assist week 5

Week 5 – Assignment: Support Quality Performance Improvement through Enhanced Interprofessional Communication

For your assignment this week, you will use the case study found in the week's resources titled, Case Study: A Private Practice in the Pennsylvania Chronic Care Initiative. 

After reading the case study, you will take on the role of a health administration intern hired by Dr. Johnson to run his office practice, and you will prepare a draft written communication in the form of a business letter or memorandum addressed to the local Chief Executive Officer Jamie Harper (fictitious) at Hospital Anywhere (fictitious). 

According to the Agency for Health Research and Quality, a challenge to improving quality in private physician practices is the lack of communication with hospital organizations to increase the exchange of information related to the emergency room visits, hospital admissions, and discharges of their patients especially when the physician does not have privileges to practice at the hospital and is not notified of the patient's medical or surgical treatments.

Your communication in the form of a business letter or memorandum as the health administration intern wrote on Dr. Johnson's behalf to CEO Jamie Harper will include the following information:

 A salutation and introduction of who you are and on whose behalf you are writing. Give Dr. Johnson a fictitious first name and give the medical practice a fictitious name.

 Background information in synopsis form on the operation of your physician's office practice and how and why your practice has joined the
Pennsylvania Chronic Care Initiative (PCCI). Be sure to mention the quality outcome performance of the office before and since joining the
PCCI (this information is in the case study; so, be sure to summarize the important points regarding these quality measures as it relates to the diabetic patients).

 State the reason for your written communication that includes the desire to improve the interdisciplinary communication between Hospital Anywhere and your office practice especially for your diabetic patients and the potential hospital services that would be beneficial to your diabetic patients (see the Miller-Rosales and Rodriguez (2021) resource in your Weekly Resources).  

 Propose how using the identified hospital services will benefit the hospital and your office practice from both a healthcare quality and financial perspective.

 Provide a closing paragraph in your business letter/memorandum and the appropriate complimentary signoff. Be sure to mention the attachments you are providing.

 Create a tool that you propose to collect the data from the identified hospital staff following their consultations with your diabetic patients and include it in your business letter or memorandum as an Attachment 1 (see the Miller-Rosales and Rodriguez (2021) resource in your Weekly Resources).

 Lastly, create a draft checklist that you will provide to your office staff to assure your diabetic patients are completing their annual tests and screenings and include it in your business letter/memorandum as Attachment 2 (see the Florida Blue Medicare Caregiver Guide (2019) in your resources). 

Be creative with this assignment and enjoy its real-world applicability. While it is not a requirement for this assignment, you may wish to embellish your business letter or memorandum. You can find a business or memo templates from the MS Word templates. Click
File at the top of your Word document, then click
More Templates. Remember, if you use a template, after the first page of a memorandum, the remaining pages usually are plain. Be sure to consult APA guidelines for the use of attachments which may be called appendices. 

Length: A minimum of 3-4 pages, not including the title page, reference page, or the 2 attachments

https://www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/gabbay.html

https://www.tandfonline.com/doi/full/10.1080/20009666.2019.1593782



Florida Blue Medicare Family Caregiver Guide

Florida Blue Medicare Caregiver Guide (2019).
Florida Blue Medicare Resources.

Consult page 31 in this resource for your assignment this week to see a list of the annual tests required for diabetics.

https://www.jabfm.org/content/34/1/151



Interdisciplinary Primary Care Team Expertise and Diabetes Care Management

Miller-Rosales, C., & Rodriguez, H. P. (2021). Interdisciplinary primary care team expertise and diabetes care management.
Journal of the American Board of Family Medicine, 34(1), 151-161. doi: 10.3122/jabfm.2021.01.200187.

Use this resource to complete your assignment as the researchers discuss the use of interdisciplinary care to manage patients with diabetes.

Case Soap Note 2

See attachment 

Article Critique

DUE October 11, 2023

crazy theory d2

Discuss the implications of complexity and chaos theories for use in the advanced nursing leadership role.

Expectations

Initial Post:

  • Length: 150 – 250 Words

doctor of nursing practice

  

As a Doctor of Nursing practice (DNP) graduate, address the following questions;

1. When you start using the term “doctor,” do you believe physicians, pharmacists, or other professionals with practicing doctorates would intimidate you? And if so, how will you handle these circumstances?

2. What strategy would you employ to address this problem in your situation if you encounter resistance to your proper title?

3. What strategies may DNP holders employ, in your opinion, to raise public knowledge and comprehension of the DNP degree?

Document this assignment in a 3 pages word document. Include 5 articles published in last 5 years. 

Community Teaching Plan & Evaluation

 

After reviewing Module 6: Lecture Materials & Resources, explain approaches to community intervention and evaluation. Implement a teaching and evaluation plan.

  1. Choose one topic from the prevention strategies and intervention recommendations identified in Module 4 Assignment.
  2. Develop a teaching plan, including objective, content outline, teaching method, and time in a table format found in slide 3 of the Template Download Template.
  3. Develop an evaluation plan for your teaching intervention and create a tool for feedback from your learners. Be sure to include the questionnaire and any other teaching tools within the powerpoint presentation for faculty analysis.
  4. Implement the teaching plan and evaluation during Visit 5 of your clinical experience.
  5. Summarize the outcomes of your teaching plan and evaluation based on the results from the questionnaires.

Supplemental activity

  1. Use of prednisone in childhood severe asthma.
  2. Metformin and lactic acidosis.
  3. Congestive heart failure therapy with a diuretic medication.
  4. Immunization schedule/catch-up vaccination in childhood -until 12 years old.
  5. Type 2 diabetes mellitus and bile acid sequestrant.
  6. Urge incontinence or overactive bladder diagnoses and management.
  7. Dosing regimen principles in a pediatric population. 
  8. Testing for type 2 diabetes in all adults.

Week 2 discussion

Conc of Pathophys for Nsg.

https://files.galencollege.edu/media/ADN/NUR242_170/fluid_and_electrolytes/FluidsOverview/story.html

https://files.galencollege.edu/media/ADN/NUR242_170/fluid_and_electrolytes/electrolytes/story.html

Week 2 Discussion: Anorexia and fluid and electrolyte imbalances (USLOs 1, 2, 3, 4)

You are a nurse caring for 16-year-old Jonathan Collins. He was admitted to the emergency department after passing out during gym class. During your admission assessment, he admits he has not been eating much and exercising more to lose weight.  Based on this information, your prior knowledge of this client (refer to medical card from the Collins-Kim family tree interactive), and your knowledge of the pathophysiology of anorexia and fluid and electrolyte imbalances, respond to the following prompts:

1. Thoroughly explain the pathophysiology of 
anorexia. Use a 
scholarlyor 
authoritative source to support your answer.

2. Examine each of the following three factors related to this disease process. 
Support all three with a scholarly source.

· cultural

· financial

· environmental implications

3. Identify 3-5 priority nursing interventions for the client while in the 
emergency department.

4. Describe labs and diagnostic testing you would want to include in client’s plan of care and why. What are critical indicators? 
Support with a scholarly source.

5. What members of the interdisciplinary team need to be included for holistic patient-centered care? 
Provide a rationale and support with a scholarly source.

Health Issue and Advocacy

The purpose of this assignment is to identify a health issue requiring advocacy from the nursing
profession on a local, regional, state, national, or international level. This topic can be related to
health promotion, population health, disease management, or patient safety in the community or
other healthcare setting. You are assuming the role of advocate in various capacities. The topic
you select for this paper will be the subject of your Policy Brief and Advocacy Letter
Assignment. Therefore, research thoroughly your topic of interest to ensure that it can be applied
across both assignments.
In this paper you will identify a health issue which may or may not already be represented in the
form of legislation or health policy. Individuals may just take a position on an issue affecting
local policy with decision makers.
An example of this with legislation includes:
• Health issue: primary care access for patients
• Health policy: increasing primary care providers using nurse practitioners; support of PA
HB 765 for CRNP independent practice
An example of this without legislation includes:
• Health issue: increased chronic back pain from integration of technology in healthcare
• Health policy: ergonomic evaluation of work environments for all employees; letter of
support to employers for new healthcare organization policy
Using APA format and criteria from the Grading
Rubric for Written Assignments, in 5 double spaced pages (excluding the title page and reference
page) present the following details:
Criteria for Your Advocacy as a Nursing Professional
Introduction
Outline of health issue and existing or necessary health policy
and/or politics. Why is this significant to nursing?
List and discuss any other stake holders who would be concerned
with the health issue, in favor or opposition.
Propose a plan on this health issue advocacy:
• Effect of the health issue on health policy and politics

• Interventions to be implemented in this advocacy to enact
change; incorporate health politics as pertinent
• Identify opposition which can be encountered.
Conclusion