Organizational Structures: Functional, Service Line, Matrix, & Flat

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Goal: To analyze the four types of Organizational Structures.

Content Requirements:

  1. Identify and describe each type of organizational structure (functional, service line, matrix and flat)
  2. Create an organizational chart for each organizational structure discussed above and describe which one applies to the clinical site or your work environment.
  3. Develop simple mission statements that could be supported by each type of structure and present a rationale for their selection of the type of structure.

Submission Instructions:

  • is to be clear and concise, and students will lose points for improper grammar, punctuation and misspelling.
  •  is to be 3 – 4 pages in length, excluding the title, and references page.
  • Incorporate a minimum of 2 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
  • Journal articles and books should be referenced according to current APA style (the library has a copy of the APA Manual).
  •  should be formatted per current APA and references should be current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions)

Simulation

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Please complete all 6 simulation opportunities and upon completion upload the certificate with answered questions for grading purposes.

Assigment .Apa seven . All instructions attached.

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Weekly Essay/Writing Assignment Content

1.

Top of Form

This week's writing assignment will consist of the following: 

1. Explore the CMS Hospital Compare website (

www.medicare.gov/hospitalcompare/search.html
) and compare two hospitals in your area.

When you are finished respond in at least 3 pages [not counting cover page and references] to the following questions:

2. Based on the information presented, do you believe the findings to be accurate, or are there likely other intervening considerations?

3. Develop a 
conceptual model that explains part, or all, of one of the reported outcomes. What structures and processes could be measured to explain differences in the outcome?

Here are some great resources to develop your conceptual model:

Bottom of Form

https://youtu.be/9xf8qK8vENM

A diagram of a framework Description automatically generated

image1.jpeg

Discussion

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Discussion

Purpose

The purpose of this discussion is to discuss organizational changes and ethical-legal influences in a clinical scenario at an out-patient family practice. Students will explore potential effects on patient outcomes and ethical and legal implications for members of the heath care team as a result of illegal behaviors.  Students will develop strategies that result in prevention of untoward outcomes that result in a positive practice culture. 

Preparing the Discussion

You are a family nurse practitioner employed in a busy primary care office. The providers in the group include one physician and three nurse practitioners. The back office staff includes eight medical assistants who assist with patient care as well as filing, answering calls from patients, processing laboratory results and taking prescription renewal requests from patients and pharmacies. Stephanie, a medical assistant, has worked in the practice for 10 years and is very proficient at her job. She knows almost every patient in the practice, and has an excellent rapport with all of the providers. 

Mrs. Smith was seen today in the office for an annual physical. Her last appointment was a year ago for the same reason. During this visit, Mrs. Smith brought an empty bottle of amoxicillin with her and asked if she could have a refill. You noted the patient's name on the label, and the date on the bottle was 1 week ago. You also noted your name printed on the label as the prescriber. The patient admitted that she called last week concerned about her cough and spoke to Stephanie. You do not recall having discussed this patient with Stephanie nor do the other providers in the practice. 

Case Study Questions: 

1. What are the potential ethical and legal implications for each of the following practice members? 

· Medical assistant

· Nurse Practitioner

· Medical Director

· Practice

2. What strategies would you implement to prevent further episodes of potentially illegal behavior? 

3. What leadership qualities would you apply to effect a positive change in the practice?  Be thinking about the culture of the practice.

4. A scholarly resource must be used for EACH discussion question each week.

Reflection 2

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One of  the key points of learning from experience is to reflect on what you  did. Reflect on the selection of your topic and question. Answer the  following questions in a document of between 250 and 500 words. Save  your response as a word document and include a 7th edition APA cover  page. Upload the document to complete the assignment. Do not cut and  paste from any document of quote from any source. This is a reflection  on your own experiences, so you should not need to do this.

A. What options do you have for finding literature?

B. How can you judge which literature is most credible?

C. Is your literature search complete? Yes my article search is complete as it has been approved by the Pamela Wright.

Strategic Planning

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Preparation

The feedback you received on your care setting environmental analysis has been positive. Consequently, you have been asked to select one of the potential improvement projects you noted in your analysis and create a full, 5–10-year strategic plan to achieve the desired quality and safety improvement outcomes. You will develop your strategic plan, using either an AI approach (addressing the design stage), or by building on your SWOT analysis and applying a strategic planning model of your choice.

How you structure your plan should be based on whether you are taking an appreciative inquiry approach or using a specific strategic planning model. Regardless of the approach you choose, the requester of the plan has asked that you address the key points outlined below in the strategic plan requirements. In addition, your plan should be 6–8 pages in length.

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

Strategic planning models aid in setting goals, establishing time frames, and forging a path toward achieving those goals. Consider the strategic planning models you are familiar with:

  • Which model would you choose to create goals and outcomes that could address the area of concern you identified in your Assessment 1 SWOT analysis?
  • Why is this model the best choice among alternatives?
  • How does goal setting through appreciative inquiry provocative propositions differ from goal setting in the strategic planning model you selected?

 Strategic Plan

  • Develop strategic goal statements and outcomes that reflect specific quality and safety improvements for your care setting. You should have at least one short-term goal (just-in-time to one year) and one long-term goal (five years or longer).
    • Determine realistic timelines for achieving your goals.
    • Explain how your short-term goals support your long-term goals.

Note: For plans based on an AI approach, the goal statements and outcomes are provocative propositions that may be refinements of the positive, yet attainable, goals that you proposed during the dream phase of your inquiry. For plans based on a SWOT analysis, the goal statements and outcomes are specific, measurable, and applicable to the area of concern in your analysis for which you proposed pursuing improvements.

  • Justify the relevance of your proposed strategic goals and outcomes in relation to the mission, vision, and values of your care setting.
  • Analyze the extent to which your strategic goals and outcomes, and your approach to achieving them, address:
    • The ethical environment.
    • The cultural environment.
    • The use of technology.
    • Applicable health care policies, laws, and regulations.
  • Explain, in general, how you will use relevant leadership and health care theories to help achieve your proposed strategic goals and outcomes.
    • Consider whether different theories are more applicable to the short-term or long-term goals of your strategic plan.
  • Evaluate the leadership qualities and skills that are most important to successfully implementing your proposed plan and sustaining strategic direction.
    • Identify those leadership qualities and skills that are essential to achieving your goals and outcomes and sustaining strategic direction.
    • Identify those leadership qualities and skills that will have the greatest effect on the success of your plan.

discussion 11

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 Bullying prevention is a growing research field that investigates the complexities and consequences of bullying. There is also a complex relationship between bullying and suicide. 

Visit http://www.stopbullying.gov/resources/inde x.html and identify resources for preventing bullying and assisting children who have been bullied. Instructions:

Post your discussion to the Moodle Discussion Forum. Word limit 500 words. Support your answers with the literature and provide citations and references in APA, 7th ed. format with shcolarly references no older than 5 years

CDC

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The CDC and Healthy People 2020 continue to educate on the importance, the improved ease of access and insurance coverage for screenings and vaccinations. It is the responsibility of nurses to engage our aging adults in self-advocating for services that benefit the individual and community health. How can you, as a registered nurse, impact older adults to encourage routine vaccination? What impact does this have on the community as a whole?

At least 400 words in length and utilize at least one scholarly source

political

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Part I: How the Courts Address or Respect Our Rights as Citizens – Outline

Assignment

Required Resources

Read/review the following resources for this activity:

· Textbook: Chapter 11, 12

· Lesson

· Minimum of 2 scholarly sources in addition to the textbook.

Instructions

This assignment is comprised of 2 parts, the first of which is due this week. Part II will be due in Week 7.

In Part I this week, choose a case from your state that involves civil rights or civil liberties that was decided by the United States Supreme Court. If your state does not have a case that was decided by the United States Supreme Court, choose a civil rights case from another state for which the United States Supreme Court issued a decision.

Here is a brief description of civil rights and civil liberties: Civil rights refers to equal social opportunities under the law. It gives you these freedoms such as the right to vote, the right to public education, or a fair trial, among other things, regardless of your wealth or race. Civil liberties mean freedom of religion, equal treatment and due process under the law, and the right to privacy.

You should be able to go online and look up your state and famous cases decided by the Supreme Court. For example,
Brown v Board of Education (1951) started in Topeka, Kansas, and ended up in the Supreme Court of the United States. Another example would be
Calvary Chapel Dayton Valley v Steve Sisolak, Governor of Nevada (2020) that started in Nevada and ended up the United States Supreme Court. A good source of information about cases decided by the United States Supreme Court is www.scotusblog.com. Other sources can be researched online using search terms for “civil rights cases decided by the U.S. Supreme Court.” Be sure to use a case
actually decided by the United States Supreme Court, and not a case decided by your state’s supreme court or a different court. A case that is still pending before the United States Supreme Court should
not be used. If you are unsure, please contact your Professor
BEFORE you pick your case and submit the assignment
as this is a significant part of your overall grade.

Research your court case and write an outline of the case that you will be using to prepare a presentation, which will either be a narrated PowerPoint, a Kaltura Video, or some other format as approved by your instructor.
If you are unsure, then verify the presentation format with your instructor before starting work on this assignment.

This week's assignment should include (a) summary of the case; (b) a case outline; and a summary.

Summary of the Case

In one or two paragraphs, provide a general overview of the case that serves as a snapshot of what the case is about and how it ended up in your state high court. A summary is using your words to write a brief history of the case. Do not give your opinion or your interpretation but stick to the facts only.

Case Outline

Your court case outline should include:

Title: Name of the case

Facts of the case: Provide key facts involving the case.

History of the case: What legal action was taken based on what your state laws say about this case?

Legal questions: What were the legal issues the court had to decide?

Decision or holdings: Did the court decide for the plaintiff or the defendant? Explain the reason behind the decision?

Verdict and opinion (judgement): What were the concurring and dissenting opinions? How many judges decided for the defendant and how many justices decided against the defendant? What was the final verdict from the judge or the jury, if it was a jury trial?

Conclusion:

What was the resulting impact of the ruling? How did the citizens of your state benefit from it? Was this a good decision?

Requirements

· The length of your outline will vary. Usually an outline is anywhere from 1-3 pages long. Make sure to write full sentences to explain your case. It is a concise list to be used as a reference for you during the presentation.
Using the outline, you will be describing the court case in your presentation and the scenario around the court case. The use of Wikipedia as a primary source of information is to be avoided – it is not a reliable source of information.

Search for an example of a case outline in the Internet. Without going into much detail at this state, each of the items listed above has a subject sentence with 3-6 bullet points that can help you expand on the topic.
For Week 7, you will be creating a narrated PowerPoint, or a video as approved by your instructor, from this week's outline.

· 1-inch margins

· Double spaced

· 12-point Times New Roman font

· Title page

· References page (minimum of 2 scholarly sources in addition to textbook if cited)

Ebook:
https://bookshelf.vitalsource.com/reader/books/9780135246849/pageid/11

The Struggle for Democracy, 2018 Elections and Updates Edition

· Or
[email protected]

· PWD: Bryanthierry@09

informatics

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As you learned from the chapters and video lectures, there is a disbalance in the supply and demand of health care professionals. Some experts think that this happens in the US since too many medical students go into specialty medicine leaving many spots available in primary care while others believe that the problem is the overreliance of physicians instead of using other health care professionals to address a large majority of health care needs. What do you think are the real drivers of this disbalance? What would you do to improve this situation?