Category: Health & Medical

Explain the concept of pubertal timing, its effect on adolescent development and on classroom behaviors/interactions.

Read and review the textbook Sayles, Ch 6, the resources provided in this module, and research online about the topic of duplicate health record assignments before completing the case study questions. Justify your answers to the questions below in paragraph format using MS Word. List references used for answers in APALinks to an external site. format.
Scenario
The ad hoc report shown in Table 1-1 Master Patient Index (MPI) Discrepancy Report, is a reporting function of the MPI system. This system function applies weights for the probability, on a scale from 1 to 15, that the two patient encounters in each case are likely to pertain to the same patient or not. The policy of the hospital is to retain the survivorship record meaning the original health record number when correcting duplicate number assignments on the same patient.
For each pair of patients listed in Table 1-1 provided, which health record number should be retained based on the hospital policy?
Which numbers from Table 1.1 listed do you think will require further documentation review to determine whether the patients are the same or not?
What strategies would you use to validate the “matches” that were determined using record documentation or data elements from the patient record?
What should be the policy for determining the cut off weighted probability number between 1-15 for two entries to be combined into one patient’s number?
What strategies could be used to help prevent duplicate health record number assignment Table1.1 MPI Discrepancy Report

For this Discussion, you examine professional issues for your state, including certification and licensure, scope of practice, independent practice, prescriptive authority, and legislative activities.
Review practice agreements in your state.
Identify whether your state requires physician collaboration or supervision for nurse practitioners and, if so, what those requirements are.
How do you get certified and licensed in your state?
What is the application process for certification in your state?
What is the primary nurse licensure office resource website in your state?
How does your state define the scope of practice of a nurse practitioner?
What is included in your state’s practice agreement?
How do you get a Drug Enforcement Agency (DEA) license?
How does your state describe a nurse practitioner’s controlled-substance prescriptive authority and what nurse practitioner drug schedules are nurse practitioners authorized to prescribe?
In what legislative and advocacy activities are your state nurse practitioner organization(s) involved?

Case Study: Urinary Leakage
Mable Albright is a 48-year-old, native American who presents to your clinic with the complaint of urinary leakage. She relates this has been worsening over the past 2 years. She now must wear a pad all the time and states it is interfering with her work as she is going to the bathroom all the time. Medical history is negative, surgical history is remarkable for wisdom teeth and a bilateral tubal ligation.
VSS: and normal
5’0 172 lbs. (BMI 33.6) T 98 P 70 R18 02Sat 98%
QUESTIONS:
1. What questions do you have for Mable?
2. What are you considering for her?
UPDATE:
Mable relates she leaks when she coughs or laughs and sometimes can’t get her pants down before her urine stream starts when she goes to the bathroom. When she leaks, she states she will soak thru her underwear and pants. Occasionally, the urine will run down her legs.
Mable has had 5 pregnancies she delivered at term. The first was an 8 lb. 10oz delivered by forceps, the next three were spontaneous and they weighed between 6 and 8 and ½ pounds, and her last was a 10 lb. baby for which she had a shoulder dystocia and “tore a lot”.
Mable relates that sometimes after cleaning her house or standing all day, she feels a lot of pressure, but it goes away when she sits down. All her symptoms have been present since her last delivery 9 years ago, but they have been getting worse.
You have Mable complete a voiding diary which shows that she drinks approximately 84 ounces of fluid through the day and voids about every 3-4 hours during the day. Her leaking has occurred when she first gets home from work.
Physical exam:
• VVBSU, parous, vagina somewhat gaping, 1stdegree cystocele
• Cervix parous, wnl
• Uterus: anteverted, 10 cm, non-tender
• Adnexa: without masses or tenderness
Urine culture and urinalysis-PENDING
QUESTION:
What is your differential diagnosis?
Questions for the case study are highlighted below and you are to provide a differential diagnosis (dx) with a minimum of 3 possible conditions or diseases.
Define what you believe is the most important diagnosis any why. Be sure to include the priority in conducting your assessment.
Use the focused SOAP NOTE template and focus on what is being asked of you as highlighted below. Don’t forget for an episodic visit, there is NOT to be a full PE. Focus on the systems that correlate to your Chief Complaint.
Differential diagnosis (dx) with a minimum of 3 possible conditions or diseases.
Define what you believe is the most important diagnosis. Be sure to include the first priority in conducting your assessment.
Explain which diagnostic tests and treatment options you would recommend for your patient and explain your reasoning.

Assignment Content
Upon completion of all three parts of the Integrative Paper, you will have brought together the systems theories, contemporary research, and your application of this work to a real-world opportunity for improvement. The result will be recommendations for change and innovation through the lens of systems thinking. Read the Integrative Paper Guidelines to prepare for this final of three assignments during this course. Review the results from your analysis of a problem or innovation opportunity conducted in Week 5. Write the 1,050- to 1,225-word “Application” section of your integrative paper in which you do the following:
State the specific problem or innovation opportunity.
Summarize the setting within the health care organization where this problem/opportunity exists. Identify and describe the stakeholders involved and those who are essential to effecting change (and why).
Describe the recommended solution in complex systems thinking terms. Specify the expected outcomes and how they will be measured, including (but not limited to) how results from this solution contribute to the organization’s pursuit of the Triple Aim.
Present a synthesis of the specific theories, conceptual models, and research into complex systems thinking and innovation that support your recommended solution. Be persuasive by drawing on scholarly sources used in the “Breadth” and “Depth” sections.
Write a 350- to 700-word “Conclusion” section for the paper in which you do the following:
Discuss how the solution will improve the performance of the health care organization.
Contribute to the knowledge and understanding of the broader health care ecosystem and discuss how such problems or opportunities can be addressed in other organizations.
Compile the final assignment. The paper should be a cohesive, integrated combination of the four sections, taking into account facilitator feedback provided to assignments submitted in previous weeks. The body of the paper should be 3,500–4,375 words, not counting the title page or reference page.
Support your descriptions and analysis with references to 5 credible sources.
Format your paper according to APA guidelines.

Students are also responsible for responding to two other students’ initial post. Responses should be substantive with a minimum of 200 words. Good academic writing style.
POST ONE–
The two principles that are relevant when it comes to evaluating the website consist of helping users recognize, diagnose, and recover from errors and error prevention. These principles can be linked to each other. For starters the website recognizes how living a healthy and active life has caused people to live longer. It also recognizes how our bodies and mind change as we age and how some changes could also be caused by a medical problem. The website gives tips on how to diagnose any changes that could affect an older individual’s life. For example, there are helpful links that guide the user to view ways on how to recognize changes that they may not know about. Being able to notice changes and diagnose medical problems on time can save someone’s life and help them live a long life. There are tips that help users fix their errors. For example, if an older person is overweight and they notice changes in their body, there are links that guide the user on why their body has changed and what to do about it. The tips can consist of exercising, eating healthier, etc, and information about aging. When it comes to the usability principle of error prevention, the website offers information and tips on how to live a longer life. These tips can help users prevent diseases such as hypertension, osteoporosis, cancer, and cardiovascular diseases.
Although the website is helpful, it has lots of links, which could confuse the audience, especially those who are older and do not know much about technology. This could cause frustration among the users, which could cause them to navigate away from the website. User engagement can also be a problem that could arise. Without user engagement, it can be difficult to update the information and layout of the website. This could lead to an increase in errors on the website.
POST TWO–
When it comes to Usability, there are two principles that should be taken into consideration when designing a website for our senior population. People older than age 65 are more prone to certain limitations including diminishing eyesight, loss of hearing, loss of motor skills and memory loss. Meaning that the user interface targeting senior citizens should be designed using principles that include
(1) a minimalistic design and (2) flexibility and efficiency of use. Because our aging population has different needs, User-Centered design must be able to fit those needs of that age group especially for those are not very computer savvy and/or suffer from the previously mentioned health challenges.
While looking at the MedlinePlus website, although it is a well organized and an excellent resource for advanced healthcare, its interface usability does not completely serve to minimize memory load. The website cleverly uses highlight over mouse selections and the texts are emphasized before selecting on the link. The problem is that many of those links are very close together and is not a productive use of space.
and its possible information overload may exist. This is important when considering the elderly or disabled need a more minimalistic design.

A solution would be to break information into short sections, simplify terminology and minimize scrolling per page. All these solutions would make the website a little more user friendly and straightforward. The existing positives of the MedlinePlus interface is that there is a lot of useful and helpful information available its homepage. It is organized using different colors but larger font should be used. Enlarging text would be another solution help those suffering from vision impairments. The website does use colors to differentiate between sections, the only suggestion would be to possible have higher contrasting color combinations. Especially with all the information that is being given to help consumers better meet their needs. It is always best engineers work collaboratively with senior citizens when taking considerations for the designing process for an aging targeted audience.
Creating a minimalistic design would eliminate frustrations for elderly who suffer from loss of vision and digital literacy. Too much complexity is something to avoid when creating an interface for elderly folks. Although MedlinePlus website seems to be well organized and effective in providing resources for its target audience, too much information can cause confusion. The website does have some flexibility by having the main resources always listed at the top of every page. This creates flexibility and efficiency of use, a great usability principle for older adults that makes it easier to browse. Understanding and interviewing potential user, creating a minimalistic interface design as well as flexibility should be the most important principles when evaluating overall design process in an aging population.
MedlinePlus [Internet]. Bethesda (MD): National Library of Medicine (US); [updated Jun 24; cited 2020 Jul 1]. Available from: https://medlineplus.gov/.
The universal access handbook, 1, 1-16.

After reading Sayles & Kavanaugh-Burke Chapter 7 and watching the videos, post a 150-word minimum description of the financial information systems and the revenue cycle impact through HIM processes of medical coding. Demonstrate how CDI could impact the revenue cycle through coding practices. (ex: real-time coding, documentation training)

HEALTH SYSTEMS ENVIRONMENT
Plagiarism Check APA 7th edition Citation & References Information taken from PPTs and Readings should also be cited along with slide number.
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MAIN INFO 6058 Assignment – Lab 2 W23
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Assignment Overview: This assignment reflects important key learning and concepts to apply your understanding of all material content in week 10. There are enriched readings in week 10 as it relates to data management, security, and information management. You also learned about three (3) key security concepts at the heart of the computer security, namely: confidentiality, integrity and accessibility. Also included was lesson on understanding computer security challenges and the levels of impacts and the diverse different attacks. This assignment requires critical thinking, analysis and writing and is meant to reflect your breadth and knowledge of the key issues.
Instructions: You are NOT to use the Internet for this assessment. Instead, you are to read and reflect on the learning in all of the reading materials within week 10. This includes my PPT lecture, lesson plan, and readings. Using the structure format that is outlined under “additional lab resources for written labs,” which includes sub-headings (followed by ONE conclusion at the end), please review and answer comprehensively in complete sentences, the following key questions in a 1000-word document and upload to dropbox by the deadline (See rubric for this written assignment):
Challenges: Identify and describe e-health Ontario. Highlight and explain three (3) security challenges as it relates to privacy and information. Using examples of each challenge, describe, how these same three challenges impact the e-health Ontario mandate? Be very specific and clear.
Integrity Assurance: Describe and explain three (3) different integrity assurance issues. Detail what are some of the preventative measures. What would you do if your computer was intruded by an attacker? What are the steps you would take to mitigate and if it occurred, what would be the steps to gain back access to your information?
Lessons Learned: What are three (3) lessons learned regarding unauthorized disclosure attacks? What are three lessons learned to address privacy and security in the future? Why was this information relevant in your future roles as a health information manager? Explain.
Remember for this assignment, please only use Canadian context. Therefore, please only use Canadian context and the materials associated with the teaching and learning in the themed week. US context is not relevant or consistent with Canadian healthcare system. Please also refrain from using erroneous information from the Internet as it provides no relevancy and does not prove you are doing the work you are being assessed on. Moreover, US context is not relevant nor consistent with Canadian healthcare system. It is important that you write in complete sentences and provide an in text citation showing exactly where your information is coming from. Use the APA 7th edition, two step rule (i.e., providing an in-text citation and also reference). Please do not copy information as this is plagiarism and not acceptable. Instead paraphrase in your own words and provide an in text citation noting the authors last name and year. For example. if you were using the main report you would provide an in text citation as (Canadian Patient Safety Institute, 2014). Followed with a full reference at the end as noted in the APA guidelines.

Submit Section III of the case study, in which you will address the chosen organization’s financial incentives and quality improvement processes. Specifically, you will critique the organization’s population-health oriented policies, the organization’s approach to care and the extent to which it is patient-centered, and any strategies the organization uses in its population-health approach.
Reference these resources to complete your milestone assignments:
Montefiore Medical Center Case Study
Interpreting Services Program
Specifically the following critical elements must be addressed:
Financial incentives and quality improvement processesAnalyze population health-oriented policies (such as non-discrimination in hiring, care and treatment, Patient Bill of Rights, financial assistance, etc.) that the organization may have implemented for reducing costs and improving overall quality. Be sure to provide evidence to support your claims.
To what extent is the organization’s approach to care considered patient-centered? Be sure to cite specific examples to substantiate your claims.
What specific strategies (such as eliminating unnecessary procedures and providing only essential treatments or interventions) does the organization employ in its population health approach to reduce costs and improve overall quality?
Describe gaps or deficiencies that may exist in the organization’s use of the population health approach in reducing costs and improving quality of care, and provide evidence to support your claims. If you feel there are none, be sure to explain your reasoning.
What to Submit
Milestone Three must be submitted as a two- to three-page Microsoft Word document with double spacing, 12-point Times New Roman font, one-inch margins, with sources cited in APA format.Submit Section III of the case study, in which you will address the chosen organization’s financial incentives and quality improvement processes. Specifically, you will critique the organization’s population-health oriented policies, the organization’s approach to care and the extent to which it is patient-centered, and any strategies the organization uses in its population-health approach.
Reference these resources to complete your milestone assignments:
Montefiore Medical Center Case Study
Interpreting Services Program
Specifically the following critical elements must be addressed:
Financial incentives and quality improvement processesAnalyze population health-oriented policies (such as non-discrimination in hiring, care and treatment, Patient Bill of Rights, financial assistance, etc.) that the organization may have implemented for reducing costs and improving overall quality. Be sure to provide evidence to support your claims.
To what extent is the organization’s approach to care considered patient-centered? Be sure to cite specific examples to substantiate your claims.
What specific strategies (such as eliminating unnecessary procedures and providing only essential treatments or interventions) does the organization employ in its population health approach to reduce costs and improve overall quality?
Describe gaps or deficiencies that may exist in the organization’s use of the population health approach in reducing costs and improving quality of care, and provide evidence to support your claims. If you feel there are none, be sure to explain your reasoning.
What to Submit
Milestone Three must be submitted as a two- to three-page Microsoft Word document with double spacing, 12-point Times New Roman font, one-inch margins, with sources cited in APA format.

Internal Disaster Plans
Click here (SEE ATTACHED) to read about the standard operating guidelines for hospital disaster plan.
Review the elements required for a disaster plan addressing an internal disaster. Based on your review, create a 2- to 3-page report in a Microsoft Word document covering the hospital’s (internal) disaster plan for how the staff reacts and carries out their duties in the event of an internal disaster.
Your internal disaster plans should include:
*Introduction
*Size and type of your hospital (you decide this)
*Type of internal disaster (fire, explosion, biological etc.)
*Key medical and administrative staff to be contacted
*Central point for communication
*Particular service areas such as intensive care unit (ICU), labor and delivery unit etc.
*Other hospitals in your area and how you intend to coordinate with those facilities (you decide this)
*Implementation on internal transfers (moving patients from one area of the hospital to another)
*Implementation of external transfers
*Evacuation plan
*Conclusion
As in all assignments, cite your sources in your work and provide references for the citations in APA format.