Write a one-page (no more than 1″ margins), double spaced=350 words min, paper on “What a community can do to help prevent mental illness.” Back up your opinion with reputable references (not wiki or blogs). 

 reference your work and use quotation marks properly 

 Reflect upon your selected practice problem DIABETES and select one of the organizational or behavioral change models which were used in healthcare for many years up until the early 2000s. (PROCHASKA AND DICLEMENTI’S CHANGE THEORY) (KNOWLEDGE OF BEHAVIOR CHANGE THEORIES)  Due to the changing nature of our healthcare environment and the growing complexity of our patients, these older models and theories lost their ability to provide a successful framework in healthcare and are not currently used for translation science and nursing clinical practice change projects.

• Select one model or theory from the readings or lesson this week.
• Provide a description of the components in the organizational or behavioral change models or theory.
• Does the model or theory contain a component for appraising the evidence?
• Does the model or theory contain a component for networking with the stakeholders during the design phase and continuing through the sustaining phase of the project?
• Does the model contain components for identifying barriers and addressing barriers to implementation?

MY CHANGE THEORY PROBLEM IS RELATED TO DIABETES  PLEASE INCORPORATE WITH PROCHASKA AND DICLEMENTIS’S CHANGE THEORY,

 HEALTH LAW AND ETHICS

FIND THE REGULATIONS THAT APPLY FOR EACH AND CITE THEM

1. You are a physician in a four doctor group practice. You would like the group to purchase an X-Ray machine as an ancillary diagnostic service to their medical practice. The group agrees but insists that all fees for the technical component billed to Medicare for the X-Rays should be split up based solely upon who ordered the test. (The technical component is the charge for the X-Ray itself and is not for the professional part of the radiologist or other doctor who reads or interprets the X-Ray.) Also, there is not enough space at the office building where the group practices to house the MRI machine so they want to lease space in the building next door for the MRI. What is your response to these proposals.

(I suggest looking to the fraud and abuse regulations to find support for your answers i.e. Stark and the Anti-Kickback Act. First, determine whether the laws apply and then see if there is a Stark exception or Anti-Kickback safe harbor that addresses this ancillary service and if the proposals are compliant with those exceptions or safe harbors. If not, why not?)

1. You are the compliance officer of a Medicare certified hospice. In reviewing this month’s claims submitted for payment to Medicare you discover that of the 15 new hospice admissions, for the first 90 days of hospice coverage, the medical records contain 10 written certifications of terminal illness signed by the hospice medical director within 48 hours of the initiation of service; 2 were written and signed but only after 5 days from the initiation of service and 3 have no written certifications at all, however, your staff confirms that for those last three, each of the patient’s attending physician verbally certified the terminal illness. All of the written certifications state the time frame for life expectancy for the newly admitted patients, however, the staff forgot to verify the time frame of life expectancy in their verbal conversations with the 2 attending physicians who gave verbal certificates. You decide to call the two attending physicians. What time frame of life expectancy do you need to confirm? Also, of these 15 new claims, how many do you think could be denied for payment by Medicare and why?

(This problem requires a careful analysis of the Medicare reimbursement coverage issues).

1. You sister would like to start a new personal care attendant healthcare business. A personal care attendant (“PCA”) business is licensed by the State of Louisiana as part of the Home and Community Based Service Providers. Essentially, a PCA company provides direct service workers to go to people’s homes who have disabilities to help them with Activities of Daily Living, and some very basic medication management. Your sister has asked you to help her with some licensing questions, as follows:
2. Is it OK to base the company out of her home until she makes enough money to rent an office?
3. She can secure financing from her bank through a line of credit but only for $50,000, is that enough?
4. Your sister would like for her boyfriend to be a co-owner, he has a prior misdemeanor conviction for possession of marijuana. Would that prohibit him from being an owner?
5. Once the PCA company starts making money and she moves it into a new office, she would like to sell her home and establish residency in Bay St. Louis, Mississippi, just across the border. She doesn’t mind the commute and plans to continue to serve as the PCA company’s administrator. She has a college degree and use to work for five years for the Council for the Aged in Slidell providing service to the elderly. Is that OK?

(I suggest looking to licensing regulations to find support for your answers).

1. You are the hospital administrator of one of three large hospitals in Metropolis, Louisiana. You would like to institute a new policy to help the city’s ambulance company by replenishing the ambulances that transport patients to your hospital’s emergency room with drugs, linens and other supplies that the ambulance EMT crew may have used in stabilizing the patient prior to transfer. You need to establish a policy that is compliant with the Anti-Kickback Act to avoid having a problem with Medicare should the other hospitals complain that you are giving the ambulance company a kickback to steer patients to your emergency room. Draft a policy to replenish the ambulances that is compliant with the Anti-Kickback Act.

(This is obviously a Federal Healthcare Program Anti-Kickback problem. Is there an applicable safe harbor?)

1. You are psychologist. Your last patient just left your office. She had just been fired from her position as a school counsellor and she was extremely bitter. During the therapy session she said that she wanted to “get even” with the school administration and “make them pay” for firing her which she believes was completely unjustified. You were unable to get any more details regarding her feelings about being fired. Can you disclose what she said and if so, to whom?

(Consult the Privacy Rules under HIPAA, and determine what one must do under the law in a case like this).

domestic violence

Technology is integral to successful implementation in many projects, through either support or integration or both. Name at least one technology that could improve the implementation process and the outcomes of your capstone project change proposal. Do you plan to use this technology? If not, what are the barriers that prevent its use?

HIV/AIDS Specialty Care for Pregnant women  

 The paper must be in APA style and all in-text citations should be in APA format, less than 9%. 7 pages not including the cover and reference pages.

Introduction:20%  Clearly identifies the topic, (2) Establishes goals and objectives of presentation (3) Introduce clearly the topic.

Population at risk factor:10%  The population is clearly stated including possible risks factors and medical history.

Research Content:20%  Excellent EBP provided. Followed the CDC recommendations and Evidence 

Education:10%  Excellent education provided including strategic tools methods by following the EBP guidelines 

Body and Content: 20%  Excellent body content and well chosen topic. Easy to read with the essential information throughout without mistakes Adequate length 5 to 8 pages length 

Conclusion: 10% Excellent Conclusion clearly supported by the information presented at the end of the pap  

Assessment 4

• Cost Savings Analysis
• OverviewPrepare a spreadsheet of cost savings data showing efficiency gains attributable to care coordination over the course of one fiscal year, and report your key findings in an executive summary, 4–5 pages in length.
  Information plays a fundamental role in health care. Providers such as physicians and hospitals create and process information as they deliver care to patients. However, managing that information and using it productively poses an ongoing challenge, particularly in light of the complexity of the U.S. health care sector, with its many diverse settings for care and types of providers and services. Health information technology (HIT) has the potential to considerably increase the productivity of the health sector by assisting providers in managing information. Furthermore, HIT can improve the quality of health care and, ultimately, the outcomes of that care for patients.
• The use of HIT has been upheld as having remarkable promise in improving the efficiency, quality, cost-effectiveness, and safety of medical care delivery in our nation’s health care system. This assessment provides an opportunity for you to examine how utilizing HIT can positively affect the financial health of an organization, improve patient health, and create better health outcomes.
  By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
  • Competency 1: Apply care coordination models to improve the patient experience, promote population health, and reduce costs. 
    • Describe ways in which care coordination can generate cost savings.
  • Competency 2: Explain the relationship between care coordination and evidence-based data. 
    • Describe ways in which care coordination efforts can enhance the collection of evidence-based data and improve quality through the application of an emerging health care model.
  • Competency 3: Use health information technology to guide care coordination and organizational practice. 
    • Explain how care coordination can promote improved health consumerism and effect positive health outcomes.
  • Competency 4: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards. 
    • Present cost savings data and information clearly and accurately.
    • Support main points, claims, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.
  • Competency Map
    CHECK YOUR PROGRESSUse this online tool to track your performance and progress through your course.
• • APA Module.
  • Academic Honesty & APA Style and Formatting.
  • APA Style Paper Tutorial [DOCX].
  • Capella Resources
  • ePortfolio.
  • Research Resources
    You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid. The MSN-FP6612: Emerging Health Care Models and Care Coordination Library Guide can help direct your research. The Supplemental Resources and Research Resources, both linked from the navigation menu in your courseroom, provide additional resources to help support you.
    As you review these resources, you may want to consider the following questions:
  • What is the main focus of information gathering in health care?
  • How can care coordination efforts enhance the collection of evidence-based data and improve quality?
  • What governmental entities are leading care coordination practices?
  • What influence does data analysis have on the development and advancement of health care policy?
• Asssessment InstructionsPreparation
  As the senior care coordinator in your organization, your manager has asked you to examine and report on how care coordination can generate cost savings, improve outcomes, enhance the collection of evidence-based data, and improve health care quality for the community. She would like you to compile cost savings data in a well-organized spreadsheet and present your key findings in an executive summary.
  Note:Remember that you can submit all or a portion of your draft spreadsheet and executive summary to Smarthinking for feedback before you submit the final version of this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.
  Requirements
  Determine how care coordination can reduce costs. Compile your cost savings data in a spreadsheet, using Microsoft Excel or a suitable application of your choice. (If you elect to use an application other than Excel, check with faculty to avoid potential file compatibility issues.) Your spreadsheet should containat least fourcost-saving elements. Identify the cost-saving element, current costs, and anticipated savings.
  Then create an executive summary using theAPA Style Paper Template [DOCX]. Discuss your cost-saving elements and report key findings from your analysis.
  Analyzing Cost Savings
  The requirements outlined below correspond to the grading criteria in the scoring guide. Be sure that your analysis addresses each point, at a minimum. You may also want to read the Cost Savings Analysis Scoring Guide to better understand how each criterion will be assessed.
  • Describe ways in which care coordination can generate cost savings.
    • What are your primary evidence-based sources of information?
    • Are your conclusions substantiated by the data?
    • What assumptions, if any, underlie your analysis?
  • Explain how care coordination can promote improved health consumerism and effect positive health outcomes.
    • What evidence do you have to substantiate your claims?
  • Describe at least five ways in which care coordination efforts can enhance the collection of evidence-based data and improve quality through the application of an emerging health care model. 
    • Choose any emerging health care model.
  • Present cost savings data and information clearly and accurately.
  • Support main points, claims, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.
  • Additional Requirements
    Executive Summary Format and Length
    Format your executive summary using APA style:
  • Use theAPA Style Paper Template [DOCX]provided. Be sure to include:
    • A title page and references page. An abstract is not required.
    • A running head on all pages.
    • Appropriate section headings.
  • See also theAPA Style Paper Tutorial [DOCX]to help you in writing and formatting your executive summary.
  • Your summary should be 4–5 pages in length,not includingthe title page and references page.
  • Supporting Evidence
  • Cite 4–5 sources of relevant and credible scholarly or professional evidence to support your cost savings analysis.
  • Apply APA formatting to all in-text citations and references.
  • Submit both your spreadsheet and your executive summary.
    Portfolio Prompt: You may choose to save your spreadsheet and executive summary to your ePortfolio.

Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the previous course assignments and the guidelines below.

PICOT Question  

Revise the PICOT question you wrote in the Topic 1 assignment using the feedback you received from your instructor.

The final PICOT question will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Research Critiques

In the Topic 2 and Topic 3 assignments, you completed a qualitative and quantitative research critique on two articles for each type of study (4 articles total). Use the feedback you received from your instructor on these assignments to finalize the critical analysis of each study by making appropriate revisions.

The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT question.

Refer to “Research Critiques and PICOT Guidelines – Final Draft.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.

Proposed Evidence-Based Practice Change

Discuss the link between the PICOT question, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.

General Requirements

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

1. Choose one of the articles posted and read thoroughly.

2. Identify the theoretical framework used in the article you chose.

3. Go the reference section of the article and Identify/select at least one primary source and one secondary source (articles) that also used the theoretical framework.

4. Now, search the electronic database such as Gale-Infotract on LIRN, CINAHL, or ProQuest to identify the primary and secondary source articles you selected.

Post a brief review the abstracts of the primary source and secondary source in the article you chose.

 The article is attached at the bottom read it and answer the questions in essay style. APA format 

The article(You need to tell which article that you are discussing) talks more about the three domains that surround the nursing profession the satisfaction of nurses during work progress, nursing work environment, and quality of nursing care that is given. These domains are studied to come up with a way forward in providing a very comprehensive and quality delivery (Liaschenko, J. (1995). This write-up provides a clear relationship between the nurses and the organization that is found in this sector, example NSW health organizations. The interaction between the nurses and these organizations is important as it allows the organizations to study the needs of the nurses and providing a better environment. This writes up is concerned with the studies of how the environment for nurses has raised a major issue that compromises the nurses’ satisfaction. The satisfaction of nurses comes from the environment where nurses work from, leading to a perfect job. This study also provides valuable insights that conclude that the changes in the practice environment of the nurse come with a positive impact on the job of the nurse whereby he/she performs better that is a result of satisfaction. You never stated the framework used in the article: I suspect you are discussing “Investing n Human Relations….? which used the Structure- Process- Outcome (SBO) paradigm/model. This is stated in the article.

The literature also gives an analysis of the relationship between the three domains determining the satisfaction of the nurses. The three domains include the nursing practice environment, job satisfaction, and the quality of nursing care as a single-dimensional. The research is saying that the three Domains are mutually dependent on one another therefore, effects that come as a result of one can cause harm to the other factors. It has been Witten in this article that the services provided by nurses who are working in an unfavorable environment may end up providing fair or poor health care.

Therefore the nurses must be provided with a very conducive environment to enable them to come up with greater services that can be liked and help the patients. The research of this paper was done in the year 1999 up to 2010 but there were no findings that could explain the three domains that is nursing practice environment, job satisfaction, and equity of nursing care in reciprocal directions (Castle et.al 2006). The nursing practice environmental changes are drawn without the proper consideration of how each domain can affect each other. The change in the healthcare system will also raise issues whereby the nurses tend to believe that these changes will have effects on the effectiveness, efficiency, and timeliness of the patients’ health care. The article also says that despite all changes from the restructuring of the health system, the nurses are still getting problems at work, facing hostility, injuries, and verbal abuse. This statement makes it clear that there is a need for us to study the possible improvements in the three domains. The purpose of this paper is to reveal the possible relationship between the three domains

Primary source_ you were required to name a primary source used in the article which you did not name and provide an electronic link for the primary source with a summary of the abstract. This was not completed. Download the assignment to a word doc and complete the categories for discussion.

This source provides the strategies for analyzing the qualitative data that is used in health services research (Fylan F, 2005). These include data designing of data to come up with the relevant information that is used in the analysis. The analysis is done by using data that is collected. This data analysis can lead to practical approaches that are very important to the research. There is also a description approach of data analysis that applies the use of inductive reasoning that provides guidance and directions for data analysis and interpretation. Qualitative inquiry can help to break down the complex analysis phenomena in the health services researches.

Secondary source+ same problem here as noted with primary source. Follow the directions.

The relationship between the three domains that are; nursing practice environment, job satisfaction, and quality of nursing healthcare has been explored by many studies to provide a superior health delivery by nurses (Bradley EH, Curry LA, Devers KJ, 2007). This literature reveals that the relationship between the three domains is one dimensional that has resulted in the structural changes in the nursing environment to meet the nurses’ needs. The paper comes with the reciprocal evidence in the relationships between the domains regarding the NSW health organization. This research was conducted through questionnaires that provided the results of how the nurse’s interactions with the administrations impacted the relationships between the three domains.

References

Liaschenko, J. (1995). Faithful to the good: Morality and philosophy in nursing practice.Missing some criteria here- is this a book or journal article?

Castle, N. G., Degenholtz, H., & Rosen, J. (2006). Determinants of staff job satisfaction of caregivers in two nursing homes in Pennsylvania. BMC Health Services Research, 6(1), 1-11.

Fylan F. Chapter 6: Semi-structured interviewing. In J. Miles & P.

Gilbert (Eds.), A Handbook of Research Methods for Clinical and

Health Psychology New York, USA: Oxford University Press;

2005.

Bradley EH, Curry LA, Devers KJ. Qualitative data analysis for

health services research: developing taxonomy, themes, and theory.

Health Services Research. 2007;42(4):1758-72.

 Can you please the fix it she commented on what needs to be fixed it underlined 

Video Paper Requirements 40 points (select ONE movie and answer all the questions and other information you research to support your answers) The paper must be in APA format.

Personality Disorders

Select one of the following movies and answer the discussion questions that

follow in APA format report.

 Girl Interrupted (1999 Drama; Angelina Jolie, Winona Ryder,

Whoopie Goldberg)

 Fatal Attraction (1987 Thriller/Drama; Glenn Close, Michael

Douglas)

 Natural Born Killers (1994 Thriller/Drama; Woody Harrelson,

Juliette Lewis)

 American Psycho (1999 Drama/Suspense; Christian Bale)

Must answer the following questions in your APA formatted paper.

• Identify the character and the psychological disorder they display.
• Did the movie accurately portray the symptoms of the disorder? Was this an accurate clinical picture? Explain in detail and provide examples from the movie.
• Discuss any inaccuracies and misconceptions perpetrated of the disorder in the Movie. If the disorder was misrepresented explain how this could be misleading to a typical movie-goer?
• How is a personality disorder different from an Axis 1 disorder?

Dissociative Disorders

 Primal Fear (1996 Drama/Suspense; Richard Gere, Edward Norton)

 Me, Myself and Irene (2000 Comedy; Jim Carey, Renee Zellweger)

 Identity (2003 Thriller; John Cusack, Ray Liotta, Amanda Peete)

 Fight Club (1999 Action/Drama; Brad Pitt, Edward Norton)

 Secret window (2004 Thriller; Johnny Depp, John Turturro)

• Identify the character and the psychological disorder they display.
• Did the movie accurately portray the symptoms of the disorder? Was this an accurate clinical picture? Explain in detail and provide examples from the movie.
• Discuss any inaccuracies and misconceptions perpetrated of the disorder in the movie. If the disorder was misrepresented explain how this could be misleading to a typical movie-goer. Many reputable theorists believe DID does not exist. What do you think? Support your thoughts.