REDUCING THE COST BURDEN OF DIABETES

REDUCING THE COST BURDEN OF DIABETES: THE POTENTIAL IMPACT OF THE ACCOUNTABLE CARE ORGANIZATION(ACO

Reducing the Cost Burden of Diabetes:

The Potential Impact of the Accountable Care Organization

Provisions of the Patient Protection and Affordable Care Act

Ataa Nyamekye

Innocent Ogbue

Mabel vonGoins

New York Medical College

School of Health Sciences and Practice

Capstone, Spring 2013

Executive Summary

I will not edit this until you are finished with your final draft. This will then be rewritten obviously

In regards to President Obama’s Patient Protection and Affordable Care Act (Public Law 111-148, 2010) or ACA, the goal is to offer all Americans affordable health care, health insurance reform, improve patient resources and reduce hospital and operation cost.

The goal of this project is to ensure that Gotham Hospital continues to operate efficiently while meeting President Obama’s new ACA criteria and continue to provide quality care to its patient community. The team plans to offer several recommendations that will ensure Gotham is in compliance with ACA/ACO, as well as compare and analyze the effects of Pre and Post ACA hospital operations and elaborate on the hospital’s concern about how it can reduce the cost of chronic diseases particularly diabetes using its disease management program.

The project outcome is simple; to increase enrollment/utilization of the diabetes disease management and prevention at Gotham Hospital taking into account its diverse uninsured/underinsured population. The team will assess the current diabetes program at the hospital, offer recommendations and design a proactive program that will help increase utilization of diabetes care services at the Gotham Hospital.

 
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opple, P. R., & Leighninger, L. (2015). The policy-based profession: An introduction to social welfare policy analysis for social workers. (6th ed.).

 
Often, policymakers develop policies in response to a recent societal problem or event. Whereas some societal problems, such as homelessness, unemployment, and poverty, require long-term policy development and refinement, society sometimes demands immediate policy implementation in response to events or problems that proved dangerous for society at large. For example, the U.S. terrorist attacks on September 11, 2001, and the subsequent terrorist threats heightened airport security and created item restrictions for airplane carry-on luggage. Over time, policymakers adjusted these policies as the danger appeared less imminent due to the development of other policies. What policies are you aware of that policymakers developed in response to a societal problem or event? Are those policies effective responses to the problems or events? If not, how might you change them in order to make them more effective?
For this Discussion, review this week’s resources. Using reputable news and education sources, search for an event that led to the formation of a social policy. Then, consider what changes you might make to the policy that resulted from this event. Finally, think about the role of social work (as a profession and political lobby) in the formation of the policy.

By Day 3

Post a brief explanation of the event you selected that led to the formation of a social policy. Then, explain what changes you would make to the policy that resulted from this event and why. Finally, explain the role of social work (as a profession and political lobby) in the formation of the policy.

Required Readings

Popple, P. R., & Leighninger, L. (2015). The policy-based profession: An introduction to social welfare policy analysis for social workers. (6th ed.). Upper Saddle River, NJ: Pearson Education.
Chapter 11, “Politics and Social Welfare Policy” (pp. 245-261)

Required Readings

Popple, P. R., & Leighninger, L. (2015). The policy-based profession: An introduction to social welfare policy analysis for social workers. (6th ed.). Upper Saddle River, NJ: Pearson Education.
Chapter 2, “Defining Social Welfare Policy” (pp. 20-30)

The Library of Congress: Thomas. (n.d.). How our laws are made. Retrieved October 10, 2013, from http://web.archive.org/web/20160703001104/https://www.congress.gov/resources/display/content/How+Our+Laws+Are+Made+-+Learn+About+the+Legislative+Process

Optional Resources

Laureate Education (Producer). (2013). Legislative process [Multimedia file]. Retrieved from https://class.waldenu.edu

 
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· List and define three important keys to good sexual and relationship communication? 

Hi dear,
can help me to finish this assignment with good quality and be on time please?
answer one of the discussion questions in well-developed paragraphs.   Use citations from reputable sources (for example, our textbook).  Grammar and spelling are taken into consideration when grading. Answer this question as if you are writing a mini paper, with a clear introduction, conclusion and supporting evidence.  This an academic writing space for you to demonstrate that you have read the weekly chapters, understood the question.  This should be 2-3 substantial paragraphs that reflect key ideas from the week. Include citations at the end from journal articles, our book, or other scholastic sources.
 
Pick Topic 1 or 2 for your dicussion:
Topic 1
· Many adults believe that if you talk about sex, it encourages teenagers to engage in sexual activity.  Do you believe withholding information about sex protects teens or harms them? Why?
o To help answer this question, view the Video Link for this week.
o Please be thorough with your response and be sure to back up all information with reputable sources
Topic 2
· List and define three important keys to good sexual and relationship communication?
o To help answer this question, be sure to read Chapter 8 in your textbook.
o Please be thorough with your response and be sure to back up all information with reputable sources.

 
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Compare and contrast informatics and clinical informatics.

Leadership and Nursing Care Management, Elsevier-Saunders, 2013, 5th edition

  • Read Chapters 17,18,26.

Overview
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.

Your initial post must be posted before you can view and respond to colleagues, must contain minimum of two (2) references, in addition to examples from your personal experiences to augment the topic. The goal is to make your post interesting and engaging so others will want to read/respond to it. Synthesize and summarize from your resources in order to avoid the use of direct quotes, which can often be dry and boring. No direct quotes are allowed in the discussion board posts.
References:

  • Initial Post: Minimum of two (2) total references: one (1) from required course materials and one (1) from peer-reviewed references.

Words Limits

  • Initial Post: Minimum 200 words excluding references (approximately one (1) page)
 
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Chief Nursing Officer (CNO) and Medical Staff Essay

Chief Nursing Officer (CNO) and Medical Staff Essay

Discussion Question 2: CNO and Medical Staff CNOs must be skilled and competent communicators to lead and manage the collective work of medical staff members at all levels. Reviewing healthcare literature can help you learn a lot about fostering and promoting interprofessional collaboration in healthcare. Using the readings for the week, the South University Online Library, and the Internet, respond to the following: Define and describe the role of the CNO related to medical staff. Define interprofessional collaboration. What happens to patient outcomes and quality care when there are disagreements between medical staff and nursing personnel regarding aspects of operations? As a CNO, describe at least one strategy you would apply in clarifying expectations of other healthcare team members including the medical staff? Comment on the postings of at least two peers. Evaluation Criteria: Defined and described the role of the CNO related to medical staff. Defined the concept of interprofessional collaboration. Explained the impact of disagreements between medical staff and nursing personnel regarding aspects of operations on patient outcomes and quality care. Recommended at least one strategy to clarify expectations of other healthcare team members including the medical staff. Justified your answers with appropriate research and reasoning. Commented on the postings of at least two peers Week 2 – Assignment 1 Discussion Discussion Question 1: Quality Improvement Projects and the CNO There has likely never been a time in which healthcare organizations have had to face challenges greater than those in the twenty-first century. For example, in previous decades, bedside nurses cared for patients and were promoted into nursing leadership and nurse executive roles based on the fact that they were “good nurses.” This paradigm no longer exists in contemporary healthcare delivery settings including long-term care, acute care, and community-based settings. The CNO must be prepared to lead and have competency in guiding, leading, and restructuring healthcare delivery systems that are competitive and provide safe, affordable, and efficient quality care at the right time, each time, and every time. CNOs must have skills and competencies that allow them to drive healthcare system changes to meet societal healthcare needs for diverse populations. You are the CNO in your healthcare organization. Considering this, use the readings for the week, the South University Online Library, and the Internet to respond to the following: Provide a list of guidelines you would use to develop the quality falls program and the medication safety performance improvement project in your organization. What challenges would you face in the development of these programs? Evaluate two competencies you must have to successfully develop these programs. What will you do if a quality improvement project is needed and there is not enough money in the budget at the time or if the project will add costs that exceed the operating budget? Comment on the postings of at least two peers. Evaluation Criteria: Provided a list of guidelines you would use to develop the quality falls program and the medication safety performance improvement project in your organization. Explained the challenges you would face in the development of these programs. Evaluated two competencies you must have to successfully develop these programs. Recommended ways to handle the situation if a quality improvement project is needed and there is not enough money in the budget at the time or if the project will add costs that exceed the operating budget. Justified your answers with appropriate research and reasoning. Commented on the postings of at least two peers. DQ2 Discussion Question 2: Nurse Sensitive Indicators and the CNO Nurse sensitive indicators reflect the structure, process, and outcomes of nursing care in a healthcare organization. Key factors influencing nurse sensitive indicators include the structure of nursing care, skill level of nursing staff, and education or certification of nursing staff. Greater quality or quantity of nursing care results in an improvement in patient outcomes that are closely linked to nurse sensitive indicators. Using the readings for the week, the South University Online Library, and the Internet, respond to the following: Examine the role of a CNO in relation to nurse sensitive indicators, such as the following: Central line-associated bloodstream infection (CLABSI) Catheter-associated urinary tract infection (CAUTI) Ventilator-associated pneumonia (VAP) Pressure ulcers As a CNO, what process will you use for developing a nurse sensitive indicator? Estimate the time it takes to create and approve a nurse sensitive indicator. Comment on the postings of at least two peers. Evaluation Criteria: Examined the role of CNO in relation to nurse sensitive indicators, such as CLABSI, CAUTI, VAP, and pressure ulcers. Described the process utilized for developing a nurse sensitive indicator. Estimated the time it takes to create and approve a nurse sensitive indicator. Justified your answers with appropriate research and reasoning. Commented on the postings of at least two peers. Week 3 – Assignment 1 Discussion Discussion Question 1: Shared Governance Structure and the CNO During the 1980s, nursing and healthcare were suffering from challenges of an acute nursing shortage, rampant nurse turnover, and issues with nurse retention. In the mid-1980s, shared governance was instituted to incentivize and empower nurses. Shared governance is an innovative organizational model promoting staff control and autonomy over nursing practice in areas that were previously controlled by managers. The concept of shared governance may be a challenge to understand because it is not uniformly applied or operationalized and because of the great diversity in shared governance models. Nurses working in organizations with shared governance models are more empowered and have higher levels of satisfaction in their roles. Using the readings for the week, the South University Online Library, and the Internet, respond to the following: Compare the roles of the CNO and nursing directors or managers in a shared governance structure. What steps can the CNO take to enable smooth operations in such a structure? Identify two challenges CNOs face when working with a shared governance structure. Compare and contrast a model of shared governance with an authoritarian or autocratic CNO. Examine the role of the CNO in working to set parameters for nurses in a shared governance structure. Comment on the postings of at least two peers. Evaluation Criteria: Compared the roles of the CNO and nursing directors or managers in a shared governance structure. Listed steps the CNO can take to enable smooth operations in such a structure. Identified two challenges CNOs face when working with a shared governance structure. Compared and contrasted a model of shared governance with an authoritarian or autocratic CNO. Examined the role of the CNO in working to set parameters for nurses in a shared governance structure. Justified your answers with appropriate research and reasoning. Commented on the postings of at least two peers. DQ2 Discussion Question 2: Staff Concerns and the CNO Often, gossip mills and rumors tend to circulate very quickly throughout healthcare organizations even though everything is supposed to be confidential. Good and bad news travel quickly; one of the greatest challenges the CNO or vice president for patient care services (VPPCS) faces is to control and share information with the staff members so that they receive the same message in the same way at the same time. Using the readings for the week, the South University Online Library, and the Internet, respond to the following: What role does the CNO or VPPCS play in addressing the concerns of the entire staff in nursing town-hall meetings? Why is this role important? Provide an example of a need for the CNO or VPPCS to schedule an entire staff town-hall meeting. How can the CNO or VPPCS minimize gossip and information via the “grapevine” before an entire staff town-hall meeting? How would you craft an agenda and circulate it for a town-hall meeting? How can the CNO or VPPCS integrate the use of electronic and social media into addressing staff concerns in twenty-first-century healthcare organizations? Comment on the postings of at least two peers. Evaluation Criteria: Described the role of the CNO or VPPCS in addressing the concerns of the entire staff in nursing town-hall meetings, and explained the importance of this role. Provided an example of a need for the CNO or VPPCS to schedule an entire staff town-hall meeting. Suggested ways in which the CNO or VPPCS can minimize gossip and information via the “grapevine” before an entire staff town-hall meeting. Explained how you would craft an agenda and circulate it for a town-hall meeting. Recommended ways in which the CNO or VPCSS can integrate the use of electronic and social media into addressing staff concerns in twenty-first-century healthcare organizations. Justified your answers with appropriate research and reasoning. Commented on the postings of at least two peers. Week 4 – Assignment 1 Discussion Discussion Question 1: Strategies for Establishing Operational Budgets An operational budget is the plan for an organization or unit for daily operating expenses. The operational budget is very similar to how one manages a personal home budget but on a grander scale. For example, there is a balance between accounts receivable and accounts payable, and then there is either a surplus or deficit at the end of the budget period. Most budget periods are a fiscal year or a calendar year. The unit operating budget is the most critical budget in which unit managers must be involved and have the most control over. Extensive information is needed to prepare the operational budget. For example, the operational budget typically requires information related to workload budgets with activity reports, units of service, and workload calculations like HPPD; expense budgets for personnel, staffing, and supplies equipment; the overhead budget; and the revenue budget. Nurses in the unit are often part of the operational budget to examine, or be aware of, weekly or monthly budget variances. This helps the unit function with a positive versus a negative revenue stream. Using the readings for the week, the South University Online Library, and the Internet, respond to the following: Describe at least two strategies for establishing operational budgets. Examine the advantages and disadvantages of using each strategy. Explain the strategies your nurse manager or CNO uses to gather and secure the most timely and relevant information to shape future operating budgets. Identify two challenges the nurse manager or CNO faces with this task. Examine implications for the nurse manager or CNO when the unit operating budget is running in the “red” or has numerous negative monthly variances. Comment on the postings of at least two peers. Evaluation Criteria: Described at least two strategies for establishing operational budgets. Examined the advantages and disadvantages of using each strategy. Explained the strategies your nurse manager or CNO uses to gather and secure the most timely and relevant information to shape future operating budgets. Identified two challenges the nurse manager or CNO faces with this task. Examined implications for the nurse manager or CNO when the unit operating budget is running in the “red” or has numerous negative monthly variances. Justified your answers with appropriate research and reasoning.Commented on the postings of at least two peers. DQ2 Discussion Question 2: Strategies for Establishing an FTE Budget Budgeting is a critical and essential component of nursing and patient care. Without proper support for nurses to provide patient-centered care, the organizational mission and goals will not be met. Full-time equivalent (FTE) measures the number of employees working in an organization, assuming they all work on a full-time basis. It measures each employee’s involvement in the organization. Unit managers and CNOs must have fundamental skills and competencies to establish an FTE budget. Using the readings for the week, the South University Online Library, and the Internet, respond to the following: Describe various strategies used for establishing an FTE budget. Examine the advantages and disadvantages of each strategy. Discuss how the unit manager or CNO elicits input into the FTE budget. Describe one software program utilized by the unit manager or CNO to formulate an FTE budget. Identify the timeline a nurse manager or CNO would utilize to plan the development of an FTE budget. Comment on the postings of at least two peers. Evaluation Criteria: Described various strategies used for establishing an FTE budget. Examined the advantages and disadvantages of using each strategy. Discussed how the unit manager or CNO elicits input into the FTE budget. Described one software program utilized by the unit manager or CNO to formulate an FTE budget. Identified the timeline a nurse manager or CNO would utilize to plan the development of an FTE budget. Justified your answers with appropriate research and reasoning. Commented on the postings of at least two peers.

 
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Evaluation-Related Issues: Aiden’s Case

 

Assignment 2: Discussion—Evaluation-Related Issues: Aiden’s Case

Approaching the issue of whether a child might have an exceptionality can be sensitive. In addition to the emotional reaction of parents, it is important to consider legal and ethical obligations when determining whether to evaluate a child.
Review the following scenario:

Aiden Keller is a fourth grader. Since he enrolled in kindergarten, teachers have been concerned that Aiden seems to struggle more than the other children do, academically and behaviorally. Despite his teacher’s academic and behavioral interventions, Aiden continues to be easily frustrated, talks out of turn, and often refuses to work in class. In addition to falling behind academically, Aiden’s behavior is beginning to affect his relationships with peers.
Aiden’s parents were invited to attend a meeting with his teacher, school counselor, and assistant principal. The school professionals expressed their desire to make a referral for an evaluation to determine whether Aiden has a disability that requires special education support. Although the Kellers have known about Aiden’s problems and experience similar challenges at home, they are worried about their son being “labeled” and placed in special classes.
The Kellers’ concerns are valid and certainly not uncommon.

Using the module readings, the Argosy University online library resources, and the Internet, research evaluation-related issues.
Then, imagine you are sitting with Aiden’s parents to discuss their concerns about evaluating their son. Incorporate what you learned in your readings and respond to the following:

  • Explain how you would address the following to help the parents make an educated decision by describing the following:
    • The benefits of evaluation
    • The long-term impact on their son of not performing the evaluation
    • The legal and ethical issues
  • If Aiden was your child, what would persuade you to allow the evaluation?

Write your initial response in 300–500 words. Apply APA standards to citation of sources.

 
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Develop three (3) recruitment methods for the job opportunity in question, and suggest two (2) ways that each method helps one to avoid discriminatory practices. Justify your response.

Develop three (3) recruitment methods for the job opportunity in question, and suggest two (2) ways that each method helps one to avoid discriminatory practices. Justify your response.

Imagine that you are the HR Director at your current organization or an organization with which you are familiar. As the HR Director, you must use different employment law requirements to create methods and policies that support the promotion of a diverse workforce. Select one (1) job opportunity that you have held or with which you are familiar within the same organization for this scenario.

(Note: You may create and / or make all necessary assumptions needed for the completion of these assignments. In your original work, you may use aspects of existing processes from either your current or a former place of employment. However, you must remove any and all identifying information that would enable someone to discern the organization[s] that you have used.)

Write a ten to twelve (10-12) page paper in which you:

Develop three (3) recruitment methods for the job opportunity in question, and suggest two (2) ways that each method helps one to avoid discriminatory practices. Justify your response.
Outline an application process that details the organization’s method of accepting all applications, as well as its method of validating applicants’ attainment of the required credentials (e.g., reviewing resumes, collecting transcripts, verifying certifications, etc.) for the job opportunity.
Develop a five- (5) step procedure for the HR Department to use in order to maintain all applicants’ records in case a discriminatory charge occurs.
Decide on three (3) background checks that the HR Department must utilize, and justify the relevance of each background check for the job opportunity.
Choose three (3) employment tests (e.g., drug tests, medical examinations, HIV tests, generic tests, polygraphs, honesty tests, psychological tests, intelligence and skills tests, and physical fitness, etc.) that the HR Department should use. Justify the relevance of each selected employment test to the job requirements.
Formulate a policy for making both the hiring and promotional decisions related to the job opportunity. Specify the major challenges and potential adverse impact of using subjective criteria for assessing soft skills. Next, suggest one (1) plan to mitigate the adverse impact. Justify your suggestion.
Recommend two (2) types of reasonable accommodations for both disabled applicants and applicants needing special religious considerations. Argue two (2) legal reasons for not being able to sufficiently provide such reasonable accommodation for each group.
Select one (1) case in which a court charged an organization with an affirmative action violation and one (1) case in which a court charged the organization with not managing harassment issues more expeditiously. Recommend an action plan geared toward preventing the issues addressed in both cases within your selected organization. Justify your recommendation.
Choose three (3) work-life conflicts that the HR Director should consider within the selected organization. Then, outline a policy geared toward resolving each conflict through the use of related employment laws. Justify your response.
Use at least four (4) quality academic resources in this assignment. Note: Wikipedia and other Websites do not qualify as academic resources.
Your assignment must follow these formatting requirements:

Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.
The specific course learning outcomes associated with this assignment are:

Determine employment laws that apply to the selection, development, and management of employees.
Evaluate policies and processes that promote a diverse workforce.
Use technology and information resources to research issues in employment law.
Write clearly and concisely about employment law using proper writing mechanic.


 

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Discuss an example of a healthcare partnership in your community

Discuss an example of a healthcare partnership in your community

Discuss an example of a healthcare partnership in your community and specifically cite examples that show how nurses, both individually and collectively, influenced the care provided. What obstacles were/are confronted, and what strategies were/are employed in order to effectively overcome them? Relate aspects of your policy priority to this community partnership and its goals, barriers, strategies, and political issues.


 

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Analyze some of the social,political ,and economic factors that have led to the proliferation of urgent care facilities and primary care practices over the last 20-30 years

You are the manager of a new primary care clinic located about 25 miles outside of a small city population 50,000.With 5 family physicians ,two nurse practitioners,and 2 physicians assistants ,and 20

You are the manager of a new primary care clinic located about 25 miles outside of a small city population 50,000.With 5 family physicians ,two nurse practitioners,and 2 physicians assistants ,and 20 clinical support staff consisting of RN’s,LPNs and CMAs,the clinic provides primary care services to a diverse community of people living and working outside the city limits. Originally a rural area,the community has been growing and now includes promising opportunities in employment,education,and comfortable living spaces for young families.

However,there are still many residents who struggle to make ends meet with older farms that have belonged to families for generations. The central city includes 2 large acute care facilities,1 tertiary care facility that is known for excellent pulmonary care.

Both acute care hospitals provide the usual services such as labor and delivery ,outpatient surgery ,chronic diseases care,etc and have fully equipped ancillary departments ,such as lab and radiology. Up until this point,residents have used the facilities emergency departments for routine illnesses and conditions when their private physicians were not readily available.

Write a 5-7 page paper in which you Analyze some of the social,political ,and economic factors that have led to the proliferation of urgent care facilities and primary care practices over the last 20-30 years. Create a comprehensive mission statement for the clinic ,and discuss how it will facilitate the provision of quality services. Analyze and discuss 1 or more directions the clinic might take to he is its business .

Determine what factors you would consider when deciding what services to provide  in-house house and which ones to affiliate with other institutions. Decide how you will determine if the clinic is meeting it’ goals . Identify 3 performance measurements you could use to evaluate the succss of the clinics services . Begin by naming a goal,and then identify a quantifiable measurement you could use for each to determine if you are coming close or falling short of the goal. Determine how you would address whatever opportunities for improvement seem to exist and what processes you would put in place. Use at least 3 quality resources in this assignment.

 
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Describe the major types and classifications of health care information standards and the specific organizations that develop and regulate these standards.

EXAMINE THE IMPACT TECHNOLOGIES HAVE ON HEALTH CARE INFORMATION SYSTEMS.

In this assignment, you will condense information from Assignment 2 to create a PowerPoint presentation.

Faculty Note: If there is a hardship for any student in being able to secure a microphone to complete this assignment, allow the student to use the Notes section of PowerPoint to write a narrative of what he or she would say if actually presenting.

Create a seven to nine (7–9) slide PowerPoint presentation in which you:
1. Provide a title slide (as indicated in the format requirements below), followed by a slide with an executive summary containing a brief statement of your proposal, as covered within Assignment 2.

2. Summarize your response to each of the criteria in Assignment 2—one (1) slide per criterion, for a total of six (6) slides.

3. Provide a summary slide that addresses your key points from Assignment 2.

4. Narrate each slide, using a microphone, indicating what you would say if you were actually presenting in front of an audience.

Your assignment must follow these formatting requirements:
· Format the PowerPoint presentation with headings on each slide and three to four (3–4) relevant graphics (photographs, graphs, clip art, etc.), ensuring that the presentation is visually appealing and readable from 18 feet away. Check with your professor for any additional instructions.

· Include a title slide containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The title slide is not included in the required slide length.

The specific course learning outcomes associated with this assignment are:
· Examine the impact technologies have on health care information systems.

· Describe the basic components of a strategic information system plan.

· Describe the major types and classifications of health care information standards and the specific organizations that develop and regulate these standards.

· Discuss the need for, and identify methods of, accomplishing the security of information systems.

· Evaluate the impact of strategic information system plans on organizational competitiveness and performance.

· Use technology and information resources to research issues in health information systems.

· Write clearly and concisely about health information systems using proper writing mechanics.

 
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