Template with section headings (please use these headings in your paper):

Assignment # 3: Culturally Sensitive Population Care Management Plan Paper ( pages excluding title page, references and appendix with list of organizations and links)

a.       Identify the physical or mental health disparity that this plan addresses: describe, using RECENT (not older than 5 years) peer-reviewed evidence, ONE specific physical or mental health disparity experienced by this population; three (3) causes of the health disparity, and what initiatives have taken place to address the health disparity (including what has worked and what has not worked). Describe what needs to be done now and in the next 12 months to address this disparity.

b.       Describe your selected aggregate with the physical or mental health disparity: including RECENT demographic information on the estimated number of individuals in the community served by the organization, the age range of this population, and a description of the environment where they live; provides 3 examples of cultural values and practices that impact the chosen population when a person seeks physical or mental healthcare services and follows the health care providers’ instructions; includes 3 information examples on this population’s perceived value of health and access to care; describe financial access issues including private pay for services. Describe the specific organization located in a specific community where you will implement your plan. Identify three evidence-based models of care that have been used with a similar population and physical or mental health disparity.

c.       Apply the cultural competency model to address how it will structure your plan in addressing the identified physical or mental health disparity.

d.       Identify strategies for eliminating physical or mental health disparity: describe 5 implementation strategies that are based on best practice evidence including adapting evidence-based models to reduce the identified disparity

e.       Proposed care management plan and implementation steps: describe the care management plan including the specific departments within the organization who will be involved.  Identify at least six (6) specific steps that need to be taken to implement this plan. Include who will be carrying out the specific implementation steps and the timeline for completing the steps.

f.         Organizations to consider for grant funding: provide three (3) names of organizations that you can apply for grant funding to support implementing your Population Care Management Plan; include information on the title of the grant being applied for and a link to the grant guidelines from each of the organizations in the appendix.

g.       Measuring projected health outcomes for the physical or mental health disparity addressed in the care management plan: describe three (3) specific measurable health outcomes to evaluate the plan’s success; describe who will collect, synthesize, create the outcomes report, and distribute the data. Determine and describe the specific tools that will be used to collect data, who will collect the data, and three (3) distribution channels that you will use to disseminate the findings. Consider cost of intervention and sustainability.

h.       Summary:  2-3 paragraphs summarizing each of the prior sections to use as an executive summary for the plan.

Review Dr. Rand\’s PowerPoint presentation \”Online Health Communities: The influence of social media on consumer empowerment.

2. Read Nambisan\’s article for instructions on how to evaluate Online Health Communities from a consumer perspective. ***You will use the FOUR Dimensions of online health communities described in this classic article in your Assignment #4

https://cpb-us-w2.wpmucdn.com/sites.uwm.edu/dist/8/147/files/2019/10/Nambisan-HCMR-2011.pdf

3. Explore online health communities recommended by Pinterest  https://www.pinterest.com/restministries/health-communities-online/ or WebMD  https://exchanges.webmd.com/default.htm

4. Follow the instructions on slide 4 of the PowerPoint presentation for specific instructions on how to complete this assignment.

Assign at least one page per OHC website evaluation and respond to activities a, b, and c below for each OHC.

a)   Describe the purpose of the virtual health community that you selected.

b)   Evaluate the website based on 4 dimensions of experience: Pragmatic, empathic, sociability, and usability experience.  The parameters for evaluation are described in Nambisan’s article (Week 13 folder) with details in the next slide.

c)   Describe why or why not you would recommend each site to a patient/client with that condition

Paper requirements: APA format including:

• 4 page count – this EXCLUDES title page, abstract and reference page.
• Title page
• Abstract of less 150 words must be included.
• 3-5 Keywords.
• Reference page with minimum of five (5) references from the literature required. ( 2020-2025)
• Font: Times New Roman #12, double spaced, one inch margins

Chamberlain

NR506NP-63763

Modules




Week 1

Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study

Preparing the Discussion

You are a family nurse practitioner employed in a busy primary care office. The providers in the group include one physician and three nurse practitioners. The back-office staff includes eight medical assistants who assist with patient care as well as filing, answering calls from patients, processing laboratory results and taking prescription renewal requests from patients and pharmacies. Stephanie, a medical assistant, has worked in the practice for 10 years and is very proficient at her job. She knows almost every patient in the practice and has an excellent rapport with all of the providers. 

Mrs. Smith was seen today in the office for an annual physical. Her last appointment was a year ago for the same reason. During this visit, Mrs. Smith brought an empty bottle of amoxicillin with her and asked if she could have a refill. You noted the patient's name on the label, and the date on the bottle was 1 week ago. You also noted your name printed on the label as the prescriber. The patient admitted that she called last week concerned about her cough and spoke to Stephanie. You do not recall having discussed this patient with Stephanie nor do the other providers in the practice. 

Case Study Questions: 

1. What are the potential ethical and legal implications for each of the following practice members? 

· Medical assistant

· Nurse Practitioner

· Medical Director

· Practice

2. What strategies would you implement to prevent further episodes of potentially illegal behavior? 

3. What leadership qualities would you apply to effect a positive change in the practice?  Be thinking about the culture of the practice.

4. A scholarly resource must be used for EACH discussion question each week.

Discussion

Purpose

The purpose of the graded collaborative discussions is to engage faculty and students in an interactive dialogue to assist the student in organizing, integrating, applying, and critically appraising knowledge regarding advanced health assessment. Meaningful dialogue among faculty and students fosters the development of a learning community as ideas, perspectives, and knowledge are shared.

Course Outcomes

This discussion enables the student to meet the following course outcomes:

• CO 1: Apply advanced practice nursing knowledge to collecting health history information and physical examination findings for various patient populations. (POs 1, 2)
• CO 4: Adapt health history and physical examination skills to the developmental, gender-related, age-specific, and special population needs of the individual patient. (POs 1, 2)
• CO 5: Conduct focused and comprehensive health histories and examinations for various patient populations. (POs 1, 2)

Due Dates

Initial posts are due to the discussion board by Wednesday at 11:59 p.m. MT. Instructor and peer responses are due by Sunday at 11:59 p.m. MT. Students must post on a minimum of two separate days. A 10% late penalty will be imposed for discussions posted after the deadline Wednesday at 11:59 p.m. MT, regardless of the number of days late. NOTHING will be accepted after 11:59 p.m. MT on Sunday (i.e., the student will receive an automatic 0).

Total Points Possible

The total points possible for this assignment is 75.

Preparing the Discussion

Follow these guidelines when completing each component of the discussion. Contact your course faculty if you have questions.

This week, you will consider assessment questions and appropriate interventions related to social determinants of health. Healthy physical, social, and economic environments strengthen the potential to achieve health and well-being. The nurse practitioner (NP) must assess all facets of clients’ health during a comprehensive health history. Identify the assigned topics listed by the first letter of your first name. For example, if your first name is Gilda then your assigned topic is education access and quality. Select an objective related to your assigned social determinant from the Healthy People website.

First Letter of Your First NameTopicA – EEconomic stabilityF – JEducation access and qualityK – OHealth care access and qualityP – SNeighborhood and built environmentT – ZSocial and community context

Complete the following requirements:

1. Application of Course Knowledge: Answer all questions/criteria with explanations and detail.
   1. Correctly identify your assigned social determinant. Briefly define the determinant and describe how it impacts healthcare outcomes.
   2. Select an objective related to your assigned social determinant from the Healthy People website linked above. Identify the status of the objective and the population to whom the objective applies.
   3. Provide at least three appropriate questions related to the chosen objective that the NP could incorporate into the health history and interview to assess the client and family.
   4. Identify at least two online, national, or local resources and explain how the resources could help meet the chosen objective for at-risk clients or families.
2. Integration of Evidence: Integrate relevant scholarly sources as defined by program expectations.
   1. Cite a scholarly source in the initial post.
   2. Cite a scholarly source in one faculty response post.
   3. Cite a scholarly source in one peer post.
   4. Accurately analyze, synthesize, and/or apply principles from evidence with no more than one short quote (15 words or less) for the week.
   5. Include a minimum of two different scholarly sources per week. Cite all references and provide references for all citations.
3. Engagement in Meaningful Dialogue:Engage peers and faculty by asking questions, and offering new insights, applications, perspectives, information, or implications for practice:
   1. Peer Response: Respond to at least one peer on a topic other than the initially assigned topic.
   2. Faculty Response: Respond to at least one faculty post.
   3. Communicate using respectful, collegial language and terminology appropriate to advanced nursing practice.
4. Professionalism in Communication:Communicate with minimal errors in English grammar, spelling, syntax, and punctuation.
5. Reference Citation: Use current APA format to format citations and references and is free of errors.
6. Wednesday Participation Requirement:Provide a substantive response to the graded discussion topic (not a response to a peer or faculty), by Wednesday, 11:59 p.m. MT of each week.
7. Total Participation Requirement: Provide at least three substantive posts (one to the initial question or topic, one to a student peer, and one to a faculty question) on two different days during the week.