Applying Performance Improvement Tools

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Read the following scenario:

Imagine that, for about a year, your nursing unit has been involved in an intensive campaign to improve patient satisfaction scores with pain management. You are getting good data from your patients, as the length of stay on this inpatient geriatric medical nursing unit is only about 6 days. Your hospital does 100% survey to inpatients, and the response rate is about 25%, which is higher than it has been. This notwithstanding, the percent of patient very satisfied (top box), with a score of 5, has been in the low 70s. The national benchmark for medical surgical units like yours is about 85% very satisfied. Of all the units in your hospital, your unit is the lowest scoring on this HCAPHS survey. But as your unit is the only geriatric medical nursing unit in the hospital, youd always thought it was the nature of the patient population.

You have been the day shift representative to the QI team, and the scores on your unit are posted monthly. Here are the numerous strategies that have been tried on your unit and the timeframes.
For this Discussion, examine the strategies and interventions tried in your unit and consider the following questions: a) Were the strategies effective in creating a sustainable change on your nursing unit, and b) To what extent can your nurse manager and CNO count on your unit exceeding the national benchmark in the next quarter, the next year? That is, does this run chart have some predictive ability? Does the run chart support the nursing units decision to celebrate? To what extent can the leadership be confident that the trend will continue?

Based on the scenario, explain what was done successfully and where improvement was needed in the quality improvement process. Identify the performance improvement tools, and explain how they contributed to the outcome.

Problems about Nutrition

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Task: Upload a response to the following questions. Each question is worth 1 point. Clear and focused answers will receive full marks. Please answer each question in 3 sentences or less.

1. At six months of age, infants can start solid food. Describe why it would concern you if an infant between 4-6 months were provided too much food?.

2. Infants start eating solids at six months and continue to develop skills and progress to eating more foods over six months and beyond. Describe the typical meal pattern you would expect to see for an infant at 12 months of age and how it is different than at 6months. 

3. Explain why telling a child they have obesity and telling a family to focus on monitoring a child’s weight is unlikely to increase healthy behaviors and may be harmful. (This statement is based on the Ellyn Satter Institute and weight stigma content). 

4. If health care providers should avoid directly telling a child they are overweight, what is the purpose of measuring weights, and how should that inform their recommendations? (no right answer to this question, generally interested in your thought process. Vague/overtly general answers will be deducted points)

5. Provide your rationale for your True or False answer on the exam “Increasing rates of childhood obesity should be targeted through educating children to make better choices in their foods.”

Driving While Black

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Please do the following things (all of them, in this order, exactly as indicated here).

https://www.aclu.org/report/driving-while-black-racial-profiling-our-nations-highways

Provide the link to the “beginning article” you have selected above. 
Write a paragraph (at least 10 sentences long) introducing me to the topic–imagine that I don’t know anything about it, and fill me in on the details I need.
Write a paragraph (at least 10 sentences long) about why you are interested in this topic.  Specifically, how does your own experience connect to it?  Why have you chosen it?  What do you already know and feel about it? 
Write a paragraph (at least 10 sentences long) about why this topic is relevant enough to write a college-level research paper about.  Persuade me!
Write a paragraph (at least 10 sentences long) about what might happen if people don’t understand the relevance of this topic, or what might happen if they ignore it.

SECESSION, CIVIL WAR, AND RECONSTRUCTION

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Module 4 – Case
SECESSION, CIVIL WAR, AND RECONSTRUCTION
Assignment Overview
Southern Secession

There are many who would argue that the seeds of the Civil War were planted long before the first cannon fired on Fort Sumter. It has also been argued that the Civil War was necessary because it finished what the Revolutionary War started.

In this final Case, youll be reviewing, researching and writing on why the election of 1860 was the proverbial straw that broke the camels back.

Case Assignment
Write a 3 to 4-page essay addressing the following:

Explain why the South seceded following the Republican Party victory in 1860. List and explain at least three specific events leading up to secession.

Assignment Expectations
Use concepts from the background readings as well as any academic resources you can find (Wikipedia-type sources are not acceptable). Please be sure to cite your sources within the text and provide a reference page at the end of your paper.

Length: 3 to 4 pages, double-spaced, typed using 12 Point Times New Roman font.

The following items will be assessed in particular:

Your ability to apply the basic concepts to the questions.
Some in-text references to the background readings (APA formatting not required).
The essay should address each element of the assignment. Remember to support your answers with solid references including the background readings.
Upload your paper to the Case 4 Dropbox when it is completed.