Describe systems thinking in your own words. Briefly describe the macrosystem-level transition of care you selected. Identify two points of care across the care continuum present at this transition and briefly describe two strategies/inventions that nurse leaders could implement to align interventions for safe, quality transitions of care with the IHI Quadruple Aim. Be specific and provide examples.
Your final discussion post will be a reflection. Which natural disaster/hazard have you found to be the most interesting and why? What are some major issues concerning natural hazards/disasters for the future? What can we do to protect ourselves against the wrath of nature? How important are natural hazards/disasters regarding the future of our species? You do not have to answer all of these questions and you can also touch on other aspects of natural hazards/disasters. Make sure you include material from the class in your response. In essence…why do we study natural disasters and does it really matter? Why or why not? Your post must be at least 350 words
Three imperatives per submission
One paragraph per each imperative (= 3 paras, total, for the submission)
Each para bolded with a single imperative. First three words should be, “The effective manager”.
Each imperative must contain a reference to a READ ONE reading (yours or other) for the week, applied to the case for the week
Feel free to cite to any additional cases or readings we have discussed
Block paragraphs, no breaks.
Single-spaced
The effective manager tests their presumptions and assumptions. As Neustadt and May delineate, there are three kinds of presumptions that leaders must be cautious of ignoring: maybes, if/thens and knowns. When creating a plan, an effective manager must know when they are making assumptions about the current situation, the cause/effect relationships they are relying on, and their values in determining a course of action. Otherwise they might not recognize the importance of shifting circumstances to whether or not their plan will be successful. For President Kennedy, the situation around the Bay of Pigs kept evolving prior to the mission being launched, but nothing changed the teams determination that the operation was sure to succeed
The effective manager surrounds him/herself with trusted agents in areas that arent their expertise. We have seen throughout our case studies leaders (Miller, Bratton, Krieger) bringing in key advisors for areas that arent their core competence. Krieger had a military counter-part, Bratton had Maple (crime) and Miller (media). While President Kennedy had his share of trusted advisors; none of them had competencies in military or covert planning. The situation was further exacerbated by the newness of his administration and having an incomplete understanding of the CIA as Neustadt and May articulate in Placing Organizations. This lead to miscommunication and a lack of situational understanding.
Medicare, Medicaid, and the Health Insurance Portability and Accountability Act (HIPAA) have had significant impacts on the healthcare industry. Consider the most significant benefits that Medicare, Medicaid, and (HIPAA) have brought to the healthcare industry and the most significant challenges they have presented to decision making in the industry.
Research Medicare, Medicaid and HIPAA. Identify two benefits as well as two challenges.
Here is an example to get you started:
42 U.S. Code 1320d6 – Wrongful disclosure of individually identifiable health information
(a) Offense
A person who knowingly and in violation of this part
(1) uses or causes to be used a unique health identifier;
(2) obtains individually identifiable health information relating to an individual; or
(3) discloses individually identifiable health information to another person,
shall be punished as provided in subsection (b) of this section. For purposes of the previous sentence, a person (including an employee or other individual) shall be considered to have obtained or disclosed individually identifiable health information in violation of this part if the information is maintained by a covered entity (as defined in the HIPAA privacy regulation described in section 1320d9 (b)(3) of this title) and the individual obtained or disclosed such information without authorization.
(b) Penalties
A person described in subsection (a) of this section shall
(1) be fined not more than $50,000, imprisoned not more than 1 year, or both;
(2) if the offense is committed under false pretenses, be fined not more than $100,000, imprisoned not more than 5 years, or both; and
(3) if the offense is committed with intent to sell, transfer, or use individually identifiable health information for commercial advantage, personal gain, or malicious harm, be fined not more than $250,000, imprisoned not more than 10 years, or both.
Respond to two of your classmates, contrasting and comparing the benefits and challenges.
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