Category: Public Health

INSTRUCTIONS:
Go to the CDC FluNet portal using the link http://gis.cdc.gov/grasp/fluview/fluportaldashboard.html
Answer the following questions.
Using the data provided in FluNet, tell me what are the circulating strains in the US as of 2/20/2023? Were there any shifts in influenza variant from fall to winter?
Do a little sleuthing and tell me what variants were included in the flu vaccine administered this past flu season (Fall 2022 – present)
Based on data from February 2023 – does it look like the vaccine is paired well? What does the data tell us about vaccine efficacy this year for influenza? Try to figure it out using the data first, then feel free to look for other sources – but be sure to include citations if you use outside literature
How does the burden of influenza this season compare to the burden of influenza for the 2020-2021 flu season? Use numbers to support your response

Your Tasks
Task 1- Food Log
You will keep a 3-day food log, where you will record the meals and snacks that you ate, along with their nutrients, throughout each day. You can choose to track this using Cronometer or the provided Word document
Actions
. This week’s focus: fat, cholesterol, and protein
You may record calories and carbohydrates; however, they are not required for this week.
Please see the Everything You Need to Know About- DIETARY ANALYSIS ASSIGNMENTS page for more specific details on this process.
Task 2- Analysis
Please answer the following questions in complete sentences:
In regard to last week’s ‘challenge’-Did you try some of your carbohydrate additions or replacements? If so, how did it go?
In regard to fat (general)-What was your averageLinks to an external site. fat intake over the 3 days? Was your fat intake within the daily rangeLinks to an external site. (the AMDR is 20-35% of your caloric intake)? Were you surprised by your averages, why or why not?
What did you eat the most of: saturated fat, trans fat, monounsaturated fat, or polyunsaturated fat?
Which foods contained the most fat? Were you surprised by the fat content of some of your foods? If yes, which ones surprised you?
Reflect on the fats consumed this week. Did some affect the way that you felt (i.e., mood, satiety, etc.)? Which ones?
In regard to cholesterol-What was your averageLinks to an external site. cholesterol intake this week? Is this above or below the recommendation of less than 300 mg per day (200 mg if you are at risk for heart disease)? Any surprises?
Were there any foods that you ate that help in lowering cholesterol? If yes, what were they?
In regard to protein-What are your recommendedLinks to an external site. dietary protein needs?
What was your average protein intake over the 3 days? Based on this average, are you meeting your recommended protein needs?
What are problems with diets that are low in protein? What are problems with diets that have excessive protein?
Would you say that the majority of your protein comes from animal- or plant-based sources?
How difficult would it be for you to switch to plant-based proteins? Why?
Looking forward-How has learning about fat and protein affected your motivation to eat a healthier, more balanced diet?
What are two foods that you can swap in order to:reduce saturated and/or trans fat;
increase monounsaturated and/or polyunsaturated fat;
reduce cholesterol;
reduce animal-based sources and/or increase plant-based sources;
increase protein intake (if protein intake was too low); or
decrease protein intake (if protein intake was too high)?
Challenge!
Implement these changes during next week’s food log! I will ask you about it next week in Assignment 4.
Submission and Grading
This assignment is due on Sunday, March 12th by 11:59 PM. Task 1 needs to be submitted as a pages document, Word document, or PDF file. Task 2 can be submitted as a text entry or file upload (note that you will need to do a separate submission if doing it as a text-entry). This assignment is worth a total of 40 points. Each task is worth 20 points, and will be assessed based on the level of completeness. Submissions are graded anonymously.

Discuss how the healthcare organization’s structure of mission, vision, and values can use risk management as a pathway to a patient safety culture in the Kingdom of Saudi Arabia. Provide examples of tools you would select to improve patient safety.
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 Saudi Electronic University academic writing standards and APA style guidelines.

The Patient Experience Measurement Program is one of the national transformation initiatives in Saudi Arabia.
Discuss the history, aims, and progress thus far of the Patient Experience Measurement Program.
Locate a recent patient experience study in Saudi Arabia from the Saudi Digital Library and summarize the study.
Report on the methods and measurements utilized in the study design related to the content of this module.
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 Saudi Electronic University academic writing standards and APA style guidelines.
You are required to make your initial post (create thread) in order to see others posts and make comments. You are required to reply to at least two peer discussion question post answers to this weekly discussion question and/or your instructor’s response to your posting. These post replies need to be substantial and constructive in nature. They should add to the content of the post and evaluate/analyze that post’s answer. Normal course dialogue does not fulfill these two peer replies but is expected throughout the course. Answering all course questions is also required.

Crisis situations require effective leadership to direct a unified quality healthcare response.
Using the Saudi Digital Library, locate and read three scholarly research articles on the role of leadership in managing quality and safety initiatives during crisis situations in Saudi Arabia.
Based on your readings, prepare a PowerPoint presentation describing your leadership style and how you would use your leadership to effectively manage quality and safety during a healthcare crisis. Explain the crisis situation, the environment, the resources available, the challenges, and proposed solutions to the crisis situation that you are writing about.
Your PowerPoint should meet the following requirements:
Seven to eight slides, not including your title and reference slides.
Each slide must provide detailed speakers notes, with a minimum of 100 words per slide. Notes must draw from and cite relevant reference materials.
Formatted per APA 7th edition and Saudi Arabia Electronic University formatting guidelines.
Utilize headings to organize the content of your work.
Professional design and transitions.
You are strongly encouraged to submit all assignments to the Turnitin Originality Check prior to submitting them to your instructor for grading. If you are unsure how to submit an assignment to the Originality Check tool, review the Turnitin Originality Check Student Guide.

The Joint Commission explicitly calls out the importance of governance and leadership needed within a hospital/health care system. Additionally, leadership attributes and specific standards are outlined as required elements for success. You will review https://www.jointcommission.org/-/media/tjc/docume… Provide examples of why these standards would be most impactful to the overall organization.
Once article is opened please use #2 element (Establish clear, just, and transparent risk based processes for recognizing and
separating human error and error arising from
poorly designed systems from unsafe or
reckless actions that are blameworthy) and #9 element (Embed safety culture team training into
quality improvement projects and
organizational processes to strengthen safety
systems.) Answer the following questions in New York City leadership and healthcare organizations:
Discuss whether the standards impact the strategic/operational direction of the organization.
Describe the quality impact that may occur due to the standards.
Explain the impact of the standards on patient and customer experience performance.
Discuss any additional impacts that you feel the standards may have within the organization.
APA style

Module 05: Critical Thinking Assignment 530:
Safety Critical Communication 125 points
Hospital administration has asked you to develop a memo explaining how to use the SBAR (Situation, Background, Assessment, Recommendations) as a tool for safety critical communication during shift change among healthcare professionals. In the memo that you will be preparing, remember to address the following:
The importance of critical safety communication
At least two principles of safety-critical communications
A description of the SBAR tool
A hypothetical example of how to use each element of the SBAR tool, meaning examples of each of the following:Situation
Background
Assessment
Recommendations
To see an example of the structure of a memo, view the following memo, “Fall Clothes Line Promotion,” developed by Purdue OWL.
Your memo should meet the following structural requirements:
A minimum of two pages that includes all the elements detailed above.
Follow APA 7th edition and Saudi Electronic University writing standards.
Be sure to cite any statistics or other information as appropriate.

Each student has an integrated subject between 10 and 15 pages, and 1.5 Spacing and numbered pages with a (12) Times New Roman – with the need to ensure that the writing is free of errors – contains the following:
1. First page title: so that it is integrated and reflects the subject and in the 20 Times new Roman line – the word education and quality is vital and it is up to you to formulate it more.
2. The second page is a summary and contains subheadings, the most important of which are: only a sentence with a background on the subject and an input, the objective of the study/subject and not exceeding a sentence. The words “health education and quality” must be mentioned either in the system or in the health services or in the term. The curriculum contains two sentences on the most secondary or original data anchor (quantity or how), specifying the instrument, and the study period. The results contain only numbers and do not exceed two sentences. The debate in it is most important and its interpretation, in a sentence or two. and the recommendation to look for no more than two sentences. Then 5-7 keynote words and keys to the topic.
3. Page 3: An introduction consisting of two pages containing the Saudi quality system and how it works in terms of the subject you choose with the health promotion. At least two subheadings are required to describe the subject required of you. There must be at least 10 references on the front.
Page 5: Curriculum, which describes (10) subheadings of how you study this topic. They include the instrument, society, sample, time, etc. No more than a page.
Page VI and VII: The results contain only tables and shapes and not less than two tables with a narrative of figures for the quality and topic you touch on, and the more data you increase. These are no more than two pages. Don’t explain – just explain to the public.
6- Page 8 and 9: This discussion is two pages with subheadings of not less than two showing the most important found with its connection to the literature of the previous study and interpreting it in your language and be interrelated, and then the subheader of what I found from a subject that is less important than the previous with interpretation and citation, and then a last subtitle of what I found different or not important. Then you recommended three sentences and limits of your study in the form of sentencesThe subject is written in the heading and relationships and duty are linked to what exists globally and locally.Don’t forget the subtitles for the least 3 words and try to be the word quality and health promotion in their bonds
Subheadings – not mandatory but indicative IN ATTACHMENT GREEN LINE OTHER LINE (RED LINE ) WARD LIKE THAT U DO IT

Please note that there are two posts needed to successfully complete the discussion board assignment. An initial post addressing the discussion board topic is due by end of day Saturday. A response post to at least one other student is due by end of day Tuesday.Imagine that you are involved with a hazardous material spill response or cleanup operation. Describe a cleanup or response plan that you might put into place and describe what you believe would be your role in it. For the discussion board use please review Exhibit 1 OVERVIEW OF PLANNING PROCESS in the required reading National Response Team. (2001, July). Hazardous materials emergency planning guide. U.S. Environmental Protection Agency. For your role, there are those that are responsible for cleanup, and those directing the response and cleanup operations. For these roles, there are various levels of training prescribed in OSHA’s HAZWOPER Standard 29 Code of Federal Regulations (CFR) §1910.120(q). These roles include: First Responder, First Responder Operations, Hazardous Materials Technician, Hazardous Materials Specialist, On-Scene Incident Commander. Take a look at these and think about what your role is or what it would be and determine if you are properly trained. Please be specific on your role.
Reply to:
I come from a firefighter background and now work at a company that handles the demolition and cleanup of buildings involved in the Manhattan project. To me, a proper hazardous material response or cleanup operation looks like a carefully pre-planned response with an established command structure, defined roles and responsibilities, analyzed risk assessments, and contingency plans that ensure every angle that we could contemplate would be addressed and covered. Through my training, in the event of a response incident, I could either perform in a first responder or a first responder operations role. I know how to identify potential incident scenes through warning signs and signals, how to perform basic emergency operations such as decontamination, barrier protection, and other operations level skills. In my previous job as a firefighter, I would definitely be in the role of an operations level member because of the limited resources we had in the county. At my current job, I would most likely be used in the first responder role due to the special procedures that are in place in the event of an incident within the workplace. Although I am properly trained to perform in an operations role in the fire department, I am not properly trained to perform those same responsibilities in my current job because of the training requirements established by my employer. Where I am now, we have a lot of highly skilled and highly trained members of the workforce that know how to specifically handle the hazardous materials that can be found in our workplace compared to the general training I received to act as a firefighter. Some of those skills could overlap, but our management is very strict on who is authorized to handle these types of incidents. We have a strict organizational structure that is in place in case of one of these incidents, and currently, I don’t fit into that structure unless I happened to be present during the incident.

HSD is the Medicaid-managed care oversight system for san Diego County. Organized 25 years ago, HSD identifies its values as: patient choice in selecting health plans, value added by ensuring local involvement in assuring quality and access to health services, and local oversight for problem-solving and continuous quality improvement. This initiative provides a compelling case study in complex system leadership that has been sustained over time despite changes in the medical, clinical, public health, political, and financial reimbursement landscapes. The case study also provides emerging leaders with informative guidance about leading change within and across systems.
Background:
Discussions about the implementation of managed care for the California Medicaid population in the early 1990s led five key organizations to come together to form a partnership that is now known as HSD. Leaders from the hospital association, the county health department, the medical society, legal aid, and the council of community clinics convened to assess the three potential options available to establish a managed care process for their Medicaid population.
A county organized health system
A two-plan model whereby the county would have one plan and the commercial interests would provide another one that enrollees would have a choice of providence
A system whereby health plans would be certified to serve a specific geographical area (Geographic Managed Care, or GMC Model). Provision was made early on for two pilots. San Diego requested to be one of those two pilots.
After 2 years of planning, in October 1994, then California Governor Pete Wilson signed the landmark AB 2176 HSD Legislation. San Diego was selected as one of two pilot sites in the state to implement the GMC model.
Today, nearly one million individuals are enrolled in the model, and the initial partnerships that were established are still in place to ensure that HSD remains a strong and viable managed care initiative. A related component is the HSD Joint Consumer and Professional Advisory Committee, whose role is to monitor Medi-Cal managed care issues affecting San Diego County and to advise the director of the Health & Human Services Agency concerning those issues.
Role and Function of Health System Partners in Leading Systems Change:
The early engagement of the public health and healthcare system representatives provided a forum of high trust for leading this massive system change. The five original organizational representatives mentioned earlier remain the core group, while other organizations, including the health plans, provide for a broad base of systems representation.
This case study highlights the importance of partnerships in a community coming together with a common goal of ensuring access to healthcare services for the most vulnerable members of its population. HSD was working across sectors and across disciplines even as early as the 1990s. more than 60 organizations, representing a broad array of systems, were engaged and remain engages in the HSD efforts. Some of the examples of the system members include:
medicine
community health centers
public health
health plans
legal aid
consumer advocacy
other healthcare providers
State Department of Health Care Services (DHCS)/Med-Cal Managed Care Division
County of San Diego Health and Human Services Agency (HHSA)
The system partner roles with the HSD structure include the following:
State DHCS: Contracts for services directly with the health plans.
Health Plans: Provide healthcare services.
San Diego County HHSA: Provide day-to-day administration and presentations for Health Care Options enrollment. Identify issues and provide local forum for problem-solving and assistance.
Consumers/Professionals: Provide advice to County HHSA through the HSD Consumer and Professional Advisory Committee.
The Consumer and Professional Advisory Committee was once comprised of two committees who met both separately and jointly. Over time, as the level of trust became stronger, the two committees merged into one committee. The committee operates subcommittees focused on such topics as quality improvement, behavioral health, COVID-19, and other pertinent topics. The structure continues to provide an open forum for all system representatives and the consumers to work together to keep HSD strong.
Relationship to Health Equity
The work to establish HSD was rooted in the values of equity. The organizing parties were committed from the beginning to ensuring that managed care for the San Diego Medicaid population was implemented according to the values mentioned earlier in this case study. The work was established with intentionality around fairness, transparency, and equality in terms of healthcare access. With attention to ongoing quality improvement and timely complaint resolution, HSD remains grounded in the commitment to monitoring services provided to this population to ensure equity across healthcare plans. At the present time, meetings of the HSD Joint Consumer and Professional Advisory Committee, which are held monthly, are open for members of the public to address the Committee on any issues within its assigned purview and not on the agenda. They also make provisions for special accommodations as may be needed.
Advice for Others
When asked about their advice for others who are planning to effect major complex systems change, the HSD representatives interviewed provided the following observations based on their experience.
Monitoring the changing healthcare landscape and the potential effect of the introduction of managed care on the Medicaid population provided an early opportunity for this initiative to be pilot tested.
Relationships among the key systems representative existed prior to their work together on this initiative. Those strong relationships provided an early atmosphere of trust as the planning ensured.
A decision was made early on for the work to be apolitical. This commitment allowed the initiative to be developed and implemented with little to no political interference.
The role of public health leadership, while official and supportive, was also subtle. This was intentional so that the team of partners and stakeholders would maintain ownership and commitment to HSD. It was not seen as a health department-driven initiative. Even today, public health support HSD, but they do not set the agenda. It is still “owned” by the community.
The leadership for HSD has been consistent over the 25 years. However, some turnover in that leadership in anticipated soon. Deliberate work has been done to ensure succession planning so that the initial values, goals, objectives, and systems relationships continue.
Case Study Questions
1. What is the primary change in public health system that occurred or will occur because of this initiative?
2. Who are the system partners in this initiative, and what aspects of systems thinking are reflected in its structure?
3. Where do you see examples of systems thinking in HSD?
2 pages needed …