please help

Reimbursement

 

Instructions

Healthcare is reimbursed in a variety of ways. The prospective payment method is one of those ways. This paper will be about the prospective payment method where diagnosis-related groupings 
(DRGs) forms the basis for payment.

· Research and explain the origin, purpose, and description of DRGs.

· Include what payment is based on.

· Identify the benefits and problems with reimbursement via this method.

· Explain how you as a nurse-manager can help manage costs and maximize your facility’s reimbursement from DRGs. 

· The paper should contain an opening, a body, and a conclusion, and be 3-4 pages long.

· Page requirement does not include the title or references page(s)

· 3-4 professional references are required.

Discussion 3-5550

Visit http://www.aha.org/advocacy-issues/communicatingpts/pt-care-partnership.shtml and review the American Hospital Association’s Patients’ Bill of Rights. Discuss how health care professionals can ensure that patients’ rights are upheld and protected. Please make sure to provide citations and references (in APA, 7th ed. format) for your work.  Limit is 500 words 

Evidence based Practice

 

March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.

When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP.

In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.

 Post a 1 Page description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.

Include 3 references

Discussion 250 words. Make sure you provide 2 references and utilize APA style.. . Discussion Rubric

Discussion Topic

Top of Form

This week our readings took us into Specific Aspects of Health Promotion for the following conditions: Weight Management and Digestive Wellness, Cardiovascular Wellness, and Respiratory Wellness.

Imagine you are leading a focus group which is implementing one of the nursing interventions learned for a specific health problem. 

Having you as a moderator of a community focus group that will explore knowledge, believes, attitudes and behaviors about your selected health problem [you may select any health problem]:

1.
Define your group and the setting for the activity, applying statistical principles of sample size and homogeneity.

2.
Create and share an opening question to explore perceptions of the health risks associated with your topic of interest.

3.
Create a question that should explore beliefs and perceptions about external influences related to your selected topic.

4.
Create a third question that will help you in understanding the perception (in group members) of roles towards improving the health problem.

Please remember for discussion posts: the initial post must be uploaded by the WEDNESDAY of the week and two replies to your peers by Saturday at 2359.

Please note the grading rubric for the discussion board.

As a reminder, all discussion posts must be a minimum of 250 words, references must be cited in APA format 7th Edition and must include a minimum of 2 scholarly resources published within the past 5 years.

Bottom of Form

DB

Respond to this discussion using two scholarly references  APA format

 Nursing staffing shortages are among the most significant national stressors within the United States healthcare system. Specifically, the nursing shortage has increased dramatically following the COVID-19 outbreak due to a rise in demand for healthcare services. Nurses enhance patient care quality, safety, efficiency, and timeliness to achieve desired health outcomes (Bakhamis et al., 2019). Additionally, nurses transform healthcare organizations through leadership roles (Broome & Marshall, 2021). Therefore, the nursing shortage affects the US healthcare system adversely.

            The shortage of nurses has impacted our healthcare organization negatively. Nurses’ workload has increased substantially in the healthcare organization to meet the high demand for healthcare services. Studies show that healthcare outcomes in medical facilities significantly depend on nurses’ workload (Norful et al., 2018). Therefore, nurses’ job performance, productivity, and ability to provide high-quality and safe patient care have been compromised, resulting in adverse health outcomes. The social determinant with the most significant effect on the nursing shortage is the decrease in nursing graduates in the United States. A lower number of nurse graduates is a significant challenge facing the United States healthcare system (Chan et al., 2021). As a result, it is challenging to meet the high demand for nurses nationwide. 

            The management has introduced various measures to address the nursing shortage in the healthcare organization. First, the organization hires contract nurses to meet the high nurse demand. Additionally, nurses are hired depending on the demand for healthcare services. For instance, more critical care nurses are hired to meet the increased demand for healthcare services in the emergency department during the COVID-19 pandemic. These measures resolve nursing in the healthcare organization, improving the quality and safety of patient care.

                                                                                                                            References

Bakhamis, L., Paul, D.P., Smith, H., & Coustasse, A. (2019). Still an Epidemic: The Burnout Syndrome in Hospital Registered Nurses. Healthcare Management; 38(1):3-10

Broome, M., & Marshall, E. S. (2021). Transformational leadership in nursing: From expert clinician to influential leader (3rd ed.). New York, NY: Springer.

Chan, G. K., Bitton, J. R., Allgeyer, R. L., Elliott, D., Hudson, L. R., & Burwell, P. M. (2021). The impact of COVID-19 on the nursing workforce: a national overview. Online Journal of Issues in Nursing26(2), 1–17.

Norful, A. A., de Jacq, K., Carlino, R., & Poghosyan, L. (2018). Nurse practitioner–physician comanagement: A theoretical model to alleviate primary care strain. Annals of Family Medicine, 16(3), 250–256.

Submit your 20-25 page final capstone project that synthesizes the work you completed in the previous four assessments

Submit your 20-25 page final capstone project that synthesizes the work you completed in the previous four assessments

You will also be required to submit your completed practicum hours using CORE ELMS. You must submit a minimum of 20 hours with each assessment deliverable to receive a grade for the entire assessment.

Introduction

Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.

Your final submission for your capstone project will bring together all of the sections you have worked on throughout this course, as well as the relevant revisions you have made to those sections based on feedback from your instructor, as well as feedback you have received or observations you may have made during your practicum experience. True professionals can learn to strive for continuous improvement in their work and incorporate feedback from colleagues and leaders to help scaffold improvement efforts. As a master’s-level nurse you will be expected to create and implement plans and evaluate their outcomes. Being able to envision a pathway for a project to move from the idea phase all the way through the evaluation phase is a critical skill. By successfully synthesizing the various sections of this project together into one final artifact, you will have demonstrated your competence in this essential skill.

Preparations

  • Read Guiding Questions: Final Project Submission [DOC]. This document is designed to give you questions to consider and additional guidance to help you successfully complete this assessment.
  • As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. 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 your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.
    • What is the most useful skill or concept you learned while pursuing your MSN degree?
    • How will you leverage your degree to help you reach your ideal practice career path?
    • How will you be able to apply the work you have done on your capstone project to improve your personal practice?

Instructions

Note: The assessments in this course are sequenced in such a way as to help you build specific skills that you will use throughout your program. Complete the assessments in the order in which they are presented.

For your final capstone project submission you will synthesize the work you completed in the previous four assessments. Please make sure that you have made relevant revisions as suggested by your instructor, as well as relevant additions that you uncovered during your practicum experience. The only brand-new content that you will need to create for this assessment is an Abstract and an Introduction.

This final submission will be graded using the seven program outcomes (POs) for the Master’s of Science in Nursing program. As a reminder they are:

  1. Lead organizational change to improve the experience of care, population health, and professional work life while decreasing cost of care.
  2. Evaluate the best available evidence for use in clinical and organizational decision making.
  3. Apply quality improvement methods to impact patient, population, and systems outcomes.
  4. Design patient- and population-centered care to improve health outcomes.
  5. Integrate interprofessional care to improve safety and quality and to decrease cost of care.
  6. Evaluate the ability of existing and emerging information, communication, and health care technologies to improve safety and quality and to decrease cost of care.
  7. Defend health policy that improves the experience of care, population health, and professional work life while decreasing cost of care.

In addition, you will be assessed on how well you incorporated the feedback you received from your instructor on your previous work in this course via the following criterion:

  • Integrate writing feedback to improve the clarity and quality of final product.

You will also be assessed on the completion of hours toward your practicum experience.

  • Demonstrate completion of hours toward the practicum experience.

See the scoring guide for specific grading criteria related to these requirements.

Abstract
  • Summarize the purpose, approach, and any relevant findings of the final capstone project submission (PO #1).
Introduction
  • Summarize your need, target population, and setting (PO #1).
  • Provide a high-level overview of your intervention plan (PO #4).
  • Justify the importance of your need and intervention plan (PO #1).
  • Provide a high-level overview of your implementation plan (PO #4).
  • Provide a high-level over view of your evaluation plan (PO #4).

Reminder: these instructions are an outline. Your heading for this this section should be Problem Statement and not Part 1: Problem Statement.

Part 1: Problem Statement

Need Statement

  • Analyze a health promotion, quality improvement, prevention, education or management need (PO #1).

Population and Setting

  • Describe a target population and setting in which an identified need will be addressed (PO #4).

Intervention Overview

  • Explain an overview of one or more interventions that would help address an identified need within a target population and setting (PO #3).

Comparison of Approaches

  • Analyze potential interprofessional alternatives to an initial intervention with regard to their possibilities to meet the needs of the project, population, and setting. (PO #5).

Initial Outcome Draft

  • Define an outcome that identifies the purpose and intended accomplishments of an intervention for a health promotion, quality improvement, prevention, education or management need (PO #4).

Time Estimate

  • Propose a rough time frame for the development and implementation of an intervention to address and identified need (PO #1).
Part 2: Literature Review
  • Analyze current evidence to validate an identified need and its appropriateness within the target population and setting (PO #2).
  • Evaluate and synthesize resources from diverse sources illustrating existing health policy that could impact the approach taken to address an identified need (PO #7).

PART 3: INTERVENTION PLAN

Intervention Plan Components

  • Define the major components of an intervention plan for a health promotion, quality improvement, prevention, education, or management need (PO #4).
  • Explain the impact of cultural needs and characteristics of a target population and setting on the development of intervention plan components (PO #4).

Theoretical Foundations

  • Evaluate theoretical nursing models, strategies from other disciplines, and health care technologies relevant to an intervention plan (PO #6).
  • Justify the major components of an intervention by referencing relevant and contemporary evidence from the literature and best practices (PO #2).

Stakeholders, Policy, and Regulations

  • Analyze the impact of stakeholder needs, health care policy, regulations, and governing bodies relevant to health care practice and specific components of an intervention plan (PO #7).

Ethical and Legal Implications

  • Analyze relevant ethical and legal issues related to health care practice, organizational change, and specific components of an intervention plan (PO #1).
Part 4: Implementation Plan

Management and Leadership

  • Propose strategies for leading, managing, and implementing professional nursing practices to ensure interprofessional collaboration during the implementation of an intervention plan (PO #5).
  • Analyze the implications of change associated with proposed strategies for improving the quality and experience of care while controlling costs (PO #1).

Delivery and Technology

  • Propose appropriate delivery methods to implement an intervention which will improve the quality of the project (PO #3).
  • Evaluate the current and emerging technological options related to the proposed delivery methods (PO #6).

Stakeholders, Policy, and Regulations

  • Analyze stakeholders, regulatory implications, and potential support that could impact the implementation of an intervention plan (PO #5).
  • Propose existing or new policy considerations that would support the implementation of an intervention plan (PO #7).

Timeline

  • Propose a timeline to implement an intervention plan with reference to specific factors that influence the timing of implementation (PO #1).
Part 5: Evaluation of Plan
  • Define the outcomes that are the goal of an intervention plan (PO #4).
  • Create an evaluation plan to determine the impact of an intervention for a health promotion, quality improvement, prevention, education, or management need (PO #3).
Part 6: Discussion

Advocacy

  • Analyze the nurse’s role in leading change and driving improvements in the quality and experience of care (PO #1).
  • Explain how the intervention plan affects nursing and interprofessional collaboration, and how the health care field gains from the plan (PO #5).

Future Steps

  • Explain how the current project could be improved upon to create a bigger impact in the target population as well as to take advantage of emerging technology and care models to improve outcomes and safety (PO #6).

Reflection on Leading Change and Improvement

  • Reflect on how the project has impacted your ability to lead change in personal practice and future leadership positions (PO #1).
  • Reflect on the ways in which the completed intervention, implementation, and evaluation plans can be transferred into your personal practice to drive quality improvement in other contexts (PO #3).
Address Generally Throughout
  • Integrate resources from diverse sources that illustrate support for all aspects of the project as appropriate throughout the final submission (PO #2).
  • Clearly, concisely, and cohesively articulate a health care need, population, setting, stakeholders, supporting evidence, intervention, and evaluation (PO #6).
  • Integrate writing feedback to improve the clarity and quality of final product.

Practicum Hours Submission

You have been tracking your completed practicum hours each week using the CORE ELMS. By placing the hours into CORE ELMS, you will ensure you are accumulating all hours that are needed to meet the requirements for your specialization and degree.

For this assessment, submit your final CORE ELMS practicum hours tracking log showing all confirmed hours earned at your site during the course. All 100 hours must be documented and confirmed in the CORE ELMS practicum hours tracking log.

You will not receive a grade for this assessment without a practicum hours log showing a minimum of 100 confirmed hours for the time period of this course. Your faculty instructor will review your hours to date and will contact you if he or she has any questions or concerns.

Note for Nursing Informatics learners: Although you will complete your capstone project in this course, your specialization requires 200 hours of practicum, so that work will continue beyond this course. You cannot carry over any hours from NURS-FPX6030. Your final 100 hours of practicum will be completed in NURS-FPX6025.

Additional Requirements
  • Length of submission: 20–25 pages (including references).
  • Written communication: Written communication is free of errors that detract from the overall message.
  • Number of resources: 12–18 resources.
  • APA formatting: Resources and citations are formatted according to current APA style.
  • Font and font size: Times New Roman, 12 point.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 1: Lead organizational change to improve the experience of care, population health, and professional work life while decreasing cost of care.
  • Competency 2: Evaluate the best available evidence for use in clinical and organizational decision making.
  • Competency 3: Apply quality improvement methods to impact patient, population, and systems outcomes.
  • Competency 4: Design patient- and population-centered care to improve health outcomes.
  • Competency 5: Integrate interprofessional care to improve safety and quality and to decrease cost of care.
  • Competency 6: Evaluate the ability of existing and emerging information, communication, and health care technologies to improve safety and quality and to decrease cost of care.
  • Competency 7: Defend health policy that improves the experience of care, population health, and professional work life while decreasing cost of care.

Note: You will also be assessed on two additional criteria unaligned to a course competency:

  • Integrate writing feedback to improve the clarity and quality of the final product.
  • Demonstrate completion of hours toward the practicum experience.

See the scoring guide for specific grading criteria related to these additional requirements.

Discussion Post-Prevention of Shock

 

Your patient is a 42-year-old female that arrives in the ED with complaints of fever and not feeling well. She is currently undergoing chemotherapy for bladder cancer. She has an indwelling urinary catheter with scant amount of dark, foul smelling urine. She has a temperature of 102.2F, HR 136, BP 110/50 and RR 28. She is allergic to penicillin and Sulfa.

  • What type of shock is she experiencing?
  • What interventions do you anticipate the doctor will order?
  • What can you teach this patient about prevention of infection?
  • The doctor orders Bactrim. What should you be concern about? Why?

Minimum of 250 words. 

Concept Map

 Mr. Rivera is a 72-year-old patient with end stage COPD who is in the care of Hospice. He has a history of smoking, hypertension, obesity, and type 2 Diabetes. He is on Oxygen 2L per nasal cannula around the clock. His wife and 2 adult children help with his care. Develop a concept map for Mr. Rivera. Consider the patients Ethnic background (he and his family are from Mexico) and family dynamics. Please use the concept map form provided. 

*Fill in the concept map attached below; that’s all, and you can add a reference one or two below the map 

CDC

The CDC and Healthy People 2020 continue to educate on the importance, the improved ease of access and insurance coverage for screenings and vaccinations. It is the responsibility of nurses to engage our aging adults in self-advocating for services that benefit the individual and community health. How can you, as a registered nurse, impact older adults to encourage routine vaccination? What impact does this have on the community as a whole?

At least 400 words in length and utilize at least one scholarly source

Emotional Intelligent

Emotional Intelligence Worksheet

1. Think back on a time you were angry or upset about something at the clinical site. How did you react?

2. Describe a time when understanding someone else's perspective helped you understand them better.


3. What motivates you when you have a job to do that you may not particularly enjoy doing?