Author: Judy

Ashford 2: – Week 1 – Discussion 2

Your initial discussion thread is due on Day 3 (Thursday) and you have until Day 7 (Monday) to respond to your classmates. Your grade will reflect both the quality of your initial post and the depth of your responses. Reference the Discussion Forum Grading Rubric for guidance on how your discussion will be evaluated.

Convergence   and Data Transmission

 From the information discussed in this week’s lecture, identify three or more data and communication types that you use regularly. The examples may be from your work setting or in your personal life. Discuss how bandwidth and compression methodologies may affect your experience with your identified data types. Provide examples of your experiences. Your initial response should be a minimum of 300 words in length.
 

Guided response: Respond to at least two of your classmate’s posts. Do they accurately identify data and communications types in their examples? How are the examples of issues experienced by others similar or different from yours? Your replies should be between 100 and 150 words in length and add depth and insight to the discussion. See the About Discussions link in the left-hand navigation pane of your classroom for more information.

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Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: Competency 1: Analyze the elements of a successful quality improvement initiative.      Explain the need for and process to improve safety outcomes related to a specific organizational issue. Create resources or activities to encourage skill development and process understanding related to a safety improvement initiative. Competency 4: Explain the nurse’s role in coordinating care to enhance quality and reduce costs.      List the purpose and goals of an in-service session for nurses. Explain to the audience their role and importance of making the improvement plan successful. Competency 5: Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care.      Communicate with nurses in a respectful and informative way that clearly presents expectations and solicits feedback on communication strategies for future improvement. Reference

Patel, S., & Wright, M. (2018). Development of interprofessional simulation in nursing education to improve teamwork and collaboration in maternal child nursing. Journal of Obstetric, Gynecologic & Neonatal Nursing, 47(3), s16–s17. Professional Context

As a baccalaureate-prepared nurse, you will often find yourself in a position to lead and educate other nurses. This colleague-to-colleague education can take many forms, from mentoring to informal explanations on best practices to formal in-service training. In-services are an effective way to train a large group. Preparing to run an in-service may be daunting, as the facilitator must develop his or her message around the topic while designing activities to help the target audience learn and practice. By improving understanding and competence around designing and delivering in-service training, a BSN practitioner can demonstrate leadership and prove him- or herself a valuable resource to others. Scenario

For this assessment it is suggested you take one of two approaches: Build on the work that you have done in your first two assessments and create an agenda and PowerPoint of an educational in-service session that would help a specific staff audience learn, provide feedback, and understand their roles and practice new skills related to your safety improvement plan. Locate a safety improvement plan through an external resource and create an agenda and PowerPoint of an educational in-service session that would help a specific staff audience learn, provide feedback, and understand their roles and practice new skills related to the issues and improvement goals presented in your chosen context. Instructions

The final deliverable for this assessment will be a PowerPoint presentation with detailed presenter’s notes representing the material you would deliver at an in-service session to raise awareness of your chosen safety improvement initiative and to explain the need for it. Additionally, you must educate the audience as to their role and importance to the success of the initiative. This includes providing examples and practice opportunities to test out new ideas or practices related to the safety improvement initiative.

Be sure that your presentation addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score. List the purpose and goals of an in-service session for nurses.  Explain the need for and process to improve safety outcomes related to a specific organizational issue. Explain to the audience their role and importance of making the improvement plan successful. Create resources or activities to encourage skill development and process understanding related to a safety improvement initiative. Communicate with nurses in a respectful and informative way that clearly presents expectations and solicits feedback on communication strategies for future improvement.

There are various ways to structure an in-service session; below is just one example: Part 1: Agenda and Outcomes.  Explain to your audience what they are going to learn or do, and what they are expected to take away. Part 2: Safety Improvement Plan.  Give an overview of the current problem, the proposed plan, and what the improvement plan is trying to address. Explain why it is important for the organization to address the current situation. Part 3: Audience’s Role and Importance.  Discuss how the staff audience will be expected to help implement and drive the improvement plan. Explain why they are critical to the success of the improvement plan. Describe how their work could benefit from embracing their role in the plan. Part 4: New Process and Skills Practice.  Explain new processes or skills. Develop an activity that allows the staff audience to practice and ask questions about these. In the notes section of your PowerPoint, brainstorm potential responses to likely questions or concerns. Part 5: Soliciting Feedback.  Describe how you would solicit feedback from the audience on the improvement plan and the in-service. Explain how you might integrate this feedback for future improvements.

Remember to account for activity and discussion time. 

For tips on developing PowerPoint presentations, refer to: Capella University Library: PowerPoint Presentations. Guidelines for Effective PowerPoint Presentations [PPTX]. Additional Requirements Presentation length:  There is no required length; use just enough slides to address all the necessary elements. Remember to use short, concise bullet points on the slides and expand on your points in the presenter’s notes. If you use 2 or 3 slides to address each of the parts in the above example, your presentation would be 10–15 slides. APA format: Use APA formatting for in-text citations. Include an APA-formatted reference slide at the end of your presentation. Number of references: Cite a minimum of 3 sources of scholarly or professional evidence to support your assertions. Resources should be no more than 5 years old

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Laparoscopic Surgical procedures computer guided surgery, where the surgeon is off site?

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Covert conflict exists when people express disagreements indirectly. Covert conflict behaviors, which include passive aggressiveness and games, unfortunately, make it almost impossible for people to recognize and resolve real problems. (In a sense, covert conflict is using the avoidance style of dealing with conflict (I lose, you lose). For this assignment you can choose to consider your own use of covert conflict behaviors or to analyze the way a conflict partner employed these techniques against you. 

Follow these steps as you write a 2-page conflict report.Identify and briefly describe the conflict situation between you and another person and how a covert conflict behavior was used within the conflict. (1 Paragraph)Explain how the use of this covert conflict behavior hindered communication. How did this affect the outcome? Did you or the other person continue to ignore or avoid the major issues at stake within the conflict? Or were these finally recognized and talked about? Why or why not? (1-2 Paragraphs) Write a recommendation in which you indicate how you might apply – or did apply – the five problem-solving stages of conflict resolution in order to improve communication and create a more positive outcome in this conflict situation. Remember to support your recommendation with details. (3-5 Paragraphs) 

Reminder: The five problem-solving stages of conflict resolution are:
(1) Define the conflict. (2) Examine possible solutions. (3) Test the solution. (4) Evaluate the solution. (5) Accept solution and exit – or Reject solution and start the cycle over.Be sure your writing follows standard mechanics in spelling, punctuation, and style. If using outside sources from research, all source citation should adhere to the guidelines of the APA style guide. 

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Research change theories in scholarly literature and on the Internet.  Develop a scenario and describe application of a change theory from the  perspective of an advanced practice nurse leader. 

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Question 1. In coding, the letter A represents a sequela, and the letter D stands for subsequent visit. True or false

Question 2.  Each unique I-10 diagnosis code may be reported more than once for an encounter. true or false

Question 3.  For bilateral sites, the final character of the codes in the I-10 always indicates laterality true or false

Question 4. Multiple codes are often required for late effects, complication codes, and obstetric codes. true or false

Question 5.  Assign codes as directed in the index, only after verifying the code in the tabular. true or false

Question 6.  A late effect is the residual effect after the acute phase of an illness or injury has passed. true or false 

Question 7. It is important to follow any cross-reference instructions in the index of the I-10, such as see also. true or false

Question 8. If there are separate codes for both the acute and chronic forms of a condition, the code for the chronic condition is sequenced first as long as both codes are listed at the same indentation level of the index. true or false 

Question 9. Systemic lupus erythematosus with associated endocarditis (M32.11) is an example of dual coding. true or false 

Question 10. The official Coding and Reporting Guidelines are updated every year by the Centers for Medicare and Medicaid Services (CMS) and the American Medical Association (AMA), which could affect the steps to accurate coding. true or false

Question 11. Using the ICD-10-CM (Encoder Pro), complete the following statement. 

 The correct reporting for acute cholecystitis with cholelithiasis with obstruction is:

K80.19

K80.12

K80.10

K80.01 

Question 12. A combination code is a single code used to classify all of the following EXCEPT:

two diagnoses 

diagnosis with an associated secondary process (manifestation)

a diagnosis with an associated complication.

more than two diagnoses.

SECOND PART

Unit IV PowerPoint Presentation

Weight: 10% of course grade

Grading Rubric

Due: Tuesday, 12/04/2018 11:59 PM (CST)

Instructions

Create a minimum of a 10-slide presentation that explains the steps to accurate coding. For each step, include detailed instructions about the coder’s role. Within your presentation, include the need specificity in diagnosis coding with multiple codes as well as how to report acute and chronic conditions, combination codes, residual effects, and late effects. Additionally, include the alphabetical index and tabular.

You must use at least your textbook as an outside source. Although not a required outside source, you may find the Centers for Disease Control and Prevention website helpful, which can be accessed by clicking the link below:

Centers for Disease Control and Prevention. (n.d.). CDC 24/7: Saving lives, protecting people. Retrieved from http://www.cdc.gov/

All sources used must be cited and referenced according to APA standards.

Resources

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Concepts in Community and Public Health – Epidemiology and Communicable Diseases

Grand Canyon University

In a written paper of 1,200-1,500 words, apply the concepts of epidemiology and nursing research to a communicable disease.

Communicable Disease Selection

Choose one communicable disease from the following list: Chickenpox Tuberculosis Influenza Mononucleosis Hepatitis B HIV

Epidemiology Paper Requirements

Include the following in your assignment: Description of the communicable disease (causes, symptoms, mode of transmission, complications, treatment) and the demographic of interest (mortality, morbidity, incidence, and prevalence). Describe the determinants of health and explain how those factors contribute to the development of this disease. Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. (The textbook describes each element of the epidemiologic triangle). Explain the role of the community health nurse (case finding, reporting, data collecting, data analysis, and follow-up). Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organization(s) contributes to resolving or reducing the impact of disease.

A minimum of three references is required.

Refer to “Communicable Disease Chain.”

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

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assignment attached.

Question – Answer like before so PLEASE leave questions in – AND bold

I have started it — done observation on the train for commuting to work.  You will see my answers. 

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Due Week 3 and worth 130 points

You are the manager of a new primary care clinic located about twenty five (25) miles outside of a small city (population of 50,000). With five (5) family physicians, two (2) nurse practitioners, two (2) physicians’ assistants (PAs), and twenty (20) clinical support staff consisting of RNs, 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 two (2) large acute care facilities, and one (1) tertiary care facility that is known for its 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, the residents have used the facilities’ emergency departments for routine illnesses and conditions when their private physicians were not readily available.

Write a five to seven (5-7) page paper in which you: Analyze some of the key 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 one (1) or more directions the clinic might take to grow its business. Determine what factors you would consider when deciding what services to provide in-house and which ones to affiliate with other institutions. Decide how you will determine if the clinic is meeting its goals. Identify three (3) performance measurements you could use to evaluate the success of the clinic’s 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 then address whatever opportunities for improvement seem to exist and what processes you would put in place. Use at least three (3) quality resources in this assignment. Note: Wikipedia and similar Websites do not qualify as quality resources. Format your assignment according to the following formatting requirements: This course requires use of Strayer Writing Standards (SWS). The format is different than other Strayer University courses. Please take a moment to review the SWS documentation for details. 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 page length.

  Include a source list. Citations and sources must follow SWS format. The source list is not included in the required page length.

The specific course learning outcomes associated with this assignment are: Analyze the critical management issues, purpose, functions, and performance measures of different departments within healthcare organizations. Examine the political, economic, and social forces that have influenced the organizational foundations of the United States healthcare system. Explain how public policy has shaped the development of the U.S. healthcare system.

   Use technology and information resources to research issues in health services organization management. Write clearly and concisely about health services organization management using proper writing mechanics. Use technology and information resources to research issues in health services organization management. Write clearly and concisely about health services organization management using proper writing mechanics.

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Case Assignment 

Write a 7- to 10-page technical paper that outlines the acquisition, implementation, standards, policies, and applications of a major health information system such as electronic medical records (EMRs), clinical decision support systems (CDSS), medical administration records (MARs), computerized provider order entry (CPOEs). Discuss the needs, benefits, challenges, and technical specifications of the system. Assignment Expectations  Your references and citations should be consistent with a particular formatting style such as APA. Provide references from at least 3 scholarly articles. Your response should be based on reliable and scholarly material, such as peer-reviewed articles, white papers, technical papers, etc. Do not include information from non-scholarly materials such as wikis, encyclopedias, or www.freearticles.com (or similar websites). Your response should incorporate the outcomes of the module with the requirements of this assignment. Your paper must demonstrate a practical understanding of the architectural framework of the health information system selected.

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