Addressing Chronic Disease
According to the Population Health course text, “Roughly 40 million Americans are still uninsured and 112 million Americans (almost half of the U.S. population, 45%) suffer from at least one chronic condition” in the United States, an estimated 125 million persons have at least one chronic condition, and half of these persons have multiple chronic conditions” (Fabius, and Pracilio, Nash, Clark, 2015, p. 4 ).
This week’s Learning Resources examine numerous health problems that result in a need for ongoing care. As you have explored this week, many costs are associated with chronic disease—both in terms of lives lost and socioeconomic burden. What can be done to help reduce chronic disease at the population level?
For this Discussion, you will take an in-depth look at chronic disease, and you will evaluate ways to address this issue through the application of chronic disease models and frameworks. In addition, you will consider the impact of the challenges of managing chronic disease on quality of care delivery.
To prepare:
- Review the application of chronic disease models as a method for managing chronic diseases at the population level.
- Consider characteristics of chronic disease models and how to apply them as presented in the Learning Resources.
- Consult Figure 13–7 (p. 267) in Population Health: Creating a Culture of Wellness and consider examples of determinants and outcomes of population health with chronic diseases in a specific subpopulation. Then, select one chronic disease on which to focus for this Discussion.
- Ask yourself, “What are the challenges of managing this chronic disease? How do these challenges limit the ability to deliver effective quality care?” Conduct additional research using the Walden Library and credible websites as necessary.
By tomorrow 05/01/2018 3 pm, write a minimum of 550 words in APA format with at least 3 scholarly references from the list of required readings below. Include the level one headings as numbered below”
Post a cohesive scholarly response that addresses the following:
1) Identify your selected chronic disease (refer to attached article).
2) Describe the application of a chronic disease model to address this disease at the population level (refer to attached article). Include your rationale for selecting this particular model.
3) Discuss one or more current challenges related to the management of the chronic disease and explain how these challenges limit the ability to deliver effective quality care.
Required Readings
Nash, D. B., Fabius, R. J., Skoufalos, A., Clarke, J. L. & Horowitz, M. R. (2016). Population health: Creating a culture of wellness (2nd ed). Burlington, MA: Jones & Bartlett Learning.
Chapter 10, “Transitions of Care”
Chapter 10 provides a framework for understanding the challenges faced by the U.S. health care system, including the shift from acute care to chronic care and the costs associated with that shift. Emerging models of chronic care delivery are presented.
Chapter 11, “Healthcare Quality and Safety Across the Care Continuum”
Chapter 11 examines the implications for quality and safety, and the imperative to focus on these issues at the population level under the mandate of the Affordable Care Act. The Examples of population-based quality and safety initiatives are presented.
Chapter 14, “Population Health in Action: Successful Models”
Chapter 14 focuses on improvements within population health, including chronic care. The Chronic Care Model, a conceptual framework, is discussed as a method for distributing care improvement to numerous practice settings. The key characteristics of a successful chronic care model that provide access to board populations are discussed.
Easley, C., Petersen, R., & Holmes, M. (2010). The health and economic burden of chronic diseases in North Carolina. North Carolina Medical Journal, 71(1), 92–95.
This short reading presents an analysis of the economic effects of selected chronic diseases resulting in increased hospitalization, with a focus on behaviors that may be changed to prevent these diseases.
Kim, T. W., Saitz, R., Cheng, D. M., Winter, M. R., Witas, J., & Samet, J. H. (2011). Initiation and engagement in chronic disease management care for substance dependence. Drug & Alcohol Dependence, 115(1–2), 80–86.
This article presents a study on treating substance abuse as a chronic disease. The authors discuss challenges to treatment options and propose methods for more appropriately managing treatment for substance dependence as a chronic illness.
Ormond, B. A., Spillman, B. C., Waidmann, T. A., Caswell, K. J., & Tereshchenko, B. (2011). Potential national and state medical care savings from primary disease prevention. American Journal of Public Health, 101(1), 157–164.
In this article, the authors examine whether population-based primary prevention activities lead to reduced disease onset in the short run, and, consequently, to cost savings within the health care system at both the state and national levels.
Tenforde, M., Jain, A., & Hickner, J. (2011). The value of personal health records for chronic disease management: What do we know? Family Medicine, 43(5), 351–354.
This reading examines evidence related to the value of electronic personal health records (PHRs), noting that additional research is needed to evaluate this for chronic disease management.
United Nations. (2011, September 19). Non-communicable diseases deemed development challenge of ‘epidemic proportions’ in political declaration adopted during landmark general assembly summit. Retrieved from http://www.un.org/News/Press/docs/2011/ga11138.doc.htm
The United Nations met in September 2011 to collaborate on global plans to address the control and prevention of chronic diseases. This report from the general assembly notes the high cost of not managing chronic disease worldwide.
Yale School of Public Health. (2012). Chronic disease epidemiology. Retrieved from http://publichealth.yale.edu/cde/index.aspx
Yale School of Public Health sponsors this site. Explore the information presented on addressing chronic disease through epidemiology.
Florida Department of Health. (n.d.). Bureause of epidemiology: Surveillance and investigation guidance. Retrieved March 5, 2012, from http://www.floridahealth.gov/diseases-and-conditions/disease-reporting-and-management/disease-reporting-and-surveillance/surveillance-and-investigation-guidance/index.html
This Florida-based agency monitors chronic disease conditions in Florida’s population using a variety of population-based surveillance systems.
World Health Organization. (2012). Chronic diseases and health promotion: Integrated chronic disease prevention and control. Retrieved from http://www.who.int/chp/about/integrated_cd/en/
The World Health Organization monitors chronic diseases worldwide. This website provides an overview of their programs, monitoring efforts, and activities they engage in to reduce the incidence of chronic disease globally.
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Adding Your Evaluation
/in Uncategorized /by developerAssignment: Adding Your Evaluation
How does your voice fit in the scholarly conversation? How can you revise and align your opinions to participate with the intellectual discussion of your fellow scholar-practitioners?
For this Assignment, you will review the Learning Resources on sentence structure and audience. With the principles outlined in the Learning Resources in mind, it is time to join the conversation by adding your own evaluation of the three paragraphs you have written from the journal article you selected in Week 2.
To prepare for this Assignment:
The Assignment:
Revise the three paragraphs from the Week 4 Assignment, adding your own evaluation of the article’s main points. In the MEAL plan, this portion is referred to as the A section, or analysis, and is often the most difficult portion to include.
Add 1–2 sentences to each paragraph, detailing your analysis of each main point.
Required Readings
Laureate Education. (2015). Evaluation: What is it? [Infographic]. Baltimore, MD: Author.
Walden University Writing Center. (2015i). Walden templates: General templates: APA course paper template (6th ed.). Retrieved from http://academicguides.waldenu.edu/writingcenter/templates/general
Laureate Education. (2015). [Infographic]. Point of View Analysis, Baltimore, MD: Author.
Prince, S. (2014, May 8). Breaking down the MEAL plan: Adding analysis [Blog post]. Retrieved from http://waldenwritingcenter.blogspot.com/2014/05/breaking-down-meal-plan-adding-analysis.html
Prince, S. (2012, August 28). You’re engaged?! [Blog post]. Retrieved from http://waldenwritingcenter.blogspot.com/2012/08/youre-engaged.html
Required Media
Walden University Writing Center (Producer). (2015, January 30). WriteCast: Student Q&A on flow, sentence length, and using “I” in academic writing (Episode 18) [Audio podcast]. Retrieved from https://soundcloud.com/writecast/writecast018
Note: The approximate length of this media piece is 10 minutes.
Transcript: http://academicguides.waldenu.edu/writingcenter/transcripts/podcasts/ep018
Walden University Writing Center (Producer). (2014, February 10). WriteCast: All about audience (Episode 6) [Audio podcast]. Retrieved from https://soundcloud.com/writecast/006-all-about-audience
Note: The approximate length of this media piece is 9 minutes.
Transcript: http://academicguides.waldenu.edu/writingcenter/transcripts/podcasts/ep006
Walden University Writing Center. (2015). APA formatting and style: Point of view [Video file]. Retrieved from http://academicguides.waldenu.edu/writingcenter/scholarlyvoice/pointofview#s-lg-box-6264281
Note: The approximate length of this media piece is 3 minutes.
Walden University Writing Center. (2015). Engaging writing: Tool 2-Sentence structure [Video file]. Retrieved from http://academicguides.waldenu.edu/writingcenter/scholarlyvoice/clarity#s-lg-box-6264315
Note: You will need to advance through the playlist to locate the correct video. The approximate length of this media piece is 3 minutes.
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Addisons Disease
/in Uncategorized /by developerThis is a 2 to 3-page project. Please see the attachment for instructions. Please incorporate the references in APA style
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Addressing An Unmet Need Through Strategic Planning
/in Uncategorized /by developerPost an explanation of the unmet need that affects a specific group, unit, or organization that you would like to focus on for your Course Project. Share data from your historical analysis and forecasting, and identify stakeholders who should be included in the strategic planning process. Explain your vision for addressing this need at the organizational or systems level.
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Addressing Bias 18868007
/in Uncategorized /by developerPurpose
In today’s current healthcare settings, the increasing diversity, globalization, and expanding technologies produce complex ethical pressures that influence nursing practice and practice outcomes. To be effective in a master’s-prepared advanced nurse practice role it is important to understand personal values, beliefs, strengths, and limitations. The purpose of this assessment is to promote introspective reflection related to implicit and/or explicit personal biases. Students will develop a plan to reduce bias and promote personal and professional growth.
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Addressing Chronic Disease
/in Uncategorized /by developerAddressing Chronic Disease
According to the Population Health course text, “Roughly 40 million Americans are still uninsured and 112 million Americans (almost half of the U.S. population, 45%) suffer from at least one chronic condition” in the United States, an estimated 125 million persons have at least one chronic condition, and half of these persons have multiple chronic conditions” (Fabius, and Pracilio, Nash, Clark, 2015, p. 4 ).
This week’s Learning Resources examine numerous health problems that result in a need for ongoing care. As you have explored this week, many costs are associated with chronic disease—both in terms of lives lost and socioeconomic burden. What can be done to help reduce chronic disease at the population level?
For this Discussion, you will take an in-depth look at chronic disease, and you will evaluate ways to address this issue through the application of chronic disease models and frameworks. In addition, you will consider the impact of the challenges of managing chronic disease on quality of care delivery.
To prepare:
By tomorrow 05/01/2018 3 pm, write a minimum of 550 words in APA format with at least 3 scholarly references from the list of required readings below. Include the level one headings as numbered below”
Post a cohesive scholarly response that addresses the following:
1) Identify your selected chronic disease (refer to attached article).
2) Describe the application of a chronic disease model to address this disease at the population level (refer to attached article). Include your rationale for selecting this particular model.
3) Discuss one or more current challenges related to the management of the chronic disease and explain how these challenges limit the ability to deliver effective quality care.
Required Readings
Nash, D. B., Fabius, R. J., Skoufalos, A., Clarke, J. L. & Horowitz, M. R. (2016). Population health: Creating a culture of wellness (2nd ed). Burlington, MA: Jones & Bartlett Learning.
Chapter 10, “Transitions of Care”
Chapter 10 provides a framework for understanding the challenges faced by the U.S. health care system, including the shift from acute care to chronic care and the costs associated with that shift. Emerging models of chronic care delivery are presented.
Chapter 11, “Healthcare Quality and Safety Across the Care Continuum”
Chapter 11 examines the implications for quality and safety, and the imperative to focus on these issues at the population level under the mandate of the Affordable Care Act. The Examples of population-based quality and safety initiatives are presented.
Chapter 14, “Population Health in Action: Successful Models”
Chapter 14 focuses on improvements within population health, including chronic care. The Chronic Care Model, a conceptual framework, is discussed as a method for distributing care improvement to numerous practice settings. The key characteristics of a successful chronic care model that provide access to board populations are discussed.
Easley, C., Petersen, R., & Holmes, M. (2010). The health and economic burden of chronic diseases in North Carolina. North Carolina Medical Journal, 71(1), 92–95.
This short reading presents an analysis of the economic effects of selected chronic diseases resulting in increased hospitalization, with a focus on behaviors that may be changed to prevent these diseases.
Kim, T. W., Saitz, R., Cheng, D. M., Winter, M. R., Witas, J., & Samet, J. H. (2011). Initiation and engagement in chronic disease management care for substance dependence. Drug & Alcohol Dependence, 115(1–2), 80–86.
This article presents a study on treating substance abuse as a chronic disease. The authors discuss challenges to treatment options and propose methods for more appropriately managing treatment for substance dependence as a chronic illness.
Ormond, B. A., Spillman, B. C., Waidmann, T. A., Caswell, K. J., & Tereshchenko, B. (2011). Potential national and state medical care savings from primary disease prevention. American Journal of Public Health, 101(1), 157–164.
In this article, the authors examine whether population-based primary prevention activities lead to reduced disease onset in the short run, and, consequently, to cost savings within the health care system at both the state and national levels.
Tenforde, M., Jain, A., & Hickner, J. (2011). The value of personal health records for chronic disease management: What do we know? Family Medicine, 43(5), 351–354.
This reading examines evidence related to the value of electronic personal health records (PHRs), noting that additional research is needed to evaluate this for chronic disease management.
United Nations. (2011, September 19). Non-communicable diseases deemed development challenge of ‘epidemic proportions’ in political declaration adopted during landmark general assembly summit. Retrieved from http://www.un.org/News/Press/docs/2011/ga11138.doc.htm
The United Nations met in September 2011 to collaborate on global plans to address the control and prevention of chronic diseases. This report from the general assembly notes the high cost of not managing chronic disease worldwide.
Yale School of Public Health. (2012). Chronic disease epidemiology. Retrieved from http://publichealth.yale.edu/cde/index.aspx
Yale School of Public Health sponsors this site. Explore the information presented on addressing chronic disease through epidemiology.
Florida Department of Health. (n.d.). Bureause of epidemiology: Surveillance and investigation guidance. Retrieved March 5, 2012, from http://www.floridahealth.gov/diseases-and-conditions/disease-reporting-and-management/disease-reporting-and-surveillance/surveillance-and-investigation-guidance/index.html
This Florida-based agency monitors chronic disease conditions in Florida’s population using a variety of population-based surveillance systems.
World Health Organization. (2012). Chronic diseases and health promotion: Integrated chronic disease prevention and control. Retrieved from http://www.who.int/chp/about/integrated_cd/en/
The World Health Organization monitors chronic diseases worldwide. This website provides an overview of their programs, monitoring efforts, and activities they engage in to reduce the incidence of chronic disease globally.
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Adjustment Disorder
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Administering Intra Musculer Injections
/in Uncategorized /by developerHow does research translate into practice over time in the mental health setting
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Administrative And Clinical Use Of The Ehr
/in Uncategorized /by developer1. Plan of care, evaluation, subjective data, and objective data are all parts of
A. a telephone encounter.
B. documentation.
C. the progress note.
D. a clinic visit.
2. Mr. Smith has an appointment with Dr. Johnson at 9:00 A.M. for his annual wellness exam. Mrs. Adams calls the clinic first thing in the morning due to fever, chills, and cough for 3 days and is given an appointment at 9:00 A.M. with Dr. Johnson as well. This is an example of
A. overlap.
B. accommodating.
C. jamming.
D. double-booking.
3. A provider performs _______ to signify that everything in the note is correct.
A. technological signature
B. digital signature
C. annotation
D. autograph
4. Dan has made an appointment for review of his medication, as he recently relocated to the area with his family. Before his appointment, he has been asked to fill out and bring _______ form.
A. disclosure
B. health history
C. review of systems
D. consent
5. Incident reports are reviewed by the staff to aid in
A. policies.
B. prevention.
C. change.
D. procedures.
6. Which of the following is an appropriate way to reduce no-show appointments?
A. Ensure the patient writes down their appointment.
B. Perform reminder calls one to two days preceding the appointment.
C. There are no good ways to reduce no-shows.
D. Schedule all appointments within seven days of the appointment day.
7. A patient notes that they smoke a half a pack of cigarettes per day and drink a six pack of beer every night. Where would this be documented in the chart?
A. Medical history
B. Social history
C. Chief complaint
D. Problem list
8. Which of the following is not considered an integrated device?
A. Telephone
B. Signature pad
C. Scanners
D. Camera
9. _______ allows for disclosure of protected health information (PHI) through phone, fax, or email without specific patient authorization.
A. Confidentiality
B. HIPAA Security Rule
C. HIPAA Privacy Rule
D. Clinic policies and procedures
10. _______ is the most important responsibility of all members of the medical office.
A. Communication
B. Accountability
C. Documentation
D. Punctuality
11. All of the following require an incident report to be filed except
A. if the wrong patient is contacted for an appointment reminder.
B. if the employee suffers a needle stick.
C. if the wrong medication is administered to the patient.
D. if the patient falls in the hallway.
12. The process of a data code being unreadable until its destination is reach is called
A. cryptic.
B. jumble.
C. decryption.
D. encryption.
13. The _______ is a centralized location for a summary of a patient’s acute and chronic conditions.
A. chief complaint
B. medical history
C. disease list
D. problem list
14. Which of the following are not guidelines for proper telephone etiquette?
A. Answer by the third ring is possible
B. Answer with a pleasant greeting
C. Speak slowly and clearly
D. Keep a straight, professional face
15. Myrtle uses a cane to ambulate. She came to the clinic for an appointment, but before making it inside the building she tripped and fell on the curb. What type of document needs to be created?
A. Incident report
B. Fall report
C. Accident report
D. Injury report
16. Through the use of _______ a patient may view open appointments or schedule their own appointment.
A. patient access
B. patient flow
C. patient gateway
D. patient portal
17. Cindy has a hand-written fax number from a patient’s parent to fax a note to the school for use of a medication while at school. Cindy is unable to read all of the fax numbers. What should she do?
A. Avoid sending the note since the correct number wasn’t given
B. Call the patient to confirm the number
C. Send to the closest number
D. Ask other office staff
18. What’s the default landing page in SCMO when entering a patient encounter?
A. Allergies
B. Chief complaint
C. Vital signs
D. Progress note
19. _______ is a rundown of organ systems that can be used to pinpoint certain concerns or unusual findings.
End of exam
A. Review of systems
B. Report of symptoms
C. Report of systems
D. Review of symptoms
20. “It feels like an ice pick in my head” and “I’m coughing up a lung” are considered
A. chief complaints.
B. reason for visit.
C. presenting symptom.
D. medical concerns.
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Adolescence Contemporary Issues And Resource
/in Uncategorized /by developerResearch the range of contemporary issues teenagers face today. In a 500-750-word paper, choose one issue (besides teen pregnancy) and discuss its effect on adolescent behavior and overall well-being. Include the following in your submission:
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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Adolescence Contemporary Issues And Resources 19123839
/in Uncategorized /by developerResearch the range of contemporary issues teenagers face today. In a 500-750-word paper, choose one issue (besides teen pregnancy) and discuss its effect on adolescent behavior and overall well-being. Include the following in your submission:
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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