Explain case mix and why it is important in evaluating different health care providers. To help you to better understand why case mix is important, here are some fictional heart attack mortality rates for three different hospitals. Consider the national average for heart attack death rates to be 16%.

Explain case mix and why it is important in evaluating different health care providers.
To help you to better understand why case mix is important, here are some fictional heart attack mortality rates for three different hospitals. Consider the national average for heart attack death rates to be 16%.

Hospital

Mortality Rate

National Mortality Rate

Hospital A

16.1%

16%
Hospital B

18.6%

Hospital C

15.7%

Write a brief report in which you answer the following questions:

Explain case mix and why it is important in evaluating different health care providers.
Refer to the table of heart attack mortality rates for Hospitals A, B, and C. From your reading this week, what variables might be impacting the rates in the table? Please explain.
Note. When you have submitted your assignment, you are ready to participate in your hospital’s press conference in Case Mix Crisis – Hospital B Meets the Press.

Submit your completed assignment to the drop box below. Please check the Course Calendar for specific due dates.

Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:

Jstudent_exampleproblem_101504

Need Help? Click here for complete drop box instructions.


 

smilesmile. .

get-your-custom-paper






The post Explain case mix and why it is important in evaluating different health care providers. To help you to better understand why case mix is important, here are some fictional heart attack mortality rates for three different hospitals. Consider the national average for heart attack death rates to be 16%. appeared first on My Nursing Paper.

Write a paper discussing the external forces that can impact the decision­ making process for growth. You have been part of the orthopedic center for 5 years. In that time, you have seen the center grow and the need for expansion.

Write a paper discussing the external forces that can impact the decision­ making process for growth.
You have been part of the orthopedic center for 5 years. In that time, you have seen the center grow and the need for expansion.

Write a 3 page APA formatted paper discussing the external forces that can impact the decision­making process for growth.

In your paper, answer the following questions::

How will government regulation impact decision making?

Will the community’s makeup be a consideration for decision makers?

How can the market share be instrumental in deciding on capital expenditures and the creation of new health care programs and services?

What is benchmarking, and how does it influence economical organizational decision making?


 

smilesmile. .

get-your-custom-paper






The post Write a paper discussing the external forces that can impact the decision­ making process for growth. You have been part of the orthopedic center for 5 years. In that time, you have seen the center grow and the need for expansion. appeared first on My Nursing Paper.

Why is it important to learn how to read medical studies?Science is a work in progress. Every day, promising studies are released and new treatments are approved.

Why is it important to learn how to read medical studies?Science is a work in progress. Every day, promising studies are released and new treatments are approved.
How to Evaluate a Clinical Study: Guidelines to Help Understand Published Research

Science is a work in progress. Every day, promising studies are released and new treatments are approved. But how can you evaluate whether the information you’re reading is relevant to your own health or to that of a patient, friend, or family member?

The newly emerging field of evidence-based medicine provides a set of straightforward guidelines for evaluating the data presented in published clinical studies. But since these studies don’t come with a set of instructions on how to understand them, the following is a set of criteria you can use to help evaluate what it is you’re reading.

Why is it important to learn how to read medical studies? Isn’t that knowledge that your doctor should have?

We believe educating patients on how to be their own best advocate is important because no one medical provider can know everything about a particular disease. By better understanding medical evidence, patients can (1) be better critical evaluators, (2) help others understand the science, and (3) be a more active team member when working with doctors to make treatment decisions.

Not all studies are well designed, or even well written. Study authors will sometimes make claims or recommendations not supported by the data. And often there is a filter of conflicting interests, often from drug companies or the media, which stands between you and the study itself. This filter can misinterpret or misrepresent the facts.

For many of us, when reading a medical study, we often read what we want to see. Our eyes are drawn first to the conclusions presented in a study’s abstract, a summary usually printed at the front. Often, we want to know how our health can benefit from this study right now. But before accepting the abstract’s conclusions at face value, we suggest the following:

First, go to the very end of the study, just before the references section, and look for a very short paragraph usually titled “Disclosures” or “Conflicts of Interest” to find out who funded the study. Pharmaceutical industry-funded trials often tend to be biased or over-interpretive of the true results. A meta-analysis published this year in the Journal of the American Medical Association (JAMA) found that industry-sponsored trials were 3.6 times more likely to show positive results, in favor of their product. (Bekelman, 2003)

Second, examine the study authors. Do they have the credentials or experience to properly conduct the study? The most important credential is actual clinical experience in the question being investigated.

Third, go beyond just the abstract to read the details of how the study was conducted. An average of 30 to 40% of published studies misrepresent the actual findings in the abstract, according to a recent critical analysis of six major medical journals. (Pitkin, 1999) Look carefully at the section usually titled” Materials & Methods.” While reading this section, ask yourself the following questions:


 

smilesmile. .

get-your-custom-paper






The post Why is it important to learn how to read medical studies?Science is a work in progress. Every day, promising studies are released and new treatments are approved. appeared first on My Nursing Paper.

if you are currently an active member of a Professional organization discover a different one; or volunteer for a leadership activity in your next meeting. B. Attend the meeting prior to the due date for this assignment.

Nursing Organization Professional Meeting Critique

____________________________________________

The purpose of this assignment is to develop Nursing leadership amongst colleagues which can advance the profession. Professional organizations create opportunities to develop leadership skills in a mutually respectful environment. Professional organizations advocate for lifelong learning, and Nursing empowerment as members of a shared profession. This assignment is an invitation to find an organization which fulfills your long-term professional goals.
This assignment meets the course objectives to develop strategies for exercising leadership in Nursing, promoting excellence, and being professionally involved in the profession to create nursings preferred future; and to evaluate the adoption of professional scholarly Nursing actions to develop standards of excellence across practice settings. Membership in organizations creates networking which leads to mentoring and role modeling of leadership behaviors.

A. Reflect on your professional career and determine what Nursing specialty area most interests you? Or attend a meeting in your particular area of expertise; if you are currently an active member of a Professional organization discover a different one; or volunteer for a leadership activity in your next meeting.
B. Attend the meeting prior to the due date for this assignment.
C. Write a 3-5 page critique of this meeting using APA format for any cited resources andcreate a document which describes:
The Organization
Mission, goals, and focus
Membership
Examine traits of Followers and Leaders in the meeting
Conduct a brief interview with an officer discussing why they chose to lead? Were they elected volunteered? or selected? What leadership role would you feel comfortable in? Secretary, Treasurer, President, Vice President, etc.?What are the advantages of being a member of this professional group? What percentage of members are certified in this group (estimate or ask person taking attendance)? Would you consider joining the organization? Could you actively participate as a member? If not, explain why?


 

smilesmile. .

get-your-custom-paper






The post if you are currently an active member of a Professional organization discover a different one; or volunteer for a leadership activity in your next meeting. B. Attend the meeting prior to the due date for this assignment. appeared first on My Nursing Paper.

The Department of Veterans Affairs (VA) aims to expand the scope of practiceof advanced practice registered nurses (APRNs) who work for the agency in order to provide veterans with greater and timely access to care.

The Department of Veterans Affairs (VA) aims to expand the scope of practiceof advanced practice registered nurses (APRNs) who work for the agency in order to provide veterans with greater and timely access to care.

300 words 1 reference
The Department of Veterans Affairs (VA) aims to expand the scope of practiceof advanced practice registered nurses (APRNs) who work for the agency in order to provide veterans with greater and timely access to care. Under a proposed rulepublished on May 25 2016 in theFederal Registerthe VA said it intended to expand the pool of qualified healthcare professionals who are authorized to provide primary healthcare and other servicesto the full extent of their education and abilities without the clinical supervision of physicians.
In December 2016 the Office of Management and Budget (OMB) approved a final version of the VAs proposed rule to grant full practice authority to APRNs thatexcludesCRNAs.
1. Please readhttp://www.aana.com/advocacy/federalgovernmentaffairs/Pages/VA-Final-Rule-Published1.aspx(Links to an external site.)Links to an external site.
2. Please review the following articles:http://www.aana.com/newsandjournal/News/Pages/052516-VA-Proposed-Rule-News.aspx(Links to an external site.)Links to an external site.).
3. Lastly please review a selection of the negative articles that I posted below: Do you agree or disagree with the authors? How would you support or refute these claims?
VA takes heat over plan to let nurses treat vets without doc supervisionFoxNews June 1 2016www.foxnews.com/politics/2016/06/01/…(Links to an external site.)Links to an external site.
Docs Steamed Over VA Nurse ProposalMedPage Today June 1 2016www.medpagetoday.com/publichealthpolicy/militarymedicine/…(Links to an external site.)Links to an external site.
Proposal: Cut VA Wait Times by Giving New Authority to Nurses?Independent Womens Forum May 30 2016www.iwf.org/blog/2800351/…(Links to an external site.)Links to an external site.
VA Wait Times: Criticism Lines Up Behind Veteran Affairs Plan To Let Nurses Take Over Physician TasksInternational Business Times May 28 2016www.ibtimes.com/…(Links to an external site.)Links to an external site.
VA proposes to give nurses expanded rolePittsburgh Tribune May 27 2016triblive.com/usworld/nation/10542577-74/…(Links to an external site.)Links to an external site.
VA proposes expanding nurses’ medicalauthority Stat News: Morning Rounds enewsletter May 26 2016us11.campaign-archive1.com/…(Links to an external site.)Links to an external site.
Press Briefing Denouncing Dangerous VA Policy Change to Replace Physician Anesthesiologists with Nurses in Surgery Mil-Tech May 26 2016www.military-technologies.net/2016/05/26/…(Links to an external site.)Links to an external site.
AMA disappointed with VA’s proposal to allow advanced practice nurses within VA practice independentlyDotMed Health Care Business Daily News May 26 2016www.dotmed.com/news/story/31130(Links to an external site.)Links to an external site.
Physician anesthesiologists oppose VA rule replacing physicians with nurses in anesthesiaMedical XPress May 25 2016medicalxpress.com/news/…(Links to an external site.)Links to an external site.
Doctors oppose replacing VA physician anesthesiologists with nursesUPI May 25 2016www.upi.com/Health_News/2016/05/25/…(Links to an external site.)Links to an external site.
Physician Anesthesiologists Veterans and VA Anesthesia Chiefs Oppose VA Policy Replacing Physicians with Nurses for Anesthesia Care in SurgeryPR Newswire May 24 2016www.prnewswire.com/news-releases/…(Links to an external site.)Links to an external site.


 

smilesmile. .

get-your-custom-paper






The post The Department of Veterans Affairs (VA) aims to expand the scope of practiceof advanced practice registered nurses (APRNs) who work for the agency in order to provide veterans with greater and timely access to care. appeared first on My Nursing Paper.

What is the significance of the subjective and objective data provided with regard to follow-up diagnostic/laboratory testing, education, and future preventative care?

What is the significance of the subjective and objective data provided with regard to follow-up diagnostic/laboratory testing, education, and future preventative care?

Case Scenario

Ms. G., a 23-year-old diabetic, is admitted to the hospital with a cellulitis of her left lower leg. She has been applying heating pads to the leg for the last 48 hours, but the leg has become more painful and she has developed chilling.

Subjective Data
•Complains of pain and heaviness in her leg.
•States she cannot bear weight on her leg and has been in bed for 3 days.
•Lives alone and has not had anyone to help her with meals.

Objective Data
•Round, yellow-red, 2 cm diameter, 1 cm deep, open wound above medial malleolus with moderate amount of thick yellow drainage
•Left leg red from knee to ankle
•Calf measurement on left 3 in > than right
•Temperature: 38.9 degrees C
•Height: 160 cm; Weight: 83.7 kg

Laboratory Results
•WBC 18.3 x 10¹² / L; 80% neutrophils, 12% bands
•Wound culture: Staphylococcus aureus

Critical Thinking Questions
1.What clinical manifestations are present in Ms. G and what recommendations would you make for continued treatment? Provide rationale for your recommendations.
2.Identify the muscle groups likely to be affected by Ms. G’s condition by referring to “ARC: Anatomy Resource Center.”
3.What is the significance of the subjective and objective data provided with regard to follow-up diagnostic/laboratory testing, education, and future preventative care? Provide rationale for your answer.
4.What factors are present in this situation that could delay wound healing, and what precautions are required to prevent delayed wound healing? Explain.


 

smilesmile. .

get-your-custom-paper






The post What is the significance of the subjective and objective data provided with regard to follow-up diagnostic/laboratory testing, education, and future preventative care? appeared first on My Nursing Paper.

IDENTIFY ALL THE SIGNS/SYMPTOMS EACH INDIVIDUAL DEMONSTRATES, WHICH DIAGNOSTIC CRITERIA HE/SHE APPEARS TO MEET

IDENTIFY ALL THE SIGNS/SYMPTOMS EACH INDIVIDUAL DEMONSTRATES, WHICH DIAGNOSTIC CRITERIA HE/SHE APPEARS TO MEET

For this written assignment, apply the Diagnostic and Statistical Manual on Mental Disorders 5 criteria to the case study of an Adolescent and an Adult based upon the following information below. 1. Identify all the signs/symptoms each individual demonstrates, which diagnostic criteria he/she appears to meet, and what severity specifiers might apply to each individual. Provide examples from the case studies to support your conclusions. (Remember, each individual is using multiple substances.) 2. Include in your response – How effectively or not does the DSM 5 criteria apply to each case example? Provide a rationale to support your perspective. 3. Why the ages of each person an important factor when considering a diagnosis or diagnostic criteria. 4. What additional questions would you like more information about before arriving at a conclusion? While there may be no definitive or “clear cut” answers, some responses may be more appropriate than others. You are expected to develop a coherent response of at least 2-3 pages (12 point font), maximum of 4 narrative pages, excluding a cover page and references. Remember, the readings are the raw materials or sources of information for you to utilize. They provide you with a CONTEXT to the questions to be addressed in the paper. Remember to cite and reference all of your readings and any other source you believe will be helpful in writing the paper. You should explain all the technical terms and cite the course texts. APA formatting is required. Formatting Instructions for Assignments • Margins & Alignment: One inch top/bottom, 1” left, 1″ right but flush left (creating uneven right margin). • Font Size and Type: 12-pt. font (Times New Roman or Arial are acceptable typefaces). • Spacing: Double-space throughout the paper including the title page, body of the document, references, appendixes, footnotes, tables, and figure captions. • Title page: Your name, the date, course name, and assignment title: • Paragraph Indentation: 5-7 spaces. • Pagination: The page number appears one inch from the right edge of the paper on the first line of every page beginning with the title page. • In-text citation: APA style includes the last name of the author(s) and the date of publication (page numbers only if it is a direct or paraphrased quotation). • References: APA style puts them on the last page (called “References”) and generally includes, Author(s) last name, first initial (date of publication) title of article, name of journal, volume(#), pages. • Abstract: Not required Case Study #1: Maria C. Maria C. is a 16-year-old Latina female. She smokes marijuana once to twice per week, and drinks alcohol at least one to two weekends a month. She has no current health problems. Recently she began dating a man several years older than her and they have been using cocaine together once or twice a month. She plans to graduate from high school next year and attend a local community college; her goal is to work as an Administrative Assistant in an Attorney’s office, and eventually become a Paralegal. She lives with her parents and her younger brother, Roberto age 12. Although. Maria has always gotten along with her parents, they found marijuana in her room twice which resulted in heated arguments. They are also beginning to suspect she has been using other drugs when she returns home late at night from being with her boyfriend, whose age they are unaware of. When they confronted her with their suspicions, more arguments resulted. They have threatened to send her to counseling if this continues, but haven’t followed through with their threats. She wishes they would mind their own business. She has never been in trouble, does not believe her drug use causes problems as she goes to school and has sound academic performance. She does her chores at home. She realizes her marijuana and alcohol use has increased from her initial use, but doesn’t really see this as a problem (and infrequent cocaine use is not a concern) because it hasn’t interfered with her school performance. Case Study #2: Terry M. Terry M. is an unemployed 26-year-old Caucasian male. He is 5’8″ and weighs 230 lbs. He has been drinking heavily for the last three years. Recently he began using cocaine a few times a week and has been doing so for 2


 

smilesmile. .

get-your-custom-paper






The post IDENTIFY ALL THE SIGNS/SYMPTOMS EACH INDIVIDUAL DEMONSTRATES, WHICH DIAGNOSTIC CRITERIA HE/SHE APPEARS TO MEET appeared first on My Nursing Paper.

Review the Institute of Medicine (IOM) report: ”The Future of Nursing: Leading Change, Advancing Health,” focusing on the following sections: Transforming Practice, Transforming Education, and Transforming Leadership.

Review the Institute of Medicine (IOM) report: ”The Future of Nursing: Leading Change, Advancing Health,” focusing on the following sections: Transforming Practice, Transforming Education, and Transforming Leadership.

Review the Institute of Medicine (IOM) report: ”The Future of Nursing: Leading Change, Advancing Health,” focusing on the following sections: Transforming Practice, Transforming Education, and…

Review the Institute of Medicine (IOM) report: ”The Future of Nursing: Leading Change, Advancing Health,” focusing on the following sections: Transforming Practice, Transforming Education, and Transforming Leadership.
Review the Institute of Medicine (IOM) report: ”The Future of Nursing: Leading Change, Advancing Health,” focusing on the following sections: Transforming Practice, Transforming Education, and Transforming Leadership.Write a paper of 750-1,000 words about the impact on nursing of the 2010 IOM report on the Future of Nursing.Review the Institute of Medicine (IOM) report: ”The Future of Nursing: Leading Change, Advancing Health,” focusing on the following sections: Transforming Practice, Transforming Education, and Transforming Leadership.Write a paper of 750-1,000 words about the impact on nursing of the 2010 IOM report on the Future of Nursing. In your paper, include:


 

smilesmile. .

get-your-custom-paper






The post Review the Institute of Medicine (IOM) report: ”The Future of Nursing: Leading Change, Advancing Health,” focusing on the following sections: Transforming Practice, Transforming Education, and Transforming Leadership. appeared first on My Nursing Paper.

Describe the number and types of articles that were available for consideration.

A. Write a brief summary (suggested length of 2–3 pages) of the significance and background of a healthcare problem by doing the following:
1. Describe a healthcare problem.
2. Explain the significance of the problem.
3. Describe the current practice related to the problem.
4. Discuss how the problem impacts the organization and/or patient’s cultural background.

B. Complete the attached “PICO Table Template” by identifying all the elements of the PICO.
1. Develop the PICO question.

C. Describe the search strategy (suggested length of 1–2 pages) you used to conduct the literature review by doing the following:
1. Identify the keywords used for the search.
2. Describe the number and types of articles that were available for consideration.
a. Discuss two research evidence and two non-research evidence sources that were considered (levels I–V).

D. Complete the attached “Evidence Matrix” to list five research evidence sources (levels I–III) from scholarly journal sources you locate in major medical databases.

Note: Four different authors should be used for research evidence. Research evidence must not be more than five years old.

Note: You may submit your completed matrix as a separate attachment to the task or you may include the matrix within your paper, aligned to APA standards.

E. Explain a recommended practice change (suggested length of 1–3 pages) that addresses the PICO question within the framework of the evidence collected and used in the attached “Evidence Matrix.”

F. Describe a process for implementing the recommendation from part E (suggested length of 2–3 pages) in which you do the following:
1. Explain how you would involve three key stakeholders in the decision to implement the recommendation.
2. Describe the specific barriers you may encounter in applying evidence to practice changes in the nursing practice setting.
3. Identify two strategies that could be used to overcome the barriers discussed in F2.
4. Identify one indicator to measure the outcome related to the recommendation.

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


 

smilesmile. .

get-your-custom-paper






The post Describe the number and types of articles that were available for consideration. appeared first on My Nursing Paper.