Theresa is a 90-year-old patient who was taken to the hospital due to certain complications with breathing. She was diagnosed with cardiopulmonary disease, and her health was deteriorating. Theresa has not been responding to treatment. She was advised of possibly passing in the next 3 months. The doctor recommended pain medications and suggested skilled nursing services and personal care. Unfortunately, the nearest skilled nursing facility has not been doing well and is about to close down. Theresa’s grandchildren have been taking turns caring for her at home. The grandchildren cannot provide the 24-hour care that she needs.

Unless home support is put in place for Theresa, she has to continue hospitalization unless she is guaranteed 24-hour care at home. The grandchildren decided to hire home care for their grandmother, and Theresa was discharged home. Case management permitted to discharge and maintenance at home. Unfortunately, Theresa passed away within 20 days of discharge. The business department had prepared the bill for services rendered to her. The bill included the following:

• Fee for hospital stay per day was $ 700
• Home health expenses were $ 2,000 within a network and $1,500 for outside of network providers
• Case management fees were $ 750 (due to an effective case management strategy, the family was able to save some money)

Using the case study above, complete the following:

• Prepare a confidential case report for Theresa showing net cost savings as a result of effective case management.
• Prepare a case identification process for Theresa regarding her visit to the hospital.
• What would you do as a potential health care administrator to improve the quality of care of a skilled nursing facility that you have been hired to head?

Your paper must follow APA format, citing at least 4 sources to substantiate your claims.

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APA with in-text citations & references.

MUST CONTAIN PICTURES AND AUDIO AND ADDRESS EACH ITEM WITHOUT TOO MUCH WORDINESS. 

1.Review the Resources and identify one change that you believe is called for in your organization/workplace.

2.This may be a change necessary to effectively address one or more of the issues you addressed in the Workplace Environment Assessment 

It may also be a change in response to something not addressed in your previous efforts. It may be beneficial to discuss your ideas with your organizational leadership and/or colleagues to help identify and vet these ideas.

3. Reflect on how you might implement this change and how you might communicate this change to organizational leadership. 

4. The Assignment (6-minute PowerPoint presentation):

Change Implementation and Management Plan

5. Create a narrated PowerPoint presentation of 5 or 6 slides with video that presents a comprehensive plan to implement the change you propose.

Your presentation should be 5–6 minutes in length and should include a video with you as presenter.

Your Change Implementation and Management Plan should include the following:

6. An executive summary of the issues that are currently affecting your organization/workplace (This can include the work you completed in your Workplace Environment Assessment previously submitted, if relevant.) 

7. Description of the change being proposed

8. Justifications for the change, including why addressing it will have a positive impact on your organization/workplace.

9. Details about the type and scope of the proposed change 

10.Identification of the stakeholders impacted by the change

11.Identification of a change management team (by title/role)

12. A plan for communicating the change you propose

13. A description of risk mitigation plans you would recommend to address the risks anticipated by the change you propose

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 The ASPPH identifies informatics as a key public health competency. Define informatics and provide an example of how it is applied in public health

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 Please follow instructions carefully. Info needs to be true and correct. do not invent. Include references. 

Search the Internet for the “The Consensus Model for APRN Regulation” video provided by the National Council of State Boards of Nursing.

Watch the video.

Write a 200 word message addressing the following:

1. What is the purpose of the consensus model for APRN regulation?

2. How do APRNs benefit from the consensus model?

3. What regulation changes do you foresee facing in your role as an APRN now that the consensus model has been established?

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Assignment Details

The Comprehensive Health History

1. Please select a volunteer friend or family member to interview and gather data to complete this Assignment. You will videotape yourself interviewing this person.
2. This section of the SOAP note will include the chief complaint, history of present illness, and family/social/personal history data.
3. Use the link for the written guide for this Assignment.
   1. The guide will assist you in gathering subjective data in an organized, systematic manner to prevent omission of important components of the health history.
   2. Make sure you address all content as noted in the written guide.

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.

Assignment Requirements

Before finalizing your work, you should:

• be sure to read the Assignment description carefully (as displayed above)
• consult the Grading Rubric to make sure you have included everything necessary; and
• utilize spelling and grammar check to minimize errors.

Your writing Assignment should:

• follow the conventions of Standard English (correct grammar, punctuation, etc.);
• be well ordered, logical, and unified, as well as original and insightful;
• display superior content, organization, style

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