Sachsen state’s economy/culture and its most important and interesting businesses

Sachsen state’s economy/culture and its most important and interesting businesses

Your Works Cited should include 7 or more helpful, relevant and credible English language resources relevant to your team’s German state’s economy/culture and its most important and interesting businesses.

Attached is an example of how the work should look like

 
 

Assess what makes reading investigative reports difficult or fatiguing or both. Then, recommend how a writer can address your findings.

Assess what makes reading investigative reports difficult or fatiguing or both. Then, recommend how a writer can address your findings.
Analyze the parts of investigative reports to determine what part you feel is the most critical that could often be miscommunicated. Explain your reason(s).

assess how well the news release follows the inverted triangle approach. Be sure to provide the date, title, and the company which released the news

assess how well the news release follows the inverted triangle approach. Be sure to provide the date, title, and the company which released the news.
Create a best practice to determine how many facts are essent

al when writing a summary for an informative report.

Econominc impact of electronic health records

Please cross post to the paper below on economic impact of electronic health records. Strictly APA by the publication manual of the American psychological association 6th edition second practice. Plagiarism free paper Write in Third person only. Special attention to the reference page, title page Verb/noun agreement. Grammar is big. Masters level/DNP [doctor of nursing practice. Introduction and conclusions required. Use headings when needed. Thesis statement pivotal, conclusion critical, correct margin and title page. Full references including publisher, volume # and issue #. Please do not repeat any information or references from the below paper

 
 


Once the initial discussions are posted, each student will select a different topic and crosspost to another student’s work. Individual student crossposts are intended to add substantive content to the post and add to the topic by contributing new information to the topic.
Individual student crossposts should be approximately 500 words and a minimum of 4 references. Students are not required to ’claim’ a topic for cross posting. Multiple students may crosspost to the same original post; however, information posted should be new content and duplication must be avoided.

Economic Impact of Electronic Health Records

Electronic Health Records place a huge financial strain on the stability of healthcare delivery in the United States.  Electronic Health Records are a major part of the current healthcare reform. In 2004, President Bush pushed through the initiative that in ten years all Americans would have their medical record in the form of an electronic/digital health record (Kutzin, 2013).  This goal was to ensure that providing healthcare would become cheaper and safer.  EHR’s are a part of the national data system which allows healthcare providers access to individual health records at the touch of a keyboard.  Medical errors would be reduced and data collected would be utilized to support safer patient outcomes.  Some 100,000 persons are killed each year by preventable medical errors (Terry, 2013).  Are the benefits of EHR’s worth the ever increasing financial burden on the American taxpayer?  Have EHR’s made the delivery of healthcare safer for patients?

 
 


Background

Healthcare delivery in the United States is a multi-trillion dollar business.  In 2009, the U.S. Government spent 17.4% ($2.6 trillion) of its Gross Domestic Product (GDP) on healthcare.  Digitizing patient records accounted for $27 billion dollars (Kutzin, 2013).  The American people do not like to consider healthcare as a business.  However, Americans out spend every other country in the world on cost of healthcare per person.  The U.S. spends over $8,000 dollars per person each year (Shaw, 2013).  Healthcare delivery system cannot continue to function without balancing the financial books and reducing the amount of money spent on healthcare (Kelly, 2013).

Stakeholders

Recession hit the American economy hard in 2000.  Funding for Health Information Technology for Economic and Clinical Health Act (HITECH) was politically impossible to fund.  In 2009, only 1.5% of all U.S. hospitals had electronic healthcare records. Of that 1.5% only 7.6% of hospitals had working forms of computerized orders, medication records and electronic patient records capability (Verdon, 2014).  Pushing through legislation to mandate EHR’s seemed to be a large uphill battle.  As the recession ended, HITECH provided new incentives with $30 billion dollars from Health & Human Services (Pizer & Gardner, 2011).  This money was provided as a subsidy for hospitals and physicians offices to upgrade their electronic patient records.  Doctors would receive an incentive of $44,000 dollars over a five year period to meet “meaningful use” criteria.  Hospital incentives would begin at two million dollars with additional money incentives based on inpatient numbers and discharges (Morley, Walsh & Wilkins, 2013).  Hospitals and doctor’s offices went into the program knowing that the government incentive program would pay only a portion of the estimated cost.  Hospitals would have to spend at least another $120 billion dollars to make the initial investment work correctly (Verdon, 2014).  HITECH placed mandatory regulations on an escalating scale of completion.  Hospitals and doctor’s offices would not receive one-time payment but have to earn payment after certain stages of completion.  This method would ensure that once a hospital started down the EHR path that they would never be able to turn back. Hospitals would be locked into making more and more sophisticated and demanding alterations to their growing EHR system (Diggs, 2012).

Doctor’s offices felt a heavy burden in meeting the mandatory stage requirements of meaningful use.  Doctor’s offices found themselves needing to add new staffing positions.  Current staffing was constructed around providing healthcare and not information technology.  Meaningful use criteria held doctors responsible for meeting all criteria regardless of being within the doctor’s direct control. Failing to meet even one of the core measures would have the potential of denial of all incentive funding (Verdon, 2014).  Records show that larger hospital and larger physician groups had more resources to hire, train and implement the mandatory requirements.  Smaller, private hospital and physician offices were less likely to have fully functioning EHR’s.  Financial barriers, time barriers and technical barriers were more difficult for smaller agencies to overcome (Pizer & Gardner, 2011).

 
 


Impact

Electronic Health Records (EHR’s) collect information in a digital format and is instrumental in medical billing and statistical data recording.  The less clear picture is whether EHR’s reduce cost and improve quality of care.  Current data indicates that many doctors and hospitals are far behind the curve of purchasing and implementing the mandates of Electronic Health Record’s (Shaw, 2013). Health Information Technology (HIT) monies are available for electronic updates.  As of 2009, 70% of physicians surveyed reported that the monetary investment into EHR’s have NOT been worth the expense (Warner, 2011).

Cost-benefit analysis is an essential part of a viable business.  No business can spend an unlimited amount of money.  Doctor’s offices are finding that they make a huge up-front investment in EHR’s, as well as continued investment in hardware, software, training time and  information technology support staff (Terry, 2013).  Government reports state that a five person doctor’s clinic will spend approximately $160,000 dollars on start-up investment.  Additional $85,000 dollars will go toward yearly maintenance expenses (Kutzin, 2013).

EHR’s have been mandated for the last six years.  Approximately 70% of U.S. hospitals and 50% of physician offices have implemented electronic patient records.  Only now can real data be collected and analyzed to the true test of functionality and success.  Do EHR’s make patients safer and justify the expense?  Physicians report fundamental flaws in how different software provider’s software is not compatible with each other and directly hinders the collection and flow of data. Doctors suffer from “alert” fatigue from specific chronic conditions that require large number of check box criteria.  Doctors become more data entry personnel and less medical professionals.  New data is suggesting that doctors hire transcription personnel and take the doctor off the computer screen.  Any cost saving measures of EHR’s is quickly eaten up in the huge administrative costs (Diggs, 2012).

Conclusion

 
 


Debate remains between performance of EHR’s and the cost of implementation.  By the year 2016, HITECH predicted that you would have trouble finding a doctor without EHR in their place of practice.  Data collected in 2014 suggests that some 35% of healthcare providers do not even have basic electronic healthcare technologies in place.  Rural, small and poorly funded agencies are lagging behind in the implementation of technology (Morley, Walsh & Wilkins, 2013).  Older doctors are refusing to update and choosing to retire from practice.  A large percentage of the current EHR providers are not adequately equipped to share data with other agencies.  Data is suggesting that Electronic Healthcare Technologies have added between 25-30% costs to healthcare. Current data indicates that patient safety, reliability/access of data and patient satisfaction has not justified the large financial investment in Electronic Health Records (Kelly, 2013).

References

Diggs, S.N. (2012). Health disparities and health care financing: Restructuring the American

health care system.  Journal of Health Care Finance, 38(4), 76-90.

Kelly, A. (2013).  The cost conundrum: Financing the business of health care insurance.  Journal

of Health Care Finance, 39 (4), 15-27.

Kutzin, J. (2013).  Health financing for universal coverage and health system performance:

Concepts and implications for policy.  Bulletin of the World Health Organization, 91(8),

602-11.

Morley, M.A., Walsh, E.G., & Wilkins, J.C. (2013).  Financing integrated care in the financial

alignment demonstration.  Generations, 37(2), 24-9.

Pizer, S.D., & Gardner, J.A. (2011).  Is fragmented financing bad for your health?  Inquiry,

48 (2), 109-22.

Shaw, G. (2013).  The cost-benefit calculation of electronic health records systems.  Retrieved

March 18, 2014, from  http://fiercehealthit.com/node/20631

Terry, N.P. (2013).  Meaningful adoption: What we know or think we know about the financing,

effectiveness, quality, and safety of electronic medical records.  Journal of Legal

Medicine, 34 (1), 7-42.

Verdon, D.R. (2014).  Physician outcry on her functionality, cost will shake the health

information technology sector.  Retrieved March 23, 2014, from

http://medicaleconomics.modernmedicine.com

Warner, D. (2011).  The ehr impact on staffing models.  Journal of AHIMA, 82(9), 44-5.

 
 

the U.S. Constitution, the Declaration of Independence, and Thomas Jefferson’s Letter to the Danbury Baptists in 1802.

the U.S. Constitution, the Declaration of Independence, and Thomas Jefferson’s Letter to the Danbury Baptists in 1802. Once you have read these founding documents and Jefferson’s letter, you will write a 2–3-page paper (double-spaced, 1-inch margins) adhering to the format specified in the Course Style Guidelines document, comparing each of them. When comparing the U.S. Constitution and Declaration of Independence, pay particular attention to the themes apparent in both documents and comment on which document came first and why that is important.

You must also answer the question, “What do you think the signers of the Declaration of Independence and the U.S. Constitution thought about the separation of church and state or about the separation of God from government?” (Note: these are not the same thing.)

Be sure to incorporate a biblical worldview in your paper. Use the Course Style Guidelines document for the correct formatting.

Comparison Paper Grading Rubric

Criteria
Points Possible
Points Earned
Criteria #1
0 to 15 points
The assignment meets the length criteria of 2–3 pages.

Criteria #2
0 to 25 points
The comparison points are clearly and correctly composed.

Criteria #3
0 to 30 points
An understanding of the documents and the relationship between them is evident.

Criteria #4
0 to 10 points
Biblical concepts are integrated.

Criteria #5
0 to 10 points
The paper follows the Course Style Guidelines document for formatting.

Criteria #6
0 to 10 points
The paper is free of grammatical and spelling errors.

Total
/10

Module 5 Lab Assignment . Review TAP 21 Addiction Counseling Competencies: The Knowledge, Skills, and Attitudes of Professional Practice (located under module notes in Module 5)

Module 5 Lab Assignment . Review TAP 21 Addiction Counseling Competencies: The Knowledge, Skills, and Attitudes of Professional Practice (located under module notes in Module 5). Pay specific attention to the Trans-disciplinary Foundations. Look at the Attitudes listed under each of the areas under the Trans-disciplinary Foundations;

 
 

where do you stand in developing those attitudes? Address each of the attitudes in this section. attached is the Trans-disciplinary Foundations with the 23 attitude. each one can range from an sentence to a paragraph, you determine

 
 

.

the different advanced practice roles and scope of practice found in the master of nursing curriculum: NP, nurse educator, nurse informaticist, and nurse administrator.

the different advanced practice roles and scope of practice found in the master of nursing curriculum: NP, nurse educator, nurse informaticist, and nurse administrator. You will review all roles and then examine the specialty(Family Nurse Practitioner) for which you were admitted, focusing on the scope of practice, core competencies, certification requirements, and legal aspects of practice for that specific role. You will also identify the practice environment and population you will be working with, as well as peers and colleagues. In addition, you will discuss your future leadership role and participation in professional organizations.
Your paper is to be based on current literature, standards of practice, core competencies, and certification bodies for your chosen role. The paper should be 10–12 pages excluding the title and reference, and APA format is required.
Criteria:
Advanced Practice Roles in Nursing:
Compare and contrast the roles of the NP, nurse educator, nurse informaticist, and nurse administrator in advanced practice nursing pertaining to clinical practice, primary care, education, administration, and research.
Selected Advanced Practice Role:
Examine regulatory and legal requirements for the state in which you plan to practice.
Describe the professional organizations available for membership based on your selected role.
Identify required competencies, including certification requirements for your selected role.
Predict the organization and setting, population, and colleagues with whom you plan to work.
Leadership Attributes of the Advanced Practice Role:
Determine your leadership style (http://psychology.about.com/library/quiz/bl-leadershipquiz.htm).
Identify leadership attributes you currently possess, and attributes you may need to develop.
Determine how to attain and evaluate those missing attributes.
Health Policy and the Advanced Practice Role
Visit the Robert Wood Johnson Foundation (http://www.rwjf.org/en/about-rwjf/newsroom/features-and-articles/health-policy.html) and identify a health policy issue. Conduct a review of literature and address the following:
Describe the current policy and what needs to change; justify your conclusions with citations from the literature.
Provide the process required to make the change with key players and parties of interest.
Explain how you could lead the effort to make or influence the change in policy.
Predict the effect on healthcare quality if the change in policy is implemented.

conduct an article research regarding the ATC system.

conduct an article research regarding the ATC system. Select a topic on safety, organization, or an aspect of technology and modernization. Summarize the article, explain and correlate the relevancy of the article to the module and, of course, have the proper citation.

POLICY SPEECH

POLICY SPEECH – OUTLINE TEMPLATE

In Support of a Policy

 

 

I               Introduction

  1. Pathos move – capture the attention of the audience by getting us to care about the issue to be introduced in the problem section
  2. Logos move – clarify the subject matter (problem), then state your thesis making sure it includes a clear identification of the bill and call to action (what want your audience to DO)

 

 
 

Transition : use a signpost to move from intro to body

 

II             Problem: Name the Problem

 

  1. Identify an aspect of the problem
    1. Offer supporting evidence (statistics, data, etc.)
    2. Layer that support with illustrations, examples, etc.
    3. Make an assessment (what does this – the stats, examples, etc. – mean?)
  2. Identify another aspect of the problem
    1. Offer supporting evidence (statistics, data, etc.)
    2. Layer that support with illustrations, examples, etc.
    3. Make an assessment (what does this – the stats, examples, etc. – mean?)
  3. Make a decision how much evidence to marshal in support of the problem. Keep in mind that the point is to build a solid case that there is a serious problem, while keeping the problems relative to what your bill does (how will it solve those problems)

 

Transition: review previous main point and preview upcoming main point

 

III            Solution: Declare that a solution exists by restating some form of the thesis and your call to action

 

  1. Tell us what the policy is in quick summary and who supports it

 

  1. Explain what the key elements of the policy are.
    1. Identify a key way the policy will solve the problem(s) identified above.
      1. Offer supporting evidence (statistics, data, etc.) and layer that support with illustrations, examples, etc.
      2. Identify a key way the policy will solve the problem(s) identified above.
        1. Offer supporting evidence (statistics, data, etc.) and layer that support with illustrations, examples, etc.
      3. Repeat until arguments for the policy-as-solution are addressed in full or as needed.

 

  1. Opposition / Rebuttal
    1. Shift gears and tell us who the opposition is (groups?) and what they’re saying (succinctly)
    2. Rebut their argument – with supporting evidence, not just your opinion

 

Transition: use a signpost to move from body to conclusion

 

 
 

IV            Conclusion

  1. Quick review of thesis (general problem and bill as solution)
  2. Restate your call to action – GIVE YOUR AUDIENCE THE TOOLS THEY NEED TO TAKE THIS ACTION!
  3. Close memorably


POLICY SPEECH – OUTLINE TEMPLATE

Against a Policy

 

 

I               Introduction

A.            Pathos move – capture the attention of the audience by getting us to care about the issue to be                                  introduced in the problem section

B.            Logos move – clarify the subject matter (problem), then state your thesis declaring that a solution                             has been proposed (the bill) and your belief that it is inadequate, including your call to action (what do

you want your audience to DO).

 

Transition : use a signpost to move from intro to body (Ex: Does this mean there’s no problem? Absolutely not.)

 

II             Problem: Name the Problem

 

 
 
    1. Identify an aspect of the problem
  1. Offer supporting evidence (statistics, data, etc.)
  2. Layer that support with illustrations, examples, etc.
  3. Make an assessment (what does this – the stats, examples, etc. – mean?)
  4. Offer supporting evidence (statistics, data, etc.)
  5. Layer that support with illustrations, examples, etc.
  6. Make an assessment (what does this – the stats, examples, etc. – mean?)
    1. Identify another aspect of the problem
    1.  Make a decision how much evidence to marshal in support of the problem. Keep in mind that the point is to build a solid case that there is a serious problem, while keeping the problems relative to what your bill does (how will it solve those problems)

 

Transition: review previous main point and preview upcoming main point

 

III            Solution: Declare that a solution has been proposed and restate your belief that it is inadequate and your call to action

 

  1. Brief summary what the key elements of the policy are who supports it
    1. Identify key way supporters of the policy believe it will solve the problem(s) identified above.
      1. Offer their supporting evidence (statistics, data, etc.) and layer that support with illustrations, examples, etc.
  2. Brief summary of why this policy will not solve the identified problem(s) and who is against this policy-as-solution

1.     Identify key ways those against this policy-as-solution believe it will not solve the problem(s)                                        identified above.

a.     Offer supporting evidence (statistics, data, etc.) and layer that support with illustrations,          examples, etc.

  1. Repeat until arguments for the policy-as-solution and policy-as-NOT-the-solution are addressed in full or as needed. (The majority of your time should be spent in the “B” section of part “III.”)

 

Transition: use a signpost to move from body to conclusion

 

IV            Conclusion

  1. Quick review of thesis (general problem and bill as NOT the expedient solution)
  2. Restate your call to action – GIVE YOUR AUDIENCE THE TOOLS THEY NEED TO TAKE THIS ACTION!
  3. Close memorably