Health & Medical

Based on a Health and Human Service major, analyze benefits, risks. and operational issues associated with these informatics systems and exchange of data. Evaluate the role of the HL7 (Health Level Seven)interface standard. Analyze your response from the standpoint of the Wire diagram of healthcare supply chain information systems.

As the Health IT Director at Trident Hospital (400-bed inpatient facility), you are responsible for all health information technology upgrades and maintenance. Trident Hospital has recently decided to purchase a new electronic health record (EHR) system. Trident Hospital’s Chief Information Officer (CIO) has requested that you provide a detailed report of what to expect from the point of acquisition through implementation. This report should be between 7 – 10 pages (excluding title page and reference page) and outline the following: Which EHR product you are recommending and why Discuss any features that you feel are important, such as clinical decision support systems (CDSS), computerized provider order entry (CPOE), patient portal, etc. Acquisition (what are the steps and what to expect) Implementation (what are the steps and what to expect) Standards (what types of standards should be implemented) Policies (what are some of the important policies that should be implemented?) In addition, you need to discuss the benefits of this particular EHR and any potential barriers. Keep in mind that this should be a technical paper that discusses the aforementioned areas.   Assignment Expectations Provide a 7- to 10-page technical paper (excluding title and reference pages) that discusses the particular EHR you have selected; acquisition; implementation; standards; and policies. You also need to discuss the benefits and barriers of the EHR implementation. Provide an introduction and conclusion paragraph. Your references and citations should be consistent with a particular formatting style such as APA. Provide references from at least 3 scholarly articles (peer-reviewed). Do not include information from non-scholarly materials such as wikis, encyclopedias, or www.freearticles.com (or similar websites). Use the following link for additional information on how to recognize peer-reviewed journals: http://www.angelo.edu/services/library/handouts/peerrev.php. For additional information on reliability of sources, review the following source: Georgetown University Library. (n.d.). Evaluating internet resources. Retrieved from https://www.library.georgetown.edu/tutorials/research-guides/evaluating-internet-content

Direction:  Answer all prompts.  Place your reference at the bottom of your answers.D.F. is a 27-year-old woman who presents to the gynecologist’s office for her yearly examination complaining of bilateral breast pain and tenderness.Subjective DataLast menstrual cycle: 18 days agoPain is dull painBreasts feel heavy and tenderPerforms monthly breast self-examinationsObjective DataBreasts moderate size, evenly pigmented, bilaterally symmetric, and hang equally with smooth contour. Venous patterns bilaterally similar. Breasts firm, smooth, elastic without tenderness, lumps, or nodules. Areolae round, nipples protruding, symmetric, soft, pliable, smooth, and intact without discharge. Axillary lymph nodes are not palpated.Questions:  Give your answer and rationale on all items:What other questions should the nurse ask about the breast pain?What are some of the causes of breast pain?Develop a problems list from the objective and subjective data.What should be included in the plan of care?Based on the readings and the subjective and objective data, what is the most likely cause of breast pain for this patient?

Explain methods for data collection: Describe the methods of data collection you might use in your community health needs assessment of Atlanta, Georgia, and explain why you would use them. You should discuss at least two quantitative and two qualitative data collection methods for your community health needs assessment of Atlanta, Georgia. For example, explain whether you would use surveys, focus groups, interviews, or other such methods to gather information for your chosen community. Explain the strengths and weaknesses of each method.   Justify why you chose those methods over the others, and explain what makes these methods most important to use in your particular community. Also, explain how these particular methods help you better understand your community and its specific needs. Note: You will not collect actual data. You will only describe methods of data collection.   Evaluate resources on which to collect data: Based on your chosen community, describe four resources that are lacking in your community. Explain what would be the best methods for collecting data about these lacking resources. For example, you might find there are two hospitals available to the community members, but one of them is 50 miles away. You may also find that there are only two primary care physicians in the community and that these physicians are so overbooked that it takes weeks to get an appointment with either of them. In addition, you may find that there is not an adequate number of bike trails in the community. Conducting a patient survey will help you determine the reasons for doctor visits and understand the potential need for additional services and resources. Explain why you chose those particular resources over others. Sources 1.       https://ctb.ku.edu/en/table-of-contents/assessment/assessing-community-needs-and-resources/qualitative-methods/main 2.       3.       https://www.brookings.edu/series/building-healthy-neighborhoods/ 4.       https://www.naccho.org/programs/public-health-infrastructure/performance-improvement/community-health-assessment/mapp/phase-3-the-four-assessments 5.       6.       https://www.census.gov/programs-surveys/geography.html 7.       https://ctb.ku.edu/en/table-of-contents/assessment/assessing-community-needs-and-resources/collect-information/main 8.       https://www.cdc.gov/brfss/ 9.       https://www.cdc.gov/nchs/data/hus/hus15.pdf

Advocating for the Nursing Role in Program Design and Implementation   To Prepare Reflect on your thinking regarding the role of the nurse in the design and implementation of new healthcare programs. Consider the design and implementation of a hospice care program. Reflect on advocacy efforts and the role of the nurse in relation to healthcare program design and implementation. The Assignment In a 3-page paper, create an interview transcript of your responses to the following interview questions:   Ø Tell us about Hospice Care. What are the costs and projected outcomes of this program? Ø Who is your target population? Ø What is the role of the nurse in providing input for the design of a Hospice Care program? Can you provide examples? Ø What is your role as an advocate for the target population for this healthcare program? Do you have input into design decisions? How else do you impact design? Ø What is the role of the nurse in hospice care implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples? Ø Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?   Ø Please use APA 7th edition citation. Ø Cite at least 4 sources less than 5 years old including the ones in in            references below. Ø         Organize your main post with a few sentences for an      introduction and   a purpose statement. Include a conclusion.  References American Nurses Association (ANA). (n.d.). Retrieved September 20,2018,from Advocacy https://www.nursingworld.org/practice-policy/advocacy/  Center for Disease Control (CDC). (n.d). Step by step: Evaluating Violence and Injury Prevention Policies: Brief 4: Evaluating Policy Implementation. https://www.cdc.gov/injury/pdfs/policy/Brief%204-a.pdf Congress. gov. (n.d.). Retrieved September 20,2018, from https://www.congress.gov/ José A., S., & Tatiana, D. (2015). No big data without small data: learning healthcare systems begin and end with the individual patient. Journal of Evaluation  in Clinical Practice, 21(6),1014–1017. Klein, K. J., & Sorra, J. S. (1996). The Challenge of Innovation Implementation. Academy of Management Review, 21(4), 1055–1080. Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.       Chapter 5, “Public Policy Design” (pp. 87–95 only)       Chapter 8, “The Impact of EHRs, Big Data, and Evidence-Informed Practice”        (pp. 137–146)       Chapter 9, “Interprofessional Practice” (pp. 152–160 only)      Chapter 10, “Overview: The Economics and Finance of Health Care” (pp. 183–191 only)   Tummers, L., & Bekkers, V. (2014). Policy Implementation, Street-level Bureaucracy, and the Importance of Discretion. Public Management Review, 16(4), 527–547.

Outline attached. Select a topic and population pertinent to social and behavioral aspects to public health nationally or internationally. Explain and incorporate health behavior model(s) and/or theory/theories to develop a program that addresses the public health issue.  Include recommendations for policy changes, if applicable. Assignment Instructions:  Make sure you read and understand the directions and requirements. Please ensure you cite your references in APA format with a minimum of 7 references ( including 3 peer-reviewed journal articles).  The paper must have a minimum of 10 pages  (excluding the title, abstract, and reference pages). The paper must be typed, double-spaced with 1-inch margins in 12-point Times New Roman font with all references cited.  As always, Wikipedia, Wikianswers, and Answers.com are NOT academic/scholarly sources. Papers will be graded based on the following areas: Foundation and synthesis of knowledge, application of knowledge critical thinking, writing skills, use of computer technology and application, and organization of ideas and format.

Answer the following questions in essay format, supporting your answers with references to the course materials and the literature. Cite all sources used in your answers and include a reference list at the end. Your essay should be between 1000 and 1250 words (maximum 5 pages double-spaced), excluding the cover page and reference list. Use Times Roman, 12-point font. To what extent do Canadians have a “legal right to health care”? What are the legal issues around this question? What sources of law are relevant to answering this question? What is the current status of the law on this question?

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This discussion will focus on access to health care and the difference between a primary healthcare system and an “illness care” system. In addition, we will focus on patient advocacy. In order to be advocates, we need to have a clear picture of what we want to see happen. How could healthcare reforms affect the future of healthcare? How do nursing organizations view the role of the professional nurse within the context of healthcare reform? How can you advocate for quality healthcare in your current area of nursing? Nurses can be the advocates for positive, quality outcomes by initiating core measures and ensuring that all aspects of a client’s care is safe and effective. Nurses need to play an important role in the writing of healthcare policies and laws, especially advocating for those who cannot stand up for themselves.  As a profession, nurses need to unite and be heard as one strong voice.  Start in your own community.  Take a close look at things that need change. Within this discussion, you should begin thinking about what can be done to improve the health of your own community.  To be a world changer, you do not need to do a miraculous thing; you just need to do something.  It can be something very small and very inexpensive, but it can have a huge impact on those around you, and on the world.   Upon successful completion of this discussion, you will be able to: Explain the concept of primary health care and its impact on national and international health. Discuss how nurses can impact healthcare reform within our society. Project a preferred future of what health care could look like in 2065.  Resources Textbook: Professional Nursing: Concepts and Challenges File: Partial List of References for the Textbook by Black – 7th edition APA File: Resources for Workshop 6: Primary Healthcare and the Future of Nursing.  Background Information A variety of people make the rules that govern nursing practice; unfortunately, few of those rule-makers are nurses. When you understand how the government works and how laws are made, you have a better understanding of why your voice is so important. Economics, societal needs, and cultural needs drive the way laws and policies are written. The way money is spent, especially in public health, and the way decisions are made affect social determinants of health and the health disparity in your community. Each public health department has a chance to use the money for a specific sector in their community. Generally, the mayor or the town council determines how public health funds are used. Nurses must go to the city meetings and plead their case for the correct use of funding. This is one example of why you need to know how government works and about your community. In this assignment, you will read about primary healthcare systems that reach the entire community in various third world countries. Many countries have unskilled but educated individuals who work as health educators. They focus on health promotion and illness prevention. In the United States, for years our focus has been on disease management (secondary healthcare) rather than disease prevention (primary healthcare). You are encouraged to use your imagination as you consider how we can help facilitate a preferred future for nursing in our country.   Instructions Review the rubric to make sure you understand the criteria for earning your grade. In your textbook, Professional Nursing: Concepts and Challenges, read Chapter 14, “Health Care in the United States.” Review the Resources for Workshop 6: Primary Healthcare and the Future of Nursing. Prepare to discuss the following prompts: Based on your experience within the healthcare system as a nurse, as a patient, and/or as a family member, share your thoughts and examples regarding the effectiveness or ineffectiveness of the current system and attempts toward healthcare reform to increase the number of people who are insured. Discuss: Choose a country that currently uses primary healthcare. Provide a synopsis of their healthcare system. Does it work for all citizens? What are the good points? What are the bad points? Would this healthcare system work in the United States? What would change with regard to the care that nurses currently provide?  Why? Based on your readings, share your thoughts about what health care could look like in 2065. What would an ideal healthcare system include? Where would the money come from to pay for health care? What do you see as the role of the nurse in the preferred future for health care? How can health care get to that point? Research and select at least three current scholarly sources to support your explanations and insights. Wikipedia is not permitted, as it is not a peer-reviewed, scholarly source. Whether written or spoken, interactions are expected to: clearly and thoroughly address the prompt with meaningful information that shows critical thinking. demonstrate professionalism. Based on your educational setting, complete tasks in the instructions below. After completing steps 1-6 above, continue with the following:  Your initial post should include four paragraphs and three sources correctly cited and referenced, to support your information. click to expand co click to expand conte click to expand contents

Assignment: The components of the immune system offer three lines of defense: The first line of defense involves surface barriers; the second line of defense involves the cells and proteins of innate immunity and the third defense involves the cells and protein of adaptive immunity. Answer all the following questions: What are the major structures and functions of the lymphatic system and how does the lymphatic system interact with other body systems to help maintain homeostasis? Explain, with examples, the processes and rationale of fever and inflammation. Identify and describe antibodies main purpose and how they function. What do antibodies react to and how are they created? In a single essay, address each question asked in a single essay-style document with each topic separated with APA level headings, include an introduction and conclusion paragraph. The formatting for your submission is as follows: Submissions should be in .doc file format. Support your answers with 4 scholarly resources. Your textbook can be used as well. Follow APA format, Times New Roman, 12 Font, double spaced. Be sure to cite all sources appropriately. (See APA guidelines). An appropriate APA cover page and reference page should accompany your submission. Please view the evaluation rubric as you will be assessed on adequacy of responses based on the criteria in the rubric. Minimal word requirement is 1500 words, not including Title or References pages. Be sure to structure your paper with APA level headings related to the assignment components. See the rubric for specific grading criteria. Plagiarism of any kind will result in an automatic score of a “0” for this assignment.