be used to assess and manage the patient in your selected case study.
By Day 3
Post an explanation of any developmental red flags that presented in the case study you selected based on the stages of normal physical, social, and cognitive development for infants, toddlers, and preschoolers. Explain how you differentiated between normal and abnormal growth and development for this patient and identify which standardized screening tools, clinical guidelines, and management strategies you might use to assess and manage this patient and why.

You are interested in nurses’ attitudes toward EBP. Which method do you think would work best to obtain this information: a questionnaire, a face-to-face interview, or a group interview? Defend your answer.

A family health assessment looks at functional, developmental, and socio-economic perspectives, as spelled out in the following list. In a Word document, use the points in the list to write a 1-3 page nursing assessment of a family in your home community.
Your family health assessment should include the following two parts:
Part 1
Family structure, characteristics, and dynamics
Socio-economic, roles, community relationships, and cultural characteristics
Home and environment, including access to social structures, transportations, health care, and other services
Health status of family members and health behaviors, including a historical perspective
Health promotion practices, behaviors, values and use of preventive measures, modalities, treatments, and services
Part 2
Present your evaluation of the family’s health (1-2 paragraphs)
Present a nursing plan for this family that targets intervention and health promotion and prevention (1-2 paragraphs)
Provide a list of at least four recommended resources for any community health professional working with this family in your project community.
Be sure to properly cite any outside research sources.

What challenges do the transgender patients face within healthcare?

One formal paper about a nursing theory. The paper is to be a five to six (5-6) pages total (double-spaced, 12 font, 1 inch margins). Papers submitted longer than 6 pages (excluding references and cover sheet) will not be read. Follow APA guidelines for a cover sheet, headers, pagination, references, etc.
Introduction • Identification of theorist including a brief background of the theorist (accomplishments, career, accolades, research efforts)
Analysis of basic components/concepts and major relationships in the theory. • Briefly discuss the theory’s core concepts • Use at least two peerreviewed/research articles that detail the nursing theory being applied in clinical practice, and summarize key findings of both articles • Use another secondary source like your text that covers the selected nursing theory, you must have a minimum of 3 references from nursing literature (only one from a nonarticle source like a secondary source/text) to support your discussion in this section.
Relevance Personal relevance if any of the author described (connect the theorist to the theory) b. Relevance to healthcare and the client discussed (connect the theory to healthcare today) c. Application to research and/or practice provided (connect the theory to current research/practice)
Summary • Include theory strengths and limitation in the summary
Format • Precise APA style and professional writing
This is the text mentioned as a sendary source.
Smith, M. C., & Parker, M. E. (2015). Nursing theories and nursing practice. FA Davis.

Consider the hospital-acquired conditions that are not reimbursed for under Medicare/Medicaid. Among these conditions are specific safety issues such as infections, falls, medication errors, and other safety concerns that could have been prevented or alleviated with the use of evidence-based guidelines. Hospital Safety Score, an independent nonprofit organization, uses national performance measures to determine the safety score for hospitals in the United States. The Hospital Safety Score Web site and other online resources provide hospital safety scores to the public.
Read the scenario below:
Scenario
As the manager of a unit, you have been advised by the patient safety office of an alarming increase in the hospital safety score for your unit. This is a very serious public relations matter because patient safety data is public information. It is also a financial crisis because the organization stands to lose a significant amount of reimbursement money from Medicare and Medicaid unless the source of the problem can be identified and corrected. You are required to submit a safety score improvement plan to the organization’s leadership and the patient safety office.
Select a specific patient safety goal that has been identified by an organization, or one that is widely regarded in the nursing profession as relevant to quality patient care delivery, such as patient falls, infection rates, catheter-induced urinary infections, IV infections, et cetera.
DELIVERABLE: SAFETY SCORE IMPROVEMENT PLAN
Develop a 3–5 page safety score improvement plan.
Identify the health care setting and nursing unit of your choice in the title of the mitigation plan. For example, “Safety Score Improvement Plan for XYZ Rehabilitation Center.”
You may choose to use information on a patient safety issue for the organization in which you currently work, or search for information from a setting you are familiar with, perhaps from your clinical work.
Demonstrate systems theory and systems thinking as you develop your recommendations.
Organize your report with these headings:
Study of Factors
Identify a patient safety issue.
Describe the influence of nursing leadership in driving the needed changes.
Apply systems thinking to explain how current policies and procedures may affect a safety issue.
Recommendations
Recommend an evidence-based strategy to improve the safety issue.
Explain a strategy to collect information about the safety concern.
How would you determine the sources of the problem?
Explain a plan to implement a recommendation and monitor outcomes.
What quality indicators will you use?
How will you monitor outcomes?
Will policies or procedures need to be changed?
Will nursing staff need training?
What tools will you need to do this?
Additional Requirements
Written communication: Written communication should be free of errors that detract from the overall message.
APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.
Length: The plan should be 3–5 pages.
Font and font size: Times New Roman, 12 point, double-spaced.
Number of resources: Use a minimum of three peer-reviewed resources.
Write a 3–5 page safety score improvement plan for mitigating concerns, addressing a specific patient-safety goal that is relevant to quality patient care. Determine what a best evidence-based practice is and design a plan for resolving issues resulting from not maintaining patient safety.Quality improvement and patient safety are health care industry imperatives (Institute of Medicine’s Committee on Quality of Health Care in America, 2001). Effective quality improvement results in system and organizational change. This ultimately contributes to the creation of a patient safety culture
Context
Quality improvement and patient safety are health care industry imperatives (Institute of Medicine’s Committee on Quality of Health Care in America, 2001). Effective quality improvement results in system and organizational change. This ultimately contributes to the creation of a patient safety culture. Quality improvement and patient safety are central to the nursing leadership role. They are analyzed from many perspectives. Types of quality improvement and patient safety programs may range from internal, organization-based quality improvement team reports to external benchmarks from The Joint Commission, the Agency for Healthcare Research and Quality (AHRQ), Magnet, and numerous other organizations.A landmark publication by the Institute of Medicine’s Committee on Quality of Health Care in America (2001) identified the imperative to focus on quality care and patient safety. The initiative to create cultures of patient safety and quality care remain at the forefront of the health care leadership landscape. Nursing leadership sub-competencies include the understanding of components and use of effective tools for successful quality improvement programs within the practice setting.For a more recent snapshot of progress in the arena of patient safety, you may review a recent executive summary database report on safety cultures from the U.S. Department of Health & Human Services (n.d.). Lessons learned and tools presented within the directed readings provide a rich set of resources from which to draw for improved nurse leadership in the area of patient safety.References
Institute of Medicine’s Committee on Quality of Health Care in America. (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academy Press.U.S. Department of Health & Human Services. (n.d.). HHS.Gov. Retrieved from http://www.hhs.gov/
QUESTIONS TO CONSIDER
To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of the health care community.Consider a performance measurement criteria or best practice guideline used in your work setting (or one that you are familiar with).
How was this criterion or guideline implemented?
Has it been successful?
Is it used consistently?
What evidence-based practices were used in developing the criteria or guideline?
How was nursing involved in the criteria or guideline development?
RESOURCES
Internet Resources
Access the following resources by clicking the links provided. Please note that URLs change frequently. Permissions for the following links have been either granted or deemed appropriate for educational use at the time of course publication.
Hospital Safety Score. (n.d.). What is patient safety? Retrieved from http://www.hospitalsafetyscore.org/what-is-patient…
Agency for Healthcare Research and Quality. (n.d.). AHRQ. Retrieved from http://www.ahrq.gov
National Academy of Medicine. (n.d.). Retrieved from http://nam.edu
Centers for Medicare & Medicaid Services. (n.d.). Hospital-acquired conditions. Retrieved from https://www.cms.gov/medicare/medicare-fee-for-serv…
American Nursing Informatics Association. (n.d.). ANIA. Retrieved from https://www.ania.org/
HIMSS. (n.d.). Nursing informatics. Retrieved from http://www.himss.org/ASP/topics_nursingInformatics…
Chao, S., Anderson, K., & Hernandez, l. (2009). Toward health equity and patient-centeredness: Integrating health literacy, disparities reduction, and quality improvement: Workshop Summary (2009). Washington, DC: The National Academies Press. Retrieved from http://www.nap.edu/catalog.php?record_id=12502
The Joint Commission. (n.d.). National patient safety goals. Retrieved from http://www.jointcommission.org/standards_informati…
AHRQ. (n.d.). Quality and patient safety. Retrieved from http://www.ahrq.gov/professionals/quality-patient-…
AONE. (n.d.). Retrieved from http://www.aone.org/
National Academies: Health and Medicine Division. http://www.nationalacademies.org/hmd/
American Nurses Association. (n.d.). NursingWorld. Retrieved from http://nursingworld.org/
American College of Healthcare Executives. (n.d.). Retrieved from http://www.ache.org/
Institute for Healthcare Improvement. (n.d.). Retrieved from http://www.ihi.org/Pages/default.aspx
U.S. Department of Health & Human Services. (n.d.). HHS.Gov. Retrieved from http://www.hhs.gov/
National Institutes of Health. (n.d.) Retrieved from http://www.nih.gov/
NCQA. (n.d.) Retrieved from http://www.ncqa.org/
QSEN Institute. (n.d.). Retrieved from http://www.qsen.org/
Agency for Healthcare Research and Quality. (2009). Hospital survey on safety culture: 2009 comparative database report. Retrieved from http://www.ahrq.gov/professionals/quality-patient-…
Hospital Safety Score. (n.d.). Retrieved from http://www.hospitalsafetyscore.org/
I have provided the example given =)

The opioid epidemic has reached epic proportions and is now considered a public health issue. According to NIDA, approximately 115 Americans experience a fatal opioid overdose daily (2018). The purpose of the study is to determine if an intensive educational plan for patients prescribed an opioid can deter misuse that can lead to abuse. This would be considered a qualitative study in grounded theory as described by Suzanne Sutherland (2017).
Research Question
Does a structured education plan have a significant impact on opioid use?
Sampling Plan
Random, or probability, sampling methods would be of most use to this study as this can ensure that the population has equal probability of being chosen for the study (Nieswiadomy, 2012). Simple, random sampling can identify the accessible population then data collection can occur. Patients that are prescribed opioids will have a detailed education plan. These patients than then be mailed, emailed, interviewed by phone, or access an app for completion of a survey. This can ensure anonymity and decrease the chances for misrepresentation of the patient’s opioid use. The sample size will be appropriate as not all patients will respond. The sampling can be taken from the patients that wish to participate. However, there is still the opportunity for patients to misrepresent their opioid use.
Research Design
Ideally, this study will be a nonexperimental qualitative design due to the need of relying on self-reporting on behalf of the patient. To expand this even further, participatory action research (PAR) would be most beneficial to this study as it incorporates not only the findings from the research, but also uses the study participants as an integral part of the interdisciplinary work group. However, this may be limited as the want for anonymity may outweigh the benefit oversight in the patient’s perception (Bradbury, 2015).
References
Bradbury, H. (2015). The SAGE handbook of action research. 3rd ed. SAGE Reference. Boston, MA.
Gray, J., Grove, S. & Sutherland, S. (2017). Burns and Grove’s the practice of nursing research: appraisal, synthesis and generation of evidence. 8th ed. Elsevier Health Science Division.St. Louis, MO.
National Institute on drug Abuse. (2018). Opioid overdose crisis. Retrieved from: https://www.drugabuse.gov/drugs-abuse/opioids/opioid-overdose-crisis
Nieswiadomy, R. (2012). Foundations of nursing research (6th ed). Boston, MA: Pearson.