electronic system in the health care system, new ideas and approaches are introduced. Electronic health records are helpful if they are meaningfully used. The concept of meaningful use is explained by many healthcare authorities. The Medicare and Medicaid Incentive Programs offer financial incentives regarding "meaningful use" of certified EH (Electronic Health ecord) technology. This helps improve patient care. The health care officers need to demonstrate that they "meaningfully use" their EHs and meet objectives. AA HITECH legislation also ensures "meaningful use" by skilled professionals (What is meaningful use? n.d.). The professionals that are certified for electronic health record technology are qualified for incentive payments (AHIMA: Quality Healthcare through Quality Information, 2013). AHIMA discusses the criteria for meaningful use. The initial set of standards should be met and the specifications for implementation must be followed. The professionals qualified for incentive repayment for meaningful use of certified EHs include Dentist, Physicians,…...

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References

AHIMA: Quality Healthcare Through Quality Information, (2013), Retrieved from:

 http://www.ahima.org/advocacy/arrameaningfuluse.aspx 

Blumenthal, D., (2010), "The "Meaningful Use" Regulation for Electronic Health Records," Retrieved from:  http://www.nejm.org/doi/full/10.1056/NEJMp1006114 

What is meaningful use? (n.d.), Retrieved from:

program has the potential to revolutionize the way the healthcare industry on many fronts and has implications for nurses, nursing, national health policy, patient outcomes, and population health associated with the collection and use of Meaningful Use core criteria. The primary objectives that lie at the heart of the system is to improve patient outcomes, safety, efficiencies, patient engagement, improved coordination, and public health outcomes in general among many other objectives. There are several components that are included in the electronic health records (EH) initiative and there are also different stages of the implementation (stages 1 and 2). This analysis will provide an overview of the Meaningful Use objectives as well as a discussion about possible inclusions of various criteria that could strengthen the implementation in general.
Overview of the Meaningful Use Program

The U.S. government introduced the Meaningful Use program as part of the 2009 Health Information Technology for Economic…...

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References

Athena Heatlh. (N.d.). What is Meaningful Use? Retrieved from Meaningful Use knowledge hub:  http://www.athenahealth.com/knowledge-hub/meaningful-use/what-is-meaningful-use 

Kumar, R., Babu, R., Ramesh, P., Madhura, P., & Padmavathamma, M. (2013). Medical Diagnosis Expert System as Service in Cloud. International Journal of Computing and Communications Engineering, 390-392.

Lin, W., Dou, W., Zhou, Z., & Lui, C. (2015). A cloud-based framework for Home-diagnosis service over big medical data. Journal of Systems and Software, 192-206.

U.S. Department of Health and Human Services. (N.d.). HITECH Act Enforcement Interim Final Rule. Retrieved from U.S. Department of Health and Human Services:  http://www.hhs.gov/ocr/privacy/hipaa/administrative/enforcementrule/hitechenforcementifr.html

Nurses
Meaningful use of data when used together with the best practice and evidence-based practice has the potential to improve health and healthcare for the population. Meaningful use of data greatly affects nurses since they are at the frontline in achieving the goals of meaningful use Mann, 2011.

This paper defines how meaningful use affects nurses and the role of nurses as relates to meaningful use. The paper is divided into four main sections -- the overview of meaningful use, which briefly defines the meaningful use program, the analysis section that describes the implications of meaningful use, meaningful use recommendations that provides evidence-based recommendations whether it is necessary to add more criteria to the program, and the conclusion section that provides a summary of the paper.

Overview of meaningful use

Meaningful use of data refers to using certified electronic health record (EH) or electronic medical record (EM) technology with the aim or improving…...

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References

Burke, T. (2010). The Health Information Technology Provisions in the American Recovery and Reinvestment Act Of 2009: Implications for Public Health Policy and Practice. Public Health Reports (1974-), 125(1), 141-145. doi: 10.2307/41434759

Damberg, C.L., Timbie, J.W., Bell, D.S., Hiatt, L., Smith, A., & Schneider, E.C. (2012). Developing a Framework for Establishing Clinical Decision Support Meaningful Use Objectives for Clinical Specialties: RAND Corporation.

Ford, E.W., Huerta, T.R., Thompson, M.A., & Roland, P. (2011). The Impact of Accelerating Electronic Prescribing on Hospitals' Productivity Levels: Can Health Information Technology Bend the Curve? Inquiry, 48(4), 304-312. doi: 10.2307/23110291

Klein, D.B., Laugesen, M.J., & Liu, N. (2013). The Patient-Centered Medical Home: A Future Standard for American Health Care? Public Administration Review, 73, S82-S92. doi: 10.2307/42003024

Heubusch (2009), defining meaningful use is important because "it triggers $17 billion in Medicare and Medicaid incentives for the adoption of electronic health record systems." According to the U.S. Department of Health and Human Services, "providers will reap benefits beyond financial incentives -- such as reduction in errors, availability of records and data, reminders and alerts, clinical decision support, and e-prescribing/refill automation." Standards defining meaningful use of EMS technologies must be set for ethical, legal, and fiscal reasons. Therefore, the American Health Information Management Association (AHIMA) published a series of white papers on the issue.
The nine-part AHIMA white paper series begins with a poorly written overview that does not provide a working definition of terms, offer meaningful use criteria, or any other pertinent data for that matter. Only four pages long, the "Overview of the Meaningful Use Final ule" is practically useless. The second white paper is five pages…...

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References

Heubusch, K. (2009). Defining "Meaningful Use" in ARRA

U.S. Department of Health and Human Services (n.d.). Retrieved online:  https://www.cms.gov/EHRIncentivePrograms/30_Meaningful_Use.asp 

Summary of AHIMA's white paper series on meaningful use. There are 9 papers in the series. Be specific regarding the points of the entire paper. Information can be found at Journal of AHIMA website.

Regular and Regimented Activity Project for Overweight, Obese and |Diabetic Veterans
The Project Committee or team will be composed of:

The Project Manager who designs and develops the project with the team and oversees all activities leading to its completion (ITS, 2015). It is also his task to secure sponsorship and to deal with stakeholders. He handles all communications and reports, takes the risks and addresses the issues incurred in the implementation of the plan. In the overall, he assures that the Project is completed on schedule, as committed and within the budget allotted (ITS).

The Project Team Members are from the different disciplines of the nature of the target of the Project. They have their individual contributions to the Project with pre-arranged specifications from and by the Project Manager (ITS, 2015; Hofstrand, 2015). They are experts or authorities in their respective fields or professions. Some of them are regular members in that…...

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BIBLIOGRAPHY

Blumenthal, D and Taverna, M. (2010). The meaningful use regulations for electronic health records. Vol 363, Perspectiv: New England Journal of Medicine. Retrieved on June 29, 2015

from  http://www.nejm.org/doi/full/10.1056/NEJMp1006114 

DeSalvo, K. B, ( 2011). Privacy, security and electronic health records. Health IT buzz.

Retrieved on June 29, 2015 from http://www.halthit.gov/buzzblog/privacy-ad-security-of-ehrs/privacy-security-electronic-health-records

Healthcae Delivey Systems and Infomatics
Meaningful Use (MU)

Unde the HITECH Act (2009) financial incentives wee offeed to physician pactices and hospitals who adopted cetified electonic health ecod (EHR) systems and used this technology to impove quality, safety, and efficiency in patient cae. This is efeed to as "meaningful use". To eceive incentives, povides must povide evidence they ae meaningfully using thei EHR's by meeting a numbe of identified objectives. Use these links to exploe meaningful use. Go to the HealthIT dashboad site and exploe hospitals that have demonstated Meaningful Use though the Medicae EHR Incentive Pogam.

Link 1: Health IT Dashboad (2015) at http://dashboad.healthit.gov/dashboads/hospitals-medicae-meaningful-use.php

Link 2: CMS.gov (2014). Eligible Hospital and CAH Meaningful Use Table of Contents Coe and Menu Set

Objectives at https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePogams/Downloads/EH_CAH_MU_TableOfContents.pdf

OR See Table 1: Stage 1 Meaningful Use Objectives unde Module 4 in Blackboad

1. List the two (2) states that have the lowest demonstated MU ate. Biefly explain (with appopiate…...

Technology in Managing Data in Clinics
A Literature eview on the Use of Technology in Managing Data in Clinic

High quality in primary health care can be achieved by revitalizing the primary health care system and programs. Such effort will ensure that citizens have easily accessible high quality health care in an efficient manner. If information technology is used effectively in health care practice, there is a good chance of improving the delivery of primary health care and the accompanying patient outcomes.

Management systems that have to do with facilitation of clinical information are a currency in many health care facilities. There has been a lot of change since the days of Electronic Numeral and Integrator and Computer; commonly abbreviated as ENIAC; this was arguably the first real general purpose computer system set up in 1946. There are a number of clinical information systems that can be used in ICU processes. The…...

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References

Georgia, M.A., Kaffashi, F., Jacono, F.J., & Loparo, K.A. (2015). Information technology in critical care: Review of monitoring and data acquisition systems for patient care and research. The Scientific World Journal, 2015, 1-9.  http://dx.doi.org/10.1155/2015/727694 

Snyder, E. & Oliver, J. (2014). Evidence-based strategies for attesting to Meaningful Use of electronic health records: An integrative review. Online Journal of Nursing Informatics

(OJNI), 18. Retrieved from  http://www.himss.org/ResourceLibrary/GenResourceDetail.aspx?ItemNumber=33523

Management
ationale for the use of life cycle Management at Glazers

LCM (Life Cycle Management) is a framework which manages and scrutinises the performance and sustainability of services and goods. This framework aims to achieve the long-term objectives of the business, and gives less stress on the short-term objectives. For getting a more sustainable value chain, organizations are making use of this framework, which would in turn improve their economic and social performance. Businesses throughout the world are making use of this framework for many purposes, like to improve their standing within the market, to strengthen the relationships with the stakeholders and to produce more environment friendly goods.

LCM urges the companies to look away from their own processes, and focus on activities which are not under the direct control of the company. Such activities include the upstream and the downstream operations that become a part of value chain. In previous days,…...

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References

Crul, M. And Diehl, J.C. (2007) Design for Sustainability (D4S): A Practical Approach for Developing Economies, UNEP publication (at asp?id=DTI/0826/PA).http://www.unep.fr/scp/publications/details.

International Standard ISO 14040 (2006) Environmental Management -Life Cycle Assessment - Principles and Framework. Geneva, Switzerland: International Organization for Standardization.

Rebitzer, G., Hunkeler, D. (2003) Life cycle costing in LCM: ambitions, opportunities, and limitations - discussing a framework International Journal of Life Cycle Assessment, 8 (5), pp. 253-6.

Remmen, A., Jensen, A.A., Frydendal. J. (2007) Life Cycle Management: A business guide to sustainability. UNEP/SETAC publication (at / publications/).http://www.unep.fr/scp/lcinitiative

Background
The company has decided that in order to expand globally, it will need to send two expatriates to two different countries. We will need one person in Dubai in order to run our EMEA business, and one person in Hong Kong in order to run our APAC business. This report will present a significant amount of discussion with respect to the business cultures in those cities, in the regions as a whole, and what the company needs to do to ensure a successful expatriate deployment.

The first thing that the company must know is that we cannot send people who have no international experience on this type of assignment. The initial expansion requires people on the ground who understand what they are getting into – they have travelled extensively and done business in the regions in question. The reason for this is that so much rides on these individuals that there…...

Theory
In critically ill adults (p), how does the daily use of chlorohexidine (I) compared to sterile water reduce VAP (ventilator-associated pneumonia) (O) during hospitalized stay (T)?

oy's Adaptation Model (AM) states that the "nursing process is a problem solving approach for gathering data, identifying the capacities and needs of the human adaptive system, selecting and implementing approaches for nursing care, and evaluation the outcome of care provided" ("Application of oy's Adaptation Model," 2012). This approach seems uniquely well-suited to the question of how to reduce ventilator-associated pneumonia, a common complaint of patients during hospital stays. AM focuses on objective analysis of the problem and attempting to provide solutions which address human needs through a scientific approach to care. The first step of the nursing process is gathering data, in this case determining why pneumonia is so common amongst patients. Next identifying "internal and external stimuli" that give rise to the…...

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References

Application of Roy's Adaptation Model. (2012). Current Nursing. Retrieved from:

http://currentnursing.com/nursing_theory/application_Roy's_adaptation_model.html

Gonzalo, A. (2011). Betty Neuman: The Neuman Systems Model. Theoretical Foundations of Nursing. Retrieved from:  http://nursingtheories.weebly.com/betty-neuman.html

Emotional Intelligence and the Role it Plays in Project Portfolio Management
One of the most important and essential qualities of leadership needed in today's multigenerational business world is Emotional Intelligence (EI). EI is a "people smart" type of intelligence -- it enables an individual to read a person and provide the right kind of emotional feedback and/or responses to that person's needs. Leaders who demonstrate strong emotional intelligence are able to improve project performance because they focus on the individuals within a team rather than simply or exclusively on goals and procedures (Cacamis & Asmar, 2014). EI allows one to be person-centered, oriented towards responding to emotional cues that the other is consciously or unconsciously displaying in their words, behavior, body language, and communications. Effective use of EI can help organizations to promote a stronger workplace culture, stronger teams, and stronger performance overall (Den, Deanne & Belschak, 2012). In a multigenerational…...

Performance Management
Create a job description for a retail sales associate. Create an organizational behavior modification (OBM) plan to define a set of three (3) key behaviors that are necessary for job performance.

Job Description for etail Sales Associate

• Greet customers and determine their needs and wants

• Discuss potential merchandise purchase of customers

• ecommend merchandise based on discussion with customer

• Advise customers on utilization and care of merchandise

• Upsell related products or services

• Answer customer questions

• Explained return policies and discounts

• Keep merchandise displays in order

Organizational Behavior Modification Plan (OBM)

Key Performance Behaviors

Greet customers within 5 minutes of entry into sales area (allow time for browsing before contact).

a. Sales associate make mental note of customer response and encourages survey feedback for all completed sales with customers given assistance. Measurement: An on-your-honor system with sales associate fine-tuning approach to customer traffic and perceptions about customer receptivity.

2. Point out the new lines of merchandise and…...

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References

Lindberg, E. (2011). Effects of Management by Objectives: Studies of Swedish Upper Secondary Schools and the Influence of Role Stress and Self-efficacy on School Leaders. Journal of Educational Administration, 49, (1), 62-74. Retrieved

http://www.diva-portal.org/smash/get/diva2:420332/FULLTEXT02.pdf

Perry, J.L., Engbers, T. A, and Jun, S.Y. (2009). Back to the future? Performance-related pay, empirical research, and the perils of persistence. Public Administration Review • January | February. Retrieved  http://sites.duke.edu/niou/files/2011/05/Perry-Engbers-and-Jun-Back-to-the-Future.pdf 

Zaccaro, S.J., Rittman, A.L., and Marks, M.A. (2001). Team leadership. The Leadership Quarterly, 12, 451 -- 483. Fairfax, VA: Psychology Department, George Mason University. Retrieved  http://www.qub.ac.uk/elearning/media/Media,264498,en.pdf

Gothic Cathedral as Rhetorical Device
Usage of Gothic Cathedral

Viollet-le-Duc.

It is one thing to believe that the structure of Gothic cathedrals were a response to a desire to imbue meaning and particularly a manifestation of faith in a building that was functionally a place of worship, gathering, and the seat of local power. It is quite another to posit, as did Viollet-le-Duc, that the ultimate shape assumed by a Gothic cathedral was a mere rational response to solving structural problems. If the Gothic cathedral is thought to be completely rational in its expression, then it may also be thought of as the only possible expression, given the structural challenges it was designed to solve. Viollet-le-Duc sought correspondence between the materials used in a building with the structure that eventually took shape. He particularly believed that the use of stone to build a cathedral was both rational and functional. With stone, an…...

e-Imagining the Self through PhotographyIntroductionAll photographs captured or maintained by an individual are a form of self-portrait or mirror of memories that reflects instances and individuals sufficiently special to forever be preserved in time. Together, photographs show the stories going on in an individual\\\'s life, and function as the visual footprints that identify where they physically and emotionally were at some instance in life, besides also potentially indicating where they may be headed towards next. Even their responses to postcards, photos clicked by other people, and magazine photographs may offer clues that shed light on their internal life and secrets. The true meaning of a photo does not lie so much in the graphic facts it holds as it does in the details that are called to the mind or heart of every individual viewer. When perceiving a picture, individuals, in effect, instinctively create meanings which, in their view, are…...

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ReferencesAranda, K., De Goeas, S., Davies, Radcliffe, M., & Christoforou, A. (2015). Let\\\\\\\\\\\\\\\'s go outside: using photography to explore values and culture in mental health nursing. Journal of Psychiatric and Mental Health Nursing, 22, 306-315.Batchen, G. (1997). Burning with desire/The conception of photography. London/MA: The MIT Press.Borden W (2000) The relational paradigm in contemporary psychoanalysis: toward a psychodynamically informed social work perspective. Social Service Review 74(3), 352–79.Borgerson, J. L. & Schroeder, J. E. (2002). Ethical issues of global marketing: Avoiding bad faith in visual representation. European Journal of Marketing, 36(5/6), 570- 594.Drinkwater, M. (2008). Photography and mental health: a relationship kick-started by Hugh Welch Diamond. HTTP:// tinyurl.com/gv59fvs Garland-Thomson, R. (2009). Staring: How we look. New York: Oxford University Press.Gibson, N. (2017). Therapeutic photography: Enhancing patient communication. Journal of Kidney Care, 2(1), 46-47. Retrieved from N, Miller E (2006) The use of phototherapy in group treatment for persons who are chemically dependent. Rehabilitation Counseling Bulletin 49(3), 166–81Graham, D., Stockinger, S., & Leder, H. (2013). An island of stability: art images and natural scenes-but, not natural faces show consistent esthetic response in Alzheimer\\\\\\\\\\\\\\\' s-related dementia. Frontiers in Psychology, 4. Halkola, U. (2013). A photograph as a therapeutic experience. NY: Routledge.Hall, S. (1982). The rediscovery of \\\\\\\\\\\\\\\"ideology\\\\\\\\\\\\\\\": The return of the repressed in media studies. In M. Gurevitch, T. Bennett, J. Curran, & J. Woollacott (eds.), Culture, society, and media (pp. 56-90). London: Methuen.Harrison, K. (2003). Television viewers\\\\\\\\\\\\\\\' ideal body proportions: The case of the curvaceously thin woman. Sex Roles, 48(5-6), 255-264.Hoggard, L. (2005). Why we\\\\\\\\\\\\\\\'re all beautiful now: The Observer. Retrieved from  http://www.guardian.co.uk/media/2005/jan/09/advertising.comment Kilbourne, J. (1999). Deadly persuasion: Why women and girls must fight the addictive power of advertising. New York, NY: Free Press.Lagnado, S. (2004). Getting real about beauty. Advertising Age, 75(49), 20.Lavine, A., Sweeney, D., & Wagner, S. H. (1999). Depicting women as sex objects in television advertising: Effects on body dissatisfaction. Personality and Social Psychology Bulletin, 25(8), 1049-1058.Loewenthal, D. (2009). Editorial. European Journal of Psychotherapy & Counselling, 11, 1-6. Nunez, C. (2009). The self-portrait, a powerful tool for self-therapy. European Journal of Psychotherapy & Counselling, 11, 51-61. Rose, G. (2007). Visual methodologies: An introduction to the interpretation of visual materials. (2nd ed.). Thousand Oaks, CA: Sage.Saita, E., & Tramontano, M. (2018). Navigating the complexity of the therapeutic and clinical use of photography in psychosocial settings: a review of the literature. Research in Psychotherapy: Psychology, Process, and Outcome. DOI: 10.4081/ripppo.2018.293Stegenga, K., & Burks, L. (2013). Using Photovoice to explore the unique life perspective of youth with sikle cell disease: a pilot study. Journal of Pediatric Oncology Nursing, 30, 269-274. The One Project Education. (2020). Therapeutic photography. Retrieved from  https://theoneproject.co/therapeutic-photography/ Weiser, J. (1999). Phototherapy techniques: Exploring the secrets of personal snapshot and family albums. BC: PhotoTherapy Centre, Vancouver. Weiser, J. (2004). PhotoTherapy techniques in counseling and therapy: using ordinary snapshots and photo-interactions to help clients heal their lives. The Canadian Art Therapy Association Journal, 17, 23-53.Weiser, J. (2008). PhotoTherapy techniques: Exploring the secrets of personal snapshots and family albums. Retrieved from  http://www.bc-psychologist.com/downloads/other/Weiser_BCPA_08.pdfhttps://www.magonlinelibrary.com/doi/pdf/10.12968/jokc.2017.2.1.46Glover-Graf

DNP POJECT HYPETENSION - Week 4: Theoretical Framework & Change ModelIdentifying Evidence-Based Advanced Practice Nursing Culturally Sensitive Interventions for HypertensionTheoretical FrameworkOne of the harsh realities facing any nursing leader is the fact that despite its inevitability, change invariably involves resistance from stakeholders, even when it is in their best interests. In fact, the historical record, empirical observations and hard experiences confirm that some individuals will actively seek to derail changes since they involve extra effort and the unknown (Clark-Maxwell, 2022). Therefore, identifying efficacious nursing interventions that take this constraint into account represents the first step towards determining which theoretical framework is best suited for a given intervention (Pregmark, 2022). For this purpose, Lewins Change Model developed by Kurt Lewin, can be a valuable framework to guide the implementation of culturally sensitive interventions for hypertension management in minority populations, when properly implemented and administered (Dickey et al., 2022).The theoretical framework developed…...

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ReferencesAbd El-Shafy, I., Zapke, J., Sargeant, D., Prince, J. M., & Christopherson, N. A. M. (2019). Decreased Pediatric Trauma Length of Stay and Improved Disposition with Implementation of Lewin’s Change Model. Journal of Trauma Nursing: The Official Journal of the Society of Trauma Nurses, 26(2), 84–88.Clark-Maxwell, A. L. (2022). Transforming staff training at an acute trust in response to COVID-19. Nursing Standard, 37(9), 45–49Dickey, E., Peterson, J., Munaretto, M., Andrews, K., Pulmano, E., & Saluja, J. (2022). Implementation of structured interdisciplinary rounds across a complex hematology & stem cell transplant service to improve outcomes. Oncology Nursing Forum, 49(2), E111.Ernstmeyer, K. & Christman, E. (2022). Implementing change. LibreTexts. Retrieved from   J. E. (2022). Renewing models for change. Learning Organization, 29(3), 255–274.Ziataki, E. (2023). Navigating change: lessons learned from implementing a change management plan to improve team performance. Theseus. Retrieved from https://www. theseus.fi/handle/10024/807294.https://med.libretexts.org/Bookshelves/Nursing/Nursing_Management_and_Professional_Concepts_(OpenRN)/04%3A_Leadership_and_Management/4.03%3A_Implementing_Change .Pregmark,

Meaningful use in healthcare refers to the utilization of electronic health records (EHR) to improve patient care and outcomes. The concept of meaningful use was introduced as part of the Health Information Technology for Economic and Clinical Health (HITECH) Act in 2009, which aimed to promote the adoption and use of EHRs in healthcare settings. By leveraging technology to capture and share patient data securely, providers can make more informed clinical decisions, enhance care coordination, and ultimately improve the quality of care delivered to patients.

One of the key ways in which meaningful use can improve patient outcomes is by....