Research the differences between clinical quality and customer service quality, specifically in long-term care.

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Instructions:For this Assignment, you will research the differences between clinical quality and customer service quality, specifically in long-term care.Using the Medicare Nursing Home Compare website

Instructions:

  • For this Assignment, you will research the differences between clinical quality and customer service quality, specifically in long-term care.
  • Using the Medicare Nursing Home Compare website, research one nursing home that has a reported customer complaint.
  • Provide a general overview of the nursing home (e.g., name, location, bed size, ownership, etc.)
  • Discuss the overall quality of customer service offered at the nursing home (as evident by customer complaint inspection results)
  • Discuss the overall quality of clinical care offered at the nursing home (as evident by recent survey inspection results)
  • Discuss appropriate techniques that you would use to improve quality of customer service offered at the nursing home
  • Discuss appropriate techniques that you would use to improve quality of clinical care in the nursing home.
  • Be sure to include details about the complaints that you found.
  • Report your findings by using one (1) of the methods below:
    • 3-4 page paper excluding front and back matter (APA standards apply).*You can select any nursing home published on the Medicare Hospital Compare website. To narrow your selection, consider researching nursing homes in your community, previous places of residence, employers, competitors, or even a nursing home you would like to network with someday.

The Nursing Process

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A 19-year-old female college student who is pledging a sorority arrives at the Emergency Department (ED) after participating in a contest to drink the most water. She drank 5 liters of water in about 2 hours. The sorority sisters called 911 when the student reported a headache and was confused. Upon arrival to the ED, a nursing assessment was performed and laboratory tests ordered by the MD were obtained. The patient reports a headache, abdominal cramping, and has orthostatic hypotension. The following laboratory results are reported:

Sodium: 122 mEq/L

Potassium: 3.6 mEq/L

Calcium: 10 mg/dL

Magnesium: 2 mg/dL

Chloride: 100 mEq/L

Phosphate: 2 mEq/L

Initial Discussion Post:

Cluster and analyze the data in the scenario.

  • Determine the electrolyte imbalance.
  • As the RN monitoring this patient, what assessments will you perform for early recognition of potential problems?
  • Identify a nursing diagnosis with related factors, and defining characteristics (if appropriate).
  • Describe the analysis used and rationale for your choice.

Base your initial post on your readings and research of this topic.Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250 word minimum.Hide

Consider the work of the major theorists you examined in this week’s Resources, and think about how these theories apply to your own experience as a health care customer and/or practitioner.

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As health care consumers, we all expect quality care and positive outcomes. It is important as professionals that we meet these demands of health care consumers. Consider the work of the major theoris

As health care consumers, we all expect quality care and positive outcomes. It is important as professionals that we meet these demands of health care consumers. Consider the work of the major theorists you examined in this week’s Resources, and think about how these theories apply to your own experience as a health care customer and/or practitioner.

By Day 3

Post your definition of quality and apply it to the work of one major quality theorist (e.g., Donabedian, Juran, Deming, Triple Aim (IHI) – Berwick). Identify a practice problem that you have had some experience with as a customer or as a practitioner and explain how eliminating wasteful practices could have improved the experience. Include how your definition of quality applies to that experience.

Support your response with references from the professional nursing literature. Your posts need to be written at the capstone level (see checklist).

Notes Initial Post: This should be a 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations.  

Health Maintenance and Screening Plans

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Health Maintenance and Screening PlansClinical preventive services, such as routine disease screening and scheduled immunizations, are key to reducing death and disability and improving the Nation’s

Health Maintenance and Screening Plans

Clinical preventive services, such as routine disease screening and scheduled immunizations, are key to reducing death and disability and improving the Nation’s health. Yet, despite the fact that these services are covered by Medicare, Medicaid, and many private insurance plans under the Affordable Care Act, millions of children, adolescents, and adults go without clinical preventive services that could protect them from developing a number of serious diseases or help them treat certain health conditions before they worsen.

Discuss preventative services and ways to promote and overcome the barriers in your clinical practice to deliver holistic care including the recommended services for all patients across a lifespan. Please include examples, evidence-based information, and references to support your work.

Your writing Assignment should:

  • follow the conventions of Standard English (correct grammar, punctuation, etc.);
  • be well ordered, logical, and unified, as well as original and insightful;
  • display superior content, organization, style, and mechanics; and
  • use APA 6th Edition format as outlined in the APA Progression Ladder.
  • 3-4 pages excluding the title and reference page, include at least 5 references 

If other people on your team were to get 100 percent of the bonus but you didn’t, would you feel motivated or demotivated? Inspired to excel or depressed? Rewarded or punished? Be specific. Explain thoroughly.

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Compare the culture of your current employer to Deming’s Quality Principles: · Help people do a better job. · Drive out fear. · Break down barriers. · Restore pride of workmanship. · Make qu

Compare the culture of your current employer to Deming’s Quality Principles: · Help people do a better job. · Drive out fear. · Break down barriers. · Restore pride of workmanship. · Make quality everyone’s job. Does this employer lead by example? Encourage open dialogue? Does management seek views and ideas? Does everyone have clear expectations for their expected level of performance? Do leaders provide reward and recognition for a job well done? With that in mind, answer these questions:

  1. If there was no bonus at stake, or if everyone got the same bonus for achieving collective goals, would your work deteriorate? Why or why not?
  2. If other people on your team were to get 100 percent of the bonus but you didn’t, would you feel motivated or demotivated? Inspired to excel or depressed? Rewarded or punished? Be specific. Explain thoroughly.
  • I work as a cna in a nursing home
  • Criteria for paper.
  • 1. Paper contains a clear description of the organizational culture   
  • 2. Responses clearly address the questions.   
  • 3. Response is thoughtful and based on learning

Identify the steps needed to participate in an ACO.

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Urban and rural health care organizations throughout the industry are working together to coordinate care for Medicare patients. Accountable Care Organization (ACO) programs were established by the Ce

Urban and rural health care organizations throughout the industry are working together to coordinate care for Medicare patients. Accountable Care Organization (ACO) programs were established by the Centers for Medicare and Medicaid Services to help facilitate this cooperation.

Select a type of health care organization that would accept Medicare patients (e.g., family practice, hospital, urgent care, or nursing home).

Write a 700- to 1,050-word executive summary that discusses the purpose of joining an ACO and the funding available through one. Include the following:

  • Describe the organization you selected and the general services that would be offered to Medicare patients.
  • Describe the types of ACOs recognized by the Centers for Medicare and Medicaid Services.
  • Evaluate industry dynamics that would influence your organization’s decision to participate in an ACO.
  • Identify the steps needed to participate in an ACO.
  • Justify participation in an ACO for your organization.

Cite 3 reputable references to support your assignment (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality).

Format your assignment according to APA guidelines.

Is the makeup of the organization’s leadership representative of the patient and employee populations? Is this important? What would you change?

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Write a 3–5 page executive summary that examines an organization’s diversity policies and practices. To prepare for this assessment, use the Internet to study the impact of health system’s power

 Write a 3–5 page executive summary that examines an organization’s diversity policies and practices. 

To prepare for this assessment, use the Internet to study the impact of health system’s power structure on nursing, leadership, diversity related to empowerment in nursing and patient outcomes, and recruitment of a diverse workforce. You may also wish to look for examples of an executive summary on the Internet.

  • Identify a type of health care facility and examine the Web site and available public information to review the organization of the nursing department, nursing recruitment, and any information about the diversity of the system’s workforce and leadership.
    • You may use the health care setting in which you currently work or have worked in the past.
    • Describe the type of organization and region. Example: a major Midwestern teaching hospital or a rehabilitation hospital on the East Coast. **Central Florida Region**
      • Do not report the name of the facility.

Deliverable: Executive Summary of Organizational Diversity

Read the following scenario:Scenario:The city in which you work has undergone a significant population shift within the last 10 years, due to increased employment, education opportunities, and an influx of immigrants and refugees. To put the population shift in perspective, the local school district enrollment report states that nearly 100 languages are spoken in the schools, up from 32 languages in the last census. Senior leadership has asked you to examine all types of multiculturalism and diversitywithin your health care organization.To do this, you will need to use a systems perspective to examine the relationship between a diverse workforce and patient outcomes; identify gaps between best practices and the organization’s diversity policies, and make a recommendation for organizational change.

In the executive summary:

  • Analyze the impact of a diverse workforce on patient outcomes.
    • In what ways or situations might multiculturalism and diversity impact health care delivery or patient outcomes?
    • How is diversity defined in the organization?
  • Analyze how the health care system integrates diversity and multiculturalism into its practices.
    • Is the makeup of the organization’s leadership representative of the patient and employee populations? Is this important? What would you change?
    • Explain how multiculturalism and diversity can impact health care delivery or patient outcomes.
  • Analyze current recruitment and retention policies to identify gaps between best practices and current policies.
  • Assess the level of integration and importance of multiculturalism and diversity in a health care organization.
    • Are all types of diversity recognized and included?
    • Provide support for your position by including 2 or 3 examples of the integration of multiculturalism and diversity into the organization.
  • Recommend evidence-based changes to the organizational structure and systems leadership that empower a diverse workforce.
    • What changes would you champion as a health care leader to make the system more responsive to patients and the organization’s workforce?

Make your document easy to scan for readers by:

  • Using subheadings to organize content.
  • Using bullet points and phrases for main points, in addition to short, succinct paragraphs.
  • Including a visual, such as a graph, table, or chart.

Additional Requirements

  • Written communication: Written communication should be free of errors that distract from the overall message.
  • APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.
  • Font and font size: Times New Roman, 12 point, double-spaced.
  • Length: Summary report should be 3–5 pages.
  • Number of resources: Use a minimum of three peer-reviewed resources.
  • Attached is an example of a high graded paper to use as a reference. 

Write a 3–5 page safety score improvement plan for mitigating concerns, addressing a specific patient-safety goal that is relevant to quality patient care. Determine what a best evidence-based pract

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Write a 3–5 page safety score improvement plan for mitigating concerns, addressing a specific patient-safety goal that is relevant to quality patient care. Determine what a best evidence-based practice is and design a plan for resolving issues resulting from not maintaining patient safety.

Quality improvement and patient safety are health care industry imperatives (Institute of Medicine’s Committee on Quality of Health Care in America, 2001). Effective quality improvement results in system and organizational change. This ultimately contributes to the creation of a patient safety culture.

Consider the hospital-acquired conditions that are not reimbursed for under Medicare/Medicaid. Among these conditions are specific safety issues such as infections, falls, medication errors, and other safety concerns that could have been prevented or alleviated with the use of evidence-based guidelines. Hospital Safety Score, an independent nonprofit organization, uses national performance measures to determine the safety score for hospitals in the United States. The Hospital Safety Score Web site and other online resources provide hospital safety scores to the public.Read the scenario below:ScenarioAs the manager of a unit, you have been advised by the patient safety office of an alarming increase in the hospital safety score for your unit. This is a very serious public relations matter because patient safety data is public information. It is also a financial crisis because the organization stands to lose a significant amount of reimbursement money from Medicare and Medicaid unless the source of the problem can be identified and corrected. You are required to submit a safety score improvement plan to the organization’s leadership and the patient safety office.Select a specific patient safety goal that has been identified by an organization, or one that is widely regarded in the nursing profession as relevant to quality patient care delivery, such as patient falls, infection rates, catheter-induced urinary infections, IV infections, et cetera.Deliverable: Safety Score Improvement PlanDevelop a 3–5 page safety score improvement plan.

  • Identify the health care setting and nursing unit of your choice in the title of the mitigation plan. For example, “Safety Score Improvement Plan for XYZ Rehabilitation Center.”
  • You may choose to use information on a patient safety issue for the organization in which you currently work, or search for information from a setting you are familiar with, perhaps from your clinical work.
    • Demonstrate systems theory and systems thinking as you develop your recommendations.
  • Organize your report with these headings:Study of Factors
  • Identify a patient safety issue.
  • Describe the influence of nursing leadership in driving the needed changes.
  • Apply systems thinking to explain how current policies and procedures may affect a safety issue.
  • Recommendations
  • Recommend an evidence-based strategy to improve the safety issue.
  • Explain a strategy to collect information about the safety concern.
    • How would you determine the sources of the problem?
  • Explain a plan to implement a recommendation and monitor outcomes.
    • What quality indicators will you use?
    • How will you monitor outcomes?
    • Will policies or procedures need to be changed?
    • Will nursing staff need training?
    • What tools will you need to do this?
  • Additional Requirements
  • Written communication: Written communication should be free of errors that detract from the overall message.
  • APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.
  • Length: The plan should be 3–5 pages.
  • Font and font size: Times New Roman, 12 point, double-spaced.
  • Number of resources: Use a minimum of three peer-reviewed resources.

 Example of well graded paper attached to use as a reference.

You have been asked to look into the different types of technologies available for patients who are discharged from the hospital and cannot travel hundreds of miles for frequent follow-up appointments. You were also asked to provide evidence-based research to support your selections.Write a3- 4 page report for the committee that provides your findings:

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Rural Health care issues

Assume you work in a rural health care center. The facility just received a generous grant from a health care foundation. The funds from this grant must be used to acquire new technologies to foster better health outcomes for residents who live in remote areas. The Director of Nursing has formed a committee to research types of patient care technologies that are available to manage and monitor patients upon their release from care. You have been asked to look into the different types of technologies available for patients who are discharged from the hospital and cannot travel hundreds of miles for frequent follow-up appointments. You were also asked to provide evidence-based research to support your selections.Write a3- 4 page report for the committee that provides your findings:Summarize the issues facing rural health care providers’ efforts to deliver quality care.Explain the use of information management tools and technologies to monitor and improve outcomes.Recommend three new technologies that improve patient outcomes post-hospitalization, in rural settings.Support your recommendations for new technologies with evidence-based research.Format this report following current APA style, paying close attention to headings and subheadings, paragraph structure, and proper grammar, spelling, and punctuation.Additional RequirementsYour report should meet the following criteria:Contain between (3-4 pages).Include a minimum of 3 references. (These must be recent, from within the past five years.)Be double-spaced in Times New Roman font, 12 point. The Director of Nursing has formed a committee to research types of patient care technologies that are available to manage and monitor patients upon their release from care. You have been asked to look into the different types of technologies available for patients who are discharged from the hospital and cannot travel hundreds of miles for frequent follow-up appointments. You were also asked to provide evidence-based research to support your selections.Write a3- 4 page report for the committee that provides your findings:Summarize the issues facing rural health care providers’ efforts to deliver quality care.Explain the use of information management tools and technologies to monitor and improve outcomes.Recommend three new technologies that improve patient outcomes post-hospitalization, in rural settings.Support your recommendations for new technologies with evidence-based research.

In your conclusion, discuss the impact of the Four Topics process. Did applying these principles shape your decision making in any way? Does this seem like a valid process for you to apply in your practice?

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help

Consider the “Four Topics Approach” (or Four Box method) to ethical decision making .  Apply this model to a challenging situation in your nursing career that required you to consider the ethical dimensions of the patient case and the role you played in providing care. Specifically apply and address the questions within each topic area as they pertain to your situation.

In your conclusion, discuss the impact of the Four Topics process. Did applying these principles shape your decision making in any way?  Does this seem like a valid process for you to apply in your practice? 

Your paper should be 1-2 pages. Adhere to APA formatting throughout, and cite any outside sources you may use.

Review the rubric for further information on how your assignment will be graded.

complete it using correct grammar and APA, and submit it as your assignment in lieu of writing a paper. *You will need Adobe Acrobat in order to utilize this fillable .pdf form.

TABLE 2-1 Four Topics Method for Analysis of Clinical Ethics Cases

Consider the “Four Topics Approach” (or Four Box method) to ethical decision making .  Apply this model to a challenging situation in your nursing career that required you to consider the ethical dimensions of the patient case and the role you played in providing care. Specifically apply and address the questions within each topic area as they pertain to your situation.

In your conclusion, discuss the impact of the Four Topics process. Did applying these principles shape your decision making in any way?  Does this seem like a valid process for you to apply in your practice? 

Your paper should be 1-2 pages. Adhere to APA formatting throughout, and cite any outside sources you may use.

Review the rubric for further information on how your assignment will be graded.

complete it using correct grammar and APA, and submit it as your assignment in lieu of writing a paper. *You will need Adobe Acrobat in order to utilize this fillable .pdf form.

Consider the “Four Topics Approach” (or Four Box method) to ethical decision making .  Apply this model to a challenging situation in your nursing career that required you to consider the ethical dimensions of the patient case and the role you played in providing care. Specifically apply and address the questions within each topic area as they pertain to your situation.

In your conclusion, discuss the impact of the Four Topics process. Did applying these principles shape your decision making in any way?  Does this seem like a valid process for you to apply in your practice? 

Your paper should be 1-2 pages. Adhere to APA formatting throughout, and cite any outside sources you may use.

Review the rubric for further information on how your assignment will be graded.

complete it using correct grammar and APA, and submit it as your assignment in lieu of writing a paper. *You will need Adobe Acrobat in order to utilize this fillable .pdf form.

TABLE 2-1 Four Topics Method for Analysis of Clinical Ethics Cases

TABLE 2-1 Four Topics Method for Analysis of Clinical Ethics Cases