Describe the mission, assumptions and objectives for the upcoming budget year for the departments involved.

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Question Description
INSTRUCTIONS:

1 Describe the mission, assumptions and objectives for the upcoming budget year for the departments involved. (Nursing, Laboratory, Pharmacy & Radiology)

2 Establish statistics volume projections for the budget year 2015 for all four (4) departments.

3 Establish a position control plan for the new Psychiatric Unit. (Part of Nursing)

4 Establish a position control plan for nursing and laboratory.

5 Complete expense item for laboratory & radiology for 2015.

6 Project the expected net revenue for all Medicare, HMO, and all Other Insurance patients.

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%

In the new fiscal year, the hospital plans to:

1 Establish a separate distinct 15-bed inpatient psychiatric unit.

2 Install new equipment in the laboratory to enable the hospital to do 35% more tests in-house rather than send them to a reference lab.

3 Recruit a general surgeon and a Internist.

4 Purchase an additional CT scanner which is expected to increase current radiology volumes by 3.25%.

THREE DEPARTMENTS ARE INVOLVED IN OUR BUDGET EXERCISE. THEY ARE NURSING, LABORATORY, PHARMACY AND OUTPATIENT/AMBULATORY SERVICES.

STATISTICAL DATA

  2012 - 2013        2013-  2014        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 EXPENSES

                                                       2012                   2013               2014

Supplies $79,866 $86,480 $96,959

RADIOLOGY EXPENSES

Supplies $395,205 $405,222 $410,100

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 Patient                          Out Patient

Medicare $5760/case 38% of Charge

HMO $1215.00/pat day 31% of Charge

Other Insurance $7655.00/discharge 42.5% of Charge

 

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Outline the process for the development of nursing standards of practice for your state

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Outline the process for the development of nursing standards of practice for your state, including discussion of the entities involved in developing the standards of practice and how the standards of practice influence the nursing process for your areas of specialty.…….my area or specialty is med surg,I live in florida Miami , please( 300 )words and include citation and references …….

 

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Identify two areas of nursing practice, which evidence-based practice has improved patient outcomes.

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Identify two areas of nursing practice, which evidence-based practice has improved patient outcomes. State the study and its impact on patient care. How have these findings changed your nursing practice? Please support your response with a minimum of two supporting peer reviewed articles.

 

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This week’s discussion has highlighted some of the very issues we deal with in our areas of practice

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This week’s discussion has highlighted some of the very issues we deal with in our areas of practice. Going through the stages of group formation, I tried to evaluate the various groups I am a member of and noted that most of them are in the performance stage. This is because most of us found them in existence when we joined the setting.

Groups and teams foster a culture of collaboration, an integral aspect of nursing. Through groups, the individual distinctions are better managed and focus shifts to the group purposes that are always aligned to the organizational vision (Finkelman, 2016). Some of the goals include the implementation of evidence-based nursing, improving the nurse’s well-being, and supporting the goals of the organization.

Through groups, staff existence is fortified as they foster a sense of togetherness as well as harmony (Marquis & Huston, 2015). Groups establish a culture of shared purpose and collective responsibility. They also promote the level of interaction among members and therefore should be encouraged and supported (Finkelman, 2016).it is through groups that individual variations are better tackled and the commitment towards the goals of the organization fortified. As a result, they bring together individuals with distinct habits and traits to work harmoniously (Marquis & Huston, 2015).

Groups play a major role in nursing and should be supported by nurses. They provide us with the opportunity to address issues that we may never address an individual’s and create solidarity among staff members. While at times they may be destabilized, the focus should always be on how they should be strengthened.

 

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Health Care Coverage Amounts

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Do the Math #1: Health Care Coverage Amounts. Christina Haley of San Marcos, Texas, age 61, recently suffered a severe stroke. She was in intensive care for 12 days and was hospitalized for 18 more days. After being discharged from the hospital, she spent 45 days in a nursing home for medically necessary nursing and rehabilitative care. Christina had a comprehensive health insurance plan through her employer. The policy had a $1,000 deductible, a $50,000 episode limit, and a $250,000 annual limit with an 80/20 coinsurance clause with a $2,000 coinsurance cap. Christina’s policy covered the medically necessary services performed in a nursing home setting. Her total bill was $125,765.

  • a) How much of Christina’s expenses was paid by her insurance policy?
  • b) How much did Christina pay?

Do the Math #2: Health Care Coverage Amounts. Michael Howitt of Berkley, Michigan, recently had his gallbladder removed. His total bill for this event, which was his only health care expense for the year, came to $13,890. His health insurance plan has a $500 annual deductible and an 80/20 coinsurance provision. The cap on Michael’s coinsurance share is $2,000.

  • a) How much of the bill will Michael pay?
  • b) How much of the bill will be paid by Michael’s insurance?

Do the Math #1: Life Insurance Needs for a Young Single. Andrew Blake of Tuscaloosa, Alabama, is single and has been working as an admissions counselor at a university for three years. Andrew owns a home valued at $156,000 on which he owes $135,000. He has a two-year-old vehicle valued at $12,500 on which he owes $8,000. He has about $3,800 remaining on his student loans. His retirement account has grown to $7,800, and he owns some stock valued at $4,400. He has no life insurance and is considering buying some. How much should he buy?

 

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The Theoretical Foundation is important, because it encompasses the concepts, models, laws, and theories that ultimately form the theoretical framework

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Use 200 or more words with in-text citations APA format

The Theoretical Foundation is important, because it encompasses the concepts, models, laws, and theories that ultimately form the theoretical framework (Swanson, 2013). The theoretical framework is the basis for developing the hypothesis or research questions. The problem statement can also be determined from the theoretical foundation through unaddressed gaps in existing research. My study will include the Simulation Theory of Empathy Model because this model can be incorporated in the study from beginning to end. The goal of my research is to measure empathy among first and fourth year nursing students and demonstrate the contrasting scores after empathy simulation labs are conducting among fourth year students. I am also considering incorporating the professional Quality of Life Scale. Research suggests there is a potential connection between compassion fatigue and the type of clinical practice and I would like to explore this further in my research by incorporating students in clinical rotations in either behavioral health or cancer care settings. ProQQL assesses compassion satisfaction as well as compassion fatigue (Michalac, Diefenbeck, & Mahoney, 2013). Both of these models are relevant to my research since my research is based on identifying compassion fatigue among nursing students and implementing empathy training to combat the effect of CF.

References

Machalec, B., Diefenbeck, C., & Mahoney, M. (2013). The calm before the storm? Burnout and compassion fatigue among undergraduate nursing students. Nurse Education Today, 33,314-320.

Swanson, R. (2013). Theoretical Framework – Organizing Your Social Sciences Research Paper – Research Guides at University of Southern California. Retrieved November 03, 2016, from https://es.scribd.com/document/292347497/Theoretic…

 

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Here are the reflections from all of my classes, basically what they want us to do is kind of reflect on our own reflect, connect based on the reflections

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150 -200 words Each Exemplar (Total 10)

The 10 reflections I sent you are from previous classes that I wrote. Those are the examplars , so that I provided .

Now from that you have to like write 150 200 talking about how I met those outcomes .

Using the guidelines I sent you . It has the outcomes and competencies

Document 2- Here are the reflections from all of my classes, basically what they want us to do is kind of reflect on our own reflect, connect based on
the reflections.

 

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Plan prevention and population-focused interventions for vulnerable populations using professional clinical judgment and evidence-based practice.

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PURPOSE

Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an evidence-based practice intervention used to identify, reduce, and prevent problematic use, abuse, and dependence on substances such as tobacco, alcohol and illicit drugs. The SBIRT model was incited by an Institute of Medicine (IOM) recommendation that called for community-based screening for health risk behaviors. The purpose of this assignment is to integrate SBIRT into nursing practice to help stimulate positive change at the individual and population focused level of care.

COURSE OUTCOMES

This assignment enables the student to meet the following Course Outcomes (COs).

  • CO3: Plan prevention and population-focused interventions for vulnerable populations using professional clinical judgment and evidence-based practice. (PO 4, 8)
  • CO4: Evaluate the delivery of care for individuals, families, aggregates, and communities based on theories and principles of nursing and related disciplines. (PO1)

DUE DATE

Submit your completed SBIRT presentation by 11:59 p.m. MT Sunday of Week 6.

Points: 225 points

BACKGROUND INFORMATION

SBIRT consists of three major components.

  1. Screening—A healthcare professional assesses a patient for concerning behaviors using standardized screening tools. Screening can occur in any healthcare setting.
  2. Brief Intervention—A healthcare professional engages a patient in a short conversation, providing feedback and advice regarding concerning behaviors.
  3. Referral to Treatment—A healthcare professional provides a referral to resources and/or treatment options and additional services available (Substance Abuse and Mental Health Services Administration [SAMHSA], n.d.)

DIRECTIONS

  1. Prior to starting the presentation, you are to read the assigned training. SBIRT Education. (n.d.). Overview of screening, assessment and brief intervention: a nursing response to the full spectrum of substance use. Retrieved from https://hospitalsbirt.webs.com/nursingsbirt.htm (Links to an external site.)Links to an external site.
    • Choose “Watch On Demand Recording”
      • Start at minute 9:08/slide 12, end at 1hr 27 sec. (slide 80)
    Or you may go directly to the YouTube video:SBIRT Education. (2015, May 10). Overview of SBIRT: a nursing response to the full spectrum of substance use [Video File]. Retrieved from Overview of SBIRT: A Nursing Response to the Full Spectrum of Substance Use (Links to an external site.)Links to an external site.  Use this BNI checklist for the role play at the end: BNI Checklist(Links to an external site.)Links to an external site. SBIRT Education. (n.d.). Brief negotiated interview checklist [PDF Document]. Retrieved from https://hospitalsbirt.webs.com/nursingsbirt.htm (Links to an external site.)Links to an external site. You are encouraged to review the assignment tutorial found at the end of the Academic Integrity Reminder.
  2. Next, choose one addiction or problem to focus on for this assignment from the options below.
    • Alcohol
    • Drug use (prescription or illicit)
      • You must be specific to which drug you are choosing
  3. You are required to use one of the problems listed above. Assignments that do not follow the current guidelines or use the required forms or templates will be evaluated for evidence of an academic integrity violation. After the due date, there will be no opportunity for revision or resubmission of assignments that have been uploaded to the submission area. It is your responsibility to submit the correct assignment to the correct submission area.
  4. After you have chosen the addiction/problem, you are to research SBIRT training specific to that problem/addition. Before starting to work on the presentation, it is vital you understand how SBIRT is used with that particular addiction/problem. You must find at least two scholarly resources (other than readings assigned in the course) and one video resource. Search YouTube for one SBIRT training video from a reputable source that shows a provider using SBIRT with a patient. Watch this video so that you understand the steps of SBIRT.
  5. You may choose to complete this assignment as a PowerPoint poster or PowerPoint multiple slide presentation. Download the SBIRT PowerPoint poster (Links to an external site.)Links to an external site. or slide presentation template (Links to an external site.)Links to an external site..
  6. Submit the completed PowerPoint poster or slide presentation by Sunday, 11:59 p.m. MT at the end of Week 6.
  7. Length: The poster should be one page with all boxes on template complete. The slide presentation should be no more than twelve slides, not including the title and references slide
 

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Communicate therapeutically with patients

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he benchmark assesses the following competency:

4.2 Communicate therapeutically with patients.

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

Note: The teaching plan proposal developed in this assignment will be used to develop your Community Teaching Plan: Community Presentation due in Topic 5. You are strongly encouraged to begin working on your presentation once you have received and submitted this proposal.

Select one of the following as the focus for the teaching plan:

Primary Prevention/Health Promotion
Secondary Prevention/Screenings for a Vulnerable Population
Bioterrorism/Disaster
Environmental Issues
Use the “Community Teaching Work Plan Proposal” resource to complete this assignment. This will help you organize your plan and create an outline for the written assignment.

After completing the teaching proposal, review the teaching plan proposal with a community health and public health provider in your local community.
Request feedback (strengths and opportunities for improvement) from the provider.
Complete the “Community Teaching Experience” form with the provider. You will submit this form in Topic 5.
Prepare this assignment according to the 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.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

 

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