Quick Answer CDC

Review the Culture and Health Literacy page on the Centers for Disease Control and Prevention (CDC) website. Its at the bottom of this post.

Discuss your thoughts with the class about the content addressed on the website and answer the following question in 175 to 265 words:

  • How could you use information to communicate cross-culturally as a health care administrator?

Read and respond to at least two of your classmates’ discussion posts in 100-150 words. Be constructive and professional with your thoughts, feedback, or suggestions.

Culture & Health Literacy

Tools for Cross-Cultural Communication and Language Access Can Help Organizations Address Health Literacy and Improve Communication Effectiveness

Group of four people in a meeting.

Effective communication recognizes and bridges cultural differences.

The ideas people have about health, the languages they use, the health literacy skills they have, and the contexts in which they communicate about health reflect their cultures. Organizations can increase communication effectiveness when they recognize and bridge cultural differences that may contribute to miscommunication.

Culture Allows and Can Get in the Way of Communication

Culture can be defined by group membership, such as racial, ethnic, linguistic or geographical groups, or as a collection of beliefs, values, customs, ways of thinking, communicating, and behaving specific to a group.

As part of a cultural group, people learn communication rules, such as who communicates with whom, when and where something may be communicated, and what to communicate about. Members of a cultural group also learn one or more languages that facilitate communication within the group.

Sometimes, though, language can get in the way of successful communication. When people and organizations try to use their in-group languages, or jargon, in other contexts and with people outside the group, communication often fails and creates misunderstanding and barriers to making meaning in a situation.

Doctors, nurses, dentists, epidemiologists, and other public health and healthcare workers belong to professional cultures with their own languages that often aren’t the everyday language of most people. When these professionals want to share information, their jargon may have an even greater effect when limited literacy and cultural differences are part of the communication exchange with patients, caregivers, and other healthcare workers. Review the Find Training section of this website for courses in culture and communication.

Translation and Interpretation Are Necessary but Not Complete Solutions

Translated materials and interpreter services can help bridge language differences, but translations and interpreter services may not be fully accurate or complete. Not all languages have words for something that exists in other languages and cultures, and not all words and ideas can be easily translated into or explained in another language.

Or, people may have weak literacy and numeracy skills in their native language, and translated materials are too complex or technical for them. The interpreter may not be fully attuned to the need for everyday language, making it difficult for the client to fully comprehend the information.

The context for communication, such as the physical location or people’s shared or different experiences, may also affect the meaning of translated and interpreted words. The intended meaning may be lost, causing confusion even when everyone involved in the communication exchange believes they understand what is being said.

Organizations Can Support Cross-Cultural Communication and Language Access

The National Institute on Minority Health and Health Disparities (NIMHD)  launched a resource for people who work with health disparity populations with limited English proficiency: the Language Access Portalexternal icon (LAP). The LAP contains information, in multiple languages, for six disease areas where major health disparities have been identified in non-English speaking populations. The portal supports NIH’s comprehensive Language Access Plan by providing access to reliable cross-cultural and linguistically appropriate health information from NIH and other federal agencies.

The National Culturally and Linguistically Appropriate Services (CLAS) Standardsexternal icon can help organizations address the cultural and language differences between the people who provide information and services and the people they serve. The principal standard is to provide effective, equitable, understandable and respectful quality care and services that are responsive to diverse cultural health beliefs and practices, preferred languages, health literacy and other communication needs.

Organizations can use the Guide to Providing Effective Communication and Language Assistance Servicesexternal icon to help communication between those who provide and receive care in a health care facility.

Federal agencies, and potentially organizations that receive federal funds, must create and follow plans to meet the needs of people with Limited English Proficiencyexternal icon. On November 3, 2015 the U.S. Census Bureau released a set of new tablesexternal icon reporting at least 350 languages that U.S. residents speak in their homes. These tables show the number of speakers of each language and the number who speak English less than “very well” — which is a common measure of English proficiency.

The best way to make sure of translation and interpreter quality is to select and match certified translators and interpreters with the primary audience. The American Translators Associationexternal icon has information on the certification process. A good match between translator or interpreter and primary audience happens when the translator or interpreter uses information about the language preferences, communication expectations, and health literacy skills of the audience to create appropriate messages and materials.

Health professionals and educators can use the Primer for teaching cultural competency. The Primer: Cultural Competency and Health Literacyexternal icon guide provides teaching tools to improve cross-cultural communications skills, deliver culturally and linguistically appropriate healthcare services to diverse populations, and develop programs and policies to improve health outcomes and reduce health disparities.

The CDC webinar, Cultural Competence in Preparedness Planning, can help your organization enhance its commitment to cultural competence during emergencies and reduce the disparities among people of different cultural backgrounds that can sometimes arise during disasters. Our Emergency Partners Information Connection and Office of Minority Health and Health Equity came together for this webinar to discuss:

  • Why responding organizations should demonstrate cultural competence during emergencies
  • What can happen if a responding organization is culturally incompetent
  • Where you can find resources to help build your organization’s understanding of cultural competence

Resources for Translated Materials

Assignment 1: Identifying the Organizational Learning Issues Overview

 

Identifying the Organizational Learning Issues

Overview

Suppose that your organization, or an organization that you are familiar with, is dealing with a major issue in transitioning individual learning (such as, sharing knowledge, training programs, working as a team, experiences, procedures, processes) into organizational learning. The chief executive officer (CEO) has asked you, as the vice president of human resources, to assist with the issue and to help the organization transition its culture to this new way of learning. Before you provide any recommendations to address the issue, you must first research the root of the problem and the resistance to this transition.

Note: You may make all necessary assumptions needed for the completion of this assignment. In your original work, you may use aspects of existing processes from either your current or a former place of employment. However, you must remove any and all identifying information that would enable someone to discern the organization(s) that you have used.
 

Instructions

Write a 3–4 page paper in which you:

  • Assess the organization’s culture as it relates to shared knowledge, then specify the significant issue(s) that you discovered with the culture. Determine the disconnect you observed between the culture and organizational learning using three of the five mystifications. Support your response with at least one example of each selected mystification within the organization.
  • Give your opinion on the current Organizational Learning Mechanism(s) (OLMs) that hinder organizational learning. Support your response with one example of a training or learning initiative (for example, sharing knowledge, training programs, working as a team, experiences, procedures, processes) and the outcome when it was applied to the organization.
  • Determine which one of the following OLMs is suitable for replacing the identified OLM(s) that hinder organizational learning as a corrective action to facilitate the transition from individual to organizational learning: Off-line/Internal, Online/Internal, Off-line/External or Online/External. Justify your selection.
  • Evaluate the norms of the organization’s learning culture to determine the source or sources that currently prevent productive learning by applying two of the following norms: inquiry, issue orientation, transparency, integrity, or accountability. Provide at least one example of each of the selected norms’ manifestation within the organization in your evaluation.
  • Use at least five quality academic references in this assignment. Note: Wikipedia does not qualify as an academic resource.

This course requires the use of Strayer Writing Standards. For assistance and information, please refer to the Strayer Writing Standards link in the left-hand menu of your course. Check with your professor for any additional instructions.

The specific course learning outcome associated with this assignment is:

  • Evaluate Organizational Learning Mechanisms (OLMs) that support the transition from individual to organizational learning, and learning culture norms that hinder productive learning.

Discussion Question 1 week 3

 

Please respond to the following:

  • Using one image risk (ignorant, incompetent, negative, and disruptive), assess the potential effects of one psychological threat that a person may witness in his or her learning process for either academic courses or career progression (for example, certifications, training, professional conferences). Suggest two ways to overcome the identified risk in order for the person to experience psychological safety. Justify your response.

In a 2000 word essay

 

Task: In a 2000 word essay, examine the potential  benefits and risks associated with one of the following:

  • the use of ‘gig’ platforms to outsource work
  • the organisational use of biometrics
  • the robotization/automation on a particular industry or occupation
  • normalizing the inclusion of neurodiverse colleagues

Identify ethical dimensions of these practices and consider how risks associated with these might be mitigated.  This should be presented in a 2000 word essay. 

It is essential that you reference appropriate literature (academic works/journals). The essay must include proper academic referencing.

  • Content: Demonstrates an understanding of the impact of new technologies on the organisation and control of work (30%)
  • Analysis: Clearly articulates risks and benefits associated with the  choice of practice/technology (40%)
  • Conclusions: Identifies risk mitigation strategies (30%)

Assignment 03: Research Topic

HA3300D – Healthcare Policy and Ethics

Assignment 03: Research Topic

Directions

In the Assignment 01, you considered 3 possible topics for the research paper you’ll submit at the end of this course. Today, your challenge is to narrow that list down to just 1 topic, and then to convince your professor that it’s a good one.

But how will you do that? The best research topics are specific, as this video from ProQuest Research Companion explains. Once you have (a) chosen and (b) narrowed your topic, propose it to your instructor.

What to Submit for this Assignment

Your proposal must include:

The original, broad topic with which you started.

The narrower, more specific topic your paper will consider.

Ethical questions and issues this topic raises.

Initial questions you have about this topic.

Your proposal should be 8-10 sentences, formatted in APA style, and use correct grammar, spelling, and punctuation.

Ford paper

Case analysis assignment. Please submit the assignment by clicking on this weeks content folder. A turnitin submission link will appear. Total page length is 2 pages, double spaced. Times New Roman 12 font, 1 in margins. Read the following case in the book : Fords Global Platform Strategy . Pg 624 in ebook (Pls see list of contents in other versions for the Ford case in the book. The title would be the same.) Answer the following questions and refer to concepts from the text in your answers: 1. What strategy was Ford pursuing for competing internationally, (prior to Alan Mulally’s arrival). 2. What changed at Ford after Alan Mulally? 3. Should Ford continue with the global platform strategy or make 

Introductory Speech Outline

 

Introductory Speech Outline

Overview

Strong oral communication skills will be valuable to you  throughout your academic journey. They are in high demand by many  employers. Creating an outline is critical to your success in crafting  an effective speech.

For this assignment, you will create an outline. The speech based on your outline is due next week. 

Instructions

  1. Select either Topic A or Topic B for your introductory speech.        
    • Topic A: Elevator Pitch. Deliver an elevator pitch that  describes your professional background and experience for a potential  employer during a job interview.
    • Topic B: Dream Career. Discuss your dream career.
  2. Create an outline or speaking notes in Microsoft Word.        
    • Download the Sample Outline [DOCX], which provides guidance for the structure of an outline.
    • Focus your speech on 2–3 main points so you’ll stay within the 2-minute time limit.
  3. Submit the completed outline in a Microsoft Word document.

Requirements

Your assignment will be graded according to the following criteria:

  • The outline is complete and on topic.
  • The outline provides solid flow for the speech.
  • The outline is clear and free from spelling and grammar issues.

This course requires the use of Strayer Writing Standards. For  assistance and information, please refer to the Strayer Writing  Standards link in the left-hand menu of your course. Check with your  professor for any additional instructions.

The specific course learning outcome associated with this assignment is:

  • Outline a speech using a structured flow and proper spelling and grammar.

STAT305

 Let X  = (X1,…,Xn) be the blood pressure (measured in mmHg) and let Y = (Y1,…,Yn) be the cortisol level (measured in mcg/dL) recorded for n = 79 patients recruited for a study in a hospital (Xi and Yi are measurements for the same patient). What test is most appropriate to gather evidence towards the alternative hypothesis that blood pressure is associated with cortisol level? Please provide the reasoning in detail for your answer.

A)  The two-sample paired t-test with the null hypothesis that the means of X and Y differ.

B)  The test with the null hypothesis that the Pearson correlation coefficient between X and Y is zero.

C)  The test with the null hypothesis that the regression coefficient is zero in a linear regression with response variable X (blood pressure) and explanatory variable Y (cortisol level).

(5 points)

ii)  Suppose that a treatment is proposed to reduce the duration from the time of infection date, to the time at which a first negative test is recorded in people with mild COVID-19 (call this time period the duration). Suppose that 27 people with mild COVID-19 (the study population) are administered the treatment and 73 people with mild COVID-19 are not administered the

treatment (the control population). Both populations are sampled from patients tested at the same clinic over the same period. Let the durations for the study sample be X = (X1, X2,…), and the durations for the control sample be Y = (Y1, Y2,…). What test is most appropriate to gather evidence towards the alternative hypothesis that the treatment reduces the duration? Please provide the reasoning for your answer. Please provide the reasoning in detail for your answer.

A)  The one-sided two-sample unpaired t-test with H0: The mean of X is greater than or equal to the mean of Y.

B)  The one-sided two-sample unpaired t-test with the null hypothesis that the mean of X is less than or equal to the mean of Y.

C)  The test against the null hypothesis that the Spearman’s ranked correlation coefficient between X and Y is zero.

D)  The one-sided two-sample paired t-test against H0: The mean difference between Xi and Yi is less than or equal to zero.

E)  The two-sided two-sample paired t-test with the null hypothesis that the mean difference between Xi and Yi is zero.

(5 points)

iii)  Road vehicle accidents involving ambulances have more detrimental outcomes than accidents involving other similarly sized vehicles (Ray and Kupas, 2005). Measures to avoid such accidents are continually being refined by organizations involved in emergency medical services. Suppose that a city council is interested in knowing if adoption of such measures has lead to an improvement over the last decade. Suppose that the ratio between the number of accidents 

iv)  involving ambulances (the numerator) and the number of kilometers driven by ambulances (the denominator) has been recorded (rt with units’ number of accidents per kilometer year) for each year t over the past decade. Which single one of the following statistical quantities is most relevant 

for investigating whether or not measures are leading to improvements? Please provide the reasoning in detail for your answer.

A)  The sample standard deviation of rt.

B)  The sample mean of rt.

C)  The Pearson correlation coefficient ρ between rt and t.

D)  The regression coefficient for t in a linear regression with rt as the response variable and t as the explanatory variable.

E)  The regression coefficient for rt in a linear regression with rt as the explanatory variable and t as the response variable.

Problem 2: Bayes’ rule

A study was conducted to assess the sensitivity and specificity of four different human immunodeficiency virus (HIV) serology tests (Koblavi-D`eme et al. 2001). The Determine test was among the four, it was developed by Abbott Laboratories (an American provider of health care, medical devices and pharmaceuticals) and was found to have a true negative rate (the true negative rate is also called specificity) of 99.4% and a true positive rate (the true positive rate is also called sensitivity) of 100%. The true negative rate of a test for a disease is the probability that someone without the disease tests negative. The true positive rate of a test for a disease is the probability that someone with the disease tests positive. HIV may be transmitted from an expecting parent to their child by transmission during childbirth or by transmission to the fetus during pregnancy (throughout, assume that there’s no other way for a newborn to be infected). Treatment by the drugs zidovudine or nevirapine has been shown to reduce the rate of these sorts of transmission of HIV by 38% to 50% in the absence of other intervention (Koblavi-D`eme et al. 2001).

a) Suppose that an expecting parent is infected with HIV and they are treated with zidovudine or nevirapine during pregnancy. Suppose that after they give birth, a Determine serology test reports a positive test for HIV. What is the probability that the child does not have HIV? Round your answer to the nearest 10-th of a percent.

 (6 points) 

b) UNAIDS (an organization established by the United Nations Economic and Social Council) estimates the prevalence of HIV in Cˆote d’Ivoire among people aged 15-49 to be 2.6%. If a Determine serology test reported a positive test for HIV in someone selected uniformly at random among all people in Cˆote d’Ivoire aged 15-49, what is the probability that the person does not have HIV? Round your answer to the nearest 10-th of a percent.

(4 points)

c) In the USA, according to the Centers for Disease Control (a public health institute within the United States Department of Health and Human Services), if someone has a positive serology test for HIV they are not diagnosed as HIV-positive until a second follow-up test also yields a positive test result. What is the probability that someone is incorrectly diagnosed as HIV-positive (i.e., if someone is not infected with HIV, what is the probability that their first test and also their second follow-up test are both positive)? Suppose that both tests are Determine serology tests, and also assume that the test results are statistically independent. Express your answer in expected number of events in a million (i.e. something like ‘a 36 in a million chance’ or ‘a one in a million chance’). Also: In one sentence, what is a possible argument as to why the assumption of independence of the two test results might be wrong? (Your argument does not have to be sound, but it must be valid without being tautological).

 (3 points) 

d) What is the probability that an HIV infected expecting parent transmits HIV to their child either during childbirth or through transmitting HIV to the fetus during pregnancy, given that the parent has not received treatment with the drugs zidovudine or nevirapine, and in the absence of other intervention, according to the preamble of this problem (in concordance with Koblavi-D`eme et al. 2001)?

(2 points) Let X  = (X1,…,Xn) be the blood pressure (measured in mmHg) and let Y = (Y1,…,Yn) be the cortisol level (measured in mcg/dL) recorded for n = 79 patients recruited for a study in a hospital (Xi and Yi are measurements for the same patient). What test is most appropriate to gather evidence towards the alternative hypothesis that blood pressure is associated with cortisol level? Please provide the reasoning in detail for your answer.

A)  The two-sample paired t-test with the null hypothesis that the means of X and Y differ.

B)  The test with the null hypothesis that the Pearson correlation coefficient between X and Y is zero.

C)  The test with the null hypothesis that the regression coefficient is zero in a linear regression with response variable X (blood pressure) and explanatory variable Y (cortisol level).

(5 points)

ii)  Suppose that a treatment is proposed to reduce the duration from the time of infection date, to the time at which a first negative test is recorded in people with mild COVID-19 (call this time period the duration). Suppose that 27 people with mild COVID-19 (the study population) are administered the treatment and 73 people with mild COVID-19 are not administered the

treatment (the control population). Both populations are sampled from patients tested at the same clinic over the same period. Let the durations for the study sample be X = (X1, X2,…), and the durations for the control sample be Y = (Y1, Y2,…). What test is most appropriate to gather evidence towards the alternative hypothesis that the treatment reduces the duration? Please provide the reasoning for your answer. Please provide the reasoning in detail for your answer.

A)  The one-sided two-sample unpaired t-test with H0: The mean of X is greater than or equal to the mean of Y.

B)  The one-sided two-sample unpaired t-test with the null hypothesis that the mean of X is less than or equal to the mean of Y.

C)  The test against the null hypothesis that the Spearman’s ranked correlation coefficient between X and Y is zero.

D)  The one-sided two-sample paired t-test against H0: The mean difference between Xi and Yi is less than or equal to zero.

E)  The two-sided two-sample paired t-test with the null hypothesis that the mean difference between Xi and Yi is zero.

(5 points)

iii)  Road vehicle accidents involving ambulances have more detrimental outcomes than accidents involving other similarly sized vehicles (Ray and Kupas, 2005). Measures to avoid such accidents are continually being refined by organizations involved in emergency medical services. Suppose that a city council is interested in knowing if adoption of such measures has lead to an improvement over the last decade. Suppose that the ratio between the number of accidents 

iv)  involving ambulances (the numerator) and the number of kilometers driven by ambulances (the denominator) has been recorded (rt with units’ number of accidents per kilometer year) for each year t over the past decade. Which single one of the following statistical quantities is most relevant 

for investigating whether or not measures are leading to improvements? Please provide the reasoning in detail for your answer.

A)  The sample standard deviation of rt.

B)  The sample mean of rt.

C)  The Pearson correlation coefficient ρ between rt and t.

D)  The regression coefficient for t in a linear regression with rt as the response variable and t as the explanatory variable.

E)  The regression coefficient for rt in a linear regression with rt as the explanatory variable and t as the response variable.

Problem 2: Bayes’ rule

A study was conducted to assess the sensitivity and specificity of four different human immunodeficiency virus (HIV) serology tests (Koblavi-D`eme et al. 2001). The Determine test was among the four, it was developed by Abbott Laboratories (an American provider of health care, medical devices and pharmaceuticals) and was found to have a true negative rate (the true negative rate is also called specificity) of 99.4% and a true positive rate (the true positive rate is also called sensitivity) of 100%. The true negative rate of a test for a disease is the probability that someone without the disease tests negative. The true positive rate of a test for a disease is the probability that someone with the disease tests positive. HIV may be transmitted from an expecting parent to their child by transmission during childbirth or by transmission to the fetus during pregnancy (throughout, assume that there’s no other way for a newborn to be infected). Treatment by the drugs zidovudine or nevirapine has been shown to reduce the rate of these sorts of transmission of HIV by 38% to 50% in the absence of other intervention (Koblavi-D`eme et al. 2001).

a) Suppose that an expecting parent is infected with HIV and they are treated with zidovudine or nevirapine during pregnancy. Suppose that after they give birth, a Determine serology test reports a positive test for HIV. What is the probability that the child does not have HIV? Round your answer to the nearest 10-th of a percent.

 (6 points) 

b) UNAIDS (an organization established by the United Nations Economic and Social Council) estimates the prevalence of HIV in Cˆote d’Ivoire among people aged 15-49 to be 2.6%. If a Determine serology test reported a positive test for HIV in someone selected uniformly at random among all people in Cˆote d’Ivoire aged 15-49, what is the probability that the person does not have HIV? Round your answer to the nearest 10-th of a percent.

(4 points)

c) In the USA, according to the Centers for Disease Control (a public health institute within the United States Department of Health and Human Services), if someone has a positive serology test for HIV they are not diagnosed as HIV-positive until a second follow-up test also yields a positive test result. What is the probability that someone is incorrectly diagnosed as HIV-positive (i.e., if someone is not infected with HIV, what is the probability that their first test and also their second follow-up test are both positive)? Suppose that both tests are Determine serology tests, and also assume that the test results are statistically independent. Express your answer in expected number of events in a million (i.e. something like ‘a 36 in a million chance’ or ‘a one in a million chance’). Also: In one sentence, what is a possible argument as to why the assumption of independence of the two test results might be wrong? (Your argument does not have to be sound, but it must be valid without being tautological).

 (3 points) 

d) What is the probability that an HIV infected expecting parent transmits HIV to their child either during childbirth or through transmitting HIV to the fetus during pregnancy, given that the parent has not received treatment with the drugs zidovudine or nevirapine, and in the absence of other intervention, according to the preamble of this problem (in concordance with Koblavi-D`eme et al. 2001)?

(2 points)

Assignment 03: System Solutions

HA3220D – Health Information Systems

Assignment 03: System Solutions

  Liverty Hospital is ready to move forward with implementing a new EHR system. In Discussion 2.3, you and your team evaluated three different products:

.Waiting Room Solutions

.Practice Fusion EHR

.AllScripts MyWay EHR

Since your evaluation, you have learned that one of the main issues encountered at the hospital is the accessibility of patient information in its specialty clinics, as well as the technical skill level of the clinical staff. So you decide to evaluate one additional product: Waiting Room Solutions Specialty Packs. Look for specialties like allergy & immunology, audiology, bariatric surgery, etc. If you scroll down, you will find different videos within each specialty. 

Based on this new information, and the evaluation you have already completed, make a recommendation of which EHR Liverty should choose. Summarize your recommendation in a 2-page double-spaced paper in APA style. In your recommendation,

.briefly describe the features of this product that differentiate it from others you have evaluated.

.incorporate the product evaluation you did in the Week 2 VoiceThread.

.discuss specific system functions and how they will meet your organization’s needs and requirements.

Incorporate the product evaluation you did in the Week 2 VoiceThread. Discuss specific system functions and how they meet your organization’s needs and requirements.

HR Discussion

Help me answer a question, and you could search source online as references.