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Description HCAD 640 Assignment 1: Reimbursement You are the associate vice president for education and training for OtroRaza Health, the academic medical center and health system associated with Enormous State School of Medicine (ESSM). The vice president of medical affairs comes to you concerned about the viability of the school’s residency programs. Several of ESSM’s residency site stakeholders are seeking clarification regarding new reimbursement models being used by the system. Prepare a white paper – for the VP of Medical Affairs to share with the residency sites -- outlining the differences between the new reimbursement models and prior, traditional models for stakeholders. In your response, include the following: Description of each model, such as capitated payments, fee-for-service, including new and emerging models being introduced to the industry, such as value-based, MACRA, and others. In your review, compare and contrast the traditional and new models and explain the motivation / reasons for the emerging models. Finally, based on this evidence, describe what impact (if any) you perceive there would be on the cost, quality and access to patient care. Support your research with peer-reviewed sources and/or market data. use current reference sources, those published in the last 3-5 years. The use of professional charts / graphs to reinforce written content is encouraged. Ensure that your content and information is professional and can be followed by an executive audience. Several example white paper formats can be viewed at: https://venngage.com/templates/. A free downloadable sample white paper can be found at: https://www.microsoft.com/en-us/download/details.aspx?id=17731. Note: your product does not need to be this robust, but should follow the same basic framework.

Description (ALL IN THE UNITED STATES PLEASE) Facility design changes as rapidly as the health care industry. Facility design is heavily affected by current and future health care trends. Two additional drivers in facility design have been the evolution of medicine and the technology within the medical environment. This assignment is designed to provide you with an opportunity to see the impact of historical and current trends within facility design. Write a 700- to 1,050-word paper regarding two historical trends that have had an impact on facility design. Your paper should:  Identify two trends that have affected facility design. Describe how each of the two trends looked 50 years ago. Describe how each of the two trends have evolved into their current state. Explain the reasons each of the two trends have changed. Describe any future trends we might expect to see in facility design. Also include Ambulatory Surgical Centers:The course will focus on ambulatory surgical centers.  Describe the current trend of ambulatory surgical centers. Cite at least 5 reputable references used to complete your assignment. One reference must be from the journal/magazine listed in the weekly resources (i.e., Modern Healthcare, Healthcare Design). Reputable references include trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality.

Description When you decide to purchase a new car, you first decide what is important to you. If mileage and dependability are the important factors, you will search for data focused more on these factors and less on color options and sound systems. The same holds true when searching for research evidence to guide your clinical inquiry and professional decisions. Developing a formula for an answerable, researchable question that addresses your need will make the search process much more effective. One such formula is the PICO(T) format. In this Discussion, you will transform a clinical inquiry into a searchable question in PICO(T) format, so you can search the electronic databases more effectively and efficiently. You will share this PICO(T) question and examine strategies you might use to increase the rigor and effectiveness of a database search on your PICO(T) question. To Prepare: Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources. Review the Resources for guidance and develop a PICO(T) question of interest to you for further study. Post your PICO(T) question, the search terms used, and the names of at least two databases used for your PICO(T) question. Then, describe your search results in terms of the number of articles returned on original research and how this changed as you added search terms using your Boolean operators. Finally, explain strategies you might make to increase the rigor and effectiveness of a database search on your PICO(T) question. Be specific and provide examples. RESOURCES: Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer. Chapter 2, “Asking Compelling Clinical Questions” (pp. 33–54) Chapter 3, “Finding Relevant Evidence to Answer Clinical Questions” (pp. 55–92) Davies, K. S. (2011). Formulating the evidence based practice question: A review of the frameworks for LIS professionals. Evidence Based Library and Information Practice, 6(2), 75–80. https://doi.org/10.18438/B8WS5N https://catalog.loc.gov/vwebv/ui/en_US/htdocs/help/searchBoolean.html Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010a). Evidence-based practice, step by step: Asking the clinical question: A key step in evidence-based practice. American Journal of Nursing, 110(3), 58–61. doi:10.1097/01.NAJ.0000368959.11129.79 Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2009). Evidence-based practice: Step by step: Igniting a spirit of inquiry. American Journal of Nursing, 109(11), 49–52. doi:10.1097/01.NAJ.0000363354.53883.58 Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010b). Evidence-based practice, step by step: Searching for the evidence. American Journal of Nursing, 110(5), 41–47. doi:10.1097/01.NAJ.0000372071.24134.7e https://academicguides.waldenu.edu/library/healthevidence/jbisearchhelp Evidence based practice research: Joanna Briggs Institute (JBI) https://academicguides.waldenu.edu/library/healthevidence/cinahlsearchhelp Evidence based CINAHL full text database https://academicguides.waldenu.edu/library/healthevidence/medlinesearchhelp Evidence based medline search help Module03_Week04_Discussion_Rubric MAIN POSTING-- Excellent 45 (45%) - 50 (50%) Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources. Supported by at least three current, credible sources.Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. Good 40 (40%) - 44 (44%) Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module. At least 75% of post has exceptional depth and breadth.Supported by at least three credible sources.Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. Fair 35 (35%) - 39 (39%) Responds to some of the discussion question(s). One or two criteria are not addressed or are superficially addressed.Is somewhat lacking reflection and critical analysis and synthesis.Somewhat represents knowledge gained from the course readings for the module.Post is cited with two credible sources.Written somewhat concisely; may contain more than two spelling or grammatical errors.Contains some APA formatting errors. Poor 0 (0%) - 34 (34%) Does not respond to the discussion question(s) adequately. Lacks depth or superficially addresses criteria.Lacks reflection and critical analysis and synthesis.Does not represent knowledge gained from the course readings for the module.Contains only one or no credible sources.Not written clearly or concisely.Contains more than two spelling or grammatical errors.Does not adhere to current APA manual writing rules and style.

Description This week, you will conduct an outbreak investigation of a disease. You are an epidemiologist for your local health department, and you are conducting an outbreak investigation of the disease you chose for this week’s discussion. In your role as a health department official, you are interviewing a fictitious patient who has/had this disease. Using research you gathered when completing your discussion assignment, complete this questionnaire with this fictitious patient’s information to determine clues to the outbreak. Write a 1- to 2-page paper in which you present a hypothesis on how this outbreak could have been prevented. What prevention techniques have you learned about in the course materials and your discussions with your classmates that could have averted this outbreak? Your paper must be 3–4 pages in length (including the questionnaire). Include evidence or information from at least two credible external sources and follow APA style for formatting and citation. Your textbook and supplemental reading material may be used as a reference. The APA format for your text is as follows: Nelson, K. E. (2014). Infectious disease epidemiology (3rd ed.). Burlington, MA: Jones and Bartlett Learning. Centers for Disease Control and Prevention. (2011). Principles of epidemiology in public health practice: Self-study course (3rd ed.). Atlanta, GA: U.S. Department of Health and Human Services.

Description 1. Name a few characteristics making data research and analysis in healthcare a separate industry. Think holistically and consider scientific, policy and social impact sides. 2. Explain how processed and analyzed data is used in healthcare. Offer a minimum of 2 examples where the data analysis supports health service delivery decision making.

Description Use the Stakeholder Matrix Template to complete an analysis of relevant stakeholders in the organization related to recommendations regarding an organization's EHR or HIM systems that you made in your first assessment. You will also be asked to create a 3–5-page report detailing your stakeholder analysis and proposing potential ways to create buy-in and overcome obstacles for implementing your recommendations. Health information technology and electronic health records (EHR) can become overwhelming to health care staff at any organization. As technology advances, so do the challenges. A big challenge for managers is creating a buy-in, or an acceptance of the health information management (HIM) system by the end users (staff). It is important for health care managers to understand who the stakeholders are and what best practices help create a consensus for positive use of HIM technology throughout the organization. In this assessment, you will have the opportunity to assess common stakeholders as it relates to HIM systems. You will also research and explain the best practices needed for ensuring a smooth transition from implementation to the end-user experience. It is important for managers to understand concepts of efficient resource allocation as they look forward to making the end-user experience seamless. To do so, health care managers must have a strong understanding of how HIM impacts each and every stakeholder. Competency 1: Apply emerging models or best practices to implement a health information system that improves operations and patient outcomes. (L8.4, L12.2, L14.3)By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: Explain the process used to arrive at recommendations related to health information management system. Develop value statements for relevant stakeholder groups related to critical success factors and recommendations related to a health information management system. Competency 2: Analyze administrative, clinical, management, and decision-support information technology tools. (L12.1, 12.2, 14.3) Describe the relevant stakeholders related to an impact analysis. Describe a timeline for implementing recommendations related to a health information management system. Competency 3: Apply best practices relative to the financial assessments and decisions required for the implementation of health information systems. (L 8.1, 8.2, 8.4) Analyze the impact of recommendations on relevant stakeholders and an organization with relation to considerations such as patient outcomes, new training, resource allocation, and workflow changes. Competency 4: Apply evidence to influence buy-in from all stakeholders. (L10.5) Analyze best practices to overcome barriers in creating buy-in from stakeholders and implementation related to recommendations. Competency 5: Communicate in a manner that is scholarly, professional, and consistent with expectations for professionals in health care administration. (L6.1, L6.2, L6.3, and L6.4) Communicate analysis of stakeholders and value of recommendations in a manner that is clear and concise. Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style **I have attached the two completed assignment for your review so the same organization follows. Also please follow APA format and DO NOT PLAGIARIZE.

Description Discussion: Interaction Between Nurse Informaticists and Other Specialists Nature offers many examples of specialization and collaboration. Ant colonies and bee hives are but two examples of nature’s sophisticated organizations. Each thrives because their members specialize by tasks, divide labor, and collaborate to ensure food, safety, and general well-being of the colony or hive. Of course, humans don’t fare too badly in this regard either. And healthcare is a great example. As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients. In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved. To Prepare: Review the Resources and reflect on the evolution of nursing informatics from a science to a nursing specialty. Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization. Post a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions. AT LEAST TWO REFERENCES

Description   Content Complete the Source Comparison Worksheet.  

Description Assignment The APN as Entrepreneur Business Plan/Contract PPY Presentation Instructions: Generate a professional Power Point presentation that sums the following areas: Introduction to topic, include introducing yourself(15 yrs as an RN with background in ER,Surgical ICU and Trauma ICU), why this is important (1 slide)(provide care to those who live in rural Florida) Develop a business plan to start or manage a practice (6-10), identify SWOT analysis, marketing plan, key stakeholders, reimbursement, insurance issues, a solid budget plan (expense and revenue sheet) Construct an employment contract for an advanced practice nurse in your selected care setting. (3-4)) Be specific. What should APN ask for salary, vacation, Health insurance, dental, vision, long and short term insurance, professional development/education fees, professional journals, any others? Compare the legal, ethical, and contractual considerations for APN in the employment setting (2-3 slides) Parameters Inclusive of references in presentation, and references then fully presented in final slide of presentation as a reference page (1-2 slides) Use APA for formatting/FOLLOW RUBRIC Presentation should be minimally 25 slides, enough slides to appropriately cover material being presented Presentation is to be designed as if you, the APN, were seeking funding for starting your own clinic. Presentation to include:Contract portion is to be designed as if student/APN was seeking a position. What would an APN want in the contract? Provide details within the contract about salary, insurances, benefits, duties, etc Type of clinic( Clinic and on call services with in house visits(concierge concept), clientele serving(all population), location(FLORIDA) Mission/vision statement DETAILED budget analysis. Expense and revenue reports Insurance and reimbursement: Provide information on expected revenue. What would an APN charge for certain visits (sick versus health check), what is epected pay from insurance types (private, Medicare/Medicaid?) Contract portion is to be designed as if student/APN was seeking a position. What would an APN want in the contract? Provide details within the contract about salary, insurances, benefits, duties, etc. MUST USE NOTES SECTION. NO AUDIO. Use the notes section to discuss content. Professor will be assessing analysis and synthesis of understanding of the content)

Description 1. What are the clinical features of esophageal cancer in its early stages and advanced stages? 2. What investigations are commonly used for the diagnosis and staging of esophageal cancer, and what are the specific findings associated with a barium swallow? 3. Which imaging modalities are employed for identifying the location, content, and metastases of esophageal cancer, and what is an additional option if CT scan results are inconclusive? 4. What role does transesophageal endoscopic ultrasound play in esophageal cancer diagnosis, and what other procedure can enhance its sensitivity and specificity for identifying lymph node disease? 5. What treatment options exist for esophageal cancer in curative and palliative settings, and under what indications are they employed? 6. What are the cancer-associated complications of esophageal cancer, and what is the overall prognosis?1. What are esophageal hypermotility disorders, and what are the two main causes of these disorders? 2. What is the known etiology of esophageal hypermotility disorders, and what are the speculated causes for distal esophageal spasm and hypercontractile esophagus? 3. According to the Chicago Classification of Esophageal Motility Disorders, what are the major motility disorders and the subcategories under incomplete LES relaxation? 4. What are the minor motility disorders, and how do they differ from major motility disorders in terms of symptoms and resolution? 5. What are the clinical features associated with esophageal hypermotility disorders? 6. Which investigations are commonly used for diagnosing esophageal hypermotility disorders, and what are the typical findings in upper endoscopy and esophageal barium swallow? 7. What is the significance of high-resolution esophageal manometry (HRM) in diagnosing esophageal motility disorders, and what are the indications for performing HRM?