Ambulatory Care Quality
1. Read the case study titled MinuteClinic. Predict whether or not embracing the Continuity of Care Record (CCR) standard will either benefit or damage Minute Clinics overall profitability.
Case Study
Minute Clinic owned by pharmacy giant CVS is a retail healthcare provider with more than 500 locations established throughout the country. The centers are designed to treat patients with minor injuries or sicknesses and more than 1.8 million patient visits have been documented since the companys inception in 2000. By creating a healthcare delivery model that responds to consumer demand MinuteClinic makes access to high-quality medical treatment easier for more Americans. As more patients used MinuteClinic resources one issue the company faced was how to pass medical information to primary care physicians. As Cris Ross chief information officer of MinuteClinic explains There are a number of things we do very well with physicians except connect electronically. Weve been looking for a business-to-business exchange. As a solution to this problem MinuteClinic recently turned to ePrescribing connectivity network SureScripts to facilitate this exchange. It is the first time the SureScripts network has been used for anything other than pharmacy orders and related transactions. The idea is that we already have pharmacies connected acting SureScripts CEO Rick Ratliff told Digital Healthcare & Productivity by telephone. We have an ability to identify a physician uniquely on the network. As part of this connection MinuteClinic will convert records from its proprietary electronic medical records system into Continuity of Care Record (CCR) standard format. Ratliff adds that this record can be moved around almost like a piece of mail from provider to provider and into personal health records (PHR). Now with every visit MinuteClinic practitioners stress the importance of maintaining a medical home for each patient by making information accessible to primary care providers. If a patient doesnt have a primary care provider MinuteClinic provides a list of physicians in the area who are accepting new patients. Practitioners are then able to use a multipurpose softwarebased approach at the conclusion of each visit that generates educational material an invoice and a prescription (when clinically appropriate) for the patient as well as a diagnostic record that is automatically sent to the patients primary care providers office (with the patients consent) to facilitate continuity of care.
2. Visualize three (3) patient issues that may arise as a result of implementing an electronic record that can be easily transferred from clinic to physician. Next propose a plan to proactively address any one (1) of the patient issues that you identified. Justify your response.
3. Examine and evaluate the effectiveness and usability of Total Quality Management (TQM) in ambulatory care settings. Identify one (1) potential challenge facing an ambulatory care organization of your choosing and explain how Total Quality Management may help to resolve the potential challenge.

 

During colonial rule in Nigeria the British provided formal medical care in government health facilities to Europeans and eventually to African employees. The Nigerian citizens were able to obtain healthcare from the non-governmental organizations usually missionaries who provided free care throughout the country. Upon achieving independence Nigerias health system sought to provide access to healthcare and medical supplies to all of its citizens. In 1997 a coalition of African health ministers introduced the Bamako Initiative to strengthen the primaryhealth care in sub-Saharan Africa. Discuss the political and economic implications of the Bamako Initiative on Nigerian health system in terms of access cost and quality.Cite at least three sources to support your position
 

 

Topic: Health Promotion
Order Description
The assignment should be relating to health promotion practice in UK and the writer should only provide example and use references from public health UK and NHS etc. Please attached HND assignment brief and please follow the below instruction when answering the questions.
LO1
1.1 start with a brief introduction and explain social economic determinants of health such as unemployment education discrimination and income. Discuss all these four areas and explain how it is a social determinants of health. Cite references to back up your answer.
1.2 Assess the relevance of three government publish studies inequalities (Social and economic issues) such as Black Report Acheson Report and Health Survey for England (HSFE) in relation to the case study on LO1 (Task 1).
1.3 Discuss at least three barriers to accessing health care in UK and explain how it is a barrier what is preventing people accessing health care such finance culture language physical disability. Provide UK statistic and references to back up your answer.
LO2
2.1 Analyse the link between UK government strategies and models of health promotion such as anti-smoking campaign Healthy Eating Dare Campaign Sure Start. Models of health promotion are medical (vaccination program) health education behavioural change and social change. Provide references to back up your answer.
2.2 Explain role of different professionals in health and social care have on meeting health promotion targets set by government such as health visitors school nurses care homes hospice and palliative care.
2.3 Discuss the role of routines in promoting health living. Talk about sleep exercise diet healthy eating and how they have impact on health and how they can cause diseases.
LO3
3.1 Explain how health beliefs relate to theories of health behaviour. Talk about health belief model (Becker 1974) theory of reasoned action health action model and stages of change model. Talk about interpersonal level community level and organisational level.
3.2 Discuss the potential effects of conflicts with local industry on health promotion. You can talk about tobacco industry food industry (McDonald and KFC) alcohol industry car (Air pollution).
3.3 Explain with examples the importance of providing relevant health related information to the public. Talk about how information can link to behavioural change such as health belief model. You can talk about advertising and perceived threat.
L04
4.1 Plan a health promotion campaign to meet specific objectives. Please use exercise as health promotion campaign. Outline the goal and objectives for activity.
4.2 Explain how health promotion campaign supports government health promotion strategies

 

Adopting a Supervision Model
 
In clinical supervision, using psychotherapeutic theory as a framework is considered to have some value; however, generally supervision relationships are conceptualized by using a developmental, social role, or integrative model of supervision.As a supervisor, you will develop you own style of supervision, similar to the development of your own unique style of counseling. More than likely, you will find yourself leaning toward a specific theory, model, or integration of supervisory modalities as you progress in your practice. For this Discussion, you analyze how models of supervision might integrate with your future practice of supervision. You consider how the application of a specific supervision model could frame your practice differently than if you used a psychotherapeutic theory alone.
To prepare for this Discussion:
Review Chapter 2 in the course text, Fundamentals of Clinical Supervision. Pay particular attention to the different supervision models. Note the review of psychotherapeutic models of supervision. Review the assigned journal articles from this week’s Resources. Note the rationale each author(s) employs as a basis for his or her supervision model.Think about the strengths and limitations of these models as to use with supervisees from diverse backgrounds.Consider how features of each model resonate and respond to cultural competency.
With these thoughts in mind:
You should provide an analysis of the benefits of adopting a model of clinical supervision rather than relying solely on counseling theory. What are the cultural implications of adopting a model of clinical supervision as opposed to providing supervision solely from a psychotherapeutic theory? Be specific.Be sure to support your postings and responses with specific references to the Learning Resources.

 

There is no real healthcare reform of nurse practitioner with limited prescriptive priviledges
Order Description
Melynk and Fineout-Overholt (2011) note that there are seven steps to the evidence-based practice (EBP) process. The first step is to cultivate a spirit of inquiry. To encourage this spirit of inquiry you are asked in this discussion to:Briefly describe the problem or issue that you have decided to be the topic for your project proposal in order to orient your classmates and facultyIndicate how it relates to your area of specialization (Advance Nurse Practitioner)State your PICOT question. Indicate in parentheses after each segment what part of PICOT the preceding words represent. For example: In patients recently discharged from the hospital following care for heart failure (P) do hand-off calls by the nurse to the primary care provider using the SBAR format (situation background assessment recommendation) (I) compared to no calls (C) decrease readmission rates (O) over a one year period (T).Discuss which process model resonates with you and will help keep you focused during the project. Process models included in your text (Melnyk & Fineout-Overholt 2011) are:Clinical scholar modelStetler model of evidence-based practiceIowa model of evidence-based practice to promote quality careModel for evidence-based practice change by Rosswurm and LarrabeeJohns Hopkins Nursing Evidence-Based Practice (JHNEBP) ModelProvide feedback to your classmates that focuses on:The use of correct PICOT format for the question to guide the literature search.Does the question reflect a clinical research question or one appropriate for an evidence-based practice project?