Category: Health Care

Having reviewed the article ‘Standards for Equity in Healthcare Provision and Utilisation: Pilot Test in Sixteen Countries’ (Chiarenza, Domenig & Cattacin 2020), drawing on the literature, critically reflect on the usefulness of such standards in your local context. Within your reflection consider how this may complement or conflict with existing standards that are currently in operation and justify your position.
My position is Director of Nursing and will use HIQA report for 2023 to identify complements and will associate with the above article.
As well we will identify one or two conflicts – NON COMPLIANTS with the existing standards.
Use Harvard references,HSE, HIQA ,HPSC

You would like to run a new business that wants to import and distribute medical devices in Canada. This device will be intended as Dilator Sheath for use in patients requiring the percutaneous dilation of tissue to facilitate removal of cardiac leads, indwelling catheters, and foreign objects.
In maximum five pages, please describe the steps you would take to ensure that your establishment/business is in compliance with all Federal laws and regulations.
In addition, please outline how you would verify that the devices that you are importing from overseas would meet the Food and Drugs Act (FDA) and its regulations.

Students will develops a brief budgeting plan for his or her healthcare organization or department. In this section, you should do the following.
Identify the overall budgeting goals.
Identify three to five specific budgeting objectives (these should be specific, measurable, achievable, realistic, and have a time element).
Identify specific budgeting strategies for achieving the objectives and goals. This includes
department strategies (what will your department gain?);
employee strategies (how will you maximize employee work output?); and
promotion strategies (how will you promote your budgeting tactics?).
You may also identify an action plan used for implementing your strategies (this typically identifies who will do what by when). Remember, the health information manager is the key player.
The length of the budgeting plan component should be 800–1,600 words. You should cite all sources in APA style, both in-text and at the end of the document. You are required to have at least five sources to support your paper.

Case Study 2 Scenario:
Client, William Collins, arrived to the emergency room for an exacerbation of Chronic Obstructive Pulmonary Disease (COPD). The emergency department nurse enters the triage room to find Mr. Collins sitting at the side of the bed leaning forward with both arms on the bedside tray. He complains he is having shortness of breath that he is unable to control with his usual medications. His son is with him at the bedside because his wife is unable to come with him due to dialysis. Case Study Analysis Assignment Outline: The case study analysis paper should include the following sections with responses and rationales for all the prompts.
Introduction (3-5 paragraphs) Provide an overview of the pathophysiology of the disease exhibited by the client. Include: What additional assessment findings would you look for? What lab abnormalities would you expect to see? What diagnostics would you anticipate the healthcare team ordering? Provide a rationale for your answers. Implications for Self-Care (2 paragraphs) Consider Maslow’s hierarchy of needs and describe where the client falls in that hierarchy and how this will impact care and healing. How does this disease process impact the client’s and/or their care provider’s ability to care for themselves? Patient Education Strategy (2-3 paragraphs) Identify 3-5 appropriate nursing interventions and teaching points for your client based on the pathophysiology and assessment findings. Describe the educational strategies that should be incorporated when building a plan of care for your client.
Support with rationale. Interdisciplinary Collaboration (2-3 paragraphs) Identify 2-4 interdisciplinary team members who need to be included in the care of the client. Include rationale. Consider the care the client will need while inpatient and upon discharge. Consider nutrition, community services, and financial implications. Conclusion Summarize the key concepts of this disease process and client case study scenario. References A minimum of three references should be used in this paper. References should be no more than five years old. Exceptions include seminal works, such as original publications by nurse theorists. One reference must be your textbook, Banasik, J. L. (2022). Pathophysiology (7th ed.). Elsevier. One reference must be from a peer-reviewed journal, One reference must be from an authoritative website such as the CDC, NIH or Healthy People 2030.
Assignment Specifications: Name the paper with a File Naming Protocol: When you save the paper, name it: LastName_NSG 3300_CaseStudyAnalysis_1.docx Paper reflects clinical and professional client/cases, and no references to personal or family issues.
APA Formatting All papers should be written in APA formatting. This paper should include: Formal components, such as a title page, and APA formatting with an introductory and conclusion paragraph that summarizes the key concepts APA-formatted level headings APA margin, font, and paragraph spacing Include page numbers Appropriate in-text reference citations A reference page, in correct APA format

Describe the three core principles of biomedical research ethics of respect for persons, beneficence, and distributive justice. Consider how this is a framework for the informed consent process, including confidentiality, privacy, cultural considerations, and vulnerable populations. Embed course material concepts, principles, and theories (which require supporting citations) in your initial response along with at least one scholarly, peer-reviewed journal article. Keep in mind that these scholarly references can be found in the Saudi Digital Library by conducting an advanced search specific to scholarly references. Use APA style guidelines. You are required to reply to at least two peer discussion question post answers to this weekly discussion question.

Post a brief explanation of how you would identify a quality improvement practice gap in your practice or organization. Describe a potential quality improvement practice gap you might use for your DNP project, and explain why. Then, explain at least two types of tools and/or methods you might use to address this quality improvement practice gap, and explain why. Be specific and provide examples.
Patient satisfaction surveys are excellent ways to determine issues that need to be addressed at a hospital for improvement-
Can you be specific as to a gap in practice that needs to be addressed- what is one for your DNP project? please explain and tools/ methods to address this specific gap
Original paper
Identification of Quality Improvement Practice Gap
A quality improvement practice gap could be identified by looking at the existing deficiencies within the organization. Such is done by looking at areas where the organization does not excel and needs improvement. A quality improvement practice gap could be identified using a different rate-based quality measure. In my DNP project, patient satisfaction scores could be essential in determining a quality improvement practice gap. Patient satisfaction scores measure a patient’s level of satisfaction with the treatment and care received from a specific hospital (Lu et al., 2020). High patient satisfaction rates could indicate that they get efficient, high-quality treatment and care that meets their expectations. In addition, higher patient satisfaction rates have been linked to enhanced clinical outcomes, including decreased mortality and hospitalization rates. A lower patient satisfaction score would mean a quality improvement practice gap exists.
Patient satisfaction impacts patient retention and clinical results (Backhouse & Ogunlayi, 2020). It affects the functional, patient-centered delivery of quality care. Patient satisfaction is among the most effective ways of measuring hospitals’ and nurses’ success. Patients’ satisfaction offers insight into the psychosocial area of care (Backhouse & Ogunlayi, 2020). Patients expect instant access to care. Though, the expectation for a quick response to patients enhanced frequent rounding. Moreover, the desire to meet the patient’s needs through quick responses could overshadow efficient and safe care. Though patient satisfaction is essential, patient safety is more important than satisfying a patient’s request, mainly when the request is harmful and unnecessary and does not focus on the healthcare plan.
Various methods would be used to conduct a gap analysis of the organization. A gap analysis will be used to examine the current quality of care. Such will be done to determine if it meets the patient’s expectations. In addition, the gap between the current goals and set expectations would be significant in determining the quality improvement practice gap (Gibson-Helm et al., 2018). The patient satisfaction scores would decide if the set expectations have been met. Lower patient satisfaction scores would indicate a lack of improvement in the patient’s expectations.
In addition to that, The Hospital Consumer Assessment of Healthcare Providers and Systems would also be an essential tool in addressing the quality improvement practice gap (Gibson-Helm et al., 2018). The tool gives benchmark information on patient satisfaction scores in different areas of care, like communication with doctors and nurses, the hospital’s quietness and cleanliness, and how the hospital staff responds to care. When looking at the patient satisfaction scores, both the percentile ranking and the actual score are valuable (Lu et al., 2020). Ranking the hospital against different hospitals based on the patient’s satisfaction score would help assess how the hospital performs against others in meeting the patient’s expectations. With such, it would be easier to identify the magnitude of the quality improvement practice gap and what is required to fix it to ensure patients are satisfied with the level of care.
The patient satisfaction score would also help determine the impact of the measures in solving the quality improvement practice gap (Lu et al., 2020). With the measure’s implementation, patient satisfaction scores need to increase. An increase in patient satisfaction scores would indicate that deficiencies in care provision have been rectified.
Finally, patients and nurses are essential stakeholders in the proposed change. Nurses would need to adhere to the new reporting timelines. On the other hand, the patient would benefit from enhanced quality of care and services. The patients would also be involved more in their choice of care services and treatment. The organization’s leaders and management would also benefit from the project since such improved care would improve nursing staff efficiency, reducing errors and thus leading to a reduced threat of legal action.

Additional information
The PDSA model is another QI tool that you could use to address this practice gap. According to Christoff (2018), one step in the PDSA prompts the other until the cycle is completed and another cycle is repeated. Additionally, learning done from one cycle informs the other for improvement. Your goal is to increase patient satisfaction. Applying the PDSA model would first begin by planning the strategies to implement to improve patient satisfaction, and if the results are desirable, then action is taken. If patient satisfaction is not achieved to the levels that you want, the cycle is repeated again, taking note of the errors and mistakes in the first cycle and improving on them for optimal outcomes.

Exam Content
Scenario
You are being considered for a health care manager position at a local health care facility. The job description for this position emphasizes the need for quality assurance and improvement through tracking outcomes and analyzing the data. The first step in the interview process is to provide written answers for a series of questions sent to you by the facility’s HR department. The questions focus primarily on describing the process of tracking outcomes and improving quality and safety.
Preparation
Continuous quality improvement (CQI) is the idea of constantly improving performance and outcomes. CQI is a foundational principle to the delivery of health care. Having high quality and safety ratings is important to a health care organization for these reasons:
The organization’s success can be advertised to the public to gain the trust of the community.
Delivering consistent, high-quality care keeps the organization in compliance with regulations, which are Conditions for Coverage and Participation set forth by the Centers for Medicare/Medicaid (CMS) and state health departments.
Having high quality ratings helps in negotiations with payers to secure higher payments. Payers are increasingly tying payments to how the provider has performed with quality metrics, which are standards set forth by various agencies, including the National Council for Quality Assurance (NCQA) and the Agency for Healthcare Research & Quality (AHRQ).
Do the following as you prepare to answer the interview questions:
Review the Conditions for Coverage (CFCs) & Conditions of Participation (CoPs), a list of federal CMS regulations for health care facilities (e.g., nursing homes, surgical centers, etc.) and operations (e.g., home health agencies, hospice agencies, etc.).
Review “QI: Getting Inside Quality Improvement Mindset” from NCQA, which provides tips on how to gain a continuous quality improvement mindset.
Visit The Joint Commission, which accredits and certifies hospitals and health facilities, and read about their accreditation process and quality standards.
Many businesspeople use Microsoft Excel to plan, track, filter, and analyze data in their work environment. For an introduction or refresher on using Excel at work, consider watching the LinkedIn Learning videos located in this week’s Learning Activities folder: “Excel Essential Training” and “Excel Quick Tips.”
Assessment Deliverable
Write a response for the hiring department that addresses the following questions in 175–350 words each:
Describe some of the regulations and quality standards (e.g., CMS, NCQA, AHRQ, The Joint Commission) that you must maintain as a health care manager. Why is CQI/process improvement so important in a health care workplace?
What are the impacts on a health care facility (e.g., hospital, doctor’s office) of external regulations and quality standards (e.g., CMS regulations, state regulations, The Joint Commission)? As a manager, how would you ensure that your department is compliant with external regulations and quality standards?
Why is CQI process so important for quality of direct patient care? What are the outcomes on patient care if the health care organization does or does not have a good CQI process in place? As a health care manager, how would you ensure that continual improvements in quality are being made?
What are approaches that health facilities and agencies take to ensure the aptitude and competency of their clinical and non-clinical staff members? As a manager, what are some things you can do to ensure that your team has the proper resources to consistently deliver high quality care?
What is the role of technology in direct patient care quality and safety? As a manager, how could you use technology (e.g., Microsoft Excel, Tableu) to help your department stay on track?
Submit your assessment as a separate Microsoft Word document.
Follow APA guidelines.
Three references are required for this assignment.

Create a poster presentation: Type I diabetes mellitus
• In your poster, cover the following topics using scientific evidence and provider-level language:
o Etiology(ies)
o Risk factors
o Pathophysiology
o Clinical manifestations and their significance to the individual affected
Please use proper citations and reference included in the poster

Write an up to 350-word experimental research design abstract following the instructions in the “Research Idea Abstract Description.” Include a diagram of your study using Os for Observations and Xs for treatments and other letters as necessary to represent the elements of your research design. For example, you might include an M if you were including matching. A simple example would be NR O X O for a one-group, pretest-posttest design although I would not recommend that design as it is one of the ones most prone to validity threats. I will not count the letters in your diagram against your 350-word count.
Comments from Customer
Discipline: health care

Instructions
Based on this week’s assigned reading and research from the UT Health Library, in a blog style post, analyze and evaluate promoting the expansion of the respiratory therapist in vascular access.
1. Research your states respiratory care scope of practice
2. Compare and contrast the skills needed for vascular access with your states scope of practice
3. Discuss if vascular access is or is not included in with the scope of practice
4. Explain how you could promote expanding this practice within a health care facility
APA Blog style post is to be a minimum of 500 words. Include at least 2 APA references. Responses are not required but encouraged.