DESCRIBE CHALLENGES THAT HEALTH CARE MANAGERS FACE IN THEIR EFFORTS TO IMPROVE PRODUCTIVITY

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DESCRIBE CHALLENGES THAT HEALTH CARE MANAGERS FACE IN THEIR EFFORTS TO IMPROVE PRODUCTIVITY

  • Identify your selected unit (or department) in the first line of your posting.
  • Identify the key inputs and outputs of this unit.
  • Briefly discuss factors that should be considered when establishing the primary productivity measure for your selected unit.
  • Propose one productivity measure for this unit and provide a rationale.
  • What are possible consequences—positive or negative—of the selection of this productivity measure?

Readings

  • Course Text:
  • Langabeer II, J. R., & Helton, J. (2016). Health care operations management: A systems perspective (2nded.). Burlington, MA: Jones and Bartlett.
    • Chapter 6, “Productivity and Performance Management”This chapter explains fundamental concepts of productivity management, and describes the usefulness of performance scorecards in conveying data that can help managers monitor productivity.
  • Course Text: Quantitative Methods in Health Care Management
    • Chapter 9, “Productivity”This reading describes challenges that health care managers face in their efforts to improve productivity, and it discusses a range of methods for measuring, and adjusting the mix, of inputs and outputs.
  • Article: Butrie, A. M., Coakley, D., & Graves, B. (2008). Productivity improvement: Catholic Health East reaps rewards. Healthcare Financial Management, 62(7), 82–8 5. Retrieved from Walden Library Databases
 
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identifying issues within a practice setting, and advanced learning in clinical judgment (Cresia, & Friberg, 2011).

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Please do a paragraph about this post with this instruction .
post most have 4 or more sentences .
you also have to have a high quality post from a content perspective. This means it also needs to do more than agree with or praise a class mate. If you agree with a classmate, explain why, give an example, share what you learned in the readings
A PhD in nursing is obtained when an individual completes a doctorate degree in a research-focused program. The curriculum includes advancing knowledge in concept and theoretical formulations and testing, theoretical analysis, and advanced nursing research (Cresia, & Friberg, 2011). At the completion of a PhD program the graduate student must complete and defend a doctoral dissertation. A DNP, or doctor of nursing practice, is the highest degree for nursing practice and is practice-focused. The curriculum includes developing evidence-based practice care regimens, identifying issues within a practice setting, and advanced learning in clinical judgment (Cresia, & Friberg, 2011). DNP’s work collaboratively with other health care professionals and are highly specialized practitioners.
I personally want to obtain my DNP. I enjoy working closely with my patients and their families. This way I can still work with my patients and their families closely and be able to treat them more efficiently. After completion of this program I am planning on taking a small break and then starting school for my DNP!!

 
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Ethical Problems In The Workplace

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Ethical Problems In The Workplace

Watch the video (https://kapextmediassl-a.akamaihd.net/artsSCi/Media/PS499/PS499_1404B/PS499_U6_DB_Scenario/PS499_U6_DB_Scenario.html)

about an ethical issue and respond to the scenario: Minimum of 350 words with references. No intro required.

There are many ethical problems with this scenario; identify as many of these as you can. Once you have described what the professional did wrong, provide suggestions for better ways to handle this situation.

In the profession of an Industrial Organization (I/O) psychologist, discuss an ethical issue you are likely to encounter. Some suggested considerations are confidentiality, dual or conflicting relationships, payment, advertising of services, and competence. Then discuss what actions you could take to prevent or successfully navigate the issue.

References:

http://www.apa.org/ethics/code/index.aspx

http://www.bacb.com/index.php?page=57

 
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Transcultural Theoretical Models in Nursing Essay Assignment Paper

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Transcultural Theoretical Models in Nursing Essay Assignment Paper

Pick one model/framework (please select one not described in your textbook, here are a few: Leinninger, Purnell, Sager, Galanti, Jeffreys, Spector, Andrews & Boyle) and provide an in-depth analysis:

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Your Transcultural Theoretical Models in Nursing Essay Assignment Paper should include the following parts:

Title/Cover Page
Introduction: State the model/framework that you have selected, and the reasoning behind your selection
Application: Choose a specific cultural group (any that we have studied in this course) and apply the chosen frameworks to the cultural group. Describe the details of the framework and how your selected cultural group fits into the framework. Did it work well? Why or why not?
Implications: How do you feel using a framework will impact your nursing practice? Will you continue to use a framework in your daily practice? Why or why not?
Conclusion: Wrap up your thoughts and provide a brief summary of your ideas (250-400 words)
Reference page: Provide a minimum of four scholarly sources

Use APA format and clearly define the components listed above. Your Transcultural Theoretical Models in Nursing Essay Assignment Paper should be between 4-6 pages, including the reference page and title/cover page. Refer to the OU Library’s APA Style Guide for assistance with formatting your paper. Click the assignment link to compare your work to the rubric before submitting it. Click the same link to submit your assignment. Transcultural Theoretical Models in Nursing Essay Assignment Paper

 
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Describe physical activity (PA) status. Does the person meet current PA guidelines?

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LAB 1: Preparticipation Screening

Part 1: Health Screening and Evaluation

Instructions

I. Data Collection

A. Clients should complete 2014 PAR-Q+, CHD risk profile, lifestyle questionnaire, medical clearance from physician (if needed), and informed consent. Include all forms at end of narrative.

B. Measure your client’s height, weight, and BP (see Part 2). Calculate and classify your client’s BMI.

C. Encourage client to get both a fasting blood lipid profile (TC, HDL-C, LDL-C) and blood glucose test if these have not been done within the past year.

II. Case Study Write-Up

A. Client demographics: Describe age, gender, occupation, and stress level of your client.

B. Describe physical activity (PA) status. Does the person meet current PA guidelines?

C. Analysis of medical history: Describe any medical problems and signs and symptoms of CVD, metabolic or renal disease.

D. Analysis of CHD risk profile: Evaluate your client’s score for each of the risk factors listed below:

1. Age

2. Family history

3. Cigarette smoking

4. Hypertension—measure and evaluate client’s systolic and diastolic BP

5. Dyslipidemia—evaluate client’s TC, HDL-C, and LDL-C values

6. Prediabetes—evaluate client’s fasting blood glucose level

7. Obesity—evaluate client’s BMI and/or waist circumference

8. Physical inactivity

D. Lifestyle profile: Evaluate each component, pinpointing potential problem areas.

1. Dietary considerations (e.g., snacks, salt use, foods high in saturated fat?)

2. Eating habits (frequency of meals, types of food, caloric intake)

3. Physical activity (how often? how much?) and physical activity interests

4. Smoking and drinking habits

5. Suggestions for modifying lifestyle behaviors

III. Ethical considerations:

A. Identify the professional organization most closely aligned with your career goals (e.g. American College of Sports Medicine, National Strength and Conditioning Association, American Physical Therapy Association, National Athletic Training Association, etc.) and review their Code of Conduct.

B. Identify potential areas of professional and ethical concerns pertaining to this part of the project.

C. Identify how you addressed or resolved these potential areas of concern.

Part 2: Measurement of Heart Rate and Blood Pressure

The goal of this exercise is to develop your skill in measuring (a) resting and exercise heart rates (HR) by palpation, auscultation, heart rate monitors, or electrocardiograms (ECG) and (b) resting and exercise blood pressures (BP) by auscultation.

Equipment

· HR monitors or ECG

· Sphygmomanometers

· Stethoscopes

· Cycle ergometers

· Stopwatches

Student Assignments

1. Work in a group of three: one student as client, one student as tester, and one student as data recorder.

2. Rotate assignments so that each student gets to be the client, tester, and recorder.

Heart Rate Measurement Procedures

1. Review methods:

· Palpation

· Auscultation

· Heart rate monitors

2. Review procedures.

· Resting: Subject is seated and pulse rate is counted for 30 sec or 1 min. Evaluate resting HR (normal, bradycardia, or tachycardia?).

· Exercise: Pulse rate is measured using 10- or 15-sec count; HR is measured during last minute of each workload (usually every 2 to 3 min) during graded exercise test.

· Normal HR 60-100

· Recovery: Pulse rate is monitored using 10- or 15-sec count; HR is measured every 1 to 2 min during the 3- to 5-min (low intensity and active) recovery period until stabilized.

3. Normal exercise HR responses:

· HR increases with increasing work intensities.

· HR stabilizes (steady state) during each workload.

· HR should stabilize during recovery but may not return to baseline levels within 5 min.

4. Abnormal exercise HR responses:

· HR fails to rise with increase in workload.

· There is noticeable change in heart rhythm.

· There is onset of angina or angina-like symptoms.

HR Activities

1. Attach HR monitor and electrodes to one person.

2. Following standardized procedures, take resting HR count using palpation and auscultation. Compare to HR monitor or ECG values when possible.

3. Have subject assume seated position on cycle ergometer and begin exercising at low intensity (50 W). Take exercise HR at end of each minute and compare to values obtained simultaneously from HR monitor. If you are palpating HR accurately, these values should be within 4 to 6 bpm.

BP Measurement Procedures

1. Review procedures:

· Resting: Subject is seated for at least 5 min with elbow flexed. Wrap cuff firmly around upper arm at heart level and align cuff with brachial artery. Place bell below antecubital space over the brachial artery. Rapidly inflate cuff to 200 mmHg or +20 mmHg above estimated systolic value. Slowly release pressure in cuff at rate of 2 to 3 mmHg/sec, noting first Korotkoff sound. Continue releasing pressure, noting when sound is muffled (fourth Korotkoff sound) and when it disappears (fifth Korotkoff sound). Take at least two readings. Evaluate (see table 2.3). Normal resting BP is <120/80 mmHg. Relative contraindication if resting BP is >200/110 mmHg. (Note: For clinical testing, resting BP is evaluated in both supine and exercise postures.)

2. Normal exercise BP responses:

· Systolic BP should increase with increasing exercise intensities.

· Diastolic BP should decrease or stay the same during GXT.

· Rise in systolic BP will be steeper and diastolic BP will increase during arm ergometry GXT.

· Systolic BP is more elevated during exercise in upright versus supine posture and for weight-bearing (e.g., treadmill or step exercise) versus non-weight-bearing (e.g., cycling) exercise.

· BP should stabilize during recovery but may not return to baseline values within 5 min.

3. Abnormal exercise BP responses:

· Failure of systolic BP to increase or a significant drop in systolic BP (>20 mmHg) with increase in exercise intensity

· Excessive rise in systolic BP (>250 mmHg) or diastolic BP (>115 mmHg)

BP Activities

1. Practice taking resting BP following standardized procedures. Record values. If you do not get same reading as other tester, use the dual stethoscope.

2. Practice taking exercise BPs with client exercising on cycle ergometer at low to moderate intensities (50 to 150 W). Remember to stabilize client’s arm during measurement. Use dual scope to see if your readings coincide with other tester’s values.

Group Discussion Questions

1. What are the potential sources of error in measuring heart rate by palpation? What can you do to minimize these sources of error?

2. What is your own resting HR classification?

3. Were your palpated HR values close to those obtained using the HR monitor or ECG?

4. Describe your HR response during exercise and recovery. Were your HR responses normal?

5. What are the potential sources of error in measuring blood pressure at rest and during exercise? What can you do to minimize these sources of error?

6. What is your resting BP classification?

7. When the dual stethoscope was used, how close were the BP values measured by the two technicians?

8. Describe your BP response during exercise and recovery. Were your BP responses normal

 
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Photosynthesis

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This is a one page paper assignment.  The goal of this paper is to:

1) Identify some current topic that deals with something that we have learned in class to that point.

2) Be able to describe a recent article related to that current topic (this can be a primary literature article or a newspaper/media article) in your own words and relate it back to what you learned in class

3) Give some sort of reflection or personal thoughts on that article

4) Be able to write in a clear, concise and grammatically correct fashion

You may choose one of these topics,

– Photosynthesis

-DNA ( ex : Replication, RNA)

– Cell Division

-Organelle Diseases

 
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What kinds of next steps would you investigate with Frank as you work with him on an action plan?

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Community Career Development

Read the following case study and in 700- to 1050-words (2-3 pages) answer the questions posed after the case study. Use headings to separate the responses to each question. Use at least two (2) resources.
Frank is a 25-year-old veteran who has served two tours of duty in Iraq. While there, he lost his right arm while removing wounded soldiers from the combat zone. He is suffering from posttraumatic stress disorder. His military specialty is artillery maintenance specialist. Now he faces the need to get housing and a civilian job that provides enough income to support himself, his wife, and their two children. While he has been away, his wife and children have lived with her parents, but now Frank and his wife would like to have their own home.
Frank has a high school diploma but has not pursued any education beyond that. Before entering the military, he drove a florist delivery truck. Linda, his wife, has completed an associate degree in paralegal studies at the local community college while Frank has been away. She is willing to work if they could find a way to acquire good child care services.
Questions:

  • What kinds of next steps would you investigate with Frank as you work with him on an action plan?
  • To what agencies and resources might you refer Frank?
  • What kinds of support services does this family need?

(Niles & Harris-Bowlsbey, 2017, p. 403)
Point Value: 8 Points

 
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Pharmacological And Physiological Antagonism

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Pharmacological And Physiological Antagonism

Prior to beginning work on this discussion, read the required chapters from the text and review the required articles for this week. Alcohol and caffeine have nearly opposite effects on behavior and the nervous system, yet these substances are not used to treat overdose or addiction to the other. Why not use caffeine to treat alcohol addiction? Analyze the issues of pharmacological and physiological antagonism. Explain the receptor systems involved and the central nervous system structures effects with regard to this question. Frame your analysis in terms of drug action first and other consequences second.

Guided Response:  Review several of your colleagues’ posts and respond to at least two of your peers by 11:59 p.m. on Day 7 of the week. You are encouraged to post your required replies earlier in the week to promote more meaningful interactive discourse in this discussion.

 
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Lateral Marketing Strategy

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Discussion

Please respond to the following: “Lateral Marketing Strategy”

  • Assess the value of target marketing as an effective health care marketing strategy. Appraise the degree to which vertical and traditional segmentation help marketing managers use target marketing strategies. Support your rationale with at least two (2) specific examples of target marketing within a health care organization with which you are familiar.
  • Evaluate the impact of lateral segmentation in encouraging marketing managers to look broadly at markets in order to identify previously overlooked opportunities. Provide at least one (1) specific example of quality initiatives within a health care organization
 
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What is the legal and ethical status of suicide?

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Ethical Frameworks Essay

Question descriptionConsider the “Four Topics Approach” (or Four Box method) to ethical decision making , Table 2.1 in Butts (below). Apply this model to a challenging situation in your nursing career that required you to consider the ethical dimensions of the patient case and the role you played in providing care. Specifically apply and address the questions within each topic area as they pertain to your situation.

In your conclusion, discuss the impact of the Four Topics process. Did applying these principles shape your decision making in any way? Does this seem like a valid process for you to apply in your practice?

Your paper should be 1-2 pages. Adhere to APA formatting throughout, and cite any outside sources you may use.

Four Topics Method for Analysis of Clinical Ethics Cases

Medical Indications: The Principles of Beneficence and Nonmaleficence
1. What is the patient’s medical problem? Is the problem acute? Chronic? Critical? Reversible? Emergent? Terminal?

2. What are the goals of treatment?

3. In what circumstances are medical treatments not indicated?

4. What are the probabilities of success of various treatment options?

5. In sum, how can this patient be benefited by medical and nursing care, and how can harm be avoided?
Patient Preferences: The Principle of Respect for Autonomy
1. Has the patient been informed of benefits and risks, understood this information, and given consent?

2. Is the patient mentally capable and legally competent, and is there evidence of incapacity?

3. If mentally capable, what preferences about treatment is the patient stating?

4. If incapacitated, has the patient expressed prior preferences?

5. Who is the appropriate surrogate to make decisions for the incapacitated patient?

6. Is the patient unwilling or unable to cooperate with medical treatment? If so, why?
Quality of Life: The Principles of Beneficence and Nonmaleficence and Respect for Autonomy
1. What are the prospects, with or without treatment, for a return to normal life, and what physical, mental, and social deficits might the patient experience even if treatment succeeds?

2. On what grounds can anyone judge that some quality of life would be undesirable for a patient who cannot make or express such a judgment?

3. Are there biases that might prejudice the provider’s evaluation of the patient’s quality of life?

4. What ethical issues arise concerning improving or enhancing a patient’s quality of life?

5. Do quality-of-life assessments raise any questions regarding changes in treatment plans, such as forgoing life-sustaining treatment?

6. What are plans and rationale to forgo life-sustaining treatment?

7. What is the legal and ethical status of suicide?
 
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