What is the primary diagnosis for Randall

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Exercise: Case Study of Randall

 

 

You are a clinical psychologist specializing in the diagnosis and treatment of psychological problems among children.  A colleague has sent you information regarding Randall Ellis (see below) in hopes that you will provide a second opinion as to the correct diagnosis for Randall.  Read the case study, make a diagnosis, and then answer the following questions in a report to be written to his family.    Be careful to fully explain concepts such that someone outside of the area of abnormal child psychology would understand. (DO NOT assume that you are writing this paper to me.)

 

 

  1. What is the primary diagnosis for Randall (be sure to specify the major diagnosis and type if necessary)? Using the criteria in the DSM-IV-TR specifically describe why Randall’s symptoms fit this particular diagnosis. Give specific examples of the symptoms he manifests. Do not just list the symptoms of the disorder according to the DSM. Instead tell the reader (the parent) how Randall’s characteristics specifically fit the criteria listed in the DSM.  It may help to use direct quotes from the case study.  You must get the diagnosis EXACTLY correct. There is enough information given so that you can make the exact diagnosis. (3 points will be deducted for the wrong diagnosis, if the given diagnosis is close.  5 points will be deducted for an entirely incorrect diagnosis. The remainder of the paper will be based on the diagnosis you gave, and not the correct diagnosis such that you can still make a B even though you gave an incorrect diagnosis.)  In order to help you arrive at the correct diagnosis, try doing this. First list all of the possible diagnosis that you think Randall has, then rule out each diagnosis until you are left with only one. Once you reach this one diagnosis, confirm it with specific examples from the case study. (10 points)

 

  1. With most diagnoses there are differential diagnoses and co-morbid conditions that you need to consider. Discuss differential diagnoses and co-morbid conditions that exist with your primary diagnosis by answering Parts 1, 2, and 3.
  2. Part 1: For your primary diagnosis that you gave in question #1, list the common differential diagnoses and co-morbid conditions.

Evaluate the organizational environment in the health care industry to recognize how technology solutions enable strategic outcomes.

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Case Study, Stage 1: Process Analysis

Before you begin this assignment, be sure you have read the “UMUC Family Clinic Case Study” and your Week 1 and Week 2 syllabus readings, which discuss EHR functionality and Process Workflow Analysis and Mapping. You will need to refer to three of the HealthIT.gov documents available in Content>Course Resources: Overview of Steps to Implement an EHR System, Step 1, and Step 2. In addition, you should obtain concurrence from your faculty member that you have selected an appropriate process (see below).

Purpose of this Assignment

This assignment gives you the opportunity to apply your analysis skills to model a business process in an ambulatory setting in the healthcare industry. Modeling the process as it exists (and as it will exist) will aid in the analysis, selection and implementation of the EHR system for the medical practice. This assignment leads to the Stage 2 assignment which will give you the opportunity to apply your knowledge of technology solutions and EHR systems to improve the business process you select here. In this assignment, you will identify a process (workflow) in need of improvement, and plan for a revised and optimized workflow to improve the quality of care, safety, and financial management incentives. You will develop 2 process maps (AS IS and TO BE) for the clinical process workflow. This assignment addresses the following course outcome to enable you to:

  • Evaluate the organizational environment in the health care industry to recognize how technology solutions enable strategic outcomes.
  • Analyze the flow of data and information among disparate health information systems to support internal and external business processes.

 

Family Clinic Medical Practice

In order to apply technology to a process, the process must be thoroughly understood and models are used for this purpose. The model also supports business process analysis and redesign when the process is deemed to be inefficient or ineffective. In addition, models are used to design the “to-be” process that describes the desired end state after the technology solution is developed.

In the Step 1 document, under“Assess Your Current Practice,” you will see the following questions to be answered:

  • Are administrative processes organized, efficient, and well documented?
  • Are clinical workflows efficient, clearly mapped out, and understood by all staff?
  • Are data collection and reporting processes well established and documented?

In the Step 2 document, read the section “Clarify and Prioritize” and the first two steps under “Steps in the Planning Process.” These sections demonstrate how process review, mapping and improvement fit with the selection of an EHR System, and are the standard starting point for EHR implementation.

Describe the anatomy (structure) and physiology (function) of a plant

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Plants develop specialized roots, stems, leaves, and flowers to make them better adapted to their environment. People exploit many of these modifications as vegetables. An example of this is the taproot of carrots. The carrot plant stores sugars in the taproot to supply energy for the formation of flowers in later development. People dig up and eat the taproots while the sugar content is still high. Complete the following:

  • Describe the anatomy (structure) and physiology (function) of a plant. Is the structure of your plant a modification from the standard root, stem, leaf, or flower?
  • Explain how this structure differs from the standard root, stem, leaf, or flower.
  • Compare the plant that you have chosen, its structure, and its function with 1 or more of your classmates’ choices.

Part 2

Animals are important for humans in ways other than providing food. Medicines, clothing, beauty, fuel, air quality, building materials, and industrial products are a few of the ways in which humans exploit animals. Complete the following:

  • Choose 1 product or benefit that people get from animals (besides food), describe it, and explain how people benefit.
  • Which do you think is the most important benefit of animals? Select 1 benefit and explain.
  • List 3 adaptations that animals have that plants do not have.

Provide references in APA format. This includes a reference list and in-text citations for references used throughout the assignment.

What is the management-research question hierarchy for Akron Children’s Hospital?

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APA Style, Essay, with in text citation, and reference question are below.

 

Abstract

 

Northeastern Ohio is a highly competitive health-care market, especially for the care of seriously ill children. With powerhouse health care institutions like the Cleveland Clinic venturing into the children’s care segment, Akron Children’s needed a way to differentiate itself. The research profiled in this case helped develop the positioning of Akron Children’s hospital and its promotional approach that resulted in an increase in its bed-occupancy rate, a key metric in the health care industry.

 

The Scenario

 

The Midwestern hospital market is fiercely competitive, especially in Northeast Ohio. Akron Children’s Hospital, which competes in this environment, was established in 1890 and today is the region’s largest pediatric care provider with 253 beds. It offers 30 practice areas of medicine and surgery, specialized for children. Akron Children’s operates, however, in the shadow of two nationally recognized hospitals in nearby Cleveland: Rainbow Babies & Children’s Hospital and the Cleve- land Clinic. Rainbow, with 244 beds, has been ranked among the top five children’s hospitals nationwide by both U.S. News and World Report and Child magazine (which rates neonatal care at Rainbow second in the nation). The Cleveland Clinic, with 47 child beds, is not ranked for pediatric excellence but has earned a reputation as one of the top three hospitals in the country.

 

Even in such company, Akron Children’s has also distinguished itself for medical excellence. It was the first to grow human skin for treatment of burns and the first to offer intra-operative MRI for removal of brain tumors. It cares for the largest Hemophilia B population in the world, is one of only two U.S. hospitals with a pediatric palliative care program (which eases pain for terminally ill patients), and is the only hospital among its competitors to offer cancer support programs for teens.

 

Although innovative, larger, and well regarded, Akron Children’s was being overshadowed by competitors in its core markets. It needed a communications strategy to distinguish itself and to convey its commitment to children and to the highest-quality and most medically advanced care.

 

The Research

 

Akron Children’s turned to long-time re- search and communication partner, Marcus Thomas LLC, for insights and recommendations. As the firm’s vice president and director of research, Jennifer Hirt-Marchand, explained, “Akron Children’s had limited under- standing of how parents arrive at the difficult decision of where to take their children when acute care [requiring more than three days of hospitalization] is necessary.” Akron Children’s wanted to overcome this challenge, and, since it faced a difficult market in Cuyahoga County where its competitors were based, it also needed to devise a strategy to expand beyond its Summit County home into Portage, Mahoning, and Medina counties.

 

Marcus Thomas was asked to identify consumers’ hospital-choice decision process and to index perceptions associated with hospitals in the market. Initial research revealed that although consumers gave high survey ratings to medical capabilities and care they perceived as high-quality, their decisions in selecting hospitals were often driven more by emotion.

 

To peel down to the emotional core driving these decisions, Marcus Thomas conducted an observation study in the first phase of research. It negotiated per- mission to shadow physicians, parents, and child patients as they worked through testing, diagnosis, and treatment. Marcus Thomas researchers “were flies on the wall while kids attended checkups, were admitted to the ER, were undergoing surgery, prepping for surgery, and more,” according to Hirt-Marchand. “We spent days in the hospital watching the interactions of patients with physicians, nurses and other staff members.”

 

Researchers listened to, watched, and recorded first-hand physical and emotional reactions and heart-wrenching conversations. Marcus Thomas partner and creative director Joanne Kim shared, “We watched how the doctors talked to the children about their health problems, in kids’ terms, rather than talking just to the parents. We observed how parents were encouraged to stay with their children at the hospital 24/7 and how this philosophy helps children with the healing process. We saw how the staff, facility, food—everything about Akron Children’s—truly focused on kids being kids.”

 

Their analysis resulted in what Marcus Thomas believed could be a compelling brand promise, one that could be owned exclusively by Akron Children’s Hospital:

 

Akron Children’s Hospital focuses ALL of the hospital’s resources (energy, creativity, state-of-the-art technology, compassion, technical skill, competence, etc.) toward the simple goal of helping every child reach his or her full potential. If a parent believed the brand promise, then they would trust Akron Children’s

 

Questions

1. What is the management-research question hierarchy for Akron Children’s Hospital?

 

Management question:

 

 Research question:

 

            Investigative questions:

 

 

 

2. What are the advantages/disadvantages of an observation study for this research?

 

3. If you were designing such an observation study, what would you direct researchers to record/look for/listen for?