1. What are the implications for the nursing profession and the impact of the Affordable Care Act on the issues of:
Cite 2 nursing journals using APA format
300 to 500 words
Baptist Hospital is a 175-bed community hospital serving a rural area of Jacksonville. It is located 30 miles from a large metropolitan area and has a fine reputation.
The hospital is fully accredited and is licensed by the state. The hospital offers general medical/surgical services with a bed complement as follows:
Medical/Surgical 130
Pediatrics 20
ICCU 10
OB 15
Total 175
The hospital has a 10 bed Ambulatory Surgical Unit. The hospital is in sound financial condition with a physical plant that is 15 years old and in excellent condition.
The hospital has just recruited a new General Surgeon and a Internist. These recruitment efforts filled two major needs of the institution. It is estimated that in today’s current marketplace surgeons are expected to increase inpatient admissions to a acute care community hospital by 1.5% and Internists by .5%.
It is expected that admission volumes will increase with the addition of these two new physicians.
The community population has been relatively stable over the past 10 years and there is no expectation that this trend will change.
The percentage breakdown of patients by payor mix is as follows:
Medicare 51%
Blue Cross 16%
Medical Asst 08%
HMO 10%
Commercial INS 07%
Other 05%
Self Pay 03%
Total 100%
The population breakdown is as follows:
Under 19 25%
19 to 64 44%
65 and over 31%
The primary initiative or goal for the 2014-2015 fiscal year is the establishment of a 15-bed Psychiatric Unit. This new unit will be infused into the current bed complement with no increase in the 175 bed count expected. This unit is expected to occupy space for 15 beds currently not set up and staffed at the hospital.
It is expected that during the year there will be a slight increase in inpatient services as a result of the Psychiatric Unit. The hospital laboratory is buying two new pieces of equipment at a cost of $400,000 that will allow them to do 35% more tests in house rather than send these tests out to a reference lab. It is also expected that the Radiology Department is purchasing a new CT scanner that is expected to increase current radiology volumes by 3.25%.
The budget calendar and target dates for budget completion are the same in this year’s budget as in years past.
In the new fiscal year, the hospital plans to:
THREE DEPARTMENTS ARE INVOLVED IN OUR BUDGET EXERCISE. THEY ARE NURSING, LABORATORY, PHARMACY AND OUTPATIENT/AMBULATORY SERVICES.
STATISTICAL DATA
2012 2013 2014 2015
Admissions In Pt (Nursing) 7,395 7,400 7,370
Laboratory Test 399,330 411,810 421,564
Pharmacy Rx 99,832 100,011 99,642
Radiology Exams 68,222 69,124 68,950
Laboratory spent $79,866 on supplies in 2012. They spent $86,480 in 2013 and $96,959 in 2014. These figures represent the cost of supplies to do tests at the hospital. The hospital spent $122,000 to perform tests outside the hospital last year. The cost of lab supplies is expected to increase 10% in the next budget year as a result of inflation. The hospital also had supplies costs in Radiology of $ 395,205 in 2012, $405,222 in 2013 and 410,100 in 2014. There is expected to be an industry wide increase in radiology supplies costs of 6.5% in the next budget year.
LABORATORY EXPENSES
2012 2013 2014
Supplies $79,866 $86,480 $96,959
RADIOLOGY EXPENSES
Supplies $395,205 $405,222 $410,100
NURSING JOB CLASSIFICATION LISTING
POSITION TITLE AUTHORIZED POSITIONS
Director of Nursing 1 ft
Assistant Director 2 ft
Nurse Supervisors 4 ft
Head Nurse 8 ft
Staff Nurses RN 80 ft
15 pt
LPN 25 ft
10 pt
Nurses Aides 10 ft
Orderlies 6 ft
Unit Desk Clerks 6 ft
4 pt
Secretary 1 ft
LABORATORY
Department Head 1 ft
Med Technologist 12 ft
2 pt
Lab Tech 4 ft
Lab Assistant 2 ft
Secretary 1 ft
PARIENT REVENUE
Gross Revenue Projected for the 2014-2015 budget year is as follows:
In Patient $30,675,000
Out Patient $36,878,000
Total $67,553,000
Current Reimbursement Formulas:
In PatientOut Patient
Medicare $5760/case 38% of Charge
HMO $1215.00/pat day 31% of Charge
Other Insurance $7655.00/discharge 42.5% of Charge
Expected length of stay (LOS) in 2015 is 3.4
INSTRUCTIONS:
List three examples of plagiarism and discuss how plagiarizing as a student affects the integrity of a baccalaureate degree, the public perception of the nursing profession, and evidence-based practice.
Describe two things you will do to
ensure academic integrity in your work.
Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the previous course assignments and the guidelines below.
PICOT Question
Revise the PICOT question you wrote in the Topic 1 assignment using the feedback you received from your instructor.
The final PICOT question will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).
Research Critiques
In the Topic 2 and Topic 3 assignments, you completed a qualitative and quantitative research critique on two articles for each type of study (4 articles total). Use the feedback you received from your instructor on these assignments to finalize the critical analysis of each study by making appropriate revisions.
The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT question.
Refer to “Research Critiques and PICOT Guidelines – Final Draft.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.
Proposed Evidence-Based Practice Change
Discuss the link between the PICOT question, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.
General Requirements
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
Topic: Effects of leadership styles and strategies to positively affect resistance to change”
Section 1: Introduction
Section 2: Significance of addressing resistance to change (based on literature that speaks to the relevancy of the concept selected in terms of interprofessional leadership)
Section 3: Review of the literature related to the concept that the group selects (current best practices, positive or negative impact on leadership or health care organizations, etc.) (select a concept to which we can relate resistance to change and leadership)
Section 4: Application to nursing (e.g., implications or consequences for nursing leaders)
Section 5: Conclusion
Please present the assignment in an APA format, word document, Arial 12 font attached to the forum in the discussion tab of the blackboard title “week 4 discussion questions”. The assignment must include at least 2 evidence-based references (excluding the class textbook) no older than 5 years. Refences must be quoted in the assignment in order to comply with APA. A minimum of 700 words is required.
Read chapter 21 and 23 of the class textbook and review the attached PowerPoint presentations. Once done, answer the following questions.
1. Define and discuss in your own words the definitions and models for disability.
2. Discuss the difference between illness and disability.
3. Compare and contrast the characteristics of rural and urban communities.
4. Discuss the impact of structural and personal barriers on the health of rural aggregates.
As stated in the syllabus present your assignment in an APA format word document, Arial 12 font attached to the forum in the discussion tab of the blackboard titled “Week 8 discussion questions” for grading and in the tab titled “Week 8 assignment” in Turnitin to verify originality. A minimum of 2 evidence-based references besides the class textbook must be used. A minimum of 700 words is required.
National Patient Safety Goals Paper
The Joint Commission (JC) is an independent, not-for-profit organization. They accredit and certify more than 19,000 health care organizations, including Long Term Care facilities (LTC) in the United States. The Joint Commission had established, and updates yearly, the National Patient Safety Goals (NPSG).
Your assignment is to choose one of the Long Term Care NPSG’s. Then, research your chosen topic and write a 750 word APA paper. Your paper will include the following information:
Describe the NPSG you chose and why (Be sure to write in the voice of the third person.)
Describe the concerns related to this goal.
What are the consequences to patient safety if the goal is not achieved?
What are the evidence-based practice solutions you have found in your research?
Use APA format. Follow the APA example loaded in ANGEL under “course material.”
Use only peer-reviewed articles published within the past 5 years.
No Wikipedia
No .com’s.Only .org, .edu, .gov
Have a minimum of 3 references.(You may use the NPSG website as one reference).
Two (2) references must be peer-reviewed and from a reputable NURSING JOURNAL. CINAHL is a good place to start.
When writing a paper, use only third person. Do not use terms like ‘me,” or “I”.
You may use as many references as necessary to complete your paper.
Follow the link and choose the Long Term Care goals for 2016.
Link to NPSG for Long Term Care
The link above is an updated link to the Joint Commission National Patient Safety Goals for Nursing Care Centers. (They have changed the terminology from Long Term Care Centers to Nursing Care Centers.)
Please use the updated information for your NPSG paper.
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