To help you to better understand why case mix is important to managed care and reimbursement methods; here are some fictional heart attack mortality rates for three different hospitals. Consider the national average for heart attack death rates to be 16%.

  

Hospital

Mortality Rate

National Mortality Rate 

Hospital A

16.1%

16%

Hospital B

18.6%

Hospital C

15.7%

Part I

Write a brief report in which you answer the following questions:

1. Explain case mix and why it is important in evaluating different health care providers.
2. Refer to the table of heart attack mortality rates for Hospitals A, B, and C. From your reading this week, what variables might be impacting the rates in the table? Please explain and discuss the use of data analysis for evaluating this kind of information.

Part II

You are a staff member at Hospital B, which has the worst mortality rate from heart attacks as seen in the table. Imagine that the administrator for Hospital B has asked you to appear at a Press Conference to share your knowledge about case mix.

  

Hospital

Mortality Rate

National Mortality Rate 

Hospital A

16.1%

16%

Hospital B

18.6%

Hospital C

15.7%

After participating in the Press Conference, write a 1-page summary to explain the use of date for decision-making purposes, and how the technology department performs critical core business processes essential to the managed care organization.

 

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Case Report: Application of Theory Instructions

Tutor MUST have a good command of the English language

Directions must be followed precisely

Please review the attached Rubric

Details:

 

In this assignment, learners are required to write a case report addressing the personal knowledge and skills gained in this course and potentially solving an identified practice problem.

General Guidelines:

Use the following information to ensure successful completion of the assignment:

• This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
• Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center. This assignment requires that at least two additional scholarly research  sources related to this topic, and at least one in-text citation from each source be included. You are required to submit this assignment to Turnitin. Please refer to the  directions in the Student Success Center.

Directions:

Construct a 2,500-3,000-word (approximately 10-12 pages) case report that includes a problem or situation consistent with a DNP area of practice.

Requirements:

1. Use a minimum of any two theories discussed in the course to develop the case report.
2. Apply one or more theories to describe understanding of the problem or situation of focus.
3. Apply one or more theories to the recommended intervention or solution being proposed.
4. Develop the case report across the entire scenario from the identified clinical or health care problem through proposing an intervention, implementation, and evaluation using an appropriate research instrument.
5. Describe the evaluation of the selected research instrument in the case report.
6. Lastly, explain in full the tenets, rationale for selection (empirical evidence), and clear application using the language of the theory within the case report.

In addition, your case report must include the following:

1. Introduction with a problem statement.
2. Brief literature review.
3. Description of the case/situation/conditions explained from a theoretical perspective.
4. Discussion that includes a detailed explanation of the synthesized literature findings.
5. Summary of the case.
6. Proposed solutions to remedy gaps, inefficiencies, or other issues from a theoretical approach.
7. Identification of a research instrument to evaluate the proposed solution along with a description of how the instrument could be evaluated.
8. Conclusion.

 

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Week 7 Instructions

Tutor MUST have a good command of the English language

Tutor MUST have a good command of the English language

Sources need to be journal/scholarly articles. 

Use only articles that are published between 2015-2018 (except for your theory articles which will be older as you must cite primary sources).

No textbook or direct quotes

Details:

 

In this assignment, learners are required to write a case report addressing the personal knowledge and skills gained in the current course and potentially solving an identified practice problem.

General Requirements:

Use the following information to ensure successful completion of the assignment:

• Use at least two additional scholarly research sources published within the last 5 years. Provide citations and references for all sources used.
• Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
• This assignment uses a rubric. Please Review the rubric prior to the beginning to become familiar with the      expectations for successful completion.
• You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Directions:

For a specific focus of patient practice (e.g., acute care hospital, clinic, primary care, long-term care, home health), select a particular disease process. Chose a topic of concern such as providing elements of care for a specific disease process or an administrative problem. This topic must be in need of progression or process improvement. Once identified, summarize the literature supporting proposed change. Identify an action plan to introduce change and potential barriers to implementing change. Finally, describe how you would propose evaluating the change.

Your case report must include the following:

1. Introduction with a problem statement.
2. Brief synthesized review.
3. Description of the case/situation/conditions.
4. Proposed solutions describing the validity      and reliability of the research you have read.
5. Conclusion.

 

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-APA Format.

-Abstract or Introduction page

-Summary or Conclusion page

-Four Pages Minimum, not included abstract or introduction, Summary or Conclusion, and Bibliographic pages.

-Completely unacceptable Copy and Paste from Internet, or other resources.

-Bibliographic have to be in APA Format.

Isaac has worked as a staff nurse on the telemetry floor for over 15 years. He holds seniority in the unit. His patient care is satisfactory; however, his interpersonal behaviors are becoming an increasing issue for his coworkers. He throws papers around the unit, gives short answers to questions, and seems generally miserable. He tells the staff that they are lazy and stupid. He is constantly questioning their decisions. You have come from another local hospital in the role of the assistant nurse manager. Based on your observations, you have met with Isaac informally and discussed his behaviors, but they have not changed. Now three new nurses have already come to you saying that this unit is a great match for them, except for one problem. Although they have not identified Isaac by name, they have told you that one of the nurses is extremely abusive verbally, and they have been calling in sick on the days they are scheduled to work with this person.

1. What are your responsibilities as an assistant nurse manager in regard to Isaac’s behavior problem?

2. What is the next step in dealing with Isaac’s behaviors?

3. How will you, as the manager, have Isaac develop more effective people skills?

 

 

This is your first position as a nurse manager. The holidays are rapidly approaching, and the hospital policy states that each unit will negotiate holiday coverage individually. You are already getting requests via e-mail and on Post-it notes for holiday time. Several staff members have come to you stating that they “never” seem to get their requests for holidays. Discussion among the staff members is creating dissension and conflict.

1. Discuss the potential impact of this problem on you and the unit staff.

2. Describe a minimum of one positive consequence and one negative consequence of this conflict.

3. Select a model of conflict resolution and explain how you, as a nurse manager, might resolve this conflict.

 

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The following position is advertised on a career Web site: RN I Surgical Job Travel Involved: None. Job Type: Full-Time. Job Level: Minimum Education Required: Associate Degree Skills: Category: Nursing FTE: 0.9. Position Summary: Description/Purpose of Position: Responsible for providing patient care based upon the nursing process; being effectively involved with maintaining the standard of care for assigned patients through assessment, planning, implementation, and evaluation. Oversees and guides employees who are under your supervision. Requirements Description/Purpose of Position: Responsible for providing patient care based upon the nursing process; being effectively involved with maintaining the standard of care for assigned patients through assessment, planning, implementation, and evaluation. Oversees and guides employees that are under your supervision. Minimum Qualifications: Education: Graduate of an accredited school of Nursing. License/Certification: Current RN license in the state of XXX. Current BCLS Certification. Other: Must be able to demonstrate the knowledge and skills necessary to provide care/service appropriate to the age of the patients served on the assigned unit/department. Note: An RN graduate is a nurse who has completed a course of study at a school of nursing and is eligible for the NCLEX. The RN graduate performs directly under the supervision of the charge nurse or RN designee.

1. List three substantive questions you might expect to be asked in an interview for the job, and summarize your answers.

2. Describe three to five ways in which you could prepare for the interview to make the most positive impression.

3. Be sure to describe what you would wear and what material you would bring with you.

Your best friend, Lindsey, and you are working together in the surgical ICU. Often you cover for her when she goes to lunch or on breaks. You notice that often her clients complain of being in pain, even though she has told you that she medicated them right before she left the unit. You also notice that she appears to be very jumpy and short-tempered and a bit disheveled when she comes to work. You are suspicious that she is using the medications that she says she is giving to her clients.

1. What should you do first?

2. What might be the consequences if you decide to do nothing?

 

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