1. Interoperability can only be achieved when provider organizations do the work necessary to participate. Do provider organizations have the necessary incentives to do that work?
2. Private health information exchanges seem to be growing at a faster pace than public health information exchanges. Public exchanges should arguably offer more value to patients and lower costs to provider organizations. Why the discrepancy?
3. The INPC, originated as a research project, was initially funded by grants and one of the ongoing value propositions is research use of the data. Is research necessarily critical to success of a health information exchange?
4. Establishing and operating a health information exchange requires a variety of investments including computing and network infrastructure, software systems of various types, legal and operational costs. Would you agree that data capture and normalization is the largest investment required?
5. Computing infrastructure, networking technology, software and clinical information standards will continue to evolve rapidly and investments in the technology will depreciate relatively rapidly. What are the core assets of an HIE if not these things?
Identifying and justifying appropriate Study Designs ·
Step 1: A not-for-profit organization called Epidemiologists Without Borders has reached out to student researchers studying epidemiology at Florida National University. The organization has asked for support in the design of three research projects they plan to carry-out in several of the communities where they currently work. Read these three case studies summarized below.
NOTE: You may substitute one of the case-studies outlined below for a case study that is relevant to your own community. If you choose to do so, generate a case-study regarding a public health problem that is relevant and requires epidemiological research. Include the case study when you submit your assignment.
Case study 1:
Vaginal cancer is a rare disease that can often be cured when detected in its early stages. Vaginal cancer occurs more often in women over the age of 50 but can occur at any age. There are usually no symptoms for vaginal cancer. Epidemiologists Without Borders has been awarded a large grant to study the relationship between vaginal cancer and prior exposures to any risk factor among women in a South African city.
Case study 2:
Epidemiologists Without Borders has learned that a large group of employees who have worked in a specific building (building A) of a very large corporation for more than 25 years appear to have high cancer incidence rates. The corporation has a total of 3 office buildings (buildings A, B, and C). Epidemiologists Without Borders would like to conduct research to determine if the rates of cancer incidence among those workers from building A are in fact higher than expected.
Case study 3:
Epidemiologists Without Borders supports the rights to life, health, and dignity for people who use illicit drugs. The organization is concerned about the high rates of HIV infection it has observed in one particular community and suspects that there are many risk factors possibly contributing to this high HIV risk. Currently, the data in this community with respect to the exact HIV incidence rate among injection drug users is of poor quality but estimates indicate that the prevalence is as high as 10-20%. Access to HIV testing is also low in this population. Additional challenges include limited resources, and the difficulty in recruiting people for testing due to their high mobility and hidden social networks.
Epidemiologists without Borders would like to identify potential risk factors for contracting HIV among injection drug users in this community so that it can develop appropriate interventions.
Step 2: Select the most appropriate study design for each of the three case-studies proposed by Epidemiologists Without Borders (or for the one relevant in your community) based on what you have learned in this Week’s Lectures, Readings, PPT’s and modules.
Step 3: Write a letter responding to Epidemiologists Without Borders outlining the study designs that you recommend. Justify why the study designs you selected are appropriate for each of the three case-studies. Your response must also outline at least one benefit and one limitation for each of the study designs you have recommended for each case-study. Your letter to Epidemiologist Without Borders should be clear and concise and contain no more than 450-550 words.
Please be sure to adhere to the following when posting your weekly discussions:
1. Students are to write their name and the appropriate discussion number/discussion title in the title bar for each discussion. For example, Discussion 1: Micheal Cabrera or Discussion 3: Sheila Smith. This is important in identifying that students are submitting original posts as well as response posts as required.
2. Students are to submit their discussions directly onto Blackboard Discussion Board Attachments submitted as discussion board posts will not be graded.
3. As a reminder, all discussion posts must be minimum 350-550 words, references must be cited in APA format 7th Edition, and must include minimum of 3 scholarly resources published within the past 5-7 years (not part of the classroom coursework).
By now you know that administrative responsibilities in health care facilities are managed by professionals who oversee medical facility processes, have in-depth knowledge of regulatory requirements, and have a thorough understanding of the complexities involved in patient care. Drawing upon what you have learned in this course, imagine you have been invited to an annual meeting for a large national health care company. You have been asked to speak to a group of managers and directors about the strategic role of health care administrators and must prepare a comprehensive overview of the political, legal, and ethical aspects of the health care administrator’s role.
Instructions
For this assignment, create a professional, narrated presentation focused on the political, legal, and ethical aspects of the health care administrator’s role. Your target audiences are professionals in the industry who do not have a thorough understanding of your work.
Create a PowerPoint (or Prezi) and record the presentation using Kaltura. Follow the content outline below and use speaker notes to cover the required topics listed here:
Provide an overview of the political, legal, and ethical aspects specific to the health care administrator’s role (2-3 slides).
Summarize how the different aspects you identified above overlap and interface (1-2 slides).
Provide three examples of the duties and responsibilities involved in health care administration, such as risk management, policy, and procedure, regulatory compliance, ethics board, compliance officer, et cetera (2-3 slides).
List two types of jobs or titles often found in health care delivery settings that are focused on risk management and regulatory compliance; including a review of the importance and benefits of these functions within the health care system (1-2 slides).
Summarize how the political, legal, and ethical issues affect patients and staff including the patient benefits (2-3 slides).
Summarize how the political, legal, and ethical issues affect the financial and business operations of a health care facility (2-3 slides).
Summarize the health care administrator’s role in regard to political, legal, and ethical issues related to an issue such as a data breach, a HIPAA or EMTALA violation, et cetera. Review the implications of this function if mishandled (2-3 slides).
Note: The presentation should not exceed 15 slides (with speaker notes), including a title slide and reference slide.
Please Read the instructions Carefully.
Discuss who, among the talented and experienced people you know (use fictitious names) you would initially include on your business start-up venture team to maximize your opportunities for a successful business. Provide a rationale for choosing these individuals.
Expectations
Initial Post:
An 8-year-old girl comes to your ambulatory care clinic with complaints of left ear pain for the past 3 days. She had respiratory infection a week ago. On physical examination, the tympanic membrane is bulging.
Answer the following questions:
Discuss what is happening on a cellular level with the disease process. Be careful to realize that patients have co-morbidities, and you may need to discuss the other diseases impact on the pathophysiology and care of the patient. Three (3) resources after 2008 are required along with 7th edition APA format.
Neuro Case Study
You are consulted to visit a 72 year old male client who had a stroke last year which left both his upper and lower right sided extremities weakened. He is obese and has a history of smoking for 57 years. His history also includes being diagnosed with type 2 diabetic, high blood pressure, coronary artery disease, polycythemia, and atrial fibrillation. His father died of an MI at age 53. Both of his parents had type 2 diabetes. His mother dies of cancer. His paternal grandfather had 2 strokes, 0neyear apart, dying two weeks after the second stroke.
1. What types of extremity paralysis ( weaknesses) can occur in strokes and how do they differ? What type of weakness does this patient exhibit?
2. The lesion that caused the motor function problem in this patient is located on which side of the brain? Why does it occur in this manner?
3. Given the history of this patient, what type of stroke did this patient have,
ischemic, or hemorrhagic? Please provide your rationale.
4. What is the relationship between atrial fibrillation, and the stroke
5. What other risk factors are identified for this patient and what is the relationship of these to a stroke?
6. Your patient’s wife tells you “My husband’s grandfather had a stroke and could not talk, but he could talk> My husband can not walk, but can talk. I do not understand Why?” The APN would address this issue in what manner? What information is shared?
7. The patient’s wife adds, the doctor said to call him if he suffered a TIA. I thought TIA’s go away. Why is this important and how will I know it is happening? The APN addresses this situation in what manner. What information will be shared?
8. How do adult strokes differ from pediatric strokes?
Quite often, nurse leaders are faced with ethical dilemmas, such as those associated with choices between competing needs and limited resources. Resources are finite, and competition for those resources occurs daily in all organizations.
For example, the use of 12-hour shifts has been a strategy to retain nurses. However, evidence suggests that as nurses work more hours in a shift, they commit more errors. How do effective leaders find a balance between the needs of the organization and the needs of ensuring quality, effective, and safe patient care?
In this Discussion, you will reflect on a national healthcare issue and examine how competing needs may impact the development of polices to address that issue.
Post an explanation of how competing needs, such as the needs of the workforce, resources, and patients, may impact the development of policy. Then, describe any specific competing needs that may impact the national healthcare issue/stressor you selected. What are the impacts, and how might policy address these competing needs? Be specific and provide examples.
To Prepare:
EVIDENCE-BASED PRACTICE AND THE QUADRUPLE AIM
Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim, with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs.
More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions.
To Prepare:
· Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.
· Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.
· Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.
To Complete:
Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.
Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:
· Patient experience
· Population health
· Costs
· Work life of healthcare providers
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