Explain how regulatory compliance will affect health care organizations’ strategic decision making.

S450 Unit 7 Assignment

Techniques and Tools for Strategic Management in Healthcare

Course outcome assessed in this Assignment:● HS450-4: Apply tools and techniques in the management of quality and performance

in a healthcare setting.

Unit Outcomes

● Explain how regulations impact health care organizations.

● Describe the policy and operational context of health care regulations.

● Explain how regulatory compliance will affect health care organizations’ strategic decision making.

● Formulate strategies to ensure regulatory compliance.

Instructions

You have been appointed as lead project manager for the implementation of a new EHR system in a large multi- campus hospital system. The CEO and Board of Directors have asked you to provide information regarding the methods by which you will ensure successful adoption of the new information system. Please follow the instructions below in completion of this assignment.

Part Competency Assessed

1 Apply quality management

tools.

2 Construct performance

management measures.

Instruction

Demonstrate the quality management tools that could be used as process control techniques. Select three (2) quality management tools (e.g., control charts, Pareto charts, fishbone diagrams) and interpret their use for the CEO and Board of Directors. Provide a visual example for each tool used. Discuss the relationship between quality management and how changes in health care regulations impact internal policies, processes, and organizational structure.

Develop a plan to measure and management performance during the transition to the new EHR by preparing an executive summary on at least two (2) benchmarking techniques (e.g., productivity standards, report cards, dashboards, etc.). Provide a visual example for each technique used. Discuss the relationship between benchmarking and how changes in health care regulations impact internal policies, processes, and organizational structure.

3 Demonstrate workflow concepts.

4 Apply project management

techniques to ensure efficient workflow and appropriate outcomes.

Assignment Requirements

Demonstrate workflow concepts that would assist in managing the transition to the new EHR system. Examine at least two (2) workflow concepts (e.g., use cases, top down diagrams, swimlane diagrams, etc.) and provide a visual example of each. Discuss the relationship between workflow concepts and how changes in health care regulations impact internal policies, processes, and organizational structure.

Demonstrate project management techniques that you would use for the EHR transition — ensuring efficient workflow and appropriate outcomes. Select at least two (2) techniques (e.g., Gantt charts, benchmarking, risk analysis) for interpretation. Please provide an example of each and place in an executive summary. Discuss the relationship between project management techniques.

● Please complete all parts in a Microsoft Word document.

● The body of your document should be at least 1500 words in length.

● Quoting should be less than 10% of the entire paper. Paraphrasing is necessary.

● Students must cite and reference at least 4 credible sources from the KU Library.


 

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Research and select one peer-reviewed article related to an OrganizationalDesign and Development concept specified in your course reading from Chapters

Research and select one peer-reviewed article related to an OrganizationalDesign and Development concept specified in your course reading from Chapters 1-3. The article you select must have been published within the last 18-24 months and come from any magazine Internet or book sources. Articles beyond the 2 year mark will not be accepted unless prior authorization is given from the instructor.
Develop a 5-7 page APA formatted paper reviewing your chosen article in a word document of your choice such as Microsoft Word.
The 4 approaches to measure effectiveness-organizational and design and development of an organization.
-Goal Approach
-Resource based approach
-Internal Process approach


 

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What new idea do you bring to the table that makes your presentation more viable and more valuable to the board?

What new idea do you bring to the table that makes your presentation more viable and more valuable to the board?

What new idea do you bring to the table that makes your presentation more viable and more valuable to the board?

E.g. what are the long term implications and to show you’ve thought through the issues?
Arroyo Fresco Community Health Center Case Study (2006) (1).pdf

This is the report you are writing on. It is online.

Use of the 6 dimensions of Critical Thinking/Blooms is required format. See Grading rubric

Your work with Intravalley Health has been well received. In fact, you have gained a reputation for insightful analysis. Given this, the board chair has asked you to assemble a consulting team to assist another healthcare organization on whose board he also serves – and where his mother receives her routine care.

The task for your team is to research and analyze the organization and develop a new organizational strategy for the Arroyo Fresco Community Health Center. This strategy will be presented to the Arroyo Fresco board via a written report and a summarizing presentation.

The Report (20 of the 30% value of this assignment)

Your report should be a brief seven to ten-page paper (excluding tile page, abstract, and reference list), which includes:

Discussion of new strategy, research support for the strategy, knowledge of best practices in reorganization.
Analysis of a new organizational structure or ownership, if needed, supported by research completed along with examples of the pros and cons.
Specific goals and recommendations for the future, new and unique ideas or research supported rationale for continuing or changing current practices.

Description of how strategy will be executed and measured, including financing, revenue and expense. How will you pay for the changes you recommend? This is a critical part of the exercise.

The Presentation (10 of the 30% value of this assignment)

You can expect to have approximately 10 minutes to present your findings to the Arroyo Fresco board of directors. The presentation can be in any format that can be viewed in a standalone mode (i.e. without internet service; the Community Health Center has a small technology budget). While PowerPoint is a popular choice, you are encouraged to use any presentation modality that can be viewed on a Microsoft operating system.


 

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Write a scholarly 3- to 4-page paper comparing two nursing informatics pioneers in APA format.

Write a scholarly 3- to 4-page paper comparing two nursing informatics pioneers in APA format.

Application 1: Nursing Informatics Pioneers
One of the major drivers in recent health care reform legislation is the American Reinvestment and Recovery Act’s (ARRA) HiTech Incentive. This act, passed in 2009, earmarked $22 billion for the adoption of electronic health records (EHRs), with a goal of 100% adoption in all practice settings by the year 2014. The HiTech Act provides an example of the pivotal role that health information technology plays in the delivery of quality health care services. Yet, health information technology is a relatively new field. This Application Assignment provides an opportunity for you to examine the contributions of pioneers in this arena and consider how their contributions have influenced health informatics and nursing practice today.
To prepare:
• Visit the AMIA Video Library 1: Nursing Informatics Pioneers webpage listed in the Learning Resources.
• Review the biographies and video presentations of pioneers who are of interest to you, or may hold a position that you aspire to achieve.
• Select two nursing informatics pioneers and conduct further research on their contributions.
• Consider how their contributions have influenced health information technology and nursing practice today.
Write a scholarly 3- to 4-page paper comparing two nursing informatics pioneers in APA format with a minimum of 4 references from the list below which include the level one headings as numbered below:
1) What are the professional accomplishments of each individual?
2) How have their contributions influenced nursing practice?
3) How have their contributions shaped the field of nursing informatics?
4) What lessons can you take away from their experiences?
5) What skills or ideas demonstrated by these leaders might you apply to your professional practice?


 

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Describe the meaning of multiculturalism

Describe the meaning of multiculturalism in your own words. Is the United States of America a multicultural country? Why or why not? Why is multiculturalism a controversial issue for some people? How can the three sociological perspectives (social functionalism, social conflict, and symbolic interaction) be used to conceptually understand multiculturalism?


 

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Analyze the spectrum of health care facilities that exist in the U.S.Analyze the purpose and goals of each of the different types of health care facilities in the U.S

For the next newsletter, you have been asked to write a 700- to 1,050-word article about the spectrum of health care facilities. In your article:Analyze the spectrum of health care facilities that exist in the U.S.Analyze the purpose and goals of each of the different types of health care facilities in the U.S.Analyze how the different types of facilities work together.Analyze who is responsible for the oversight of the facilities.Analyze the similarities and differences of the health care facilities.Format your paper according to APA guidelines.Cite 3 peer-reviewed, scholarly, or similar references to support your paper.


 

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calculate the price of items and will ask for the payment in different modes such as Cash on Delivery, Debit Card and Credit Card.

E Commerce websites are very popular sites nowadays. E commerce is an electronic to do trading and providing services through Internet, Mobile or other means of network. Various technologies are being used in E commerce to making trading between organisation and consumer and vice versa. On the e commerce the consumer can access various items on the site and can order the goods by sitting at home. In our website we try to cover all the aspects which are necessary for the e commerce website. Our website is being built in PHP Platform which is capable platform in making dynamic websites. The website will allow the user to browse the products listed on the website and order the product with secure payment gateway. The various items have been introduced in our website which make it showstopper website in e commerce section. (“eCommerce”, 2013)

The website will be developed with all advance features of an ecommerce website. The other features of the proposed website are as follows.

 Navigation: The website will have very good navigational features which includes Menus, Hyperlinks search box etc.

 User Interface: The website will be developed with a very bright, creative and attractive yet professional look. Target audience of the website will be people between the age group 15-50 yrs so the website will be developed according to taste of target audience.

 Reliable: The website will be reliable with the end user. It will be good in quality and performance. The content of the website will be readable and understandable by the consumer.

 Feedback: The website will allow the user to share feedback with the help of proper feedback forms to provide a personal feel to the user.

 Responsive: The website will be fast in response to the user. The website must give the accurate response to the user. The user will do trading over the website so sensitive information of user will be secure in the terms of security.

Functional Requirements:

There are some functional requirements for the user to make access to the website which are as follows:-

1. Registration: The user must register himself to the website with the valid data.

2. User Login: Once the user finish with the registration, the user id will be provided to the user by website. Through that user id the user can login in to the website.

3. Items List: when the user successfully login in the website, he can go through the various item lists.

4. Product Cart: The user can add the products in the product cart in case of willing to buy those products.

5. Payment Mode: Once the user adds the items in the cart, the system will calculate the price of items and will ask for the payment in different modes such as Cash on Delivery, Debit Card and Credit Card.

Non functional Requirements:

1. Security: The website will be secure and will not reveal the information about the user to others.

2. Simplicity: The website will be simple so that it can be easily understandable by the user.

3. Friendliness: The friendly user interface will make the website easy to operate .

Hardware requirement:

1. At least 64 Mb of RAM on your server

2. 700 MHz processor

3. 1gb hard disk for ubuntu server(Further hard disk requirement depends upon our website load)

Software Requirements:

1. Operating system(window, linux)

2. PHP Environment(5.4+ ,for oops functionality)

3. MySql

4. Apache (Lowe, 2003).


 

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How much time you spent on each part of the exercise.

1) You are required to configure and test a DNS server. Configure a DNS server with both forward and reverse lookup. You should configure a domain name zone of <your_surname>.itc514.edu, and a reverse name mapping zone of 192.168.15.0/24. Configure A and PTR records for: host1 – 192.168.15.10, host2 – 192.168.15.11 and host3 – 192.168.15.12. Configure a CNAME of www for host1, and a CNAME of dc1 for host2. Test the operation of your DNS server using an external client running DNS queries. [10 marks]

2) Create a user “assgn2′ and in their home directory create the files with the following permissions [5 marks].

A file called “test.txt”, with contents “This is a test file”, with read and write permissions for owner, group and other, but no execute permissions. A file called “script1” that runs a simple script of your choosing, with read and execute permissions for group and other, and full read, write and execute permissions for owner. A hidden file called “.test_config”, owned by root with contents “Test config file”, that has root read, write and execute permissions only, no other permissions set. A symbolic link with an absolute path to a system log file of your choosing. A directory called “test_dir” with the owner having full persmissions to create, rename or delete files in the directory, list files and enter the directory. Group and other having permissions to only list files and enter the directory and access files within it. 3) You are required to configure and test a DHCP server to provide IP Address and related configuration parameters to a client computer. Set up a pool of DHCP addresses from 192.168.15.30 to 192.168.15.50, Subnet Mask 255.255.255.0, Gateway 192.168.15.1, DNS Primary Server of 192.168.15.1, default lease time of 3 hours and maximum lease time of 6 hours. Test the operation of your DHCP server using an external client requesting a DHCP lease. [10 marks] 4) Capture and describe the network activity occuring between the client and DHCP Server. On your Linux computer use a packet sniffer to capture network traffic, then analyse and describe the overall DHCP lease allocation process, and describe the detail in each packet. [5 marks].

Submitt a learning diary for these activities in which you should include:

Your DHCP configuration, including copies of the underlying DHCP server configuration files; Screenshots from your client device validating the operation of the DHCP server; Details and analysis of the packet capture; What you did; What problems you encountered and how you solved them; How much time you spent on each part of the exercise.


 

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List three areas where HITECH was in line with the recommendations of the proposed National Framework

Assignment 1 (1 page total for Answer 1 and 2) (2 pages total for Answer 3) = 3 pages totalWhat were the goals of the Cure4Kids program in 2003? How have they evolved?
How are they leveraging information technology to meet their goals?
Think about the tools and techniques that this program uses. Hypothesize how these might be used to solve another healthcare business challenge. Write-up:
A description of your opportunity b. An overview of how you would leverage your selected tools and techniques to positively impact your opportunity c. What factors would you consider in developing an IT solution to support this opportunity d. A list of risks and/oOnline resources
https://www.cure4kids.org/ums/home/help/
https://www.cure4kids.org/ums/sites/teachers/plugins/newsletter.php(newsletter posts)
https://www.cure4kids.org/ums/sites/teachers/plugins/page.php?id=19(podcasts)
https://www.cure4kids.org/ums/sites/teachers/plugins/gdocs.php?op=op_save&vocab_r[]=1348&view_radio=gallery(videos)
https://www.cure4kids.org/ums/home/files/file.php?op=download&id=7860(text download)
https://www.cure4kids.org/ums/sites/teachers/plugins/page.php?id=14(models)

Assignment 2 (1 page total for Answers 1 2 and 3) (1 page total for Answer 4) = 2 pages totalHow safe do you think the safe harbor of HIPAAs 18 fields is?
What do you think the right balance between patients privacy and public good is? Why?
List three areas where HITECH was in line with the recommendations of the proposed National Framework
What technology solutions can be used to improve the safety of ePHI? How? What risks to each mitigate?Online resources
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2329823/
http://www.hhs.gov/hipaa/for-professionals/privacy/special-topics/de-identification/ (just the de-identification standard)

Assignment 3 = 1 page totalPick a healthcare technology trend from the article and list five emerging challenges and opportunities based on your trend for the new healthcare as defined in the article. Document the risks and value of these challenges and opportunities.Online resources
http://www.healthcare-informatics.com/blogs/mark-hagland/our-top-ten-tech-trends-time-feel-realness

Assignment 4 (1 page total for Answers 1 and 2) (1 page total for Answer 3) = 2 pages totalDo you think EHRs do a good job documenting and protecting providers?
List and describe five legal concerns for EHR use
You are brought into a hospital as a consultant. Provide an executive summary of recommendations that you would make to reduce the legal risk of EHR usage to the Chief Compliance officerOnline resources
http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_050286.hcsp?d DocName=bok1_050286

Assignment 5 (1 page for Answers 1 2 and 3) = 3 pages totalDescribe the current situation as you see it. What are the major issues in this case?
Marilyn Moore CIO and Paul Robinson director of pharmacy have different views of how LMH should proceed. What are the pros and cons of their respective approaches? Which approach if either seems like an appropriate course of action to you? Explain your rationale.
Assume you are to mediate a discussion on this issue and that participants are to come to consensus on how best to proceed. What would you do?CASE STUDY: SELECTION OF A PATIENT SAFETY STRATEGY
Background information
Langley Mason Health (LMH) is located in North Reno County the largest public health care district in the state of Nevada serving an 850-square-mile area encompassing seven distinctly different communities. The health district was founded in 1937 by a registered nurse and dietician who opened a small medical facility on a former poultry farm. Today the health system comprises Langley Medical Center a 317-bed tertiary medical center and level II trauma center; Mason Hospital a 107-bed community hospital; and Mason Continuing Care Center and Villa Langley two part-skilled nursing facilities (SNFs); a home care division; an ambulatory surgery center; and an outpatient behavioral medicine center.
In anticipation of expected population growth in North Reno County and to meet the state-mandated seismic requirements LMH developed an aggressive facilities master plan (FMP) that includes plans to build a state-of-the-art 453-bed replacement hospital for its Langley Medical Center campus double the size of its Mason Hospital and build satellite clinics in four of its outlying communities. The cost of actualizing this FMP is estimated to be $1 billion. Several years ago LMH undertook and successfully passed the largest health care bond measure in the states history and in so doing secured $496 million in general obligation bonds to help fund its massive facilities expansion project.
The remaining funds must come from revenue bonds growth strategies philanthropic efforts and strong operational performance over the next ten years. Additionally $5 million of routine capital funds will be diverted every fiscal year for the next five years to help offset the huge capital outlay that will be necessary to equip the new facilities. That leaves LMH with only $10 million per year to spend on routine maintenance equipment and technology for all its facilities. LMH is committed to patient safety and is building what the leadership team hopes will be one of the safest hospital-of-the-future facilities. The challenge is to provide for patient safety and safe medication practices given the minimal capital dollars available to spend today.
LMH developed an IT strategic plan in late 2010 with the following ten goals identified:Empower health consumers and physicians
Transform data into information
Support the expansion of clinical services
Expand e-business opportunities
Realize the benefits of innovation
Maximize the value of IT
Improve project outcomes
Prepare for the unexpected
Deploy a robust and agile technical architecture
Digitally enable new facilities including the new hospitalInformation Systems Challenge
LMH has implemented Phase 1 an enterprise-wide EHR system developed by Cerner Corporation in 2008 at a cost of $20 million. Phase 2 of the project is to implement computerized provider order entry (CPOE) with decision-support capabilities. This phase was to have been completed in 2010 but has been delayed due to the many challenges associated with Phase 1 which still must be stabilized and optimized. LMH does have a fully automated pharmacy information system albeit older technology and Pyxis medication-dispensing systems on all units in the acute care hospitals. Computerized discharge prescriptions and instructions are available only for patients seen and discharged from the LMH emergency departments.
Currently the pharmacy and nursing staff at LMH have been working closely on the selection of a smart IV pump to replace all of the health systems aging pumps and have put forth a proposal to spend $4.9 million in the fiscal year beginning July 2012. Smart pumps have been shown to significantly reduce medication administration errors thus reducing patient harm. This expenditure would consume roughly half of all of the available capital dollars for that fiscal year.
The chief information officer Marilyn Moore PhD understands the pharmacists and nurses desire to purchase smart IV pumps but believes the implementation of this technology should not be considered in isolation. She sees the smart pumps as one facet of an overall medication management capital purchase and patient safety strategic plan. Dr. Moore suggests that the pharmacy and nursing leadership team lead a medication management strategic planning process and evaluate a suite of available technologies that taken together could optimize medication safety (for example CPOE electronic medication administration records [e-mar] robots automated pharmacy systems bar coding computerized discharge prescriptions and instructions and smart IV pumps) the costs associated with implementing these technologies and the organizations readiness to embrace these technologies.
Paul Robinson PharmD the director of pharmacy appreciates Dr. Moores suggestion but feels that smart IV pumps are critical to patient safety and that LMH doesnt have time to go through a long drawn-out planning process that could take years to implement and the process of gaining board support. Others argue that all new proposals should be placed on hold until CPOE is up and running. They argue there are too many other pressing issues at hand to invest in yet another new technology.

Assignment 6 = 1 page totalAs Andy Slavitt noted the Meaningful Use program is coming to an end. Write up an analysis of the impact of this program winding down what is emerging in its place and what challenges and opportunities the future holds.Online resources
http://www.beckershospitalreview.com/healthcare-information-technology/cms-andy-slavitt-hints-at-mu-s-finale-6-things-to-know.html
https://blog.cms.gov/2016/01/19/ehr-incentive-programs-where-we-go-next/


 

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How would you, as the nurse, apply the “Art of Nursing” to the following situations? Write a paragraph for each scenario. a. A mother who has delivered a stillborn child

How would you, as the nurse, apply the “Art of Nursing” to the following situations? Write a paragraph for each scenario.
a. A mother who has delivered a stillborn child

b. A patient who has just been told he has cancer
c. A family who is unsure whether or not to place a loved one in an extended care facility
2. In class we have heard and discussed many nursing theories and their application to nursing practice. You are also now hearing about nursing diagnoses. After reading each diagnosis and provided nursing interventions, choose a theory that you think would work the best in addressing the problem. Explain why you think it is the best fit. No more than 1 page per diagnosis
a. NANDA nursing diagnosis: Sleep deprivation
Suggested Outcome: Rest and sleep
Nursing interventions:
Keep environment quiet for sleeping
Consider the use of ear plugs
Encourage the client to use soothing music to facilitate sleep
Which theory do you think would work best for a client with this diagnosis, outcomes, and these interventions? Type you answer below. Explain why you think it is the best fit.
b. NANDA nursing diagnosis: Caregiver Role Strain
Suggested outcomes: Caregiver emotional health
Nursing interventions:
Assess for care giver role strain
Screen at frequent intervals
Assess for signs of depression
Help caregiver find personal time
Which theory do you think would work best for a client with this diagnosis, outcomes, and these interventions? Type you answer below. Explain why you think it is the best fit.


 

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