1. While the operating budget process is underway in June, the capital budget process must also begin. Describe what should be happening in the capital budget process during June of each year.
Your response must be at least 200 words in length.
2. Review the commonly used approaches to budgeting for service volumes in a healthcare organization. Select any three of these and describe them.
Your response must be at least 200 words in length.
3. Discuss the fringe benefit level change as a key component of the operating budget for any healthcare organization. Why is it so important?
Your response must be at least 200 words in length.
4. Healthcare budgeting is critically impacted by business compliance issues such as corporate compliance and accreditation. Discuss key compliance and accreditation issues that are affecting U.S. hospitals at this point in our history.
Your response must be at least 200 words in length.
Berger, S. (2014). Fundamentals of health care financial management: A practical guide to fiscal issues and activities (4th ed.). San Francisco, CA: Jossey-Bass.

 

Goods and services that are sold in black markets such as illegal drugs are generally not included Show more Goods and services that are sold in black markets such as illegal drugs are generally not included in GDP. a Does this lead to a misleading comparison between countries comparing Australia and India? Explain. b Should these activities be included as a positive or negative in GDP? c Australias underground economy is estimated at 13% of GDP while Thailands is estimated at 54% of GDP. Do you think these figures should change the rankings of the countries in the Human Development Index? Why or why not? Show less

 

Most healthcare insurance plans require that every planned hospital admission or outpatient procedure be pre-certified. This means that the physician’s office on behalf of the patient has contacted them with information about the patient’s condition and their plans for treatment. The purpose for this contact is so that the insurance company authorizes the treatment for payment. In this assignment, you will be conducting this pre-certification authorization for three patients that need a tonsillectomy/adenoidectomy procedure performed. You will need to open the PDF file in this module to complete this assignment. In this PDF file you will find the pre-certification criteria and the history and physical for the three patients. The criteria is triggered by the patient’s diagnosis. For example, if a patient has been diagnosed with Obstructive tonsillar hypertrophy, then criteria 400 will apply.
In criteria 400, all three indicators (410 Symptoms (Sx)/findings; 420 3+/4 tonsillar enlargement by physical exam (PE); and 430 Normal palate by PE) must be met for approval. Under the indicator 410 Sx/findings – one item in 411-415 must be present, and if the indicator is 415 – one item list under 415, -1 Weight loss, -2 Failure to thrive, or -3 Dysphagia with solids must be present. Using the Pre-cert criteria and patient histories, compare the three patient’s histories to the criteria for tonsillectomy/adenoidectomy. Determine if the patient should be approved for the procedure or not. Submit a summary page to your instructor for grading that includes: the patient number, which criteria you used for each patient (eg. 200 Chronic Tonsillitis) and then identify the specific criteria that the patient met (eg. 211 Throat pain and 212-4 Documented increase in tonsil size) or explain why the patient did not meet the criteria for the procedure.

 

Nursing Assessment
WEEK1/ANSWER TO PROFESSOR/ DICUSSION
first part is my discussion
Physical Examination
Physical examination is the evaluation of anatomic findings by using observation, percussion, palpation, and auscultation to obtain information about the patient. Many people who visit healthcare providers follow their instructions but wonder what they are doing or what they are looking for. During a physical examination, a healthcare practitioner is gathering cues to be able to diagnose. When a physical examination is thoughtfully integrated with the information that they provide, history, and path physiology, they should yield at least 20% data that is necessary for diagnosis and management of the patient (Sawyer, 2012). An examination of a 12-year-old child to find the likely cause of the symptoms portrayed would assist in diagnosing the child.
You are admitting a 12-year-old child to your unit. The mother states that the child has a history of unexplained blackout episodes, headaches, sleep disturbances, and is presently exhibiting tremors. What is the most likely cause of these symptoms? What actions would you take during the interview process? Explain.
I have chosen the 12 year old patient for this discussion.
When conducting a physical assessment on children it is imperative to start the collaboration relationship process between the patient and their family members and myself, as the nurse with effective communication strategies. I would first introduce myself to the patient and mother of the patient and explain to the both of them the purpose of the assessment being performed and how the information that they provide will be utilize appropriately. One important aspect to explain to both of them is that the information that they provide to me is protected by HIPAA.
I would then use open-ended questions (i.e. what brings you in today) to direct the interview to gain the patient’s history from either the child or from the mother. If more information is needed then I would utilize closed-ended questions or direct statements (i.e. how long has these symptoms been going on) to clarify any additional information.
Next, I would take the patient’s vitals and a complete head-to-toe assessment with an emphasis on the neurological system exam, all while explaining to the patient and the mother the reason for me having to do this. By me explaining step-by-step what I am doing will help me to better build a rapport with them as well as giving the patient and the mother a sense of being aware of what is going on, so that if they have any questions I will be able to answer these for them.
It would be pretty apparent that with the symptoms that the patient is experiencing may be due to some type of neurological condition. Patient would then need to be referred to a neurologist for further testing to confirm a proper diagnosis.
Reference:
Assessment Technologies Institute. (n.d.). Physical assessment (child). Retrieved fromhttp://www.atitesting.com/ati_next_gen/skillsmodules/content/physical-assessment-child/viewing/Neurological-a.html
Sawyer, S. (2012). Pediatric physical examination & health assessment. Sudbury, MA: Jones & Bartlett Learning.
Professor question/ needs to be answer.
Strong work. When we thinking about our 1st pt-Considering all aspects of the patient medical history, including the history of close family members, is important to ensure the complete clinical picture is evident. Asking if family members have a history of depression is an important point we must raise during a history assessment of our first patient. Would you agree?

 

Explain PSORIASIS in children
1. What do these evidence-based findings mean to me in my role as Advanced practice registered nurse(APRN)?
2. How do I incorporate/integrate these findings as an APRN?
3. What are the good and bad aspects of my Evidence based treatments (EBP) findings?
4. What are the challenges in managing the health care problem and how do I prepare myself for those challenges to improve patient care outcomes?
5. Discuss at a critical level your opinion of the point mentioned, why you hold that opinion, what you see wrong with the point mentioned, how you see the point consistent/inconsistent with what you have learned so far.
6. What are the implications for the future, consistencies/inconsistencies within the article or reading itself, and so forth? Please use sources that can be found online like CDC and Mayo Clinic Please sources that are updated and not more than 3 years old. Please use sources that are USA based or from US health government and peer reviewed. APA format.