Cost and Quality in U.S. Health Care

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 Cost and Quality in U.S. Health Care

Within the Discussion Board area, write 500–700 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.

 

From 1998–2003, the following important reports were published:

 

The Urgent Need to Improve Healthcare Quality by M. R. Chassin and R. W. Galvin.

To Err Is Human: Building a Safer Health System by L. T. Kohn, J. M. Corrigan, and M. S. Donaldson.

Crossing the Quality Chasm: A New Health System for the 21st Century by the Committee on Quality Health Care in America

National Healthcare Quality Report by the Agency for Healthcare Research and Quality

Complete the following for this assignment:

 

  1. Choose 1 of those reports, and describe its impact on the quality of health care in the United States.
  2. How could you use the concepts of the report that you chose to assess and subsequently improve the quality of health care in your health care organization?

 

Note: Use APA style to cite at least 2 scholarly sources from the last 5 years in addition to the chosen report.. 500-700 words APA Format…

 
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ANALYZE THE BENEFITS AND CHALLENGES OF EXTERNALLY REPORTED MEASURES FOR HEALTH CARE PROVIDERS AND FOR PATIENTS.

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ANALYZE THE BENEFITS AND CHALLENGES OF EXTERNALLY REPORTED MEASURES FOR HEALTH CARE PROVIDERS AND FOR PATIENTS.

Application: Quality Measures

“The gold standard for defining quality measurement remains Donabedian’s three-element model of structure, process, and outcome” (Varkey, p. 30).

Although this model of quality measurement may apply to all kinds of clinical care facilities, you will focus on hospitals for this assignment so that you can make use of data on the CMS’s “Hospital Compare” Web site. Using this Web site, you will examine quality information for a particular hospital, and conduct some basic benchmarking analysis.

To prepare for this Application:

  • Visit the Hospital Compare Web site:http://www.medicare.gov/hospitalcompare/?AspxAutoDetectCookieSupport=1
    • Click on the links at the top titled “learn about the new organization of our Hospital Compare Measures” and review them briefly.
  • On the top left there is another tap titled “About Hospital Compare Data” that Shows information on Process of Care Measures, Outcome of Care Measures, and Outpatient Imaging Efficiency Measures.
  • As you consider this information, bring to mind the six dimensions of quality: Safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity. Search…through step 3.
  • For the purposes of this assignment, go back to the 1st page and select a hospital by either entering the zip code for the hospital or the name of the hospital. When you’ve done that and clicked on Show Hospitals, you should have hospitals that you can compare. Follow the directions to review Patient Survey Results (HCAHPS survey results), Timely and Effective Care or Readmissions, Complications and Deaths.
  • Consider which organizations are most appropriate to compare for benchmarking purposes. Use the Hospital Compare website and compare your primary hospital’s data with data from another hospital – either one in the same area or one across the country, as you think appropriate.
  • After comparing the data, assess which measures you think are of the greatest concern and in need of improvement in your primary/original hospital. What is your rationale for this assessment? Select two or three measures to focus on for this assignment. Consider which dimensions of quality they relate to (safety, effectiveness, patient-centeredness, timeliness, efficiency, and/or equity).
  • Review this week’s Learning Resources, new the hospital’s Web site, and consider what other steps you would take to get a clearer picture of these quality issues.

The Assignment

Write a 1- to 2-page paper that addresses the following:

  • Identify the primary hospital you have selected.
  • Identify the measures you have chosen to focus on (those that are most in need of improvement or that otherwise warrant attention). Compare and contrast the characteristics of structure, process, and outcome measures, and explain which category or categories your chosen measure relates to.Also, indicate the dimensions of quality with which these measures are associated.
  • Briefly summarize the data, including your benchmarking analysis.
  • Analyze the benefits and challenges of externally reported measures for health care providers and for patients. Also, explain why benchmarking can be useful for identifying areas for improvement.
 
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Discuss the legal and ethical issues of the study. Include the use of human subjects and their protection.

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Discuss the legal and ethical issues of the study. Include the use of human subjects and their protection.
Paper , Order, or Assignment Requirements

Select a nursing research article from the list below that includes a theoretical or conceptual framework and the exploration of a clinical problem. Identify the nursing research article components using the Week 5 research template.

Development of a Proactive Care Program (U-CARE) to Preserve Physical Functioning of Frail Older People in Primary Care

Emotional Work and Diversity in Clinical Placements of Nursing Students

Nurses’ Preparedness and Perceived Competence in Managing Disasters

Self-efficacy-based training for research literature appraisal

The template will be evaluated on the effectiveness of the discussion of the following components. If a component is not present in the article, its absence should be discussed.

Identify the research problem.

Identify the research purpose.

Summarize the review of literature.

Identify the nursing framework or theoretical perspective.

Identify the research questions and hypotheses.

Identify the variables.

Identify and discuss the appropriateness of the design.

Discusses the validity and reliability of the instruments, tools, or surveys.

Discuss the significance of the study. Did it resolve the question?

Discuss the legal and ethical issues of the study. Include the use of human subjects and their protection.

Describe any cultural aspects of the study.

Describe the final sample.

Describe the procedures for data collection.

Summarize the results including statistical analysis used or other method of analysis.

Describe how the results of the research may impact future nursing practice.

Apply the research to the student s nursing practice.

NOTE: If a component is absent, student receives a zero for that componen

 

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Describe your professional philosophy, including your goals and career plans.

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After completing the Career Skills Inventory it was noted that i am strongest in brainstorming, coaching, collaborating, coordinating and meeting deadlines.
After completing the Work Values Card Sort, my top five values were ability utilization, public contact, recognition, responsibility and supervision.
For this assignment, you will reflect on the Work Values Card Sort and Career Skills Inventory exercises that you completed in the Unit 6 studies, articulate your professional goals and career plans, and write an action plan for implementing those goals and plans.
Instructions
Write a 5–6-page paper in which you complete the following:
· Create a title page: Give your paper a title that reflects the purpose of your work. Use the APA Paper Template to format your paper according to the APA manual (sixth edition).
· Write an introduction: For the introduction section of your paper, include the title at the top of the first page, and begin your introduction two spaces beneath your title. (In APA format, the word Introduction is not used as a heading.) Briefly summarize the key components of your paper.
· Create a heading titled Assessment and Inventory Results: Summarize the results of the required self-assessment and self-inventory exercises. Use critical thinking and your knowledge of psychological theories and concepts to analyze the meaning and significance of the results. This summary can help guide your career direction.
· Create a heading titled Goals and Career Plans:
. Describe your professional philosophy, including your goals and career plans.
. Describe how your professional goals and career choices align with your values and life interests.
. Explain how your values relate to professional behaviors and practices.
· Create a heading titled Motivation: Analyze how psychological principles can be used to motivate you to overcome obstacles to reach your professional goals.
· Create a heading titled Action Plan: Develop a SMART action plan for implementing your career goals. This will serve as a road map to help you take concrete steps to fulfill your goals. For example, describe the steps you are planning to take to apply for a job or apply to graduate school. Discuss realistic ideas about how to implement psychological knowledge and skills in occupational pursuits that meet personal and professional goals. You may wish to review the document SMART Action Plan given in the resources, conduct an Internet search to learn what should be included in an action plan, and/or refer to the Capella Career Center resources in this unit’s studies.
· Create a heading titled Conclusion: Briefly summarize the key points of your paper and make a statement about your future career aspirations.
Keep in mind throughout this assignment that while your writing must conform to APA standards, you must explain all information in a manner that can be easily understood by a nonacademic or nonscientific audience.
Refer to the Individual Career Plan Scoring Guide to ensure that you meet the grading criteria for this assignment.
Submit your assignment to the Turnitin before you submit it for grading.
Submission Requirements
Your paper should meet the following requirements:
· Written communication: Written communication is free of errors that detract from the overall message.
· APA format: Comply with current APA style and formatting.
· Number of resources: A minimum of three academic resources.
· Length of paper: 5–6 typed, double-spaced pages, excluding cover page and references.
· Font and font size: Times New Roman, 12 point.
· Turnitin: You are required to submit your assignment to the Turnitin source matching tool. It is very important that you always submit your work as a draft, so you can make revisions before submitting it to the Turnitin assignment link.
DISSCUSSION QUESTION:
Take the time to consider what you have studied and accomplished throughout the psychology program. Reflect on the major areas of psychology and the course competencies you reviewed in this course. Create a post that addresses the following reflective questions about the areas of psychology covered in the program:
· Review the course competencies. How has your work in this course enhanced your level of skill in mastering these competencies?
· Reflect on and discuss how the competencies you have mastered will be valuable in your career.
· Discuss how the career you are interested in pursuing has the potential to impact society for the better.
· Describe your overall Capella experience as a Capella graduate.

 
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consolidate elements from previous assignments into a plan for developing community collaboration to address gaps in service

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Your final assignment is due in Unit 9. You will consolidate elements from previous assignments into a plan for developing community collaboration to address gaps in service. If you have not yet begun, read the assignment carefully and begin selecting and revising elements from previous assignments, taking into account feedback you received on them. Make sure you are ready to submit your final assignment on time in the next unit.

In this assignment, you will consolidate elements from your assignments in Units 3, 5, and 7 into a plan for developing community collaboration to address gaps in service. In adapting elements from previous assignments, you must make improvements based on feedback you received from your instructor and peers.

Your community collaboration plan will describe your selected human services organization and identified leadership theory. You will present historical and current dynamics and practices within the organization and make recommendations for more effective leadership practice for the organization and the community it serves.

The components of your plan must include:

  • An introduction to your selected human services organization.
  • An examination of your selected leadership theory as it applies to practice in your selected organization.
  • An analysis of the value of your selected leadership theory for contemporary and future practice in the organization.
  • A literature review in which you integrate theories and models of practice for the organization as related to social, cultural, and global practice.
  • An analysis of social, political, cultural, legal, and economic factors that affect multidisciplinary collaboration and the ways each of these factors impacts services for the client population served.
  • An outline for a leadership plan for building social, cultural, and global collaboration for improved outcomes. Your plan must include:
    • Agencies identified for collaboration.
    • A diagram that reflects community-building processes.
    • A timeline for implementation.
    • Recommendations for organizational assessment or change processes that will foster social, cultural, or global collaboration.

Additional Requirements

  • Written communication: Written communication is free of errors that detract from the overall message.
  • APA formatting: Headings that define the sections of the paper, resources, and citations are formatted according to current edition APA style and formatting.
  • References: Minimum of 8 academic references (journal articles or textbooks).
  • Length of paper: 8–10 typed, double-spaced pages, excluding the cover page and references.
  • Font and font size: Times New Roman, 12 points.
  • Turnitin: Submit your paper to Turnitin for analysis.

Submit your Community Collaboration Project in the assignment area as a Word attachment and attach your Turnitin report.

 
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Pharmacotherapy for Respiratory Disorders

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 Nursing homework help

Discussion: Pharmacotherapy for Respiratory Disorders

To the untrained ear, most coughs sound the same. However, as you might recall from past clinical experiences, a simple cough can lead to a patient diagnosis of a common cold, pneumonia, or even a chronic obstructive pulmonary disease (COPD). Although it can sometimes be challenging to diagnose a patient based on common respiratory symptoms such as congestion, coughing, and wheezing, it is important to be able to distinguish minor differences as even mild symptoms might require intervention with drug treatments. When recommending potential treatment options, advanced practice nurses must consider how individual patient factors might impact the effects of prescribed drugs.

To prepare:
  • -Review Chapter 26 and Chapter 27 of the Arcangelo and Peterson text.
  • -Select and research one of the following respiratory disorders: the common cold, pneumonia, or a chronic obstructive —-pulmonary disease (COPD) such as emphysema or chronic bronchitis. Consider types of drugs that would be prescribed to patients to treat symptoms associated with this disorder.
  • -Select one of the following factors: genetics, gender, ethnicity, age, or behavior. Reflect on how this factor might impact effects of prescribed drugs, as well as any measures you might take to help reduce negative side effects.

With these thoughts in mind:

By Day 3

Post a description of the respiratory disorder you selected including types of drugs that would be prescribed to patients to treat associated symptoms. Then, explain how the factor you selected might impact effects of prescribed drugs, as well as any measures you might take to help reduce negative side effects.

THE DISCUSSION IS IN APA, MINIMUM 3 REFERENCES NOT OLDER THAN 2013 AND CITATION.

Required Readings

Arcangelo,  V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.).  (2017). Pharmacotherapeutics for advanced  practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams  & Wilkins.
Chapter 18, “Otitis Media and Otitis Externa” (pp. 243-252)
This chapter compares the causes and pathophysiology of two common ear infections—otitis media and otitis externa. It also identifies types of drugs used to treat these ear infections.

Chapter 24, “Upper Respiratory Infections” (pp. 259-374)
This chapter explores the causes, pathophysiology, and diagnostic criteria of two upper respiratory infections—the common cold and sinusitis—as well as drug therapy for both infections. It also covers monitoring patient response and patient education of drug therapy for these infections.

Chapter 25, “Asthma” (pp. 377-392)
This chapter examines the causes, pathophysiology, pharmacogenomics, and diagnostic criteria of asthma. It also outlines suggested drug therapy plans for asthmatic patients.

Chapter 26, “Chronic Obstructive Pulmonary Disease” (pp. 395-406)
This chapter explains the causes and pathophysiology of chronic obstructive pulmonary disease (COPD). It also examines the process of selecting, administering, and managing drug therapy for COPD patients.

Chapter 27, “Bronchitis and Pneumonia” (pp. 407-424)
This chapter begins by examining the causes, pathophysiology, and diagnostic criteria of acute bronchitis, chronic bronchitis, and community-acquired pneumonia. It then explores the process of selecting, administering, and managing drug therapy for patients with bronchitis and pneumonia.

Drugs.com. (2012). Retrieved from http://www.drugs.com/

This website presents a comprehensive review of prescription and over-the-counter drugs including information on common uses and potential side effects. It also provides updates relating to new drugs on the market, support from health professionals, and a drug-drug interactions checker.

National Heart Lung and Blood Institute. (2007). Expert panel report 3 (EPR3): Guidelines for the diagnosis and management of asthma. Retrieved from http://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.htm

This website presents guidelines for diagnosing and managing asthma and outlines treatment recommendations for specific age groups.

 
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Use at least four (4) quality academic resources in this assignment. Note: Wikipedia and other similar websites do not qualify as academic resources. Each of your selected articles (2) is a source and your textbook should be used as a source.

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Use at least four (4) quality academic resources in this assignment. Note: Wikipedia and other similar websites do not qualify as academic resources. Each of your selected articles (2) is a source and your textbook should be used as a source.

Use at least four (4) quality academic resources in this assignment. Note: Wikipedia and other similar websites do not qualify as academic resources. Each of your selected articles (2) is a source and your textbook should be used as a source. One additional academic source is required for a total of four (4) sources.
Field: Psychology
Click the link above to submit your assignment.

Students, please view the “Submit a Clickable Rubric Assignment” in the Student Center.
Instructors, training on how to grade is within the Instructor Center.

Assignment 2: Adjustment Case Study

Due in Week 8 and worth 230 points

Go to NPR’s StoryCorps Website, located at http://www.npr.org/series/4516989/storycorps. Read two (2) articles that were published within the last two (2) months that focus on individuals with major adjustment issues.

Next, use the textbook and the Strayer Library to research evidence-based strategies to help with adjustment. Consider strategies that relate to stress and coping, gender, stages of life, cultural and social issues, and health.

When referencing the selected stories, please use this format:

Standard Reference Format:
Title of the story [Audio file]. (Year, Month Day). Retrieved from website url.
Example:
A homeless teen finds solace in a teacher and a recording [Audio file]. (2014, March 7). Retrieved from http://www.npr.org/2014/03/07/286921391/a-homeless-teen-finds-solace-in-a-teacher-and-a-recording.

In-Text Citation Format:
The in-text citation for a selected story is an abbreviated version of the title and the year of publication. The abbreviation contains the first three words of the title.
Example:
(“A homeless teen,” 2014).

When referencing the textbook, please use this format:

Standard Textbook Reference Format:
Author’s Name. (Date of publication). Title of the resource. Publisher information.
Example:
Santrock, J. (2006). Human adjustment: 2007 custom edition. Boston, MA: McGraw-Hill.

In-Text Citation Format:
The in-text citation for the textbook is the author’s last name and year of publication.
Example:
(Santrock, 2006).

Write a three to six (3-6) page paper in which you:

Summarize two (2) articles you selected from the NPR Website. The two (2) article must be from within the last two (2) months.
Describe the major adjustment issues discussed in each story.
Examine at least three (3) evidence-based strategies from each of the selected articles that could help the individuals in each article enhance their adjustment skills.
For each article, recommend the evidence-based strategy that is best suited for the people in the selected articles. Provide a rationale for your response.
Use at least four (4) quality academic resources in this assignment. Note: Wikipedia and other similar websites do not qualify as academic resources. Each of your selected articles (2) is a source and your textbook should be used as a source. One additional academic source is required for a total of four (4) sources.
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.
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 is not included in the required assignment page length.
Include a reference page containing APA-formatted references for all sources used in your paper. The reference page is not included in the required assignment page length.
The specific course learning outcomes associated with this assignment are:

Identify contextual variables (e.g., culture) that impact psychological adjustment.
Define stress, stressors, and coping strategies, and contemplate their relationship to health and wellness.
Identify and describe social psychological phenomena.
Describe adult relationships, lifestyles, and issues of parenting and longevity.
Identify gender differences and explore gender role stereotypes.
Use technology and information resources to research issues in psychology.
Write clearly and concisely about psychology using proper writing mechanics.

 

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sequential explanatory design,

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You gave detailed information on mixed methods, quantitative, and qualitative research and it was informative. I would disagree with you that quantitative research would be the best, because you would be missing the observational aspect for your research study. You used stratified random sampling to collect data on men who use methamphetamine, because everyone does not consume this substance (Hesse-Biber, 2010).
Your discussion post sounds like the mixed method design you are referring to is sequential explanatory design, because it collects the quantitative data first and the qualitative data second. There are advantages to using mixed methods in research studies and one of them is the results may include both observations and statistical analyses. Therefore, the results are validated within the study. Using both approaches in one study provides additional evidence and support for the findings. Would you agree?
A different design method you could use would be the concurrent triangulation design. This method is used to confirm, cross-validate, or corroborate findings, by concurrently collecting the qualitative and quantitative data in one phase. The data for this method is analyzed separately and then compared and/or combined (Johnson, Onwuegbuzie, & Turner, 2007).
Your ethical issues are valid. However, because this is a study about the effects of methamphetamine consumption my ethical issue would be avoiding harm to participants and offering inducements for research (APA, 2010). The reason I point out these ethical concerns because the research involves an illegal substance that could be fatal to the participants. You do not want to entice participants to illegally use drugs just to be in a research study. Good post!!
References

 
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write a paper of 750-1,000 words about the impact on nursing of the 2010

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write a paper of 750-1,000 words about the impact on nursing of the 2010

Question descriptionDetails:

Review the Institute of Medicine (IOM) report: “The Future of Nursing: Leading Change, Advancing Health,” focusing on the following sections: Transforming Practice, Transforming Education, and Transforming Leadership.

Write a paper of 750-1,000 words about the impact on nursing of the 2010 IOM report on the Future of Nursing. In your paper, include:

  1. The impact of the IOM report on nursing education.
  2. The impact of the IOM report on nursing practice, particularly in primary care, and how you would change your practice to meet the goals of the IOM report.
  3. The impact of the IOM report on the nurse’s role as a leader.

Cite a minimum of three references.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Students should review the rubric prior to beginning the assignment to become familiar with the criteria and expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

 
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Nursing and Medical

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Nursing and Medical

Question descriptionHealth and Medical

Nursing and Medical

Community Health Nursing

Collaborative Nursing

Evidence Based Practicecommunities, and populations” (66). The American Organization of Nurse Executives
(AONE) assumptions for future patient care delivery include the following:
Assumption 1: The role of nurse leaders in future patient care delivery systems will
continue to require a systems approach with all disciplines involved in the process
and outcome models.
Assumption 2: Accountable Care Organizations will emerge and expand as key defin‐
ing and differentiating healthcare reform provisions that will impact differing care deliv‐
ery venues.
Assumption 3: Patient safety, experience improvement and quality outcomes will re‐
main a public, payer and regulatory focus driving work flow process and care delivery
system changes as demanded by the increasingly informed public.
Assumption 4: Healthcare leaders will have knowledge of funding sources and will be
able to strategically and operationally deploy those funds to achieve desired out‐
comes of improved quality, efficiency, and transparency.
Assumption 5: The joint education of nurses, physicians, and other health profession‐
als will become the norm in academia and practice promoting shared knowledge that
enables safer patient care and enhancing the opportunity for pass-through dollars to
apply to APRN residencies and/or related clinical education (2010, pp. 1–3).
The five NAM core competencies are interrelated with these assumptions. Also,

 
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