Health & Medical

Submit a paper which compares and contrasts two mental health theories: You may choose your theories from the textbook or from other sources. Describe each theory, including some history about the person who developed the theory and the major ideas and applications of the theory. Describe the ways in which the two theories are similar, and how they differ. Include a statement of how each theory could be used in your nursing practice. Include specific patient examples if you have them. You may also critique the theory: Is there anything with which you disagree or are there any problems you can identify? It is expected that this essay will be 2-3 pages in length (not including the title page), double-spaced. Your paper should include an introduction and conclusion and proper APA citations from any source material you use, including your text.

Instructions For this assignment, you will research the term medical malpractice. Based on your findings, write an essay that addresses the following elements. Write an introduction that, in your own words, includes a definition of the term medical malpractice. Provide at least one example of the types of proof and defenses that would surround a case involving medical malpractice. Explain why it is important that healthcare professionals know and apply the law in terms of their daily activities and choices at work. Discuss ethical and legal considerations of the physician-patient relationship. Provide one example of how such considerations can prevent or avoid medical malpractice. Provide an example of how ethics connects to the professional standards of a healthcare organization. Support your essay with three references. References can be from websites or from the CSU Online Library, or both. Your essay must be a minimum of three pages in length, not counting the title or reference pages. Adhere to APA Style when constructing this assignment, including in-text citations and references for all sources that are used. Please note that no abstract is needed.

Think about a time when someone made you a promise that they did not keep. They neglected to do something. When this occurs in healthcare, the outcomes can be devasting, even deadly. In this week’s discussion, you are going to explore the elements of a negligence case of your choice. Locate a medical malpractice case from a scholarly source. Your initial posting must cite the case. Be sure to include the corresponding reference list. In the discussion, address the following: In your own words, briefly summarize the case. Who is the plaintiff and defendant? Why is the plaintiff seeking litigation? Assess the strength of the case by discussing the four essential elements that must be present in a negligence case (the 4 Ds) Summarize what you learned from these findings. How can you take this week’s discussion topic and apply it in the real world?

Recall that pay-for-performance programs seek to improve health care quality while lowering costs. In 2006, the Centers for Medicare and Medicaid Services (CMS) implemented a national survey instrument known as the Hospital Consumer Assessment of Healthcare Providers and Services (HCAHPS) to allow patient care experiences to be analyzed at a national level, to increase incentives for hospitals to improve care, and to enhance accountability by increasing transparency of patient care quality. Research has shown that it is important to adjust the HCAHPS survey scores based on the type of procedure performed and presence of certain services, such as inpatient psychiatric care. Why might patients who experience longer hospital stays tend to give lower scores on the HCAHPS survey? What factors play a crucial role in patient satisfaction? What further research might be necessary to improve the HCAHPS survey? 1 Page with 1 or 2 sources

Unfolding Case Study for Public Health Course Requirements for Students: ·       Provide answers to all Case Study Questions. ·       Utilize evidence-based resources such as textbooks, reliable websites like .gov, .org, and .edu, and/or peer-reviewed/scholarly journal articles. Provided information must be up to date (within 5-year period). ·       Provide in-text citation and reference page in APA format. ·       Submit the answers as per faculty instructions. Case Study (Part 1) RN position: case manager/field nurse at the home health agency. The agency receives a phone call from the hospital social worker about a new referral. Patient will have to be admitted to home health after discharge from the hospital s/p embolic stroke for physical therapy, occupational therapy, speech therapy, social worker, skilled nursing and certified nurse assistant services. As per social worker, patient was offered but refused inpatient rehab facility admission and requested to be discharged home with home health services. After receiving a fax which includes patient demographic and insurance information as well as a brief history of hospitalization, the billing department acquires prior authorization for the ordered disciplines. The office manager contacts the patient who will be discharging from the hospital today to schedule an appointment for initial skilled nursing visit and to address all the questions that patient might have about home health care services. Patient’s homebound status is confirmed. Below is a brief information on history of present illness faxed from the hospital. ER visit notes.  Chief Complaint: left-sided weakness, fatigue, headache, facial drooping Admission diagnosis: Ischemic CVA History of Present Illness: Johnathan Gray is 63 year-old male with past medical history of systolic and diastolic CHF, A-fib, DM type II, Gout, HTN, Depression, Osteoarthritis, Hyperlipidemia, CAD, Anxiety, Bipolar disorder, long-term use of anticoagulants who presented to the ER today with c/o left-sided weakness, headache, fatigue and facial drooping. Mr. Gray stated that the onset of symptoms was sudden and it happened while he was outside talking to the neighbor. The neighbor then called 911. Mr. Gray was brought to the ER by EMS. MRI results revealed right-sided ischemic stroke. At the time of admission, patient’s BP 170/90 mmHg, HR 98, RR 20, temp 97.6 F. O 2 saturation 94% on RA, INR 1.1, PT 13.5. Patient is full code. Mr. Gray has allergies to PCN (hives and difficulty breathing). At this time patient has left-sided (non-dominant) hemiparesis, dysphasia, dysphagia and facial drooping. Patient is alert and oriented to place, person and disoriented to time and situation. Treatment plan included administration of tissue plasminogen activator (t-PA) IV.  Past Medical History: Systolic and diastolic CHF, Osteoarthritis, CAD, A-fib, DM type II, gout, HTN, Depression, Anxiety, Bipolar disorder, Hyperlipidemia. Past Surgical History: ORIF s/p fx of the femur (2015), quadruple bypass surgery (2018), appendectomy (2000).     Case Study Questions (Part 1) 1.     Write comprehensive pathophysiology of CVA (include disease process, types, predisposing factors, signs and symptoms, complications, long-term management of residual effects). 2.     Describe comorbidities from the past medical history. What do you think could have led to ischemic stroke? Analyze vital signs and lab results as well. 3.     What s/s of CVA did patient exhibit upon admission to the hospital? What type of CVA was the patient diagnosed with? Are the symptoms exhibited by patient consistent with the s/s described in question 1 (pathophysiology of CVA)? Analyze the lab/diagnostic test results and vital signs data. 4.     What residual effects does the patient have from CVA? 5.     What disciplines do you think will have to be involved for care and therapy and why? Provide rationale.

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 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 Gold, J. (2015). Accountable care organizations, explained. Retrieved from 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 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 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 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.

4 Dicussions each of is about 250-300 words per one. please following the questions please and thank you! I provided the links as well. Discussion Question #1 Based on your program evaluation proposal assignment, place yourself in the position as the Program Manager. Explore week-7 Learning Activities, to include the ACF’s Office of Planning, Research and Evaluation – Program Manager’s Guide to Evaluation. Also, CDC’s Introduction to Program Evaluation for Public Health Programs: A Self-Study Guide, attention to Step 1 & Step 6. (https://www.cdc.gov/eval/guide/index.htm) Write a 250- to 300-word response to the following: How will you prepare your staff, program participants and stakeholders for the evaluation? What ethical factors should be addressed? Discussion Question #2 Based on your program evaluation proposal assignment, place yourself in the position as the Program Manager. Explore week-7 Learning Activities, to include the ACF’s Office of Planning, Research and Evaluation – Program Manager’s Guide to Evaluation. Also, CDC’s Introduction to Program Evaluation for Public Health Programs: A Self-Study Guide, attention to Step 1 & Step 6. (https://www.cdc.gov/eval/guide/index.htm) Write a 250- to 300-word response to the following: How will you use the final evaluation report? Consider transparency in findings, to include unexpected findings as well. Discussion Question #3 Review the Program Evaluation job descriptions below. Feel free to use the direct link to the jobs. What commonalities between the two positions? Share what you found interesting in the job descriptions. Program Evaluator- Texas Health and Human Services Commission (https://jobshrportal.hhsc.state.tx.us/ENG/careerportal/Job_Profile.cfm?szOrderID=468189&szReturnToSearch=1&szWordsToHighlight= ) Under limited supervision of the manager of the Chronic Disease Epidemiology (CDE) branch, performs program evaluation activities for chronic diseases programs including School Health, Tobacco Prevention and Control Program, and other chronic disease programs within the Health Promotion and Chronic Disease Prevention (HPCDP) section. Work involves planning, monitoring and implementing evaluation plans and writing reports for chronic disease programs. Ensures accurate and timely data collection to capture appropriate outcome and process measures of community intervention projects. Responsible for developing logic models, evaluation data collection tools, monitoring data, and updating on evaluation related analyses and findings. Works with CDE and other HPCDP section program staff collaboratively to identify and resolve evaluation-related problems, and recommend appropriate solutions. Assists in development of grant applications and action plans for community program improvement. Coordinates with internal and external partners. Works with considerable latitude for the use of initiative and independent judgment. Manager, Evaluation MCH Collective Impact March of Dimes Foundation (https://re31.ultipro.com/MAR1021/JobBoard/JobDetails.aspx?__ID=*EA01BBB05645ED69) The Evaluation Associate, MCH Collective Impact position will be housed in the Data Science and Mission Strategy department. Under the supervision of the Associate Director, Evaluation, this position will work closely with the MCH Collective Impact program team to contribute to monitoring, evaluation, and learning activities for the national MCH Collective Impact program in collaboration with diverse, local community teams throughout the USA.  Contribute to the planning, implementation, and analysis of project and program monitoring, evaluation, and learning for the national MCH Collective Impact program at local sites. Support the development of quantitative and qualitative data collection and analytic plans to assess community needs, project and program impact, and to identify opportunities for learning. Includes but is not limited to: community and partner needs and readiness assessments, pre and post surveys, interview guides, and focus group discussion plans. Assist to build and implement an internal data measurement system to track shared impact across multiple site locations and the National Office using a results-based approach dashboard Build MCH Collective Impact community team capacity at local sites to develop a monitoring and evaluation model and appropriately collect and enter data. Oversee data collection and entry quality and engage with MCH Collective Impact program local community teams to support reporting using program targets and indicators. Provide educational opportunities about data collection strategies and tools to community teams as needed. Clean and analyze project and program data using quantitative and qualitative methods. Conduct analysis of quantitative data retrieved from national and state-based sources to inform the impact of the MCH Collective Impact program. Create quarterly and annual reports and presentations describing MCH Collective Impact program progress for the March of Dimes National Office, MCH Collective Impact program, Steering Committees, and external audiences. Reports may include, but are not limited to: presentation of analytic findings, visualization of data and findings, and interpretation. Discussion Question #4 Are you interested in Program Evaluation as a career option?

There are numerous professionals within the health care industry. It is imperative that organizations hire the right people for the right job and remove employees when the situation requires it. For this assignment, respond to the following in 3-4 written pages: Identify 4 types of health care professionals found in a typical acute-care hospital or post-acute care facility. Be sure to describe educational levels and credentialing requirements of the professions you discuss. Explain why it is important for organizations to effectively screen potential employees. Discuss the concept of progressive discipline and the importance of effective termination procedures. Your paper should be 3-4 written pages, excluding cover page, abstract page, and reference page.  Use APA style to cite at least 5 scholarly sources from the last 5 years.

Sources cannot be more than  five years old.  Mr. Rader, age 52 years, is undergoing a routine physical examination for his employer. During palpation of the prostate, the physician noted a hard nodule on the gland’s periphery. Lab tests revealed an elevated PSA level. The remainder of the examination did not reveal any other abnormalities. Using the information given, discuss the presentation of cancer of the prostate. Discuss the predisposing factors for prostate cancer and identify the high-risk groups. Discuss the variation in the growth and course of this type of cancer. Discuss how the decision to treat or not to treat is made early in the course of prostate cancer. If metastasis occurs, what additional manifestations will occur, and how will they be treated?

Problem Topic: Child and Adolescent ADHD  To prepare: Review the Learning Resources related to causes and effects and how this might support your Assignment. Review the “Causes and Effects of Your Capstone Problem Organizational Matrix” found in the Learning Resources and use this template to help you organize your thoughts and ideas for this Assignment. Review your research from your literature review related to your specific problem and consider 3 causes and 3 effects that were described about your problem. Assignment (2–3 pages, not including title page and reference page)  Write a clearly defined narrative that incorporates the 3 causes and 3 effects and explain how these causes and effects relate to your problem. Explain your reaction to the findings about the causes and effects of the problem. Explain whether you believe these causes could have been prevented and how. Explain which cause or effect you think was most important in leading to the problem and why.