Category: Health Care

Assignment Content

To prepare for this assignment, review the key components of the health care policy process in Ch. 4 of Longest’s Health Policymaking in the United States (7th ed.).
The policy cycle approach provides lawmakers with a pathway for developing a policy and guiding it through the institutions of our government. The cycle starts with identification of a targeted problem and ultimately ends up with providing a specific course of action. Along the way, the outcomes of a policy are subjected to various levels of review, evaluation, and revisions that result in a continual loop. In essence, the policy cycle consists of a series of interlocking steps that actually serves as a dialogue between the main stakeholders. As a health care administrator, it’s important to have a working knowledge of the process and how the process ultimately leads to implementation of health care laws that eventually will have an impact on what you do.

Write a 700- to 1,050-word paper that explains the policy process. Be sure to do the following in your paper:
Explain the various stages and the key components associated with each stage in the policy process.
Discuss formulation, legislation, implementation, evaluation, analysis, and revision.
Identify who the main stakeholders are for each stage in the policy process.

Cite at least 3 reputable references. Reputable references include trade or industry publications, government or agency websites, scholarly works a textbook, or other sources of similar quality.
Format your assignment according to APA guidelines.

Job Outlook Paper
RESEARCH : Diagnostic Medical Sonographers and Cardiovascular Technologists and Technicians. Construct a detailed 2 page paper about a the job of Diagnostic Medical Sonographers and Cardiovascular Technologists and Technicians …describing/researching the wage, job outlook and POTENTIAL FUTURE of this job. Describe the role, responsibilities, and qualifications of these individuals. Address the career outlook for this specific occupation, such as projected growth and salary.
· APA Formatted Paper
· References listed
1st source: https://www.bls.gov/ooh/healthcare/diagnostic-medical-sonographers.htm

This assignment has two parts:
Identify and discuss the quality management objectives in a healthcare organization, including at least four (4) definitions of introductory quality management terms.
Identify and discuss how to apply systems thinking strategies to healthcare quality control and management processes.
This is to be an APA paper of 3-4 pages (not counting the title page or reference page).
The outcomes assessed in this paper are:
Summarize quality management objectives in healthcare organizations.
Apply systems thinking strategies to healthcare quality processes.

One of your pulmonary patients has just been diagnosed with OSA. A home sleep test has already been ordered by their primary care provider, the patient has completed the test, and the results of this sleep study have revealed an AHI of 20 events per hour with significant oxygen desaturations. The patient has symptoms/complaints of daytime fatigue and sleepiness, refractory hypertension, and loud snoring (as noted by their bed partner).
Additional physical characteristics include: a BMI of 35 kg/m2 with documented worsening and refractory hypertension over the past year (the hypertension has not been adequately controlled after a number of antihypertensive medications have been tried, individually and in combo-therapy). Upon inspection, the patient’s tonsils and adenoids are normal sized, but the tongue is enlarged with a Mallampati score of class III. No abnormalities are noted of the facial features or jaw positioning; however, the patient does have a significant history of temporomandibular joint (TMJ) pain.
As a clinician, this patient is seeking your advice in treating their newly diagnosed OSA. It is your job to research four treatment options: CPAP, oral appliance, maxillomandibular advancement surgery, and lastly – hypoglossal nerve stimulation therapy. ( I CHOOSE CPAP)
After conducting your research, the goal is to construct an easy-to-read treatment recommendation for this patient.
Treatment Recommendation and Discussion: Make a final choice for your treatment recommendation. In the Discussion/Evidence section of the assignment, explain why this is the best treatment for the patient and you must take into consideration the patient’s physiologic factors (listed above) when making this decision. You must support your decision by referencing at least one peer-reviewed journal article.
Ensure to address all of the following questions in the Discussion/Evidence section while making a case for your chosen treatment:
A. Is the treatment recommendation a reasonable option for the patient’s AHI and physical characteristics?
B. What are the odds of treatment compliance or success?
C. What can be done to improve their success in compliance? (Education, resources, etc.)
D. Will insurance have an impact on this decision? And will insurance support the treatment recommendation?
E. Are there additional treatments or lifestyle changes that could help improve the patient’s success?
F. Would you direct the patient to seek the advice of a certified sleep physician?

Scenario
As the official project lead, you will use your skills in facility compliance to continue planning your facility. The legal team already knows about HIPAA, human resources, and medical malpractice liability, but has asked you to analyze legal and regulatory issues in health care facility design that may affect the facility design planning process.
Preparation
Using the University Library, CMS.gov, or Google Scholar, research the legal and regulatory requirements that will impact the design of your facility.
Assessment Deliverable
Write a 550-850-word report about your facility.
Note: Continue using the facility you chose in Week 2.
Include the following in your report:
Briefly restate your chosen facility type and location.
Provide an overview of the following types of requirements and briefly evaluate their impact:
Federal requirements, including ADA, OSHA, CMS, etc.
State zoning codes for your chosen location, as applicable
State certificate of need (CON) requirements, as applicable
Local zoning codes specific to your chosen location
Facility credentialing opportunities, such as The Joint Commission
Choose three requirements and evaluate the impact of compliance on your facility plan.
Reference and cite the textbook, Healthcare Facility Planning: Thinking Strategically, and at least 3 peer-reviewed, scholarly, or similar references.
Format your paper, citations, and references according to APA guidelines.
Submit your assessment.

The Chief Financial Officer (CFO) of the ABC Hospital, a 400 bed inner city hospital has hired you as the new Supervisor of the Out-Patient Registration Department replacing the Supervisor who retired after 15 years. The CFO gave you a copy of a study conducted by an outside consulting company that found 1. The registrars are taking an average of 25 minutes to register a patient when the industry standard is 15 minutes per face to face registration 2. The registrars are experienced and competent and 3. The registrars have low morale.
The CFO has not given you any other information on the Department. You have not been formally introduced to the staff and you have learned that there was no formal notice sent around advising of your position as Supervisor. Your previous experience as the Supervisor of an out-patient registration department was in a small 200 bed community hospital.
The CFO has asked you to increase the productivity of the registrars with the goal of achieving the industry standard for registering a patient.
IN A TWO PAGE TYPED DOUBLE SPACED WRITTEN REPORT COMPLETE THIS ASSIGNMENT:
1. IDENTIFY THE KEY PROBLEMS/ISSUES.
2. WHAT STEPS DO YOU NEED TO TAKE TO ACCOMPLISH THIS GOAL.
3. WHAT LEADERSHIP STYLE WILL YOU USE AND WHY?
4. WHAT MOTIVATION STRATEGIES WILL YOU USE AND WHY?

Some of the most important legal-ethical dilemmas I would like to expand on are the right to patient autonomy and informed consent. In my nursing experience I have come across many patient situations where family members have withheld pertinent information from the patient due to a terminal diagnosis. The information is withheld due to the fear of harm that it may psychologically cause the patient to know the truth about their diagnosis. As a Registered Nurse, I honestly felt I did not need to gain such an in depth understanding of the laws and ethics regarding withholding information, however, as a future Nurse Practitioner (NP) I feel it is important to under the ethics regarding this issue as it is commonly come across in practice. Withholding patient information at the request of family members goes against patient autonomy and placed the provider in an ethical dilemma by not telling the truth. According to the American Medical Association Code of Medical Ethics withholding any patient information is ethically unacceptable unless it is during an emergency situation where the patient is incapacitated and unable to provide informed consent (AMA Council on Ethical and Judicial Affairs, 2012). Informed consent specifies that the patient has the right to make decisions about their own care after the provider has given enough information including therapeutic alternatives and risks to a patient that is in capacity to make their own decisions (AMA Council on Ethical and Judicial Affairs, 2012). Nurse Practitioners play a pivotal role in engaging patients to shared decision-making and respect for patient autonomy. The ethical dilemma in this situation is that if a patient is able to make decisions for themselves, yet is having information withheld from family, how would they be able to make the appropriate decision for care or even be involved in their own treatment. Patient right is also a federal law under title 482 section 13 it states the patient has the right to be present in the development and application of their plan of care (Federal Registrar, 2023). On the other hand, there can be circumstances where information may be withheld from a patient if providing information would cause an incapacitating emotional distress or serious physical termed therapeutic privilege (Menon et al., 2021). Respect for patient autonomy is a basic patient right and is instilled in every Advanced Practice Nurse (APN). It is important to discuss this dilemma as we may be faced with a similar patient situation during our career. Being knowledgeable of the ethics and laws regarding withholding patient information can help avoid any internal conflicts as a practitioner. The issues regarding patient autonomy and informed consent can sometimes have grey areas for NP’s since most laws and ethics regard the patient-physician relationship, not necessarily specifying the patient- APN relationship or considering the APN in law. I feel this is an area that needs to be discussed further or have more information available in involving APNs and the role they play in this discussion. The best advice I would give to a NP going through a similar situation would be to always do what is right based on the principles of ethics and approach the situation as a multi-disciplinary team. Involve others when in doubt, even if the issue must reach an ethics committee, but do not brush off the situation as it can have serious consequences for patients’ autonomy and involvement in their own care. In previous situations that I have seen, physicians did not take the situation seriously or exercised the “therapeutic privilege” even if it did not apply to the situation, however, NP’s have a different point of perspective and I believe they can shed light on this ethical dilemma. References AMA Council on Ethical and Judicial Affairs. (2012, July 1). AMA code of Medical Ethics’ Opinions on Informing Patients. Journal of Ethics | American Medical Association. Retrieved February 2, 2023, from https://journalofethics.ama-assn.org/article/ama-code-medical-ethics-opinions-informing-patients/2012-07#:~:text=Withholding%20medical%20information%20from%20patients,before%20the%20information%20becomes%20available. Federal Registrar. (2023, February 1). Part 482 – Conditions of Participation for Hospitals . Code of Federal Regulations: A point in time eCFR system. Retrieved February 2, 2023, from https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-482 Menon, S., Entwistle, V., Campbell, A. V., & van Delden, J. J. (2021). How Should the ‘Privilege’ in Therapeutic Privilege Be Conceived When Considering the Decision-Making Process for Patients with Borderline Capacity? Journal of Medical Ethics, 47(1), 47–50. https://doi.org/10.1136/medethics-2019-105792

Activity 1: Properties of Radiopaque Contrast Media
Naomi, a former radiologist, has recently joined a new research team. Part of her role is to help develop more effective ways to produce images of body parts whose tissues are particularly low in contrast. As a first step, Naomi begins by establishing the causes of low-contrast properties in biologic (human) tissue. Naomi’s immediate focus is on roentgenography; to start with, she is working only with agents derived from triiodinated benzoic acid.
What parts of the body is Naomi’s team most likely to be concerned about imaging? Why?
What common property in the tissues Naomi is working with makes them particularly low contrast?
Based on what you know from the above, what agents would you predict Naomi might choose to work with first? Why?
One reason Naomi has chosen to work with the specific ROCM identified in question 3 is the fact that iodine molecules are responsible for the silhouette images projected on radiographic film. What makes that true?
At the team’s next meeting, Brad, one of Naomi’s colleagues, reports on the osmotic activity of selected intravascular ROCM. When Naomi asks whether Brad means osmolality or osmolarity, Brad explains to her that the two terms can be used interchangeably in reference to osmotic activity. “The difference between the two measurements is insignificant,” he says.
5. a. What exactly is osmosis, and what conditions must exist for this phenomenon to occur? Describe a highly osmotic agent, and explain how one would act if placed in the bloodstream.
b. Is Brad’s statement true? If so, when? If not, why not?
c. Create a chart Naomi’s team can use when the difference between the two might matter.
Activity 2: Clinical Selection of Radiopaque Contrast Media
Brad, a member of a research team, discovers that he is tired of research. He misses working with patients and the challenges and variations in daily clinical problem-solving. When a position is advertised for an assistant director in a small new community hospital, Brad decides the time is right to leave the research lab environment to return to patient involvement. He wins the position.
One of Brad’s first assignments is orientation training for the new hospital’s radiography staff—many of whom are beginning their first positions in the field. Because he knows hands-on experience sometimes raises excellent questions and will motivate his staff to want to learn, he decides to have an orientation in the second week of work rather than the first.
1. As you solve the questions below, use them to design a table for Brad’s employees that outlines the differences between the three broad categories of intravascular ROCM. Your table should include forms, molecular makeup, and ratios of iodine atoms to osmotically active particles.
Four patients arrive and are prepared by radiography staff members simultaneously. Brad is asked to use a rapid IV injection of intravascular ROCM to enhance Mr. Abbott’s (presumably normal) urinary tract visibility and to create contrast enhancement of Ms. Beckett’s brain. A third patient, Mrs. Chan, requires oral diatrizoate sodium to enhance the radiodensity of the esophagus and stomach, whereas Mr. Deuck will take the same agent for radiodensity of the duodenum. Mr. Edam needs enhanced radiodensity for accurate imaging of the rectum and colon.
Questions 2 through 6 concern these four patients.
If the required ROCM are all administered at the same time, in what order will these patients be ready for the radiographic exam?
Is it possible to determine what route each of the four patients will require for the administration of their ROCM? If so, what are those routes? If not, why not?
Unfortunately, it turns out that Mr. Abbott has some degree of renal impairment. What effect, if any, is this likely to have on the administration of intravascular ROCM?
Mr. Deuck comes back to Brad’s department in 2 days. This time he needs a cholecystography. A technician suggests that Brad administer iodamide meglumine. If you agree, explain why it is the agent of choice. If you disagree, explain why, suggesting an alternative agent.
What is the preferred drug (and route) of choice for Mr. Edam’s enhancement agents (of the rectum and colon)? When might this not be appropriate? What other alternatives are there? Which of these is/are preferred if Mr. Edam’s physician requests Computed Tomography?

Well-child SOAP Note Format Demographic Data Age, and gender (must be HIPAA compliant) Subjective ___-day/week old infant/child accompanied by ___________ and here for a routine well-child/baby check (and vaccines). Any parental concerns/ questions today? Interval Events/History: Nutrition: Elimination: Sleep: Medications: Allergies: Past Medical Pregnancy and delivery? Surgeries, hospitalizations, or serious illnesses to date? Immunizations? Development: (describe as applicable to age) Gross motor: Fine motor: Cognitive: Social/Emotional: Communication: Social History: Smoking in the home? Family life/structure/dynamics? Primary caregivers? Stressors? Family History: Objective (Should be a thorough head to toe assessment) Vital Signs/growth measurements (weight, length, head circumference, BMI, BP, HR, etc. if applicable) Physical findings listed by body systems, not paragraph form. Highlight abnormal findings Growth Chart Percentages: if applicable Labs/Studies: if applicable Assessment Well-child visit ICD10 code(s) Plan Vaccines today: Anticipatory guidance (discussed or covered in the visit)? Health Maintenance Return precautions?

Your team has been assigned to expedite the design of a bariatric facility adjacent to the hospital campus. You have the ear of the hospital’s chief financial officer (CFO) and will work closely with the director of facilities. Your team will be presenting to a cross-functional group of investors: hospital stakeholders and members of the community. As you and your team start to work, you find that the standards for developing a bariatric unit are not as well-defined as other units. Your team has several opinions for what this unit may look like but work together to create a presentation that will satisfy the investor’s needs.

Create 3 powerpoint slides regarding the below.
Slide 3-5 Analyze essential environmental elements in bariatric facility design that would be important to the facility stakeholders.
All slides: Include a selection of images of ideal bariatric facility components in the presentation. These may be integrated into slides throughout the presentation or presented together, or both. Use them to drive your points home. Note: Image credit is required for images copied from the internet.
Properly use and cite the Hayward (2016) textbook and at least 4 other peer-reviewed, scholarly, or similar references.

Format your citations according to APA guidelines. Include a title page, detailed speaker notes, and a references page.