Healthcare

Think about major hospital departments affected by the new EHR. For the Task Force meeting, create a PowerPoint presentation of at least 10 or more (no more than 15) slides describing the EHR’s impact on RMC.  Be sure include information about the implementation process that you’ve learned from your research.  Be creative; use graphics, diagrams or images of EHRs to illustrate your points.  Be sure to list your references in APA format, have at least 2, 3 or more resources listed in your presentation.   (This presentation will be made to your Mentor via Webex, schedule your presentation time with your mentor). Case Scenario Rasmussen Medical Center (RMC) is a 250 bed acute care rural critical care medical facility with the following centers:  general medical services, surgical care services, emergency department, cardiac intensive care, general intensive care, laboratory, radiology, physical therapy, respiratory therapy, nutritional services and nursing services.  The administrative departments are HIM, Claims and Billing Management, Quality Management, Patient Access and Risk Management.  The Medical consists of 25 physicians and surgeons, 5 Physician Assistants, and 5 general medical Hospitalist.  The Emergency Department is operated by an outside emergency medical physician services and radiology services send radiology to an outside service to read the x-rays.  The outside service has a routine turn-around of 5 hours.   The facility also includes a 20 bed SNF and an Ambulatory Center for day surgery and diagnostic services.   The HIM Department has kept transcription and coding in-house along with records review, compliance, CDI but release of information has been out-sourced to a ROI company who placed a ROI clerk on site.  The hospital has an outdated electronic health records system which needs to be replaced.    The old legacy system has the following issues:   ·       Poor mobile access and communication – there is no patient portal system available and physicians cannot access their incomplete records outside of the hospital ·       Lack of built in tracking of suggested screenings, test and medication interaction to improve patient care. – No effective physician reminder or clinical alert system ·       No monitoring or alerts for incorrect or coding errors ·       Poor integration with other systems or portals – unable to complete required exchange of health information.  (System is unable to communicate effectively with E-prescribing, billing, data sharing other clinical facilities and reporting to CMS). ·       Time consuming documentation workflow – documenting and updating patient information is difficult and time consuming.  Clinicians are complaining that it takes too long to input patient data.   The new system should be able to do all of these functions for the facility.   EHR Implementation: Gathering Information   This is your first day on the job as Assistant Director in the HIM department at Rasmussen Medical Center (RMC).  You meet with the HIM Director and she explains that RMC has given her the go-ahead to begin the process of implementing a new electronic medical record.  As Assistant Director, you will have responsibility for several phases of this important project.  Your Director knows that while you have earned an RHIT certification, you still need to learn some background before you begin.  You have one week to learn as much as you can about EHR implementation.   You know that you may have more questions as the process goes along, think about collecting additional resources as you do your initial research.   The HIM Director has given you some things to think about while you’re researching the implementation process.  Those items are:   ·       What steps are needed to transition from a legacy EHR to a new EHR system? ·       What’s involved in a data migration from the legacy system to a new EHR? ·       Who would be the best members of an EHR Task Force and Work Team? ·       How can you verify that an EHR system is ONC certified? ·       What type of issues can we expect to have during this transitioning process?   What other questions can you think of to add to this list as you research the process of implementing a new electronic health records system?

The Final Evaluation of this class is a Research paper. The 12 pages paper should follow APA format and should include Title Page, Abstract, Body, Conclusion, and References (minimum 4). Do not forget to add citations/quotations. The Research paper will be based on any Healthcare Organization of your choice, including any hospital, clinic, facility, or healthcare organization. The paper should include the following requirements:  Identify and describe the following items of the Health Care Facility chosen: History System integration Corporate structure Legal entities (incorporated vs. unincorporated) Statement of operations (financial status) Workforce information (number of employees, positions, etc) Services offered Technology utilized Facility design Ambulatory care services Emergency operations plan structure Materials management strategy and design Patient safety data (errors, adverse events, sentinel events) Joint Commissions accredited? Process improvement plans Insurance plans accepted and health plans offered Billing and collection process Summary of lessons learned (what does the student like about the Healthcare Organization and what would you change as an Administrator)

You are a researcher for a health care organization, and you have identified a specific problem in your organization. You may use the same real-world issue you chose in Units 1 and 2.  With this in mind, create a 5-slide PowerPoint presentation covering the following steps that you will need in your IP 5 proposal: The statement of the problem and any subproblems (this relates to and ties in to your chosen health care area of interest, which you decided on in Unit 1)  The hypotheses  A review of any related literature you from the AIU Library  Research methodology

Case Scenario  Rasmussen Medical Center is a 250 bed acute care rural critical care medical facility with the following centers:  general medical services, surgical care services, emergency department, cardiac intensive care, general intensive care, laboratory, radiology, physical therapy, respiratory therapy, nutritional services and nursing services.  The administrative departments are HIM, Claims and Billing Management, Quality Management, Patient Access and Risk Management.  The Medical consists of 25 physicians and surgeons, 5 Physician Assistants, and 5 general medical Hospitalist.  The Emergency Department is operated by an outside emergency medical physician services and radiology services send radiology to an outside service to read the x-rays.  The outside service has a routine turn-around of 5 hours.   The facility also includes a 20 bed SNF and an Ambulatory Center for day surgery and diagnostic services.   The HIM Department has kept transcription and coding in-house along with records review, compliance, CDI but release of information has been out-sourced to a ROI company who placed a ROI clerk on site.  The hospital has an outdated electronic health records system which needs to be replaced.    The old legacy system has the following issues:   ·       Poor mobile access and communication – there is no patient portal system available and physicians cannot access their incomplete records outside of the hospital ·       Lack of built in tracking of suggested screenings, test and medication interaction to improve patient care. – No effective physician reminder or clinical alert system ·       No monitoring or alerts for incorrect or coding errors ·       Poor integration with other systems or portals – unable to complete required exchange of health information.  (System is unable to communicate effectively with E-prescribing, billing, data sharing other clinical facilities and reporting to CMS). ·       Time consuming documentation workflow – documenting and updating patient information is difficult and time consuming.  Clinicians are complaining that it takes too long to input patient data.   The new system should be able to do all of these functions for the facility.   EHR Implementation: Gathering Information   This is your first day on the job as Assistant Director in the HIM department at Rasmussen Medical Center (RMC).  You meet with the HIM Director and she explains that RMC has given her the go-ahead to begin the process of implementing a new electronic medical record.  As Assistant Director, you will have responsibility for several phases of this important project.  Your Director knows that while you have earned an RHIT certification, you still need to learn some background before you begin.  You have one week to learn as much as you can about EHR implementation.   You know that you may have more questions as the process goes along, think about collecting additional resources as you do your initial research.   The HIM Director has given you some things to think about while you’re researching the implementation process.  Those items are:   ·       What steps are needed to transition from a legacy EHR to a new EHR system? ·       What’s involved in a data migration from the legacy system to a new EHR? ·       Who would be the best members of an EHR Task Force and Work Team? ·       How can you verify that an EHR system is ONC certified? ·       What type of issues can we expect to have during this transitioning process? The more you learn, the more you realize the EHR project is much larger in scope than just the HIM Department.  Your Director has asked you to assemble an EHR Implementation Task Force made from several key departments at RMC impacted by the new system.  At the Task Force’s first meeting, she wants you to take the lead by giving a presentation about how transitioning to the new system will impact different hospital departments and ultimately improve patient care at RMC.

Following an in-depth review of the information provided by Longest about the ethical principles that serve as a guide for those involved in policymaking write a 1 page critical review (1 page per selection) to the below two selections. Share any experiences that you may have had that would substantiate their discussion points. If you disagree with their selection, be sure to substantiate why and what would be a more dominant principle for their selected policy issue.  Substantiate your review with ample policy specific information, obtained from a sound academic resource (at least 2 per selection) that would demonstrate how this principle is the main ethical underpinning that guides policy makers in this arena.  Selection 1: DASH, Autonomy   One dominant ethical principle that appears to underline a consideration of my selected policy issue, The Division of Adolescent and School Health would be Autonomy. Respect for persons as autonomous beings can sometimes be better understood in contrast to its opposite: paternalism. Paternalism implies that someone else determines what is best for people (Longest, 2016).         The mission of the CDCs Division of Adolescent and School Health policy ( DASH), is to prevent HIV, other STDs, teen pregnancy and promote lifelong health among youth through education programs (CDC.GOV).  The information provided in the strategic layout of the DASH policy needs to be implemented properly to all youth intended by the program , to insure our youth have the correct information to make the best decisions for themselves and their bodies.       Respect for individuals and their own beliefs pertains to autonomy and specifically relates to how individuals choose to live their lives and the rights regarding the integrity of their bodies and minds               ( Longest, 2016). In medial decision making the ethical principle of autonomy, or right of self- determination must be respected. Physicians, healthcare providers and educators must adequately deliver information to  their patients and individuals correctly to ensure that they can make autonomous decisions (Wancata, Hinshaw, 2016).      The DASH policy informs youth about how to prevent unintended pregnancies with abstinence, condoms and other protective measures. By providing this information and having discussions, the DASH policy is education our youth with appropriate information that will feed the minds of our youth to guide them to making the best decisions for themselves and others around them whom they choose to inform. I believe this is a direct connection to autonomy. Providing information to individuals and in return they will decide if they will use the information or not, that will be their own decision.  Selection 2: Beneficence and the Child Health Insurance Program (CHIP) The Child Health Insurance Program serves to provide health insurance from children of low-income families who earn too much to qualify for traditional Medicaid (Child Health Insurance Program, n.d.).  Some states offer coverage for pregnant women as well.  This program offers comprehensive coverage in every state.  While the costs in each state vary, the CHIP program maintains that the cost will not exceed 5% of a family’s yearly income, making the bottom line very affordable for low-income families.  Routine visits and dental care are 100% covered under CHIP.  This program determines eligibility through income, but most states cover children up to 200% of the federal poverty level (State Children’s Health Insurance Program, n.d.).  The point of this is to cover as many children as possible that would otherwise go without health insurance.               While a few ethical principles apply to the CHIP program, I feel that the dominant ethical principle is beneficence.  “Beneficence in policymaking means that participants in the process act with charity and kindness; that is, they overtly seek to do good.” (Longest, 2016, p. 296).  The beneficence principle maintains that we should do all we can to help those who need it most.  All actions under this principle should be done for the good of the recipient.  The CHIP policy provides substantial benefits to its users, a key piece to the beneficence principle in policymaking.  CHIP promotes health and wellness to all participants of its program.   As health care costs continue to skyrocket, the government dutifully intervenes by funding CHIP to provide insurance for those who otherwise could not afford it.  By serving to bridge the gap in the lives of millions of needy childrens’ welfare, CHIP provides a distinct example of a beneficent policy.  Public health policies, like CHIP, are usually put into place for the benefit of the welfare of others (Phua, 2013).  Allocative policies in general fall under this category, such as Medicare and Medicaid policies as well (Longest, 2016).  CHIP, an offshoot of Medicaid, falls directly in this category.  The CHIP policy, by nature, demonstrates a clear concern for the well-being of underprivileged children by supplementing government funding to pay for their healthcare.                Most (if not all) public health insurance programs serve to help people in financial need.  CHIP certainly falls under this category.  The CHIP program clearly demonstrates the ethical principle of beneficence, as it plays an integral role in its policy execution. Course textbook #1: Course Book access via redshelf: A Practical Guide for Policy Analysis The Eightfold Path to More Effective Problem Solving ***(Appendix A, B and D)*** https://esc.redshelf.com/library/ un: [email protected] pw: iLOVEMICAELA83!! Course textbook # 2: Course Book access via kindle: Health Policy Making in the US **(Chapter 10)** https://read.amazon.com/ un:[email protected] pw: iLOVEME83!!

This subject is part of studying of Remedial massage. Therefore, please answer the questions within scope of practice. Grace, S & Deal, M 2018, Textbook of Remedial Massage, 1st edition, Elsevier, Australia. Casanelia, L & Stelios, D 2016, FOUNDATIONS OF massage, 3rd edition, Elsevier Sydney, Australia. This 2 books are my text book, please use them as main references. 80 % world should be showing my understanding without references. 20 % back up by references. Thank you very much.

Begin by identifying an organizational problem within your own workplace healthcare setting or a hypothetical healthcare organization. If you choose a problem in your workplace, be sure to utilize data from that healthcare organization; if you have created a hypothetical healthcare organization, you may use a public domain database with instructor permission. As this is a scholarly initiative, this assignment must adhere to all APA requirements and formatting and include peer-reviewed and evidence-based sources to support any and all claims. As you develop this first part of the assignment, consider the following prompts to formulate your paper.  I. What Is the Organizational Problem?  A. Provide a contextual basis for the organizational problem that you have chosen. How does this problem fail to meet quality or other regulatory requirements?  B. Articulate the organizational challenges posed by the problem (e.g., interdepartmental conflicts, communication failure, budgeting issues).  II. Evidence-Based Support  A. Provide data that supports the existence of the problem. You may utilize public sources to find data related to your selected problem.  B. How has this problem been addressed in the past? What information management systems or patient care technologies have been utilized when addressing this problem? Be sure to use peer-reviewed literature to support your answer.  C. Discuss relevant accreditation standards, safety standards, compliance standards, and quality initiatives. How do these standards promote a culture of safety within the department? Be sure to cite the appropriate standards within your answer. Guidelines for Submission:  This paper should be one to two pages in length, not including the cover page or reference page. Use APA format for the reference list and all internal citations.

The concept of managed care and the Health Maintenance Organization (HMO) has been evolving since the early 1970s and has significantly impacted the delivery of health and medical care in the United States. Write a 1,050- to 1,400-word paper addressing the following: Define managed care and briefly describe the different types of managed care models and key characteristics of an HMO. Assess the economic impact of implementing managed care since the introduction of the 1973 HMO Act.  Explain how consumer and provider incentives work to achieve cost reduction, improved resource allocation, and return on investment (ROI) in a managed care environment. Explain the economic impact of alternative provider payment methods on HMO performance. Compare and contrast the effects of HMOs with the effects of fee-for-services on resources used and quality of care. Distinguish between employer and individual use of information on managed care health plan performance. Discuss the rationale and potential implications and consequences of moving from a volume-based to value-based healthcare delivery system. Include at least 10 current peer-reviewed articles in your paper. Format your assignment according to APA guidelines. Submit your assignment.

Assume that you are a Quality Officer who is responsible for one of the state’s largest healthcare organizations. You have been told that the quality of patient care has decreased, and you have been assigned a project that is geared toward increasing quality of care for the patients. Your Chief Executive Officer has requested a six to eight-page summary of your recommended initiatives. Note: You may create and /or make all necessary assumptions needed for the completion of this assignment. Write a 6-8 page paper in which you: 1.     Analyze three (3) quality initiatives for your organization. 2.     Determine the supporting factors that would aid in the reduction of healthcare cost in your organization without reducing quality of care for the patients. 3.     Differentiate between quality in a free market healthcare system and in single payer government system with three (3) examples for each. 4.     Specify three (3) common law quality initiatives that are still found in 21st century healthcare organizations. 5.     Defend your position on the importance of healthcare quality for your organization. Provide support with at least three (3) examples that illustrate your position. 6.     Assemble a plan to protect patient information that complies with all legal requirements. 7.     Use at least three (3) quality references. Note: Wikipedia and other Websites do not qualify as academic resources.

According to the Anxiety and Depression Association of America, over 20% of Americans are diagnosed with anxiety and/or depression (2018). As we learn about the nervous system this module, we can use these two common disorders to help gain an understanding of basic nerve function. For your discussion post, choose either depression or anxiety and answer the following questions. Remember to use your own words when explaining these concepts. How does depression/anxiety affect neurotransmitters? How does depression/anxiety affect synapses? How does depression/anxiety affect neuron function? +++++ I am choosing to use Anxiety