Instructions:

After completing this week\’s readings (i.e., a personal account of the Rwandan genocide) and the materials below, articulate your opinion of how current and future threats of ethnic genocide should be handled. 

Step 1: View the following two videos describing recent events in Xinjiang China:

https://www.pbs.org/video/china-power-and-prosperity-1570223945/Links to an external site.

https://www.youtube.com/watch?v=VRS5cdcsUOcLinks to an external site.

Step 2: Read the follow article that provides a more personal account of events in Xinjiang (*a chance to hear an individual’s story, in detail). It also includes descriptions of historical and political context (*you should be able to read it without a subscription, just on a reduced screen).

https://www.newyorker.com/magazine/2021/04/12/surviving-the-crackdown-in-xinjiangLinks to an external site.

Step 3: Respond to the following prompt (1 page, single-spaced, 12 point font)

1. Articulate who you think is responsible for the Rwandan genocide? Colonial powers (i.e., through institutionalized discrimination)? Those who gave the orders? Those who carried out the orders? Those in Rwanda who failed to stop it? Those outside Rwanda who failed to stop it? You may assert a single choice or assert multiple layers of responsibility. Either way, pinpoint why you assign responsibility in the way(s) you do.

2.  Next, apply the question of responsibility to how the “world” should respond to present-day, unfolding events. Describe your reaction to the events with the Uyghurs in China using the following 3 prompts:

(1) Describe your awareness or lack of awareness of Uyghur experiences in Xinjiang before this exercise, include consideration for the role of media coverage and global conversation when responding to threats of genocide

(2) Describe three details that stood out to you in the above materials that shape your understanding of Uyghur experiences and/or China\’s position (i.e., what do you know now)

(3) Suggest strategies for responding to current threats faced the Uyghurs. This is an opportunity to weigh-in with your opinion.

____________

Template with section headings (please use these headings in your paper):

Assignment # 3: Culturally Sensitive Population Care Management Plan Paper ( pages excluding title page, references and appendix with list of organizations and links)

a.       Identify the physical or mental health disparity that this plan addresses: describe, using RECENT (not older than 5 years) peer-reviewed evidence, ONE specific physical or mental health disparity experienced by this population; three (3) causes of the health disparity, and what initiatives have taken place to address the health disparity (including what has worked and what has not worked). Describe what needs to be done now and in the next 12 months to address this disparity.

b.       Describe your selected aggregate with the physical or mental health disparity: including RECENT demographic information on the estimated number of individuals in the community served by the organization, the age range of this population, and a description of the environment where they live; provides 3 examples of cultural values and practices that impact the chosen population when a person seeks physical or mental healthcare services and follows the health care providers’ instructions; includes 3 information examples on this population’s perceived value of health and access to care; describe financial access issues including private pay for services. Describe the specific organization located in a specific community where you will implement your plan. Identify three evidence-based models of care that have been used with a similar population and physical or mental health disparity.

c.       Apply the cultural competency model to address how it will structure your plan in addressing the identified physical or mental health disparity.

d.       Identify strategies for eliminating physical or mental health disparity: describe 5 implementation strategies that are based on best practice evidence including adapting evidence-based models to reduce the identified disparity

e.       Proposed care management plan and implementation steps: describe the care management plan including the specific departments within the organization who will be involved.  Identify at least six (6) specific steps that need to be taken to implement this plan. Include who will be carrying out the specific implementation steps and the timeline for completing the steps.

f.         Organizations to consider for grant funding: provide three (3) names of organizations that you can apply for grant funding to support implementing your Population Care Management Plan; include information on the title of the grant being applied for and a link to the grant guidelines from each of the organizations in the appendix.

g.       Measuring projected health outcomes for the physical or mental health disparity addressed in the care management plan: describe three (3) specific measurable health outcomes to evaluate the plan’s success; describe who will collect, synthesize, create the outcomes report, and distribute the data. Determine and describe the specific tools that will be used to collect data, who will collect the data, and three (3) distribution channels that you will use to disseminate the findings. Consider cost of intervention and sustainability.

h.       Summary:  2-3 paragraphs summarizing each of the prior sections to use as an executive summary for the plan.

Review Dr. Rand\’s PowerPoint presentation \”Online Health Communities: The influence of social media on consumer empowerment.

2. Read Nambisan\’s article for instructions on how to evaluate Online Health Communities from a consumer perspective. ***You will use the FOUR Dimensions of online health communities described in this classic article in your Assignment #4

https://cpb-us-w2.wpmucdn.com/sites.uwm.edu/dist/8/147/files/2019/10/Nambisan-HCMR-2011.pdf

3. Explore online health communities recommended by Pinterest  https://www.pinterest.com/restministries/health-communities-online/ or WebMD  https://exchanges.webmd.com/default.htm

4. Follow the instructions on slide 4 of the PowerPoint presentation for specific instructions on how to complete this assignment.

Assign at least one page per OHC website evaluation and respond to activities a, b, and c below for each OHC.

a)   Describe the purpose of the virtual health community that you selected.

b)   Evaluate the website based on 4 dimensions of experience: Pragmatic, empathic, sociability, and usability experience.  The parameters for evaluation are described in Nambisan’s article (Week 13 folder) with details in the next slide.

c)   Describe why or why not you would recommend each site to a patient/client with that condition

Paper requirements: APA format including:

• 4 page count – this EXCLUDES title page, abstract and reference page.
• Title page
• Abstract of less 150 words must be included.
• 3-5 Keywords.
• Reference page with minimum of five (5) references from the literature required. ( 2020-2025)
• Font: Times New Roman #12, double spaced, one inch margins

Write a 1-2 page paper about some of the Best Practices you have learned about during this course. How will these practices improve patient's outcomes? You must use APA and have at least three references less than three years old to support your choices.

Make a follow-up of a student's weekly discussion and respond with your opinion regarding to her post

——You don't have to post this in APA format necessarily, it's just giving feedback to the student .

Jacqueline Kenney

Good Evening Professor,

              I work in one of the largest hospital systems in Atlanta. The facility I work for has the bed capacity for 686 patients. The hospital specializes in cardiovascular procedures (the implantation of the LVAD) and transplantation of liver, and kidneys. The hospital attracts people from across the country. People coming from literally every state, and sometimes from out of the country.

            The area where I see the EHR impeding patient care, and again this might be in part, due to end-user negligence, are providers not utilizing the information and data contained within the patient's EHR frequently enough.  We run off a system called EPIC (EHR). I have come to realize most hospitals in the state of Georgia, and other states use EPIC as well.  Embedded within the EPIC system is a hyperlink called Care Everywhere. The Care Everywhere tab allows all providers on the EPIC system to see notes, documentation, tests results, frequency of visits, and more. This data covers every hospital, clinical, urgent care, and office visit the patient has encountered so as long as the facility is on the EPIC system. I believe the shear amount of medical information becomes overwhelming and time consuming to comb through, especially for medical providers who are already seeing numerous patients at the bedside and in specialty offices. 

          Despite medical documentation being readily available to providers across the healthcare spectrum, there seems to be little time for a busy Cardiologist to review necessary documentation from the patient's Pulmonary doctor, or the notes placed from Endocrinology. Often a patient comes for a visit due to CAD, but the patient is also a diabetic with uncontrolled elevated blood glucose. We know one disease process feeds the other, but in spite of the EHR containing valuable patient data, providers are still missing imperative clinical information required to treat the patients holistically. 

          The one department which I see consistently using chart review to coordinate care with patients, providers, and families are RN Case Managers within the hospital setting.  RN Case Managers, and Care Coordinators are responsible for knowing what is missing in the patient continuum of care. The RNCM interfaces with the providers, and assists in providing education to both medical MDs and patients regarding critical clinical information which will advance the clinical process and bring better patient outcomes. McBride & Tietze (2018) discussed unintended harm, or consequences suffered by patients with the implementation of the EHR. One such consequence has to do with physicians required to research, and review copious amounts of previous documentation, as well as being required to spend greater amounts of time entering documentation.  Such time consuming tasks often create information, and important patient data not being read, or documented in an effort to save time, and so providers can physically see more patients. 

Resources

                FAAN, S.M.P.R. C., & FAAN, M.T.P.R. F. (2018). 
Nursing Informatics for the Advanced Practice Nurse (2nd ed.). Springer Publishing LLC. 

https://ambassadored.vitalsource.com/books/9780826140555Links to an external site.

           Williams, M. D., Asiedu, G. B., Finnie, D., Neely, C., Egginton, J., Finney Rutten, L. J., & Jacobson, R. M. (2019). Sustainable care coordination: a qualitative study of primary care provider, administrator, and insurer perspectives. 
BMC health services research, 
19(1), 92. https://doi.org/10.1186/s12913-019-3916

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