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Interview one of the following: i.e. manager, director, advanced practice nurse, educator who works within the micro system to identify the key outcome indicators measured for the microsystem.

The outcomes can be related to clinical, safety, satisfaction, or cost indicator.

Share these outcome indicators.

Reading:

Cronenwett, L. et al. (2009). Quality and safety education for advanced nursing practice. Nursing Outlook, 57(6), pg. 338-348.

AACN 2012 Graduate Level QSEN Competencies Knowledge

1. Answers the question posted on the discussion board and expands the discussion by bringing in other experiences. Depth and breadth of topic is explored.
2. Three references with citations are included beyond the class readings and can include book chapters, journal articles (primary or secondary) and web based readings, You-Tubes or TED talks.
3. Consistently focuses responses/discussion on class/seminar topic.
4. Critically examines conceptualizations presented in readings/web-based discussions.
Required textbook.
Koloroutis, M. (2004). Relationship-based care: a model for transforming practice. Minneapolis, MN: Creative Health Care Management.
Sample

The person I chose to interview is a family nurse practitioner, Samantha Marqueas, in the city of Saint Louis. Many of the patients she serves including the majority of them being children, have Medicaid Insurance. Key outcome indicators measured for the microsystem that she says are important to her facility are patient satisfaction, safety, and financial relief of her patients. She reports that patient satisfaction is at the center of everything she does. She wants her patients who consist of mostly pediatrics to trust her and to also have fun while they visit her. She focuses her facility on fun and good humor. “Assessing the quality of care has become increasingly important to providers, regulators, and purchasers of care. In recent years, providers have begun to be interested in evidence-base medicine and purchasers have begun to focus on the cost-effectiveness of health care in producing health outcomes” (Nelson, 2008, p. 32). As a part of her primary care she prioritizes time to hear the parents concerns about their children and listens to them to see if there are any indicators she could pick up on as to what is causing them to be ill. She gives out surveys specifically on quality and safety of care to learn what ways they can improve. Monthly, they take this information and use it to better the facility and treatment they are giving to their patients.

Common obstacles that she runs into is a lack of communication among her co-workers. To utilize communication they undergo retreats to bond and improve the workplace environment.

To incorporate safety into her facility each team member has to go through and watch a video/ quiz to be able to stay up to date on patient safety. “A safety culture requires strong, committed leadership, along with the engagement and empowerment of all employees” (Cronenwett, 2009, 339). Marqueas NP says, “Effective teamwork is essential to accomplish the goal of safe, high-quality patient care.”

Since most of these patients are on Medicaid their are many financial burdens that she and the patients have to use. Many don’t even have insurance and have to pay out of pocket. “Uninsured individuals that are unable to pay often get the care they need through emergency departments when they are sick, after the opportunity to avoid preventable conditions has long passed” (Sadeghi, 2013, p.11). She reports that many of her patients use the Emergency Department because of the free healthcare that they can receive. This has been a burden for her to be able to receive pay from these individuals without insurance. She wants to help those who are uninsured by developing her practice of Family Medicine to be not-for-profit. She provides free and reduced health care to St. Louis area’s most undeserved clients. Her areas of medical interest are refugee and immigrant health, community health education, and health policy. She has a dedication to improving patient health that is focused on patient safety, care, and financial relief.

I have 11 written assignments, that includes the final “thesis” for my online English Composition course. I have all the details of each individual assignment that I can upload into my account. I prefer this to be done by one writer as the assignments build on each other and are scaffolding in nature

the paper is a summary of both saudi and united state on testimony

I wrote a summary of Saudi testimony law, so I asked you to add 13 pages on my paper, 6 OR 7 of the 13 pages I need you to write a summary of testimony in the United state of America. The 6 or 7 pages has to be on the same Section that I wrote in.
1 page I need you to add in the introduction that I wrote(you are can take any part from my introduction out if you see so). The last five pages or the conclusion I want you to write a comment in both law, and you could use the one I highlight and take it out if you see so. in addition, I want you to write an example or a case in both Saudi law and the USA. Also, I will attach a sample of the way the professor like the paper to look like. finally you should use 13 sources or more.

and you could ask my anything any time if my description was not clear.

This is a final paper for American dilemmas class.it is a 7 page long and with a 16 sources. Please follow the order and use an academic peer-reviewed article that is mostly an online source with MLA citation style it can found in google scholar. I attached to you what I did start doing, but I need your help following the academic order since I am an international student, please use simple vocabulary.

Page 1:
a clearly-identified social policy with a proper name?
Is it the subject of some outspoken controversy, pro, and con? What is the brief (one page) history or background to this controversy?
In this part use two articles as a source.

Page 2-3:
List significant organizations that are advocating for the policy? And
quote some of their arguments with works cited? List significant organizations that are advocating against the policy?
Have two sides:
_A( Pro) one page
Who are they? What is the argument they claim on the policy support that with three sources and quote.

_B(Con) one page
Who are they? What is the argument they claim on the policy support that with three sources and quote.

Note: some of the sources above could share both Con or Pro

Page 4:
name a social problem keyword or search term that is significantly relevant to this policy debate?
Quote, what the pro side says about this social problem keyword? In other words, find how the pro side relates the policy change to the effects it will have on some clearly identified social problem? Also, quote the con side, etc., as above?

Page 5:
Cite five database articles that present significant research into the social problem keyword?
Summary the result for each data, but it is not an annotated bibliography. Just summary what the data say about the social problem and quote.

Page 6:
cite three database research articles or substantial policy studies that explicitly assess the impacts of the policy change with respect to that social problem keyword?
How they study the solution. How the policy impact the solution for the social problem.

Page 7:
The title of the paper will present the policy question
.
Evaluate which side has the stronger argument regarding the effect of the policy as likely to improve a social condition or social problem, explaining why they have the stronger case in light of the existing professional research. This is perhaps best approached as “analysis” rather than “personal opinion”; it is certainly not the place to reference “passionate feelings” about an issue.
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