Assignment 2: Managing Health Care Quality Due Week 8 and worth 200 points

Imagine that you are a hospital administrator at the Sunlight Hospital in California. The main complaint among the patients is the quality of care. Your job is to understand the state of the hospital, create value, increase efficiency, and turn the facility into a local hospital of choice. Whenever you are making visits in various wards to meet the employees and the patients, you hear how the patients love the hospital, but they would like to see certain improvements in care. The employees seem to be very busy executing their duties and not interacting much with the patients. The hospital board has asked you to compile a report of your findings and suggested strategy for achieving the hospital’s current goals.

Note: You may create and / or make all necessary assumptions needed for the completion of this assignment.

Write a four to six (4-6) page paper in which you:

Classify five (5) measurements of quality of care in a hospital, and justify the major reasons why you believe these measurements matter to patients in their process of choosing a hospital for emergency or inpatient care. Specify four (4) main features in health care organizations that can be used to design a successful quality improvement plan. Articulate the significant manner in which the specified features can lead to failure or success of quality of care in Sunlight Hospital. Suggest the salient reasons why quality of care would add value to and create a competitive advantage for the Sunlight Hospital. Justify your response. Use four (4) recent (within the last five [5] years) quality academic resources in this assignment. Note: Wikipedia and other websites do not qualify as quality academic resources.

Your assignment must follow these formatting requirements:

Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions. Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

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Question 1
a) List the different types of radiation-induced DNA damage (3 marks)
b) List the morphological hallmarks of apoptosis (2 marks)
c) Describe the pathways involved in apoptosis (5 marks)
Question 2
a) Define stochastic and deterministic effects of ionising radiation, giving
an example of each effect (3
marks)
b) Define and describe consequential late effects in normal tissues after
radiation therapy (4
marks)
c) List the treatment factors that can affect the development of a
consequential late effect.

(3
marks)
Question 3
Regarding acute radiation pneumonitis arising from chemo-radiotherapy
treatment:
a) Describe the clinical features of radiation pneumonitis. (2 marks)
b) Describe the pathophysiology of radiation pneumonitis. (4 marks)
c) Which drugs are particularly implicated? (2 marks)
d) List endogenous mediators thought to be involved. (2 marks)
Question 4
With regard to repopulation
a) Define repopulation. (2 marks)
b) What is the evidence for the existence of repopulation in the clinic? (4 marks)
c) Briefly discuss the approaches that have been used for overcoming
repopulation in the clinic.
(4 marks)
Question 5
Write short notes on:
a) fluorescence in situ hybridisation. (3 marks)
b) knockout mice (4 marks)
Clinical Radiobiology – Previous Examination Papers
c) ATM kinase (3 marks)
Question 6
Write notes on:
a) ionising radiation effects on lymphocytes (4 marks)
b) ionising radiation effects on the ovary. (4 marks)
c) Knudson’s ‘two-hit’ hypothesis (2 marks)

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