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Integrating Evidence-Based Practice

Assignment:

Integrating Evidence-Based Practice

Write a 1000-1500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be two main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with (2) sources (1 outside source and the textbook) using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.

Part 1:

Describe the eight steps to integrating evidence-based practice into the clinical environment. What barriers might you face in implementing a new practice to address your research topic (as identified in Module 1)? Describe strategies that could be used to increase success including overcoming barriers. 

Part 2: 

Describe six sources of internal evidence that could be used in providing data to demonstrate improvement in outcomes.

Assignment Expectations:

Length: 1000 – 1500 words Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of one (1) scholarly source and the textbook are required for this assignment.Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.Format: Save your assignment as a Microsoft Word document (.doc or .docx) or a PDF document (.pdf)File name: Name your saved file according to your first initial, last name, and the assignment number (for example RHall Assignment 1.docx)

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Medicare spending per beneficiary (MSPB)

Health care organizations such as Choice Hospital must keep up to date with new initiatives related to reimbursement by third-party payers for services provided. This is especially true for Medicare reimbursement and initiatives tied to legislation such as the Affordable Care Act and the 21st Century Cures Act. 

You are working with the chief financial officer and his team on two types of statistics related to Medicare reimbursement initiatives:

  1. Medicare spending per beneficiary (MSPB)
  2. Hospital readmission rates

You will be working with the finance team to prepare a presentation for the CEO and executive leadership team to help them understand these requirements. Your presentation should be 5-7 slides (100-150 words per slide, not including the title and reference slides) with APA formatting. Cite at least 2 scholarly reference articles or government publications that were published within the last 3-5 years.Your presentation should address the following for both the MSPB and hospital readmission rate statistics:

  • Describe the Medicare program or initiative that uses the statistic.
  • Is it an incentive- or penalty-type program related to the rate of Medicare reimbursement?
  • Are the statistics and the program or initiative tied to performance, for example improving quality of care? If so, how?
  • Which legislation is authorizing the Centers for Medicare and Medicaid Services (CMS) to initiate these programs?
  • Define the statistic and how it is calculated.
  • Provide examples of these statistics from publications or government sites. For many of the CMS initiatives, data for health care institutions is made available through the CMS Hospital Compare Web site.

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  • Medicare spending per beneficiary (MSPB)
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The Shamrock Transportation Company has four terminals

Reference is in attachment: (THIS IS AN EXEL MATH PROPBLEM)

The Shamrock Transportation Company has four terminals: A, B, C, and D. At the start of a particular day, there are 8, 8, 6, and 3 tractors available at those terminals, respectively. During the previous night, trailers were loaded at plants R, S, T, and U. The number of trailers at each plant is 2, 12, 5, and 6, respectively. The company dispatcher has determined the distances between each terminal and each plant, as follows.

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The Knights of Columbus Marketing

2750 words paper on the topic The Knights of Columbus Marketing.

The Knights of Columbus is an international organization that provides different kinds of services to its members. It was established in February 1882 by a group of men who were Roman Catholics. The headquarters are based in New York City. The organization consists of assets that are worth over $1.3 billion and insurance cover of over $65 billion dollars. The company has over 1200 employees and a revenue turnover of over $1.2 billion. The services provided are insurance and financial services that are aimed at supporting the families that are affected by the death of their loved ones (Plant 2000). The organization has over 1.7 million members and over 13000 councils in countries such as the Philippines, Canada, Mexico, Guam the Bahamas, Virgin Islands, Cuba, the Poland Dominican Republic amongst other states (Bayse2008). The main purpose of its existence is that of instilling practical catholic discipline on its members so that they can understand the norms and beliefs of the religion.

Knights of Columbus also promote catholic education and charity to its members so that they can learn how to carry out their activities in the future. The core values of this organization are charitable work, Catholicism and acts of volunteering. For example in the year 2003, over $130 million efforts were contributed and over $ 60 million hours were contributed to the church and other projects. They promote intellectual and social integration to its members through the provision of education, charitable work, social welfare and relief in both the war and the public domain.

With time Knights of Columbus was able to venture into the insurance industry whereby they were to offer financial compensation to its members in case a financial loss occurred. According to Anderson, the main mission of the Company is to protect the interests of catholic families with life insurance. A service refers to the work done by people on behalf of their customers so that they can derive some benefit from it. The management of the organization issues insurance policies to its customers in form of thousands of dollars who are of ages 18 to 60 years so that they can benefit from the services provided to them within the stipulated period of time.&nbsp

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An organization’s demographics are an important factor to consider for its business strategies.

Use Pepsi company for this week’s assessment.

An organization’s demographics are an important factor to consider for its business strategies. Review the demographic and technological information about Pepsi company to complete the activity below. If the information is not public, base your decisions on a similar company and research.

Create a 350- to 525- word outline that conveys the information in the following format:

  • Demographics
  • What are the current demographics? (e.g., age, gender, ethnicity, etc)
  • What was a recent change?
  • How did the company handle it?
  • Was the change handled ethically? If not, how should they have handled it? If it was, what stands out as something to emulate in your future business endeavors?
  • Technology
  • How does the company utilize technology in day-to-day business?
  • What types of technology are used?
  • How does a change of technology affect the organization?

Cite all sources.

Format your citations according to APA guidelines. Utilize the Center for Writing Excellence and the Reference and Citation Generator for assistance with APA style formatting.

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Why is the hospital required to report this patient’s death to the medical examiner/coroner?

On Thursday a 75-year-old patient at Wesley Glen Senior Living Facility became agitated and physically abusive to himself and others, so he was placed in wrist and ankle restraints. An hour later, staff found the patient unconscious and called the EMT squad for assistance. The patient was taken to the medical center emergency department (ED), where he awoke and once again became physically abusive. The physician ordered the patient to be restrained to protect the patient and others while the physician examined the patient. Upon examining the patient the physician noted that the patient had multiple bruises on his back, buttocks, and thighs. In addition, the patient had a cardiac defibrillator implanted during his last inpatient visit. The hospital had received a medical device alert regarding the implant device and was notifying patients with the device to contact their physician for follow-up. The patient was sedated and the restraints removed. However, 15 hours later the patient expired. The hospital reported the death to the medical examiner/coroner’s office. Consider the following:

  1. Why is the hospital required to report this patient’s death to the medical examiner/coroner? Do medical examiners and coroners have the right to receive patient information needed to investigate a case?
  2. What additional required reporting must be done by Wesley Glen and the hospital in regard to the patient’s death?
  3. Who is responsible for notifying the hospital that a medical device in use may cause harm to patients? If the patient’s death was attributed to the cardiac implant defibrillator, what is the hospital’s responsibility for reporting the death to the FDA? How is the death reported?

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As a BSN-prepared community health nurse, what steps should Debbie take next?

An Epidemic in the Community

Consider the following scenario: This is Debbie’s first year working as a nurse at the local health department in a rural county. Most of her days are spent in the clinic seeing clients who often do not have health insurance.

Over the past month, Debbie has noticed that several young Hispanic men have come to the health department, each diagnosed with tuberculosis. Debbie is concerned about what the outbreak of tuberculosis among the migrant workers could mean for the community. Through a community health profile, Debbie identifies the group of migrant farm workers as being at highest risk for contracting tuberculosis.

Using the Epidemiologic Triangle concept, consider the relationship among causal agents, susceptible persons, and environmental factors. Then, respond to the following:

  • As a BSN-prepared community health nurse, what steps should Debbie take next?
  • Considering economic and social considerations within the community, what are the primary, secondary, and tertiary interventions that Debbie might use in managing this outbreak?
  • Can similar interventions be applied to your community and its TB prevalence?
  • What considerations need to be addressed within your community that are different form Debbie’s community?

 A reference list is required. Use the most current evidence (usually ≤ 5 years old).

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  • As a BSN-prepared community health nurse, what steps should Debbie take next?
  •  

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Watch The 2008 Financial Crisis, in Crash Course Economics

Principles of Finance

Discussion 

Watch The 2008 Financial Crisis, in Crash Course Economics

Describe how the credit crisis may have adversely affected many people beyond homeowners and mortgage companies. Do you believe the impact of the credit crisis is still being felt today? Why or why not? Are we headed in the direction of another credit crisis? What indicators hint at what could happen in the future?

Week 5 Discussion 

Complete the following:

  • Watch Inside The Collapse (Part One).
  • Watch Inside The Collapse (Part Two).

After watching the videos, discuss how this financial crash impacted you, your family, a career from which you may have been laid off, or someone you know who was affected.

  • Be sure to respond to at least one of your classmates’ posts.

Managing Concepts

Week 4 Discussion 

Planning is a process of identifying goals that provide direction for the organization. Managers at all levels can participate in the planning process, selecting the type of plan, establishing the goals within the plan, and documenting in detail how each goal will be accomplished.

According to Robbins and Coulter (1), managers may choose one of the following plans:

  • Time frame: long term or short term.
  • Breadth: strategic or operational.
  • Flexibility: directional or specific.
  • Frequency: single-use or standing.

After a manager identifies which kind of plan to use, goals that illustrate how the plan will be carried out must be set. Goals are actionable steps performed by employees in the organization.

For this discussion:

  • Choose one of the four listed plan types.
  • Give an example of how you executed such a plan in your personal or professional life.
  • When discussing your plan, identify 3–5 goals or steps taken to complete the plan.

Remember to respond to at least one of your classmates’ posts.

Sources

1. Stephen P. Robbins. 2018. Management. Pearson 14th edition book.

Robbins, S. P. (2018). Management (14th ed.). New York: Pearson. 

Bottom of Form

Week 5 Discussion 

As a manager, you will have to control work processes and monitor performance. There are three types of controls that occur in organizations:

  • Feedforward control: prevents future problems.
  • Concurrent control: collects performance in real-time.
  • Feedback control: collects performance information after a task or project is completed.

For this discussion:

  • Describe one control system used by your current organization or a previous employer.
  • Identify the organization’s control system type.

Be sure to respond to at least one of your classmates’ posts.

Note: All students are required to post a minimum of two (2) posts per online discussion thread. Students must have one (1) original post and a minimum of one (1) other post per discussion thread.  Initial response should be a minimum of 120 words with a reply with a minimum of 30 words

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In layman’s terms, culture can be defined as the “programming of the mind

In layman’s terms, culture can be defined as the “programming of the mind.”  It is something that is firmly ingrained in us as we grow up.  Based on your experiences here in the United States, what do you think are the things that define American culture?  To put it another way, what are the things that are “uniquely American?”  Describe your points in detail.  Also, given that the US has historically been a cultural melting pot based on immigrants from all across the globe, do you believe that the culture here is more diverse or richer than it is in other countries?  Explain your rationale.

Minimun 275 words

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English watching US movies, tv shows, listening to US musicians and going on English websites

Business is done in all different languages, but the most common of them is English.  It is certainly not because English is easy to learn, compared to many other languages, English has some very difficult and sometimes nonsensical syntax and sounds.  Despite this, English dominates international business speaking for a number of reasons: the prevalence and international presence of US firms, the abundance of US Universities who have international exchange programs, and even our entertainment.  Many international students have noted that they learned a great deal of English watching US movies, tv shows, listening to US musicians and going on English websites.  Do you think that English will continue to be the language of business?  Could it possibly become a global language where nearly everyone will or could speak it?  Finally, do you agree with the assertion that US students and business people have a distinct (and perhaps unfair) advantage over others when applying to international firms simply because they speak better English?  Why/why not?

Minimum 275 words.

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