1) Discuss at least two implications of health care reform on the health care organization’s goals and strategic plan. How will processes and operations need to be adjusted to meet the requirements of health care reform legislation?

2)Evaluate the “Comprehensive Organizational Plan” presented by Oetjen and Rotarius. Is this model suitable for any type of health care organization? Discuss the implications of the model on the ability of health care managers to contain cost, preserve quality, and promote universal access.

3)Compare and contrast at least two methods of assessing health care organizations’ operational needs and explain how they differ based upon a particular health care setting.

4)What is the purpose of a balanced scorecard? How is the balanced scorecard used to lead and manage an organization? How can the balanced scorecard be linked to organizational effectiveness as well as individual performance evaluation?

5)Describe the effect of higher levels of medical spending, profitability, and fiscal margins on process quality for health care organizations. Indicate the role of financial stability in health care organizations on their ability to adequately resource the staffing, equipment, and infrastructure that support care delivery. Specifically, what is the effect of financial flexibility in increased use of preventative and wellness measures and lower length of stay?

6)Discuss Pettigrew’s theory on the contextual dependency of strategic change. Explain the concept of the disciplining context and why medical professionals accepted and used it. Also, explain why the internal market system, which was implemented to solve financial problems, was abandoned.

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Question:

 What is the Florida Law that prohibits smoking and when was it enacted? How do you see the many-to-many social media model influencing smoking reduction in Florida? 

 

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Hello Professor and Classmates,

My name is Sandra Robles. I’m from Puerto Rico. I like to watch movies and go ride with my family. I work in operating room for 22 years, I’m work in Jackson Medical Center, currently Circulating Nurse in the Operating Room doing Trauma/Bariatric/General surgeries and I would like to continue in this area assisting the Surgeon during procedures. I would like to learn about policies, research, analysis, how you have priorities, to grow professionally as a FNP. In 5 years I visualize me studying my PhD.

My greatest weakness is always to be more than I give. I overprotect my work a lot and take too much care of my patients. Mostly I work directly with overweight patients, who feel a lot of confusion and fear, I give moral support and I serve as an example, that bariatric surgery is the best decision they can have for both their physical and emotional health. Patient safety is first.

In my 22 years as a nurse I have never had a conflict with any co-worker, let alone a patient. I feel very capable and professional to be able to do things responsibly without having to make mistakes or have to mourn anything. For me my patients come first, I provide them with a clean and safe environment. With my co-workers they have all the help and confidence they need. I like to work as a team. But conflicts often happen in every area of work, if they always happened to notify the supervisor so that the problem does not get any further.

 

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Please answer to this discussion post with a minimum of 200 words, cited, APA style. 

________________________________________________________________________________________

The U.S. Preventive Services Task Force is an independent panel of experts in primary care and prevention who Health Screenings are examinations and tests to look for a disease before patients develop any symptoms. It is important because from a medical perspective prevention is better than cure. It is also often easier to treat or indeed cure a condition in its early stages systematically reviews the evidence of effectiveness and develops recommendations for clinical preventive services.  The purpose of screening individuals or populations is to reduce the risk of death or future ill health from a specific condition by offering a test intended to help identify people who could benefit from treatment.  Long and Colorectal cancer screening are tow among others recommendations from US preventing task force.

Lung Cancer (both small cell and non-small cell) is the second most common cancer in both men and women. The American Cancer Society’s estimates for lung cancer in the United States for 2019 are: About 228,150 new cases of lung cancer (116,440 in men and 111,710 in women) About 142,670 deaths from lung cancer (76,650 in men and 66,020 in women). (Society, 2019)

Summary of Recommendation and Evidence for lung Cancer 

Population: Adults Aged 55-80, with a History of Smoking. The USPSTF recommends annual screening for lung cancer with low-dose computed tomography (LDCT) in adults aged 55 to 80 years who have a 30 pack-year smoking history and currently smoke or have quit within the past 15 years. Screening should be discontinued once a person has not smoked for 15 years or develops a health problem that substantially limits life expectancy or the ability or willingness to have curative lung surgery. The USPSTF updated its definition of and suggestions for practice for the grades A, B, C, D, and I. Lung Cancer Category B. It means that the screening is high certainty that the net benefit is moderate or there is moderate certainty that the net benefit is moderate to substantial.

On the other hand, Colorectal Cancer is one of the most common cancers diagnosed in the United States. Excluding skin cancers, it is the third most common cancer in both men and women in the U.S.

Population: 

Adults aged 50 to 75 years. The USPSTF recommends screening for colorectal cancer starting at age 50 years and continuing until age 75 years. The risks and benefits of different screening methods vary. Starting with a simple FBOT or FIT test at the office or sigmoidoscopy every 5 years and colonoscopy every 10 years. The recommendation for this group is category A (The USPSTF recommends the service. There is high certainty that the net benefit is substantial). 

Adults aged 76 to 85 years. The decision to screen for colorectal cancer in adults aged 76 to 85 years should be an individual one, taking into account the patient’s overall health and prior screening history. Adults in this age group who have never been screened for colorectal cancer are more likely to benefit. Screening would be most appropriate among adults who 1) are healthy enough to undergo treatment if colorectal cancer is detected and 2) do not have comorbid conditions that would significantly limit their life expectancy. The recommendation for this group is category C (The USPSTF recommends selectively offering or providing this service to individual patients based on professional judgment and patient preferences. There is at least moderate certainty that the net benefit is small). (Force, 2014)

References

Force, T. U. (2014, June 12). Recommendations for Primary Care Practice. Retrieved from The U.S. Preventice Services Task Force : https://www.uspreventiveservicestaskforce.org/Page/Name/recommendations

Society, A. C. (2019, May 17). Cancer Facts and Statistics. Retrieved from American Cancer Society: https://www.cancer.org/research/cancer-facts-statistics.html

 

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 The professor wrote this

Do you think the utilization of a pilot study was appropriately utilizes? Why and Why not, support your answer.  

 

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