NOTE: Please use the following resources to answer below: Code of ethic for nurses with interpretive statements, Center for Medicare and Medicaid services,

Food and drug administration. Please label response to each section (A, B,C, etc.) to ensure each is answered.

A. Identify a nursing theory that has influenced your values and goals.

1. Explain how nurses apply the identified theory from part A to implement excellent nursing practices.

2. Discuss how the identified theory from part A fits your professional practice.

B.Identify the contributions of two historical nursing figures in the nineteenth or twentieth century.

1.Compare the differences in contributions of the two historical figures identified in part B.

2. Describe how the contributions of the two historical figures influence your professional nursing practice.
C. Explain the functional differences between the State Board of Nursing and the American Nurses Association (ANA).

1.Define the roles of these two organizations.

2. Explain how these two organizations influence your nursing practice.

3.Explain the requirements for professional license renewal in your state.

a. Discuss the consequences of failure to maintain license requirements in your state. (New York)

4. Compare the differences between registered nursing license requirements in a compact state versus a non-compact state.
D.Discuss the functional differences between the Food and Drug Administration and the Center for Medicare and Medicaid Services (see the web links below).

1. Discuss how the two regulatory agencies influence your professional nursing practice.

a. Describe your role as a patient advocate in promoting safety when a patient has requested to use an alternative therapy.
E. Discuss the purposes of the Nurse Practice Act in your state and its impact on your professional practice.

1. Discuss the scope of practice for a RN in your state. (New York)

2. Discuss how your state defines delegation for the RN.
F. Apply each of the following roles to your professional practice: a scientist, a detective, a manager of the healing environment
G. Identify two provisions from the American Nurses Association (ANA) Code of Ethics (see web link below).

1. Analyze how the two provisions identified in part G influence your professional nursing practice.

2. Describe a nursing error that may occur in a clinical practice (e.g., clinical setting, skills lab, or simulation).

a. Explain how the ANA provisions identified in part G can be applied to the error discussed in part G2.
H. Identify four leadership qualities or traits that represent excellence in nursing.

1. Discuss the significance of the four leadership qualities identified in part H in the nurse’s role as each of the following:

a leader at the bedside within a nursing team or interdisciplinary team

2. Identify how your work environment impacts the following: nursing leadership, decision making, professional development

Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

Using Process Maps for Quality Assessment and Improvement

Given the synergistic relationship between process and outcomes, leader-managers and other team members need to evaluate processes related to care delivery, customer service, and other matters in order to diagnose problems and effectively improve quality.

A process map is a visual representation that illustrates activities and practices as they occur, which serves as a valuable resource for identifying trouble spots. It is important to note that process maps can also be used for evaluation after an intervention has been implemented. For instance, looking at a process map following an intervention may help leader-managers to note discrepancies between what was planned and what is actually being practiced, or to see that a process has in fact improved, even if the outcomes have not met the targets.

In this Discussion, you examine how process mapping could be applied to your Course Project.

To prepare:

Review the Learning Resources, focusing on the use of process maps for improving quality and safety.
Bring to mind your work on your Course Project thus far. How could you use a process map to diagnose problems and inform strategies for improvement? In addition, think about how using a process map could inform and enhance your data collection efforts.
Conduct additional research on this topic to support your thinking.
By Day 3

Post an explanation of how using a process map could inform and facilitate quality assessment and improvement, including data collection efforts, related to your Course Project. Support your response with evidence from the literature.

Required Readings
Cookson, D., Read, C., Mukherjee, P., & Cooke, M. (2011). Improving the quality of emergency department care by removing waste using Lean Value Stream mapping. International Journal of Clinical Leadership, 17(1), 25–30.
Retrieved from the Walden Library databases.

This article demonstrates how a process map can be used to identify waste and promote efficiency, particularly in large departments.
Ford, J. H., Wise, M., & Wisdom, J. P. (2010). A peek inside the box: How information flows through substance abuse treatment agencies. Journal of Technology in Human Services, 28(3), 121–143.
Retrieved from the Walden Library databases.

The authors of this article establish the importance of using process maps for improving productivity and information flow.
Abubakker, H. T. (2010). Practical guide to creating better looking process maps. Retrieved from http://www.isixsigma.com/tools-templates/process-mapping/practical-guide-creating-better-looking-process-maps/

iSixSigma’s website offers a practical guide with many tips for creating an easy-to-follow process map.
NHS Institute for Innovation and Improvement. (2010). Quality and service improvement tools: Process mapping—an overview. Retrieved from http://www.miltonkeynesccg.nhs.uk/resources/uploads/files/NHS%20III%20Handbook%20serviceimprove.pdf

The NHS article outlines the importance of process maps and provides a detailed description of how to create a process map.

Assignment: Looking Ahead: Application Assignment Net Revenue and Budgeting

No one can predict the future, but accountants and financial managers must try and do exactly that!  By examining net revenue, costs, and cash flow, you can get a clearer picture of what to expect in your organization’s (or one with which you are familiar) fiscal future. Using these metrics to look forward will enable you to more effectively plan budgets that accomplish organizational goals.  When developing a budget, what variables do you have to take into account? In health care organizations, two of the largest groups of factors that you must consider are first, volume, and second, staffing and supply. The number of patients and tests performed each day, as well as employees and their pay rates are all crucial pieces of information when determining a budget.  In this Assignment, you address five scenarios: net revenue, fixed and variable costs, cash flow, volume budget, and staffing and supplies budget.   Note: For those Assignments in this course that require you to perform calculations you must:  •Use the Excel spreadsheet template for the Week 5 assignment.

•Show all your calculations and formulas in the spreadsheet. •Answer any questions included with the problems (as text in the Excel spreadsheet).   A title and reference page are NOT needed in this assignment.  Put your name and assignment at the top of the Excel spreadsheet.  For those not comfortable with the use of Microsoft Excel, this week’s Optional Resources suggest several tutorials.  To prepare: •Review the information in this week’s Learning Resources regarding net revenue, fixed and variable costs, and cash flow, and how they are used in financial decision making.  •Review the budgeting information in Week 5 Learning Resources dealing with volume, staffing, and supplies budget.

Note: All the scenarios will be submitted as one document.  Each scenario will be on a different tab in the spreadsheet.  Scenario 1: Net Revenue Scenario  Your clinic provides four kinds of services: •Comprehensive initial medical consultation is priced at $250 •Established patient limited visit is priced at $75 •Established patient intermediate visit is priced at $125 •Established patient comprehensive visit is priced at $250  Question: The profile of your patients is such that the average collection rate is 75%. Assuming you have 100 visits of each type each month, what amount of new revenue will you generate in the next 12 months?  Scenario 2: Fixed/Variable Cost Scenario  You have performed a cost analysis of your health care organization and have determined the following: based on the latest three years of information, your annual cost of operations is $1,600,000 with annual volume of 10,000 procedures. You have determined that certain of your supply items are fixed in nature (those marked with an F) while others are variable (marked with a V).  Question: An insurance company that is considering directing its 1,000 units per year of procedure business to your organization has approached you. For the last three years, you have been charging a price of $165 per procedure (with a 100% collection rate). Your board has mandated that you make $5 of profit from each of the procedures. You obviously want the highest possible price, but as you enter the negotiations, what is the lowest possible price you would be willing to accept from this payer?  Hint: Calculate the variable cost.  Scenario 3: Cash Flow Scenario  Your new business venture will begin operation on July 1, 20X2. You will hire staff effective January 1, 20X2 with a cost of $40,000 per month. You know from experience that collections lag billing by 3 months (in other words, once you bill for a service, you must wait 90 days for the payment to be received.) Your business volume is projected to be as follows:   Question: If you have $380,000 of cash on hand on January 1, 20X2, how much cash will you have at the end of June 20X3?  Assume a 100% collection rate.  Scenario 4: Volume Budget Scenario  You manage lab services in a large hospital. You have the following data on both the hospital’s budgeted patient days and visits for budget year 20XX along with the ratio of lab tests to patient days or visits.  Question: Based on this raw data provided , how many lab tests would you anticipate for the coming budget year? If each test is priced at $20.00, how much gross revenue would you budget? Assuming each full-time lab technician (FTE) can perform 200,000 tests each year, how many full-time lab technicians would you plan for?  Example on Template: 2 North Bldg calculated.  You will need to complete 2 South Bldg, ICU and OPD  Scenario 5: Staffing and Supply Budget Scenario  Calculate the supplies budget necessary to operate your unit for the fiscal year beginning January 1, 20X8. It is your expectation that you will perform 24,820 procedures in the budget year. The following spending data is available for the period January 1 to March 31, 20X7 during which time procedure volume amounted to 3,240. Items marked (F) are considered fixed, those marked (V) are considered variable. Inflation is planned at 4%.  In reviewing performance to date, you note that in January, you purchased $150,000 of D5W fluid replacement charged to IV solutions, which represents an entire year’s supply. In addition, you returned $2,800 of office supplies for credit from the vendor in Febuary. These supplies were purchased in a previous fiscal year.  You also need to prepare the salary budget for the same fiscal year. You have determined that staff needs are for 6.5 FTEs.  A pay raise will be given to all staff on October 1st of each year at a rate of 8 percent. In making your calculations, always round to the nearest whole dollar for annual salary amounts, but keep pennies in the hourly pay rates. New staff begins the new fiscal year at $16.00 per hour.

 Be sure and include all of your calculations

Required Readings  Baker, J. J., Baker, R. W., & Dworkin, N. R.  (2018). Health care finance: Basic  tools for nonfinancial managers (5th ed.). Burlington, MA: Jones and  Bartlett Learning.  •Chapter 7, “Cost Classifications” (pp. 55-61)    In this chapter, you focus on the difference between direct and indirect costs and why it is crucial for financial managers to understand the difference.     •Chapter 8, “Cost Behavior and Break-Even Analysis” (pp. 65-78)    This chapter continues the discussion on costs. It describes the differences between fixed, variable, and semivariable costs. It demonstrates how to compute the cost-volume-profit (CVP) ratio and the profit-volume (PV) ratio.  Zelman, W., McCue, M., & Glick, N. (2009). Financial management of health care organizations: An introduction to fundamental tools, concepts, and applications (3rd ed.). Hoboken, NJ: Jossey-Bass.  Retrieved from the Walden Library databases.  •Chapter 3, “Principles and Practices of Health Care Accounting” (pp. 87–120)    Review: This chapter explores the accounting practices and principles of health care. The authors detail the rules for recording transactions and the process of recording and developing financial statements.     •Chapter 4, “Financial Statement Analysis” (pp. 121–186)

Pick one problem from the list provided below. Discuss and include your rationales using.

• What questions need to be asked and what body part needs to be examined?
• What diagnostic tests need to be obtained and why?
• How would you handle abnormal finding?
• What will be your list of differentials?
• 250 words not including title page and reference page

Problems commonly seen in the Primary Care setting:

• runny nose
• cough
• diarrhea
• pharyngitis
• dysuria
• rash

Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies

New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies.

Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consulting existing research to inform their thinking.

In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.

To Prepare:

• Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.
• Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”
• Identify and select 5 peer-reviewed articles from your research.

The Assignment: (4-5 pages)

In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Be sure to address the following:

• Identify the 5 peer-reviewed articles you reviewed, citing each in APA format.
• Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.