Description
One of the trends marking the continuing transformation of the U.S. health care industry is the dramatic increase in the pace of competition. The heightened competition is taking place among hospitals, health plans, physician groups, and drug companies, and between physicians and hospitals, and hospitals and health plans. Listen to the Looking Ahead: The Future of Health Care Policy podcast from National Public Radio (NPR). Then, prepare a three- to five-page paper in which you:
- Describe the different forms of competition that take place among various types of health care organizations.
- Evaluate the benefits and pitfalls of competition in health care and suggest alternatives if competition was not the primary driver of operations in the U.S. health care system.
- Explain the elements of successful competition and the use of competitive intelligence.
- Describe the influence competition has on the services offered by health care organizations and the choices patients have.
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URG Wk 2 Direct Practice Improvement Ten Strategic Points Paper
The Direct Practice Improvement (DPI) Project incorporates 10 key or strategic points that need to be clear, simple, corre ...
URG Wk 2 Direct Practice Improvement Ten Strategic Points Paper
The Direct Practice Improvement (DPI) Project incorporates 10 key or strategic points that need to be clear, simple, correct, and aligned to ensure the project is doable, valuable, and credible. These points, which provide a guide or vision for the project, are present in almost any research. These 10 points are defined and instructions for completion of the “DPI Project Milestone: Outline of 10 Strategic Points” assignment are provided in "The 10 Strategic Points for the Prospectus, Proposal, and Direct Practice Improvement Project," resource located in the DC Network.Directions:Download The 10 Strategic Points for the Prospectus, Proposal, and Direct Practice Improvement Project. (The 10 strategic point included below)Complete the table in the 10 strategic points DPI.DPI PICOT Question: Do postpartum mothers who participate in early and direct skin-to-skin contact, compared to mothers who do not participate in early and direct skin-to-skin contact report increased breastfeeding initiation rate, within first 24-hours after birth?ORIn postpartum mothers and newborns, how does direct skin-to-skin contact, compared to no skin-to-skin contact, affect breastfeeding initiation as measured by infant’s ability to latch-on and effective suckling, when practiced within the first 24-hours after birth?The 10 Strategic Points for the Prospectus, Proposal,and Direct Practice Improvement ProjectIntroductionIn theProspectus, Proposal, and Direct Practice Improvement Project, there are 10 key or strategic points that need to be clear, simple, correct, and aligned to ensure the project is doable,valuable, and credible. These points, which provide a guideor vision for the project, are present in almost any project. The 10 Strategic Points are defined within this document and a template provided. The ten strategic points are developed in a table format, as noted below.The Process for Defining the 10 Strategic PointsThe order of the 10 Strategic points listed below reflects the order in which the learner completes the work product. The first five strategic points focus primarily on defining the purpose or focus for the project based on a clearly defined need or gap from the literature as well as the learner’s passion and specialty area focus. First, learners identify a broad topic area to investigate for their Direct Practice Improvement (DPI) Project. Second, learners complete a review of the literature to define the need or gap to be addressed, the theories and models that will provide a foundation for the project, related themes that are needed to demonstrate the learner's expertise in the field and to define the key strategic points behind the learner's proposed project. Third, the learners develop a clear, simple, one-sentence problem statement that defines the problem or gap that will be addressed by the DPI project. Fourth, learners identify a potential population from which sample data will be collected for the project. Fifth, learners develop the clinical/PICOT question(s) that will define the data needed to address the problem statement. Based on the first five strategic points above, learners next define the key aspects of the project methodology through the last five strategic points. The sixth point describes the independent and dependent variables. Seventh, learners determine if the project will be a qualitative, quantitative, or mixed methodology. Due to the evidence-based natureand feasibility of the DPI project requirement, most DPI projects will be utilizing a quantitative method because learners are not creating new evidence like that determined through qualitative or mixed methods. For the eighth strategic point, learners develop a purpose statement by integrating the problem statement, methodology, design, sample, and location. Ninth, learners identify the data they will need to collect to address the clinical questions or PICOT components.This includes the variables, level of measurement, and method used to collect the data (e.g., interviews, focus groups, observations, tested and validated instruments or surveys, databases, public media, etc.). Tenth and last, learners identify the appropriate data analysis, based on their project design and variables, which will be used to answer the clinical questions and address the problem statement. Criteria for Evaluating the 10 Strategic Points: Clear, Simple, Correct, and AlignedWhen developing a project, it is important to define the 10 Strategic points, so they are simple, clear, and correct in order to ensure that anyone who reviews them will easily understand them. It is important to align all of the 10 Strategic points to ensure it will be possible to conduct and complete the project. The problem statement must be derived from the literature or practice problem. The clinical questions must be used to specify the variables or data to be collected to answer the problem statement. The methodology and design must be appropriate for the problem statement, clinical,and PICOT question(s). The data collection and data analysis must provide the information to answer the PICOT questions. Developing the 10 Strategic Points document begins in DNP-815 begins as a two-or three-page document that can help ensure clarity, simplicity, correctness, and alignment of each of these 10 key or Strategic points in the prospectus, proposal, and Direct Practice Improvement Project. Developing these 10 Strategic points using this easy-to-use use template ensures the 10 Strategic points will always be worded the same throughout the prospectus, proposal, and Direct Practice Improvement Project manuscript. Please see the table below regarding the development of the citation requirements expected per course.Value of the 10 Strategic Points DocumentThe 10 Strategic Points document can be used for communicating and aligning key stakeholders for the Direct Practice Improvement Project. This document can be used to obtain agreement between the learner and the chair regarding the initial focus and approach for the project. The document can be used to review the proposed project with the people or organizations from whom learners need to gain permission to conduct their project, a critical step required before learners can develop their proposal. The document also proves useful for communicating the Direct Practice Improvement Project focus when attracting a Content Expert, as well as for reviewing the proposal with the Direct Practice Improvement Project committee and the AQR reviewers. Learners may choose to consult methodologists, statisticians, and editors in the process of developing the final manuscript from the 10 Strategic points. Examples of the 10 Strategic Points DocumentIt is important that the 10 Strategic points are clear, concise, doable, and aligned throughout the prospectus, proposal, and Direct Practice Improvement Project. Provided below is an example of a completed 10 Strategic Points document for a quantitative project. Following the example, a blank 10 Strategic PointsTable template is provided for learners to use when developingtheir own10 Strategic Point documents.Example: 10 Strategic Points Document for a Quantitative ProjectTen Strategic Points The 10 Strategic Points Broad Topic Area Broad Topic Area: Literature Review: Problem Statement: PICOT Questions or Clinical Question: Sample (and Location): Define Variables:Methodology and Design: Purpose Statement: Data Collection Approach:Data Analysis Approach: Hint: What would I title my project? Literature Review List primary points for four sections in the Literature Review: Background of the problem/gap, theoretical foundations (models and theories to be the foundation for the project); review of literature topics with the key theme for each one; and summary. Background of the Problem/Gap:Theoretical Foundations (models and theories to be the foundation for the project): Review of Literature Topics with Key Themesand SubthemesSummary Rural ambulatory clinics have had to reorganize their management structures to enhance reimbursement.Access to appropriate health services for rural Americans needs to be improved in areas where specialists are not available (Schoenberg, 2012). Telehealth nursing services can be provided through rural health clinics to support specialty clinics (Schoenberg, 2012).Approximately 200 telemedicine networks have been established nationwide. (American Telemedicine Association, 2017)The Greenhalgh’s Dissemination of Innovations model (Greenhalgh, Robert, Bate, Macfarlane, & Kyriakidau, 2005) can be used to implement rural telehealth services for rural Americans.The D&M Information System Success model (DeLone &McLean, 2003) is a framework to conceptualize and operationalize information system success.Path constitution theory combines two contrasting perspectives on technology, path dependence, and path creation (Singh, Mathiassen, & Mishra, 2015).Rural telehealth can improve care in burn patients (McWilliams, Hendricks, Twigg, Wood, & Giles, 2016); smoking cessation (Carlson, Lounsberry, Maciejewski, Wright, Collacutt, & Taenzer, 2011), psychotherapy (Gonzales & Brossart, 2015);cancer education (Doorenbos et al., 2011); diabetes (Holloway, Coon, Kersten, & Clemins, 2011).Rural health clinic/hospital (Carlson et al., 2011); Doorenbos et al., 2011; Gonzales & Brossart, 2015; Holloway et al., 2011). Home-based (Demiris et al., 2103).Community center (Demiris et al., 2103).Library (Demiris et al., 2103).Smartphone, computer-based (Forchuk et al., 2016).National Committee for Quality Assurance (n.d). Disease Management Accreditation. Retrieved from http://www.ncqa.org/programs/accreditation/disease...American Association of Critical-Care Nurses (n.d.). CCRN-E: Certification for Tele-ICU Nurses. Retrieved from https://www.aacn.org/certification?tab=First-Time%...Acute stroke ready designation (Slivinski, Johes, Whitehead, & Hooper, 2017).American Telemedicine Association: approximately 200 telemedicine networks have been established nationwide (Frederick, 2013). Tablet PC Enabled Body Sensor System: a continuous real-time collection of physiological parameters (Panicker, Kumar, 2016).Gap/Problem: There is a need to implement evidence-based methods of improving the health outcomes of rural residents through the use of telehealth.Prior studies: Prior studies show that telehealth improves patient outcomes in diverse settings, including rural areas.Quantitative application: Sources of data exist to collect numerical data on the rate of follow-up with the primary care provider in rural areas.Significance: Improving the rate of follow-up with the primary care provider will improve the health outcomes of rural residents. Gap/Problem: Prior studies: Quantitative application: Rural Telehealth Services: (Theme example) Population Specific Telehealth Services: Community-based telehealth: Home-based telehealth can enhance older adults’ access to care and facilitate patient-provider collaboration, which may, in turn, improve patient self-management (Hsieh, Tsai, Chic, & Lin, 2015).Chronically ill: Disease management needs of chronically ill patients include prescription refills, medication and symptom management, lab results, and patient education (Vinson, McCallum, Thornlow, & Champagne, 2011). Rural Native American telehealth: Telehealth can improve health disparities in Native American communities (Kruse, Bouffard, Dougherty, & Parro, 2016). Diabetes education and management:Telehealth education improves glycemic control (Barker, Mallow, Theeke, & Schwertfeger, 2016).Mental health emergencies can be managed effectively through telehealth services (Saurman et al., 2011). Settings: Certifications: Network Systems: Problem Statement Describe the variables/groups to project, in one sentence. A well-written problem statement begins with the big picture of the issue (macro) and works to the small, narrower, and more specific problem (micro). It clearly communicates the significance, magnitude, and importance of the problem and transitions into the Purpose of the Project with a declarative statement such as: “It is not known if and to what degree/extent...” or “It is not known how/why and….” It was not known if or to what degree the implementation of __________________would impact ______________ when compared to _______________ among ___________ (population). While the literature indicates that telehealth is an important emerging technology for rural patient access, it is unknown if the implementation of telehealth impacts the rate of patient follow up for patients living in a rural area. Clinical or PICOT Questions (P) Among adult patients in a rural care setting, (I) how does the implementation of a telehealth program (C) compare to traditional commute-for-care (O) impact rate of follow-up with the primary care provider (T) over a period of four weeks? Clinical Question: To what degree does the implementation of _______________ (intervention) impacts __________________ (what) when compared to _____________ among _____________ (population) patients in a ______ (setting) in _______ (state)? Sample Identify sample, needed sample size, and location (project phenomena with small numbers and variables/groups with large numbers). Location: Arizona Population(Participants)Sample: 40 participants include a power analysis if appropriate.Inclusion CriteriaWho can participate?Exclusion CriteriaWho cannot participate Define Variables Independent Variable (Intervention): Telehealth program.Dependent Variable: Follow-up rate with the primary care provider. Methodologyand Design Name the selected methodology and specific design to address the problem statement and clinical questions: This project will use a quantitative methodology with a quasi-experimental design. Purpose Statement Provide one sentence statement of purpose including the problem statement, sample, methodology, and design: The purpose of this quantitative, quasi-experimental project was to determine if or to what degree the implementation of _________________ (intervention) would impact ______________(what) when compared to _______________________ among ___________(population)in a ________ (setting ie: primary care clinic, ER, OR) in ________ (state) over _____ time. Data Collection Approach Describe primary instruments that will be used to answer the clinical question. Think about your step by step data collection approach from start to finish. Data Analysis Approach Descriptive statistics will describe the sample characteristics and variable results. Explain the test used to obtain the statistical analysis and results of the measurable patient outcome. What method will be used to justify the sample size? 10 Strategic Points Table(Use this table to complete the 10 Strategic Points document for your project.) The 10 Strategic Points Broad Topic Area Broad Topic Area/Title of Project: Literature Review: Problem Statement:Clinical/PICOT Questions:Sample (and Location):Define Variables and Level of Measurement: Literature Review Background of the Problem/Gap:Theoretical Foundations (models and theories to be foundation for the project): Review of Literature with Key Organizing Themesand Sub-themes(Identify at least two themes, with three sub-themes per theme)Summary Theme1 (placeholder only; name theme): Sub-theme 1 Grouped findings related to Theme 1 Sub-theme 2 Sub-theme 3 Significance: Problem Statement It was not known if or to what degree the implementation of __________________would impact ______________ when compared to _______________ among ___________ (population). Clinical/ PICOT Questions To what degree does the implementation of _______________ (intervention) impacts __________________ (what) when compared to _____________ among _____________ (population) patients in a ______ (setting) in _______ (state) over four-weeks? Sample a.Location: Urban/Rural (State) b.Population (Participants) c.Sample: Specify the sample size desired and perform a power analysis if appropriate. d.Inclusion Criteria Who can participate?Who cannot participate? e.Exclusion Criteria Define Variables Independent Variable (Intervention):Dependent Variable: Methodology and Design Methodology and Design: Purpose Statement Purpose Statement: The purpose of this quantitative, quasi-experimental project was to determine if or to what degree the implementation of _________________ (intervention) would impact ______________(what) when compared to _______________________ among ___________(population)in a ________ (setting ie: primary care clinic, ER, OR) in ________ (state) ___ time. Data Collection Approach Data Collection Approach: Data Analysis Approach Data Analysis Approach: References APA formatted sources. Criterion Learner Score (0, 1, 2, or 3) Chairperson Score (0, 1, 2, or 3) Comments or Feedback 10 Strategic points Topic: Provides a broad project topic area/title. Literature Review: Lists primary points for four sections in the Literature Review: (a) Background of the problem/gap and the need for the project based on evidence from the literature; (b) Theoretical foundations (models and theories to be foundation for project); (c) Review of literature topics with at least two organizing themes and three sub-themes for each theme (d) Summary. Minimum number of themes and sub-themes met per course requirement? Problem Statement: Describes the problem in a single declarative sentence to address through the project based on defined gaps or needs from the literature. Sample and Location: Identifies sample, needed sample size,location, and inclusion and exclusion criteria. Clinical/PICOT Questions: Provides clinical/PICOT questions to all of the collected data needed to address the problem statement. Variables: Provides variables for each project PICOT question component. Methodology and Design: Describes the selected methodology and specific research design to address problem statements and clinical/PICOT questions. Purpose Statement: Provides a one-sentence statement of purpose including the problem statement, methodology, design, population sample, and location. Data Collection: Describes primary instruments and sources of data to answer research questions. Reliability and Validity of the instruments are addressed. Data Analysis: Describes the specific data analysis approaches to be used to address clinical/PICOT questions. The statistical test(s) that will be used must be identified and must be appropriate for the level of data and the clinical/PICOT question.
Ashford University Catering Event Purchasing Component Paper
this assignment for my food service and production class. The instructions and the work to be done is in the word doc and ...
Ashford University Catering Event Purchasing Component Paper
this assignment for my food service and production class. The instructions and the work to be done is in the word doc and the pdf has important information relevant to the conversions. Just by CTRL +F you can find the items you need in the list .. I also attached the PPP for the part of the lecture in case you need any information
HIM FPX 4610 Capella University Skin Progress Note Template
Translate into common terms the medical terms contained in a progress note for a patient with a skin condition. Spell all ...
HIM FPX 4610 Capella University Skin Progress Note Template
Translate into common terms the medical terms contained in a progress note for a patient with a skin condition. Spell all medical and common terms correctly on the provided template.In this first assessment you will begin your exploration of the structure of medical terminology. The first step is to review how to build a medical term. Then you will examine the skin and musculoskeletal systems; in particular, we will focus on the diagnosis and treatment of the integumentary, or skin system. The skin is the largest organ of the body with a total area of about 20 square feet. The skin protects us from microbes and the elements, helps regulate body temperature, and permits the sensations of touch, heat, and cold. Your suggested resources address the three layers of skin, skin conditions, diseases, treatment, and diagnostic studies.In the assessment, you will review a progress note. This is a common document found in a health care record in doctors' offices and hospitals. You will then translate the medical terms in the progress note into common terms.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: Use medical terminology and abbreviations related to general structures and functions of the human body.Identify medical terms related to general structures and functions of the human body correctly. Translate medical terms related to general structures and functions of the human body into common terms correctly. Competency 3: Use medical terminology and abbreviations related to body systems.Identify medical terms related to body systems correctly.Translate medical terms related to body systems into common terms correctly.Competency 6: Spell and pronounce basic medical terms.Spell medical and common terms correctly.Competency 7: Communicate in a professional manner.Provide citations and references in APA style. InstructionsReview the progress note below, including the subjective and objective notations. Next, download the Skin Progress Note Template [DOCX] and complete all of the following on the template:Select 15 medical terms from the progress note.Translate the 15 selected medical terms into commonly used terms. Spell the 15 medical and common terms correctly.Cite in correct APA style the references you used to perform your translation. Click APA Style and Format for additional guidance on how to ensure your citations and references conform to APA guidelines.Skin Progress NoteSubjective: The patient is a 49-year-old female who comes in with the complaint of having bumps on her arms. She states some of the bumps have been there a long time. Recently the bumps have been increasing in number and size. She was last seen about two years ago for eczema, at which time she did not have these bumps. The bumps are not itchy or painful.Objective: Very pleasant, alert, and oriented x3 female in no apparent distress. A full integumentary exam of the upper extremities was performed today. The left radial aspect demonstrated erythematous macules. The right ulnar aspect demonstrated actinic keratosis. Bilateral hands appeared dry with linear excoriation and fissuring of her fingertips. Bilateral upper arms demonstrated superficial and deep masses. Deep subcutaneous masses are mobile and may represent lipomas. Superficial masses appear to be sebaceous cysts.Assessment and Plan:Actinic keratosis of the right ulnar aspect was treated with liquid nitrogen.Possible lipomas: Schedule surgical biopsy of larger masses.Sebaceous cysts: Punch biopsy performed today; await pathology report. Apply Neosporin to biopsy site.Continue Cortisone 10 intensive cream for eczema.Additional Requirements Format: Ensure you complete all columns on the Skin Progress Note Template. Scoring Guide: Be sure to read the scoring guide for this assessment, so you understand how your faculty member will evaluate your work.Resources: Study TipsStudy TipsSpeak it and use your new language! Examples:No longer say that you have a headache, but rather speak the medical term, cephalgia.If a child falls and scrapes a knee, let the child know the injury is a patellar abrasion.Use the textbook as a workbook.Use the interactive resource, Evolve Resources for The Language of Medicine, accompanying your textbook. Note: If you require the use of assistive technology or alternative communication methods to use this item, please contact Disability Services to request accommodations.Repetition, repetition, repetition!Start a portfolio—an alphabetized electronic or written portfolio of terms that you might have difficulty in understanding or remembering.Write your notes in color ink. Assign a special color to help improve your recall of terms; for example, use red ink for cardiology, green for gastrointestinal, blue or brown for ophthalmology, or whatever highlight makes sense to you. Researchers have found that colors help to improve memorization results.Relate ideas and terms.Levator muscles (hold up support tissue) = elevator (goes up).Use songs and games.E-mail your faculty member if you have questions or need clarification.Resources: Medical Terminology StructureMedical Terminology StructureThese readings introduce the forms and word components that make up medical language. This includes basic word parts, including suffixes and prefixes.Chabner, D. (2017). The language of medicine (11th ed.). St. Louis, MO: Saunders. Available from the Bookstore. Chapter 1, "Basic Word Structure," pages 1–32.Chapter 3, "Suffixes," pages 75–108.Chapter 4, "Prefixes," pages 109–138.Use the interactive activities in The Language of Medicine to study the skills and terms covered in this assessment. These activities include the practice applications and review activities located within each chapter. Completing these activities will help you prepare for this assessment.In addition, you have access to flashcards and quizzes from the textbook's companion Web site, Evolve Resources for The Language of Medicine, as well as practice quizzes for each chapter. Use these to further prepare yourself for your assessments.Note: If you require the use of assistive technology or alternative communication methods to use these items, please contact Disability Services to request accommodations.Resources: General Body TermsGeneral Body TermsChabner, D. (2017). The language of medicine (11th ed.). St. Louis, MO: Saunders. Available from the Bookstore. Chapter 2, "Terms Pertaining to the Body as a Whole," pages 33–74.Resources: The Musculoskeletal and Skin SystemsMusculoskeletal and Skin SystemsThese readings cover the anatomy and physiology of the musculoskeletal and skin systems along with word parts, vocabulary, and terminology needed to use these terms in health care settings.Chabner, D. (2017). The language of medicine (11th ed.). St. Louis, MO: Saunders. Available from the Bookstore. Chapter 15, "Musculoskeletal System," pages 579–652.Chapter 16, "Skin," pages 653–696.
Two Page Paper, Case Studies Healthcare
There are two cases dealing with hospital mergers. One is very successful, one is less so. What is the difference? What di ...
Two Page Paper, Case Studies Healthcare
There are two cases dealing with hospital mergers. One is very successful, one is less so. What is the difference? What did management do in each situation that made the outcomes so different? What can you learn about how to manage such a challenge in your career?Be creative, be analytical. Answer all the questions above.
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Goals And Marketing Strategy
The goal of the East Chestnut Regional Health System (ECRH) is to boost profitability by increasing the number of patients ...
Goals And Marketing Strategy
The goal of the East Chestnut Regional Health System (ECRH) is to boost profitability by increasing the number of patients and its market share and ...
URG Wk 2 Direct Practice Improvement Ten Strategic Points Paper
The Direct Practice Improvement (DPI) Project incorporates 10 key or strategic points that need to be clear, simple, corre ...
URG Wk 2 Direct Practice Improvement Ten Strategic Points Paper
The Direct Practice Improvement (DPI) Project incorporates 10 key or strategic points that need to be clear, simple, correct, and aligned to ensure the project is doable, valuable, and credible. These points, which provide a guide or vision for the project, are present in almost any research. These 10 points are defined and instructions for completion of the “DPI Project Milestone: Outline of 10 Strategic Points” assignment are provided in "The 10 Strategic Points for the Prospectus, Proposal, and Direct Practice Improvement Project," resource located in the DC Network.Directions:Download The 10 Strategic Points for the Prospectus, Proposal, and Direct Practice Improvement Project. (The 10 strategic point included below)Complete the table in the 10 strategic points DPI.DPI PICOT Question: Do postpartum mothers who participate in early and direct skin-to-skin contact, compared to mothers who do not participate in early and direct skin-to-skin contact report increased breastfeeding initiation rate, within first 24-hours after birth?ORIn postpartum mothers and newborns, how does direct skin-to-skin contact, compared to no skin-to-skin contact, affect breastfeeding initiation as measured by infant’s ability to latch-on and effective suckling, when practiced within the first 24-hours after birth?The 10 Strategic Points for the Prospectus, Proposal,and Direct Practice Improvement ProjectIntroductionIn theProspectus, Proposal, and Direct Practice Improvement Project, there are 10 key or strategic points that need to be clear, simple, correct, and aligned to ensure the project is doable,valuable, and credible. These points, which provide a guideor vision for the project, are present in almost any project. The 10 Strategic Points are defined within this document and a template provided. The ten strategic points are developed in a table format, as noted below.The Process for Defining the 10 Strategic PointsThe order of the 10 Strategic points listed below reflects the order in which the learner completes the work product. The first five strategic points focus primarily on defining the purpose or focus for the project based on a clearly defined need or gap from the literature as well as the learner’s passion and specialty area focus. First, learners identify a broad topic area to investigate for their Direct Practice Improvement (DPI) Project. Second, learners complete a review of the literature to define the need or gap to be addressed, the theories and models that will provide a foundation for the project, related themes that are needed to demonstrate the learner's expertise in the field and to define the key strategic points behind the learner's proposed project. Third, the learners develop a clear, simple, one-sentence problem statement that defines the problem or gap that will be addressed by the DPI project. Fourth, learners identify a potential population from which sample data will be collected for the project. Fifth, learners develop the clinical/PICOT question(s) that will define the data needed to address the problem statement. Based on the first five strategic points above, learners next define the key aspects of the project methodology through the last five strategic points. The sixth point describes the independent and dependent variables. Seventh, learners determine if the project will be a qualitative, quantitative, or mixed methodology. Due to the evidence-based natureand feasibility of the DPI project requirement, most DPI projects will be utilizing a quantitative method because learners are not creating new evidence like that determined through qualitative or mixed methods. For the eighth strategic point, learners develop a purpose statement by integrating the problem statement, methodology, design, sample, and location. Ninth, learners identify the data they will need to collect to address the clinical questions or PICOT components.This includes the variables, level of measurement, and method used to collect the data (e.g., interviews, focus groups, observations, tested and validated instruments or surveys, databases, public media, etc.). Tenth and last, learners identify the appropriate data analysis, based on their project design and variables, which will be used to answer the clinical questions and address the problem statement. Criteria for Evaluating the 10 Strategic Points: Clear, Simple, Correct, and AlignedWhen developing a project, it is important to define the 10 Strategic points, so they are simple, clear, and correct in order to ensure that anyone who reviews them will easily understand them. It is important to align all of the 10 Strategic points to ensure it will be possible to conduct and complete the project. The problem statement must be derived from the literature or practice problem. The clinical questions must be used to specify the variables or data to be collected to answer the problem statement. The methodology and design must be appropriate for the problem statement, clinical,and PICOT question(s). The data collection and data analysis must provide the information to answer the PICOT questions. Developing the 10 Strategic Points document begins in DNP-815 begins as a two-or three-page document that can help ensure clarity, simplicity, correctness, and alignment of each of these 10 key or Strategic points in the prospectus, proposal, and Direct Practice Improvement Project. Developing these 10 Strategic points using this easy-to-use use template ensures the 10 Strategic points will always be worded the same throughout the prospectus, proposal, and Direct Practice Improvement Project manuscript. Please see the table below regarding the development of the citation requirements expected per course.Value of the 10 Strategic Points DocumentThe 10 Strategic Points document can be used for communicating and aligning key stakeholders for the Direct Practice Improvement Project. This document can be used to obtain agreement between the learner and the chair regarding the initial focus and approach for the project. The document can be used to review the proposed project with the people or organizations from whom learners need to gain permission to conduct their project, a critical step required before learners can develop their proposal. The document also proves useful for communicating the Direct Practice Improvement Project focus when attracting a Content Expert, as well as for reviewing the proposal with the Direct Practice Improvement Project committee and the AQR reviewers. Learners may choose to consult methodologists, statisticians, and editors in the process of developing the final manuscript from the 10 Strategic points. Examples of the 10 Strategic Points DocumentIt is important that the 10 Strategic points are clear, concise, doable, and aligned throughout the prospectus, proposal, and Direct Practice Improvement Project. Provided below is an example of a completed 10 Strategic Points document for a quantitative project. Following the example, a blank 10 Strategic PointsTable template is provided for learners to use when developingtheir own10 Strategic Point documents.Example: 10 Strategic Points Document for a Quantitative ProjectTen Strategic Points The 10 Strategic Points Broad Topic Area Broad Topic Area: Literature Review: Problem Statement: PICOT Questions or Clinical Question: Sample (and Location): Define Variables:Methodology and Design: Purpose Statement: Data Collection Approach:Data Analysis Approach: Hint: What would I title my project? Literature Review List primary points for four sections in the Literature Review: Background of the problem/gap, theoretical foundations (models and theories to be the foundation for the project); review of literature topics with the key theme for each one; and summary. Background of the Problem/Gap:Theoretical Foundations (models and theories to be the foundation for the project): Review of Literature Topics with Key Themesand SubthemesSummary Rural ambulatory clinics have had to reorganize their management structures to enhance reimbursement.Access to appropriate health services for rural Americans needs to be improved in areas where specialists are not available (Schoenberg, 2012). Telehealth nursing services can be provided through rural health clinics to support specialty clinics (Schoenberg, 2012).Approximately 200 telemedicine networks have been established nationwide. (American Telemedicine Association, 2017)The Greenhalgh’s Dissemination of Innovations model (Greenhalgh, Robert, Bate, Macfarlane, & Kyriakidau, 2005) can be used to implement rural telehealth services for rural Americans.The D&M Information System Success model (DeLone &McLean, 2003) is a framework to conceptualize and operationalize information system success.Path constitution theory combines two contrasting perspectives on technology, path dependence, and path creation (Singh, Mathiassen, & Mishra, 2015).Rural telehealth can improve care in burn patients (McWilliams, Hendricks, Twigg, Wood, & Giles, 2016); smoking cessation (Carlson, Lounsberry, Maciejewski, Wright, Collacutt, & Taenzer, 2011), psychotherapy (Gonzales & Brossart, 2015);cancer education (Doorenbos et al., 2011); diabetes (Holloway, Coon, Kersten, & Clemins, 2011).Rural health clinic/hospital (Carlson et al., 2011); Doorenbos et al., 2011; Gonzales & Brossart, 2015; Holloway et al., 2011). Home-based (Demiris et al., 2103).Community center (Demiris et al., 2103).Library (Demiris et al., 2103).Smartphone, computer-based (Forchuk et al., 2016).National Committee for Quality Assurance (n.d). Disease Management Accreditation. Retrieved from http://www.ncqa.org/programs/accreditation/disease...American Association of Critical-Care Nurses (n.d.). CCRN-E: Certification for Tele-ICU Nurses. Retrieved from https://www.aacn.org/certification?tab=First-Time%...Acute stroke ready designation (Slivinski, Johes, Whitehead, & Hooper, 2017).American Telemedicine Association: approximately 200 telemedicine networks have been established nationwide (Frederick, 2013). Tablet PC Enabled Body Sensor System: a continuous real-time collection of physiological parameters (Panicker, Kumar, 2016).Gap/Problem: There is a need to implement evidence-based methods of improving the health outcomes of rural residents through the use of telehealth.Prior studies: Prior studies show that telehealth improves patient outcomes in diverse settings, including rural areas.Quantitative application: Sources of data exist to collect numerical data on the rate of follow-up with the primary care provider in rural areas.Significance: Improving the rate of follow-up with the primary care provider will improve the health outcomes of rural residents. Gap/Problem: Prior studies: Quantitative application: Rural Telehealth Services: (Theme example) Population Specific Telehealth Services: Community-based telehealth: Home-based telehealth can enhance older adults’ access to care and facilitate patient-provider collaboration, which may, in turn, improve patient self-management (Hsieh, Tsai, Chic, & Lin, 2015).Chronically ill: Disease management needs of chronically ill patients include prescription refills, medication and symptom management, lab results, and patient education (Vinson, McCallum, Thornlow, & Champagne, 2011). Rural Native American telehealth: Telehealth can improve health disparities in Native American communities (Kruse, Bouffard, Dougherty, & Parro, 2016). Diabetes education and management:Telehealth education improves glycemic control (Barker, Mallow, Theeke, & Schwertfeger, 2016).Mental health emergencies can be managed effectively through telehealth services (Saurman et al., 2011). Settings: Certifications: Network Systems: Problem Statement Describe the variables/groups to project, in one sentence. A well-written problem statement begins with the big picture of the issue (macro) and works to the small, narrower, and more specific problem (micro). It clearly communicates the significance, magnitude, and importance of the problem and transitions into the Purpose of the Project with a declarative statement such as: “It is not known if and to what degree/extent...” or “It is not known how/why and….” It was not known if or to what degree the implementation of __________________would impact ______________ when compared to _______________ among ___________ (population). While the literature indicates that telehealth is an important emerging technology for rural patient access, it is unknown if the implementation of telehealth impacts the rate of patient follow up for patients living in a rural area. Clinical or PICOT Questions (P) Among adult patients in a rural care setting, (I) how does the implementation of a telehealth program (C) compare to traditional commute-for-care (O) impact rate of follow-up with the primary care provider (T) over a period of four weeks? Clinical Question: To what degree does the implementation of _______________ (intervention) impacts __________________ (what) when compared to _____________ among _____________ (population) patients in a ______ (setting) in _______ (state)? Sample Identify sample, needed sample size, and location (project phenomena with small numbers and variables/groups with large numbers). Location: Arizona Population(Participants)Sample: 40 participants include a power analysis if appropriate.Inclusion CriteriaWho can participate?Exclusion CriteriaWho cannot participate Define Variables Independent Variable (Intervention): Telehealth program.Dependent Variable: Follow-up rate with the primary care provider. Methodologyand Design Name the selected methodology and specific design to address the problem statement and clinical questions: This project will use a quantitative methodology with a quasi-experimental design. Purpose Statement Provide one sentence statement of purpose including the problem statement, sample, methodology, and design: The purpose of this quantitative, quasi-experimental project was to determine if or to what degree the implementation of _________________ (intervention) would impact ______________(what) when compared to _______________________ among ___________(population)in a ________ (setting ie: primary care clinic, ER, OR) in ________ (state) over _____ time. Data Collection Approach Describe primary instruments that will be used to answer the clinical question. Think about your step by step data collection approach from start to finish. Data Analysis Approach Descriptive statistics will describe the sample characteristics and variable results. Explain the test used to obtain the statistical analysis and results of the measurable patient outcome. What method will be used to justify the sample size? 10 Strategic Points Table(Use this table to complete the 10 Strategic Points document for your project.) The 10 Strategic Points Broad Topic Area Broad Topic Area/Title of Project: Literature Review: Problem Statement:Clinical/PICOT Questions:Sample (and Location):Define Variables and Level of Measurement: Literature Review Background of the Problem/Gap:Theoretical Foundations (models and theories to be foundation for the project): Review of Literature with Key Organizing Themesand Sub-themes(Identify at least two themes, with three sub-themes per theme)Summary Theme1 (placeholder only; name theme): Sub-theme 1 Grouped findings related to Theme 1 Sub-theme 2 Sub-theme 3 Significance: Problem Statement It was not known if or to what degree the implementation of __________________would impact ______________ when compared to _______________ among ___________ (population). Clinical/ PICOT Questions To what degree does the implementation of _______________ (intervention) impacts __________________ (what) when compared to _____________ among _____________ (population) patients in a ______ (setting) in _______ (state) over four-weeks? Sample a.Location: Urban/Rural (State) b.Population (Participants) c.Sample: Specify the sample size desired and perform a power analysis if appropriate. d.Inclusion Criteria Who can participate?Who cannot participate? e.Exclusion Criteria Define Variables Independent Variable (Intervention):Dependent Variable: Methodology and Design Methodology and Design: Purpose Statement Purpose Statement: The purpose of this quantitative, quasi-experimental project was to determine if or to what degree the implementation of _________________ (intervention) would impact ______________(what) when compared to _______________________ among ___________(population)in a ________ (setting ie: primary care clinic, ER, OR) in ________ (state) ___ time. Data Collection Approach Data Collection Approach: Data Analysis Approach Data Analysis Approach: References APA formatted sources. Criterion Learner Score (0, 1, 2, or 3) Chairperson Score (0, 1, 2, or 3) Comments or Feedback 10 Strategic points Topic: Provides a broad project topic area/title. Literature Review: Lists primary points for four sections in the Literature Review: (a) Background of the problem/gap and the need for the project based on evidence from the literature; (b) Theoretical foundations (models and theories to be foundation for project); (c) Review of literature topics with at least two organizing themes and three sub-themes for each theme (d) Summary. Minimum number of themes and sub-themes met per course requirement? Problem Statement: Describes the problem in a single declarative sentence to address through the project based on defined gaps or needs from the literature. Sample and Location: Identifies sample, needed sample size,location, and inclusion and exclusion criteria. Clinical/PICOT Questions: Provides clinical/PICOT questions to all of the collected data needed to address the problem statement. Variables: Provides variables for each project PICOT question component. Methodology and Design: Describes the selected methodology and specific research design to address problem statements and clinical/PICOT questions. Purpose Statement: Provides a one-sentence statement of purpose including the problem statement, methodology, design, population sample, and location. Data Collection: Describes primary instruments and sources of data to answer research questions. Reliability and Validity of the instruments are addressed. Data Analysis: Describes the specific data analysis approaches to be used to address clinical/PICOT questions. The statistical test(s) that will be used must be identified and must be appropriate for the level of data and the clinical/PICOT question.
Ashford University Catering Event Purchasing Component Paper
this assignment for my food service and production class. The instructions and the work to be done is in the word doc and ...
Ashford University Catering Event Purchasing Component Paper
this assignment for my food service and production class. The instructions and the work to be done is in the word doc and the pdf has important information relevant to the conversions. Just by CTRL +F you can find the items you need in the list .. I also attached the PPP for the part of the lecture in case you need any information
HIM FPX 4610 Capella University Skin Progress Note Template
Translate into common terms the medical terms contained in a progress note for a patient with a skin condition. Spell all ...
HIM FPX 4610 Capella University Skin Progress Note Template
Translate into common terms the medical terms contained in a progress note for a patient with a skin condition. Spell all medical and common terms correctly on the provided template.In this first assessment you will begin your exploration of the structure of medical terminology. The first step is to review how to build a medical term. Then you will examine the skin and musculoskeletal systems; in particular, we will focus on the diagnosis and treatment of the integumentary, or skin system. The skin is the largest organ of the body with a total area of about 20 square feet. The skin protects us from microbes and the elements, helps regulate body temperature, and permits the sensations of touch, heat, and cold. Your suggested resources address the three layers of skin, skin conditions, diseases, treatment, and diagnostic studies.In the assessment, you will review a progress note. This is a common document found in a health care record in doctors' offices and hospitals. You will then translate the medical terms in the progress note into common terms.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: Use medical terminology and abbreviations related to general structures and functions of the human body.Identify medical terms related to general structures and functions of the human body correctly. Translate medical terms related to general structures and functions of the human body into common terms correctly. Competency 3: Use medical terminology and abbreviations related to body systems.Identify medical terms related to body systems correctly.Translate medical terms related to body systems into common terms correctly.Competency 6: Spell and pronounce basic medical terms.Spell medical and common terms correctly.Competency 7: Communicate in a professional manner.Provide citations and references in APA style. InstructionsReview the progress note below, including the subjective and objective notations. Next, download the Skin Progress Note Template [DOCX] and complete all of the following on the template:Select 15 medical terms from the progress note.Translate the 15 selected medical terms into commonly used terms. Spell the 15 medical and common terms correctly.Cite in correct APA style the references you used to perform your translation. Click APA Style and Format for additional guidance on how to ensure your citations and references conform to APA guidelines.Skin Progress NoteSubjective: The patient is a 49-year-old female who comes in with the complaint of having bumps on her arms. She states some of the bumps have been there a long time. Recently the bumps have been increasing in number and size. She was last seen about two years ago for eczema, at which time she did not have these bumps. The bumps are not itchy or painful.Objective: Very pleasant, alert, and oriented x3 female in no apparent distress. A full integumentary exam of the upper extremities was performed today. The left radial aspect demonstrated erythematous macules. The right ulnar aspect demonstrated actinic keratosis. Bilateral hands appeared dry with linear excoriation and fissuring of her fingertips. Bilateral upper arms demonstrated superficial and deep masses. Deep subcutaneous masses are mobile and may represent lipomas. Superficial masses appear to be sebaceous cysts.Assessment and Plan:Actinic keratosis of the right ulnar aspect was treated with liquid nitrogen.Possible lipomas: Schedule surgical biopsy of larger masses.Sebaceous cysts: Punch biopsy performed today; await pathology report. Apply Neosporin to biopsy site.Continue Cortisone 10 intensive cream for eczema.Additional Requirements Format: Ensure you complete all columns on the Skin Progress Note Template. Scoring Guide: Be sure to read the scoring guide for this assessment, so you understand how your faculty member will evaluate your work.Resources: Study TipsStudy TipsSpeak it and use your new language! Examples:No longer say that you have a headache, but rather speak the medical term, cephalgia.If a child falls and scrapes a knee, let the child know the injury is a patellar abrasion.Use the textbook as a workbook.Use the interactive resource, Evolve Resources for The Language of Medicine, accompanying your textbook. Note: If you require the use of assistive technology or alternative communication methods to use this item, please contact Disability Services to request accommodations.Repetition, repetition, repetition!Start a portfolio—an alphabetized electronic or written portfolio of terms that you might have difficulty in understanding or remembering.Write your notes in color ink. Assign a special color to help improve your recall of terms; for example, use red ink for cardiology, green for gastrointestinal, blue or brown for ophthalmology, or whatever highlight makes sense to you. Researchers have found that colors help to improve memorization results.Relate ideas and terms.Levator muscles (hold up support tissue) = elevator (goes up).Use songs and games.E-mail your faculty member if you have questions or need clarification.Resources: Medical Terminology StructureMedical Terminology StructureThese readings introduce the forms and word components that make up medical language. This includes basic word parts, including suffixes and prefixes.Chabner, D. (2017). The language of medicine (11th ed.). St. Louis, MO: Saunders. Available from the Bookstore. Chapter 1, "Basic Word Structure," pages 1–32.Chapter 3, "Suffixes," pages 75–108.Chapter 4, "Prefixes," pages 109–138.Use the interactive activities in The Language of Medicine to study the skills and terms covered in this assessment. These activities include the practice applications and review activities located within each chapter. Completing these activities will help you prepare for this assessment.In addition, you have access to flashcards and quizzes from the textbook's companion Web site, Evolve Resources for The Language of Medicine, as well as practice quizzes for each chapter. Use these to further prepare yourself for your assessments.Note: If you require the use of assistive technology or alternative communication methods to use these items, please contact Disability Services to request accommodations.Resources: General Body TermsGeneral Body TermsChabner, D. (2017). The language of medicine (11th ed.). St. Louis, MO: Saunders. Available from the Bookstore. Chapter 2, "Terms Pertaining to the Body as a Whole," pages 33–74.Resources: The Musculoskeletal and Skin SystemsMusculoskeletal and Skin SystemsThese readings cover the anatomy and physiology of the musculoskeletal and skin systems along with word parts, vocabulary, and terminology needed to use these terms in health care settings.Chabner, D. (2017). The language of medicine (11th ed.). St. Louis, MO: Saunders. Available from the Bookstore. Chapter 15, "Musculoskeletal System," pages 579–652.Chapter 16, "Skin," pages 653–696.
Two Page Paper, Case Studies Healthcare
There are two cases dealing with hospital mergers. One is very successful, one is less so. What is the difference? What di ...
Two Page Paper, Case Studies Healthcare
There are two cases dealing with hospital mergers. One is very successful, one is less so. What is the difference? What did management do in each situation that made the outcomes so different? What can you learn about how to manage such a challenge in your career?Be creative, be analytical. Answer all the questions above.
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