Health & Medical

1.      What data can you have that states poor handwashing in a home healthcare setting exists, and that this is directly linked to wound infections. 2.      What current practice is it when comparing with adult wound care patients in the home healthcare setting? 3.      What current evidence-based research is available that supports a claim that poor handwashing is what is causing a wound infections in the patients. 4.      Do the nurses not wear gloves or practice other universal precautions? 5.      Post at least 4 articles that are within the last 5 years to support this issue.

Write a 175- to 265-word response to the following: How is Everett M. Rogers’s Diffusion of Innovation related to change? How does it relate to advancements in health care and health care professionals using advancing technology? You need at least one citation/reference.

Given our wealth and medical advances, why does the United States rank 29th in the world for life expectancy (as of December 2007)? What are the connections between healthy bodies and healthy bank accounts and race / ethnicity? Please feel free to view this video on Health in America for some insights https://www.youtube.com/watch?v=P_jNThSP5rQ&feature=youtu.be

Write a 4–6-page report for a senior leader that communicates your evaluation of current organizational or interprofessional team performance, with respect to prescribed benchmarks set forth by government laws and policies at the local, state, and federal levels. In addition, advocate for ethical action to address benchmark underperformance and explain the potential for improving the overall quality of care and performance, as reflected on a performance dashboard. In the era of health care reform, many of the laws and policies set forth by government at the local, state, and federal levels have specific performance benchmarks related to care delivery outcomes that organizations must achieve. It is critical for organizational success that the interprofessional care team is able to understand reports and dashboards that display the metrics related to performance and compliance benchmarks. Your evaluation of dashboard metrics for this assessment is the foundation on which all subsequent assessments are based. Therefore, you must complete this assessment first.–SEE ATTACHED Write a report for a senior leader that communicates your evaluation of current organizational or interprofessional team performance with respect to prescribed benchmarks set forth by government laws and policies at the local, state, and federal levels. In addition, advocate for ethical action to address benchmark underperformance and explain the potential for improving the overall quality of care and performance, as reflected on a performance dashboard. Review the performance dashboard metrics, as well as relevant local, state, and federal laws and policies. Consider the metrics that are falling short of the prescribed benchmarks. Structure your report so that it will be easy for a colleague or supervisor to locate the information they need, and be sure to cite the relevant health care policies or laws when evaluating metric performance against established benchmarks. The report requirements outlined below correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, be sure to note the requirements for document format and length and for supporting evidence. Evaluate dashboard metrics associated with benchmarks set forth by local, state, or federal health care laws or policies. Which metrics are not meeting the benchmark for the organization? What are the local, state, or federal health care policies or laws that establish these benchmarks? What conclusions can you draw from your evaluation? Are there any unknowns, missing information, unanswered questions, or areas of uncertainty where additional information could improve your evaluation? Analyze one challenge that meeting prescribed benchmarks can pose for a heath care organization or interprofessional team. Consider the following examples: Strategic direction. Organizational mission. Resources. Staffing. Financial: Operational and capital funding. Logistical considerations: Physical space. Support services (any ancillary department that gives support to a specific care unit in the organization, such as pharmacy, cleaning services, dietary, et cetera). Cultural diversity in the organization and community. Procedures and processes. Address the following: Why do the challenges you identified contribute, potentially, to benchmark underperformance? What assumptions underlie your conclusions? Evaluate a benchmark underperformance in a heath care organization or interprofessional team that has the potential for greatly improving overall quality or performance. Focus on the benchmark you chose to target for improvement. Which metric is underperforming its benchmark by the greatest degree? Which benchmark underperformance is the most widespread throughout the organization or interprofessional team? Which benchmark affects the greatest number of patients? Which benchmark affects the greatest number of staff? How does this underperformance affect the community that the organization serves? Where is the greatest opportunity to improve the overall quality of care or performance of the organization or interpersonal team and, ultimately, to improve patient outcomes, as you think about the issue and the current poor benchmark outcomes? Advocate for ethical action, directed toward an appropriate group of stakeholders, to address a benchmark underperformance. Who would be an appropriate group of stakeholders to act on improving your identified benchmark metric? Why should the stakeholder group take action? What are some ethical actions the stakeholder group could take that support improved benchmark performance? Organize content so ideas flow logically with smooth transitions. Proofread your report, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your evaluation and analysis. Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence. Be sure to apply correct APA formatting to source citations and references. Example Assessment: SEE ATTACHED Report Format and Length Format your report using APA style  A title page and references page. An abstract is not required. A running head on all pages. Appropriate section headings. Be sure your report should be 4–6 pages in length, not including the title page and references page. Supporting Evidence Cite 4–6 credible sources from peer-reviewed journals or professional industry publications to support your analysis of challenges, evaluation of potential for improvement, and your advocacy for ethical action. U.S. Health Policy and Law Oliver, T. R. (Ed.). (2014). Guide to U.S. health and health care policy. Thousand Oaks, CA: SAGE Publications. Read Chapters 1 and 2, pages 9–35, for background and foundational information regarding health policy in the United States. HealthCare.gov. (n.d.). Retrieved from http://www.healthcare.gov/ Search this site for information on access to health insurance. In 2009 and 2010, the health care industry and its related regulations and legislation underwent great upheaval and evolution as the Affordable Care Act (ACA) was enacted. Following resources provide information about the ACA and its implementation: U.S. Department of Health & Human Services. (n.d.). About the Affordable Care Act. Retrieved from http://www.hhs.gov/healthcare/about-the-law/ Gold, J. (2015). Accountable care organizations, explained. Retrieved from http://khn.org/news/aco-accountable-care-organization-faq/ This article provides an explanation of accountable care organizations and how they relate to the ACA. You are not required to watch the video. SHOW LESS U. S. Government Health Organizations Oliver, T. R. (Ed.). (2014). Guide to U.S. health and health care policy. Thousand Oaks, CA: SAGE Publications. Read Chapters 3 and 4, pages 39–63, for background on some of the important governmental health organizations in the United States. Health Care Cost Containment Birk, S. (2014). Quality, cost and accountable care models for the journey. Healthcare Executive, 29(3), 20–22, 24–28. In this article, the author identifies the ACO model as a strategy for implementing the ACA and analyzes shared savings and pioneer programs. She also focuses on integrating services into larger health systems and using value-based projects. Health Care Quality and Safety Oliver, T. R. (Ed.). (2014). Guide to U.S. health and health care policy. Thousand Oaks, CA: SAGE Publications. Read Chapter 16, pages 213–223, for information on quality care and safety. Benchmarking The following resources will further your understanding of the significance of benchmarking in health care as it relates to quality of care, regulatory and government policies, and the law. Ghazisaeidi, M., Safdari, R., Torabi, M., Mirzaee, M., Farzi, J., & Goodini, A. (2015). Development of performance dashboards in healthcare sector: Key practical issues. Acta Informatica Medica, 23(5), 317–321. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4639357/ Huerta T. R., Hefner J. L., Ford, E. W., McAlearney A. S., & Menachemi N. (2014). Hospital website rankings in the United States: Expanding benchmarks and standards for effective consumer engagement. Journal of Medical Internet Research. 16(2), e64. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3961706/ Martin, E. J. (2015). Healthcare policy legislation and administration: Patient Protection and Affordable Care Act of 2010. Journal of Health and Human Services Administration, 37(4), 407–411. Nippak, P., Veracion, J. I., Muia, M., Ikeda-Douglas, C. J., & Isaac, W. W. (2016). Designing and evaluating a balanced scorecard for a health information management department in a Canadian urban non-teaching hospital [PDF]. Health Informatics Journal, 22(2), 102–139. NCQA. (n.d.). HEDIS measures and technical resources. Retrieved from https://www.ncqa.org/hedis/measures/ This page provides information about the Healthcare Effectiveness Data and Information Set (HEDIS) and other performance measures, which could provide useful information for incorporation into this assessment. Centers for Disease Control and Prevention. (2018). Performance management and quality improvement: Data and benchmarks. Retrieved from https://www.cdc.gov/stltpublichealth/performance/data.html This web page, which presents the Centers for Disease Control and Prevention’s (CDC’s) perspective on why performance and quality measures are important for patient safety and the bottom line in health care. Dashboard and Health Care Benchmark Evaluation. This multimedia activity enables you to review a metrics dashboard and hospital fact sheet to evaluate Mercy Medical Center’s performance relative to local, state, and federal benchmarking requirements. You may choose to use the data presented in this activity as the basis for this assessment.

provide a little scenario at the beginning like in the example then answer these questions in apa format. Provide a definition of the pathophysiology to the cellular level and link to the most common signs and symptoms. Explain the pathophysiologic and anatomic features involved. What are predisposing conditions and risk factors? genetics gender ethnicity age behavior List discriminating features you would find in the history and physical exam. Define key diagnostics related to the diagnosis. Patient teaching Are there possible barriers? Facilitators?

Case study: Patient HL comes into the clinic with the following symptoms: nausea, vomiting, and diarrhea. The patient has a history of drug abuse and possible Hepatitis C. HL is currently taking the following prescription drugs: Synthroid 100 mcg daily, Nifedipine 30 mg daily Prednisone 10 mg daily   Rubric:  Explain your diagnosis for the patient, including your rationale for the diagnosis. The response accurately and clearly explains in detail the diagnosis for the patient, including an accurate and thorough rationale for the diagnosis that supports clinical judgment.   Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed. The response accurately and completely describes in detail an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.   Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples.  The response provides an accurate, clear, and detailed justification for the recommended drug therapy plan for this patient. The response includes specific, accurate, and detailed examples that fully support the justification provided.     Use 3 and above peer-reviewed articles (2015-2020) to complete the assignment. No plagiarism is tolerated.

1. Committing to a future career as a physician while in high school requires careful consideration and self-reflection. What values and experiences have led you to believe that becoming a doctor in medicine is the right fit for you? (250 words) 2. Most people describe a career as a physician/doctor as a “profession”, beyond a job. Describe for us what “professionalism” and “the profession of a physician/doctor” mean to you. (250 words) 3. How do you envision the Program in Liberal Medical Education helping you to meet your academic personal and professional goals as a person and as a physician of the future? (500 words)*

The below scenario is only to provide you with an example of a setting to frame the activity questions. The details of this scenario are not essential to answering the activity questions. You’re the chief operating officer of a Medicaid-managed care plan serving Medicaid and CHIP members in the southwest United States. You oversee overall operations of your health plan and assist your chief executive officer in defining and executing your health plan’s strategy. Although the financial and accounting operations fall under the responsibility of the health plan’s chief financial officer (CFO), you frequently meet with the CFO to identify initiatives that result in improved patient outcomes and reduced long-term costs. By federal law, your health plan’s medical loss ratio (MLR) is limited to 85%. If you exceed the MLR limit of 85%, the health plan is unable to recover the loss, so it’s essential that patient care is rendered when appropriate. Your health plan covers a variety of services that span the care continuum and contract with all types of providers to ensure your members’ needs are met. Coverage determinations are based on medical necessity and the use of evidence-based clinical guidelines. Utilization management (prospective, concurrent, and retrospective) is a particularly important area of health plan operations, as you want to ensure that care is only rendered when deemed appropriate, and this can help you manage your health plan’s MLR. You’re particularly interested in promoting prevention and wellness and identifying ways to empower your members to take control of their health. However, many of your members have complex medical needs that require high levels of care, so you’re faced with daily challenges of meeting your members’ needs while also ensuring your health plan is profitable. Describe what MLR is and how exceeding the 85% limit can result in financial losses. (25 points) Describe what’s meant by medical necessity and provide examples of excluded types of services. (25 points) Describe what evidence-based clinical guidelines are and how they’re defined. Explain some limitations or challenges associated with determining evidence-based clinical guidelines. (25 points) Describe the differences between prospective, concurrent, and retrospective utilization management. (25 points)

Sources cannot be more than five years old. Detached Retina Mr. Gray, a 65-year-old man, was in an automobile accident in which he suffered a concussion. Soon after he was released, he noticed what he described as a “gray spot” in his field of vision. At first he ignored it, thinking it would go away, but the spot seemed to darken and spread over his visual field. He didn’t report any pain with the problem. On calling his physician, he was advised to go to the nearest hospital immediately. A detached retina was diagnosed. After treatment, he regained most of his normal sight back. Five years later, he began having problems again. The central area of his visual field was becoming blurred, and he was losing his depth perception. An initial eye examination revealed neovascularization in both eyes. Relate the patient history and circumstances of the injury and the signs and symptoms related to the pathophysiology of this condition. Discuss the treatments available for the patient. Relate the symptoms and signs to those of macular degeneration. Discuss the treatment available and the prognosis for recovering his normal vision.

how one might strengthen their leadership behaviors and skills in nursing. How can this be applied to personal leadership philosophies and behaviors.