Complete the Case StudyCASE STUDY 12-1 To Report or Not to Report? Joe’s DilemmaLonnie K. WilliamsJoe was recently appointed as the chief nursing officer (CNO) of a 25-bed rural community hospital that was unionized. The former CNO of 42 years had recently retired and recommended Joe for the position. This was Joe’s first CNO position after graduation with a master’s degree in business administration. His previous management experience was as a nurse manager of the facility for 2 years, where he was one of two BSN graduates. He has 6 years of nursing experience.The staff at the facility have multiple years of experience, and all are residents of the community or adjoining towns. The staff is close-knit and supportive of each other and their families. Additionally, the newly appointed chief executive officer (CEO) is from an academic medical center and has managed ambulatory care services at that facility.During Joe’s first week of employment as the CNO, he was approached by the housekeeping supervisor, who requested an appointment to discuss a situation. Joe eagerly agreed and met with the supervisor. The supervisor stated that over a period of 3 years she and other housekeeping staff had observed the evening shift registered nurse (RN) injecting herself with medications in the upper thigh and often discarding the syringes in the employee lounge. When she was asked if she was okay, she always replied, “This is only for my condition.” The housekeeping supervisor also said that many of the housekeeping staff often said patients complained of pain, even though this RN had administered pain medication “using a needle.” The supervisor stated that this had previously been discussed with the retired CNO, but no changes occurred. Joe told the supervisor he would handle the situation.Joe was at a loss about the best course of action. Should he confront the nurse, investigate further, make a note of this meeting in the RN’s personnel file, make a note for his management files, or even request the supervisor to complete a memorandum stating the information? Joe decided that he would observe the RN himself and initiate a pain management performance improvement project.During the first few weeks of the quality improvement initiative, patients repeatedly complained about increased pain. Joe observed that the RN had several syringes in her lab coat pocket as she walked toward patient rooms. When Joe confronted the nurse, she stated, “These are for patients and not for you to worry about because I am the staff RN and you are the boss. If there is a problem, just call my union representative.”Joe remained at a loss for the best course of action and decided to discuss the issue with the chief of pharmacy, who was the RN’s spouse. The chief of pharmacy said not to worry because patients have complained about her for years, and they get discharged home with plenty of medications for pain. Joe elected not to discuss this with anyone else, including the CEO. He received a call later that evening from a facility that he had recently interviewed with for a service line job. He had taken the CNO position as an interim position while he waited for an offer from that facility. Joe eagerly accepted the new position with a start date later that week. Joe abruptly resigned from the CNO position without addressing the issue.Case Study Questions1. What is the first action that Joe neglected from a legal and ethical perspective?2. What course of action should Joe have initiated, and what legal issues did he incur for himself and the facility?3. Review the reporting responsibilities of any licensed RN to state licensing boards and identify actions that Joe should have initiated after the first discussion with the housekeeping supervisor. What actions would you take if you were in Joe’s position?

Assessment 4: Leadership in the U.S. Health Care SystemWrite a paper (5-7 pages) that analyzes a selected market force's effect on the U.S. health system and HIM. Include a description of how two selected leadership and management theories would help in improving or resolving a market force issue.IntroductionA well functioning health care system with all segments working in harmony depends on all of the following: trained and motivated health care workers, a well-maintained infrastructure, a reliable supply of medicines and technologies, adequate funding, strong health places, and evidence-based policies (World Health Organization, n.d.). We know that the challenges facing the U.S. health care system are many. Health care services are costly and complex. Legislative, financial, and other market forces exert constant pressure on the system to change, adapt, and improve. The U.S. health care system, one of the top five largest industries in the country, and HIM need individuals who are able to embrace and adapt to organizational change and new innovations. Theoretical frameworks help to provide lenses through which to view, make meaning of, and adapt to change. Developing a personal leadership and management philosophy is an important step for individuals who work in the vast, complex, and ever-evolving U.S. health care system. In addition, knowing how to be a good leader and a good manager, whether for others, or just for yourself, is key to making improvements in the health information management field that benefits everyone. For this assessment, you will examine how you can apply leadership and management theories to address a market force or issue that affects HIM.ReferenceWorld Health Organization. (n.d.). Health systems: Key expected results. Retrieved from http://www.who.int/healthsystems/about/progress-ch...Demonstration of ProficiencyBy successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria: Competency 2: Identify market forces that affect health care systems.Analyze a selected market force's historical context and its effect on the U.S. health care system and HIM.Competency 3: Interpret theories of leadership and management for health systems and health information management.Summarize a minimum of two leadership and management theories applicable to the U.S. health care system and HIM.Apply a minimum of two leadership and management theories, or blend of theories, to a current market force issue affecting the U.S health care system and HIM.Competency 4: Communicate in a professional manner.Create an analysis paper that is clear, well organized, professional, and generally free of errors in grammar, punctuation, and spelling. Include a minimum of five references to current, scholarly and authoritative sources that adhere to APA style and formatting guidelines.PreparationThis fourth assessment requires you to:Select and analyze a market force affecting the U.S. health care system and HIM.Select and summarize a minimum of two leadership and management theories applicable to the U.S. health care system and HIM that offer approaches to respond to your selected market force.Apply the two leadership and management theories you selected to improve or resolve the market force issue. For help in selecting a market force, do the following:Visit the AHIMA Website. AHIMA. (2017). Retrieved from http://www.ahima.org/.Browse the items under HIM Topics (for example, coding, privacy & security, data analytics, et cetera).Choose a market force or issue that interests you. Use the Capella library and other credible sources to search for literature about the market force and how it affects health care and HIM. You may also want to conduct independent research into leadership and management theories used in the U.S. health care system and HIM. Consult the Health Care Administration Undergraduate Research Guide for help on how to begin your research and identify credible sources.InstructionsFor this assessment, you will analyze in a five- to seven-page paper a market force of your choice that affects the U.S. health care system and HIM. You will also summarize a minimum of two leadership and management theories that pertain to the the U.S. health system and HIM. You will then apply those theories to your selected market force to determine how they might help to improve or resolve the market force issue. Be sure to use correct health care and HIM terminology in your analysis paper.Include the following headings in your paper and answer the questions under each heading:Market Force Affecting the U.S. Health Care System and HIM (2 pages)Why did you select this particular market force? Be sure to provide a detailed description of the market force in your answer.What is the historical context surrounding this market force?How does this market force affect the U.S. health care system and HIM?Leadership and Management Theories to Address Market Force (2 pages) What are the basic tenets of these management and leadership theories you selected?Why did you select these particular leadership and management theories? What intrigues you about them? Application of Leadership and Management Theories to Address Market Force (3 pages)How would these leadership and management theories (or a blend of them) approach the market force issue?How could these leadership and management theories (or a blend of them) help to improve or resolve the market force issue?Note: Feel free to tailor the headings in your analysis paper to your selected market force and leadership and management theories.Additional RequirementsLength: 5 to 7 double-spaced, pages.Font: Times New Roman, 12 point.Citations and References: Include a minimum of five references to current scholarly, or authoritative sources to support your statements and rationale. Be sure to follow APA formatting and style guidelines for citations and references. Writing: Create an analysis paper that is clear, well organized, professional, and generally free of errors in grammar, punctuation, and spelling.Resources: Management and Leadership TheoriesJha, R. K., Sahay, B. S., & Charan, P. (2016). Healthcare operations management: A structured literature review. Decision, 43(3), 259–279.Kitana, A. (2016). Overview of the managerial thoughts and theories from the history: Classical management theory to modern management theory. Indian Journal of Management Science, 6(1), 6–21.Mathews, P. (2015). Deconstructing management fad adoption: Towards a conceptual model. International Journal of Organizational Analysis, 23(2), 302–319.AHIMA. (2017). Retrieved from http://www.ahima.orgLeadership and Management | Transcript.This is a series of Capella-created short, audio segments on various leadership and management topics. All segments are less than two-minutes long. You will hear Dr. Harry Carter, adjunct faculty at Capella University, address topics such as: What Is Leadership?, Leadership vs. Management, and Can Managers Be Leaders? Leadership Theories | Transcript.In this interactive, Capella-created media piece you will have an opportunity to test your knowledge of leadership theories by answering a series of 12 questions.

The Psychiatric Evaluation and Evidence-Based Rating Scales Assessment tools have two primary purposes: 1) to measure illness and diagnose clients, and 2) to measure a client’s response to treatment. Often, you will find that multiple assessment tools are designed to measure the same condition or response. Not all tools, however, are appropriate for use in all clinical situations. You must consider the strengths and weaknesses of each tool to select the appropriate assessment tool for your client. For this Discussion, as you examine the assessment tool assigned to you by the Course Instructor, consider its use in psychotherapy. Photo Credit: [shironosov]/[iStock / Getty Images Plus]/Getty Images To Prepare: Review this week's Learning Resources and reflect on the insights they provide regarding psychiatric assessment and diagnosis. Consider the elements of the psychiatric interview, history, and examination. Consider the assessment tool assigned to you by the Course Instructor. By Day 3 of Week 2 Post a brief explanation of three important components of the psychiatric interview and why you consider these elements important. Explain the psychometric properties of the rating scale you were assigned. Explain when it is appropriate to use this rating scale with clients during the psychiatric interview and how the scale is helpful to a nurse practitioner’s psychiatric assessment. Support your approach with evidence-based literature. Each student can choose ONE validated scale/toolAttention Deficit/Hyperactivity Scales: NICH Vanderbilt Assessment Scale Conners 3rd Edition ADHD Rating Scale V (ADHD-RS-V) for children Adult ADHD Self-Report Scale for adults Brown Attention-Deficit Disorder Scales  Learning Resources Required Readings (click to expand/reduce) American Psychiatric Association. (2013). Section I: DSM-5 basics. In Diagnostic and statistical manual of mental disorders (5th ed., pp. 5–29). Author. Carlat, D. J. (2017). The psychiatric interview (4th ed.). Wolters Kluwer. Chapter 34, Writing Up the Results of the Interview Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer. Chapter 5, Examination and Diagnosis of the Psychiatric Patient Chapter 6, Classification in Psychiatry Chapter 31, Child Psychiatry (Sections 31.1 and 31.2 only) American Academy of Child and Adolescent Psychiatry (1995). Practice parameters for the assessment and treatment of children and adolescents. https://www.aacap.org/App_Themes/AACAP/docs/practi... American Psychiatric Association. (2016). Practice guidelines for the psychiatric evaluation of adults (3rd ed.). https://psychiatryonline.org/doi/pdf/10.1176/appi.... Sadock, B. J., Sadock, V. A., & Ruiz, P. (2017). Classification in psychiatry. In Kaplan and Sadock’s Concise Textbook of Clinical Psychiatry (4th ed., pp. 1–8). Wolters Kluwer. Sadock, B. J., Sadock, V. A., & Ruiz, P. (2017). Psychiatric interview, history, and mental status examination. In Kaplan and Sadock’s Concise Textbook of Clinical Psychiatry (4th ed., pp. 9–15). Wolters Kluwer. Sadock, B. J., Sadock, V. A., & Ruiz, P. (2017). Medical assessment and laboratory testing in psychiatry. In Kaplan and Sadock’s Concise Textbook of Clinical Psychiatry (4th ed., pp. 16–21). Wolters Kluwer.