Quality Improvement InitiativeDescribe a quality improvement initiative in your current or recent practice setting. What was the nurse’s role in the project? What was the outcome of the project? Has the improvement been sustained? Why or why not?Submission Instructions:Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)

Assignment ContentRead the following case study from the Center for Practical Bioethics:Our Pregnant Daughter Didn't Want This...Complete the Questions for Discussion following the case.Summarize the case, explaining the legal and ethical aspects of it.Research and explain any laws that pertain to the situation.Define and explain the ethical principles that pertain to this case.Determine if the legal and ethical responsibilities are in alignment with each other.Explain how you would recommend this care team resolve the situation by answering the following questions:What specific details of the case require resolution?What specific actions should the organization or nurse take to ensure an appropriate outcome?What resources and dependencies exist for your recommendation?Format your assignment as an 875- to 1,050-word paper.Cite at least 3 peer-reviewed sources published within the last 5 years.Note: At least 1 of the sources should provide evidence for your resolution recommendation or plan of action.Include

Assignment 1: Evaluation and Management (E/M) Insurance coding and billing is complex, but it boils down to how to accurately apply a code, or CPT (current procedural terminology), to the service that you provided. The payer then reimburses the service at a certain rate. As a provider, you will have to understand what codes to use and what documentation is necessary to support coding. For this Assignment, you will review evaluation and management (E/M) documentation for a patient and perform a crosswalk of codes from DSM-5 to ICD-10.  To Prepare Review this week’s Learning Resources on coding, billing, reimbursement. Review the E/M patient case scenario provided. The Assignment Assign DSM-5 and ICD-10 codes to services based upon the patient case scenario.  Then, in 1–2 pages address the following. You may add your narrative answers to these questions to the bottom of the case scenario document and submit altogether as one document. Explain what pertinent information, generally, is required in documentation to support DSM-5 and ICD-10 coding. Explain what pertinent documentation is missing from the case scenario, and what other information would be helpful to narrow your coding and billing options. Finally, explain how to improve documentation to support coding and billing for maximum reimbursement.    Learning Resources Required Readings (click to expand/reduce) American Psychiatric Association. (2020). Updates to DSM–5 criteria, text and ICD-10 codes. https://www.psychiatry.org/psychiatrists/practice/... American Psychiatric Association. (2013). Insurance implications of DSM-5.  https://www.psychiatry.org/File%20Library/Psychiat... Clicking on this link will initiate the download of the PDF. American Psychiatric Association. (2020). Coding and reimbursement. https://www.psychiatry.org/psychiatrists/practice/... American Psychiatric Association. (2013). Numerical listing of DSM-5 diagnoses and codes (ICD-10-CM). In Diagnostic and statistical manual of mental disorders (5th ed.).https://dsm-psychiatryonline-org.ezp.waldenulibrar... Buppert, C. (2021). Nurse practitioner's business practice and legal guide (7th ed.). Jones & Bartlett Learning. Chapter 9, “Reimbursement for Nurse Practitioner Services” Centers for Medicare & Medicaid Services. (2020). Your billing responsibilities. https://www.cms.gov/Medicare/Coordination-of-Benef... Stewart, J. G., & DeNisco, S. M. (2019). Role development for the nurse practitioner (2nd ed.). Jones & Bartlett Learning. Chapter 15, “Reimbursement for Nurse Practitioner Services” Walden University Academic Skills Center. (2017). Developing SMART goals. https://academicguides.waldenu.edu/ld.php?content_... Zakhari, R. (2021). The psychiatric-mental health nurse practitioner certification review manual. Springer Publishing Company. Chapter 4 “Neuroanatomy, Physiology, and Mental Illness” Document: E/M Patient Case Study