Category: Health care

Part I – Paying for Hospital Services – Overview
Mr. Scott is a 69-year-old hospitalized for a Permanent Cardiac Pacemaker procedure. Hillcrest Hospital is a large urban hospital in Cleveland that incurred $150,000 in Medicare-approved charges for treating Mr. Scott. Use the information provided in this module as well as the Hospital Payments Example, found in the Course Table of Contents under the Presentation section, to answer the Case 4 assignment questions. Include all formulas and calculations in your paper.
DRG Description Case Weight
115 Permanent Cardiac Pacemaker 3.5513
302 Kidney Transplant 4.1370
441 Hand Procedure/Surgery 0.8785
Part I – Assignment
Answer (in about 3 pages) the following questions for Kidney Transplant only:
1.What is the operating payment to be paid to the hospital?
2.What is the capital payment to be paid to the hospital?
3.Will the hospital be eligible for the Medicare outlier payment?
4.What is the total payment to the hospital?

Part II – Paying for Physician Services – Overview
Mr. Roberts is a 66-year-old Medicare beneficiary. He sought treatments from Dr. Robinson. Assume the following values for the services provided by Dr. Robinson:
Categories RVU Geographic Cost Index Product
Work 27.45 1.092 29.98
Practice Expense 43.05 1.743 75.04
Malpractice 10.32 0.543 5.60
Conversion Factor: 64.43
Part II – Assignment
Please answer in about 3 pages the following questions:
1.How much will Medicare pay Dr. Robinson if Dr. Robinson is a Medicare participating physician? How much out-of-pocket payment will Mr. Roberts be responsible for?

 
This assessment has 2 parts. I will prefer to used current reference within the last 5 years from 2010 to 2015. I also prefer nursing date base be use for the search.
My chosen chronic condition is Type 2 Diabetes in the elderly and the model of care is the Wagner chronic care model. The short fall of the Wagner Model is obviously that it does not focus on the determinants of health or health promotion – you need to make recommendations in your manuscript about how to expand the model to incorporate these principles – you may also like to include Person Centred care.
Part 1. Aabstract and summary statement for practice and innovation manuscript
Word limits: 470, 200 words for abstract & 120 to 270 words for summary statement. Your title will not be included in your word count.

You are required to choose a chronic condition and a Chronic Disease Model of Care to improve outcomes for the individual within the primary care setting.

Title

The title should be concise and appropriately informative and should contain all keywords necessary to facilitate retrieval by modern search techniques. Additional keywords not already contained in the title or abstract may be listed beneath the abstract. An abridged title suitable for use as a running head at the top of the printed page and not exceeding 50 characters should be supplied.

The abstract

The abstract should not exceed 200 words and should state concisely the scope of the work and potential findings. Acronyms and references should be avoided. The abstract should address the following headings:
• Aims – State the aim as: “This paper presents a discussion of …”.
• Background
• Data Sources (state inclusion dates of literature or data used)
• Discussion
• Implications for chronic condition and Primary Care
• Conclusion
The summary statement
The summary statement format must include 120 -270 words and address the following headings:
• What is already known about this topic
• What this paper adds
• Implications for practice and/or policy
Under each heading, there should be 2- 3 bullet points. Each bullet point should be concise, with between 20 and 30 words in each and ending with a full stop.
Each bullet point should stand alone as a meaningful statement (i.e. not needing to rely on preceding statements) and be written in proper sentences. All bullet points should be derived from the content of the paper and be supported by the evidence presented in the paper.
The summary statement should not contain abbreviations (except for a few that are self-explanatory and universally understood, e.g. HIV/AIDS). No references should be included. Colloquial terms and local details should not be included, and nor should the paper´s country of origin (unless that is essential, pertinent information). Instead the statements should be framed globally.
Statements under the 3rd heading are necessarily prescriptive, therefore using words such as ‘should’, but they must be based on evidence that is presented in the paper.
Keywords:
A maximum of 10 possible keywords are: Primary Care, Disease management, Policy.
This assessment item needs to be considered inline with the requirements of the next assessment item 4, the written manuscript.
Note: For a general overview of the Australian Journal of Primary Health Journal and example papers

Part 2. Practice and Innovation Manuscript
Word limits: 2,500

This manuscript should address contemporary practice and models of care for a chronic and complex condition of your choice. The content of the manuscript should represent an extension of knowledge on addressing management of the chronic and complex condition that is relevant to the international health care community.
Include a short review of the literature on the chosen condition and identify the impact on the individual and the international relevance. Choose a contemporary chronic disease management model that addresses the social determinants of health and health promotion and describe how it might be used to improve health outcomes for your target group within the Primary Care setting. A case study may be useful to illustrate your discussion.

This manuscript should not exceed 2500 words for the main text, including quotations but excluding the abstract, summary statement, tables and references.
The main text (2,500 words) of your manuscript should include the following headings:

1. Introduction
• Provide an introductory discussion on the chronic disease and practice innovation of your choice
2. Context
• Provide a logical explanation of the condition in the context of existing national and international primary health care knowledge, determinants of health, health promotion, impact, current theory and models of care, including E and M technologies.
3. Data Sources
• Identify your bibliographic and database search plan. Include dates of the literature searched, keywords used, languages included and any inclusion or exclusion parameters that you applied to your search strategy
4. Review of literature
• Present a critique of your literature search and critical analysis of your findings with relevance to the chronic disease practice and innovation. Use cases to highlight your analysis and findings
5. What can be learnt?
• Following review of the literature you are required to apply critical thinking to develop an evidenced-based argument, draw conclusions, make inferences and identify implications for future management of the condition or model of care
6. Conclusion
• Do not summarise or repeat the findings. You should briefly explain the relevance of your paper for future clinical practice, research, education or further policy development.

What is a Practice and Innovation paper? Practice and Innovation papers build on existing knowledge and may be about learning from practice. In the Journal context this requires clarity about the problem addressed, the context in which the practice is located, and how particular projects or practices in this case a model of care add to our knowledge of ways to solve or ameliorate the problem. They may be about exploring evidence-based practice. This may mean either that practices emerge from relevant research or evaluation, or it may mean exploration of evidence to practice processes and actions in their own right.

Walter et al. (2003) * describe a taxonomy of interventions reported in the literature on evidence-based policy and practice. In the taxonomy there are six categories of activity: professional, financial, organisational, patient-oriented, structural and regulatory interventions. Some interventions are about publicising research with potential users, and others are about promoting uptake of research findings by users. Some promote findings of particular research projects, others promote user engagement with researchers and accumulated bodies of knowledge, while yet others promote practices that required the acquisition of knowledge. For a more detailed discussion of these issues see the editorial in the November 2007 issue of the Australian Journal of Primary Health.

 
this is my graduation project i well upload the references and the guide line also the project proposal please follow the critrai :
1- the references must be in the content .
2- you must include the images and pictures and must be numbered and reference (figure1: shows…………..(reference)
3- the project must cover all the topic in the proposal
4- in the content you must mentioned the images (example :as can be seen in figure 1)

 
Case Scenario

Over the past four decades, approximately 40 new pathogens have been identified. One of which (Legionnaire�s Disease) was identified during a major pneumonia outbreak in members of the American Legion attending the annual meeting in 1976 in Philadelphia. The incidence of Legionnaires� disease in the United States rose from 3.9 cases per million people in 2000 to 11.5 cases per million people in 2009, an increase of 192%. The increase might probably be attributable to increase proportion of elderly population who are more prone to acquiring infectious disease and developing life threatening complications. In addition, improvement in the healthcare in the United States has caused an increase in the number of immune-deficient individuals, such as cancer survivors, transplant patients or people on immune-suppressive medications for long term auto-immune diseases.

The episodes of Legionnaire�s disease showed some seasonal variation; 62% of the cases occurred during the summer and early autumn. The yearly incidence of this disease appeared to also be associated with climate changes, such as increased precipitation. Prior to 2015, only 24% of cases were travel-associated and 4% possible cluster. However, in 2015 clusters of cases, which exceeded all expectations, have occurred in states such as New York, Illinois, and California. The sudden change in the pattern of the Legionnaires� disease occurrence is not so clear to the scientist. Are these changes due to a change in our knowledge about transmission mechanism of Legionella bacteria or should we be worried about this agent being used in bioterrorism events? Or is the change artifactual and unreal?

Please answer the questions below in the order in which they are presented. Be careful to align your answer with the case study as presented.

Describe a time when you were faced with a stressful situation, whether academic, professional or personal, and explain how you coped with that situation and what you learned from the experience. (No more than 500 words.)

 
Project Part 3
This week you submit your Final Project.
Accurate data analysis methods will result in successful community engagement and mobilization. After a thorough analysis of methods, communicating the findings will allow health educators to work hand-in-hand with community members to create positive changes in health behavior. Understanding the importance of data collection findings may result in the community’s engagement and utilization in improving their built environment.
Dr. Brian Smedley, Director of the Health Policy Institute at the Joint Center for Political and Economic Studies said:
“I’m persuaded that when we talk about disparities, people assume that we’re simply talking about simple numeric differences; that Group A has less access than Group B; Group C has lower quality than Group D. Instead, we use the term ‘inequities’ because it communicates that these differences are unjust and unfair, and we can do something about them. So rather than just disparities in education, we have inequities, in that so many of our kids of color are assigned to failing K–12 schools. Using the term inequities means there are health gaps brought about by policies and practices in communities. They can be undone, because they are policies and practices that human beings put into place. Human beings can undo them as well. (Barnett, 2012, p. 33)
For Part 3 of the Final Project, review and finalize Parts 1 and 2 based on Instructor feedback. Then, review the resources from Week 4 concerning secondary data methods. Select a community health needs assessment dataset from the resources in Week 4 or through Internet research. Also, review the resource Developing a Plan for Increasing Participation in Community Action.
Final Project Part 3 (3–4 pages excluding APA citations)
You will address the following two areas this week for Part 3 of the Final Project:
Provide data analysis methods:
Based on the data collection methods you chose in Part 2 of the Final Project and on the dataset you chose for this part of the project, provide an explanation of how you might analyze these data from the dataset. Also, address the following in this section:

In the Part 2 of the Final Project, you selected a few data collection methods for your community health needs assessment plan. Given what you have learned from this project until this point, if you could go back, would you choose the same data collection methods? Or, would you choose different methods? Justify your rationale.
Explain how you will communicate the results of needs assessment:
Explain how to communicate your community health needs assessment findings in order to engage and mobilize community members toward building a healthier environment. Support your explanation by using resources from this week.

 
Step 3 � Based on the articles in the annotated bibliography and any other articles retrieved students will write a narrative review of their research topic. This review must follow AMA format. Due November 13th.
( recently a friend of mine used your site to do her entire paper. I am giving you the 2nd part of the paper to do. I need my paper to be an A plus paper!! NO PLAGIARISM ALOLOWED! THE PAPER MUST FOLLOW AMA FORMAT!!!

GRADING:
20% – Clarity of the question and search strategy.
20% – Adherence to AMA style.
20% – Relevance of the articles selected for the bibliography and review (based on date and type).
10% – Clarity of the writing, and lack of mistakes in grammar, punctuation and usage in the narrative review
30% – The critical thinking and analysis exhibited in the review paper.

5% of the grade will be deducted for any part of the assignment handed in late.

 
1.What information about the influences of gonadal hormones on human brain and behaviour is presently able to inform the debate about the medical treatment of individuals with ambiguous genitalia, according to Melissa Hines in “Engendering the Brain” from her book Brain gender?
Select one:
a. In cases where chromosomal and hormonal information conflict, chromosomes should not guide sex assignment as current information about the influences of gonadal hormones on human brain and behaviour suggests that hormones play the greater role in physical and psychological development
b. information about the influences of gonadal hormones on human brain and behaviour from other cultures suggests that the capacity of the United States and Western Europe to accommodate a category of people who are intersex should be extended by not assigning an intersex child as either a girl or a boy
c. information about the differences in the male and female brain identify neural characteristics that predispose a person to greater success in one sex versus the other, identifying and preventing the causes of poor outcomes in sex assignment
d. information about the influences of gonadal hormones on human brain and behaviour from those intersex individuals who have grown up without sex assignment or surgery provide a basis for evaluating whether or not these options are viable for intersex individuals in Western cultures

2. What does Melissa Hines decide on the question of male hormones making men aggressive and limiting their ability to nurture?
Select one:
a. The link between testosterone and behaviour is large compared to the influence of social environment, and the research is very conclusive; male hormones have a determining influence on behaviour.
b. The link between testosterone and behaviour is small compared to the social environment, but the research is conclusive: the male hormone androgen has an absolute determining influence on behaviour.
c. Research results are completely conclusive; questionnaire responses translate into an increase in actual aggressive behaviour.
d. The link between testosterone and behaviour is small compared to the influence of social environment, and the research is inconclusive; male hormones may have some influence on behaviour, but they are not deterministic.

3. What distinguishes popular magazines like Cosmopolitan from the scientific literature in their framing presentation of sociobiological arguments about the differences between men and women, according to Amy Hasinoff in her article ‘It’s sociobiology, hon! Genetic gender determinism in Cosmopolitan Magazine’ (2009)?
Select one:
a. Popular magazines like Cosmopolitan misrepresent sociobiological arguments, giving false accounts of the research findings, confounding variables or spreading alternative explanations to the proper ones offered in the scientific literature of sociobiology.
b. Popular magazines like Cosmopolitan present sociobiological arguments in a way that ties them to a self-help rhetoric that encourages women to see their problems as inevitable and solve them on their own.
c. Popular magazines like Cosmopolitan are less genetically determinist and more cautiously worded in their presentation of sociobiological arguments than the scientific literature on sociobiology.
d. Popular magazines like Cosmopolitan cannot be distinguished from the scientific literature as they get all their sociobiological arguments from the academic papers, which they generally represent accurately.

 

Health Education Plan utilizing the Health Planning Model and the Nursing Process.
1. Assessment – briefly describe the public health issue and population aggregate affected (alcohol abuse in college students) include evidence to support your description and include a problem statement.
2. Plan – develop an overall program goal and at least 3 program objectives/activities planned to reach the goal. Described the activities related to the essential public health services and prevention level (primary, secondary, tertiary). Include support from evidence-based research (at least two studies) to support your proposed activities/objectives.
3. Intervention – describe how the activities will be implemented. Include relevant strategies to address literacy, culture, and learning needs for the target population.
4. Evaluation – describe how the health promotion goal will be evaluated and include one process (or formative) measure and one outcome (or summative) measure.

 

•Chapter 4: The Complete Health History

•Chapter 9: General Survey, Measurement, Vital Signs

•Chapter 31: Functional Assessment of the Older Adult
The Older Adult (graded)
As you recall, our older patient, Red Yoder, with whom you met in Week 2, is preparing for discharge from the hospital since his wound required intravenous antibiotics and wound care. Jon (Red’s son) thinks that Red should move in with him for now, but Red is sure he is able to care for himself and insists that his confusion was due to the fact that he did not have his glasses or hearing aids for the last week. You have identified discharge teaching needs for him. This morning, however, in report the night nurse has shared “Patient is alert and oriented; vital signs stable. Fasting blood sugar this morning is 118. Red had his usual night of sleep. He was up several times to go to the bathroom. Since his catheter was removed yesterday, he has urgency incontinence. He is able to ambulate to the bathroom, but he is weak.” You administer his AM medications and note that he has some difficulty grasping the water cup and needs assistance holding it. Mr. Yoder states he needs to go to the bathroom and when you assist him up to his feet, he seems a bit unsteady. He takes several steps and tells you he needs to sit down.
•How much, if any, functional decline has occurred while Red was hospitalized and how will this affect his recovery?
•What are the risks and benefits of Red living with Jon and Judy?
•What are the risks or benefits of Red living at home after discharge? If services are in place, would it be considered a safe discharge?
•Considering all aspects of aging, what are the best and appropriate options for Red at this time?