Advanced pharmacology

Gynecologic Health

Select a patient that you examined as a nurse practitioner student during the last three weeks of clinical on OB/GYN Issue. With this patient in mind, address the following in a SOAP Note 1 OR 2 PAGES :

 

Subjective: What details did the patient provide regarding her personal and medical history?

 

Objective: What observations did you make during the physical assessment?

 

Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?

 

Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters for this patient , as well as a rationale for this treatment and management plan.

 

Very Important:  Reflection notes: What would you do differently in a similar patient evaluation?

 

 

 

Reference

 

Gagan, M. J. (2009). The SOAP format enhances communication. Kai Tiaki Nursing New Zealand, 15(5), 15.

 

Tharpe, N. L., Farley, C., & Jordan, R. G. (2013). Clinical practice guidelines for midwifery & Women’s health (4th ed.). Burlington, MA: Jones & Bartlett Publishers.

 

 

 

Chapter 6, “Care of the Well Woman Across the Life Span” ,“Care of the Woman Interested in Barrier Methods of Birth Control” (pp. 275–278)

 

Chapter 7, “Care of the Woman with Reproductive Health Problems”

 

“Care of the Woman with Dysmenorrhea” (pp. 366–368)

 

“Care of the Woman with Premenstrual Symptoms, Syndrome (PMS), or Dysphoric Disorder (PMDD)” (pp. 414–418)

 

Health care organization

1:

  • Develop a 10-slide PowerPoint presentation with accompanying 10 to 20 minutes of audio targeted at educating new hires at a health care organization about the revenue-cycle process.

    INTRODUCTION

    The financial health of the health care organization depends upon its ability to generate consistent and recurring funds from the services it provides. Collectively referred to as the revenue cycle (RCM), critical stages in this process include:

    • Patient registration.
    • Collection of demographics and payor source.
    • Rendering services.
    • Documenting services.
    • Establishing charges.
    • Preparing the claim or bill.
    • Submitting the claim.
    • Receiving payment.
    • Managing accounts receivable.

    Decreasing payment delays and lost revenues is a point of interest for many health care managers tasked with oversight of the RCM process. Innovative approaches in technology have assisted with streamlining the RCM process and allowed for automation of many processes, resulting in expedited processing and quick remittance.Managed care dollars represent a significant portion of all health care organizations’ reimbursements. As a result, health care organizations seek to establish contracts with large managed care organizations (MCOs). Negotiating and securing contracts with MCOs is important for several reasons, including preserving revenues, enhancing patient satisfaction, and generating additional sources of revenue.All contracts will contain language outlining the administration of the contract along with the payment schedule. While the payment schedule may be seen as the most important element, the terms outlined within the contract are equally as vital to the financial success of the organization.This assessment focuses on the revenue cycle and how technological innovations have impacted reimbursement for health care organizations. You will take on the role of a patient access supervisor. One of your job functions entails educating new hires on the revenue cycle process.

    DEMONSTRATION OF PROFICIENCY

    By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

    • Competency 3: Explain the organizational revenue cycle process.
      • Identify key steps of the revenue cycle process.
      • Explain the purpose of each identified step in the revenue cycle process.
      • Describe key components of each function in the revenue cycle process.
      • Explain the consequences of failing to conduct the function identified.
      • Explain additional steps and challenges in the revenue cycle process when working with an uninsured patient.
    • Competency 4: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others and is consistent with health care professionals.
      • Demonstrate effective communication through writing and proper use of APA style with no significant errors, and supports analysis and recommendations with appropriate current literature.

    INSTRUCTIONS

    For this assessment, prepare a 10-slide PowerPoint presentation outlining the various steps of the revenue cycle. For the scenario, imagine you are a patient access supervisor who must educate a group of new hires about the revenue cycle process, including:

    • The revenue cycle process.
    • Their potential responsibilities.
    • Why the process is important to a care organization.
    • Challenges that they may face in their work.

    Record audio for this presentation. You can record directly into your PowerPoint presentation, or through Kaltura. You may wish to consult these resources before starting your assessment:

    Before you begin, be sure to review the scoring guide. When structuring your presentation, consider the following points and questions to ensure that you are meeting the scoring guide criteria:

    • Identify the various steps within the revenue cycle process, including admissions, case management, documentation, coding, billing, et cetera.
    • Provide the following for each step identified:
      • Purpose of the step identified.
      • Responsible functions completed by individuals, such as coders, registration clerk, et cetera.
      • Key components of the function, such as verifying insurance, financial counseling, or coding of documented services provided.
      • Consequences of failure to properly conduct the function identified.
    • Provide information for the new staff regarding options available for the uninsured.
    • Identify any additional steps throughout the revenue cycle one must be aware of when working with an uninsured patient.
    • Identify the challenges that exist for the revenue cycle due to the delivery of uncompensated care.

    ADDITIONAL SUBMISSION REQUIREMENTS

    • Communication: Communicate in a manner that is scholarly, professional, respectful, and consistent with expectations for professional practice in education. Original work and critical thinking are required regarding your assessment and scholarly writing. Your writing must be free of errors that detract from the overall message.
    • Media presentation: Create 10 slides you would present in 10 to 20 minutes, plus an APA-formatted Reference slide at the end of the presentation.
    • Resources: Cite at least three scholarly resources.
      • Your textbook can be one of the three.
    • APA guidelines: Use APA style for references and citations. When appropriate, use APA-formatted headings. For more information, refer to the APA resources located in the courseroom navigation panel.
    • Font and font size: Times New Romanusing appropriate size and weight for a presentation, generally 24–28 points for headings and no smaller than 18 points for bullet-point text.

    2:

    • Develop a two-page memo to help relevant stakeholders at Vila Health’s St. Anthony Medical center better understand traditional and emerging reimbursement models.

      INTRODUCTION

      Note: This assessment uses the following media piece as the context for developing the reimbursement model memo. Review this media piece before you submit your assessment.
      Basic understanding of the reimbursement system requires one to appreciate the size and scope of the system, the complexities associated with the system, and the various subsystems and payment rules associated with health care reimbursement and finance. As a dominant player in the health care sector, the U.S. federal government is the largest single payer for health care services. As a result of its size and dominance within the system, any changes made by the federal government regarding its reimbursement of health services profoundly affect those who are rendering the care, including providers, other payers, and the health system overall. In addition to government-sponsored health insurance, various other forms of health coverage, generally tied to employment as a benefit, were introduced in the United States to help offset the expenses associated with the treatment of illness and injury.
      In an effort to address concerns within the U.S. health system regarding cost, access, and quality, Congress passed the Patient Protection and Affordable Care Act (PPACA or ACA) in 2010, with President Barack Obama signing it into law. Components of the PPACA included making health insurance coverage affordable, expanding Medicaid coverage, and improving quality while controlling costs. To this end, the ACA required the Centers for Medicare and Medicaid (CMS) to promote the concept of the accountable care organization (ACO) through a shared savings plan driven by a triple-aim approach. In addition to the ACO, the ACA required CMS to implement value-based purchasing programs that would reward hospitals for the quality of care they provided to enrollees.
      As the recipient of the largest share of Medicare funds, the new value-based purchasing approach measures hospital performance using four domains:
      1. Clinical care.
      2. Safety.
      3. Efficiency and cost reduction.
      4. Patient experience of care (Casto & Forrestal, 2015, p. 305).
      Each measure scores the hospital performance achievement as well as their performance improvement.
      As a health care sector employee, understanding the complex U.S. health care reimbursement system allows one to serve as a reference to internal and external stakeholders, family members, and organizational departments whose needs often require a working knowledge of how the system is financed.
      In this assessment, you demonstrate your understanding of traditional and emerging health care reimbursement models by composing a memo that outlines the characteristics and differences between reimbursement models. This memo targets relevant stakeholders from the Vila Health media simulation based in St. Anthony Medical Center.
      Reference
      Casto, A. B., & Forrestal, E. (2015). Principles of healthcare reimbursement (5th ed.). Chicago, IL: AHIMA Press.

      DEMONSTRATION OF PROFICIENCY

      By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
      • Competency 1: Compare current trends and traditional methods of payment in the health care industry.
        • Describe traditional payment methods in health care, such as fee-for-service or capitated payment.
        • Describe current trends in health care payment, such as value-based or accountable care organizations.
        • Describe the difference in reimbursement between traditional and newer models of reimbursement in a specific patient scenario.
      • Competency 2: Assess health care reimbursement.
        • Compare and contrast how quality outcomes are rewarded under traditional and current payment methodologies in health care.
        • Explain reasoning for newer models of reimbursement in health care.
        • Identify quality concerns affecting reimbursement given a specific patient scenario.
      • Competency 4: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others and is consistent with health care professionals.
        • Demonstrate effective communication through writing and proper use of APA style with no significant errors, and supports analysis and recommendations with appropriate current literature.

      INSTRUCTIONS

      Several of the Vila Health’s stakeholders are seeking clarification regarding new reimbursement models they have been hearing about recently. For this assessment, prepare a two-page memorandum outlining the differences between the new reimbursement models and prior, traditional models for stakeholders.
      Support your assertions in the memo with at least three academic sources. This may require you to do additional independent research. You may wish to consult the Health Care Administration Undergraduate Library Research Guide before you begin any additional research.
      This assessment has four main parts. Before you begin, be sure to review the scoring guide for this assessment.
      Part 1: Traditional Reimbursement Models
      Describe traditional reimbursement models like fee-for-service or capitated payments. You might want to consider the following when developing this part:
      • What are the key characteristics of these reimbursement models?
      • How was quality monitored under these models?
      • How was quality rewarded under these models?
      This part should be at least one paragraph long, but probably no more than half a page.
      Part 2: New Reimbursement Models
      Describe current trends in reimbursement models like accountable care organizations or value-based payments. You might want to consider the following when developing this part:
      • What are the key characteristics of these reimbursement models?
      • How was quality monitored under these models?
      • How was quality rewarded under these models?
      This part should be at least one paragraph long, but probably no more than half a page.
      Part 3: Comparison of Models
      Develop a concise comparison of the key similarities and differences of the reimbursement process between traditional and current models. Also, include considerations related to the role of quality in reimbursement, and why it might be included in newer models.
      This part should likely be between a half and one page long.
      Part 4: Quality Concerns
      Specifically address the recent problematic patient case from the Vila Health: Investigating a Readmission scenario. Briefly discuss how the care provided would be reimbursed under prior models versus reimbursement under newer models, based on your assertions in Part 3 of your memo. Also, identify quality issues that will likely impact the organization’s reimbursement under new payment models.
      This part should be at least one paragraph long, but probably no more than half a page.

      ADDITIONAL SUBMISSION REQUIREMENTS

      • Structure: Structure your submission like a memo, with an additional, APA-style References page. You may wish to refer to the following example when developing your memo:
      • Length: 1–2 pages, plus a References page.
      • References: Cite at least three current scholarly or professional resources.
        • Your textbook can be one of the three.
      • Format: Use APA style for references and citations only. Refer to:
      • Font: Times New Roman, 12 point, double-spaced.

 

Module 2 R&S (Do You Have Emotional Intelligent)?

Are you an emotionally intelligent nurse? Please honestly and critically assess yourself and answer the questions in the worksheet linked below.

Emotional Intelligence Worksheet> Include intext citation and 3 References.

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    EmotionalIntelligenceWorksheet.docx

New Utah Law Allows Organ Donations From Prisoners; Nearly 250 Sign Up

his assignment is designed to provoke thought about organ donations and the laws that are in place to govern the process.

http://vitals.nbcnews.com/_news/2013/04/13/17674231-new-utah-law-allows-organ-donations-from-prisoners-nearly-250-sign-up?lite

Google the name of this forum and read the associated article. Read the information on pages 165- 170. What are your thoughts about this new law? Is this law aligned with the provisions allowed under the Uniform Anatomical Gift Act or does this Utah’s new law contradict it? Do you believe prisoners should be allowed to donate organs? Why or why not? Who should foot the bill for the procedure?

Make sure you address each question and connect you response to what you have read. DO NOT SIMPLY GIVE YOUR OPINION.

Week 5 Research In Nursing

Visit the Healthy People 2020 website, Topics and Objectives page https://www.healthypeople.gov/2020/topics-objectives and explore some topics. Discuss how epidemiological methods are used to evaluate Healthy People 2020 objectives. Provide examples.

“Early Globalization”

“Early Globalization: The Atlantic World, 1492-1650.”

Nearly every explorer and patron declared that spreading religion was the main goal of the explorations. I disagree.

Given your research this week, suggest three (3) reasons explorers in general voyaged to America.

What about these explorations really disturbed you? Why?

BT

 Discuss different use of Blockchain technology. Where Is Current Research on Blockchain Technology?  1000words

 Discuss different use of Blockchain technology. Where Is Current Research on Blockchain Technology?  1000words

Examine Financing Charity Care

Length & Format: 8-10 slide PowerPoint presentation with voice over.

Role: Director of Community Care and Outreach

Audience: Internal, hospital leadership team(s)

Topic: Financing Charity Care

Scenario: You have worked for ABC Hospital for several years. Recently, you were promoted to be the Director of Community Care and Outreach. In this role, you are responsible for increasing the hospital’s presence in the community, reaching new patients, and ensuring patients receive effective and coordinated care. You are aware of ABC Hospital’s current issue with charity care: there is no defined policy for who can write off an account, and no defined standards for what qualifies a patient to receive charity care. The billing department has reported multiple complaints due to the lack of a policy, and frustrations from both providers and patients. Your presentation will address how to appropriately utilize the charity care resource of financing.

  • Review the resource within Topic 3Principles and Practices Board Sample 501c(3) Hospital Charity Care and Financial Assistance Policy and Procedures (Links to an external site.). (HFMA, n.d.)
  • Prepare an 8-10 slide PowerPoint presentation, with voiceover. Assume fictional information to develop your content. Address the following points in your presentation:
  • Why ABC Hospital needs and uses charity care
  • Patient demographics and percent of hospital patient population receiving charity care in the last fiscal year (fictional data).
  • Define the issues that have contributed to poor management of the charity care provision.
  • Propose a new way to move forward, providing effective care to patients, utilizing charity care properly. What is different about this approach, then what was happening previously?
  • Using bullet points, clearly define a minimum of three benefits of your plan for moving forward. These benefits should be focused on the financial health of ABC hospital, while balancing the needs of your patient population. These points will be the cornerstone for future development of a policy on charity care.
  • APA style should be followed throughout. A title and reference slide are required. Please include a minimum of three scholarly sources.

Q & A And Paper

Part 1:

Carefully review and read both end of chapter application cases from chapters 5 and 6 from the following required book for this class.

After reading and analyzing both case studies, address all case study questions found within the case studies in scholarly detail.  In addition to answering all case study questions, put yourself in these situational cases and what ideas would you have to make any operational processes or process flows better where associated in the decision-making process?

Part 2:

Knowledge and Skills Paper

Paper Section 1: Reflection and Literature Review

Using Microsoft Word and Professional APA format, prepare a professional written paper supported with three sources of research that details what you have learned from chapters 5 and 6.  This section of the paper should be a minimum of two pages.

Paper Section 2:  Applied Learning Exercises

In this section of the professional paper, apply what you have learned from chapters 5 and 6 to descriptively address and answer the problems below.  Important Note:  Dot not type the actual written problems within the paper itself.

  1. Examine how new data-capture devices such as radio-frequency identification (RFID) tags help organizations accurately identify and segment their customers for activities such as targeted marketing. Many of these applications involve data mining. Scan the literature and the Web and then propose five potential new data mining applications that can use the data created with RFID technology. What issues could arise if a country’s laws required such devices to be embedded in everyone’s body for a national identification system?
  2. Survey and compare some data mining tools and vendors. Start with fairisaac.com and egain.com. Consult dmreview.com and identify some data mining products and service providers that are not mentioned in this chapter. One of my favorites to explore is RapidMiner found at https://rapidminer.com/ and an educational license option can be found at:  https://rapidminer.com/educational-program/
  3. Explore the Web sites of several neural network vendors, such as California Scientific Software (calsci.com), NeuralWare (neuralware.com), and Ward Systems Group (wardsystems.com), and review some of their products. Download at least two demos and install, run, and compare them.
  4. Important Note:  With limited time for a college class, perfection is not expected but effort to be exposed to various tools with attempts to learn about them is critical when considering a career in information technology associated disciplines.

Important Note:  There is no specific page requirement for this section of the paper but make sure any content provided fully addresses each problem.

Paper Section 3:  Conclusions

After addressing the problems, conclude your paper with details on how you will use this knowledge and skills to support your professional and or academic goals. This section of the paper should be around one page including a custom and original process flow or flow diagram to visually represent how you will apply this knowledge going forward.  This customized and original flow process flow or flow diagram can be created using the “Smart Art” tools in Microsoft Word.

Paper Section 4:  APA Reference Page

The three or more sources of research used to support this overall paper should be included in proper APA format in the final section of the paper.

Paper Review and Preparation to submit for Grading

Please make sure to proof read your post prior to submission. This professional paper should be well written and free of grammatical or typographical errors. Also remember not to plagiarize!!!!!!!!!!!!

Important Reminder:  Assessment of discussion boards and other writing assignments account for 75% of overall grading and below are how grades will be assessed for this assignment:

Assessment Criteria

Possible Points

Points Earned

Student included a minimum of “2” body pages of written content supported with “3” academic sources of research offering a detailed reflection and literature review of learning from chapters 5 and 6

18.75

Student in scholarly detail addressed and answered all exercises or problems demonstrating application of knowledge and skills learned from chapters 5 and 6.

12.5

Student in scholarly detail offered conclusions detailing how knowledge and skills learned from chapters 5 and 6 will support continued professional and academic growth.  Student also prepared process flow or flow diagrams to visualize these conclusions.

12.5

Student included a paper professionally formatted using APA and free of grammar and spelling issues

6.25

Student successfully completed and successfully submitted this paper by the Sunday due date.

12.5

Total Earned points

62.5

Comments:

  • attachment

    BusinessIntelligenceandAnalytics1.pdf

Network Security Impact Data Security.

How does Network Security impact Data Security?

Consider the ethical implications of intrusion detection?

What might you consider and what ethical values might you identify?

Would you do things differently on your work or home network in the future because of these ethical considerations?

This is not just an opinion question, back it with valid research.

No-plag

300+ words with citations.