assist week 4

Week 4 – Assignment: Analyze Quality Performance

Improvement requires the ability to effectively analyze data. While extensive knowledge in using statistical analysis tools is desirable, health administrators adept at constructing charts and analyzing the organizational data as compared to established benchmarks yields valuable information.

For your assignment this week, you will prepare an Analysis Report paper. Begin your assignment with the following steps:

1.Read the case study published by the Agency for Healthcare Research and Quality (AHRQ) featuring Tampa General Hospital's use of the AHRQ tools to improve quality measures. The link to the Tampa General Hospital's case study is found in your Weekly Resources.

 After reading the Tampa General Hospital case study, you will access the
Hospital Compare website link found in your Weekly Resources. At this site, you will insert Tampa, Florida into the location box, select Hospital as the type of facility, and insert Tampa General Hospital into the name box. Once the webpage for Tampa General Hospital is accessed, click on
Patient Survey Ratings. Here you will find the hospital's patient satisfaction ratings along with the state and national ratings in each category.

 With these data, you will use an Excel spreadsheet to insert the type of indicator (i.e.,
Patients who reports their nurses always communicated well and the observed score for Tampa General Hospital as well as the average Florida and National scores provided). Repeat this process to include all 10 statements of patient satisfaction.

Once your spreadsheet data is complete, create a bar graph by clicking on Insert in the top header and selecting the bar graph to visually display the comparison of Tampa General Hospital's scores to the state and national average scores. Instead of using Excel, you may alternately create a Table in Microsoft Word using the same data as described above placed in a table. Once the table is complete, click Insert from the ribbon at the top of the page, and then click Chart. From here, select Bar chart and use the Clustered Bar Chart style. For either method, make sure all three data sources are depicted in the chart. An example of how to set up your table and the resulting bar graph that is both required in your paper are shown. Keep in mind the information you retrieve is a single data set and does not represent performance over time, but rather represents a snapshot of organizational performance as compared to external standards.

 Next, you will click on
Quality in the Tampa General Hospital's website header and scroll down to
Complications and Deaths. Once the section expands, scroll down to
Infections. In the
Infection's section, you will find the quality score for the topic in the case study regarding catheter-associated urinary catheter infections (CAUTI). Record the score for Tampa General Hospital for this measure and note the national benchmark score of 1. You will analyze this score as it compares to the national score and its relevance to the case study.

 Lastly, you will prepare your Analysis Report paper that contains an introductory section, the body of your report containing your analysis of Tamps General Hospital's patient satisfaction ratings and the comparison of the ratings to the state and national scores, and your analysis of the CAUTI infection rate compared to the national rate. You will also include a summary section in your paper. You will insert your Clustered Bar graph (see example) with the 10 statements and scores as a Figure into your discussion and analysis of the scores. The table you created (see example) to display the 10 statements and the hospital, state, and national scores will be in an appendix to your report. Be sure to check APA guidelines for using an appendix in a report, how to label figures and tables.

Table example: 

Patient satisfaction survey statements

Tampa General Hospital rating

Florida rating

National rating

Patients who reports their nurses always communicated well

81%

81%

77%

Clustered Bar graph example from data in table example:

A graph of a patient survey  Description automatically generated

length: A minimum of 5 pages, not including the title page, reference page, and the appendix

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Discussion

After reading Chapter 13, respond to the following:

  • What workforce advocacy strategies can Elena use to promote quality patient care and a safe work environment?
  • What is the value of shared governance to Elena’s individual nursing practice?
  • If Elena becomes concerned about floating assignments, what questions can help guide her decision about accepting such assignments?
  • What online resources are available to help Elena learn more about important workplace issues and workforce advocacy?
  • How can Elena improve the marketability of her nursing expertise?

I HAVE UPLOADED CHAPTER 13 PAGES THAT NEED TO BE READ TO COMPLETE THIS ASSIGNMENT

planS2W2

Make an introduction writing about my goals from the previous class, which were Increase my skills in pharmacology by the end of the semester, Reduce the time when answering the exam questions, at the end of the semester, be able to answer each one in 10 seconds, Know how to apply and have knowledge of the most relevant laws by the end of this semester.

And for example, say that if I consider that I achieved my goal, blah blah blah but that I still have to focus on other goals to be able to finish this new class and also be prepared to acquire my certification blah blah blah and add 3 new goals and how am I going to do them perform during the semester. make a conclusion where you can refer to specific resources that are used as Psychiatric Mental Health Nurse Practitioner book by the ANA…


please be as authentic as possible, the paper follows correct APA format for parenthetical, valid references (more than 3)

· Reflect on the study plan you created in NRNP 6665. Did you accomplish your SMART goals? What areas of focus still present opportunities for growth?

THE ASSIGNMENT

· Revise your study plan summarizing your current strengths and opportunities for improvement.
(consider the previous work you did on Summary of strengths and Opportunities for growth so that everything aligns as similar because it is the same teacher in both classes, it is not that in one work it says that I am good at something and in the other it is say i need to grow)

· Develop 3–4 
new SMART goals for this quarter and the tasks you need to complete to accomplish each goal. Include a timetable for accomplishing them and a description of how you will measure your progress.

· Describe resources you would use to accomplish your goals and tasks, such as ways to participate in a study group or review course, mnemonics and other mental strategies, and print or online resources you could use to study.

Discussion 1 (HealthAssess)

Describe the findings associated with malignant skin changes (for example: persistent sores, lump or swelling, bleeding lesions, etc.)

collecting data and making decisions

Using statistics (collecting data and making decisions) helps prevent the number of mistakes or wrong decisions that are made.  By using data, there is a clearer answer to a decision as opposed to going with a gut decision, which may not be consistent for a variety of reasons.  What are your thoughts on using data to make most or all of the decisions for a patient?  After this data is collected and analyzed using the method that was described in the initial question. Do you think it is appropriate to run these kinds of experiments continuously together this kind of information? Or do you think there are downsides to using the scientific method in this way?

informatics

As you learned from the chapter, reading, and video lectures, the cost of health care is a major concern in the US. As we discussed, value-based models promise to bend the cost curve in the right direction. The article you read by Erickson et al (2020) is mostly from the point of view of physicians so it is always a good idea to think critically about articles like this. Do you think that the authors present solid arguments in favor of what they propose? Do you think their point of view is similar to what you read and think about ways to decrease costs while increasing quality? Do you think that their point of view considers other health care-related professions?

586 week 6

Discuss who, among the talented and experienced people you know (use fictitious names) you would initially include on your business start-up venture team to maximize your opportunities for a successful business. Provide a rationale for choosing these individuals.

Expectations

Initial Post:

  • Due: Thursday, 11:59 pm PT
  • Length: A minimum of 250 words, not including references
  • Citations: At least one high-level scholarly reference in APA from within the last 5 years

case study week 8

2

Insomnia
31-year-old Male

76-year-old Iranian Male

 

BACKGROUND

This week, we examine a 31-year-old male who presents to the office with a chief complaint of insomnia.

SUBJECTIVE

Patient is a 31-year-old male. He states that his insomnia has gotten progressively worse over the past 6 months. Per the patient, he has never been a “great sleeper” but is now having difficulty both falling asleep and staying asleep at night. The problem began approximately 6 months ago after the sudden loss of his fiancé. The patient states this is affecting his ability to perform his job, which is a forklift operator at a local chemical company. The patient states he has used diphenhydramine in the past to sleep but does not like the way it makes him feel the morning after. He states he has fallen asleep on the job due to lack of sleep from the night before. The patient's medical record from his previous physician states that he has a history of opiate abuse, which began after he broke his ankle in a skiing accident and was prescribed hydrocodone/apap (acetaminophen) for acute pain management. The patient has not received a prescription for an opiate analgesic in 4 years. The patient states recently he has been using alcohol to help him fall asleep, approximately four beers prior to bed.

MENTAL STATUS EXAM

The patient is alert and oriented to person, place, time, event. He makes good eye contact and is dressed appropriately for time of year. He denies auditory/visual hallucinations. Judgement, insight, and reality contact are all intact. Patient denies suicidal/homicidal ideation, and is future oriented.

Decision Point One

Select what you should do:

Zolpidem: 10 mg daily at bedtime

Trazodone 50 mg po at bedtime

Hydroxyzine: 50 mg daily at bedtime

Examine
 Case Study: Pharmacologic Approaches to the Treatment of Insomnia in a Younger Adult. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.

At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

Introduction to the case (1 page)

· Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

Decision #1 (1 page)

· Which decision did you select?

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #2 (1 page)

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #3 (1 page)

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion (1 page)

· Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

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Case Study

Read the following case study an answer the reflective questions. Please provide evidence based practice rationals for your answers with scholarly references no older than 5 years APA 7th ed needs to be followed. 

CASE STUDY: Albert 

 Albert Mitchell is a 36-year-old man who will be traveling to Dubai to give a business presentation in 3 months. Although he has traveled widely in the United States as a consultant, this is his first trip to the Middle East. 

 He requests information regarding immunizations needed before his trip. Albert states that as he will be in Dubai for only a few days, he is unlikely to contract a disease in such a short time and therefore believes that it is illogical to obtain immunizations. 

 Albert states that he has heard that the side effects of the immunizations might be worse than the diseases they prevent. He is also concerned about leaving his wife at home alone because she is 6 months pregnant.

Reflective Questions

How would you address Albert’s beliefs? 

What learning would be needed in each domain?

What learning theories would you consider? 

How might his family concerns be addressed?

Determination of Death / Informed Consent

 

After studying the course materials located on Module 6: Lecture Materials & Resources page, answer the following:

  1. Uniform Determination of Death Act (UDDA):
    • How this law was created
    • Legal definition of death, describe
  2. Define dying within context of faith, basic principle about human life
  3. Bioethical Analysis of Pain Management – Pain Relief
  4. What is the difference between Pain and suffering? Explain
  5. Diagnosis / Prognosis: define both.
  6. Ordinary / Extraordinary means of life support. Explain the bioethical analysis.
  7. Killing or allowing to die? Define both and explain which one is ethically correct and why?
  8. Catholic declaration on life and death; give a summary of this document: https://www.cfocf.org/wp-content/uploads/Combined-Catholic-Declaration-and-Understanding-ENGLISH.pdfLinks to an external site.
  9. What is free and informed consent from the Catholic perspective?
  10. Define Proxi, Surrogate
  11. Explain:
    • Advance Directives
    • Living Will
    • PoA / Durable PoA
    • DNR