Developing a Balanced Scorecard

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DEVELOPING A BALANCED SCORE CARD HOW DOES A GROUP GAUGE WHETHER THE STRATEGIC CHANGES THEY IMPLEMENT ARE CREATING SOUND BUSINESS RESULTS?

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Discussion: Developing a Balanced Scorecard.How does a group gauge whether the strategic changes they implement are creating sound business results?The effective use of a balanced scorecard can facilitate alignment between strategic initiatives and day-to-day operations. The balanced scorecard may serve as a valuable tool for monitoring progress and assessing the outcomes of a strategic plan and provide a practical means of communication.In this Discussion you examine the use of a balanced scorecard to measure performance related to finances customer/client satisfaction internal processes and learning and growth.To prepare:Review the information in the Learning Resources including this weeks media presentation focusing on the development of performance metrics for a strategic plan. See Figure 8-6: Design your Balanced Scorecard in the Sare and Ogilvie course text.With your Course Project in mind think about how you would develop a balanced scorecard to measure performance including the processes you would use to gather appropriate data.Consider how the use of a balanced scorecard reflects the importance of being able to evaluate progress assess the impact of planned change on performance and determine if the costs are justified in terms of the outcomes.Post an explanation of your plan for creating a balanced scorecard as part of your Course Project including the processes you would use to gather data to measure performance. Explain how the use of this balanced scorecard would enable you to evaluate progress assess the impact of your proposed change and determine if the costs are justified in terms of the outcomes.Read a selection of your colleagues responses. (I will send the peer responses on the handshake private message)Respond to at least two of your colleagues on two different days by offering suggestions for further developing their balanced scorecards. Ask questions to peer responses at the end of every response. Cite your responses.Required ReadingsSare M. V. & Ogilvie L. (2010). Strategic planning for nurses: Change management in health care. Sudbury MA: Jones and Bartlett.Chapter 8 Overview of Strategic Planning Theories: Strategic Planning Architecture (pp. 147166)Fields S. A. & Cohen D. (2011). Performance enhancement using a balanced scorecard in a patient-centered medical home. Family Medicine 43(10) 735739.Copyright 2011 by Society of Teachers of Family Medicine. Reprinted by permission of Society of Teachers of Family Medicine via the Copyright Clearance Center.The authors discuss using a balanced scorecard for quality improvement in patient-centered medical homes.Groene O. Brandt E. Schmidt W. & Moeller J. (Aug 2009). The balanced scorecard of acute settings: Development process definition of 20 strategic objectives and implementation.International Journal for Quality in Health Care 21(4) 259271.Copyright 2009 by Oxford University Press – Journals. Reprinted by permission of Oxford University Press – Journals via the Copyright Clearance Center.In this article the authors discuss the use of a balanced scorecard as a tool for strategic planning in hospitals. The article includes an example of a strategy map timeline and balanced scorecard.Jeffs L. Merkley J. Richardson S. Eli J. & McAllister M. (2011). Using a nursing balanced scorecard approach to measure and optimize nursing performance. Nursing Leadership 24(1) 4758.Copyright 2011 by Longwoods drafting Corporation. Reprinted by permission of Longwoods drafting Corporation via the Copyright Clearance Center.Kollberg B. & Elg M. (2011). The practice of the balanced scorecard in health care services.International Journal of Productivity and Performance Management 60(5) 427445.Retrieved from the Walden Library databases.The authors look at the use of a balanced scorecard for health care performance management in Sweden.Lupi S. Verzola A. Carandina G. Salani M. Antonioli P. & Gregorio P. (2011). Multidimensional evaluation of performance with experimental application of balanced scorecard: A two year experience. Cost Effectiveness and Resource Allocation 9(1) 7.Retrieved from the Walden Library databases.This article examines the application of a balanced scorecard within a unit in a hospital to compare performance results and goal achievement.Balanced Scorecard Institute. (2013). Balanced scorecard basics. Retrieved fromhttp://www.balancedscorecard.org/BSCResources/AbouttheBalancedScorecard/tabid/55/Default.aspxView the information on this website to learn about balanced scorecards.Mountain State Group. (n.d.) Balanced scorecards for small rural hospitals: Concept overview and implementation guidance. Retrieved March 13 2013 fromhttp://www.ruralcenter.org/sites/default/files/Final%20BSC%20Manual%2010.18F.pdfThe Scarborough Hospital. (2013). Balanced scorecard. Retrieved fromhttp://tsh.to/pages/Balanced-Score-CardThis website provides an example of a balanced scorecard.Sunnybrook Health Sciences Centre. (2013). Balanced scorecard. Retrieved fromhttp://sunnybrook.ca/scorecard/index.asp#srThis website provides an example of a balanced scorecard.Required MediaLaureate Education (Producer). (2013a). The balanced scorecard approach [Video file]. Retrieved from the https://class.waldenu.eduNote: The approximate length of this media piece is 3 minutes.Dr. Carol Huston discusses the elements and use of a balanced scorecard as a strategic planning evaluation tool.

 
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Elements of an organizational model of health care performance, quality assessment and management

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Elements of an organizational model of health care performance, quality assessment and management

Question descriptionPLEASE READ CAREFULLY AS THESE ARE TWO SEPARATE ASSIGNMENT IN ONE. MUST BE DONE ON TWO SEPARATE DOCUMENTS

REQUIRED READING CHAP- 17,18,26

LINK TO BOOK – https://books.google.com/books?id=lNTsAwAAQBAJ&printsec=frontcover&dq=Leadership+and+Nursing+Care+Management+5th+edition&hl=en&sa=X&ved=0ahUKEwj9oZrcxd3bAhVD2VMKHVmfAn0Q6AEILTAB#v=onepage&q=Leadership%20and%20Nursing%20Care%20Management%205th%20edition&f=false

FIRST ASSIGNMENT -DISCUSSION POST

  • For this discussion, you will use information from your assigned readings, the literature and leaders in your organization to discuss the following:
    • Compare and contrast informatics and clinical informatics. Cite references.
    • Provide 2 examples with rationale of clinical informatics in your organization, or that of a nursing colleague, that has facilitated or improved patient care. You may not use the electronic health record as one of your examples.
    • Provide 2 examples with rationale of how a nurse manager can use data management as a strategy to improve patient care on their unit(s).
    • Why did President Bush mandate the implementation of electronic health records by 2014? Provide rationale. Initial Post: Minimum of two (2) total references: one (1) from required course materials (chapter 5) which is the required reading and one (1) from peer-reviewed references.

SECOND ASSIGNMENT is a paper in APA format

As part of the written assignment, you will complete the following tasks:

assessment requires you to use information from your assigned readings, the literature and leaders in your organization to answer the following questions. If you are not currently employed by an organization, gather information from a nurse leader or quality management colleague.

  1. What are the organization’s quality program goals and objectives?
  2. What is the organization’s quality management structure? If there is not a formal structure, who is responsible for quality management in the organization?
  3. How are quality improvement projects selected, managed and monitored? Does nursing staff have any input?
  4. State if quality improvement inservice programs are available for staff in your facility and describe a brief overview of the content.
  5. What quality methodology and quality tools/techniques are utilized? Are they effective? Why or why not? Provide rationale.
  6. How are QI activities and processes communicated to staff? Is the communication effective? How could it be improved?
  7. How does the organization evaluate QI activities for effectiveness? What is the process when the QI activity is not effective?
  8. Provide 2 examples of a QI initiative that has been effective in your organization. Describe the QI process that occurred. What was the impact on patient outcomes? Did it result in a change in practice?

Objectives

  • Correlate a model of healthcare performance and quality to your organization.
  • Identify the nurse’s role in measuring, monitoring and improving health care quality and safety.
  • Discuss terms and concepts related to health care quality and safety.
  • Minimum of four (4) total references: two (2) references from required course materials and two (2) peer-reviewed references. All references must be no older than five years (unless making a specific point using a seminal piece of information) ( AT LEAST 2 MUST COME FROM REQUIRED READING must include intext-citation. PAPER MUST BE ATLEAST 2.5 pages

I HAVE ATTACHED THE BOOK FOR THIS POST. WILL ALSO ATTACH THE RUBRIC FOR THE SECOND ASSIGNMENT as well as the leader ship questioner PLEASE FOLLOW EXACT RUBRIC TO COMPLETE THE PAPER.

PLAGIARISM WILL NOT BE ACCEPTED. WILL BE PUT IN AN ONLINE SITE TO TEST PLAGIARISM, PLEASE FOLLOW RUBRIC OR ASSIGNMENT WILL NOT BE ACCEPTED

 
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How should this selection process be conducted, and what psychological testing instruments, if any, should be included?

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Dr. Johnson is entrusted with the evaluation of the police’s cadet selection procedure.
Tasks:
On the basis of the vignette you read, analyze the vignette and respond to the following questions regarding the PEPE process:
· Should the department attempt to select individuals who will be good officers, or should the department simply try to weed out potentially bad officers?
· How should this selection process be conducted, and what psychological testing instruments, if any, should be included?
Now, let’s look at a procedure that may be necessary following employment—an FFDE:
· Explain how informed consent and the limits of confidentiality should be handled by the forensic examiner.
· Explain how an FFDE is conducted. Include discussion of psychological tests that might be administered in an FFDE.
· Present the possible outcomes of an FFDE. In other words, what might the examiner recommend to the police department?
All responses should follow APA rules for attributing sources.
Submission Details:
· By the due date assigned, post your responses to this Discussion Area.
· Through by the end of the module, respond to at least two of your classmates’ posts. While responding, compare the similarities and differences between what you have constructed and what your classmates have.

Grading Criteria Maximum Points
Quality of initial posting, including fulfillment of assignment instructions 16
Quality of responses to classmates 12
Frequency of responses to classmates 4
Reference to supporting readings and other materials 4
Language and grammar 4
Total: 40
 
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o you tend to be an individual that struggles with stress and anxiety?

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Read our Lesson in the Lesson section and this weeks assigned material, and http://www.brianmac.co.uk/companx.htm
You may also want to use online sources, Google etc., to research the State Anxiety Test, or the Competitive State Anxiety Inventory-2 (CSAI-2).
It is a sport-specific state anxiety scale developed by Martens, Vealey, and Burton (1990). The scale divides anxiety into three components: cognitive anxiety, somatic anxiety, and a related component-self-confidence. Self- confidence tends to be the opposite of cognitive anxiety and is another important factor in managing stress.
Complete this scale, meaning, fill out the questionnaire for yourself before a practice, workout or meaningful event. If you are not currently active in competition, recall such situations as clearly as possible and record and report your responses in this initial forum post, then answer the following questions in your forum post:
1. Do you tend to be an individual that struggles with stress and anxiety?
2. If not, explain your general arousal personality.
3. What are possible factors that influence your arousal, stress, and anxiety status before an event?
4. What are strategies that you can apply to reduce stress and anxiety and maintain appropriate arousal levels?
Make sure at the end of your discussion you reference the location of your ideas.
Note: Take time before posting to read ALL of the instructions below. Doing so will help you avoid point loss.

 
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Does the flow of the paper and sentence structure make sense?

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YOUR INSTRUCTOR WILL ASSIGN AND SEND YOU A PEER’S PAPER ON HEALTH CARE PROVIDER AND FAITH…

Your instructor will assign and send you a peer’s paper on Health Care Provider and Faith Diversity. Your job is to critically read the assignment and make corrections/comments using track changes and comments in Microsoft Word. Be sure to assess the paper using the following criteria:

a) Does the paper provide sufficient evidence for its hypothesis or claim?

b) Does the flow of the paper and sentence structure make sense?

c) Should it be organized in a different manner?

d) Are all the items listed in the assignment guidelines and rubric covered and in sufficient depth?

2) This assignment uses a grading rubric that can be viewed at the assignment’s drop box. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

3) Submit the peer-reviewed assignment to the instructor by the end of Module 4

 
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HUMAN GENOME AND SOCIETAL CONCERNS

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Question description

Hi Tutors! Need help with forum.

HUMAN GENOME AND SOCIETAL CONCERNS

The Human Genome page on ethical issues lists several “societal concerns” in relation to the newest genetic discoveries. Select at least one that is related to healthcare. Research at least one source outside of this website and report in the Discussion Forum.

  • Submit an essay (at least 300 words) – posting it in the Forum for feedback and comments by your classmates.
Table 2. Ethical, Legal and Social Issues (ELSI) Research Program, National Human Genome Research Institute, National Institutes of Health
ELSI research areas identified as “grand challenges” for the future of genomic research:

  • Intellectual Property Issues Surrounding Access to and Use of Genetic Information
  • Ethical, Legal and Social Factors that Influence the Translation of Genetic Information to Improved Health
  • Issues Surrounding the Conduct of Genetic Research
  • Issues Surrounding the Use of Genetic Information and Technologies in Non-Health Care Settings
  • The Impact of Genomics on Concepts of Race, Ethnicity, Kinship and Individual and Group Identity
  • The Implications for Both Individuals and Society of Uncovering Genomic Contributions to Human Traits and Behaviors
  • How Different Individuals, Cultures and Religious Traditions View the Ethical Boundaries for Uses of Genomics

(Adapted from National Human Genome Research Institute (2007a)
 
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When integrating the results of qualitative and quantitative analyses, _____ occurs when the two data sources provide complementary information that expands insights into the research

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Question 11 ptsWhen integrating the results of qualitative and quantitative analyses, _____ occurs when the two data sources provide complementary information that expands insights into the research topic.confirmationexpansiondiscordancetransformation Flag this QuestionQuestion 21 ptsWhen integrating the results of qualitative and quantitative analyses, _____ occurs when the findings from both types of data corroborate each other.confirmationexpansiondiscordancetransformation Flag this QuestionQuestion 31 ptsWhen integrating the results of qualitative and quantitative analyses, _____ occurs when the two data sources contradict each other and cannot be reconciled.confirmationexpansiondiscordancetransformation Flag this QuestionQuestion 41 ptsAccording to Hesse-Biber’s book, the five reasons to use mixed methods are _____.generalization, complexity, triangulation, development, and expansion.triangulation, complementarity, development, initiation, and expansion.complementarity, expansion, generalization, complexity, and development.initiation, development, complexity, generalization, and triangulation. Flag this QuestionQuestion 51 ptsIn a(n) _____ mixed methods design framework, researchers are interested in addressing social injustices by involving and seeking to empower a population which has been oppressed or marginalized.multistageinterventioncase studyparticipatory Flag this QuestionQuestion 61 ptsThe most frequently used type of qualitative data collection method used in mixed methods studies is _____.participant observation/ethnographysemi-structured interviewfocus groupsqualitative analysis of documents Flag this QuestionQuestion 71 ptsAccording to Bryman, although qualitative and quantitative methods can be combined at various stages of a study, the defining features of research methods are _____.formulation of research questions and samplingsampling and data collectiondata collection and data analysisformulation of research questions and data analysis Flag this QuestionQuestion 81 ptsIn the _____ approach to integration through linking data collection and analysis methods, one database informs the data collection approach of the other.connectingbuildingmergingembedding Flag this QuestionQuestion 91 ptsWhen reasons for using mixed methods in a published study are given, the most frequently given reasons are _____.triangulation and complementaritytriangulation and developmentcomplementarity and expansioninitiation and development Flag this QuestionQuestion 101 ptsIn a(n) _____ mixed methods design framework, researchers are interested in conducting a thorough investigation of a single unit of analysis.multistageinterventioncase studyparticipatoryNo new data to save. Last checked at 10:32pm Submit Quiz

Questions

 
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USE THE PDSA CYCLE TO ADDRESS THE ISSUE OF PRESSURE ULCERS

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USE THE PDSA CYCLE TO ADDRESS THE ISSUE OF PRESSURE ULCERS.

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Case

Frustrated with ongoing complaints from family members, Reba Sanders, the administrator of 100-bed Lakeview Skilled Care and Rehabilitation Facility, replaced the director of nursing (DON) after she had been on the job for less than 2 years. At the exit conference with Reba, the DON had remarked, “I don’t think pressure ulcers have been a problem in this facility the way it is made out to be by some families. Some patients develop the ulcers at the hospital before they come here; we try our best to take care of them, and I have explained to the families what we are doing. I think firing me is unfair, but it is your decision.” Before the new DON, James Osterwal, was hired for the job, Reba had mentioned to him that looking into the pressure ulcer problem would be his first priority. Reba arranged for James to attend meetings of the local chapter of a national quality improvement organization for nursing homes. Based on some of the information presented at the meetings, James quickly settled on making pressure ulcer elimination as his primary goal. James was quite familiar with the PDSA quality improvement cycle. He discussed it with the charge nurses, decided how data would be collected, and started a campaign asking all nursing staff to adopt the motto: “We will eliminate pressure ulcers at Lakeview.” The associates liked the motto because it gave them a specific goal to work toward. At James’ request, Reba approved hiring an RN nurse coordinator to float between the three shifts. The charge nurses asked their nursing assistants to report to them right away all cases of skin breakdown. James trained the nurses in best practice protocols to treat pressure ulcers. After 4 months, data showed little to no improvement in the prevalence (total number of cases) of pressure ulcers at Lakeview. Both Reba and James could not understand why.

Questions
1.  Based on what you have learned to this point in the course, evaluate the quality improvement program as it pertains to pressure ulcers at Lakeview. Provide a specific outline of weaknesses in the overall approach.

2.  Use the PDSA cycle to address the issue of pressure ulcers. Be specific. For example, how should data be collected? How would you go about identifying root causes of the problem? What interventions would you implement? What roles should the various personnel and the administrator have?

 
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Explain how health care organizations use secondary data as a comparison to internal data

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COMPARING AND CONTRASTING THE COLLECTION OF SECONDARY DATA AND THEIR USES VERSUS THE ANALYSIS OF CURRENT HEALTH CARE RECORDS

You work at a small community-based hospital as a manager in the quality assurance department. One function of your job is to analyze internal data such as medical records, patient surveys, and incident reports to track trends and help improve patient care delivery. Your supervisor just came back from a seminar on quality benchmarking and has asked about your thoughts on analyzing secondary data from the health care industry as a way to benchmark and measure the organization’s quality performance against its peers. You have been asked to prepare a report on the use of both secondary data and internal data as way to improve quality in your organization. Complete the following:

  • Write a paper comparing and contrasting the collection of secondary data and their uses versus the analysis of current health care records and internal data such as incident reports and patient surveys.
  • Explain how health care organizations use secondary data as a comparison to internal data.
  • Assess the validity and reliability of primary and secondary data in conducting health care research.
  • Deliverable Length:  5-7 pages; min. 5 academic/professional sources published in the last 5 yrs.
  • In-text citations
 
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Demonstrate a basic understanding of the history of Cognitive Psychology and Cognitive Neuroscience, including emerging themes.

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Demonstrate a basic understanding of the history of Cognitive Psychology and Cognitive Neuroscience, including emerging themes.

 

describe and discuss how psychological research in the core area of (memory) in Cognative Psychology has contributed to our understanding of human processing, performance capabilities and limitations

describe and discuss how psychological research in the core area of (memory) in Cognative Psychology has contributed to our understanding of human processing, performance capabilities and limitations

Instructions:

1. Demonstrate a basic understanding of the history of Cognitive Psychology and Cognitive Neuroscience, including emerging themes
2. Demonstrate a basic knowledge of the main topics, areas, and important issues in Cognitive Psychology and Cognitive Neuroscience with a broad understanding of primary research, models, and theories
3. Possess a general understanding of aspects of brain function and how they relate to cognition, behaviour, and performance
4. Describe the discuss techniques, methodologies, and paradigms used to conduct research within Cognitive Psychology and Cognitive Neuroscience
5. Describe and discuss the implications of research within different areas of Cognitive Psychology on human performance in everyday and workplace settings
6. Understand the use of the basic experimental methodology and its influence on research within Cognitive Psychology and Cognitive Neuropsycholog

 

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