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Quality of care nursing homework

Quality of care nursing homework


Imagine that you are a senior consultant at Practical Health Care Consulting. Your supervisor has instructed you to spend three months at Caring Angel Hospital to help improve the quality of care, add value to the organization, improve employee morale, design an efficient organizational chart, create a strong team environment, and create the hospital’s competitive advantage. The hospital has traditionally made losses year after year. Furthermore, it is not performing well financially, and the banks are not willing to lend large sums of money for more effective marketing.

As you settle into your observations, you notice that your patients are still hopping from one specialized hospital to another in search of various specialized treatments. You also notice that the seats are not comfortable in the waiting area, and the patients continuously show up for appointments on the wrong dates. The nurses and the employees are not smiling during patient conversations, and everyone looks for ways to blame others for failures in the patient treatment process. Everyone seems to work alone and hide what they do from their colleagues. At the end of the 3-month period, you must provide a report with your recommended strategies designed to help Caring Angel Hospital achieve its goals.

Note: You may create or make all necessary assumptions needed for the completion of this assignment.


Write a 5-7 page paper in which you:

  • Propose the major steps that Caring Angel Hospital could take to achieve each of the following goals:
    • Improve the quality of care.
    • Add value to the organization.
    • Improve employee morale.
    • Design an efficient organizational chart.
    • Create a strong team environment.
    • Create the hospital’s competitive edge.
  • Recommend one approach that the hospital could use for acquiring a larger market share given the prevailing financial circumstances. Support your recommendation with specific examples.
  • Propose at least two value-added services that Caring Angel Hospital could offer to strengthen its value proposition. Support your proposal with at least two examples of the advantages of these value-added services to the hospital.
  • Use at least four quality sources to support your writing. Choose sources that are credible, relevant, and appropriate. Cite each source listed on your source page at least one time within your assignment.
  • This course requires the use of Strayer Writing Standards (SWS).


NURSING: THEORY AND RESEARCH Assignment 1: Concept Analysis Paper

Concept selected: Patient Advocacy-NURSING: THEORY AND RESEARCH


1. A definition of the concept utilizing various sources

2. Define the criteria of the concept

a. Discuss the uses of the concept

b. Define the attributes of the concept

c. Identify antecedents and consequences

3. Theoretical perspectives of the concept (theories that use the concept)

4. Provide an example of the significance of the concept to nursing practice from the

organizational setting

5. The scholarly paper should be 5-6 pages excluding the title and reference pages.

6. The paper should include level 1 and level 2 headings.

7. The paper should begin with an introductory paragraph that includes the purpose

statement. The introductory paragraph and purpose

statement allow the reader to understand what the paper/assignment is going to address.

8. The paper should include a conclusion.

9. Write the paper in third person, not first or second person (meaning do not use ‘we’ or ‘I’ or “you”).

10. Include a minimum of three (3) references from professional peer-reviewed nursing journals (review in Ulrich Periodical Directory) to support the paper. Students may use the course textbook in addition to scholarly journals.

***Historical references may be used as appropriate.

(Definition of historical reference: reference to a well-known person, place event or

literary work that adds meaning to the paper.)

11. APA format is required (attention to spelling/grammar, a title page, a reference

page, and in-text citations).

12. Submit the assignment to through the Canvas assignment link to Turnitin prior to

the final submission, review the originality report, and make any needed changes.

13. Review the originality report and make any needed changes

Completing your clinical hours

Discuss your plan for completing your clinical hours. What specific skills or goals would you like to accomplish during this clinical rotation? How do you plan to use evidence to support your clinical decisions?

20-year-old male complains of

Case Study #1- Last name A-K

20-year-old male complains of experiencing intermittent headaches. The headaches diffuse all over the head, but the greatest intensity and pressure occurs above the eyes and spreads through the nose, cheekbones, and jaw.

Use the Episodic/Focused SOAP Template and create an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis, and justify why you selected each.


Process for which the NP becomes certified

As Nurse Practitioner entering the practice:

1. Provide a brief overview of the process for which the NP becomes certified and licensed.

2. Provide a brief overview of the process for which the NP obtains federal numbers (NPI, DEA).

3. Provide a brief overview of the process for which the NP becomes credentialed (Insurers, Medicaid/Medicare).

4. Discuss the pros and cons of maintaining personal professional practice liability.

5. Discuss Northern Virginia state of practice NP laws regarding collaboration or supervision.

6. Discuss one major issue facing NPs entering into an Employment Contract with a health care agency

Document this assignment in 2 pages document including 3 references published within the last 5 years.

Impact of patient consent

Interoperability Part I
As a nurse or healthcare professional, it is vital to realize that Interoperability can be a
significant issue in the continuum of care. Despite efforts, it’s still a long journey until
Interoperability is fully achieved. Until then, Interoperability efforts may be at odds with
fundamental regulations such as HIPAA privacy rules. The Health Insurance Portability
and Accountability Act (HIPAA) Privacy Rule permits, but does not require, covered
health care entities to obtain patient consent before using or disclosing Protected Health
Information (PHI) for treatment, payment, and health care operations. Entities can share
PHI digitally, or by phone, fax, or mail.
Although HIPAA does not require that health care entities offer patients a choice about
the sharing of their PHI, many entities and states have adopted policies or laws that
require patient consent. HIPAA is designed to work in tandem with other privacyprotective policies, so in those states, the entity is required to get the patient’s basic
consent preference (e.g., the entity must document if the patient wishes to opt-in or optout of electronic exchange). Below are a few examples of patient consent scenarios
illustrating how data flows in line with the patient’s consent preference. This is not a
comprehensive list of scenarios.
Patient is Not Asked for a Consent Decision – HIPAA background rules apply
When patient consent is not required, and HIPAA background rules apply, PHI can flow
as shown in the graphic below.
Flow of PHI When Patient is Not Asked for a Consent Decision
Patient Declines Digital Sharing
If patient consent is required by state law (called “opt in / opt out” laws [PDF – 429 KB])
to share information electronically and a patient makes a consent decision that does not
allow her health information to be shared digitally, entities can still exchange the
patient’s information. However, in line with HIPAA, the entities must use phone, fax, or
mail. These methods can be much slower and costlier than digital sharing. This type of
scenario is shown in the graphic below.
Flow of PHI when Patient Declines Digital Sharing
Patient Allows Partial Sharing
Sensitive health information, which includes mental health records, adds another layer
of complexity to the Computable Privacy environment. The graphic below shows
what happens when there are specialized rules for specific clinical categories, such
as mental health. In this scenario, a patient chooses to stop her health care entities from
sharing her mental health records, but she allows them to share her physical health
Flow of PHI when Patient Does Not Consent to Mental Health Record Sharing
Evaluate the impact of patient consent in achieving full interoperability.
Include the following aspects in the assignment:
• Assess one of the patient consent scenarios listed above
• Find two recent (less than three years) scholarly articles on your chosen scenario
• Create recommendations on how Patient Consent based on your selected
scenario could be integrated without constituting an obstacle to achieving
• In your own perspective, discuss the impact of wearable technologies in
achieving interoperability.
• At all times, proper sentence structure, grammar, and spelling are required.
Grammarly is a free tool to assist you. All references used must be placed.

Diagnostic reasoning and decision-making

Please do all case scenarios following the assignment guidelines.

Please provide an example of a case studi with the provided presenting complaint specific to each of these systems. This case should present the clinical approach and decision-making process involved in diagnostic reasoning and therapeutic decision-making.

You will present a Fictitious Illustrative Case presentation on the following topics

  1. A neurological complaint of daily Migraines in a 48 yr old female.
  2. Cardiovascular – HTN- BP – 180/90 average BP for a 55 yr old man with no other medical conditions.
  3. Diabetes- HgA1c- 11.0 – first office visit for a 50 yr old obese female
  4. Orthopedics- Low back pain in a 45 yr old male construction worker
  5. EENT- 7 yr. old with ear pain

Include the following in each case:

Subjective data- questions to be asked

Objective data- Expected physical findings

Differential Diagnosis

Cannot miss the diagnosis

Final Diagnosis

Clinical Guidelines for specific diagnosis