ASSIGNMENT: Data Sets

• Demonstrate compliance with healthcare data sets (Blooms 3)

Instructions:

Part I: Review the information on Data Sets from your lesson. Study the Table 1 provided in the lesson. Create your own table with 3 columns and copy the information from the table in the lesson for the first 2 columns for DEEDS, MDS, OASIS, UACDS, and UHDDS.

Part II: Research each of these online and/or in the Peden textbook

 – In the 3rd column, show 4 data elements that are required for each of the data sets.

Part III: Open the inpatient record provided as an attachment below

– Analyze the documentation in the record to see if it would meet the requirement for the UHDDS data elements you included in your table.

– Type a Yes or a No after each of the data elements to indicate if you were able to find the data element in the chart.

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Prepare a 350- to 700-word paper describing the types of data collected by hospitals, payers, governments, and practices. Within your description, include the intentions for collecting the data. Your paper should:

• Focus on clinical, administrative, and reporting data from each of the different facilities listed above.
• Describe how the various data types are used by the facilities.
• Include an overview of the different sources of data from the identified facilities. 

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As a nurse, you serve an important role in identifying strategies to effectively manage health care resources and in leading health care quality improvement. You must be able to decide what leadership style or strategy to apply in a given situation to achieve an effective resolution of the issue. Read the following two scenarios and select one to focus on in this Discussion. Consider the leadership style or strategy that might be most effective in the scenario you selected.

Scenario 1

You work in a for-profit nursing home, with about 100 beds, on a 20-bed unit that is largely patients with Alzheimer’s disease. Your patient mix is predominantly Medicare and Medicaid patients. Your nursing home is part of a larger system that includes a major medical center, as well as VNA, outpatient dialysis, and a fully integrated network. Your nurse manager is getting feedback from the hospital that your nursing home is sending too many patients to the ED who really don’t need to go. How would you go about figuring out what could be done at the nursing home to prevent avoidable ED visits?

Scenario 2

You’ve been associated with an outpatient cardiology clinic that is part of a large academic medical center. Your patients are mostly charity care and managed Medicaid. Most have a prescription plan, but none have a “family doctor” and use the clinic (and the ED) regularly. Most are unfamiliar with their medications and do not have the resources for care coordination in their family/social network. About 25 CHF patients have been “lovingly,” but inappropriately, called “frequent fliers” because of their inability to manage their own care, their frequent visits to the ED, and their “one night stays” paid at the observation rate. As a staff nurse in this clinic, describe the strategies you could devise for you and your fellow staff nurses targeting these 25 patients. Find at least one article from the professional literature to corroborate your recommendations.

By Day 3

Select one of the scenarios, and post the following:

Describe the most appropriate leadership style and/or strategy to apply in the scenario you chose in order to implement the recommendations successfully. Justify your selection.

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. 

The final step is to develop the plan discussing the steps clearly and succinctly. The plan must be evidence based .

By Day 4

Post an explanation of how you could apply key interventions supported by the scholarly research evidence to potentially help resolve the issue in measurable ways. Continue to collaborate with the selected individuals in your practice environment as needed in the development of the Practice Experience Project, and share this information with your group.

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Answer the following case study in an APA formatted paper. Research sources to answer this question must be identified in your paper.

“The Davis family consists of Andrea, age 46 years; Thomas, age 48; maternal grandmother Theresa, age 79; Thomas Jr., age 20; Claire, age 17; and Megan, age 15. They all live together in a two-story, four-bedroom house. The house has a total of three bathrooms: two are on the top floor, and one is located in the finished portion of the basement. Thomas Jr. has his own bedroom, whereas the girls, Claire and Megan, share a room. Grandmother Theresa sleeps in her own room next to the girls’ room. Thomas has been smoking two packs of cigarettes a day since he was a teenager. He has a strong wish to quit smoking but has yet to find a way to be successful. Thomas works as a millwright in a lumberyard. In recent years he has been complaining of intermittent back pain. His last physical examination was 2 years ago. Tests showed that he was in good general health except for being 15 pounds overweight. Andrea and the children are in good health. Theresa has arthritis that makes walking difficult.”

1. What family type and stage does the Davis family represent?
2. What health needs can you identify for these family members?

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