Avoiding unnecessary utilization of indwelling urinary catheters would help in reducing the incidences of catheter-associated urinary tract infections (CAUTI). In an ICU unit, does the use of an indwelling urinary catheter better than intermittent catheter use in the prevention of CAUTI?
Determine the effectiveness of implementing a chronic pain visit template and pain flowsheet within the electronic record to reduce opioid abuse in psychiatric care.
A baccalaureate nurse understands, relates, and values the fundamental elements of research, process, and design as a foundation for evidence-based practice (AACN, 2008; QSEN, 2018).
Purpose:
This assignment provides a learning activity for students to demonstrate an understanding of quantitative and qualitative research, the purpose and importance of designs, and how research is critical for creating a credible evidence-based nursing practice.
Course Outcomes:
This assignment enables the student to meet the following Course Outcomes.
CO 1: Examine the sources of evidence that contribute to professional nursing practice. (PO 7)
CO 2: Apply research principles to the interpretation of the content of published research studies. (PO 4 & 8)
CO 5: Recognize the role of research findings in evidence-based practice. (PO 7 & 8)
One of the biggest challenges for new healthcare managers/directors to understand is the payer source of the revenue side of their budgets. Where does this money come from? How is the plan, no matter the type administered? Who is the “gatekeeper” of care for the beneficiary? What are the types of insurer programs- underneath the alphabet soup of payers? (PPO, HMO, POS, etc.)
In an essay:
1. Describe the primary strengths and advantages, and weaknesses and disadvantages, of each type of managed care plan.
2. Describe the impact of PPACA-Obama Care on the managed care process. This will require a little research, make sure you consider how this will impact Medicare and Medicaid, along with Commercial insurance carriers.
How do the ten commandments of data collection relate to public health professionals?
How to use and explain the charts for each variable. For the most part, I am having a difficult time trying to determine which graph best suits the variable.
Quantitative methods in nursing practice
Discuss why the quantitative method is the best method based on your project questions and data. Choose three potential designs that you could use for your project. Based on the three potential designs, determine potential analyses methods and why?
Clinical/PICOT Questions:
Do elderly patients in long-term care (P) that have a urinary Foley catheter that is placed on a Prevention Strategy Urinary Catheter Protocol (I) experience reduced chances of acquiring catheter-associated urinary infections (O) compared to those without (C) within 4 weeks of implementation?
The quality improvement will be based on a perspective that will be carried out on elderly patients in medical/surgical/telemetry. The setting for the study is West Covina, CA 76-bed hospital. The hospital provides care for patients in West Covina and the surrounding communities. The quality improvement project will also be supported by the hospital’s management at all levels. The quality improvement will involve of patients 65 years and older.
Case Study
A 46-year-old, 230lb woman with a family history of breast cancer. She is up to date on yearly mammograms. She has a history of HTN. She complains of hot flushing, night sweats, and genitourinary symptoms. She had felt well until 1 month ago and she presented to her gynecologist for her annual gyn examination and to discuss her symptoms. She has a history of ASCUS about 5 years ago on her pap, other than that, Pap smears have been normal. Home medications are Norvasc 10mg qd and HCTZ 25mg qd. Her BP today is 150/90. She has regular monthly menstrual cycles. Her LMP was 1 month ago.
Post a brief description of your patient’s health needs from the patient case study you assigned. Be specific. Then, explain the type of treatment regimen you would recommend for treating your patient, including the choice of pharmacotherapeutics you would recommend, and explain why. Be sure to justify your response. Explain a patient education strategy you might recommend for assisting your patient with the management of their health needs. Be specific and provide examples.
Utilization Management
The principal objective of utilization management is the reduction of practice variations by establishing parameters for the cost-effective use of healthcare resources. There are four main techniques or tools used in utilization management: demand management, utilization review, case management, and disease management. Utilization management helps MCOs control costs and improve quality.
Refer to the readings of this week and the Internet on the above information, and answer the following questions:
What are the challenges faced by MCOs regarding practice variations? What do you think can be done to meet these challenges?
Differentiate between the three main processes of institutional utilization management.
Determine the main purposes of each process of institutional utilization management. Which process do you think is the most important, and why?
Research the role of the utilization management nurse.
Explain the functions of the utilization management nurse, and compare and contrast the information from that organization.
Explain your understanding of disease management and case management. What is your opinion are one major similarity and one major difference between the two types of management?
Now, access information on disease and case management by searching the Internet by using the following keywords:
Care Continuum Alliance
Commission of Case Manager Certification
Based on your research, answer the following questions:
What is the purpose or mission of these professional organizations?
What standards do these organizations set for certification or membership?
How do these organizations define disease or case management and do they differ from the text definitions?
Assignment: Medicare and Medicaid
Consider how people qualify to receive Medicare and/or Medicaid and write a paper that addresses the bullets below. There should be four (4) sections in your paper; one for each bullet below. Separate each section in your paper with a clear brief heading that allows your professor to know which bullet you are addressing in that section of your paper. Start your paper with an introduction and include a “Conclusion” section that summarizes all topics. This paper should consist of at least 1750 words and no more than 2000.This week reflect upon the Medicare and Medicaid programs to address the following:
Describe the Quality Improvement Organization (QIO) and explain how the QIO improves policies and healthcare for Medicare beneficiaries.
Briefly define the qualifications for Medicare and Medicaid benefits. How can qualifications be modified to serve more people who are considered a vulnerable population?
Discuss the impact (including at least two positive and two negative aspects) that the ACA has had on benefits and coverage for Medicare and Medicaid recipients.
Describe your role(s) as a healthcare leader as it applies to the practice of advocating for cost effective care for vulnerable populations.
Assignment Expectations
Length: 1750-2000 words in length
Structure: Include a title page and reference page in APA format. These do not count towards the minimal word amount for this assignment. Your essay must include an introduction and a conclusion.
Module 1001 Assignment – – – Guidelines and Tips
Subject Matter and Learning Outcomes.
You are writing to learning outcomes not to a title, all learning outcomes specified for the assignment must
be met.
Therefore you choose your subject, choose one that interests you and that you will enjoy to write. If you are
bored as a writer than I will probably be as a reader
The learning outcomes for this assignment are:
LOM 1) Describe and discuss the principles of the generic role of the ODP.
LOM 3) Identify and explain appropriate oral and written communication skills in order to promote clinically
effective peri-operative care.
LOM 4) Demonstrate an understanding of a multidisciplinary approach to practice.
Therefore the subject of your assignment needs to be based on part of the role of the ODP that is generic. I
will define this as part of the ODP role that is carried out in the 3 phases of ODP work, anaesthetics, surgery
and recovery. You are not expected to cover the whole of the generic role of the ODP but to pick one aspect
of it as the subject of your assignment. You will need to refer to all 3 phases of the ODP role.
You need to be able to describe and discuss the generic role that you choose as your subject, so it is best to
choose one that you will be getting an opportunity to observe/experience during your clinical placement – –
this is why I said to be careful not to make your final choice of subject to early.
You need to discuss the role of the ODP and also show how they work as part of a multi-professional team.
Finally it is useful to include in your assignment discussion of the legislation, local or national policies that
apply to your subject matter, this includes professional guidelines and standards etc.
Planning.
Planning is a key aspect of your assignment. My tip is to choose a subject, mull it over for a few days (let
your ideas develop) and then think about key sections that you want to include. For each of these key
sections you can then put down the ideas, sources of information, and start to build your assignment. Don’t
worry if your plan changes as it goes along this is often the case.
Structure and Layout.
Remember this is your first assignment and you will make some elementary (silly) errors.
Produce a clear introduction, use of subheadings is beneficial not only can it assist you with your planning,
but it can make it a lot easier for your reader.
Use evidence to back up your discussion making sure that you explain why the evidence has been included
(think about the lessons learned in the session we did on evidence).
Write a clear conclusion.
Give your assignment a title that captures your reader.
Remember the order of your assignment should be
Title,
Contents Page,
Introduction,
(Body sections),
Conclusion,
References,
Bibliography (if you do one)
Appendices (if you include any).
Your assignment should be easy flowing and therefore stimulating for your reader to read.
Remember your reader who ever it may be.
References.
Follow the rules to the letter.
Advice.
You may seek the advice of me (or your personal tutor) at any time during writing your assignment, either
face to face or by e-mail. We know what advice we can or can’t give so don’t you worry about that, if you
want to ask it, ask it.
Proof reading.
Proof read your assignment carefully, out loud in front of a mirror (you will feel daft but it works) and/or get
someone else to proof read it for you.
Content.
Organisation of information and knowledge which is what the assignment tells me about your knowledge and
understanding of the subject makes up 40% of your marks. So include information and show by your
discussion that you understand it and in particular how it relates to the role of the ODP. Do not simply
produce a task oriented piece of writing back up tasks with the why and wherefores!
Evaluation of Evidence is weighted at 10% in this assignment.
Your use of sources makes up 20% of your mark. I do not give you a figure for how many to include because
this depends on your subject choice. Use ones that you think are appropriate but I don’t want rent a quote.
Your assignment has to show your original thinking.
Presentation should follow all the rules in your workbook, there is 30% of the mark for presentation.
Word Limit
Is 1500 ±10%
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