All posts by : chebby

Diabetes Mellitus is chosen as a selected problem for promoting a better patient outcome and improve the standard of care since this is a chronic condition and has long-term effects that cause an increase in mortality rate. Evidence is one of the keys to providing a vision on the ways to improve the quality of care and bridging the knowledge gap.

The first common barriers to evidence translation in addressing this practice problem is knowledge and awareness. Patients should get an education on keeping the blood sugar levels on target and be aware of the ways of keeping track of their blood glucose levels. On the other hand, it is also important for the health care professional to have adequate knowledge of providing diabetic education for the patient during discharge to prevent readmission. Skills are necessary for the patients who are discharged and need insulin administration and therefore if the patient is not practiced in skills it can lead to uncontrolled diabetes and patients often get readmitted with the complications associated with diabetes mellitus. Acceptance and beliefs could be one of the barriers which are in the patients as well as with the health care professionals. Patients with a multicultural background with certain beliefs often practice herbal medicines or any traditional methods to control blood sugar which causes a drug to drug interactions. To accept a new change is difficult for the patient and therefore will see fewer effects in controlling blood sugar levels. Health care professionals should collaborate with the diabetic educators and should bring new practices based on new evidence.

The strategies which we can apply in this practice problem could be first with an Inter-Professional Collaboration (IPC) with the stakeholders specifically with the diabetic educator. Interprofessional collaboration is the key to attain the goal specifically for chronic care conditions which includes diabetes mellitus. According to Van, D. G et al,. (2020), IPC between physicians, physicians’ trainees, nurses which includes senior staff nurses, and diabetic educators has provided a better training program that helps the patient to improve their diabetic health. Stakeholders can be well engaged for further exploration by sharing the information, gathering the research and evidence, consultation, participation, and collaboration (White, K. M et al,. 2016).

To determine which evidence to implement is the most challenging implementation, however, it is also important to get the evidence and follow the interventions based on the purpose and outcome of the interventions.  The research data would provide the evidence on a practice which is followed and so the first vital source is finding out the research questions and the outcome. The two most important diabetic intervention includes diet and exercises in different forms such as aerobic, tai chi, yoga, swimming.

Change is not easy and if a change has happened, I believe the appropriate rational and a tentative outcome is essential to be informed for creating team effort and motivation. To determine continuity and sustainability of the change, the DNP scholar should assess the educational programs and should promote adequate resource to educational meetings, team huddle to assess the pros and cons, meetings and getting opinion with the nurse leaders, clinical audit and feedback is also needed and provide complete information on the new evidence provided (Dang, et al. 2018)

Please make a comment for this discussion board with at least 2 paragraphs and 2 sources no later than 5 years

1. THE FUTURE OF HEALTHCARE

 How would a healthcare system of the future look like if you could create it? Offer supportive evidence to your ideas. 

To answer this question, consider all discussions over the last eleven weeks.

2. COURSE REFLECTIONS

Please complete your reflection of this course by answering the following questions (1-4):

1. What skills have you developed that will help you to be successful in your academic and professional career?

2. What advice would you give to the next students taking the same course?

3. What was the single most important lesson you will remember from this course?

4. What advice would you give to the professor to improve this course?

Create a PowerPoint presentation of 14-16 slides with speaking notes on the new regulations impacting the practice as a result of the Affordable Care Act.

Introduction

The Patient Protection and Affordable Care Act (PPACA or ACA) was signed into law by President Barack Obama in 2010. The ACA attempts to increase access to care, reduce cost, and improve quality. Nearly 50 different reform initiatives were implemented between 2010 and 2017. Although primary care is a major focus of the act, these additional initiatives are focused on 10 different areas, including public health, prevention of disease, community health, and increasing revenue provisions to pay for the reform (Niles, 2021). The law has been controversial due to the mandate that all Americans must purchase health insurance.

The U.S. government plays a significant role in the operation of the country’s health care system. Quality, access, funding, education, and preventative services are all influenced by the U.S. government (Niles, 2021), and the Affordable Care Act (ACA) has further increased the role and involvement of the government in health care. All health care administrators must be knowledgeable on the role of the government.

Numerous governmental organizations exist, such as the U.S. Department of Health and Human Services (HHS), the Centers for Disease Control (CDC), the National Institutes of Health (NIH), the Agency for Healthcare Research and Quality (AHRQ), the U.S. Food and Drug Administration (FDA), the Centers for Medicare and Medicaid Services (CMS), the Occupational Safety and Health Administration (OSHA), and the Office of the Surgeon General to name a few. Each organization exists for a specific purpose and has a specific mission. Your role as an administrator will be to understand the scope of these agencies and to help your organization meet or exceed the governmental mandates imposed by each.

Reference

Niles, N. J. (2021). Basics of the U.S. health care system (4th ed.). Jones & Bartlett Learning.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

• Competency 1: Analyze current health reform, policy, and regulation in U.S. health care. 
  • Explain the Affordable Care Act and its impact on the U.S. health care system and on the practice of health care in the United States.
  • Analyze current trends in policy and predict future reforms.
  • Explain how health care reform and policy have impacted health care quality and cost.
  • Explain how regulatory agencies have evolved to address health reform and policy.
• Competency 4: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others. 
  • Produce a presentation that conveys understanding of the topic, its context, and its relevance.
  • Use academic writing conventions such as APA formatting and citation style, or others as required.
  • Produce writing that includes minimal grammar, usage, and mechanical errors, including spelling.

Instructions

Imagine you are an office manager for a ten-physician primary care practice. You have been asked by the physician group to research and give a presentation on the new regulations impacting the practice as a result of the Affordable Care Act. Using the resources provided, plus at least two other peer-reviewed articles based on your own research, develop a PowerPoint presentation of 14–16 slides, complete with speaking notes. Address the following:

• Explain the Affordable Care Act and its impact on the U.S. health care system and on the practice of health care in the United States.
• Analyze current trends in policy, and predict future reforms as a result of the current state.
• Explain how regulatory agencies have evolved to address health reform and policy.
• Explain how health care reform and policy have impacted health care quality and cost.

You might want to (but do not have to) organize your presentation using the following outline:

• Slide 1: Title of the Presentation.
• Slide 2: Brief explanation of the purpose of the presentation.
• Slide 3: The Affordable Care Act.
• Slide 4: Impact on the U.S. Health Care System.
• Slide 5: Impact on the Practice of Health Care in the United States.
• Slides 6–7: Current Trends in Policy.
• Slide 8: Future Reforms.
• Slides 10–12: The Role of Regulatory Agencies (one slide per agency you address).
• Slide 13: Impact to Quality.
• Slide 14: Impact to Cost. 
• Slide 15: Concluding Summary.

Presentation Requirements

Your presentation should consist of:

• 14–16 bulleted slides.
• Speaker notes that fully explain each slide.
• A minimum of two peer-reviewed references, in addition to resources offered in this course or that you find yourself, including government websites.
• Appropriate APA citations and peer-reviewed references on each slide, as necessary.

General Guidelines for PowerPoint

• Keep the design simple. Font: Arial or Verdana, size 24-point, minimum.
• Keep the slides concise: 5–7 bullet points per slide and 5–7 words per bullet. Use speaker notes to explicate the bullets.
• For best color contrast, use light text on dark background (for example, yellow on black, white on dark blue).
• Use the proper slide layout. For example, if a slide has a title and text, it is created using the correct Title and Text layout.

please look at grading scale please.  please ensure grading scale goes with submitted PICOT

 Kim  enclosed is week 4 project assignment with attached template. I don’t know if you still have a copy of week 2 articles which is a part of this assignment per instructions, if not I’ll add to bottom of post. I also attached template in attachment Let me know if you have any questions. Thanks in abundance! 

Week 4 Tasks

Using the Week 4 research template identify the research components, listed on the template. Continue to review your two assigned articles from the Week 2 Project and address each of the following criteria:

• Sample with demographics
• Data collection process
• Variables
• Sampling design
• Instruments, tools, or surveys
• Validity and reliability of the instruments, tools, or surveys.
• Discussed legal/ethical concerns.
• NOTE: If a component is not addressed, the student receives a zero for that component.

Cite all sources in APA format

Submission Details

• Cite all sources in APA format.
• Name your document SU_NSG3029_W4_Project_LastName_FirstInitial.doc.
• Submit your template to the Submissions Area by the due date assigned.

Jackie see below the 2 articles from week 2 project to be included in this assignment.
Jenson, H., Maddux, S., Waldo, M. (2018). Improving oral care in hospitalized non-ventilated patients: Standardizing products and protocol. MEDSURG Nursing 27(1), 38-45

Turk, M., Fapohunda, A., & Zoucha, R. (2015). Using photovoice to explore Nigerian immigrants’ eating and physical activity in the United States. Journal of Nursing Scholarship, 47(1), 16-24. doi: 10.1111/jnu.12105

****Submit in PDF form****

****20 paragraphs total****

Link to access the Ebook below:

 file:///C:/Users/User/Downloads/(AUPHA_HAP%20Book)%20Robert%20H.%20Lee%20-%20Economics%20for%20healthcare%20managers%20(2019).pdf

Chapter 2 Exercises: **** attached are snippets of the questions as well****

On Page 1:

• 2.1—Please write 4 paragraphs with each paragraph containing 45-55 words.

On Page 2:

• 2.2—Please write 4 paragraphs with each paragraph containing 45-55 words.

On Page 3:

• 2.3—Please write 4 paragraphs with each paragraph containing 45-55 words.

On Page 4:

• 2.4—Please write 4 paragraphs with each paragraph containing 45-55 words.

On Page 5:

• 2.14—Please write 4 paragraphs with each paragraph containing 45-55 words.

no more than 21% plagiarims

Please use this reference To base the care plan.

The assignment has to be on a patient with uncontrolled hypertension and cardiac issues  This patient was re admitted to the hospital (cardiac/telemetry unit) because of the on going Controlled hypertension And possible heart attack.  

Bi-weekly Practicum Journaling

Every two weeks, you will submit a reflective journal to the discussion forum for review by course faculty and your classmates. All are expected to engage and support one another by sharing these experiences in a supportive, constructive, and professional environment. Journaling is an active learning technique that is meant to enhance reflective practice (Blake, 2005). Reflective practice involves looking back over what has happened in the practice setting in an effort to improve performance or to encourage professional growth (Ruth-Sahd, 2003).

Your Weekly Practicum Journal is:

• A personal, introspective subjective account of your practicum experience and how your practicum experience relates to Healthy People 2020 and course objectives. Include events that occurred in your practicum experience, and be sure to describe your thoughts and feelings about those events. How did your perceptions change? What did you learn that was unexpected? Describe your thinking about your thoughts and feelings regarding the new learning you experienced.
• Connected to South University’s College of Nursing Conceptual Framework Pillars (Caring, Communication, Critical Thinking, Professionalism, and Holism)
• Connected to prior coursework and experiences through reflective analysis.
• Written in a scholarly, academic style using APA style format. Two or three sentences are not sufficient nor are daily logs/reports of activities.

Citations should conform to APA guidelines. You may use this APA Citation Helper as a convenient reference for properly citing resources or connect to the APA Style 

Directions: 

For this Assignment, you will create a slide and audio presentation in which you will present information to support the passage of HR 5223. You may use PowerPoint, Google Slides, or another presentation software of your choosing. Your audio presentation should put forth a convincing argument based on your research and should be designed as if you were addressing a group of legislators whose support you are trying to obtain.

Your slide and audio presentation must address:

• A description of current risks that healthcare providers face from violence in the workplace.
• Information from professional nursing associations which support your argument for minimizing the risk of violence in the healthcare setting.
• Identification of a theoretical or regulatory model which would be applicable to the passage of HR 5223.
• Identification of stakeholders who will benefit from the passage of HR 5223 and how they would benefit.
• Potential barriers to passage of HR 5223 and how they can be overcome.
• Include a minimum of 8 slides (not counting the title or reference slide).
• Your slides should contain speaker notes, to assist in your audio delivery.
• Your slides should be professional in appearance and tone, and reflect a thoughtful and meaningful application of your research to your argument. Speak clearly and convincingly. Your presentation should not be longer than 10 minutes.
• You must include a minimum of (5) different scholarly references. 

Assignment Requirements

Before finalizing your work, you should:

• be sure to read the Assignment description carefully (as displayed above);
• consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
• utilize spelling and grammar check to minimize errors.