Describe  components of a clinical based decision-making model impacted by  clinical expertise and explain how clinical expertise informs  evidence-based practice.

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook. 

1)  What are anabolic steroids? Why are they abused?
 

2) Why do some people crave drugs more than others?

Each question should be more than 100 words. (need to be done separately)

No plagiarism

proper citation and reference In Apa Formate 

 This paper has guide line RUA : analyzing published research 

See the attached 

answer each discussion seperately 

Presentation: Realistic Clinical Case Study

Content Requirements
You will create a PowerPoint presentation with a realistic case study and include appropriate and pertinent clinical information that will be covering the following:

1. Subjective data: Chief Complaint; History of the Present Illness (HPI)/ Demographics; History of the Present Illness (HPI) that includes the presenting problem and the 8 dimensions of the problem; Review of Systems (ROS)
2. Objective data: Medications; Allergies; Past medical history; Family history; Past surgical history; Social history; Labs; Vital signs; Physical exam.
3. Assessment: Primary Diagnosis; Differential diagnosis
4. Plan: Diagnostic testing; Pharmacologic treatment plan; Non-pharmacologic treatment plan; Anticipatory guidance (primary prevention strategies); Follow up plan.
5. Other: Incorporation of current clinical guidelines; Integration of research articles; Role of the Nurse practitioner

Submission Instructions:

• The presentation is original work and logically organized, formatted, and cited in the current APA style, including citation of references.
• The presentation should consist of 10-15 slides and less than 5 minutes in length. 
• Incorporate a minimum of 4 current (published within the 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 APA style (the library has a copy of the APA Manual).

Assignment 2 (15%): Process Mapping of a Quality Improvement Initiative

Process Mapping: Students are required to research an existing health care organization of their choice. In your research, you should identify a quality improvement (QI) initiative that will improve the way patient care is delivered at the facility. The QI can be the result of organizational need, accreditation standards, and/or regulatory requirements.

Instructions: Clearly state the specific QI objective. Provide a brief description articulating why the QI is important and how the quality of patient care will be improved as a result of the QI. In addition, identify an executive, team lead, and staff member as the stakeholders who are responsible for the implementation of the QI and explain what roles they play in the implementation of the objective. It will be necessary to generate a flow chart that specifically emphasizes the steps necessary for implementing the QI as well as the position that is most appropriate for performing the tasks and exact duties of the step.

Formatting:

• Title Page
• 1 page (double spaced) Page should include QI objective and description.
• 1 page Page should include the flow chart illustrating the required steps necessary to implement the QI.
• Reference Page (2 references minimum)
• Written document should conform to American Psychological Association (APA) 6th Edition

The grading rubric for this assignment appears below, if you opened the Assignment in the Assignment Folder, or can be opened by clicking on the ‘Written Assignment Rubric’ tab in the lower right corner of the screen, if you opened the Assignment in Content.

Assessment 1

• Triple Aim Outcome Measures
  • Overview: 
  • Develop a presentation, containing 10–15 slides, on the Institute for Healthcare Improvement’s Triple Aim, how current and emerging health care models support the Triple Aim, and how governmental regulatory initiatives and outcome measures can be applied in the care coordination process to achieve the Triple Aim in a population.
    The Triple Aim is a framework by the Institute for Healthcare Improvement (n.d.) for “simultaneously improving the health of the population, enhancing the experience and outcomes of the patient, and reducing per capita cost of care for the benefit of communities.” Care coordinators must have a model and framework to guide their practice and enable them to achieve the Triple Aim. Presently, many rural hospitals are using archaic models that must be updated to achieve the Triple Aim. For example, the patient-centered medical home model has been around for 30 years, but it has evolved during that time.
    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. 
    • Explain how the Triple Aim contributes to population health, improves the patient care experience, and reduces health care costs on a regional, state, and national level.
    • Analyze the relationships between various current and emerging health care models and the ways in which they support the Triple Aim.
    • Explain how the structure of particular health care models contributes to the process of gathering and evaluating the quality of evidence-based data.
    • Describe governmental regulatory initiatives and outcome measures that can be applied in the care coordination process to achieve the Triple Aim within a population.
  • Competency 2: Explain the relationship between care coordination and evidence-based data. 
    • Explain how evidence-based data shapes the care coordination process in nursing.
  • Competency 4: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards. 
    • Present process improvement recommendations to a stakeholder group clearly and concisely.
    • Support main points, arguments, and conclusions with relevant and credible evidence, correctly formatting citations and references using current APA style.
  • Reference
    Institute for Healthcare Improvement. (n.d.). Triple Aim for populations. Retrieved from http://www.ihi.org/Topics/TripleAim/Pages/default.aspx
    Competency Map
• Models of Care
  National initiatives focus on health care organizations to continuously improve the quality, safety, and coordination of care. In response to these initiatives, health care models have surfaced with the goal to guide national health safety and quality improvement efforts.
• Nursing is an art and science with a foundation that embraces evidence, research, and quality. The thought “we have always done it this way” has long been discarded and replaced by standards based on evidence-based research. As the specialization of care coordination has evolved, care coordination has proven to be a vital element that links patients and families to safer and higher quality care. One care coordination model, the patient-centered medical home (PCMH), has gained momentum and support from governmental and regulatory agencies.
• • Institute for Healthcare Improvement. (n.d.). Retrieved from http://www.ihi.org/Pages/default.aspx
  • Effective Presentations
    The following resources will help you create and deliver more effective presentations.
  • SoNHS Professional Presentation Guidelines [PPTX].
  • PowerPoint Presentations. 
    • This Capella library guide has links to resources on PowerPoint and other presentation software.
  • Conquering Death by PowerPoint: The Seven Rules of Proper Visual Design. 
    • This multi-part video is a primer on presentation design.
  • Writing Resources
    You are encouraged to explore the following writing resources. You can use them to improve your writing skills and as source materials for seeking answers to specific questions.
  • APA Module.
  • Academic Honesty & APA Style and Formatting.
  • APA Style Paper Tutorial [DOCX].
  • Capella Resources
  • ePortfolio. 
    • This resource provides information about ePortfolio, including how to use the different features of the product.
  • Online ePortfolio Guidelines [PDF].
  • 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 Triple Aim, and what does it seek to accomplish?
  • How have health care models laid the foundation for care management structures?
  • How do various models influence organizational health care and system performance?
  • Imagine that you are a care coordinator at an urban teaching hospital. The patients that are served at your health care organization are ethnically, culturally, and linguistically diverse. Based on these facts, what care coordination model is best suited to guide your practice as a nurse?
  • What is the purpose and philosophy of the patient-centered medical home (PCMH) model? 
    • How does its structure contribute to the process of gathering evidence-based data?
    • How is health care quality enhanced through the PCMH model?
• Asssessment InstructionsPreparation
  In this assessment, you will assume the role of a new case manager at a small rural hospital, Sacred Heart. You have been asked to deliver an evidence-based presentation to hospital leaders and clinical leadership teams about the ways in which the care coordination process at Sacred Heart can be modified to achieve the Triple Aim within the hospital’s rural population. 
  To gain a better understanding of current health care models and their support for the Triple Aim, examine and compare such models as:
  • Patient-centered medical home (PCMH).
  • Transitional care.
  • Patient self-management.
  • Guided care.
  • Care coordination (Institute for Healthcare Improvement).
  • Then, finish gathering the information needed to prepare for your presentation by completing the following simulation exercise:
  • Vila Health: Triple Aim Outcomes.
  • Note:Remember that you can submit all or a portion of your presentation 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.
    Presentation Software
    You may use Microsoft PowerPoint or any other suitable presentation software to create your slides. If you elect to use an application other than PowerPoint, check with faculty to avoid potential file compatibility issues.
    You are encouraged to review the various presentation resources provided for this assessment. These resources will help you to design an effective presentation, whether you choose to use PowerPoint or other presentation design software.
    Requirements
    Develop a presentation of specific suggestions for improving the care coordination process at Sacred Heart Hospital to achieve Triple Aim outcomes.
    Developing the Presentation
    The requirements outlined below correspond to the grading criteria in the scoring guide. Be sure that your presentation addresses each point, at a minimum. You may also want to read the Triple Aim Outcome Measures Scoring Guide to better understand how each criterion will be assessed.
  • Explain how the Triple Aim contributes to population health, improves the patient care experience, and reduces health care costs on a regional, state, and national level. You will do this on slides with these specific headings:
    • Experience of Care/Patient Satisfaction.
    • Improving Population or Community Health.
    • Decreasing Per Capita Costs.
  • Analyze the relationships between various current and emerging health care models you have chosen to examine and the ways in which they support the Triple Aim by answering these guiding questions:
    • How do I define the rationale and philosophy of these health care models?
    • Can I explain how these health care models have evolved? How do I believe that these health care models have changed over time?
    • Can I cite at least three ways in which health care quality is enhanced through these models? In which three ways do I believe that these models most enhance health care quality? (Cite references to support your assertion.)
  • Explain how the structure of these models contribute to the process of gathering and evaluating the quality of evidence-based data.
  • Explain how evidence-based data shapes the care coordination process in nursing.
  • Describe three governmental regulatory initiatives and outcome measures that can be applied in the care coordination process to achieve the Triple Aim within a population.
  • Present process improvement recommendations to a stakeholder group clearly and concisely.
    • Address the anticipated needs and concerns of your audience.
    • What questions or objections are they likely to raise? How will you respond?
  • Support your main points, arguments, and conclusions with relevant and credible evidence, correctly formatting citations and references using current APA style.
    • Is your supporting evidence clear and explicit?
    • How or why does particular evidence support a claim?
    • Will your audience see the connection?
  • Additional Requirements
    PRESENTATION FORMAT AND LENGTH
    Your slide deck should consist of 10–15 slides that address the presentation criteria,not includingthe title slide, purpose slide, and references slide.
  • Begin your presentation with the following slides:
    • Title.
    • Purpose (the reasons for the presentation).
    • Definition of the Triple Aim outcome measures.
  • Use the speaker’s notes section of each slide to develop your talking points and cite your sources, as appropriate.
  • SUPPORTING EVIDENCE
  • Cite 3–5 sources of credible scholarly or professional evidence to support your presentation.
  • List your sources on the references slide at the end of your presentation.
  • Apply APA formatting to all in-text citations and references.
  • Portfolio Prompt: You may choose to save your presentation to your ePortfolio.

Your initial thesis and outline for your course project presentation are due this module. Your outline will be the skeleton from which you will write your project. Your outline should contain an idea for your introduction, thesis, and topic areas that make up the body of the paper. An idea for a recommendation for improvements to the country’s health system should come at the end.

Attention Wizard Kim. 

Week 6 Discussion: Practicum professional Development Objectives/ Progress Appraisal  3 pages. 

Rubrics 

Ethical Issues Debate Project Overview

During this course you will be working on an ethical issue debate project that requires you to take a position on an ethical issue. This project will take place in the Ethical Issues Discussion Board Forum. You will be graded on your video presentation as well as your participation. Please see the rubric in the discussion board and the requirements below for grading criteria. 

Project specifics: 

In Week 3:

Your instructor will assign you a topic and a viewpoint position. They will be posted in the discussion forum during Week 3. Note: You may not be personally for or against the topic and stance you are given. However, it is your job to convince your peers of the issue and stance using your presentation with supporting evidence.