Didn't get the chance to work on this assignment, so you need to be creative to answer the following questions. I work at the montreal jewish general hospital, in the emergency department. The staff a...nd the patients are from different backgrounds. Most of our emergency admissions are cardiology and medicine case. New staff get a 3days of theoretical course and 6 weeks orientation with a senior nurse. To complete this assignment you can refer to the JGH website http://www.jgh.ca/en/home. I provided a document about management theories, and for the rest of the references plz use scholarly articles.

Organizational Analysis Assignment

Describe your own organization under the following headings:

Organizational Setting (5%)

Describe the organization as to type, services offered, population served and staff and client characteristics.

Management Practices (30%)

Which management theory (MT) does your organization subscribe to? Is it transparent? How do new employees gain an understanding of the MT.

Critique the use of the adopted theory. Describe the strengths, limitations, and challenges of the theory. How does this impact on you?

If you could, would you keep the existing management theory? Why or why not? If not, which theory would you suggest and why?

Organizational Climate (30%)

What is the climate of the organization? The guiding philosophy? The stated and unstated values? Are there a clear Mission, Vision and Values statements? What are the human resource needs? (Think about the alignment of the supply of skilled and qualified individuals and the capabilities of the current workforce, with the organization's strategic plan; are there gaps / shortages?) Read more: http://www.answers.com/topic/human-resources#ixzz1ckxBWalC
Which type of organization is your organization (matrix, decentralized)? How does this impact how decisions are made in your organization?

How do individuals form relationships, adapt to the environment, and terminate? (What are the formal (management) and informal (group) socialization and cultural influences that shape the work environment?

Diversity Orientation (25%)

What is the diversity orientation at your organization?

What strategies does your organization implement to support diversity?

Conclusion (10%)

Briefly summarize your thoughts & conclusion to this assignment.

How did this analysis impact your overall learning?

How did this assignment help you in relation to the course readings and materials?

Evaluation will be based on how clearly you respond to the above, in particular:

The clarity with which you introduce and describe your organization and other key components of this assignment.

Your conclusions, including a description of your overall learning and its relation to the course readings and material

See Organizational Analysis Example from the University of Kansas at http://www.cte.ku.edu/gallery/writingmatters/postmus/student_papers/Organizational_Analysis_2006_ex_2.pdf  more

Analyze and create a comprehensive care plan for acute/chronic care, disease prevention and health promotion for that patient and disorder assigned. Your care plan should be based on current best prac...tices and supported with citations from current literature, such as systematic reviews, published practice guidelines, standards of care from specialty organizations and other research based resources. In addition, you will provide a detailed scientific rationale that justifies the inclusion of this evidence in your plan. Your paper should adhere to APA format for title page, headings, citations, and references. The paper should be no more than 15 pages typed excluding title page and references.
Criteria:
Case Study Evaluation
o Analyze the disorder addressing the following elements: pathophysiology, signs/symptoms, progression trajectory, diagnostic testing, and treatment options.
o Differentiate the disorder from normal development.
o Discuss the physical and psychological demands the disorder places on the patient and family.
o Explain the key concepts that must be shared with the patient and family to achieve optimal disorder management and outcomes.
o Identify key interdisciplinary team personnel needed and how this team will provide care to achieve optimal disorder management and outcomes.
o Interpret facilitators and barriers to optimal disorder management and outcomes.
o Describe strategies to overcome the identified barriers.
Care Plan Synthesis
o Designed a comprehensive and holistic recognition and planning for the disorder.
o Addresses how the patients socio-cultural background can potentially impact optimal management and outcomes.
o Demonstrated an evidence-based approach to address key issues identified in the case study.
o Formulates a comprehensive but tailored approach to disorder management.
Submit your document to the W5: Assignment 2 Dropbox by Thursday, April 17, 2014
Criteria Weight
Case Study Evaluation
Analyze the disorder addressing the following elements: pathophysiology, signs/symptoms, progression trajectory, diagnostic testing, and treatment options.
Differentiate the disorder from normal development.
Discuss the physical and psychological demands the disorder places on the patient and family.
Explain the key concepts that must be shared with the patient and family to achieve optimal disorder management and outcomes.
Identify key interdisciplinary team personnel needed and how this team will provide care to achieve optimal disorder management and outcomes.
Interpret facilitators and barriers to optimal disorder management and outcomes
Describe strategies to overcome the identified barriers.


16

14

14

14

14


14

14
Care Plan Synthesis
Designed a comprehensive and holistic recognition and planning for the disorder.
Addresses how the patients socio-cultural background can potentially impact optimal management and outcomes.
Demonstrated an evidence-based approach to address key issues identified in the case study.
Formulates a comprehensive but tailored approach to disorder management.

20

20

20

20
APA Style/Format: Free of grammatical, spelling or punctuation errors. Citations and references are written in correct APA Style. 20
Total 200


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After reading "Chapter 3: To Heal Sometimes, To Comfort Always," complete the questionnaire titled, "My Nursing Ethic."
Using the reading and the questionnaire, write a paper of 750-1,000 words in... which you describe your professional moral compass. As you write your paper, include the following:
1. What personal, cultural, and spiritual values contribute to your worldview and philosophy of nursing? How do these values shape or influence your nursing practice?
2. Define values, morals, and ethics in the context of your obligation to nursing practice. Explain how your personal values, philosophy, and worldview may conflict with your obligation to practice, creating an ethical dilemma.
3. Reflect and share your own personal thoughts regarding the morals and ethical dilemmas you may face in the health care field. How do your personal views affect your behavior and your decision making?
Do not be concerned with the use of ethical terminology for this paper.
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.
This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.
Complete the questions below.
PASSION: Why am I here?
MOTIVATION: What moves me to act?
INSPIRATION: What keeps me in motion?
LOYALTY: Whom do I serve?
BEING HUMAN: READINGS FROM THE PRESIDENT'S COUNCIL ON BIOETHICS
Chapter 3: To Heal Sometimes, To Comfort Always
Introduction
We have considered the enduring human dream of perfecting nature. We have seen how some great scientists perceive the potential of the methodical pursuit of useful knowledge to make this dream a reality, even as others seek to shield scientific inquiry from utilitarian purposes. In our third chapter we turn to medicine, where we see, among other things, the dream of using knowledge to achieve perfect wholeness applied to the vulnerable, mortal human body.
This is a dream that comes naturally both to doctors, who see firsthand the suffering brought by disease and death, and to the sick and dying, who seek deliverers. But can doctors serve this desire for deliverance from the ?natural shocks that flesh is heir to?? Is that all they do? Is it what they should do? Readings in this chapter explore the purposes of medicine, from the point of view of both doctor and patient. Taken together, they explore a vocation summoned to the work of healing and comforting.
Our readings begin with the Hippocratic oath, which for centuries encapsulated the ideals of medical purpose and physicianly conduct. Fittingly, the oath begins and ends with an attempt to locate the practice of medicine and the doctor himself within the greater order.
But human beings have always wondered about the source of healing and the relation between the doctor and the divine, and Hippocrates? word on these questions was not to be the last. Our next two readings?one from the Book of Sirach, which appears in the Catholic Bible, and one from Albert Camus?s The Plague?further explore these mysteries.
Our fourth reading, ?The Surgeon as Priest,? by surgeon and writer Richard Selzer, offers a doctor?s view of what it means to practice medicine. W. H. Auden follows with the point of view of a patient, in this case a patient eulogizing a beloved practitioner in ?The Art of Healing.?
A doctor, however, does not always heal. A physician confronts perhaps his hardest task when he knows he cannot be the deliverer for whom his patient hopes. What are his obligations when the news is bad? In the next three readings??To One Shortly to Die,? by Walt Whitman, and excerpts from Thomas Mann?s Buddenbrooks and George Eliot?s Middlemarch?we find doctors (or others) confronting the continuing illnesses or certain deaths of those in their care. What should be done for the patients themselves? What should be said to their families?
Finally, doctors stand in a privileged relation to their patients, and the privilege is fraught with danger for both. In our final reading, ?Invasions,? doctor and writer Perri Klass ruminates on one such privilege: the necessary invasion of the patient?s privacy.
***

Sample Reading
THE HIPPOCRATIC OATH
translated by Leon R. Kass, M.D.
This oath, the oldest and best-known expression of a medical ethic, was for centuries regarded as the guide for proper medical conduct. Although the accomplishments of modern medicine appear to have taken the discipline far from its ancient roots, the oath continues to offer a powerful account of what it means to be a doctor.
The oath begins by invoking ancient Greek deities. The specific deities invoked are Apollo, (here, ?Apollo Physician?), the god associated with light, truth, and prophecy; Asclepius, child of Apollo, the ?father? of medicine; Hygieia (whose name means ?health,? ?living well?) and Panaceia (?all heal?), both daughters of Asclepius and associated with what modern readers might call ?prevention? and ?treatment.? The oath concludes with a plea, acknowledging that the physician?s fortunes depend on his fulfillment of its terms.
The six substantive paragraphs in between address first (in the oath?s longest paragraph) how the physician should comport himself with respect to his teachers, as well as his teacher?s offspring, his own, and all other students of medicine. Physicians are here, literally, called into fraternity with one another; the gift of the medical art is equated with the gift of life. The five subsequent paragraphs indicate how the physician should conduct himself with respect to his patients and their households. The first three deal with the ends and means of treatment, appropriate and inappropriate, the last two with decorum.
Why begin the oath with an invocation of the gods? Why these gods? What does this beginning suggest about the powers of the physician and their source?
Parents, rightly, often resent the authority teachers have over their children. Yet, here, physician-teachers are explicitly equated with fathers, medical students with their sons. Is this equation or analogy justifiable? Why or why not?
What attitude toward the medical arts is expressed in the oath?s five paragraphs on ends, means, and conduct toward patients and families?
What, according to the oath, is the true purpose of medicine?
Can you explain and justify the limits the oath places upon the uses of medical technique?
Except to say that a doctor must neither kill nor suggest killing, the oath is silent on the subject of death. What can one infer from the oath about a doctor?s obligations to the hopelessly ill?
***
The Oath
I swear by Apollo Physician and Asclepius and Hygieia and Panaceia and all the gods and goddesses, making them my witnesses, that I will fulfil according to my ability and judgment this oath and this covenant:
To hold the one who has taught me this art as equal to my parents and to live my life in partnership with him, and if he is in need of money to give him a share of mine, and to regard his offspring as equal to my brothers in male lineage and to teach them this art?if they desire to learn it?without fee and covenant; to give a share of precepts and oral instruction and all the other learning to my sons and to the sons of him who has instructed me and to pupils who have signed the covenant and have taken an oath according to the medical law, but to no one else.
I will apply dietetic measures for the benefit of the sick according to my ability and judgment; I will keep them from harm and injustice.
I will neither give a deadly drug to anybody if asked for it, nor will I make a suggestion to this effect. Similarly I will not give to a woman an abortive remedy. In purity and holiness I will guard my life and my art.
I will not use the knife, not even on sufferers from stone, but will withdraw in favor of such men as are engaged in this work.
Into whatever houses I may enter, I will come for the benefit of the sick, remaining clear of all voluntary injustice and of other mischief and of sexual deeds upon bodies of females and males, be they free or slave.
Things I may see or hear in the course of the treatment or even outside of treatment regarding the life of human beings, things which one should never divulge outside, I will keep to myself holding such things unutterable [or ?shameful to be spoken?].
If I fulfil this oath and do not violate it, may it be granted to me to enjoy life and art, being honored with fame among all men for all time to come; if I transgress it and swear falsely, may the opposite of all this be my lot.~
Code of Ethics for Nurses
The Code of Ethics for Nurses was developed as a guide for carrying out nursing responsibilities in a manner consistent with quality in nursing care and the ethical obligations of the profession. To learn more about the creation of the Code of Ethics, purchase a copy of your own, or view the nursing Code of Ethics online, please refer to the links listed below.
https://bioethicsarchive.georgetown.edu/pcbe/bookshelf/reader/chapter3.html
http://www.nursingworld.org/MainMenuCategories/EthicsStandards/CodeofEthicsforNurses.aspx
http://www.bioethics.gov  more

The subject of the assignment is India's Apollo Hospitals Group. The written paper should include a succinct executive summary and conclusion to improve readability, double spaced Calibri font size 11... with corresponding chart and graphs to correspond to financial projections for strategic marketing plan.

Analysis of the organization's situation forward to present day, identifying and assessing the strategic alternatives facing the current Apollo Hospitals group organization as of September 2014.

Use Porter's Five Forces, Resource Based and SWOT analysis.


Strategic Alternative Identification & Fit Assessment
Prepare environmental analysis of Indian domestic & global healthcare industries.

? Identify threats facing Apollo

? Assess Apollo?s current competitive position, capabilities, and deficiencies

? Identify strategic alternatives facing Apollo and which are most viable to pursue

Strategic Choice & Strategy formation

Describe and defend our choice(s) as the best way for Apollo Group to grow and/or protect its current competitive positions(s).

? What business strategy(s) will we pursue as a result?

? Make sure not only to identify which current organization capabilities we want to leverage, but also future capabilities Apollo needs to develop in order to execute our strategic recommendations effectively.

? Explain why these capabilities (current & future) are important and why/how the organization is realistically positioned to leverage or develop these, and,

? Exploit the opportunity(s) we have identified or will mitigate the threat(s) facing Apollo.

Consider different models of healthcare delivery and payment systems. How might the design/nature of these systems in the relevant markets influence the nature of the strategic choices facing the firm? NOTE: review the rubric questions as well.

What other strategic recommendations should Apollo?s leaders make in regard to management, governance, and future strategic decisions? (Consider what is needed from the top management.; suggest and defend an appropriate structure (formal/informal) to accommodate our choice, and explain our choices and initiatives and why we believe we are advocating for will position Apollo?s brand for the years ahead.

Finance Questions:

Provide financial support for your strategic recommendation(s) including .xls file, supporting charts and graphs. More specifically, estimate the costs and benefits (after-tax cash flows) that will occur based on your long-term strategic choice(s) and then determine if the strategic choice(s) is/are expected to be value enhancing (based on the estimation of various performance measures). Estimate inflows infinitely, and outflows out 10 years.

Provide clear assumptions in .xls file, estimate discount rate, WACC, Cash flows, performance measures and risk assessment.

? Application of at least one risk assessment tool is expected with a discussion of the implications the results have regarding the risks associated with your strategic choice(s). Clear presentation of your assumptions is required and justification for these assumptions is useful whenever possible.


Economics Questions

When explaining and defending the strategic opportunity (or opportunities) the firm should pursue, be sure to include an economic analysis of your position. Specifically, the following questions should be addressed:

? Explain the factors affecting Apollo?s pricing decisions:

o Categorize the major costs tied to your strategy as either fixed or variable and explain how this contributes to your pricing strategy if at all.

o Would you anticipate a competitive, monopolistic, oligopolistic, or monopolistically competitive market structure for your product or service?

How does this impact your overall strategic choices if at all?

How does this impact your pricing strategy? Please note that this analysis should also tie into the marketing section?s questions about how you will differentiate your offerings.

o Are the goods and services provided to the customers inelastic or elastic? How does this impact your pricing strategy if at all?

o When discussing pricing strategies, actual numbers are not necessary. Please discuss, however, whether prices would be higher, lower or similar to current substitutes and/or past prices that have been used. Also, please be sure to also include a discussion of how the potential customers will pay for the goods and services (e.g., out of pocket, government health program and/or private insurance programs).

?Is this good or service subject to any market failures (such as positive/negative externalities, monopolies, asymmetric information, etc.)? If so, would you expect the Indian government or other government entities to become involved? Would you perceive this involvement to help or hinder your success?

Health Systems Questions

? As you analyze the barriers and opportunities within and outside of India?s health care industry, consider the models of care that may be financially beneficial to Apollo. In particular, what opportunities are available to Apollo that may not exist in the U.S. because of regulatory systems or other barriers? What are the gaps in the current Apollo approach to providing services?

? What is the comparative effectiveness of India?s health care system and the western countries Apollo may target for medical tourism?

? How can Apollo design a health care delivery system that effectively balances profitability with their mission to bring quality health care ?within the reach of every individual? in a country where 33% of the population earns less than $1.25 per day?

What resources does the firm have, and have they built out? what are the product line extensions? what can they be best positioned to exploit, in line with their enterprise strategy? Make a recommendation to be a leader in teaching hospitals, with recruitment of large scale fortune 500 companies.

Sending case files and additional information.  more

HI,

This is 2 pages on HIPAA and Ethics for Medical Assistants. See attached documents for instructions.

Ethical Responsibilities: Avoid Putting the Organization at Risk

Knowledge of HIPAA is an essential part of a Medical Assistant's role. For this section of the employee training manual, you will be providing an overview of the privacy aspect of HIPAA. Additionally, you will reflect on the protections provided by the law and how such protection can be reflected in your own philosophy of providing excellent patient services.
You have determined that it is important to provide visual examples of some of the written communication that your coworkers will partake in while working in your department. This week for your project, you will construct a HIPAA overview and sample denial letter to include in your training manual.

Discuss an emerging issue that will pose new ethical dilemmas for healthcare.
**(For example, technology integration, innovation testing, genetic mapping, stem cell research, etc.)
Requirements related to this issue include:
a. Analyze whether global competition affects U.S. healthcare policy about the emerging issue. For example, stem cell research in Europe but not here ??" how will that affect our economy and our health care options?
b. Discuss how the U.S. should handle licensing and liability issues for clinicians practicing telemedicine across state or national borders in regards to the emerging issue.
Additional instructions:
The introduction provides a sufficient background on the topic and previews major points
Central theme/purpose is immediately clear
Structure is clear, logical, and easy to follow
Subsequent sections develop/support the central theme.
Conclusion/recommendations follow logically from the body of the paper

Please include the reference page.

THIS IS A THREE PART ASSIGNMENT WHICH SHOULD ALL COME FROM THE DEVELOPMENT OF PART 1 OF THIS RESEARCH. THIS SHOULD BE WRITTEN IN APA STYLE THE FIFTH EDITION. MY TOPIC IS SUBSTANCE ABUSE IN THE MEDIC...AL PROFESSION. PLEASE MAKE SURE PROJECT 2 AND THREE INFORMATION IS IN PROJECT 1.
Project 1:
Assignment: A research topic, develop a research question, conduct research on the topic, and write a 2500 to 3750 word scholarly article on their subject. You will read 15-20 articles in your area of focus with 12 of these to be used in the annotated bibliography.


Project 2:
Assignment: Write a professional presentation version of the paper. A presentation paper should be no longer than 2000 to 2500 words with a reading time of no more than 20 minutes.
Instructions:
You will need to write a 2000-word paper that gives an accurate reflection of your longer argument. You will need to remember that you wont be able to include all of your reasons and evidence, so select the best and/or most interesting reasons that support your claim and develop those for this paper.
You should keep in mind that this paper is designed to be read/spoken, so make sure that it reads aloud well.
Required elements:
Text of paper
In-text references
Reference page
Project 3:
This is a two part project equally weighted. You will turn in a literature review. You will turn in an annotated bibliography .

Literature Review:

Assignment: Write a 1000 to 1250 word review of the current conversation in your research area.

Instructions: You will read somewhere between 15-20 articles in your area (12 of these to be used in the annotated bibliography for Project 1). You will then summarize your findings from reading those articles. Discuss how different researchers have approached your research question and show how your approach to that question is different.

In this review, you will do a great deal of summarizing of other peoples points of view. Your original contribution to the review will be the discussion that ties the different articles together showing how they all contribute to the ideas that you have.

Required elements:
Title page
Text
In-text citations (as necessary)
Reference page


Annotated Bibliography:

Each entry should begin with an APA formatted reference followed by the annotation. Each annotation should be approximately on e paragrah in length (adjusted to the length of the source). The annotations should characterize/summarize the article being discussed and give an indication of how the source will be used in the research project. The items should appear in alphabetical order and should not be numbered.

Required elements:
Title Page
Eight annotated bibliography entries


Sample entry:

Christoffel, K. (2007). Firearm injuries: epidemic then, endemic now. American Journal of Public Health, 97(4), 626-629. Retrieved Friday, May 04, 2007 from the CINAHL Plus with Full Text database.
There has been a transition in US firearm injuries from an epidemic phase (mid-1980s to early 1990s) to an endemic one (since the mid-1990s). Endemic US firearm injuries merit public health attention because they exact an ongoing toll, may give rise to new epidemic outbreaks, and can foster firearm injuries in other parts of the world. The endemic period is a good time for the development of ongoing prevention approaches, including assessment and monitoring of local risk factors over time and application of proven measures to reduce these risk factors, development of means to address changing circumstances, and ongoing professional and public education designed to weave firearm injury prevention into the fabric of public health work and everyday life.  more

The books can be found at any library and are:
1. The God Gene: How Faith is Hardwired Into our Genes. Dean Hamer, 2004.
2.When Prayer Fails: Faith Healing, Children, and the Law. Shawn Franci...s Peters, 2008.
3.Medicine, Religion, and Health: Where Science and Spirituality Meet.
4. Religion and Healing in America. Linda L. Barnes and Susan S. Sered, 2005.

The topic I have chosen is: religion dictating medicine. I would like to focus on the strong beliefs held my certain religious groups, that medicine will have no part in their lives and that they will rely on "faith healing." To get a better idea, there was a case in Wisconsin not too long ago regarding a young girl from Wisconsin with Diabetes whose parents refused to call for medical help, claiming healing comes from God. The little girl died on Easter Sunday from a common medical side effect of Diabetes that was completely treatable and the parents are now being criminally charged.

The aim of this paper is to set up a comparison between religion and science by using 4 authors who speak to that issue in a way so as to see clearly the relation of religion and science on that issue. Be sure to include a section that makes clear both how you judge the relation between religion and science and how that has some importance for how anyone thinks about the issue you have chose. Essentially, present the science argument using facts from the text and then present the religion argument doing the same and then lastly a discussion section giving opinion and how this may impact the general public.  more

there can be no refrences from the internet... it should be about the biological, psychological, and social ramifications of abusing prescription drugs (only OPIATES like tabs, oxys, percocets, etc) included needs to be things like, how they get addictied, things they do to maintain their habit (dr shopping, stealing money or prescription pads, etc), things they could loose do to this addiction, what the pills are made of and what are their medical uses, how they get off of the pills, what kinds of treatments there are, withdrawls. what they do to their family, things like that... how most addicts feel about themselves as addicts what are communities and govt doin to help stop this problem. i have my lit review i am goin to send, i would like some of the info from the lit review to be included into the research paper.
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CASE 6: Vietnam International Hospital: What Now? (send by email)
------------------------------------------------------------
The Vietnam International Hospital case has relevance to be envis...ioned as a provider of quality health care for foreign nationals. The case also addresses marketing strategies to help reposition the hospital and to revive its prospects to attract foreign patients as well as reaching out to the indigenous upper-income Vietnamese population.

Learning Objectives for the Case:
1. To learn to apply various marketing tools (SWOT, Porters Five Forces) in the analysis of VIHs situation and be able to make recommendations based on that analysis.
2. To evaluate the break-even point for VIH in terms of customers and to apply this knowledge in decision-making.
3. To synthesize information in the case and to provide alternative solutions that could have been utilized to build the business.
4. To be able to suggest what should have been done before launching the venture.
------------------------------------------------------------

The Assignement Paper:

To accomplish the above outcomes please prepare a paper consisting of answers to the following quistions:

1. Using Porters five forces, what does the picture look like for success?
2. Undertake a traditional SWOT analysis of the case.
3. Based on the original concept of the hospital, do you think Mr. Lee and Dr. Tan made a realistic assessment of the Hanoi market for private medical care when they launched the project?
4. If you had been acting as a pre-project marketing consultant to Mr. Lee what might you have done by way of data collection to ascertain the nature of the market? (Remember, this is a developing-world country, and oftentimes consumers have little conceptualization of the product you envision.)
5. To build volume for the Hospital among Vietnamese, it appears that VIH not only needs to build brand awareness, but must also create need awareness in its market. How would you suggest VIH go about creating in the Vietnamese community recognition of the need for higher quality medical care without offending the government and its state-sponsored health care system?
6. In addition to the steps already taken by Ms. Anh and Mr. Nguyen, what other measures could you suggest to expand the business volume at VIH?
7. What risks, if any, do you see in trying to market to expatriates and Vietnamese at the same time?


Please give this a great deal of thought and impress me with your approach to the assignment.

The paper must include answers to above mentioned quistions ( Please answer ALL 7 quistions concisly, each quistion in a page at least, so 7 quistions in 7 pages). Please don't skip any of the quistions, and be concise, professional and direct in your answers.

The following text book can be used as a reference- if available- " Strategic Managment of Health Care Organizations" ( Linda E. Swayne, W. Jack Duncan, Peter M. Ginter)

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GUIDELINES FOR QI ASSIGNMENT
Patient and families always feel no one listens to them or tells them everything. My quality improvement will revolve around responding to patient concerns providing ...information and concerns for their care and following through. follow the guidelines below 4-6 pages no more with apa format and no direct quotes. Paraphase only will need at least 4 reference site correctly in apa format. I am emailing some power points on patient and family concerns and recovery methods to regain lost confidence.
The paper should be carefully written in a formal style, based on primary sources, provide an integration of ideas, and be 4-6 pages in length, excluding title page & reference list. Organized flow, logical progression of ideas, and clarity in thought are essential.

Criteria Points
1.
Introduction paragraph (one paragraph). There must be a thesis statement at the end of the paragraph that tells the reader the purpose of paper and what will be discussed.Summary of practice improvement initiative; organizational background/context;Hospice is the background stakeholders; measure(s) of quality. (How are you measuring quality?) /3
2.
Model(s) of quality improvement initiative. (What model(s) are you using to conceptualize quality?). /4
3.
Integrates at least two (2) aims from IOM as it relates to quality improvement. /3
4.
Proposed evaluation method(s) of quality measures. (What qualitative and quantitative methods are identified to determine if quality achieved?)
5.
Conclusions: summarize the essential points of paper (one paragraph). How would a process map be useful in the steps of implementation and evaluation. /3
Scholarly Writing: Appropriate grammar and spelling is expected. Deductions for APA errors will be .25 per error.

/2
Quality improvement may be defined as a formal approach to the analysis of performance and systematic efforts to improve it. Quality improvements in health care can be measured using available recognized measures of quality at the appropriate levels of intervention. The Institute of Medicine (IOM) describes quality using six domains: safety, timeliness, effectiveness, efficiency, equity and patient-centeredness. Appropriate data sources must be available in order to measure quality. Structure, process and outcomes provide a framework for understanding and conceptualizing quality. Process maps are also excellent quality improvement tools (see Victorian Quality Council reference). Select a practice improvement issue within your organizational system and within the realm of your practice area. My Parctice impr Using the grading rubric as a guide, develop a quality improvement plan to address the identified issue and describe how quality within your system will be improved with this initiative.

Helpful Resources:
http://patientsafetyed.duhs.duke.edu/module_a/module_overview.html (FADE Model)
http://www.cms.hhs.gov/QualityImprovementOrgs/ (CMS Quality Improvement)
http://www.ahrq.gov/whatsnew.asp (Innovation Exchange)
http://www.innovations.ahrq.gov/content.aspx?id=1807 (Rapid Cycle Improvement Process)
http://www.innovations.ahrq.gov/qualitytools (Quality Tools)
http://www.innovations.ahrq.gov/searchSummary.aspx?term=Quality+Improvement+Process (Quality Improvement Process)
http://www.ihi.org/IHI/Topics/Improvement/ImprovementMethods (Improvement Methods)
Victorian Quality Council. (2007). Process mapping: A guide for health service staff. Retrieved from http://www.health.vic.gov.au/qualitycouncil/downloads/process_mapping.pdf



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Exercises:(80 points)
1. The various kinds of health professionals are educated in separate schools but with considerable overlap in curricula and training requirements. They are, however, expecte...d to integrate their training and work together after graduation. Identify the advantages and disadvantages of this approach to professional education in terms of costs, educational efficiency, and patient care quality.
2. An oversupply of physicians in many urban regions contrasts with continuing problems of access in rural and inner-city areas. Why does the mal-distribution of physicians persist in spite of the number of physicians graduated?
3. The health care delivery system now places increased emphasis on maintaining wellness and on promoting disease avoidance through healthy behaviors and lifestyles. What challenges does this new orientation pose for our existing system of medical education and training?


Option 2: Additional Discussion Question (Module 4)
Please respond to one of the questions that you did not respond to on the required discussion posting separate paragraph end of essay
In 1992, medical residency programs in the U.S. were described as "responsive principally to the service needs of hospitals, the interests of the medical specialty societies, the objectives of the residency program directors, and the career preferences of the medical students." In fact, there are so many more residency programs than can be filled by American medical school graduates, that an annual influx of foreign educated physicians has been required to satisfy the service needs of many hospitals. In addition, until recently, there has been no attempt to match Americas needs for various kinds of specialty and generalist physicians with the hospital-based training programs that were producing them. In light of these facts, pose an opinion on ONE of these questions:
Since the taxpayers fund medical residency training, shouldnt there be some planned balance between the needs for various kinds of physicians and the number of sites for their clinical training?
Few graduates of medical school choose primary care, and instead flock to specialties with greater pay and prestige. Since primary care is the basis for maintaining health and early diagnosis of potential health problems, who should be responsible for rectifying this misplaced emphasis of health care. insurersmedical schoolsthe governmentthe AMAothers?
Since there are not enough American medical school graduates to fill the residencies of the smaller non-teaching hospitals, would not the employment of nurse practitioners, physician assistants, or young physicians starting practice be considered first, before recruiting foreign medical graduates?

Attach your assignment as a Word document or comparable file format.

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Yvonne is a 14 years old, Yolnugu girl from Yirrkala- a well-known indigenous community in Arnhem Land.Yvonne is admitted to the medical unit of the local public hospital with fevers and abdominal pain.Yvonne is quiet and non-communicative and regularly leaves her room to sit outside with other members of her community.

Discuss the above clinical scenario focusing on culturally safe nursing practice, including communication and interaction processes between Yvonne and the nursing staff, citing evidence-based practice.The discussion should focus on patient assessment to describe cultural awareness, cultural diversity and specific strategies for culturally safe nursing practice. In addition, identify the processes required for effective clinical decision-making that will assist facilitate appropriate nursing intervention and the planning of care for Yvonne.Specially, this section should include discussion on evidence-based practice to promote optimal outcomes of care for Yvonne. Finally, discuss the relevance of reflective practice to the care of Yvonne and evaluate the benefits of reflective practices as a beginning nurse practitioner.
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The routine practice of "ghost surgery" is well documented in medicine. Ghost surgery refers to any medical procedure in which the contracting physician was not the actual physician who performed the procedure. In many instances the patient is completely unaware simply because the patient is unconscious at the time. Ghost surgery is not, strictly speaking, limited to surgical procedures. The same phenomenon occurs in a variety of medical settings from radiology to routine lab work. In some instances, ghost surgery is a necessary component of the medical system, for example with the obvious need to train medical students to become the future surgeons of the world. Please review the Tunkl and Shorter cases; each addressed a different aspect of responsibility and liability. Please consider all views and write a position paper setting forth how you would propose to resolve a good balance between the rights of patients and the often necessary practical needs of the medical community.

Tunkl v. Regents of University of California, pp. 219-222
- May hospitals contract for absolute immunity patients?


Shorter v. Drury, pp. 222-230
- Limitations on the right to sue due to patient's actions

Clinical Research Problem

1.Identify the nursing care problem or issue
a. What are the nursing consideration in the treatment of an individual with an eating disorder? And how does... their role affect the medical complications associated with eating disorders? (ie it?s effects on the renal, neurological, cardiovascular, and endocrine systems)

2.Utilize research priorities published by a professional nursing organization to identyify a nursing research question (see National Institute of Nursing Research: Research Themes for the Future) (I will fax a copy)
a.Refer to research priorities as published by National Institute of Nursing Research when discussing problem or issue

3. Provide rationale for choice of this problem or issue (the significance of this to nursing)

4. Conduct a review of the related literature to determine existing concepts, theories, research methods and findings to the stated question
a. Review of literature should provide a concise, integrative and interpretive approach to the stated problem or issue
i.Include nursing research studies to support thesis (minimum or two)
ii.Literature review should include refereed, current journals with nursing literature being predominant in review
iii.Minimum of eight current references as above

5. Suggest recommendations for further research and implications of the findings

Paper should include the following
Statement of problem/issue
Significance of problem/issue
Review of literature
Recommendations

Paper should be in APA format

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Can you please answer this question-What specific experience/exposure have you had w/ a D.O.physician(doctor of osteopathics).How has this influenced your decision to become an osteopathic physician?--Info. about me:Until recently I never new of a D.O. until my volunteer work at a hospital once I discovered the field a whole new view and path about medicine opened up(I want to try to incorporate this new discovery into the essay)--This discovery turned me from M.D to D.O career path--I have volunteered over 200+ hrs. at a hospital- Worked side by side with doctors + shadowed them as they worked-D.O. DEFINITION:offer same medical benefit as mod. med. but give hands on diagnosis & treatment.Want wellness & focus on health education and injury and disease prevention. Thanks

You are a medical billing specialist in a busy medical office. Your boss has asked you to train the newly hired billing specialists on how to bill and code for a cardiology practice.
Using cardiology as the focus of your research, give a brief overview of the billing for which a cardiology practice is responsible. In 2?3 pages using the resources available to you for this unit and any other resources you find, be sure to cover at least the following topics:
? The types of conditions treated
? The system or systems of the body covered in this practice
? Common procedures performed
Also, include the following information:
? Identify and define at least 10 current procedural technology (CPT) codes that are associated with a cardiology practice.
? Include at least 5 CPT modifiers for the codes that you listed.
? Give an example of 2 healthcare common procedure coding system (HCPCS) codes that may be used.

Heritage Assessment???
Click on http://wps.prenhall.com/wps/media/objects/663/679611/box_6_1.pdf in order to access the Heritage Assessment Tool.
2)????? Assess yourself using the Heritage As...sessment Tool by answering its questions. In 1,000-1,500 words discuss the usefulness of applying a heritage assessment in evaluating the needs of the whole person, summarize what you learned from the Heritage Assessment Tool. (This word count will include the interviews and questions below).?
3)? Interview 3 families from different cultures. One family can be your own. Compare the?differences in health traditions between these cultures. Address:
?
(a) Health maintenance - How does this culture maintain health? Preventative doctor visits? Special diet?
(b) Health protection - How does this culture protect their health? Vaccinations? Other means?
(c) Health restoration- When sick, how do members of this culture restore their health? Doctor visits? Healers? Prayer?
?4) Identify common health traditions based on your cultural heritage. What did you talk about in your heritage assessment as far as your own traditions?
?5) Evaluate and discuss how the families ascribe to these traditions and practices. How closely do the families that you interviewed follow their customs? How importan is it to them?
6) Prepare this assignment according the APA guidelines found in the APA Style Guide.
DO NOT COPY AND PASTE AND INCLUDES INTRUDUCTION,CONCLUSION AND MORE REFERENCE. MY WRITER USERNAME IS nicolle.
I AM ATTACHING MY OWN HERITAGE BELOW AND OTHER TWO HERITAGE YOU SHOULD FILL AND ATTACH WITH ESSAY.



This is the rubric:
Criteria
Achievement Level
?
Excellent
95% - 100%
Discuss the Usefulness of Applying a Heritage Assessment in Evaluating the Needs of the Whole Person.
2 points
Discussion of the usefulness of applying a heritage assessment in evaluating the needs of the whole person is offered in detail, while offering insight and/or reflection.
Family Interviews
2 points
Interview of three families from different cultures that provides comparison of the differences in health maintenance, health protection, and health restoration among the cultures is offered in detail, while offering insight and/or reflection.
Identifying Common Health Traditions
2 points
Identification of common health traditions based on your cultural heritage is offered in detail, while offering insight and/or reflection.
Evaluate How Families Ascribe toThese Traditions and Practices
2 points
Evaluation to how family families subscribes ascribe to these traditions and practices is offered in detail, while offering insight and/or reflection.
Thesis Development and Purpose
0.5 points
Thesis and/or main claim are comprehensive; contained within the thesis is the essence of the paper. Thesis statement makes the purpose of the paper clear.
Paragraph Development and Transitions
0.5 points
There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. Paragraph structure is seamless.
Mechanics of Writing
(includes spelling, punctuation, grammar, language use)
0.5 points
Writer is clearly in command of standard, written, academic English.
Paper Format
(1- inch margins;
12-point-font;
double-spaced;
Times New Roman, Arial, or Courier)
0.2 points
All format elements are correct.
Research Citations
(In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment)
0.3 points
In-text citations and a reference page are complete. The documentation of cited sources is free of error.  more

Applicants to the Doctor of Nursing Practice program should compose a 500-750 word essay that includes:
1. Your academic and career goals and a discussion of how the D.N.P. program will contribute to these goals.
2. A discussion of a major issue in contemporary nursing and how this issue should be addressed.

QUESTIONS TO FOCUS ON AND ANSWER IN THE ESSAY:
From the 18th century to the present era, hospitals (as institutions that offer "therapy") have changed considerably. To what extent have these chan...ges been driven by shifting expectations and conceptions of medical therapy? How can you describe the main changes of the character of the hospital over the past 200 years (purpose, governance,
etc)?


EXTRA INFORMATION:
It is MANDATORY to use both lectures (which will be uploaded as PowerPoints) and readings (in further detail below) as references for the essay. Lectures should be referenced by title and by PowerPoint slides number within the slideshow; readings should be cited according to Chicago style (parenthetical - not footnotes). It is not obligatory to use additional sources outside of the lectures and the readings. The following 2 sources are MANDATORY readings from the same textbook that we NEED to cite within the essay. We need to demonstrate comprehension of the significant substance of the readings in order to relate to and back up our answers to the questions of the essay (but we should not cite them merely for incidental matters of fact):

1) Hilary Marland, The Changing Role of the Hospital, 1800-1900, in Medicine Transformed. Health, Disease and Society in Europe 1800-1930 (Manchester: Manchester University Press, 2004), pp. 31-60.
2) Deborah Brunton: "The Emergence of a Modern Profession?" in Medicine Transformed. Health, Disease and Society in Europe 1800-1930 (Manchester: Manchester University Press, 2004), pp. 119-150.

Should you have any trouble finding this reading, a preview of the readings from this textbook can be found on GoogleBooks at the following link:

< http://books.google.ca/books?id=iFWASHAZH9gC&pg=PA31&lpg=PA31&dq=Hilary+Marland,+%E2%80%9CThe+Changing+Role+of+the+Hospital,+1800-1900,+in+Medicine+Transformed.+Health,+Disease+and+Society+in+Europe+1800-1930.&source=bl&ots=0SOLaFItH0&sig=xL9xAoTYzgxqYB8q_VOAodGZNug&hl=en&sa=X&ei=8UK2UNP5M6a50AGerYGoAw&ved=0CCsQ6AEwAA#v=onepage&q=Hilary%20Marland%2C%20%E2%80%9CThe%20Changing%20Role%20of%20the%20Hospital%2C%201800-1900%2C%20in%20Medicine%20Transformed.%20Health%2C%20Disease%20and%20Society%20in%20Europe%201800-1930.&f=false >
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29NURS840
Scholarly Paper Grading Rubric

Please follow these Instructions for this issue paper

Title : PRESSURE ULCERS IN THE ELDERLY DURING HOSPITAL STAY

Explain how ...PRESSURE ULCERS IN THE ELDERLY DURING HOSPITAL STAY
relates to Advance Nurse Practice (ANP).

Provide a succinct summary of the state of the science related to this area of interest (i.e., how rigorous the study was performed, quality and extent of the evidence, confidence and your rationale for confidence in the generalizability of the collective findings of these research studies).

For this paper, see the up loaded articles that has been attached for you to use. In this aspect of the paper you are to determine if any of the articles that you reviewed also had a theoretical framework and if that makes sense to you and why or why not.
*This section of your paper must also have a closing 3-4 sentence paragraph that states your position as to the rigor and/or quality of the reviewed scientific evidence and its generalizability to APN practice with a succinct rationale. Information regarding how to determine the rigor of a qualitative and/or quantitative study is provided in the Coughlan, M., Cronlin, P., & Ryan, F. (2007) and Ryan, F., Coughlan, M., & Cronin, P. (2007) articles. The article has been uploaded for use.

Based on your assessment of the literature, use Jean Watsons Theory of Human Caring nursing theory and apply it to the issue and give a rationale for selecting that theory. ??" just make sure you state your rationale for this decision (no more than 1-2 pages).

Discuss how Jean Watsons theory can be used to specifically examine the focus of interest or clinical question as an advanced practice nurse. Several specific examples of how this can be applied to a particular practice issue are required as an APN. What is currently occurring in your practice area pertaining to your selected practice problem/issue? Now that you are better informed with scientific evidence from your literature review, how can you specifically influence and/or create change in your setting as an APN. BROAD STATEMENTS ARE NOT ACCEPTABLE ??" WHAT IS YOUR SPECIFIC MEASURABLE OBJECTIVE AND ACTION PLAN TO CREATE THIS CHANGE?

The paper should be written following the guidelines of the American Psychological Association Publication Manual, 6th edition. In addition, the paper is expected to be well organized, and have a logical flow of ideas with appropriate headings (pages 62-63 of 6th edition) and citations used. Paper must have a minimum of five primary references with the majority in the last 5 years (e.g., 3 research and the other 2 can be pertaining to the theoretical framework selected and/or other background information). Within the paper, make specific statements pertaining to application rather than broad generalized statements. No more than 9 pages excluding title page, abstract and references.

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Please see the uploaded Resources for general instructions.

Please know this paper must be in your own words. NOTHING can be quoted directly from other student papers or any other source. W...hen you do paraphrase, though, please cite the source.

INSTRUCTIONS:

Analyze one health care legislative bill that is related to the practice of nursing.--- which, if passed, will directly impact health care delivery and nursing practice (suggested length for this analysis: 2-3 pages).
1. Predict the economic impact (e.g., costs, benefits, efficiency, cost containment, etc.) on health care delivery at the local, state, national, or international level if the bill were enacted.
2. Evaluate how the equity of resource allocation inthe current U.S. health care delivery model would be impacted if the legislative bill were enacted.
3. Discuss the impact on administrative resources (e.g., time, legal or regulatory issues, degree of organizational control) that could influence health care delivery if the legislative bill were enacted.
4. Discuss how the role of the nurse could be impacted if the legislative bill were enacted.

Explain why I would or would not advocate passage of the legislative bill (suggested length: 2-3 pages). See the uploaded general instructions on my political philosophy for guidance.

Please make sure all points above are covered! THANKS.
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Overview: TERM PAPER TITLED: HEALTHCARE TEAMS AND COLLABORATION

In this assignment, you will compose a four page paper analyzing your nursing practice in relation to inter- and intra-disciplinary team work.

Learning Objectives:

Examine inter- and intra-disciplinary communication and collaborative skills required to deliver evidence-based, team-based, and patient-centered care

****** CRITERIA THAT MUST BE INCLUDED IN PAPER********

1) DISCUSS DIFFERENCES BETWEEN INTER AND INTRA-DISCIPLINARY TEAMS; DESCRIBE THE PATIENTS PLACE IN THE TEAM


2) DESCRIBE COMMUNICATION SKILLS HELD BY SUCCESSFUL TEAMS

3) DESCRIBE THE ROLE OF TEAMS IN NURSING EMPOWERMENT AND PATIENT EMPOWERMENT

4) DISCUSS THE ROLE OF TEAMS IN PROFESSIONAL NURSING DEVELOPMENT


***INCLUDE SUBTITLES FROM THE 4 ABOVE CRITERIA ***
THIS IS A FOUR PAGE TERM PAPER


FORMAT THE PAPER IN APA 6TH EDITION. USE SCHOLARLY REFERENCES ONLY.

This is a bioethical report for a Medical Law and Ethics class. Please included at least 3-4 reference books, bibliography and 5-6 cited comments. I will need a title page also.

President John F. Kennedy once stated: "Let us not be blind to our differences - but lest us also direct attention to our common interests and the means by which those differences can be resolved. And if we cannot end our differences, at least we can help make the world safe for diversity." How can that idea be applied to the development of cultural competence for the advance practice nurse?