informatics

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The table below gives some operational statistics for two hospitals located in the same community. Use the table to answer the following questions.

  1. Calculate the following measures for each hospital (wherever appropriate, calculate the measure for each pay type). Discuss the meaning and significance of each measure and point out the differences between the two hospitals.
    1. Hospital capacity
    2. ALOS
    3. Occupancy rate
  2. Operationally, which hospital is performing better? Why?
  3. Do you think the nonprofit hospital is meeting its community benefit obligations in exchange for its tax-exempt status? Explain.
  4. Do you think the hospitals have a problem with excess capacity? If so, what would you recommend? In your answer to this question, please consider how hospital governance may impact the ability of an administrator to make changes.

ASL Reflection

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Student expresses empathy and awareness of personal role in the solution and makes a connection to the bigger picture.

health care statistics.

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Primary Task Response: write words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.

You are a health care administrator (HCA) for a community hospital named Choice Hospital. As the HCA, you are working with new staff who will assist you with data collection and analysis for tracking and benchmarking performance in several key areas of the facility. As you work with the new staff, you will help them understand the meaning of health statistics and  the external resources available for locating health care statistics by completing the following:

  • Define health care statistics. 
  • Explain the purpose of collecting and reviewing healthcare statistics
  • Identify 2 organizations that use health care statistics at the local, state, and national levels (e.g., CMS hospital system)   
  • Identify 2 sources that are available to obtain healthcare statistics

Discusssion

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 Read

APRNs are primary care providers, pivotal in providing primary health care and preventive services in communities. Advanced practice nursing is defined by the Nurse Practice Act but governed by the Board of Nursing in different states or territories. Where the Nurse Practice Act falls short in interpretation, the Board of Registered Nursing guides the form of an opinion (American Nurses Association, n.d.). Advanced practice nurses should understand how these laws and regulations shape practice.

            I am from California, and I chose Iowa for comparison. In both states, APRN nursing regulations allow advanced practice nurses to function as primary care providers with permission to certify disability pursuant to the unemployment insurance code section2708 (California Legislative Information, n.d.). Similarly, in both states, APRNs also sign POLST forms.

            APRNs in California can prescribe controlled substances after fulfilling specific requirements, including six months of physician supervision, a pharmacology course, and another specific course about schedule II-controlled drugs. Iowa Board of Registered Nursing also allows nurse practitioners to prescribe Schedule II drugs after registering with the pharmaceutical board. Both states require the prescriber to be registered with the Drug Enforcement Agency.

           Advanced Registered Nurse Practitioners in Iowa have autonomy in practice; alternately, they can collaborate with a physician or surgeon, but this is not a requirement of the Iowa Board of Nursing. APRNs in Iowa practice autonomously. California has a standardized procedure arrangement for advanced practice nurses to diagnose, treat, and prescribe. APRNs in California have career-long supervision, delegation, or team management by a physician. Largely, California regulations allow advanced nurse practitioners to approve, sign, or modify treatment plans after consultation with a physician.

          California Board of Registered Nursing allows for using marijuana by nurses as long as it is not used within the workstation. The legislation makes it unlawful for an employer to eliminate hiring someone based on that person using Cannabis away from their workstation. The legislation further guides that a nurse who uses cannabis for medical purposes should also be exempted from this policy. On the contrary, recreational use of marijuana is illegal under Iowa law. A nurse may be affected even if the positive drug screen was done in another state that allows the use of marijuana. Potential employers usually forward positive marijuana screens where a nurse has a license.

           Advanced Practice Registered Nurses with full legal authority to practice at full scope will have issues practicing autonomously in California because of the restricted practice legislation. One of the objectives of the ANA is to fight barriers to nursing practice so that nurses practice to the full extent of their education and training despite being in different territories. All nurses are licensed by their state of practice or by a multistate license. The Nurse Licensure Compact provides APRNs with a multistate license that allows nurses to practice in the home state and other compact states (NCSBN. (n.d.). Not all states are compact states.

            Nurses adhere to the rules through continuous education to keep up with the latest practices and technology. Many approved colleges provide the necessary certification; some are state-specific, and others can be found online. Joining Professional organizations is also useful for sources of the latest information in the medical world.

explain how the regulatory environment and the regulations selected by your colleague differ from your state/region. Be specific and provide examples. 

cultural diversity discussion 1

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Select one of the discussion prompts below and respond to it with an initial post by Day #4 of the unit week. Your initial post needs to thoroughly address all parts of the selected prompt and be supported by at least one scholarly source. Then, respond to at least two threads on two additional days to drive the weekly discussions. All posts must demonstrate critical thinking and effective written communication including proper spelling, grammar, professional language, and APA formatting of references and in-text citations. All posts must also be submitted no later than the last day of the unit week.

Discussion Prompts

Prompt #1

How do you define “cultural diversity”? Do you think the way you define cultural diversity is the same or different than how others might define it? What elements contribute to a person’s “cultural identity”? What if everyone in the world had the same cultural identity? Do you think this would be a place you’d want to live? Why are discussions about cultural identity important?

(USLOs 1.1, 1.2, 1.3)

Prompt #2

Share with us some of your personal and cultural identities. Please share 6 aspects of yourself with the group. Here are some identity categories, for example:

  • Cultural Heritage(s)
  • Nationality(-ies)
  • Family
  • Race/Ethnicity
  • Religion/Religious influences
  • Sexual Identity
  • Disability Status
  • Language Community(-ies)
  • Character trait(s)

Do any of these identities relate to one another, if so, how? What would a person who read about your identity be able to reveal about you? What would a person who read about your identity not be able to tell about you? Do any of your cultural identity groups practice allyship? If they do not practice allyship, how might they engage in activities to be more inclusive and equitable?

Please Reply to the following 2 Discussion Posts:

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Please see the attachment for the instructions

Vulnerable Populations

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How effective are the resources in your community for the vulnerable populations we have discussed over the past 2 weeks?  In which areas is there room for improvement? 

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. 

Program critique

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Please follow all directions 

D. Saa Critical Care Wk 2 Disc

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MY NUMBER ASSIGNED WAS 4 WHICH IS: Compare the following types of tidal volume: Pressure versus Volume

Initial post:Each student will be assigned a number randomly.  Whatever your number is, select the corresponding topic below, then post a minimum of 5 bullet points about the topic.Your bullet points should address key components of the topic, such as what, how, who, & why.  This information should not be basic things you learned in Med/Surg, but rather advanced critical care based. Think about this as a group effort to create a study guide. Use ONLY your textbook, but do not cut & paste from the book.Then create, find, or borrow a test style question about your topic & post at the bottom of your bullet points. The format needs to be multiple choice or select all that apply. Think NCLEX style. Each week include a paragraph with the results from one of your weekly interviews.Discussion post assignments are worth 20 points each as follows: 

  • 5 points for the quality of your bullet points.
  • 5 points for the quality of your question.
  • 5 points for answering the question of a peer as your response.
  • 5 points for the quality of your rationale.
    • Quality is defined as thorough and thoughtful while demonstrating professional level knowledge of the topic.

Week 5 Reflection

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  • In what ways could an understanding of systems theory and complexity science impact the role of the NP?
  • Take a few minutes to reflect on the NP practice model that is most predominant in advanced practice environments you have observed. Are you satisfied with the demonstrated level of interprofessional collaboration?
  • Briefly consider what appears to be the driving practice model for advanced practice nursing in your state. If your state lags behind in its practice model language, what might you do to facilitate change?