Why is there a need for risk adjustment in health care quality measures?

Measuring Quality
Be sure to review the Discussion Board grading rubric in the course Syllabus.
For this Discussion Board, a minimum of 300 words is required for the initial response and a minimum of 150 words for responses to your classmates.
During this unit, you will discuss the following three questions:
Why is there a need for risk adjustment in health care quality measures?What is variation and how is it measured?
What are things to watch out for in designing and administering a survey instrument?Assignment 2:
Practicum Assignment 1: Self-Assessment of Clinical Skills
A self-assessment is an opportunity for you to review what you have learned in the program, evaluate your clinical skills, and develop goals before exiting the NP program. For this assignment, you will complete the Risk Control Self-Assessment Checklist for Nurse Practitioners and identify your areas of strength and weakness. You also will explain how you plan to improve on these weaknesses, as well as how you plan to master clinical skills you have not obtained prior to exiting NP program.
To prepare:
Complete the Risk Control Self-Assessment Checklist for Nurse Practitioners
Review preceptor and faculty evaluations in Meditrek for all completed clinical courses
Consider your strengths and weaknesses
Review types of patients treated and clinical procedures performed
By Day 7
Write a 2- to 3-page paper that addresses the following:
Identify at least three strengths
Explain why you consider these strengths and what you can do to maintain them in your practice
Identify at least three weaknesses
Explain how you plan to address each weakness
Examine at least three clinical skills you need to obtain prior to exiting the program
Explain how you plan to master the clinical skills before exiting NP program
Analyze the history of advanced practice nurses and the emerging role of your specialty area, and discuss what contributions you plan to make to advance the nursing profession

for MBERIAH THEORETICAL FOUNDATIONS OF CHANGE

Use the following information to ensure successful completion of the assignment:

Instructors will be using a grading rubric to grade the assignments. It is recommended that learners review the rubric prior to beginning the assignment in order to become familiar with the assignment criteria and expectations for successful completion of the assignment.
Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.

Directions:
Write a paper of 1,250-1,500 words that explores the theoretical foundations of organizational change. Include the following in your paper:

A discussion that assesses the factors that contribute to the organic evolution of change.
A discussion of how to formulate strategic development approaches and to identify models and interventions of change leadership.
A discussion and evaluation of the leadership and management skills necessary to implement a model of continuous change that facilitates organizational adaptation and ensures follower commitment.
A discussion of how to gather and analyze data to determine the most efficacious timing of change.

discuss and be sure to supply the APA formatted source that informs your remarks.

You have described the basic procedures for investigating a foodborne disease outbreak. However, please discuss adherence to/development of these procedures in relationship to this case. How likely is “a Mary Mallon” type of transmission occurring today? Please discuss and be sure to supply the APA formatted source that informs your remarks.
MARINELI, F., TSOUCALAS, G., KARAMANOU, M., ANDROUTSOS, G., (2013, March 26). Mary Mallon (1869-1938) and the history of typhoid fever. Retrieved from: http://www.annalsgastro.gr/index.php/annalsgastro/article/view/1307/1052
Hand Washing & Glove Use for Food Workers – Questions and Answers. (2005, October). Retrieved August 26, 2017 from: https://www.health.ny.gov/environmental/indoors/food_safety/washing.htm

this assignment is for maggie k

Format your presentation and reference page consistent with APA guidelines.  This should not be direct quotes but paraphrased and cited with references.  It should be spell checked, grammar checked, and plagiarism checked.
Theories of Behavior Timeline
Complete the following table by reordering the theorists according to the relevant date (and providing these dates), writing at least 90 words for each theorist to describe what the particular theorist was known for and a real-world application of the theory. 
Name of theoristRelevant datesDescription of what the theoriest is known for  Real-world application of the theory
I. Pavlov
J. Locke
B.F. Skinner
J. Thorndike
W. Wundt
F. Keller
J. Watson
I. Lovaas
A. Bandura
Ogden LindsleyThe post this assignment is for maggie k first appeared on Nursing School Essays.

Discuss 2 initiatives that may be affected if the American Health Care Act is voted into law

mplementing a Public Health Program
Using the South University Online Library or the Internet, research about the ten leading causes of death in the United States. List all the diseases and select one disease. Research further on your selected disease.
Based on research, create a 5- to 7-page Microsoft Word document that includes:
A proposal for a public health program to address that disease within your community.An outline of the steps you will undertake to evaluate the program you have proposed.An evaluation design for your program.An identification and collection of data to evaluate your program.An explanation of the method determined for collecting the data.Conclusions from the data and justification of those conclusions.Recommendations for improvements to your program and a plan to communicate those recommendations.Support your answers with appropriate research, reasoning, and examples.
Cite any sources in APA format.
Submission Details
Name your document SU_PHE4055_W5_A2_LastName_FirstInitial.doc.
Submit your document to the W5 Assignment 2 Dropbox by Tuesday, August 29, 2017.
Assignment 2 Grading CriteriaMaximum PointsCreated a proposal for a public health program to address that disease within your community.30Provided an outline of the steps you will undertake to evaluate the program you have proposed.30Created an evaluation design for your program.30Collected data to evaluate your program.30Explained th

child5 | Nursing School Essays

Prior to answering the following discussion questions, please read the assigned reading for week 5 (Chapter 6 Person-Centered Counseling).  1. Explain motivational interviewing.  What are the benefits of motivational interviewing when working with children and adolescents in therapy?2. In this chapter there is a section that discusses the goal of person-centered therapy.  Please describe the goal of this Person-Centered therapy approach.3. Please use your DSM-V for the following vignette and answer the questions that follow. Misty is a 15 year old Hispanic female.  Her father and mother are divorced and Misty resides with her mother.  Misty’s mother reported that since her father has left the home (7 months ago)  Misty has begun to act out in the following ways:-Misty has a negative attitude-she is defiant with her mother and school teachers-she is disobedient-she is hostile toward adults and authority figures-she losses her temper easily and often argues with adults-she refuses to comply with rules and is verbally aggressive with her mother and teachersPlease answer the following questions in regards to this vignette related to Misty:a. Please indicate the most suitable diagnosis for Misty (using your DSM-V).b. How can a Person-Centered therapy approach be helpful for Misty?c. How can Person-Centered therapy’s application of the development of her self esteem be helpful for Misty?  Read the book and explain from the book’s perspective. 
respond in 2 pages

Describe the relationship between the national and state organizations

ourse Project: Part 4—Final Concept Paper
In Week 1, you described a program for the health problem and identified the right division for it, and in Week 2, you provided factual information for understanding the health problem. In Week 3, you outlined a marketing plan for the new department and developed a staffing plan. This week, you will develop the final two components of your concept paper, a budget, and an executive summary.
You will then complete the final concept paper for the proposed program due for senior management review. To submit the final paper, compile all the project reports done in Weeks 1 to 3 and Week 5 in a 10- to 15-page report. Include a title page and list of references on separate pages.
Budget
In this final week, you will develop a proposed budget of $150,000 for the first year of the program and complete the final concept paper for the proposed program due for senior management review.
The budget should identify the program’s anticipated expenses for the year ahead. Budget line items should be consistent with the proposed program and staffing plan.
You can visit the Budget Samples category in the Webliography to review some samples.
Using the readings for the week, the South University Online Library, and the Internet, complete the following tasks:
Create a proposed budget of $150,000 for the first year of the proposed program including the cost for personnel, supplies, education materials, marketing costs, and so on in a Microsoft Excel spreadsheet. You may transfer your budget to your report.
Justify the cost for each item of the proposed budget in a budget narrative.
Executive Summary
The executive summary will serve as a one page overview of your proposed program. You may use the executive summary to draw in your reader—the senior management team. It should provide a compelling argument as to why your proposal should be funded. Be sure to include a brief overview of each component of your proposal: goals, needs statement, marketing plan, staffing plan, and budget.
Final Paper
The final paper should include the following sections:
Executive Summary
Goals and Purpose of the Program
Needs Statement
Marketing Plan
Staffing Plan
Budget
References
Review the material and make necessary edits to improve flow of thought and clarity. Be sure to conduct a grammar and spelling check.
Support your responses with appropriate research, scholarly reasoning, and examples.
Cite all sources in APA format.
Submission Details
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Assignment 2: Course Project Part I: Interview and Background Research

Refer to the Course Project Overview in Course Home. Early in the course, you have selected a specific disorder. Research it using your textbook and Argosy University online library resources. A minimum of 5 sources in addition to your textbook should be used. At least three of those sources should be peer-reviewed journal articles. The remaining 2 sources may be books, journal articles, or reputable web sites (like those from professional organizations or governmental agencies, not Wikipedia or similar sites).   
Review the rubric, as it provides detailed instructions on how best to succeed on this assignment. In the rubric, you will find that you need to address the following in a paper:

Description of the selected disorder (Identify the DSM diagnostic category for the disorder and distinguish between diagnostic and commonly used terminology.)
Causative factors of the disorder
Diagnosis of the disorder
Treatment of the disorder
Survey of current research on the disorder

Write a 4–5-page paper in Word format. Remember to use the rubric as you write your paper. Apply APA standards to citation of sources, and include an APA style  title/cover page and reference page. Use the following file naming convention: LastnameFirstInitial_M3_A2.doc.
By Wednesday, June 21, 2017, deliver your assignment to the M3: Assignment 2 Dropbox.
Working ahead Using the feedback provided to you by your peers and instructors, finalize your interview questions and conduct the interview with a mental health professional in preparation for the paper due in Module 5.

Do you have plans for additional education in the future? If yes, please describe.

DISCUSSION-3
Standardized Coding Systems
As a result of the fragmented nature of the health care system, professionals in various specialty areas of medicine have developed their own unique sets of terminology to communicate within that specialty. In the past, limited attention has been given to codifying practices in order for them to be understood and utilized across disciplines or through different information technology systems. The implementation of a federally mandated electronic medical records system, therefore, poses a challenge to nursing professionals and others who must be prepared to utilize standardized codes for the new system. Why are coding standards important for promoting consistent, high-quality care?
According to Rutherford (2008, para. 15), “Improved communication with other nurses, health care professionals, and administrators of the institution in which nurses work is a key benefit of using a standardized nursing language.” In this Discussion you consider the reasoning behind and the value of standardized codification.
To prepare
Review the information in Nursing Informatics: Scope and Standards of Practice. Determine which set of terminologies are appropriate for your specialty or area of expertise.
Reflect on the importance of continuity in terminology and coding systems.
In the article, “Standardized Nursing Language: What Does It Mean for Nursing Practice?” the author recounts a visit to a local hospital to view its implementation of a new coding system. One of the nurses commented to her, “We document our care using standardized nursing languages but we don’t fully understand why we do” (Rutherford, 2008, para. 1). Consider how you would inform this nurse (and others like her) of the importance of standardized nursing terminologies.
Reflect on the value of using a standard language in nursing practice. Consider if standardization can be limited to a specialty area or if one standard language is needed across all nursing practice. Then, identify examples of standardization in your own specialty or area of expertise. Conduct additional research using the Walden Library that supports your thoughts on standardization of nursing terminology.
Please Provide References
Learning Resources
Required Readings
American Nurses Association. (2015). Nursing informatics: Scope & standards of practice (2nd ed.). Silver Springs, MD: Author.
“Metastructures, Concepts, and Tools of Nursing Informatics”
This chapter explores the connections between data, information, knowledge, and wisdom and how they work together in nursing informatics. It also covers the influence that concepts and tools have on the field of nursing.
McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.
Chapter 6, “Overview of Nursing Informatics”
This chapter defines the foundations of nursing informatics (NI). The authors specify the disciplines that are integrated to form nursing informatics, along with major NI concepts.
Brokel, J. (2010). Moving forward with NANDA-I nursing diagnoses with Health Information Technology for Economic and Clinical Health (HITECH) Act Legislation: News updates. International Journal of Nursing Terminologies & Classifications, 21(4), 182–185.
In this news brief, the author describes the initiatives that NANDA-I will implement to remain abreast of the HITECH legislation of 2009. The author explains two recommendations for the federal government’s role in managing vocabularies, value sets, and code sets throughout the health care system.
Matney, S., Brewster, P. J., Sward, K. A., Cloyes, K. G., & Staggers, N. (2011). Philosophical approaches to the nursing informatics data-information-knowledge-wisdom framework. Advances in Nursing Science, 34(1), 6–18.
This article proposes a philosophical foundation for nursing informatics in which data, information, and knowledge can be synthesized by computer systems to support wisdom development. The authors describe how wisdom can add value to nursing informatics and to the nursing profession as a whole.
Rutherford, M. A. (2008). Standardized nursing language: What does it mean for nursing practice? OJIN: The Online Journal of Issues in Nursing, 13(1). Retrieved from http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/vol132008/No1Jan08/ArticlePreviousTopic/StandardizedNursingLanguage.html
The author of this article provides justification for the use of a standardized nursing language, which will be necessary for incorporating electronic documentation into the health care field. The author defines standardized language in nursing, describes how such a language can be applied in a practice setting, and discusses the benefits of using a standardized language.
Westra, B. L., Subramanian, A., Hart, C. M., Matney, S. A., Wilson, P. S., Huff, S. M., … Delaney, C. W. (2010). Achieving “meaningful use” of electronic health records through the integration of the Nursing Management Minimum Data Set. The Journal of Nursing Administration, 40(7–8), 336–343.
This article explains the nursing management minimum data set (NMMDS), which is a research-based minimum set of standard data for nursing management and administration. The article describes how the NMMDS can be used to minimize the burden on health care administrators and increase the value of electronic health records within the health care system.
Required Media
Laureate Education (Producer). (2012a). Data, information, knowledge, and wisdom continuum. Baltimore, MD: Author.
McGonigle, D., & Mastrian, K. G. (2012). Nursing informatics and the foundation of knowledge (2nd ed.). Burlington, MA: Jones & Bartlett Learning. (p. 98, Chapter 6, Figure 6)
The continuum of data, information, knowledge, and wisdom is used in the health care field to describe discrete levels of understanding related to patient care and decision making. This video provides an overview of the continuum from data to wisdom.
Optional Resources
Truran, D., Saad, P., Zhang, M., & Innes, K. (2010). SNOMED CT and its place in health information management practice. Health Information Management Journal, 39(2), 37–39.
Brown, B. (2011). ICD-10-CM: What is it, and why are we switching? Journal of Health Care Compliance, 13(3), 51–79.
Discussion:-4
Current Information and Communication Technologies
With so much attention focused on health care reform, it is important that nurses be given the opportunity to use high-quality technology tools. These tools can increase access to vital medical information, promote effective communication among health care professionals, and improve the patient experience. By actively seeking out and adopting these tools, nurses can greatly enhance the quality and safety of care that they provide.
This Discussion focuses on identifying quality technology tools that increase the ability of nurses to provide safe, effective care.
To prepare:
Review the various technology tools described in this week’s Learning Resources.
Identify a recently adopted information, education, or communication technology tool in your specialty area. Reflect on how it is used and how its use impacts the quality of care.
Consider how your identified technology tool might impact nursing practice if it were more widely used. What are some barriers preventing increased usage? How could wider implementation be facilitated?
Please Provide References
Learning Objectives
Students will:
Evaluate the effectiveness of a technology tool in your specialty area
Appraise the barriers and facilitators of implementing an information technology tool in your specialty area
Learning Resources
Required Readings
American Nurses Association. (2015). Nursing informatics: Scope & standards of practice (2nd ed.). Silver Springs, MD: Author.
“The Future of Nursing Informatics”
McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.
Chapter 12, “The Human-Technology Interface”
This chapter describes the human-technology interface and explores some of the problems that result from its usage. The author also reflects on methods for improving the interface.
Chapter 19, “Telenursing and Remote Access Telehealth”
This chapter explores the usage of telehealth in nursing practice. The authors examine the role of telehealth, along with potential issues that may arise in its usage.
Brewer, E. P. (2011). Successful techniques for using human patient simulation in nursing education. Journal of Nursing Scholarship, 43(3), 311–317.
This article identifies studies that have used human simulation as an effective instructional tool in nursing education. The article describes different strategies for incorporating human simulation into nursing education, and it also offers insight on improvements that could be made to current practices.
Guarascio-Howard, L. (2011). Examination of wireless technology to improve nurse communication, response time to bed alarms, and patient safety. Herd, 4(2), 109–120.
The author explains the results of a study on the outcomes of using wireless communication devices to improve patient safety by allowing nurses to communicate more quickly and easily with other nurses. The results indicate that this technology can increase the value of team nursing, improve response time, and increase patient safety, although there are some drawbacks and challenges associated with the devices.
Simpson, R. L. (2012). Technology enables value-based nursing care. Nursing Administration Quarterly, 36(1), 85–87.
This article describes how technology can be used to address problems in the U.S. health care system, such as lack of consistency and lack of effective treatment. The article explains the use of value-based care initiatives and outlines how nurses can use these initiatives to improve outcomes in treatment and research.
Vinson, M. H., McCallum, R., Thornlow, D. K., & Champagne, M. T. (2011). Design, implementation, and evaluation of population-specific telehealth nursing services. Nursing Economic$, 29(5), 265–272, 277.
Telehealth is defined as health services that integrate electronic information and telecommunications to improve health care access, outcomes, and costs. This article describes how a telehealth implementation project was designed, enacted, and evaluated, and it analyzes the results of that project.
Required Media
Laureate Education (Producer). (2012c). Health care technologies. Baltimore, MD: Author.
This video features Katie Skelton, Doris Fischer, Carina Perez, Shannon Mori, Carmen Ferrell, and Lynn Tamanaha as they discuss current technologies and innovations in health care. They also describe a specific bed management-system that has improved their hospitals’ efficiency.

Group PART 2

Individual Portion:
You have been hired to manage a particular aspect of the new adult addictions center. It is your job to write a proposal to bring to the next board meeting so that funds can be allocated to initiate your plans. This is the brainstorming stage of the planning. Your proposal will need to be scrutinized by the board before it approves it. It is important to be as specific and detailed as possible to justify the needs of your department before going forward. It is also important to be realistic, but at the same time expand your ideas, goals, and aspirations into doable actions because this board wants you to think outside of the box.
Roles to be used for paper are: with adding financing to the current paper
350 words

What is the department’s role within the organization, and what are its responsibilities?
What are the client needs or services that are addressed by this department?

References for all of the sections, in APA style What individuals and resources are needed to provide those services? The post Group PART 2 first appeared on Nursing School Essays.