read a case study that presents difficulties associated with implementing a new computer system in a professional setting. Based on the scenario described in the case study and assignment details, you will create a short PowerPoint presentation.

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This assignment is intended to demonstrate your comprehension of the main principles of health informatics, as well as the primary applications of health informatics in healthcare organizations.

For this assignment, you will read a case study that presents difficulties associated with implementing a new computer system in a professional setting. Based on the scenario described in the case study and assignment details, you will create a short PowerPoint presentation.

Assignment Details:

Perform the following tasks:

· Complete the reading assignment and the interactive lesson before attempting this assignment.

· To complete this assignment:

o Review the case study and select one of the committee roles.

o Download the provided PowerPoint template to create a presentation that includes:

§ Your selection as a member on the committee

§ Identification one or more issues, related to your role on the committee

§ Identification of probable cause(s) of identified issue(s)

§ Proposed recommendations to resolve the identified issues

§ Reference slide – list of academic references, using APA style

 

Ø Case Study

Read the following case study

A good friend of yours is director of nursing at a 220-bed community hospital. Last year the hospital merged with a much larger medical center. One of the upsides, as well as one of the challenges, resulting from this change has been the rapid introduction of new computer systems. The goal is to bring the hospital “up to speed” within 3 years. At present, the Computerized Physician Order Entry (CPOE) is being implemented. The general medical and surgical units went live last month. The ICU, pediatrics, and obstetrics units are scheduled to go live next month. The plan is to work out any kinks or problems on the general units and then go live in the specialty units. Most of the physicians, nurse practitioners, and physician assistants initially complained but are now becoming more comfortable with the computers and are beginning to integrate the CPOE process into their daily routines. Several physicians are now requesting the ability to enter orders from their offices and others are looking into this option. However, three physicians have not commented during this process but are clearly resisting. For example, after performing rounds and returning to their offices they called the unit with verbal orders. After being counseled on this behavior, they began to write the orders on scraps of paper and put these in the patient’s charts or leave them at the nurses’ station. When they were informed that these were not “legal orders,” they began smuggling in order sheets from the non-activated units. In addition, they have been coercing the staff nurses on the units to enter the orders for them. This has taken two forms. Sometimes they sign in and then ask the nurses to enter the orders. Other times they ask the nurses to put the orders in verbally and then they confirm the orders. The nurses feel caught between the hospital’s goals and the need to maintain a good working relationship with these physicians.

You suggest to your friend (director of nursing) to create an informal committee to review the issues surrounding the CPOE implementation. The committee would determine methods to address these issues, prior to implementing CPOE within the ICU, pediatrics, and obstetrics units. Your friend appreciates the suggestion and forms a small committee with the following members:

· Taylor Terrific, RN – a nurse practitioner

· Dr. Dudley Do-Right – a physician who uses the CPOE system routinely and correctly

· Dr. Frank Burns – a physician who rarely, if ever, uses the CPOE system

The director of nursing asks each committee member to create a short PowerPoint presentation for the committee. The presentation would identify issues that occurred during CPOE implementation, identify potential causes of such issues, and list specific recommendations, based on strong rationale and research, to resolve the identified issues prior to the next CPOE implementation. Each committee member will have a unique perspective, based on their position (i.e., nurse, physician).

 

 

PowerPoint Presentation

Directions:

1. Review the case study and select one of the committee roles.

2. Download the PowerPoint template (Week 2 Assignment Template).

· The link to this template can be found in your Blackboard course in Week 2.

3. Select one of the following roles on the committee

· Taylor Terrific, RN – a nurse practitioner

· Dr. Dudley Do-Right – a physician who uses the CPOE system routinely and correctly

· Dr. Frank Burns – a physician who rarely, if ever, uses the CPOE system

4. Use the PowerPoint template to create slides that:

· Identify one or more issues, related to your role on the committee

· Identifies probable cause(s) of identified issue(s)

· States proposed solutions or processes to address the identified issues

§ Solutions are supported by specific rational and research.

· Includes a reference slide – a list of academic references, using APA style

5. Ensure to support the content of your slides by the case study, research from your text, or the LRC.

6. Submit the Week 2 Assignment via Blackboard by clicking on the “Week 2 Assignment” link.

7. Include the proper file naming convention:

· CMP105_wk2_assn_jsmith_mmddyyyy

Note: The PowerPoint template for this assignment is located within the Assignment section on Blackboard.

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I need an “A” so please do not respond if you can’t do it. I need it by 2pm on 09/17/17.

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I need an “A” so please do not respond if you can’t do it. I need it by 2pm on 09/17/17.

 

QUESTION 1

  1. Which if the following are described as techniques associated with the practice of Intergenerational Family Therapy?A.Coaching, Enmeshment, DetriangulationB.Genogram, Enmeshment, CoachingC.Genogram, Coaching, “Going Home Again”D.Empty Chair, Challenging, Projection

0.5 points  

QUESTION 2

  1. A modern multicultural perspective of family systems must now include which of the following?A.Norms relating to intimacyB.Distribution and use of powerC.The role of others involved with the couple/familyD.All of the above

0.5 points  

QUESTION 3

  1. In using the “Family Mapping” technique the counselor is basically looking for:A.Family structure, Id/Ego relationships, problem maintenance patternsB.The family’s ability to use a road mapC.The family’s ability to construct a genogramD.Family structure, Resonance, and Developmental Stage

0.5 points  

QUESTION 4

  1. Symptom based treatment plans require which of the following?A.Behaviorally stated, measurable objectives that clearly give focus to the goals of treatmentB.Outcomes that are related to the theoretical perspective of the family counselorC.An brief summary of the “symptom bearer’s” last medical evaluationD.A pre-signed Involuntary Commitment Order to be used in the event that someone in the family needs psychiatric care

0.5 points  

QUESTION 5

  1. Theory-based treatment plans are most influenced by:A.Behaviorally stated, measurable objectives that clearly give focus to the goals of treatmentB.The clinician’s theoretical orientation/approachC.The needs specified by the family’s insurance companyD.Patient placement criteria, as specified by the American Society of Addiction Medicine (ASAM)

0.5 points  

QUESTION 6

  1. Bowen Family Systems Theory is also known as:A.Person Centered CounselingB.Intergenerational Family TherapyC.Transnational Family TherapyD.Internal Systems Theory

0.5 points  

QUESTION 7

  1. “Differentiation of Self” is:A.A lifelong process that can never be fully achievedB.A process that takes place during the “Trust vs. Mistrust” stage of child developmentC.Usually results in a separation or divorceD.A symptom of Schizophrenia, Undifferentiated Type, as defined by the DSM-5

0.5 points  

QUESTION 8

  1. Treatment plans must include the assessment of risk and safety.  When assessing risk of harm and safety, which of the following should be assessed?A.Threats of harm to self or othersB.Emotional abuseC.Eating DisordersD.All of the above should be assessed

0.5 points  

QUESTION 9

  1. Fusion, as it relates to the practice of Intergenerational Family Therapy, usually results in:A.Reactive emotional distance in the marriageB.Projection of the problem onto the childrenC.Inner-child conflictsD.A and B only

0.5 points  

QUESTION 10

  1. Boundaries, in Structural Family Therapy, refer to:The tendency for young children to declare certain parts of a home “off limits” to other members of the familyRules that relate to who participates, and how they participate in overall family interactionsRules that relate to who has power among the siblings, according to their birth orderThe tendency for certain members of a family to break off relationships with other members of the family whom they dislike

0.5 points  

QUESTION 11

  1. Structural family therapists view the family as:A.A system structured according to set patterns and rules that govern family interactionsB.A system oriented around the Hierarchy of NeedsC.A group of people who are driven towards a common goal by their subconscious motivations for love and acceptanceD.A system designed to meet the expectations of culturally sanctioned norms about what a family is supposed to look like

0.5 points  

QUESTION 12

  1. Clients are usually classified into three different types, based on their level of motivation for change.  These three types of clients are:A.The Id, Ego, and Super-EgoB.The Visitor, Complainant, and CustomerC.The Visitor, Inquisitor, and CustomerD.The Id, Ego, and Ego-Centrist

0.5 points  

QUESTION 13

  1. In couples and family counseling, the “central healing relationship,” is identified as the relationship between:A.The counselor and the childrenB.The counselor and the partner with the “identified problem”C.The client family and their primary care physicianD.The members of the family/couple

0.5 points  

QUESTION 14

  1. In the practice of Bowenian/Intergenerational Family Therapy, “sibling position” is defined as:A.Fixed personality characteristics based on sibling position/birth orderB.The location of siblings during family disputesC.The position in which siblings sit when they are engaged in family conversationsD.Fixed personality characteristics associated with the level of differentiation in each sibling

0.5 points  

QUESTION 15

  1. Treatment plans should contain which of the following components?A.Theory-specific goals and interventionsB.An advance directive, which proscribes interventions that have been approved by the client family, should the client suffer a debilitating injuryC.Interventions that will be utilized during the course of therapy, to accomplish goalsD.A and C ONLY

0.5 points  

QUESTION 16

  1. A treatment plan is best defined as:A.A list of goals and objectives for the client familyB.A list of tasks that the counselor must accomplish before insurance companies will reimburse for servicesC.A document that is sent to a family’s primary care physician which outlines any and all non-professional services the client family will be utilizing during treatmentD.A plan for how to elicit change in the family system in an effort to address the presenting problems

0.5 points  

QUESTION 17

  1. When used as a technique, Genograms:A.Provide insight and introduce the possibility for a calm, rational discussionB.Are primarily guided by Expressive Arts Therapy, as children are encouraged to “draw” the genogram, thus symbolizing being accepted into the familyC.Are required by insurance companiesD.Can only be effective if the counselor is truly exhibiting a non-anxious presence

0.5 points  

QUESTION 18

  1. When conducting the family assessment, the family counselor assesses “complementarity.”  This is best described as:A.The ability of family members to complement each other when they do something wellB.The process through which the counselor compliments the family for improvements they make during the counseling processC.Relationships between and amongst family members that may result in reciprocal or complementary aspectsD.The relationship that develops between the counselor and the parent with the most power

0.5 points  

QUESTION 19

  1. Structural Family Therapists consider the “individual” to be a:A.Subsystem, in and of itselfB.“Non-factor” in systemic family processesC.The “Chief Instigator” in any given problematic scenarioD.A and C

0.5 points  

QUESTION 20

  1. Which of the following best describes, in general, the goals of Intergenerational Family Therapy?A.Resolution of the Oedipus Complex and differentiation of selfB.Differentiation of self and anxiety reductionC.Resolution of family enmeshment and resolution of the id/ego conflictD.Validation, communication, and self-esteem

0.5 points  

QUESTION 21

  1. Generally speaking, which of the following are goals of Structural Family Therapy?A.Generational hierarchy, parental coalitions, and clear boundariesB.Emotional cutoff, power differentials, and cycles of abuseC.Validation, communication, and self esteemD.Physical health, acupuncture, and  boundaries

0.5 points  

QUESTION 22

  1. Subsystems consist of:A.IndividualsB.SpousesC.SiblingsD.All of the above

0.5 points  

QUESTION 23

  1. Which of the following is credited as being the founder of Structural Family Therapy?A.Salvador DaliB.Virginia SatirC.Carl RogersD.Salvador Minuchin

0.5 points  

QUESTION 24

  1. The second, or “new phase” of Behavioral Couple Therapy is characterized by:A.The development of integrative behavioral couple therapyB.An increased emphasis on psychoanalytic techniquesC.An increased emphasis on Gestalt Therapy techniquesD.An increased emphasis on medication assisted therapies

The post I need an “A” so please do not respond if you can’t do it. I need it by 2pm on 09/17/17. appeared first on Infinitessays.org.

Post an explanation of whether or not you think the prevalence of HIV cases might be attributed to increased complacency due to more advanced drug treatment options.

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While HIV/AIDS is still currently incurable, the prognosis for patients with this infectious disease has improved due to advancements in drug treatments. Consider the case of Kristy Aney. Kristy was diagnosed with HIV in 1992 and was told she would survive, at most, 10 more years. Despite unfavorable odds, Kristy is still alive 20 years later. Since her diagnosis, she has witnessed tremendous improvements in HIV/AIDS treatments which have helped patients live longer with fewer side effects. While she acknowledges that these drug treatments have kept her alive, she fears that improvements in drug therapy have led to more people becoming complacent about the disease (Idaho Statesmen, 2012). In fact, the number of people living with HIV/AIDS in the United States is higher than it has ever been (CDC, 2012). This poses the question: Is there a relationship between drug advancements, societal complacency, and infection?

To prepare:

  • Review Chapter 49 of the Arcangelo      and Peterson text, as well as the Krummenacher et al. and Scourfield      articles in the Learning Resources.
  • Reflect on whether or not the      prevalence of HIV cases might be attributed to increased complacency due      to more advanced drug treatment options for HIV/AIDS.
  • Consider how health care      professionals can help to change perceptions and make people more aware of      the realities of the disease.
  • Think about strategies to educate HIV      positive patients on medication adherence, as well as safe practices to      reduce the risk of infecting others.

With these thoughts in mind:

Post an explanation of whether or not you think the prevalence of HIV cases might be attributed to increased complacency due to more advanced drug treatment options. Then, explain how health care professionals can help to change perceptions and increase awareness of the realities of the disease. Finally, describe strategies to educate HIV positive patients on medication adherence, as well as safe practices to reduce the risk of infecting others.

This work should have Introduction and conclusion

– This work should have at 3 to 5current references (Year 2012 and up)

– Use at least 2 references from class Learning Resources

The following Resources are not acceptable:

1. Wikipedia

2. Cdc.gov- nonhealthcare professionals section

3. Webmd.com

4. Mayoclinic.com

Required Readings

Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins.

  • Chapter 8, “Principles of      Antimicrobial Therapy” (pp. 111-134)
    This chapter covers factors that impact the selection of an antimicrobial      treatment regimen. It also examines the clinical uses, adverse events, and      drug interactions of various antimicrobial agents such as penicillin.
  • Chapter 12, “Fungal Infections      of the Skin” (pp. 163-196)
    This chapter explores the pathophysiology of several fungal infections of      the skin as well as related drug treatments and examines the importance of      patient education when managing these infections.
  • Chapter 14, “Bacterial      Infections of the Skin” (pp. 181-196)
    This chapter begins by examining causes of bacterial infections. It then      explores the importance of selecting an appropriate agent for treating      bacterial infections.
  • Chapter 32, “Urinary Tract      Infection” (pp. 519-526)
    This chapter covers drugs used to treat urinary tract infections and      identifies special considerations when treating geriatric patients,      pediatric patients, and women.
  • Chapter 35, “Sexually      Transmitted Infections” (pp. 512-535)
    This chapter outlines the causes, pathophysiology, and drug treatment of      six sexually transmitted infections, including gonorrhea, syphilis, and      human papilloma virus infection (HPV). It also examines the importance of      selecting the proper agent and monitoring patient response to treatment.
  • Chapter 49, “Human Immunodeficiency Virus” (pp.      843-860)
    This chapter presents the causes, pathophysiology, diagnostic criteria,      and prevention methods for HIV. It also covers various methods of drug      treatment and patient factors to consider when selecting, administering,      and managing drug treatments.

Krummenacher, I., Cavassini, M., Bugnon, O., & Schneider, M. (2011). An interdisciplinary HIV-adherence program combining motivational interviewing and electronic antiretroviral drug monitoring. AIDS Care, 23(5), 550–561.

This article analyzes medication adherence in HIV patients and examines factors that increase adherence as well as factors that contribute to termination or discontinuation of treatment.

Drugs.com. (2012). Retrieved from http://www.drugs.com/

This website presents a comprehensive review of prescription and over-the-counter drugs including information on common uses and potential side effects. It also provides updates relating to new drugs on the market, support from health professionals, and a drug-drug interactions checker.

Scourfield, A., Waters, L., & Nelson, M. (2011). Drug combinations for HIV: What’s new? Expert Review of Anti-Infective Therapy, 9(11), 1001–1011.

Note: Retrieved from the Walden Library databases.

This article examines current therapies and strategies for treating HIV patients. It also examines factors that impact selection of therapy, including drug interactions, personalization of therapy, costs, management of comorbidities, and patient response.

Required Media

ad the ACA and NAADAC Codes of Ethics and compare the positions that each takes on issues of dual relationships.

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1. Read the ACA and NAADAC Codes of Ethics and compare the positions that each takes on issues of dual relationships. Provide examples of dual relationships for which these codes do not give definitive guidance about the appropriateness of the relationship. How should a counselor make a decision to enter or not enter into a dual relationship?

2. How would you handle the following three situations? What would you do in each?

1. Your client expresses emotional or physical attraction toward you and you have similar feelings for your client.

2. You have feelings of attraction toward your client, but you do not know if your client has similar feelings toward you.

3. Your client expresses attraction to you, but you do not have any feelings of attraction toward your client.

3. You are a counselor working at a publicly funded alcohol and drug treatment program. Your client, Doug, attends one of your counseling groups. Although he has a previous conviction and is on probation for possession of an illegal substance, he entered treatment as a voluntary client. Doug’s probation officer recently learned from another probationer that Doug is in treatment, and the officer has sent you a letter requesting that you provide a progress report and an assessment of Doug’s likelihood of relapse. The probation officer will use this information, if favorable, to petition the court for Doug’s early release from probation.

Discuss your options for responding to the probation officer’s request and describe what you would do. Cite relevant legal issues, including federal confidentiality and privacy regulations in your discussion. Identify the specific circumstances under which you would provide the information requested by the probation officer. How would you handle this differently if Doug were involuntarily attending the group?

4. Judith is a licensed professional counselor (LPC) in private practice. She has a contract to facilitate psycho-educational groups for students in a local public high school. Many of the students in her groups are dealing with the divorce of their parents. Judith has decided to create a specific psychoeducational group for adolescents whose parents are divorcing or divorced. What should be covered in her pregroup screening interviews with the students?

5. You are the executive director of a small publicly funded behavioral health agency that serves indigent clients. After 10 years of being able to serve all clients seeking help, your agency has just received a 20% budget cut and must prioritize which services to discontinue and which clients to turn away. The community has many suggestions: stop serving undocumented immigrants and their children; stop serving substance abuse clients, limit all clients to six sessions, discontinue providing expensive services like psychiatry, lay off professional counselors and hire non-licensed paraprofessionals, stop providing counseling and instead simply offer peer self-help groups and parenting classes, serve only the most seriously ill (or the least seriously ill), and serve only children. How would you approach the difficult task of cutting services by 20% in a manner that reflects your ethical obligations as a community counselor? Would your plan differ if you were in a private sector? If yes, how? What criteria would you consider? What theoretical or standard of care practice will you follow to make a final decision about what to cut from your program? Reference the ACA and/or NAADAC Code of Ethics to support your answer.

6. A managed care clinician completed a utilization review and has just denied authorization for you to continue treating a client. You believe that the client could benefit from four additional sessions. At the same time, you understand that the managed care clinician must apply criteria of medical necessity to justify continued treatment, and you are aware that many of your agency’s clients have problems much more severe than your client’s. Make a list of all of the ways that you could try to ensure that the managed care system does not prevent you from giving your client the type and duration of treatment services that he or she needs. Categorize each of the items into two groups reflecting those that would be considered professionally appropriate and ethical, and those that would be considered to be a violation of professional ethical standards.

7. You are counseling in an agency setting in which your supervision consists of a weekly group staff meetings. At these meetings, agency policies, procedures, and other administrative issues are discussed. You are uneasy with this situation because you believe that true clinical supervision would help you improve your counseling skills and your current work with clients. You are also aware that you need a minimum number of documented hours of clinical supervision in order to obtain your independent counseling license, and you wonder if your supervisor’s brief notes about “staffing cases” as the activity in these staff meetings are sufficient documentation. Discuss the ethical issues involved in this situation, describe your options for how to proceed, and identify the option(s) you would choose. Explain your reasoning. Cite an ethical code in your response.

8. Darla is a Master’s of Arts in Professional Counseling student working at her practicum site. Mike is a practicum student assigned to the same practicum site as Darla. Both Darla and Mike report directly to the same site supervisor. About halfway through the practicum, Darla realizes that many of the clients assigned to Mike for counseling are coming to see her. Comments from Mike’s clients have led Darla to believe that Mike is acting unethically. How should Darla handle this situation? What are the ethical and legal implications?

If Darla tells her supervisor, and her supervisor does not act on her concerns, what are the ethical and legal implications?

All questions must be answered by them-self with 150-200 words each. Each must have a cite in the answer and pass TURN IT IN with less than 5%.

The post ad the ACA and NAADAC Codes of Ethics and compare the positions that each takes on issues of dual relationships. appeared first on Infinitessays.org.