Nursing Home And Subacute Care

During the nineteenth and the twentieth century, the term “nursing home” was synonymous with long-term care. Although today the exclusive use of the term “long-term care” is no longer accurate for nursing homes, it continues to remain and will not change easily. However, newer terms such as “nursing facilities” will help clarify the role of specific long-term care organizations and will differentiate them from others in the health care industry.

Subacute care is a relatively new but rapidly growing medical service in the continuum of care. Today, it is considered the fastest growing segment of the health care delivery system.

Research the online references such as EBSCOhost, SocINDEX, Cumulative Index to Nursing and Allied Health Literature (CINAHL), or PubMed for information on nursing facilities and subacute units and respond to the following questions:

  • Do you agree with the change in the terminology of nursing homes to nursing facilities? Why or why not? How do the terms relate with each other?
  • What impact does the historical perspective of the nursing home have on the stigma related to the quality of care?
  • How were nursing facilities developed? What have been the consequences of the change in terminology? Do you think the change in terminology will impact the quality of care in the future? If yes, how? If no, why?
  • What changes do you see nursing homes making in the future in order to keep up with the ever changing needs of the demographics of seniors?
  • What are subacute units? How did subacute care emerge? What are the strengths and limitations of the emergence of subacute care in long-term care as related to issues in levels of patients’ acuity (various levels of nursing care based on the needs of patients)? Support your answer with relevant examples.
  • What is the impact of subacute care on the cost and quality of care? Do you think subacute care needs to be an integral component of hospitals, or should it be an integral part of the long-term care system? Provide a rationale for your answer.

Based on your learning about nursing home care and subacute care, compare their funding, staffing, regulation, and marketing.

 
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create a wholistic care plan for disease prevention, health promotion, and acute care of the patient in the clinical case

Create a wholistic care plan for disease prevention, health promotion, and acute care of the patient in the clinical case. Your care plan should be based on current evidence and nursing standards of care. 

Visit the online library and research for current scholarly evidence (no older than 5 years) to support your nursing actions. In addition, consider visiting government sites such as the CDC, WHO, AHRQ, Healthy People 2020. Provide a detailed scientific rationale justifying the inclusion of this evidence in your plan. 

Next determine the ICD-10 classification (diagnoses). The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-10-CM) is the official system used in the United States to classify and assign codes to health conditions and related information.

USE care plan template to help you design a holistic patient care plan. The care plan example provided here is just a reference for you to build your care plan. You are expected to develop a comprehensive care plan based on your assessment, diagnosis, and advanced nursing interventions. Reflect on what you have learned about care plans through independent research and peer discussions and incorporate the knowledge that you have gained into your patient’s care plan.

Grading CriteriaMaximum Points
Care plan demonstrated involvement of the client in the process of recognition, planning, and resolution of the problem.15
Care plan included effective nursing interventions that were customized for the client and appropriate to the goal.15
Care plan included diagnostic workup, medications, conservative measures, and a follow-up plan. 15
Care plan provided rationale for choosing a particular treatment modality.15
Care plan demonstrated logical diagnosis, which was substantiated with relevant evidence. 10
Care plan focused on patient education, maintained a fine balance between major and minor health issues of the patient. 10
Care plan included nursing interventions that are specific, appropriate, and free of essential omissions.10
Used APA standards consistently and accurately.10
Total100
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Analyze A Current Health Care Problem Or Issue ( I Choose To Talk About Limited Access To Health Care).

Write a 4-6 page analysis of a current problem or issue in health care, including a proposed solution and possible ethical implications.

For this assessment, you will analyze a current health care problem or issue.  This assessment provides an opportunity to apply critical thinking and problem-solving skills to a current health care problem or issue. 

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care.

  • Use scholarly information to describe and explain a health care problem or issue and identify possible causes for it.

Competency 2: Apply scholarly information through critical thinking to solve problems in the field of health care.

  • Analyze a health care problem or issue by describing the context, explaining why it is important, and identifying populations affected by it.
  • Discuss potential solutions for a health care problem or issue and describe what would be required to implement a solution.

Competency 3: Apply ethical principles and academic standards to the study of health care.

  • Analyze the ethical implications if a potential solution to a health care problem or issue was implemented.

Competency 4: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others, and that is consistent with expectations for health care professionals.

  • Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
  • Write following APA style for in-text citations, quotes, and references.

Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance level descriptions for each criterion to see how your work will be assessed.

  1. Describe the health care problem or issue you selected for use in Assessment 2 and provide details about it.
  2. Identify possible causes for the problem or issue.
  3. Use scholarly information to explain the health care problem or issue.      
    • Identify at least three scholarly or academic peer-reviewed journal articles about the topic.        
      • You may use articles you found while working on Assessment 2 or you may search the Capella Library for other articles.
      • You may find the applicable Undergraduate Library Research Guide helpful in your search.
    • Assess the credibility of the information sources.
    • Assess the relevance of the information sources.
  4. Analyze the problem or issue.      
    • Describe the setting or context for the problems or issues.
    • Describe why the problem or issue is important to you.
    • Identify groups of people affected by the problem or issue.
  5. Discuss potential solutions for the problem or issue.      
    • Compare your opinion with other opinions you find in sources from the Capella Library.
    • Provide the pros and cons for one of the solutions you are proposing.
  6. Analyze the ethical implications if the potential solution (the one for which you provide pros and cons) were to be implemented.      
    • Discuss the pros and cons of implementing the proposed solution from an ethical principle point of view.
    • Provide examples from the literature to support the points you are making.
  7. Describe what would be necessary to implement the proposed solution..

Additional Requirements

  1. Length: At least 4–6 typed, double-spaced pages, not including the title page and reference page.
  2. Font and font size: Times New Roman, 12 point.
  3. APA Template: Use the APA Style Paper Template as the paper format and the APA Style Paper Tutorial for guidance. See the Resources for these documents.
  4. Written communication: Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
  5. Using outside sources: Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.
  6. References: Integrate information from outside sources to include at least three scholarly or academic peer-reviewed journal articles and three in-text citations within the paper.
  7. APA format: Follow current APA guidelines for in-text citations of outside sources in the body of your paper and also on the reference page.
  8. Turnitin: Submit your assessment to Turnitin prior to grading. Then, only submit your final assessment to faculty for grading.

Organize your paper using the following structure and headings:

  • Title page. A separate page.
  • Introduction. A brief one-paragraph statement about the purpose of the paper.
  • Elements of the problem/issue. Identify the elements of the problem or issue, or question.
  • Analysis. Analyze, define, and frame the problem or issue.
  • Considering options. Consider solutions, responses, or answers.
  • Solution. Choose a solution, response, or answer.
  • Implementation. Implementation of the potential solution.
  • Conclusion. One paragraph.
  • SampleHW3.pdf
  • LimitedAccesstoHealthcarefinal..docx
 
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strategic health care marketing and consumerism activities,

Vila Health: Market Analysis
Welcome  to Vila Health, your virtual health care organization. Congratulations  on being selected to serve as the health care administration intern to  the vice president of operations at St. Anthony Medical Center! In this  role, you will interface with a variety of virtual leaders to construct a  new marketing plan for St. Anthony’s Labor and Delivery service line.
Currently,  there are two major competitors in the Minneapolis marketplace. Your  role is to examine St. Anthony Medical Center’s current Labor and  Delivery service line, describe how this service is marketed to the  public, and to make recommendations for future improvement. St. Anthony  is at break-even status with respect to profitability, and the board of  directors is wondering if this is a service line worth continuing, given  that it does not appear to directly contribute to the bottom line:  profit.
To start your strategic health care marketing and  consumerism activities, it may be helpful to scan a widely used  approach for marketing planning. Marketing expert Philip Kotler has  developed an eight-step plan that can greatly simplify and streamline  your efforts (Fortenberry, 2010).
Overview
It  is necessary for all members of a health care leadership team to  contribute to the overall success of the organization. For this reason,  strategic plans are utilized to focus on service offerings of a health  care organization. Part of this process involves determining the  direction in which the organization is headed, including positioning the  organization for optimal results. To customize an organization’s  service offerings to prospective consumers, considerable market  assessment must precede development of plans. In this assignment, you  will engage in an assessment of the overall health care marketplace, and  then assess a subset of the marketplace. Specifically, you will analyze  the service offering for Labor and Delivery at St. Anthony Medical  Center in Minneapolis, Minnesota.
Part of your market  analysis will include use of a tool for external environmental  assessment, followed by application of a tool for internal analysis of  the Labor and Delivery service line. Additionally, you will examine the  features, advantages, and benefits of the Labor and Delivery service  line relative to competitors, along with a short list of important  issues that are relevant for marketing plan development. Finally, you  will share insights regarding critical success factors for labor and  delivery services in the Minneapolis marketplace, return on investment,  and organizational viability. As the intern to the CEO at St. Anthony  Medical Center, you will be asked to seek information across various  departments, and to explore existing internal resources for various  tasks.
Instructions

  • Conduct  an external environmental assessment of the health care labor and  delivery marketplace. Utilize at least one situational or environmental  assessment tool from your studies or research.
  • Using an  internal assessment tool (such as SWOT), analyze St. Anthony Medical  Center’s Labor and Delivery service, and provide an executive summary  and analysis of the internal organization.
  • Integrate  the external environmental and internal organizational analyses, and  propose a list of relevant health care marketing issues.
  • Share any insights regarding critical success factors, return on investment, and organizational viability.
  • Communicate  your response in a professional manner that is consistent with a  master’s degree level of scholarly work (clear flow of logic, analysis,  integration of evidence based and authoritative sources, coherent  sentences, correct spelling, use of TurnItIn source verification  software, succinct/substantive use of language).
  • This assignment corresponds with step three of Kotler’s Marketing Plan as presented in Health Care Marketing.
    Before  you get started on the assignment, be sure to carefully read the  scoring guide. This is your roadmap for success. Also, it is expected  that successful interns will conduct research on model programs and best  practices to include as recommendations (accompany recommendations with  APA formatted citations and references in the list).
    You  may consider exploring accreditation for hospitals and nursing  services. How does St. Anthony Medical Center stand? Do they have  certifications, and if so are they visible on the Web site to consumers?  What about patient satisfaction? Is this data on the Web site? Do they  share medical and nursing expertise, and showcase innovative technology  or services? How can St. Anthony Medical Center position itself as a  unique leader in Labor and Delivery and women’s health in general? Be  creative, and think like a C-suite executive; try to imagine how growing  this service line might positively impact the rest of the organization.
    Submit your assignment by Sunday of this week. Remember to use APA format and style throughout.
    Reference
    Fortenberry, J. L., Jr. (2010). Health care marketing: Tools and techniques (3rd ed.). Sudbury, MA: Jones and Bartlett Publishers.
    Resources
  • Vila Health: Market Analysis Scoring Guide.
  • APA Style and Format.
  • Capella Writing Center.
  • Writing Feedback Tool.
  • Vila Health: Market Analysis | Transcript.
  • APA Paper Template.
  • APA Paper Tutorial.
 
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Internal Assessment

4 DQ due asap for Prof Harvey

 DQ 1} 

Internal Assessment

Using an internal assessment tool (such as SWOT), analyze St. Anthony  Medical Center’s Women’s Center and provide an executive summary and  analysis of the internal organization. You will want to focus on the  service line for labor and delivery. To gather information, it may be  helpful to visit the Web site and examine various facets of the  operation (for example, prenatal consumer service offerings,  innovations, differentiating competitive advantages, the use of social  media, and so forth). Concisely summarize your findings in the  Discussion space and, as you did for the external assessment, answer the  following question:

  • Which aspect of your assessment stood out for you? Why?

DQ 2}

Relevant Health Care Marketing Issues

Integrate the external environmental and internal organizational  analyses and, making connections to the results of that integration,  propose a concise list of relevant health care marketing issues. Share  any insights regarding critical success factors, return on investment,  and organizational viability.

Response Guidelines

Respond to your fellow learners according to the Faculty Expectations  Response Guidelines in light of your own list of health care marketing  issues. Where do you see similarities? Where do you see differences?  What do you think are the underlying causes? Be sure to support your  response with the results of your own analyses.

 DQ 3}

Benchmarking

Benchmarking is described as “the process of collecting and analyzing  data to identify trends in performance, and, when compared with other  collectors of the same data, identifying best performers” (Youngberg,  2011, p. 24).

Consider the possibility of yourself in a new role as a risk manager.  Research risk management topics in the Capella Library or other  reputable online sources. Develop your own description of critical  success factors for the establishment of a systems-based risk management  program. This program must involve interpretation of performance data.

In your initial post to this discussion, include the following:

  • Your own description of critical success factors for the establishment of a systems-based risk management program.
  • The types of benchmarking data that are important to consider.
  • Roles within your organization that need to be involved in the proactive risk management program.
  • A short 3–5 sentence summary, with references, regarding  considerations or caution in interpretation of internal and external  benchmarking data.

An outline format is acceptable for your initial post as long as at  least one in-text APA reference is included, along with an accompanying,  congruent APA-formatted reference. Posts should be based upon  peer-reviewed, evidence-based literature; these sources do not include  those in the courseroom.

Reference

Youngberg, B. J. (2011). Principles of risk management and patient safety. Sudbury, MA: Jones and Bartlett.

DQ 4}

Industry Requirements and the Quest for Excellence

The foundation upon which excellence is delivered within health care  includes legal, regulatory, and industry standards, as well as  performance measurement and quality improvement. Research one of the Web  sites introduced in the study activity for this unit. They are also  linked in the Resources for your convenience.

In your initial post for this discussion:

  • Describe the material you found in your research that relates to legal, regulatory, industry, or quality content.
  • Share two or three new insights or resources that describe how to  meet a basic legal requirement versus how to strive for excellence.

Initial posts should be based upon peer-reviewed, evidence-based  literature. A minimum of one outside, peer-reviewed or quality-related  Web site is required for this post; this source is not limited to those  in our courseroom. In your initial post, include APA-formatted in-text  citations and accompanying, congruent APA-formatted references.

 
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Nursing: History & Physical Assignment

For this paper, you do not need to follow any particular format and you do not need to include references as HIPAA would forbid referencing the subject. However, follow these guidelines:

  • Typed, double spaced using Word (Office 2007 or 2010)
  • Include your name on it
  • Use headings as appropriate(see below) and format them uniformly throughout the paper.
  • Use correct spellings and grammar; the majority of the assignment grade will be based on the content covered, but points will be deducted for misspellings and grammatical errors.
  • Refer to the HIPAA rules listed in the syllabus for information to omit. If you have a question about including any piece of information, contact the course instructor.
  • Submit the completed assignment as a file upload through the Canvas Assignments tool.

Refer to the attached document for specific assignment guidelines and components to be addressed, and the attached rubric for grading specifics.

Canvas will alert me when the assignment is submitted, and will show you a confirmation of submission. I will provide individual feedback on each paper.

Supporting Materials

B344 Assignment1_Adult_Health_History.doc

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b344 rubric complete adult health history rubric.doc

Rubric

Complete Adult Health HistoryComplete Adult Health History

CriteriaRatingsPts
Introductory ParagraphExceeds Standard5.0 ptsMeets Standard4.0 ptsBelow Standard3.0 ptsNo Marks0.0 pts5.0 pts
Present Health/History of Present Problems(s)Exceeds Standard5.0 ptsMeets Standard4.0 ptsBelow Standard3.0 ptsNo Marks0.0 pts5.0 pts
Past HealthExceeds Standard15.0 ptsMeets Standard12.0 ptsBelow Standard10.0 ptsNo Marks0.0 pts15.0 pts
Family HistoryExceeds Standard15.0 ptsMeets Standard12.0 ptsBelow Standard10.0 ptsNo Marks0.0 pts15.0 pts
Review of SystemsExceeds Standard15.0 ptsMeets Standard12.0 ptsBelow Standard10.0 ptsNo Marks0.0 pts15.0 pts
Functional, personal and social historyExceeds Standard15.0 ptsMeets Standard12.0 ptsBelow Standard10.0 ptsNo Marks0.0 pts15.0 pts
ConclusionExceeds Standard5.0 ptsMeets Standard4.0 ptsBelow Standard3.0 ptsNo Marks0.0 pts5.0 pts
ReflectionExceeds Standard15.0 ptsMeets Standard12.0 ptsBelow Standard10.0 ptsNo Marks0.0 pts15.0 pts
WritingExceeds Standard10.0 ptsMeets Standard9.0 ptsBelow Standard8.0 ptsNo Marks0.0 pts10.0 pts
Total Points: 100.0 
  • adult_healt_history_example.doc
  • apa_guidelines.doc
  • b344_module_1-week_1_student_notes_1-3.doc
  • b344_module_2-wee
 
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challenges of being a manager

Your facilitator will assign a case study scenario from the Week Five Case Studies document. You are a new manager appointed to find a solution to the challenges presented in the scenario.

Use the steps of the decision-making process regarding your assigned scenario.

Create a 7- to 12-slide Microsoft® PowerPoint® presentation that addresses the following:

·         Identify the purpose.

o    Identify the challenges of being a manager.

·         Set the criteria.

o    Explain the goals you want to achieve as a manager.

·         Weight the criteria.

o    Explain the goals in order of importance as a manager.

·         Seek alternatives.

o    Analyze alternative tools a manager can use to motivate staff.

o    Analyze how a leader can use these tools to motivate staff.

o    Explain how leaders and managers motivate staff differently.

o    Explain tips managers can use to empower staff.

·         Test alternatives.

o    Analyze how positive modeling can be used in this scenario and the alternatives available for modeling.

o    Analyze how managers can incorporate mentorship into daily responsibilities.

·         Troubleshoot.

o    Explain how to address resistance from staff.

o    Explain the issues that may impede the achievement of goals.

·         Evaluate the action.

o    Evaluate how goals will be measured to ensure success.

o    Analyze the ethical considerations in leadership and management.

o    Explain other management decisions that must be considered in the scenario to improve employee morale.

o    Analyze how the success of the decisions will be measured.

Cite a minimum of 5 references.

Format your presentation according to APA guidelines.

Click the Assignment Files tab to submit your assignment.

Case Study Scenario

The quarterly reports of expenditures for all the St. Agnes Health System have been distributed. You are the Director Team for the Orthopedic Clinic, and your area has seriously overspent its budget for the third consecutive quarter. There are rumors circulating that your job depends on reducing costs for supplies, the most expensive item on the list. Other rumors suggest that all the clinic nurses fear they will lose their jobs if the poor financial report for the clinic causes the board to convert the clinic into an urgent care. Although morale has been low, you have been adequately staffed and there seems to be an increase in sick calls by everyone on the team.

 
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HCM3006 S01 Healthcare Marketing And Strategy W2 Assignment 2

You are the director of marketing for a regional hospital. The board of directors at your hospital has studied the 2011 Institute of Medicine (IOM) report Early Childhood Obesity Prevention Policies. The alarming statistics quoted in the IOM report stated that “almost 10 percent of infants and toddlers carry excess weight for their length, and slightly more than 20 percent of children between the ages of two and five already are overweight or obese” (IOM, 2011, pg. 1). A survey conducted among the pediatricians who admit patients to the hospital validated that area children under the age of 5 years follow or exceed the national trend of being overweight or obese.

The board is very concerned about childhood obesity rates for the children in the hospital’s marketing area. At the last meeting, the board directed the marketing department determine the demand for childhood obesity programs and to review the IOM report and propose a marketing campaign to provide information to parents and guardians concerning ways to prevent children from birth to 5 years of age from becoming overweight.

Click here to access the IOM report.

  1. Prepare a demand-analysis briefing for the board of directors. The demand-analysis briefing should be no longer than 2 pages. You will need to do some research to understand the nature of the broader demand questions, but you should focus your analysis on clearly explaining the demand problem to the board. Be sure to define the healthcare demand problem in the scenario.
    Here is an outline:
    1. Define the service (1-2 paragraphs). Explain exactly what the service is, when it should be delivered, and what signals quality to the consumer of the service.
    2. Define the demand (2-3 paragraphs). Who are the consumers for this service? Where are they to be found? Are there any consumer characteristics that impact demand for the service? What are they? How sensitive is the consumer to price (price elasticity)?
    3. Define the direction of demand (1-2 paragraphs). What are we trying to do with the demand—-increase it, decrease it, or manage it in other ways? When you analyze the direction of the demand, be sure to consider not only what benefits the consumer, but also the organizational strategy of your focus provider and how the provider can stay financially viable.
    4. Demand management recommendations (1-2 paragraphs). List the steps you recommend. What should management do? Support your recommendations with a clear summary of your previous analysis.
  2. Write a 2- to 3-page marketing campaign to discuss the following marketing issues:
    1. Do you think the hospital needs to complete more marketing research before embarking on the campaign?
    2. What advertising media would you suggest to be used during the campaign?
    3. What products or services could the hospital offer to assist in reducing the number of infants and toddlers who are overweight?
    4. Do you expect to generate any revenue for the hospital from the campaign?
    5. How long will the campaign last? How long would you continue to measure the effectiveness of the campaign?

Make sure you integrate the demand analysis and the marketing campaign for the Board of Directors.

 
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Assignment 3: Marketing Scenario Analyses

Assignment 3: Marketing Scenario Analyses

Southern Baptist Hospital (SBH) had long resisted the use of marketing, believing it was not an appropriate activity for a nonprofit organization. By the mid-1980s, however, the erosion of its market share due to growing competition forced SBH to adopt an aggressive marketing strategy.

Its primary initiative was a campaign of television advertisements aimed to reinforce for the general public the image of SBH as a high-quality institution. Because the organization was starting its marketing activities from scratch, ad production and airtime costs were expensive. The television commercials were professionally produced and received critical acclaim from the advertising community.

Following the public’s repeated exposure to these advertisements, a hospital executive requested information about the impact of the advertisements. The idea to study the campaign’s impact had not been considered earlier, and a belated evaluation effort was mounted to determine the extent to which the campaign had achieved the desired effect. Much to the consternation of SBH administrators, the evaluation found that the ads had had virtually no impact on the public’s already high perception of the institution, and no improvement in patient volumes, revenues, or market share could be attributed to the campaign. SBH administrators, committed to an expensive initiative, rationalized that the campaign had not aired long enough to generate the desired effect and invested even more money in the initiative.

After reviewing the above case, address the following points:

  1. To what extent did SBH research the needs of its audience prior to developing a marketing strategy?
  2. Does it appear that SBH has an overall marketing plan?
  3. Does it appear that SBH had a significant grasp of the nature of marketing?
  4. What are the implications of focusing marketing efforts on corporate image rather than the services the organization provides?
  5. What are the implications of marketing to the general public rather than targeting specific segments of the market?
  6. How much thought was given to measuring the effectiveness of the campaign going into the initiative?

Post your responses in a 2- to 3-page Microsoft Word document.

By Tuesday, May 17, 2016, submit your assignment to the W1: Assignment 3 Dropbox.

Save your document as SUO_HCM3006_W1_A3_LastName_FirstInitial.doc.

 
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